Age: 56.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Condition aggravated, Dizziness, Fatigue, Feeling abnormal, Fibrin D dimer increased
Clinical narrative: intermittent ringing in my ears; strange scalp tightening sensations; long-term neurological impact; Dizzy; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 56-year-old female patient (not pregnant) received BNT162b2 (BNT162B2), on 26Feb2021 as dose 2, single (Lot number: EN6198, Expiration Date: 30Jun2021) at the age of 56 years intramuscular, in left arm for covid-19 immunisation. The patient's relevant medical history included: "Menopause Sx" (ongoing). Concomitant medication(s) included: MEDROXYPROGESTERONE oral taken for menopause (ongoing); ESTRADIOL oral taken for menopause (ongoing). Vaccination history included: BNT162b2 (Dose number: 1, Lot number: EL9261, Expiry: 31May2021, Route: Intramuscular, Site of injection: Left arm.), administration date: 22Jan2021, when the patient was 56-year-old, for Covid-19 Immunization, reaction(s): "severe dizziness (vertigo-like)". The following information was reported: DIZZINESS (medically significant) with onset 26Feb2021, outcome "recovered" (2021), described as "Dizzy"; TINNITUS (non-serious), outcome "unknown", described as "intermittent ringing in my ears"; SKIN TIGHTNESS (non-serious), outcome "unknown", described as "strange scalp tightening sensations"; NERVOUS SYSTEM DISORDER (non-serious), outcome "unknown", described as "long-term neurological impact". The events "dizzy", "intermittent ringing in my ears", "strange scalp tightening sensations" and "long-term neurological impact" required physician office visit. Therapeutic measures were taken as a result of dizziness. Additional information: Concomitant medications medroxyprogesterone and estradiol were started 5 years ago. Two weeks after the patient's first vaccine dose, she experienced severe dizziness (vertigo-like). She missed several days of work and her doctor suggested doing eppley maneuver which didn't help. Then tried physical therapy & other exercises for vestibular system which also didn't help. Tried neck exercises, tried acupuncture and nothing got rid of it. During second vaccine dose 6 weeks later, the patient was so dizzy after the shot, they had to bring the patient to the car on a wheelchair (the patient's husband was driving since the patient didn't feel safe driving all that time). Dizziness continued for several months. Gradually improved and was finally gone by May or Jun2021. Then on 21Sep2021, she tested positive for COVID. 5 days later, she developed the same dizziness again. That's when she associated the first episode with the vaccines. Even today, she still experiences dizziness every day. It's manageable because it happens when she lays down to get up then mostly goes away. The patient also experienced intermittent ringing in ears and strange scalp tightening sensations. Best as she can figure, this appears to be a long-term neurological impact from the first vaccine and then from the virus itself. The patient went to PT, Audiologist, Ear, Nose MD due to the events.