Age: 59.0
Sex: U
Vaccine: COVID19
Symptoms: Gait disturbance, Headache, Insomnia, Loss of personal independence in daily activities, Magnetic resonance imaging
Clinical narrative: Severe headache/head pain; Chills; Visual disturbances; Could barely walk; Pain was extremely intense; It has only been since April 16 I have been able to work on the computer for a longer period of time; laying down has been one of my worst positions; Rash on left arm; Pain in the bones of eyes hurt to move them; Pain in the bones of eyes hurt to move them; Nauseous; Fatigued; This is a spontaneous report from a contactable consumer or other non-health care professional. A 59-year-old patient of an unspecified gender received bnt162b2 (PFIZER-BIONTECH COVID-19 m-RNA VACCINE; formulation: solution for injection, Batch/Lot Number: EN6202), via an unspecified route of administration, administered in Arm left on 27Feb2021 at 14:30 hours, as DOSE 1, SINGLE (at the age of 59-year-old) for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient was allergic to penicillin, soy, and erythromycins. The patient neither received any other vaccines within 4 weeks prior to the COVID vaccine nor any other medications within 2 weeks of vaccination. Prior to vaccination, the patient was not diagnosed with COVID-19. The patient experienced three waves of adverse reactions. On 27Feb2021 at 18:30 hours, the patient first had pain in the bones of eyes, hurt to move them, nauseous, and fatigued. The events lasted from 27Feb2021 to 08Mar2021. On 08Mar2021, the patient had rash on left arm. On 11Mar2021, the patient experienced severe headache came on quickly, chills, visual disturbances and extremely intense pain. The headache started on the left side in the back and moved up to the top of the head. The patient was nauseated, experienced chills, and visual disturbances. On 11Mar2021, the patient had to lay down and could barely walk, not able to work on the computer for a longer period of time till 16Apr2021 and laying down has been one of the worst positions till 23Apr2021. The pain was extremely intense. Since then, the patient has had nonstop head pain, 24/7 to varying degrees. It has only been since 16Apr2021, the patient has been able to work on the computer for a longer period of time and have had some ability to think. On 23Apr2021, for the first time, the patient was able to lay down at night without an ice pack as laying down has been one of the worst positions. The patient saw a primary care physician who had another patient with similar issue but not as severe as the patient. The patient went to a neurologist who put the patient on a muscle relaxer and anti-inflammatory, did bloodwork and ordered and MRI/MRA. The patient has had chiropractic adjustments, too. The patient underwent lab tests and procedures which included SARS-COV-2 RNA, QL, RT PCR (COVID-19): negative on 22Mar2021, nasal swab; MRI/MRA: results not provided on an unspecified date; blood work: results not provided on an unspecified date. The patient visited a doctor/other healthcare professional office/clinic as a result of the adverse events. The events were considered as non-serious. Therapeutic measures were taken as a result of the events and treatment provided included adjustments, muscle relaxer, and anti-inflammatory. The outcome of the event pain in the bones of eyes hurt to move them, and fatigued was recovered on 02Mar2021; outcome of the event nauseous was recovered with sequel on 02Mar2021; outcome of the events It has only been since April 16 I have been able to work on the computer for a longer period of time was recovered on 16Apr2021. The outcome of the event laying down has been one of my worst positions was recovered on 23Apr2021. The outcome of the events rash on left arm, severe headache/head pain, chills, visual disturbances, could barely walk, and pain was extremely intense was not resolved at the time of this report.  No follow-up attempts are needed. No further information is expected.