Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Abnormal dreams, Anxiety, Chapped lips, Dysgeusia, Flushing
Clinical narrative: tingling; paresthesia; metallic taste; nerve pain in her legs, like a burning sensation in her veins; she got flushing in her face; lips felt chapped; vivid dreams; anxiety; a lot of bleeding and blood clots during her first menstrual cycle after the vaccine; she couldn't sleep; weakness on the right side of the body; a blood clotting; pins and needles; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  A 42-year-old female patient received BNT162b2 (BNT162B2), on 20Apr2021 as dose 1, single (Lot number: EW0164) at the age of 42 years, in right arm for covid-19 immunisation. The patient's relevant medical history included: "Antiphospholipid antibody syndrome" (ongoing), notes: Antiphospholipid antibody syndrome; "Polycystic ovarian syndrome" (ongoing); "Vitamin D deficiency" (ongoing); "Rosacea" (ongoing); "Mild Allergy to Milk" (ongoing), notes: Mild Allergy to Milk; "autoimmune disorder" (unspecified if ongoing). There were no concomitant medications. The following information was reported: THROMBOSIS (medically significant) with onset Apr2021, outcome "unknown", described as "a blood clotting"; MENSTRUAL DISORDER (non-serious) with onset Apr2021, outcome "recovered" (2021), described as "a lot of bleeding and blood clots during her first menstrual cycle after the vaccine"; ANXIETY (non-serious) with onset Apr2021, outcome "recovered" (2021); CHAPPED LIPS (non-serious) with onset Apr2021, outcome "recovering", described as "lips felt chapped"; DYSGEUSIA (non-serious) with onset Apr2021, outcome "recovered" (2021), described as "metallic taste"; NEURALGIA (non-serious) with onset Apr2021, outcome "recovered" (2021), described as "nerve pain in her legs, like a burning sensation in her veins"; PARAESTHESIA (non-serious) with onset Apr2021, outcome "unknown", described as "paresthesia"; PARAESTHESIA (non-serious) with onset Apr2021, outcome "not recovered", described as "pins and needles"; INSOMNIA (non-serious) with onset Apr2021, outcome "unknown", described as "she couldn't sleep"; FLUSHING (non-serious) with onset Apr2021, outcome "recovering", described as "she got flushing in her face"; ABNORMAL DREAMS (non-serious) with onset Apr2021, outcome "recovered" (2021), described as "vivid dreams"; HEMIPARESIS (medically significant) with onset Apr2021, outcome "recovered" (2021), described as "weakness on the right side of the body"; PARAESTHESIA (non-serious) with onset 20Apr2021, outcome "not recovered", described as "tingling". The events "weakness on the right side of the body", "a blood clotting", "pins and needles", "tingling", "paresthesia", "metallic taste", "nerve pain in her legs, like a burning sensation in her veins", "she got flushing in her face", "lips felt chapped", "vivid dreams", "anxiety" and "a lot of bleeding and blood clots during her first menstrual cycle after the vaccine" required physician office visit. Therapeutic measures were taken as a result of hemiparesis, thrombosis, paraesthesia, paraesthesia, paraesthesia, dysgeusia, neuralgia, flushing, chapped lips, abnormal dreams, anxiety, menstrual disorder, insomnia.  Clinical course: Caller stated that she received her first dose of the COVID-19 vaccine on 20Apr2021. After the first dose she experienced symptoms such as pins and needles, tingling, weakness on the right side of the body, metallic taste, and nerve pain. She still had the pains and needles, and tingles. Her doctor was not sure if she should receive the vaccine. She had antiphospholipid syndrome. Caller stated that right now she was trying to finish her vaccination scheme. She took a long break, hoping it would improve. She red online that these symptoms can be caused by COVID itself, not by the vaccine. Or perhaps the clots from her disorder (antiphospholipid syndrome). Patient would like to know if, during the clinical trial, the people who received the first dose and experienced side effects such as paresthesia (pins and needles) received the second dose of the vaccine. The PI declared a number of people who experienced side effects after the administration of either the placebo or the vaccine, but not if they continued in the trial. A review of the Prescribing Information for Comirnaty failed to find any information regarding whether the patients who experienced paresthesia during the clinical trials for the primary series went on to receive the second dose. Patient would like to know if the pins and needles are considered a serious side effect. Other Conditions: Yes. Investigations: No. Caller stated that she just had a question, she had already reported her side effects on the VAERS website. Caller stated she got her first dose over a year ago in Apr and she had a lot of pins and needles and tingling and right side weakness and it was hard to pick up her leg, well she could pick it up but she had to put more effort in to it. Caller stated she has spoken to her doctors and they don't really know one way or another. Caller stated this was over a year ago, so doesn't recall specific dates but provides the narrative. Caller stated when she got the vaccine, she had pins and needles in the arm that she received the dose in and she shook her arm and it went away. Caller stated then the pins and needles spread to her other side of her body and then her face started to tingle and then she got flushing in her face and it felt really hot and her lips felt chapped. She stated 3 days later was when she had very noticeable pins and needles occur when doing tasks like reaching up in a cabinet and pulling things down. She stated she would try to shake her arm but it would not go away, it would go away after 30 minutes. Caller stated she also had a metal taste in her mouth. Caller stated she also experienced nerve pain in her legs, like a burning sensation in her veins. Caller stated she has a blood clotting disorder, so when she experienced weakness on her right side, she thought she was having a stroke. She stated she started to take Baby Aspirin. She reported she had vivid dreams and anxiety that kept waking her up and she couldn't sleep. Caller reported she had a lot of bleeding and blood clots during her first menstrual cycle after the vaccine but the after that they have been normal. Caller reports she still has the pins and needles and her face still tingles, but the metallic taste and weakness is gone and the nerve pain is gone, that took 2 months to get better, well about 8-10 weeks. Caller states she does have some medical issues and an autoimmune disorder and she can get some of these from her disorder. History of all previous immunization with the Pfizer vaccine considered as suspect: None. Additional Vaccines Administered on Same Date of the Pfizer Suspect: None. Prior Vaccinations (within 4 weeks) None. AE(s) following prior vaccinations: None. Family Medical History Relevant to AE(s): None. Relevant Tests: None.