Sex: U
Vaccine: COVID19
Symptoms: Liver function test, Loss of personal independence in daily activities, Lyme disease, Magnetic resonance imaging, Microscopy
Clinical narrative: greater articular neuritis; Nerve pain; Possible trigeminal neuralgia / lighting bolt sensations; Lightning bolts would occur multiple times an hours making it hard to focus on any task; The pain began to shoot into my left cheek and ear / Severe pain daily on the left side of my face/ The pain was now in my eye, cheek, and behind my left ear; The pain began to shoot into my left cheek and ear / Severe pain daily on the left side of my face/ The pain was now in my eye, cheek, and behind my left ear; The pain began to shoot into my left cheek and ear / Severe pain daily on the left side of my face/ The pain was now in my eye, cheek, and behind my left ear; Unable to turn my neck at times due to the pain; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP), Program ID: (005570).  A patient (no qualifiers provided) received BNT162b2 (BNT162B2), on 15Dec2021 at 13:00 as dose 3 (booster), single (Lot number: 33130BA) intramuscular, in right arm for covid-19 immunisation. The patient's relevant medical history and concomitant medications were not reported. Vaccination history included: BNT162b2 (Dose number: 1, Time: 07:30, Anatomical site of injection: Right arm, Route of administration: Intramuscular, Batch/Lot number: EK5730), administration date: 17Dec2020, for COVID-19 Immunization; BNT162b2 (Dose number: 2, Time: 08:00, Anatomical site of injection: Left arm, Route of administration: Intramuscular, Batch/Lot number: EL8982), administration date: 21Jan2021, for COVID-19 Immunization, reaction(s): "Eye pain", "Ciliary muscle spasm", "dull ache/pressure only behind my left eye".  The following information was reported: LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES (non-serious) with onset Dec2021, outcome "unknown", described as "Lightning bolts would occur multiple times an hours making it hard to focus on any task"; FACIAL PAIN (non-serious), EAR PAIN (non-serious) all with onset Dec2021, outcome "unknown" and all described as "The pain began to shoot into my left cheek and ear / Severe pain daily on the left side of my face/ The pain was now in my eye, cheek, and behind my left ear"; EYE PAIN (non-serious) with onset Dec2021, outcome "not recovered", described as "The pain began to shoot into my left cheek and ear / Severe pain daily on the left side of my face/ The pain was now in my eye, cheek, and behind my left ear"; NECK PAIN (non-serious) with onset Dec2021, outcome "unknown", described as "Unable to turn my neck at times due to the pain"; TRIGEMINAL NEURALGIA (non-serious) with onset 18Jan2022, outcome "unknown", described as "Possible trigeminal neuralgia / lighting bolt sensations"; CRANIAL NERVE DISORDER (non-serious) with onset 11Apr2022, outcome "unknown", described as "greater articular neuritis"; NEURALGIA (non-serious) with onset Apr2022, outcome "unknown", described as "Nerve pain". The events "the pain began to shoot into my left cheek and ear / severe pain daily on the left side of my face/ the pain was now in my eye, cheek, and behind my left ear", "unable to turn my neck at times due to the pain", "possible trigeminal neuralgia / lighting bolt sensations", "greater articular neuritis" and "nerve pain" required physician office visit and emergency room visit. Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of facial pain, ear pain, eye pain, neck pain, trigeminal neuralgia, cranial nerve disorder, neuralgia.  Additional Information: Prior vaccinations was reported as none. Family medical history to AE(s) was reported as none. Specific relevant test was reported as none. Specific relevant test for thromboembolic events with thrombocytopenia was reported as none. 22Sep2021: First eye appointment left eye pain started about 2 weeks prior. I would describe the pain as a dull ache/pressure only behind my left eye. Tylenol or Motrin never relieved the pain.  04Nov2021: He was unsure of what was causing the eye pain. We re-checked my vision twice and no changes to my vision had beer. noted. He thought it could be a virus, so we tried OTC Zyrtec for two weeks with no symptom relief.  02Dec2021: Today I went to a new eye doctor for a second option. He initially diagnosed me with ciliary muscle spasms. He thought they possibly over corrected my vision, so we tried a new contact in the left eye only. Eye pain the next couple of weeks did not Change.  15Dec2021: Received my third dose (booster dose) of the Pfizer vaccine. The weeks following the booster dose were tough. The pain began to shoot into my left cheek and ear. Severe pain daily on the left side of my face. "Lightning bolts" would occur multiple times an hour making hard to focus on any task. The pain was never relieved by any OTC medications. was unable to turn my neck at times due to the pain. Pain worsened with any eye movement. The pain was now in my eye, cheek, and behind my left ear, Any touch of a mask, wind, or fabric would make the pain worse.  18Jan2022: Another appointment with second eye doctor. He diagnosed me with possible trigeminal neuralgia. He ordered 51000 neuro glasses for me to try, he said pain would be relieved 3-4 days after starting to wear the glasses.  26Jan2022: Received glasses. Three weeks of wearing the glasses when awake with no relief.  22Feb2022: Went to (Clinic name) ER due to pain and no relief from previous options. Was seen In the ER and had labs and an MRI done. All came back normal. Sent home with a prescription of Tegretol, began taking the Tegretol and could not tolerate the side effects. Also had follow-up appointments with neurology.  21Mar2022: Third eye appointment, options discussed with no new resolution for the pain Unable to wear glasses due to the pain when touching my race.