Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rash macular, Skin burning sensation, Swelling face, Throat tightness, Urticaria
Clinical narrative: her eyes were getting like these burning sensations again; red blotches on her skin, with burning, tingling, and numbness/ she started feeling numbness and tingling around her chin; Redness; She experienced trouble swallowing, tightness; She experienced trouble swallowing, tightness; swelling in her face/She felt like her whole face was like a balloon and really really tight; constant pain; red blotches on her skin, with burning, tingling, and numbness; red blotches on her skin, with burning/excruciating burning sensation in her chest and primarily in her face-her face felt like it was on fire like it was 400 degrees; red blotches on her skin, with burning/excruciating burning sensation in her chest and primarily in her face-her face felt like it was on fire like it was 400 degrees; red blotches on her skin, with burning, tingling, and numbness/she started feeling numbness and tingling around her chin/numbness around her forehead all the way down to her cheekbones; Her eyes feel inflamed; tightening around her eyes/feels like someone is holding her eye up with forceps; Hives; The initial safety information received was reporting only non-serious adverse drug reaction(s), Upon receipt of follow-up information on 08Oct2021, this case now contains serious adverse reaction(s). Information processed together. This is a spontaneous report from a contactable consumer (patient) and another consumer (husband). A 54-years-old female patient (reporter's wife) received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection) via an unspecified route of administration at upper arm on 06Apr2021 at about 12:00-12:30 (at the age of 54-year-old) (Batch/Lot number: ER8737) as DOSE 1, SINGLE for covid-19 immunisation. Medical history included fibromyalgia from 2013 and ongoing. The patient's concomitant medications were not reported. On 06Apr2021, she experienced trouble swallowing, tightness, redness, and swelling in her face as well as constant pain. On 06Apr2021 she experienced red blotches on her skin, with burning, tingling, and numbness. All her symptoms continue to this day. She has been to her allergist and under her Physician's care and they cannot do anything for her. She is now experiencing problems with her eyes. She went to a Rheumatologist, and he thinks it could be her Trigeminal Nerve. Her left side of her face is over powering and her eyes feel like she has been swimming in chlorine for a month. On Apr2021 Her eyes feel inflamed and as if they are coming out of her sockets or like someone is holding them with a forceps. The past 2 months have been worse. Her pain is now more tolerable since this first started in May. She has been taking Advil for her symptoms, but everyday some intensity of her symptoms persist. They waited like half an hour. As soon as they got in the car his wife's symptoms started where her throat closed up for like 3 seconds, she suddenly grabbed his arm and said her throat closed up. Her throat then opened up and she was able to drink a glass of water. Since then she has had reoccurring hives and spots and stuff. The husband then mentioned his wife who is the patient just got there, he was going to let her complete the rest of this report. He gave the phone to his wife who is the patient. The patient completed the remainder of the report and is referred to as reporter/caller or patient hereafter in this report. The patient clarified the information provided by her husband. She has been under a doctor's care since 06Apr2021 when she got the first Pfizer Covid mRNA Vaccine dose. She waited 15 minutes after that dose, not half an hour as provided by her husband. She was fine and they left. She clarified that it wasn't that her throat closed, it was that she suddenly couldn't swallow when she got in the car. She would say that was about 25 minutes duration. She did have water, she was able to drink the water but instantly she started feeling numbness and tingling around her chin. The next morning it was even worse, it was her whole face. She felt like her whole face was like a balloon and really really tight. She reached out to her Primary so they said maybe it will go away in 5 days. Her second shot was scheduled for 26Apr2021 but all of these events were going on the whole time. Symptoms of these events have always been more predominant on her left side and primarily in her upper body but mainly in her face; and all predominantly on her left side. On Apr2021 Symptoms included like tightening around her eyes, tingling, numbness around her forehead all the way down to her cheekbones, like right where a racoon mask would be, it felt like it was tightening really hard in those areas and just got progressively worse. She went to the emergency room related to these symptoms, but was not admitted to the hospital at any point for any of these events. On 27Apr2021 she was still experiencing symptoms including tightness all in her face, feeling like it was all like a balloon, even though it wasn't like that in the mirror; her left side it looked