Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Head discomfort, Insomnia, Memory impairment, Muscle twitching
Clinical narrative: Bad cough; Feeling more pressure in ears; Pins and needles; Joint pain in knees which progressed to wrists and ankles; Forgets things, has to go back into house 3 or 4 times; awake at night when trying to fall asleep; maybe like pins and needles; mild osteoarthritis; got sick with some virus; Vertigo; Shortness of breath; Brain fog; Right vocal cord is paralyzed; Twitching in lower calves and feet; pressure in head; Ringing in ears; Bilateral hearing loss; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 62-year-old female patient received BNT162b2 (BNT162B2), in Apr2021 as dose 2, single (Batch/Lot number: unknown) at the age of 62 years for covid-19 immunisation. The patient's relevant medical history included: "ulcerative colitis", start date: 1993 (unspecified if ongoing), notes: diagnosis of ulcerative colitis which caller was diagnosed with in 1993.; "autoimmune condition" (unspecified if ongoing), notes: caller had and has an autoimmune condition. There were no concomitant medications. Vaccination history included: Bnt162b2 (DOSE 1, SINGLE), administration date: Mar2021, when the patient was 62 years old, for COVID-19 immunization, reaction(s): "Once I stop testing positive for the antibodies of the vaccine, will my symptoms improve", "Once I stop testing positive for the antibodies of the vaccine, will my symptoms improve". The following information was reported: DYSPNOEA (non-serious) with onset May2021, outcome "recovering", described as "Shortness of breath"; VERTIGO (non-serious) with onset May2021, outcome "not recovered"; DEAFNESS BILATERAL (medically significant) with onset 2021, outcome "unknown", described as "Bilateral hearing loss"; FEELING ABNORMAL (non-serious) with onset 2021, outcome "unknown", described as "Brain fog"; VOCAL CORD PARALYSIS (non-serious) with onset 2021, outcome "unknown", described as "Right vocal cord is paralyzed"; TINNITUS (non-serious) with onset 2021, outcome "unknown", described as "Ringing in ears"; MUSCLE TWITCHING (non-serious) with onset 2021, outcome "unknown", described as "Twitching in lower calves and feet"; HEAD DISCOMFORT (non-serious) with onset 2021, outcome "unknown", described as "pressure in head"; VIRAL INFECTION (non-serious) with onset Dec2021, outcome "unknown", described as "got sick with some virus"; COUGH (non-serious), outcome "not recovered", described as "Bad cough"; EAR DISCOMFORT (non-serious), outcome "not recovered", described as "Feeling more pressure in ears"; PARAESTHESIA (non-serious), outcome "unknown", described as "Pins and needles"; ARTHRALGIA (non-serious), outcome "recovering", described as "Joint pain in knees which progressed to wrists and ankles"; MEMORY IMPAIRMENT (non-serious), outcome "unknown", described as "Forgets things, has to go back into house 3 or 4 times"; INSOMNIA (non-serious), outcome "unknown", described as "awake at night when trying to fall asleep"; PARAESTHESIA (non-serious), outcome "unknown", described as "maybe like pins and needles"; OSTEOARTHRITIS (non-serious), outcome "unknown", described as "mild osteoarthritis". The events "shortness of breath", "right vocal cord is paralyzed", "ringing in ears", "pressure in head" and "got sick with some virus" required physician office visit. The patient underwent the following laboratory tests and procedures: SARS-CoV-2 antibody test: Unknown results, notes: caller has had 2 or 3 rounds of testing for antibodies; SARS-CoV-2 test: Negative, notes: caller tested negative for Covid. Did antigen and PCR testing and all were negative for Covid; X-ray: mild osteoarthritis, notes: Had x-rays done of knees. Therapeutic measures were taken as a result of cough, ear discomfort, viral infection. Clinical course: The patient was reporting about the Pfizer COVID-19 vaccine. She received the 2nd dose of the vaccine in Apr2021 and would say just about 2 weeks later, patient started experiencing a variety of symptoms. She has spent a year and a half going from doctor to doctor trying to get help to figure out what is going on. She confirmed she was 62 years old when these symptoms started.  