Age: 42.0
Sex: F
Vaccine: COVID19-2, COVID19
Symptoms: Impaired work ability, Laboratory test, Metabolic function test, Middle insomnia, Muscle twitching
Clinical narrative: issues with my nervous system; My heart rate was elevated to 100 bpm; wake up with my heart racing; These mostly felt like vibrations; hands trembling,I felt internal tremors; I also felt "electric zaps" in parts of my body (groin and chest).; muscle spasms in my arms; Symptoms affected my ability to work; a huge rash on the left side of my torso at exactly the two-week point; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 42-year-old female patient (not pregnant) received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 14Oct2022 as dose 4 (booster), single (Lot number: GJ3275) at the age of 42 years, in left arm for covid-19 immunisation. The patient's relevant medical history included: "GERD" (unspecified if ongoing); "Known allergies: Sulpha" (unspecified if ongoing). Concomitant medication(s) included: OMEPRAZOLE. Vaccination history included: Covid-19 vaccine (Primary Immunization series complete; unknown manufacturer), for COVID-19 Immunization; Covid-19 vaccine (Dose 3 (BOOSTER), SINGLE Manufacturer Unknown), for COVID-19 Immunization. The following information was reported: ELECTRIC SHOCK SENSATION (non-serious) with onset 17Oct2022, outcome "recovering", described as "I also felt "electric zaps" in parts of my body (groin and chest)."; HEART RATE INCREASED (medically significant) with onset 17Oct2022, outcome "recovering", described as "My heart rate was elevated to 100 bpm"; LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES (non-serious) with onset 17Oct2022, outcome "recovering", described as "Symptoms affected my ability to work"; VIBRATION SYNDROME (non-serious) with onset 17Oct2022, outcome "recovering", described as "These mostly felt like vibrations"; RASH (non-serious) with onset 17Oct2022, outcome "recovering", described as "a huge rash on the left side of my torso at exactly the two-week point"; TREMOR (non-serious) with onset 17Oct2022, outcome "recovering", described as "hands trembling,I felt internal tremors"; NERVOUS SYSTEM DISORDER (medically significant) with onset 17Oct2022, outcome "recovering", described as "issues with my nervous system"; MUSCLE SPASMS (non-serious) with onset 17Oct2022, outcome "recovering", described as "muscle spasms in my arms"; PALPITATIONS (medically significant) with onset 17Oct2022, outcome "recovering", described as "wake up with my heart racing". The events "issues with my nervous system", "my heart rate was elevated to 100 bpm", "wake up with my heart racing", "these mostly felt like vibrations", "hands trembling,i felt internal tremors", "i also felt "electric zaps" in parts of my body (groin and chest).", "muscle spasms in my arms", "symptoms affected my ability to work" and "a huge rash on the left side of my torso at exactly the two-week point" required physician office visit. The patient underwent the following laboratory tests and procedures: Heart rate: (17Oct2022) 100 bpm, notes: elevated. Therapeutic measures were not taken as a result of nervous system disorder, heart rate increased, palpitations, vibration syndrome, tremor, electric shock sensation, muscle spasms, loss of personal independence in daily activities, rash. Clinical course: The patient did not receive other vaccine in four weeks. The patient did not have covid prior to vaccination. The patient was not tested to covid post vaccination. She received the vaccine on Friday in the early afternoon. On Monday, she started experiencing issues with her nervous system. The patient felt internal tremors, which were mostly invisible to outsiders. These mostly felt like vibrations (like standing next to a washing machine), but sometimes it felt more like waves (like the patient was laying on a waterbed). Only occasionally others could see her hands trembling. She also felt "electric zaps" in parts of her body (groin and chest). The patient experienced muscle spasms in her arms as well where we could see her forearm flexing despite, she is being in a restful state. Her heart rate was elevated to 100 bpm for 5-6 weeks, and she would occasionally wake up with her heart racing. Symptoms affected her ability to work and lasted 5-6 weeks before they started to get better. She also broke out with a huge rash on the left side of her torso at exactly the two-week point. Symptoms have mostly subsided, but she still has the occasional racing heart and internal vibrations.