Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Hypoaesthesia, Illness, International normalised ratio
Clinical narrative: neuropathy; I felt a little bit sick for a month; fatigue; nausea; pain in my legs; pain in my legs and it's numb; didn't feel good; spinal muscular dystrophy; 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 73 year-old male patient received bnt162b2 (COMIRNATY), administration date 23Aug2021 (Batch/Lot number: unknown) at the age of 72 years as dose 2, single for covid-19 immunisation. Relevant medical history included: "mechanical heart valve placed in my aortic valve", start date: 1992 (unspecified if ongoing); "fibula right leg and ankle which is sore" (unspecified if ongoing), notes: for almost two years; it started from right foot and it went to left foot; "hit my fibula right leg and ankle which is sore" (unspecified if ongoing), notes: for almost two years; it started from right foot and it went to left foot; "muscular dystrophy" (unspecified if ongoing); "hurt my back" (unspecified if ongoing), notes: quite a few times because I was working; "two accidents" (unspecified if ongoing), notes: in my life; "sepsis" (unspecified if ongoing); "broke my arm" (unspecified if ongoing), notes: at 12 years of age; "pericardial effusion" (unspecified if ongoing); "shot three times once it went in the lower part of my liver and hit my lungs" (unspecified if ongoing); "shot three times once it went in the lower part of my liver and hit my lungs" (unspecified if ongoing); "shot second time it went around my heart, near the surface" (unspecified if ongoing); "got shot in the right shoulder. It went up to my clavicle almost hit my carotid artery" (unspecified if ongoing); "compound fracture" (unspecified if ongoing), notes: at age of 12 on right hand; "surgery" (unspecified if ongoing), notes: for six hours for compound fracture, had a cast for a year; "below my right hand it started to get all green. While my arm got green up to my fingers. It's slowly getting better. Now, I can snap my fingers" (unspecified if ongoing); "feet are numb" (unspecified if ongoing); "My coughs and my thigh muscles in the rear are all sore" (unspecified if ongoing); "hard to walk" (unspecified if ongoing); "hit my right hip when I fell from the horse" (unspecified if ongoing); "fell" (unspecified if ongoing), notes: A dog wrapped his leash around me when I was climbing the stairs and I fell; "I've been in bed for four or five years" (unspecified if ongoing), notes: My wife takes cares of me. I can walk to the bathroom. I'm fine otherwise.; "vertebras in my back are abnormal. Especially the discs they are a little crushed and out of place" (unspecified if ongoing). Patient can't do an MRI because it shows a little more in the nerves there's a metal piece heart valve which can cause problems. The second time when patient was shot, they cut him open. There was a lot of medical students who handle patient's heart a lot. Patient's tube got plugged. Patient's primary physician was there when tube got plugged. It wasn't draining anything. He took a needle and syringe sucked all the fluid in a big bottle. From the third shot patient was lucky and survived. They can still trace tiny pieces of copper on X ray and some people ask him if he have tuberculosis because of the copper.  Patient's left hand is fine. Patient still have some issues. Patient watch outs his vitamin K intake. Concomitant medication(s) included: WARFARIN; COUMADIN. Vaccination history included: Bnt162b2 (Dose 1, single), for COVID-19 immunization. The following information was reported: NEUROPATHY PERIPHERAL (medically significant) with onset 2021, outcome "unknown", described as "neuropathy"; ILLNESS (non-serious) with onset 2021, outcome "unknown", described as "I felt a little bit sick for a month"; FATIGUE (non-serious) with onset 2021, outcome "unknown", described as "fatigue"; NAUSEA (non-serious) with onset 2021, outcome "unknown", described as "nausea"; PAIN IN EXTREMITY (non-serious) with onset 2021, outcome "unknown", described as "pain in my legs"; HYPOAESTHESIA (non-serious) with onset 2021, outcome "unknown", described as "pain in my legs and it's numb"; FEELING ABNORMAL (non-serious) with onset 2021, outcome "unknown", described as "didn't feel good"; MUSCULAR DYSTROPHY (non-serious) with onset 2021, outcome "unknown", described as "spinal muscular dystrophy". The patient underwent the following laboratory tests and procedures: international normalised ratio: unknown results, notes: test at home; prothrombin time: unknown results, notes: test at home; x-ray: trace tiny pieces, notes: trace tiny pieces of copper on my X ray. Clinical course: After receiving the second shot of the vaccine, patient felt a little bit sick for a month, had fatigue; nausea and  didn't feel good. Patient stayed in bed. Patient thought he has neuropathy.  Patient thought it's spinal muscular dystrophy.  The lot number for bnt162b2 was not provided and will be requested during follow up.