Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Muscle disorder, Pain, Pain in extremity
Clinical narrative: pain radiating down full left side of body; Loss of Equilibrium; muscle loss on left arm and leg; burning aching pain in both arm and leg; Walk with a limp every day, very difficult to lift left leg more then a couple inches; Having irregular heartbeat; shortness of breath, gasping for air; very difficult to lift left leg more then a couple inches.; Now life is falling apart.; This is a spontaneous report received from contactable reporter(s) (Other HCP). The reporter is the patient.  A 69 year-old male patient received bnt162b2 (BNT162B2), administered in arm left, administration date 14Aug2021 13:00 (Lot number: FC3184) at the age of 69 years as dose 2, single for covid-19 immunisation. Relevant medical history included: "Triple bypass", start date: 29Jan2005 (unspecified if ongoing). Concomitant medication(s) included: METOPROLOL; ROSUVASTATIN. Vaccination history included: Bnt162b2 (lot number=FC3181,, administration time=01:30 PM, dose number=1,, vaccine location=Left arm), for COVID-19 Immunization, reaction(s): "loss of strength on left side to this date", "Upon receiving first dose, felt immediate burning pain radiating down left arm, affecting bicep and forearm". The following information was reported: PAIN (non-serious) with onset 14Aug2021 13:30, outcome "not recovered", described as "pain radiating down full left side of body"; BALANCE DISORDER (non-serious) with onset 14Aug2021 13:30, outcome "not recovered", described as "Loss of Equilibrium"; MUSCLE DISORDER (non-serious) with onset 14Aug2021 13:30, outcome "not recovered", described as "muscle loss on left arm and leg"; PAIN IN EXTREMITY (non-serious) with onset 14Aug2021 13:30, outcome "not recovered", described as "burning aching pain in both arm and leg"; GAIT DISTURBANCE (non-serious) with onset 14Aug2021 13:30, outcome "not recovered", described as "Walk with a limp every day, very difficult to lift left leg more then a couple inches"; HEART RATE IRREGULAR (non-serious) with onset 14Aug2021 13:30, outcome "not recovered", described as "Having irregular heartbeat"; DYSPNOEA (non-serious) with onset 14Aug2021 13:30, outcome "not recovered", described as "shortness of breath, gasping for air"; DYSKINESIA (non-serious) with onset 14Aug2021 13:30, outcome "not recovered", described as "very difficult to lift left leg more then a couple inches."; LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES (non-serious) with onset 14Aug2021 13:30, outcome "not recovered", described as "Now life is falling apart.". The events "pain radiating down full left side of body", "loss of equilibrium", "muscle loss on left arm and leg", "burning aching pain in both arm and leg", "walk with a limp every day, very difficult to lift left leg more then a couple inches", "having irregular heartbeat", "shortness of breath, gasping for air", "very difficult to lift left leg more then a couple inches." and "now life is falling apart." were evaluated at the physician office visit. Therapeutic measures were not taken as a result of pain, balance disorder, muscle disorder, pain in extremity, gait disturbance, heart rate irregular, dyspnoea, dyskinesia, loss of personal independence in daily activities.  Additional information: The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination the patient was not diagnosed with COVID-19 and Since the vaccination, has not been tested for COVID-19. No known allergies. Device Date: 12Dec2021  Follow-up attempts are completed. No further information is expected.