Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Weight, Weight decreased
Clinical narrative: She also started her period again which was right around the time the rashes; She weighs 290-300lbs, at one time she was 346lbs, she has lost 50 lbs.; The headache lasted for 2 days and she could barely tolerated it; 2 hours after receiving the vaccine, she experienced a sensation of coldness in her right arm (injection arm) from the elbow to the wrist through the inside of the arm; Feeling lightheadedness; Wooziness; What she called a carbuncle knot below her elbow; The sensation was similar to a migraine but she felt pressure inside her head; The sensation was similar to a migraine but she felt pressure inside her head; Rashes; A sensation of sore throat in the upper side; 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 69-year-old female patient received BNT162b2 (BNT162B2), on 17May2022 at 14:00 as dose 1, single (Lot number: FM7553) at the age of 69 years, in right arm for covid-19 immunisation. The patient's relevant medical history included: "Anaphylactic reaction" (unspecified if ongoing); "Allergic to penicillin and its derivates" (unspecified if ongoing); "Migraines" (unspecified if ongoing), notes: history of migraines over the years.; "Hashimotos Thyroiditis", start date: Jan2021 (unspecified if ongoing), notes: Jan2021 she was diagnosed as Hashimotos; "High blood pressure" (unspecified if ongoing). The patient took concomitant medications. Past drug history included: Epinephrine, reaction(s): "Known allergies: Epinephrine", notes: She had a past anaphylactic reaction to Penicillin when she was 5 and had a shot of epinephrine. The following information was reported: OROPHARYNGEAL PAIN (non-serious) with onset May2022, outcome "unknown", described as "A sensation of sore throat in the upper side"; RASH (non-serious) with onset May2022, outcome "unknown", described as "Rashes"; MIGRAINE (non-serious), HEAD DISCOMFORT (non-serious) all with onset May2022, outcome "unknown" and all described as "The sensation was similar to a migraine but she felt pressure inside her head"; CARBUNCLE (non-serious) with onset May2022, outcome "unknown", described as "What she called a carbuncle knot below her elbow"; PERIPHERAL COLDNESS (non-serious) with onset 17May2022, outcome "unknown", described as "2 hours after receiving the vaccine, she experienced a sensation of coldness in her right arm (injection arm) from the elbow to the wrist through the inside of the arm"; DIZZINESS (non-serious) with onset 17May2022, outcome "unknown", described as "Feeling lightheadedness"; DIZZINESS (non-serious) with onset 17May2022, outcome "unknown", described as "Wooziness"; HEADACHE (non-serious) with onset 17May2022 at 16:30, outcome "recovered" (19May2022), described as "The headache lasted for 2 days and she could barely tolerated it"; MENSTRUATION IRREGULAR (medically significant), outcome "unknown", described as "She also started her period again which was right around the time the rashes"; WEIGHT DECREASED (non-serious), outcome "unknown", described as "She weighs 290-300lbs, at one time she was 346lbs, she has lost 50 lbs.". The patient underwent the following laboratory tests and procedures: Blood thyroid stimulating hormone: 12-14; Weight: lost 50 lbs, notes: She weighs 290-300lbs, at one time she was 346lbs, she has lost 50 lbs. Therapeutic measures were taken as a result of peripheral coldness, dizziness, headache, migraine, head discomfort, rash, oropharyngeal pain, dizziness, carbuncle.  Clinical course: It was reported that 2 hours after receiving the vaccine, she experienced a sensation of coldness in her right arm (injection arm) from the elbow to the wrist through the inside of the arm. She also started feeling lightheadedness, she described the sensation as seeing things in slow motion. She felt a pulsating pain, like a beat of a heart in his head. The headache lasted for 2 days, and she could barely tolerated it. The sensation was similar to a migraine, but she felt pressure inside her head. Her doctor prescribed aspirin for her symptoms. She also experienced rashes and a sensation of sore throat in the upper side. She described that when she was a child, she took penicillin and experienced an anaphylactic reaction to it. She is allergic to penicillin and its derivates since then. She wanted to know if Pfizer-BioNTech Covid-19 Vaccine contained penicillin or any derivates of it. She also mentioned that her husband only experienced headaches as a side effect of the vaccine, and he has leukemia. After explaining patient that the vaccine does not contain penicillin, she wanted to know what are the other ingredients of the vaccine that may have caused an allergic reaction. Patient wanted to know where Pfizer-BioNTech Covid-19 Vaccine is manufactured, for how long will Pfizer-BioNTech Covid-19 Vaccine remain free for citizens. She wants to find out what are the list of ingredients for the Covid 19 shot. She also mentioned that she may be allergic to the vaccine. She received the shot around 2pm. A few moments later she had a sensation of coldness in her lower arm from her elbow to wrist. She was standing on the porch about 2 hours later and developed a Light headedness and dizziness. She had a bad headache. She has only had one Covid shot on 17May2022. She got the shot around 2, and within seconds, she had a coolness below her elbow on the injection arm. The nurse said it was brought to room temperature. She told her about the sensation between the bend of her elbow to her wrist. The nurse talked like it was no problem. That passed once it got through her blood stream. Then, around 4 when she got home. She didn't feel anything else. Right after 4pm, she went to turn her head, and everything didn't go with it. She had wooziness and she was lightheaded. Thirty minutes later, she decided to lay down. She was in the bed for two days. Her headaches started at 4:30 after she laid down. She had an intense migraine with pressure aches and her arteries felt engorged. She has had a history of migraines over the years. She had a pulse of heart pain that started on the left back side of her head. She just wants to make sure she is not giving herself risk by getting another vaccine. The only thing she thinks was side effects were the following because she had never experienced them before: She had pulsating like along with her heart with a pain in the back of her head. It was a bam pain with heartbeat. She weighs 290-300lbs, at one time she was 346lbs, she has lost 50 lbs. They did schedule for her second one 28 days later, and she thought it was supposed to be 21 days. She read it says 3 to 8 weeks. She wrote the date down which was 28 days they said that was still fine. She just wants to make sure with her conditions and her age that she gets the maximum effects from the vaccine, and that she is safe. She does have Hashimotos Thyroiditis. She was diagnosed as hypothyroid about 12 years ago or maybe longer. Her TSH was 12 to 14. Then a year ago Jan 2021 she was diagnosed as Hashimotos. She has high blood pressure and is on two medications for that. She still has off and on pressure headaches. Maybe the vaccine just triggered her migraines. She also started her period again which was right around the time the rashes broke out. She got the rashes on the 5th day in or maybe 6th day in. She was scratching her arm because it started to itch. It felt like hives inside of her right arm elbow and down. There was a patch next to her elbow on the backside that was red dots. A day after that she noticed what she called a carbuncle knot below her elbow. It didn't feel like Psoriasis or anything, but there wasn't any pain. It was a raw area that is scabbed over now and healed.  No follow-up attempts are possible. No further information is expected.