Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anxiety, Aphthous ulcer, Feeling abnormal, Headache, Lip swelling
Clinical narrative: Within minutes of receiving the shot, I started getting a headache and just feeling generally off...almost a feeling of an adrenaline rush.  Felt a bit antsy and foggy for 1 hr.  A couple of hours lat; Within minutes of receiving the shot, I started getting a headache and just feeling generally off...almost a feeling of an adrenaline rush.  Felt a bit antsy and foggy for 1 hr.  A couple of hours lat; Within minutes of receiving the shot, I started getting a headache and just feeling generally off...almost a feeling of an adrenaline rush.  Felt a bit antsy and foggy for 1 hr.  A couple of hours lat; Within minutes of receiving the shot, I started getting a headache and just feeling generally off...almost a feeling of an adrenaline rush.  Felt a bit antsy and foggy for 1 hr.  A couple of hours lat; Within minutes of receiving the shot, I started getting a headache and just feeling generally off...almost a feeling of an adrenaline rush.  Felt a bit antsy and foggy for 1 hr.  A couple of hours lat; Within minutes of receiving the shot, I started getting a headache and just feeling generally off...almost a feeling of an adrenaline rush.  Felt a bit antsy and foggy for 1 hr.  A couple of hours lat; Within minutes of receiving the shot, I started getting a headache and just feeling generally off...almost a feeling of an adrenaline rush.  Felt a bit antsy and foggy for 1 hr.  A couple of hours lat; Within minutes of receiving the shot, I started getting a headache and just feeling generally off...almost a feeling of an adrenaline rush.  Felt a bit antsy and foggy for 1 hr.  A couple of hours lat; This is a spontaneous report from a contactable consumer, the patient. A 54-years-old female patient received BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), dose 1 via an unspecified route of administration, administered in the left arm on 17May2021 at 18:00 (Batch/Lot Number: EW0186) as dose 1, single (at the age of 54 years-old) for COVID-19 immunisation.  Medical history included known allergy to Sulfa drugs.  The patient's concomitant medications were not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient did not have a history of COVID-19 prior to the vaccination and was not tested for COVID-19 after the vaccination. On 17May2021 at 18:15 the patient experienced headache, feeling abnormal (just feeling generally off, almost a feeling of an adrenaline, feeling foggy), and on 17May2021 the patient also experienced tingling lips, hives, runny nose, swelling lips, canker sore lip, and anxiety. The events all resulted in a physician office visit. The clinical course is as follows: Within minutes of receiving the shot, the patient started getting a headache and just feeling generally off...almost a feeling of an adrenaline rush.  The patient felt a bit antsy and foggy for 1 hr.  A couple of hours later, the patient got a small hive on the bottom of their right eye, followed by small hive in their left shoulder.  The patient's nose started to run a bit and the patient called their sister who brought them over some Benadryl.  When the sister arrived, the patient felt the inside of bottom lip begin to tingle and mildly swell.  The patient stayed awake for a bit and then took the Benadryl before going to sleep.  In the morning, the inside of their bottom lip felt like it had a series of small canker sores which resolved within 24 hours.  The patient had a telemedicine visit with their doctor's office, and they felt it was a local reaction, perhaps anxiety induced; they ok'd 2nd dose. The patient discussed with vaccination site coordinator, and they consulted with the County Health Department who will not administer a second dose due to CDC guidance regarding hives, etc. Therapeutic measures were taken as a result of the events tingling lips, hives, runny nose, headache, feeling abnormal (just feeling generally off, almost a feeling of an adrenaline, feeling foggy), swelling lips and included Benadryl.The patient did not receive therapeutic intervention for canker sore and anxiety. The patient recovered from the events tingling lips, hives, runny nose, headache, feeling abnormal (just feeling generally off, almost a feeling of an adrenaline, feeling foggy), swelling lips, canker sore lip, and anxiety on an unknown date in May2021.  Follow-up attempts are completed. No further information is expected.