Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Musculoskeletal stiffness, Nausea, Neck pain, Syncope, Tremor
Clinical narrative: uncontrollable shaking; involuntary muscle contractions; managed to get to sleep briefly, but woke up at approx. 1:00 a.m; vasovagal syncopal episode; felt generally horrible the rest of the night; felt very tired; unwell; joint aches; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 54 year-old female patient (not pregnant) received bnt162b2 (BNT162B2), administered in arm right, administration date 05May2021 10:00 (Lot number: EW0171) at the age of 54 years as dose 2, single for covid-19 immunisation. The patient's relevant medical history and concomitant medications were not reported. Prior to vaccination, patient was not diagnosed with COVID-19. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Patient had no known allergies. Vaccination history included: Bnt162b2 (Dose 1, Batch/Lot No: EW0164, Location of injection: Arm Right, Vaccine Administration Time: 10:00 AM), administration date: 14Apr2021, when the patient was 54 years old, for COVID-19 immunization. The following information was reported: TREMOR (life threatening) with onset 05May2021 23:30, outcome "recovering", described as "uncontrollable shaking"; MUSCLE CONTRACTIONS INVOLUNTARY (life threatening) with onset 05May2021 23:30, outcome "recovering", described as "involuntary muscle contractions"; INSOMNIA (life threatening) with onset 05May2021 23:30, outcome "recovering", described as "managed to get to sleep briefly, but woke up at approx. 1:00 a.m"; SYNCOPE (life threatening) with onset 05May2021 23:30, outcome "recovering", described as "vasovagal syncopal episode"; FEELING ABNORMAL (life threatening) with onset 05May2021 23:30, outcome "recovering", described as "felt generally horrible the rest of the night"; FATIGUE (life threatening) with onset 05May2021 23:30, outcome "recovering", described as "felt very tired"; MALAISE (life threatening) with onset 05May2021 23:30, outcome "recovering", described as "unwell"; ARTHRALGIA (life threatening) with onset 05May2021 23:30, outcome "recovering", described as "joint aches". Upon going to bed the night following her second vaccine, patient began to have uncontrollable shaking / involuntary muscle contractions all over (no fever - this was not "chills"). Patient somehow managed to get to sleep briefly, but woke up at approx. 1:00 a.m. and almost immediately upon waking, had a vasovagal syncopal episode while lying in the supine position. Upon recovering from that very unusual, concerning and disturbing event, the shaking continued for several hours before finally subsiding around 5:00 a.m. Patient also felt generally horrible the rest of the night. The next day she felt very tired and unwell in the morning. After a nap in the afternoon, patient felt significantly improved. Patient also had quite severe joint aches / pains in her knees and, to a lesser degree, in the other joints of her arms and legs for several months following the second vaccine. These aches / pains gradually improved and have now, 7 months later, subsided almost completely. Since the vaccination, patient had not been tested for COVID-19. Therapeutic measures were not taken as a result of tremor, muscle contractions involuntary, insomnia, syncope, feeling abnormal, fatigue, malaise, arthralgia.  No follow-up attempts are possible. No further information is expected.