Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Blood test, Burning sensation, Ear pain, External ear pain
Clinical narrative: severe cramps in his left toes then also his right toes; numbness/numbness in finger tips; tingling; periodic sharp pain; burning sensation in calves; severe joint pain in fingers; pain in finger tips; biting pain in his inner ear; biting pain in his ear lobes; biting pain around eyes; biting pain in his head; sunburn sensation in forhead, nose and head; periodic biting sensation in eyelids; periodic biting sensation in arms; periodic biting sensation in shoulders and neck; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 61 year-old male patient received bnt162b2 (BNT162B2), administered in arm left, administration date 09Apr2021 (Lot number: ER8735) at the age of 61 years as dose 2, single for covid-19 immunisation. Relevant medical history included: "low BP" (unspecified if ongoing). The patient's concomitant medications were not reported. Vaccination history included: Bnt162b2 (DOSE 1, SINGLE, Lot number=EP6955, Vaccine location=Left arm), administration date: 17Mar2021, when the patient was 61 years old, for COVID-19 immunization. The following information was reported: MUSCLE SPASMS (non-serious) with onset 01May2021, outcome "not recovered", described as "severe cramps in his left toes then also his right toes"; HYPOAESTHESIA (non-serious) with onset 01May2021, outcome "not recovered", described as "numbness/numbness in finger tips"; PARAESTHESIA (non-serious) with onset 01May2021, outcome "not recovered", described as "tingling"; PAIN (non-serious) with onset 01May2021, outcome "not recovered", described as "periodic sharp pain"; BURNING SENSATION (non-serious) with onset 01May2021, outcome "not recovered", described as "burning sensation in calves"; ARTHRALGIA (non-serious) with onset 01May2021, outcome "not recovered", described as "severe joint pain in fingers"; PAIN IN EXTREMITY (non-serious) with onset 01May2021, outcome "not recovered", described as "pain in finger tips"; EAR PAIN (non-serious) with onset 01May2021, outcome "not recovered", described as "biting pain in his inner ear"; EXTERNAL EAR PAIN (non-serious) with onset 01May2021, outcome "not recovered", described as "biting pain in his ear lobes"; EYE PAIN (non-serious) with onset 01May2021, outcome "not recovered", described as "biting pain around eyes"; HEADACHE (non-serious) with onset 01May2021, outcome "not recovered", described as "biting pain in his head"; SKIN BURNING SENSATION (non-serious) with onset 01May2021, outcome "not recovered", described as "sunburn sensation in forhead, nose and head"; EYELID IRRITATION (non-serious) with onset 01May2021, outcome "recovered" (01May2021), described as "periodic biting sensation in eyelids"; LIMB DISCOMFORT (non-serious) with onset 01May2021, outcome "recovered" (01May2021), described as "periodic biting sensation in arms"; MUSCULOSKELETAL DISCOMFORT (non-serious) with onset 01May2021, outcome "recovered" (01May2021), described as "periodic biting sensation in shoulders and neck". The events "severe cramps in his left toes then also his right toes", "numbness/numbness in finger tips", "tingling", "periodic sharp pain", "burning sensation in calves", "severe joint pain in fingers", "pain in finger tips", "biting pain in his inner ear", "biting pain in his ear lobes", "biting pain around eyes", "biting pain in his head", "sunburn sensation in forhead, nose and head", "periodic biting sensation in eyelids", "periodic biting sensation in arms" and "periodic biting sensation in shoulders and neck" were evaluated at the physician office visit. Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of muscle spasms, hypoaesthesia, paraesthesia, pain, burning sensation, arthralgia, pain in extremity, ear pain, external ear pain, eye pain, headache, skin burning sensation, eyelid irritation, limb discomfort, musculoskeletal discomfort.  Additional information: Prior to vaccination, the patient was not diagnosed as COVID-19. Since the vaccination, the patient had been tested for COVID-19. The patient had no known allergies. The patient was very healthy, exercise regularly and never got sick with low blood pressure (BP), etc. The patient had not received any other vaccines within 4 weeks prior to the COVID vaccine. Following his vacination in May, the patient started to get severe cramps in his left toes then also his right toes progressing to numbness, tingling and also periodic sharp pain. This then progressed to burning sensation in calves then progressed to severe joint pain in fingers and pain/numbness in finger tips. This then progressed to random biting pain in his inner ear, ear lobes, and around eyes and head followed by sunburn sensation in forhead, nose and head. The patient also got periodic biting sensation that lasted a few seconds in eyelids, arms shoulders and neck. This had progressed from May to December. The patient had seen several doctors including two neurologists. The patient had had magnetic resonance imaging (MRI) done from head to spine and extensive blood tests. The neurologists said this was from the vaccine and they were seeing other cases and that normal neuropathy would not be in the head and face or with the patient's other symptoms. The patient received gabapentin for pain management.   No follow-up attempts are needed. No further information is expected.