Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature decreased, Chills, Erythema, Illness, Local reaction
Clinical narrative: She did notice her arm that it was pinkish and you can tell that it was puffed; Her arm that it was pinkish/it was puffed but not real bad/it's about 5 inches long and 4 inches across; She don't feel sick like what she did first day; Chills; Low grade temp the whole day and just achy; Fever; Low grade temp the whole day and just achy; The arm was just sore; A little bit of local reaction in my arm/my arm that it was pinkish and you can tell that it was puffed but not real bad; This is a spontaneous report from a contactable consumer (patient). A 74-year-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot Number: EN6200), via unspecified route of administration on 03Mar2021 as a 2nd dose, single dose for COVID-19 immunisation. Medical history included Hypertension, Blood cholesterol increased, Rheumatoid arthritis: she took some unspecified treatment one time, the patient had Flu shots every year, Pneumonia vaccine, just like normal thing. Past medication included unspecified treatment of one time for Rheumatoid arthritis, and she was not on any medicine in probably for 3 years for it. She had 2 heart blockages and she have got stents in her heart but that was 20 years ago. She had the first one when she was 48 and the second when she was 52. Concomitant medications included Lisinopril, atenolol (TENORMIN), Folic acid, colecalciferol (VITAMIN D3), Atorvastatin 40 mg taken for blood cholesterol, hydrochlorothiazide (HCTZ), Estradiol, acetylsalicylic acid (ASPIRIN), tocopherol (VITAMIN E D ALPHA TOCOPHEROL), cyanocobalamin (VITAMIN B12 [CYANOCOBALAMIN]). The patient previously received historical vaccine of first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot Number: Not reported), via unspecified route of administration on an unknown date as a 1st dose, single dose for COVID-19 immunisation. The patient reported that her husband and she both had the first injection we had no reaction whatsoever and then with second Covid vaccine we had it on (Wednesday, 03Mar2021). Well on (04Mar2021, Thursday) morning about 4:30 she woke up with almost like chills and fever just about (voice incomprehensible) low grade temperature the whole day and just achy which they said could have with the second vaccine. The arm was just sore like was normal like she had Flu shots every year, pneumonia vaccine, just like normal thing. On an unknown date in 2021, she just now started to a little bit of local reaction in her arm, she did notice her arm that it was pinkish and you can tell that it was puffed but not real bad and her daughter told her to make a little 'notch' around it like last night and then see if it was more this morning, it's about 5 inches long and 4 inches across and she don't feel sick like what she did first day and her husband had no reaction whatsoever and he was 77, he was actually watching her card right now and other than that her daughter also told her mark it so she could tell if it was spreading which it was a little bit bigger today than it was yesterday. She didn't know whether this was, she should report it actually or not and she don't do things on computer since she was retired. She was just calling to just basically give this information if it's necessary. The patient confirmed the vaccine as Pfizer Covid-19 vaccine as she had a card and lot number everything in front of her. She reported that she had worked in doctor's office, but she was not a registered nurse. The patient had not undergone any investigational assessments. The outcome of the event sick was recovered and the outcome of other events was unknown.  No follow-up attempts are possible. No further information was expected.