Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Swelling face
Clinical narrative: Pain under right breast; Shortness of breath while walking long distance; Fast heartrate when walking; Gas problems; Rash on her face; Face swelled up around jaw part; Headache; This is a spontaneous report from a contactable consumer or other non-health care professional (patient). A 60-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, lot number: ER8729 and expiry date: unknown), via an unspecified route of administration in right arm on 16Apr2021 at 14:45 (at the age of 60-year-old) as a dose 1, single for covid-19 immunization at clinic facility. The patient medical history included she was diagnosed with migraines like tension in front from years ago; she had the high blood pressure first then had a pregnancy and ended up with diabetes years ago in 1995, all were ongoing. Family medical history relevant to events was reported as no. Concomitant medication included Lantus (insulin glargine) has been taking since couple of years to ongoing, she switched to Lantus from Levemir (insulin detemir); Novolog (insulin aspart) for the longest time, still ongoing; Ozempic (semaglutide) for 9-10 months weekly start date 2020 to ongoing; metformin 2x/day start date 1995 to ongoing; benazepril 4-5 months ago to ongoing; atenolol 1x/day for a couple of years to ongoing; Triamterene/HCTZ (hydrochlorothiazide, triamterene) 25 mg, 1x/day for a couple years to ongoing, reported that it was switched out from HCTZ and OMEGA 3 FISH OIL [FISH OIL], fish oil 1x/day for a while to ongoing. The patient did not receive any other vaccines within four weeks prior to the vaccination. Adverse events following prior to the vaccinations was reported as no. History of all previous immunization with the Pfizer vaccine considered as suspect was reported as first dose and not applicable. On 16Apr2021, she has a headache, which goes on the back of her neck or the top of her head. On 18Apr2021, patient experienced rash on her face in the evening on the Sunday following her first vaccination, which was near the moles on her face and look like a circle as big as a dime, which has been there for over a week, she went to the dermatology doctor office because of rash, face had swelled up around the jaw part. It was reported that the, received the first dose on 16APR2021 and had a "bad reaction". She asked If she doesn't take the second dose, will she have a bad reaction? On 24Apr2021 (2 days ago from time of call on 26Apr2021), she had pain under her right breast comes and goes, and when it comes, it comes hard. She thinks that she was having gas problems and that she has never felt that pain before and she hasn't lifted anything to pull the muscle. Fast heartrate happened over the weekend of 24Apr2021 to 25Apr2021. On 25Apr2021 (last night), while she was walking around the house up and down the stairs, she had shortness of breath. She has not felt anything so far on 26Apr2021, and that she does not know if the fast heartrate was better or just the same and reported that she didn't have these problems until she got the Covid-19 vaccine shot and she was planning to not to take the second dose of the Covid-19 vaccine which scheduled on 07May2021, due to the symptoms and inquired if it will affect her in any way if she doesn't get the second dose of the Covid-19 vaccine. However, she was going to talk to her physician at the appointment tomorrow and she doesn't want to have to go through any more issues if she has to take the second dose of the Covid-19 vaccine. So, she was trying to eat light and not eat anything greasy so that she can get to her doctor. Dermatologist informed the patient that she doesn't know what was causing the rash and gave her antibiotics, but she was sceptical and did not take them. Dermatologist ruled out that the rash on her face could have resulted from irritation of the moles on her face. Vaccine administered at military facility was reported as no. Additional vaccines administered was reported as no. Patient has not visited to emergency room. Therapeutic measures included Tylenol (lot number: SSA111, expiration date: 22Oct2024 and UPC: 30043675) for her headache, which help a little bit but not much; migraines medication was prescribed but she has not taken it. Reporter seriousness for the events were unspecified. The outcome of the events headache, pain under right breast, gas problem, fast heartrate when walking  and Shortness of breath while walking long distance were reported as not recovered and remaining all events were reported as recovering.  No follow-up attempts are needed. No further information is expected.