Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Epistaxis
Clinical narrative: Nose starts bleeding; This is a spontaneous report received from a consumer (patient). A 58-years-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot Number: ER8736) via an unspecified route of administration on 28Apr2021 13:30 as single dose for COVID-19 immunisation. The patient's medical history and concomitant medications was not reported. There was no prior vaccinations (within 4 weeks). The patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot Number: unknown) via an unspecified route of administration on 07Apr2021 in left arm as single dose for COVID-19 immunisation. The first vaccine felt like someone punched her in the arm: This was with the first vaccine. It started on the date she got the vaccine, felt like someone punched her bad. She clarified that it started on 07Apr2021. It lasted two days and then stopped on 09Apr2021. After she received her second vaccine, it was two days after her shot, on 30Apr2021 at dinner her nose starts bleeding. It has not bled like that in 45 years and would not stop. Her mouth filled with blood and she had to run to the bathroom and she had to sit there for 5-10 minutes. Blood was coming out of her nose and she was sitting over the toilet bowl. It would not stop. It took between five and ten minutes. She had to hold the bridge of her nose and had to hold her nose to get it stop. Then it was dripping for about an hour. She could not doing nothing, she had to stay in the bathroom, she could not leave. It stopped that same day and never happened again. It felt like she was in the shower, she was not doing anything she was not touching her nose, her hand was not in her nose she was just eating and it starts bleeding. She knows people with blood thinners should not have the vaccine so she was unsure if its related. She had no other side effects and her arm did not even hurt. The first vaccine felt like someone punched her in the arm, the second one her arm did not hurt at all. The nose bleed started at 9 o clock at night caller did not provide any further details regarding the time. She received the vaccine in the afternoon. She has not have a nose bleed in 40 years. She has not had a nosebleed since she was a younger child around 9 or 10, she had it cauterized then. She just pinched the bridge of her nose.  She was talking to her sister and her niece was one of those rare people. The patient did not visit emergency room/physician office. She has a few reasons. She wants to travel. She has a disabled child that lives in group home and it would give her more benefits to see him. She has elderly parents and she does not want to give them it. She is concerned about her disabled child and her parents safety and her safety. Her niece, her sister's daughter who developed hemophilia 2 years ago. She developed it at the age of 30, she was not born with it, she was 1 in 10,000 people. She says they gave her niece some kind of treatment and supposedly she was cured now of it and she has to get the vaccine and caller's sister was scared stiff.   No follow-up attempts are needed. No further information was expected.