Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Interchange of vaccine products, Investigation, Irritability, Mental disorder, Off label use
Clinical narrative: Originally he got Johnson in May and the only side effect he had was lethargy; Originally he got Johnson in May and the only side effect he had was lethargy; doesn't want to turn into a maniac/he is pretty heated; starting to experience mental health issues; booster; His upper left eyelid is completely swollen/His left eyelid was completely swollen it was twice the size of his right eye.; It was itchy at first, feels like there's something stuck on his eyelid.; There was tenderness, itchiness and redness on the upper eyelid; There was tenderness, itchiness and redness on the upper eyelid; 5  hours after he got his Pfizer booster on his left shoulder he experienced allergic reactions; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  A 35 year-old male patient received bnt162b2 (BNT162B2), administered in deltoid left, administration date 19Dec2021 (Batch/Lot number: unknown) as dose 2 (booster), single for covid-19 immunisation. The patient's relevant medical history and concomitant medications were not reported. Vaccination history included: Johnson and johnson covid vaccine (Dose 1), administration date: 04May2021, for Covid-19 immunization, reaction(s): "lethargy". The following information was reported: IMMUNISATION (non-serious) with onset 19Dec2021, outcome "unknown", described as "booster"; OFF LABEL USE (non-serious), INTERCHANGE OF VACCINE PRODUCTS (non-serious), outcome "unknown" and all described as "Originally he got Johnson in May and the only side effect he had was lethargy"; SWELLING OF EYELID (non-serious) with onset 19Dec2021, outcome "unknown", described as "His upper left eyelid is completely swollen/His left eyelid was completely swollen it was twice the size of his right eye."; PRURITUS (non-serious) with onset 19Dec2021, outcome "unknown", described as "It was itchy at first, feels like there's something stuck on his eyelid."; ERYTHEMA OF EYELID (non-serious), TENDERNESS (non-serious) all with onset 19Dec2021, outcome "unknown" and all described as "There was tenderness, itchiness and redness on the upper eyelid"; HYPERSENSITIVITY (non-serious) with onset 19Dec2021, outcome "unknown", described as "5 hours after he got his Pfizer booster on his left shoulder he experienced allergic reactions"; IRRITABILITY (non-serious), outcome "unknown", described as "doesn't want to turn into a maniac/he is pretty heated"; MENTAL DISORDER (non-serious), outcome "unknown", described as "starting to experience mental health issues". The events "his upper left eyelid is completely swollen/his left eyelid was completely swollen it was twice the size of his right eye.", "it was itchy at first, feels like there's something stuck on his eyelid.", "there was tenderness, itchiness and redness on the upper eyelid", "there was tenderness, itchiness and redness on the upper eyelid" and "5 hours after he got his pfizer booster on his left shoulder he experienced allergic reactions" were evaluated at the emergency room visit. Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of swelling of eyelid, pruritus, erythema of eyelid, tenderness, hypersensitivity.  Additional information: Reason for no lot number: of Pfizer COVID vaccine: Caller unwilling to complete the report/ for his Pfizer COVID vaccine the lot number was not on the vaccine card. Expiry Date of Pfizer COVID vaccine: Not Provided. Investigation Assessment: Not Provided. Patient stated they've done different tests from the past and there's no know allergies that come across and he's not allergic to anything. Patient went yesterday to the ER and was given a horrible diagnosis and prescript him with Zyrtec but it did nothing and he's going back again to the ER because he needs hydrocortisone or steroidal anti-inflammatory because this is absurd he stated. They didn't give him the proper medication yesterday. Patient will need a steroid or anti-inflammatory. Patient had a serious problem and doesn't want to turn into a maniac. Patient states he is pretty heated. He has a side effect from the vaccine he took. Patient was starting to experience mental health issues form this.  The lot number for bnt162b2 was not provided and will be requested during follow up.