Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure measurement, Magnetic resonance imaging, Myelitis transverse
Clinical narrative: diagnosed with transverse myelitis; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP).  A 69-year-old male patient received BNT162b2 (BNT162B2), on 02Dec2021 as dose 3 (booster), single (Lot number: FF2587) at the age of 69 years, in right arm for covid-19 immunisation. The patient's relevant medical history included: "blood pressure" (unspecified if ongoing). Concomitant medication(s) included: LISINOPRIL oral taken for blood pressure abnormal. Vaccination history included: BNT162b2 (Dose: 1, vaccination date: 29Jan2021, LOT- EN5318 or RN5318- Hard to read on vaccine card), administration date: 29Jan2021, when the patient was 68-year-old, for COVID-19 Immunization; BNT162b2 (Dose: 2, 05Mar2021 , LOT- EN6202, right dose), administration date: 05Mar2021, when the patient was 68-year-old, for COVID-19 Immunization, reaction(s): "diagnoses with transverse myelitis", "temperature changes", "Muscle weakness", "gait is fumbled, balance issues", "gait is fumbled, balance issues", "pain in left arm after doses", "skin on thighs hurts to the touch", "near his ribs is tingling and prickling", "near his ribs is tingling and prickling"; Hepa vaccine . The following information was reported: MYELITIS TRANSVERSE (medically significant) with onset Apr2022, outcome "not recovered", described as "diagnosed with transverse myelitis". The event "diagnosed with transverse myelitis" required physician office visit. The patient underwent the following laboratory tests and procedures: Blood pressure measurement: (unspecified date) Unknown results; Magnetic resonance imaging: (Apr2022) that there are two areas in the spinal cord, notes: show the myelin is missing causing misfires. diagnosed with transverse myelitis in Apr2022. /which showed the missing myelin sheath in the spinal cord. Therapeutic measures were taken as a result of myelitis transverse.  Clinical course: Caller is calling on behalf of her husband, Caller states the patient's MRI showed that there are two areas in the spinal cord that show the myelin is missing causing misfires. diagnosed with transverse myelitis in Apr2022. is losing muscle mass and strength. Neurologist did a scan on 04Apr2022, which showed the missing myelin sheath in the spinal cord. Neurologist put him on IV steroids for a week straight in Apr2022, exact dates unknown. Caller states this did not work. Product information Unknown for Steroids. Exact name of product unknown. Also, patient was given 900mg of Gabapentin to help him sleep, states he was on this for 2 months and it didn't work either- 300mg by mouth for two days, then one by mouth twice for 2 days and then by mouth TID (three times a day). The patient had visited multiple doctors. The adverse event dose not resulted to visit Emergency Room. The patient was not hospitalized. HEPA Vaccine was taken. The patient received Steroids and Gabapentin for treatment of the filed event. States neither of these medications worked for the patient. Caller does not have any specific details of either the steroid treatment or the Gabapentin to provide.