like her ear, and still does look like, that there was a little bit of a pocket that seems a little bit swollen; but it was persistent The pain never goes away it is constant 24 hours a day. When she went to the hospital to get the second dose on 27Apr2021 she told the nurse about the events she experienced with the first shot and the nurse was reluctant to give it to her. The nurse went and had a consultation with other doctors in the hospital for about an hour and then they finally advised patient not to take the second dose of Pfizer Covid mRNA Vaccine, so she did not receive second dose. While at the hospital that day on 27Apr2021 she was advised to see an allergist. Her allergist appointment was not until the end of May2021. She reported that maybe a couple days after 27Apr2021 she started having almost like a delayed reaction of excruciating pain on her left side. Her whole face, upper chest was all hives, all red blotches. Regarding outcomes of these events she initially mentioned persisting, then clarified some events are worse some are better. When she went to the allergist; and she has a Rheumatologist, and is now being referred to a Neurologist; she will get to that; but when started getting these hives, mainly in her face and in her upper chest she took Benadryl, it was a holiday weekend. She took Benadryl, it did help with the hives, and she was in constant communication with her primary provider. Right after that within that period, she's taking the Benadryl and had stopped and she started getting this excruciating burning sensation in her chest and primarily in her face-her face felt like it was on fire like it was 400 degrees. She tried to make her appointment sooner with the allergist and was able to change her appointment allergist. At this point she explained everything to the allergist; the day she went to the allergist she still had extreme burning sensation in her face-which she is still experiencing, but a little lesser than before. The allergist gave her a round of Prednisone, she took that, she thinks it was for 10 days, unknown if 10mg or not and it did help. She would say her pain threshold was like a 14 the day she saw the allergist; and with the first dose of Prednisone it was maybe like a 9. She called allergist, he agreed to give her a second round with the Prednisone, and that helped her a little more, dropped her to perhaps like a 7 for the pain. He said there's nothing else he can do for her, that it was too dangerous to take an allergy test right now. Her primary at this point, patient didn't know who to talk to at this point, so she know just continued talking to primary provider; her symptoms of burning were down to maybe 6. She was still having the tingling, but it was manageable. So now they are into the month of Aug2021 and she went in to see her primary provider who seemed to think her autoimmune system won't shut off and wanted her to try to have her take an allergy test. So patient went back to the allergist, and still at this point had the symptoms. The burning was less but still had around the eyes the tingling and all of that. Also at this around this time it was the end of Aug2021, her left eye, her eyes were getting like these burning sensations again, predominantly in her left eye. It felt like she had been swimming under water for like a month. She will wake up some mornings and her husband will say oh geez your eye looks all messed up today. That is especially when she wakes up in the morning. It feels like someone is holding her eye up with forceps. So she told him everything and asked whether the fibromyalgia could be a part of this. He did ask you are you getting sharp pain through your head she said she was experiencing that, but not all the time, that it would happen like 3-4 times in day then not for couple or few days so before it happened again. He seemed to think the trigeminal nerve may be inflamed and is pressing on her eye and affecting other things in her face so her eyes, she is, her eyes are bad, and obviously she is fatigued. This past week, the redness, even with the hives the redness in her chest has been kind of opaque never really went away on her skin, but in the past week and the other night it started again with redness all over her face and burning and it just feels like it is still ongoing. The patient underwent lab tests and procedures which included antibody test: have antibodies   on 2021 (She does have antibodies). Therapeutic measures were taken as a result of hives, she experienced trouble swallowing, tightness, she experienced trouble swallowing, tightness, redness, swelling in her face/she felt like her whole face was like a balloon and really really tight, constant pain, red blotches on her skin, with burning, tingling, and numbness, she started getting this excruciating burning sensation in her chest and primarily in her face-her face felt like it was on fire like it was 400 degrees, numbness around her forehead all the way down to her cheekbones, tightening around her eyes/feels like someone is holding her eye up with forceps, her eyes were getting like these burning sensations again. The outcome of the event was not recovered.