The patient started with vertigo and shortness of breath sometime in the first week of May2021, persisting but not all the time, the vertigo felt like it felt the 1st time patient experienced the vertigo, but seemed to fluctuate with constant pressure patient has in head. She always experienced pressure in head, and the vertigo occurred at the same time. On days when patient's head was clearer, does not have the vertigo. She always has pressure in head, but when head pressure is worse, she noticed the occasional vertigo. The patient has brain fog which went with the pressure in head when waking in mornings, some mornings feels like tight band around head and like something sharp was causing pressure in patient's head, like a fingernail being pressed into scalp. It started about a year ago, noticed the brain fog after patient's focus waned on the vertigo and shortness of breath. She forgets things, has to go back into house 3 or 4 times. She has worn glasses since 5th grade and about a week ago, she was driving and realized didn't have glasses on. She doesn't see well without glasses. Drove 2 or 3 miles without glasses. Was at a pool and drove without glasses after, probably that along with the forgetfulness, scared her. She cannot imagine how she drove without glasses, doesn't see without glasses. Brain fog has been worse for sure. Ongoing, associated brain fog with the pressure in head, didn't know how to describe the brain fog. Some days brain fog was worse, some days bad, some days tolerable. On those days where she felt heavy pressure in head, the heavy pressure in head seems to by associated with brain thought process, so the brain fog and pressure in head seem to be connected. When asked what she had done regarding shortness of breath, she went to ENT doctor 3 or 4 times. ENT put camera down throat and said patient's right vocal cord was paralyzed, that was confirmed with another ENT about the same period of time, May2021 or Jun2021. Same time, she developed ringing in ears, never had ringing in ears a day in her life. She went to the ENT for pressure in head and ringing in ears, and had bilateral hearing loss. She had ringing in ears and bilateral hearing loss was sometime in May2021 or Jun2021. Last thing she would add was that she has twitching in lower calves and feet, noticed the twitching when at rest, not when moving around, twitching is an internal thing, like someone turned a faucet on in legs, maybe like pins and needles, not sure, but something neurologically was going on. It started last summer, maybe a year ago, kind of came along at the same time. She didn't focus on the dates. The twitching can keep patient awake at night when trying to fall asleep but is not painful. At Christmas last year, she didn't know if related or not, no one can tell patient for sure, but she developed some sort of a virus. She confirmed she has never tested positive for Covid and has been tested 2 or 3 times for antibodies from the vaccine which the antibodies from the vaccine have remained positive. She got sick around Christmas last year, with some virus, went to urgent care. Her 2nd visit to urgent care, she was prescribed a Z-Pak, confirmed Z-Pak she was prescribed was azithromycin, because she was feeling more pressure in ears and had a bad cough which weren't getting better. The azithromycin didn't make any real improvement. She went back a 3rd time to urgent care, each time she went she tested negative for Covid. She did antigen and PCR testing and all were negative for Covid. Her 3rd visit, she was given prednisone, a 5 day pack, which helped a little bit. She woke up day 7, 2 days after she finished the prednisone, with severe joint pain in knees which progressed to wrists and ankles over the next month or 2. She was a swimmer, still swims. She had x-rays done of knees which showed mild osteoarthritis. But doctor didn't feel that the osteoarthritis should be the cause of her waking up with bilateral severe joint pain which has continued since Dec2021. The joint pain was not severe now but started out severe. Now the joint pain was mild to moderate. The joint pain could be a post viral thing and was told the joint pain could take a couple of months to resolve. Only thing she questioned the 20 doctors she has seen, since she was surrounded by others, like her husband who also received Pfizer COVID-19 vaccine with no side effects, she was questioning doctors about her diagnosis of ulcerative colitis which patient was diagnosed with in 1993, which had pretty much had been in remission for the last 10 or 15 years. She asked did the fact that she had and has an autoimmune condition, which was under control, does the fact that she was previously diagnosed with an autoimmune condition, affect the way patient's body handled the 2 doses of the vaccine. That's what she believed happened, she has asked every doctor. Doctors have said that is possible, but doctors did not know. Along with the fact that she has been told over and over again that perhaps she had Covid and didn't test at the proper time and could possibly have long Covid, but that doesn't ring true either, because she has had 2 or 3 rounds of testing for antibodies from Covid disease and does not have the antibodies from the Covid disease. But she did have antibodies from the vaccine.  The information on the batch/lot number for BNT162b2 has been requested and will be submitted if and when received.; Sender's Comments: Linked Report(s) : US-PFIZER INC-202201060609 same patient/drug, different dose/events.;