Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Hypoaesthesia eye, Influenza like illness, Limb discomfort, Magnetic resonance imaging
Clinical narrative: an infection in her left eye; experiencing numbness on the left side of her face and on her left eye; she is unable to concentrate on anything else; feeling some soreness in place of the injection; had some muscle pain for a very short while; had some flu symptoms like a cold; she feels paralyzed emotionally; terrible feeling of paralysis and feeling the numbness of the entire left side of her face; numbness to the left side of her face; a "veil" in her left thigh; This is a spontaneous report from a contactable other hcp (patient). A 72-years-old female patient received bnt162b2 (COMIRNATY, formulation: solution for injection, lot number and expiration date were not reported), via an unspecified route of administration on an unspecified date as dose 2, single for covid-19 immunisation. Medical history included anxiety, blood cholesterol increased, depression, blood pressure measurement, sleep disorder due to general medical condition, insomnia type from an unknown date and unknown if ongoing. Concomitant medication(s) included ATORVASTATIN taken for blood cholesterol increased she started taking this maybe like 10 years ago, CELECOXIB taken for depression, she started taking this 12 years ago, AMLODIPINE taken for blood pressure measurement, she probably started taking the Amlodipine 5 years ago or so when she was changed from taking lisinopril before to now amlodipine, LORAZEPAM taken for anxiety, TRAZODONE HYDROCHLORIDE taken for sleep disorder due to general medical condition, insomnia type, she started taking this 13 years ago. The patient previously took Chantix about 3 years ago, Lisinopril for Blood pressure and BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, lot number and expiration date was not reported) via an unspecified route of administration, on unspecified date (Age at vaccination was 72 years) as dose 1, single for COVID-19 immunization and experienced feeling some soreness in place of the injection, had some muscle pain for a very short while, had some flu symptoms like a cold and soreness in her arm. On an unspecified date since vaccination patient experience she feels paralyzed emotionally, had some flu symptoms like a cold, had some muscle pain for a very short while, feeling some soreness in place of the injection, she is unable to concentrate on anything else, experiencing numbness on the left side of her face and on her left eye, an infection in her left eye, a "veil" in her left thigh, numbness to the left side of her face, terrible feeling of paralysis and feeling the numbness of the entire left side of her face. The paralysis facial accessed as a medically significant. Further explained that numbness on the left side of her face and on her left eye. There was nothing visible it was just the sensation. The patient has been to a neurologist and other doctors and they can't find anything wrong on the tests that she has had done. Patient states that her numbness was not immediately after she had the vaccine. After she had her vaccine she had waited outside for 15 minutes like they say and she got her vaccines in the right order and had them 3 weeks apart. After she had the pain in her arm she maybe had the numbness. She maybe had that for 2 days or so and after a while, and then maybe the numbness started 4 or 3 months afterwards, she does not remember exactly. Maybe it was immediately after, she does not know but she had the feeling of numbness and she could not see anything there but if she was touching it then she could feel everything but the numbness feeling just was there all day long. She was also seen by an eye doctor two months ago and told the doctor about the feeling in her left eye and the doctor checked her eye and told her that it might be connected to something but the patient does not remember what the doctor had said. She was also sent for a brain computerised tomogram (CT) and to check the vertebras in her neck and they said that there was something between C4 and C7 but it did not seem to be the cause of her numbness and that why she was calling. The CT did not find anything else. She had asked the doctor if she could get a 2nd opinion, but no one had really given her anything. She then went to another eye doctor in and told them about the same eye and side of her face and they said that they did not see anything in her sight even though she had the feeling in her eye. That doctor gave her some drops. The caller really cannot do anything because she was so concerned about this. Patient was hoping that someone can say that she was not just hallucinating and that this was a real problem that she was had. When patient was in another country she had a CT twice that her neurologist recommended her to do and she also had an magnetic resonance imaging (MRI) of her brain and they did not see any changes that can explain this. She then went to the emergency room in the hospital in another country where they did the CT and did not see any changes from the one that she had before. She confirms that both CTs were performed in another country. Patient also clarified and confirms previously provided uncertainty of the numbness beginning and states that it wasnt experienced immediately after the vaccine. After the vaccine she was feeling some soreness in place of the injection and had some muscle pain for a very short while and then she also had some flu symptoms like a cold and that it. She does not remember exactly when the numbness began. The patient does not think that the injection site soreness and muscle pain were life threatening. She thinks she had that for two days and then it was nothing, it was what she had expected it to be. Inquired for seriousness on her facial and eye numbness and she states that she just had the feeling. She was not paralyzed but she feels paralyzed emotionally because she cannot concentrate, and she was so concerned about it. They did 2 MRIs of her brain and then an MRI of her neck and everything else that was connected and apparently, she does not have any tumors or anything and they suspected that she just reacted to the did but she still had the feeling of numbness and paralysis, and they are effecting her life. She did not know how to consider it, it was not life threatening. Nobody can answer what the cause was and what was her problem and thats what concerns her about this because she needs to find it out. She cannot go on with the terrible feeling of paralysis and feeling the numbness of the entire left side of her face. She can function and go shopping for her food because she had no one to do it for her but she was not going out because it changes all of her face, like her entire face feels weird even though you cannot see anything. The patient also stated regarding causality that the soreness in her arm was just one day and it was like she had expected and like everyone complains about and then the numbness she did not know. She did not get any other medications out of her normal, she was getting all of the medications that she was taking before and she did not have any paralysis with that before. The only thing new that she was getting was the COVID vaccine and that was the only thing that could of affected her health. The patient underwent lab tests and procedures which included computerised tomogram with unknown result on 04Mar2021, computerized tomogram with did not see any changes on Sep2021, computerised tomogram with unknown result on 27Sep2021, computerised tomogram head there was something between C4 and C7 but it didn't seem to be the cause of her numbness, magnetic resonance imaging of neck with unknown result on Sep2021, magnetic resonance imaging head with result negative on Sep2021 , magnetic resonance imaging head with result they didn't see any changes on Sep2021. Therapeutic measures were taken as a result of eye infection. The relatedness of COVID vaccine and experiencing numbness on the left side of her face and on her left eye was related. The outcome of events paralysis facial, numbness facial, eye infection, eye numbness, concentration loss, vaccination site pain was not recovered, the patient was recovered from muscle pain and unknown for leg discomfort, concentration loss, flu like symptoms, emotional disorder.  The lot number for [BNT162B2], was not provided and will be requested during follow up.