Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chest pain, Dizziness, Facial pain, Fatigue
Clinical narrative: I then proceeded to pass out and fall asleep while sitting at one of the stores tables and benches; mouth hurts; Hot tongue and hot inside mouth; tongue is on fire. It's in pain.; tingling,sharp,knife-poking-like,stars,pricking, glittery sensation riseevenly and symmetrically from the very ends of my toe nails and feet, all the way up through my legs,calves,thighs,butt,crotch; tingling,sharp,knife-poking-like,stars,pricking,glittery sensation riseevenly and symmetricallyfrom the very ends of my toe nails and feet,all the way up through my legs,calves,thighs,butt,crotch; tingling, sharp, knife-poking-like, stars, pricking, glittery" in chest; tingling, sharp, knife-poking-like, stars, pricking, glittery" sensation riseevenly  in arms, forearms, fingers; finally entered my cheeks, tongue and mouth and stopped inside of his mouth; I felt dizzy; I am not ok and do not feel safe or healthy; the insides of my cheeks were completely hot with an immense heat that could not be turnedoff.; I was curled up in bed, shivering cold, with absolutely zero energy; I was curled up in bed, shivering cold, with absolutely zero energy; my body was fatigued; tingling, sharp, knife-poking-like, stars, pricking, glittery" sensation riseevenly in arms, forearms, fingers; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporters are patient and patient's father.  A 38 year-old male patient received bnt162b2 (BNT162B2), administration date 27Mar2021 (Batch/Lot number: unknown) at the age of 38 years as dose 1, single for covid-19 immunisation. Relevant medical history included: "ADHD" (unspecified if ongoing), notes: dating back to 2008; "Bi-Polar" (unspecified if ongoing), notes: dating back to 2008. Concomitant medication(s) included: DEXAMETHASONE; MYLANTA [CALCIUM CARBONATE]; BENADRYL; NYSTATIN; LIDOCAINE; GABAPENTIN; PREGABALIN; LYRICA; OXCARBAZEPINE taken for attention deficit hyperactivity disorder, bipolar disorder (ongoing); LITHIUM taken for attention deficit hyperactivity disorder, bipolar disorder (ongoing); FOCALIN [DEXMETHYLPHENIDATE HYDROCHLORIDE] taken for attention deficit hyperactivity disorder, bipolar disorder (ongoing). The following information was reported: LOSS OF CONSCIOUSNESS (medically significant), outcome "unknown", described as "I then proceeded to pass out and fall asleep while sitting at one of the stores tables and benches"; ORAL PAIN (non-serious), outcome "unknown", described as "mouth hurts"; TONGUE DISCOMFORT (non-serious), outcome "unknown", described as "Hot tongue and hot inside mouth"; GLOSSODYNIA (non-serious), outcome "unknown", described as "tongue is on fire. It's in pain."; PAIN IN EXTREMITY (non-serious), outcome "unknown", described as "tingling,sharp,knife-poking-like,stars,pricking, glittery sensation riseevenly and symmetrically from the very ends of my toe nails and feet, all the way up through my legs,calves,thighs,butt,crotch"; PAIN IN EXTREMITY (non-serious), outcome "unknown", described as "tingling,sharp,knife-poking-like,stars,pricking,glittery sensation riseevenly and symmetricallyfrom the very ends of my toe nails and feet,all the way up through my legs,calves,thighs,butt,crotch"; PAIN IN EXTREMITY (non-serious) with onset 27Mar2021, outcome "unknown", described as "tingling, sharp, knife-poking-like, stars, pricking, glittery" sensation riseevenly in arms, forearms, fingers"; CHEST PAIN (non-serious), outcome "unknown", described as "tingling, sharp, knife-poking-like, stars, pricking, glittery" in chest"; PAIN IN EXTREMITY (non-serious), outcome "unknown", described as "tingling, sharp, knife-poking-like, stars, pricking, glittery" sensation riseevenly  in arms, forearms, fingers"; FACIAL PAIN (non-serious), outcome "unknown", described as "finally entered my cheeks, tongue and mouth and stopped inside of his mouth"; DIZZINESS (non-serious), outcome "unknown", described as "I felt dizzy"; FEELING ABNORMAL (non-serious), outcome "unknown", described as "I am not ok and do not feel safe or healthy"; FATIGUE (non-serious) with onset 27Mar2021, outcome "unknown", described as "my body was fatigued"; FEELING HOT (non-serious), outcome "unknown", described as "the insides of my cheeks were completely hot with an immense heat that could not be turnedoff."; FEELING COLD (non-serious), ASTHENIA (non-serious), outcome "unknown" and all described as "I was curled up in bed, shivering cold, with absolutely zero energy". The events "i then proceeded to pass out and fall asleep while sitting at one of the stores tables and benches", "mouth hurts", "hot tongue and hot inside mouth", "tongue is on fire. it's in pain.", "tingling,sharp,knife-poking-like,stars,pricking, glittery sensation riseevenly and symmetrically from the very ends of my toe nails and feet, all the way up through my legs,calves,thighs,butt,crotch", "tingling,sharp,knife-poking-like,stars,pricking,glittery sensation riseevenly and symmetricallyfrom the very ends of my toe nails and feet,all the way up through my legs,calves,thighs,butt,crotch", "tingling, sharp, knife-poking-like, stars, pricking, glittery" sensation riseevenly in arms, forearms, fingers", "tingling, sharp, knife-poking-like, stars, pricking, glittery" in chest", "tingling, sharp, knife-poking-like, stars, pricking, glittery" sensation riseevenly  in arms, forearms, fingers", "finally entered my cheeks, tongue and mouth and stopped inside of his mouth", "the insides of my cheeks were completely hot with an immense heat that could not be turnedoff.", "i was curled up in bed, shivering cold, with absolutely zero energy" and "i was curled up in bed, shivering cold, with absolutely zero energy" were evaluated at the physician office visit. The patient underwent the following laboratory tests and procedures: magnetic resonance imaging: (unspecified date) unknown result, notes: He has had 6 MRIs; sars-cov-2 test: (31Mar2021) negative, notes: Coronavirus COVID-19 NEGATIVE NEGATIVE TEST PERFORMED WITH RT-PCR METHOD.   