Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Disturbance in attention, Dyspepsia, Headache, Hypoaesthesia
Clinical narrative: I forget things; Rash on Chest and Shoulder on Both Sides; Pain in Left Shoulder; Heartburn; headaches; Pain and Numbness in Left Hand and Pinky Finger; Pain and Numbness in Left Hand and Pinky Finger; Not been feeling well; migraine headaches; it was administered into his left shoulder at the top of my shoulder close to my neck."; Can't focus Right; 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 56-year-old male patient received BNT162b2 (BNT162B2), on 25Oct2021 as dose 2, single (Batch/Lot number: unknown) at the age of 56 years for covid-19 immunisation. The patient's relevant medical history included: "Headache" (unspecified if ongoing); "Sleep" (unspecified if ongoing). Concomitant medication(s) included: ASPIRIN (E.C.) taken for headache (ongoing); NATROL MELATONIN taken for sleep disorder (ongoing). Vaccination history included: BNT162b2 (Anatomical Site of injection: Left Arm, Batch/Lot number: Not Available/Provided at Time of Report Completion), administration date: 24Sep2021, when the patient was 56-year-old, for COVID-19 Immunization, reaction(s): "Tiredness". The following information was reported: DISTURBANCE IN ATTENTION (non-serious) with onset Oct2021, outcome "not recovered", described as "Can't focus Right"; PRODUCT ADMINISTERED AT INAPPROPRIATE SITE (non-serious) with onset 25Oct2021, outcome "unknown", described as "it was administered into his left shoulder at the top of my shoulder close to my neck.""; MALAISE (non-serious) with onset Nov2021, outcome "not recovered", described as "Not been feeling well"; HYPOAESTHESIA (non-serious), PAIN (non-serious) all with onset Nov2021, outcome "not recovered" and all described as "Pain and Numbness in Left Hand and Pinky Finger"; HEADACHE (non-serious) with onset Nov2021, outcome "not recovered", described as "headaches"; MIGRAINE (non-serious) with onset Nov2021, outcome "not recovered", described as "migraine headaches"; ARTHRALGIA (non-serious) with onset 01Sep2022, outcome "not recovered", described as "Pain in Left Shoulder"; DYSPEPSIA (non-serious) with onset Sep2022, outcome "not recovered", described as "Heartburn"; RASH (non-serious) with onset Oct2022, outcome "not recovered", described as "Rash on Chest and Shoulder on Both Sides"; MEMORY IMPAIRMENT (non-serious), outcome "unknown", described as "I forget things". The events "pain and numbness in left hand and pinky finger", "headaches" and "migraine headaches" required physician office visit and emergency room visit. Therapeutic measures were taken as a result of pain.  Additional information:Caller states he receive a Pfizer-BioNTech COVID-19 Vaccine primary dose (1st) on 24Sep2021 and his 2nd primary dose on 25Oct2021. When he received the 2nd dose at the hospital, it was administered into his left shoulder at the top of my shoulder close to my neck. At the time the caller states he did not pay much attention and 3 days ago he saw on the computer where the deltoid was located. The caller states He went to a HCP on 29Jul2022 and received an injection in my left upper shoulder (close to neck) from HCP in the ED. The caller went on to say, I forget things, I have a rash on my left shoulder and on both sides of my chest. I have numbness in my left pinky and the next finger and the left side of my left hand is numb, I have heartburn or something and I have been having non stop migraine headaches since the vaccine in Oct2021. Patient concomitant medication included vitamins. Caller states on 29Jul2022 of this year he went to the Emergency Room for his headache and pain and numbness in his left shoulder that was hurting. Caller states the doctor told the nurse to give him an injection for pain and the nurse gave it to him in his left shoulder close to his neck. Caller states he doesn't know if the nurse hit a nerve or what, but it burnt and was stinging when she was giving it and he told her but she said that was normal.   The information on the batch/lot number for BNT162b2 has been requested and will be submitted if and when received.