Age: 54.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Gait disturbance, Headache, Heart rate, Hypertension, Insomnia
Clinical narrative: He can still see the spot on his arm where they gave him the second dose of Pfizer Covid-19 Shot; he cant sleep; jabbing a knife pick into his brain and the injection site,it hurts; feels like someone his holding a torch to the top of his head and the sides are pounding; ringing in the ears; Post-traumatic stress disorder (PTSD) because he cant sleep and it hurts and states he could "commit suicide or something; Blood pressure was eight 178/80 or 188/80.; Headache; injection site hurts; couldn't even walk a straight line; Came back on blood work that stuff was a little low; This is a spontaneous report from a contactable consumer (patient). A 54-years-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot Number: FC3182) via an unspecified route of administration, administered in arm left on 09Sep2021 (Got vaccinated around noon or 1pm) (at the age of 54 years old) as dose 2, single for COVID-19 immunization. The patient medical history was not reported. Concomitant medications included testosterone, vitamin d [vitamin d nos], vitamin c [ascorbic acid] and cobamamide (VITAMIN B12 [COBAMAMIDE]). After the COVID-19 Vaccine, when he got the testosterone shot, it stays limp. Only time it got hard was when he got the steroid shot the following morning. Has been taking the testosterone shot for four years now, and it has not been bothering him at all. He takes a testosterone shot every two weeks at office. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot Number: FD8448) via an unspecified route of administration, on 19Aug2021 as dose 1, single for COVID-19 immunization. The patient confirmed that he had not taken any other new medications 2 weeks before the events started. The patient states that he had no problems with the first Pfizer COVID 19 vaccine dose but with his second dose he states it has been. The patient experienced headache the second day after the shot. On the 11th day, it really flamed up. Still has a headache today. It will be 21 days since the shot tomorrow. Headaches improved a little bit they were so bad was getting to where he couldn't function. The event began second day after the shot is a little better, but if he turns his arm a certain way, he can really feel it injection arm is left arm. He couldn't even walk a straight line on Sep2021, came back on blood work that stuff was a little low on Sep2021(Gets bloodwork once a year), On 27Sep2021 blood pressure was eight 178/80 or 188/80 (which was 4 days after the ER thing). At 2:30AM, on unspecified date he felt like someone was jabbing a knife pick into his brain and the injection site. On unspecified date he states that it feels like someone his holding a torch to the top of his head and the sides are pounding. He states that he cannot get any sleep and is only sleeping 3 hours a night. He reports ringing in the ears sometimes. He states that he can still see the area on his arm where the dose was given and when he raises his arm above his head it will ache On Monday, he states that it is like having post-traumatic stress disorder (PTSD) because he cannot sleep, and it hurts and states he could "commit suicide or something". He states that his side effects have been going on for 28days. The patient underwent lab tests and procedures which included blood pressure measurement: 132/80 on unspecified date, Blood pressure normally runs 132/80, blood pressure measurement: 178/80 on 27Sep2021 Blood pressure was eight 178/80 or 188/80, blood test: low on unspecified date, computerised tomogram head: clear on unspecified date, patient had a CAT scan of his brain and that was clear, heart rate: 78-80 on unspecified date ,heart rate is between 78-80. The events ended up in the ER on the 11th day after that dose. The patient was at the Emergency Room for four hours and then discharged. Was not admitted to the hospital. Therapeutic measures were taken because of injection site hurts. He has been to the doctor regarding these side effects, and she gave him a medication to take for 14 days. He states that it hasn't helped and that he went by the doctor again and they told him to finish the 14 days and then he's supposed to go back this coming. The outcome of events was not recovered for headache, injection site hurts. The outcome of the rest of events was unknown.  Follow-up attempts are completed. No further information is expected.