Clinical course:Patient stated that his Tongue has been dealing with immense heat & hot sensations along with dryness every day. The top of his Tongue has been dealing with immense heat & hot sensations along with dryness every day. On Friday Morning, 26Mar2021, he was 6'2" 182 Pounds and worked out on his elliptical machine for 60 minutes running 6.4 miles, in 60 minutes burning a total of 774 calories before his trip down to (city name withheld), (state withheld). This was the last time he was able to physically & mentally work out and enjoy his health here on this planet. He felt that incredibly disturbing tingling, sharp, knife-poking-like, stars, pricking, glittery" sensation rise evenly and symmetrically from the very ends of my toe nails, and feet, all the way up through his legs, calves, thighs, butt, crotch, abs, chest, arms, forearms, fingers, and finally entered my cheeks, tongue and mouth and stopped inside of his mouth. The same time that tingling and sharp sensation stopped in his mouth, and an overbearing, immense, uncontrollable heat turned on inside his mouth and has never since stopped. This heat was easily described as "turning on an oven high, placing your hand on the oven, and having no control over to turn it off". His head then felt as if you placed it inside a washer and dryer and turned it on rolling in circles. He went through 6-8 bottles of water within 2 minutes, then felt extremely dizzy and fatigued. He was not ok and do not feel safe or healthy. Then he proceeded to pass out and fall asleep while sitting at one of the stores tables and benches. he woke up approximately an hour later, and the employees once again asked him if he was ok, and he told them he felt dizzy, confused and wanted to go home so he could be around people that know him and love him. He purchased approximately 15-20 bottles of water for his attempt to drive home to (city withheld), (state withheld). He do not remember the drive home at all. He blacked out on the drive home. It took him about 3 hours to make it home and at almost exactly 6:00 PM he opened the front door to his parents home, and ran right upstairs and curled into bed scared, shaking, confused and concerned for my life. He slept all the way through the afternoon, night, morning and into the afternoon of Sunday 28Mar2021 and woke up at 2:00 PM. My body was fatigued, but more importantly, the insides of his cheeks were completely hot with an immense heat that could not be turned off. His tongue was even worse, his tongue has had an immense heat, hot, dry and all combinations of hot coming in and out of his tongue, as it pleases, without any control whatsoever. He checked into the (hotel name withheld) in (town name withheld) on 28Mar, and for the next 5 days, was curled up in bed, shivering cold, with absolutely zero energy. He did not eat for 3 days, as he did not even have enough energy to get out of bed and get a sub from (store name). He had no control over the immense heat, hot and dryness inside his cheeks and tongue. Every morning the insides of his cheeks burned like hell, and the heat inside and on top of my tongue burned controllably. Every afternoon the insides of his cheeks burned like hell, and the heat inside and on top of his tongue burned controllably. Every night the insides of his cheeks burned like hell, and the heat inside and on top of his tongue burned controllably. He felt like between 12Apr -16Apr the extreme heat inside his cheeks on his tongue was coming down from an emergency 10 out of 10 hot, down to maybe an 8.5/10, but it was still very hot and painful. Over the past 9 months he had been tested over 30 times and never had a positive covid test. On 31Mar2021, Coronavirus COVID-19 NEGATIVE TEST PERFORMED WITH RT-PCR METHOD. He stated that he had seen a long list of Doctors in (city withheld), (state withheld) and (city withheld) and not one single doctor can figure out what was caused the extreme heat, pain, discomfort, dryness and overall hot feelings inside his tongue, on top of his tongue and inside his cheeks. Patient's father came on the line, (name withheld).  Patient got upset more throughout interaction and patient's father attempted to calm him down. Patient's father reiterated his son was called to try and get help. They are convinced that was from the vaccine. Patient's father called it hot tongue. Patient began to get upset, started yelling, used profanity.  The lot number for bnt162b2 was not provided and will be requested during follow up.