Age: 67.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Electromyogram, Fatigue, Hypoaesthesia, Immediate post-injection reaction, Insomnia
Clinical narrative: paralysis; strange sensation in her feet, mostly in her toes, and up her foot a little bit. It is a numbness, almost tightness, like not getting blood flow to that area and there is some tingling; she is nervous about it; Numbness and tingling/numbness and tingling in her toes and top of foot/sensation of numbness, tingling, and weakness in her hands; Numbness and tingling/numbness and tingling in her toes and top of foot/sensation of numbness, tingling, and weakness in her hands; weakness in her lower legs, feel like weaker than usual/weakness in hands; This is a spontaneous report from a contactable nurse (patient). A 67-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection, lot number: EL1284, expiration: 30Apr2021), intramuscular in left arm on 15Jan2021 at a single dose for COVID-19 immunization.  Medical history included ongoing restless legs syndrome (has it all of her life since about 5 years old. She does not take anything for it).  Concomitant medication included unspecified vitamins. The patient received her first dose of COVID-19 vaccine on 15Jan2021 and reported the following side effects of weakness in her lower legs, feel like weaker than usual on 15Jan2021. The patient also experienced numbness and tingling in her toes and top of foot, numbness and tingling on 16Jan2021, and weakness in hands (improved but is still there). She said that it is a really unconformable sensation. It is a strange sensation in her feet, mostly in her toes, and up her foot a little bit. It is a numbness, almost tightness, like not getting blood flow to that area and there is some tingling. She mentioned that the side effects were not going away, and it is the 11th day already and that she never had those before, and she is nervous about it. She also added that she had that same sensation of numbness, tingling, and weakness in her hands, but it is improving. The numbness tingling in her feet is persisting, but sometimes it feels exacerbated. The weakness started the evening of the 15Jan2021. She is worried about paralysis and asked what to do regarding these side effects. The patient asked if there were other people calling with similar complaints. She said that she has never had anything like this, and it started the day of the vaccine. The patient is seeking safety information on these and on proceeding with second dose despite having side effects on first dose. The patient had not yet recovered from the events "weakness in her lower legs, feel like weaker than usual/weakness in hands" and "numbness and tingling/numbness and tingling in her toes and top of foot/sensation of numbness, tingling, and weakness in her hands" ; while unknown outcome for the remaining events.  The events numbness and tingling; weakness in her lower legs; and sensation of numbness, tingling, and weakness in her hands were assessed as serious (medically significant). The events numbness and tingling; weakness in her lower legs; and sensation of numbness, tingling, and weakness in her hands were assessed as related to COVID-19 vaccine per primary source reporter.