Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Skin exfoliation, Swelling face, Swelling of eyelid, Urticaria
Clinical narrative: eyes are swollen not all the way shut as he can see but his eyelids are very; eyes are swollen not all the way shut as he can see but his eyelids are very swollen on both sides.; face is peeling in clumps and he exfoliates his face and he is still shedding/rashes on face around brow and cheeks with flacking skin; face burns; redness; Swelling of face/face swelling which is worse; Swelling of face/face swelling which is worse; rashes on face around brow and cheeks with flacking skin; Hive on for arms and back of hands; This is a spontaneous report from a contactable consumer or other non hcp (patient). A 40-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: ep7534, Expiry date: unknown), dose 1 via an unspecified route of administration, administered in Arm Left on 19Mar2021 12:00 as DOSE 1, SINGLE for covid-19 immunization. Medical history included allergy to metals (Sulfa meds, and nickel) from an unknown date and unknown if ongoing. Concomitant medications included aminobenzoic acid, calcium pantothenate, cyanocobalamin, nicotinamide, pyridoxine hydrochloride, riboflavin, thiamine hydrochloride (B-COMPLEX [AMINOBENZOIC ACID;CALCIUM PANTOTHENATE;CYANOCOBALAMIN;NICOTINAMIDE;PYRIDOXINE HYDROCHLORIDE;RIBOFLAVIN;THIAMINE HYDROCHLORIDE]) taken for an unspecified indication, start and stop date were not reported; amfetamine aspartate, amfetamine sulfate, dexamfetamine saccharate, dexamfetamine sulfate (ADDERALL) taken for an unspecified indication, start and stop date were not reported; finasteride taken for an unspecified indication, start and stop date were not reported (other medications in two-weeks). Patient was not tested for Covid prior vaccination. Patient had no other vaccine in four weeks. The patient previously took Bactrim and experienced anaphylactic reaction. Patient clarified that in the past he had anaphylaxis from sulfa based drug Bactrim while doing a 10 day regimen of the antibiotic and was hospitalized for a day. Patient stated he had his first dose of Pfizer on Friday 19Mar2021 and the day after, on 21Mar2021 (at 08:00), he started getting swelling of face/face swelling which was worse, especially around the eyes, rashes on face around brow and cheeks with flacking skin. Patient had hive on for arms and back of hands on 21Mar2021. Patient stated he woke up and states he has had anaphylaxis before and this seems like it could be, that his eyes are swollen not all the way shut as he could see but his eyelids are very swollen on both sides, had redness and hives on his forearms and the backs of his hands and a rash on his face and swelling on his face on an unspecified date. Patient stated his face was peeling in clumps and he exfoliates his face and he was still shedding and had face burns but his airway was not swollen on an unspecified date. Patient stated this was on line for anaphylaxis but he does not felt it was serious as he had no breathing trouble and not swollen other than face swelling which was worse the last couple days. Patient stated if he needs epinephrine he would rather not pay at the hospital. Patient stated he has never used an epi pen and should he go in for medical care. Patient stated his face burns but his airway was not swollen. Stated his face was more swollen today than yesterday and he was worried about the progression and was trying to get information. Patient stated he had no insurance. Patient stated he was assuming he was one of the unfortunate few that had side effect from this and was wondering how to proceed from here. Stated that call handler is a nurse and thought he would ask. Patient stated he did a full report online with Pfizer while holding in the hold queue. It was reported that as unknown for treatment of swelling of face/face swelling which was worse, rashes on face around brow and cheeks with flacking skin and hive on for arms and back of hands. Patient was not tested for covid post vaccination. The clinical outcome of swelling of face/face swelling which was worse, rashes on face around brow and cheeks with flacking skin and hive on for arms and back of hands was not recovered. The clinical outcome of other events was unknown.  No follow-up attempts are possible. No further information is expected.