Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Ultrasound Doppler
Clinical narrative: getting really bad headaches that are triggered, most of the time when she sneezes, cough or yells; Caller reported that these triggers cause excruciating pain and if feels like someone is pulling a nerve in her head and the headaches are still ongoing; Ears feel like they are always clogged and have fluid in there; Ears feel like they are always clogged and have fluid in there; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) from medical information team for a Pfizer sponsored program. The reporter is the patient.  A 75 year-old female patient received bnt162b2 (BNT162B2), administered in arm right, administration date 16Feb2021 (Lot number: EN6201) at the age of 75 years as dose 2, single for covid-19 immunisation. Relevant medical history included: "she has problems with her kidneys" (unspecified if ongoing), notes: Caller states she has problems with her kidneys; "psoriasis/skin problems with her ears" (unspecified if ongoing); "problems hearing" (unspecified if ongoing), notes: she had problems hearing and they took wax out of her ear. The patient's concomitant medications were not reported. Vaccination history included: Bnt162b2 (DOSE 1, SINGLE, Lot number: EL9263, Anatomical Location: Right Arm), administration date: 28Jan2021, when the patient was 75 years old, for Covid-19 immunization. The following information was reported: HEADACHE (non-serious) with onset 27Feb2021, outcome "not recovered", described as "getting really bad headaches that are triggered, most of the time when she sneezes, cough or yells"; PAIN (non-serious) with onset 27Feb2021, outcome "not recovered", described as "Caller reported that these triggers cause excruciating pain and if feels like someone is pulling a nerve in her head and the headaches are still ongoing"; EAR DISCOMFORT (non-serious), EAR DISORDER (non-serious) all with onset 27Feb2021, outcome "not recovered" and all described as "Ears feel like they are always clogged and have fluid in there". The events "getting really bad headaches that are triggered, most of the time when she sneezes, cough or yells", "caller reported that these triggers cause excruciating pain and if feels like someone is pulling a nerve in her head and the headaches are still ongoing", "ears feel like they are always clogged and have fluid in there" and "ears feel like they are always clogged and have fluid in there" were evaluated at the physician office visit. Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of headache, pain, ear discomfort, ear disorder.  Additional information: Reporter stated that she started getting really bad headaches that are triggered, most of the time when she sneezes, cough or yells and these triggers cause excruciating pain and if feels like someone is pulling a nerve in her head and the headaches are still ongoing. She had 3 MRIs, a CT scan, been to her Primary doctor, and eye doctor, a hearing doctor, a vascular doctor, had a Carotid artery test, a Neurologist and everything has come back normal, no tumours. She reports that she was prescribed Gabapentin 100 mg which she took for a month, she stopped that and is now taking Nortriptyline 10 mg every night, but nothing has helped. She has to take Excedrin or Advil to relieve it. She does not do any of those things, she feels normal with no other issues. She has never had any of these types of headaches before the vaccine. Reporter states occasionally they occur on their own, but they are normally trigged by other events. No additional vaccines administered on same date of the Pfizer suspect. Reporter states her ears feel like they are always clogged and have fluid in there. She had a condition like psoriasis that as she gets older it builds skin causing problems with her ears. She had problems hearing and they took wax out of her ear, and she was on a maintenance program. She had the issues other than the clogged feeling and fluid before the shot. Treatment: Excedrin and Advil. She has problems with her kidneys, but when she was desperate, she takes Excedrin because she cannot stand the pain. Patient had no family medical history relevant to AE(s). Stated on her initial report, she stated she thought her symptoms began a month later. When talking to a relative, realized she went down to withheld for a withheld. Got there on 27Feb2021. Clarified this was the date her symptoms began. Caller did not clarify what her symptoms were.  No follow-up attempts are possible. No further information is expected.