Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Erythema, Fatigue, Heart rate increased, Inflammation, Injection site pain
Clinical narrative: Extreme fatigue; Waves of chills; Cheeks are red and blotchy; chest is pink; Face is a little sensitive after washing it; Injection arm sore; itchy throat; itchy throat and body; Muscle and joint pain; joint pain; Thought it was anxiety; Sever rapid heartbeat and pressure; Pressure started to build/ pressure against her heart in that area/ Pain and pressure was so strong; Pressure started to build/ pressure against her heart in that area/ Pain and pressure was so strong; feel like she was having a heart attack; Sever rapid heartbeat and pressure; This is a spontaneous report from a Pfizer Sponsored Program. A contactable consumer (patient) reported a 60-year-old female patient received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/lot number: EL9263, expiration date 31May2021) via an unspecified route of administration on the left arm on 29Jan2021 at 14:30 at a single dose for COVID-19 immunization. The patient's medical history included sulfa allergy. The patient has a family history of heart disease on both sides of the family. The patient has no concomitant medications. There were no additional vaccines administered on the same date. The patient previously took penicillin and experienced hives. The patient stated that she was given penicillin when she was 18 years old and a whole week later, she reacted to it and was in the hospital for a week; the patient had hives they couldn't get rid of. The patient can't take Ceclor, Cipro, Azithromycin, or any of the those family of drugs as she also gets hives. The patient is limited to only two antibiotics she can take. The patient was allergic to many medications. The patient also reported of a severe reaction to flu shot 15 years ago (2006) and was told never to take one again. The patient was violently ill for a week, worse than if she got the flu and was told this was an extreme reaction. Since then, the patient has never received a flu shot. The patient has no prior vaccinations within 4 weeks.The patient got the first dose of bnt162b2 two weeks ago (29Jan2021) and reported that she had an interesting reaction, which is making her uncomfortable to get the second dose. The patient reported that within a few hours after the vaccination (29Jan2021), the patient's throat and body started getting really itchy. The patient reported that left arm, the injection arm, didn't get sore until 30Jan2021 and only lasted a day. Then on Feb2021, cheeks were red and blotchy; her chest is pink. A coworker noticed this in Feb2021 and pointed it out to the patient. Face was a little sensitive after washing it. Chest is pink and if the patient presses on it, chest turns white, and then back to pink. looks like she is lightly sunburnt. The patient had extreme fatigue for a few days; could hardly do anything; had no energy. Then it improved. Comes in waves of exhaustion. Fatigue was still there and comes in waves. Chills come in waves. By the time she gets home from work she just needs to sit down because she is exhausted. She can't fight the exhaustion. The patient reported that she can get to work, but by the time she gets home she can't do anything. On an unspecified date in 2021, the patient also reported of rotating muscle and joint pain that won't quite go away. Rotates where one day her legs feel like they are 100lbs and she can't go for a walk. Next day, her finger and wrists are aching. She was unable to open the gas can on her car. It moves around and is weird. Thereafter, patient also had an extremely hard, fast, rapid heartbeat. It concerns her. The patient stated that extremely fast, hard, rapid heartbeat started in a couple days. The patient thought it was anxiety, but has not gone away. Pressure started to build. Hurts to wear a bra because of the pressure against her heart in that area. The patient can see her chest beating really hard and becomes so painful; cannot lay on her side and it is hard to lay down at night; uncomfortable. The patient started to feel like she was having a heart attack. Pain and pressure was so strong. It is on her whole left side of her chest. The patient has a lot of pain and pressure and stated that it felt like her heart was being way out in front of her; pain and pressure takes her breath away. The patient has been on Prednisone or Medrol and it calmed down a bit, but it is not gone. Still has pain, pressure, and discomfort. Feels like severe indigestion, but it is not indigestion. The patient then went to the doctor who did an EKG and blood pressure was really high. EKG looked ok, but doctor could see a ton of inflammation that was causing the pain and pressure. The patient was given steroids (Medrol Dose pack; lo number: 1286418, expiration date: Jan2022) at 4 mg. The patient reported that steroids helped a little, but not completely. The patient went to urgent care and did not visit the emergency room. The patient was scared to get the second dose and is concerned to get second shot when she is still having all of these reactions. The patient has not recovered from fatigue while outcome for the other events was unknown.