Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Seizure
Clinical narrative: Cold sores lip; Swollen Left Arm; Seizures; This is a spontaneous report from a contactable consumer (patient). A 27-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), dose 1 via an unspecified route of administration administered in arm left on 19Mar2021 12:15 (Batch/Lot Number: ER2613) at age of 27 years old as single dose for covid-19 immunisation (To not die from Covid). Medical history included functional neurological disorder from Nov2019 and ongoing. There was not any history of all previous immunization with the Pfizer vaccine considered as suspect. There were no vaccines administered on same date of the Pfizer suspect. There were not any prior vaccinations within 4 weeks. There were no adverse events following prior vaccinations (she did not have any vaccines since she got the seizure disorder). The patient's concomitant medications were not reported. The vaccination was given: 12:15, kept 30 minutes because of disorder (24 hour clock). The patient experienced seizures from 19Mar2021 to 24Mar2021, swollen left arm from 20Mar2021 to 23Mar2021, Cold sores lip from 21Mar2021 and ongoing. Cold sores lip was reported as worsened. The patient stated that she had a seizure disorder and a lot of people online were saying that they had questions about seizures and the vaccine on the epilepsy site, but there wasn't much information. She had seizures for four days after her first dose. She did not have epilepsy, she had functional neurological disorder.  She normally had seizures that cause her to freeze or fall or have a kick. She stated that this time though, she had the ones that most people get, falling on the floor and convulsing.  She would be getting the second one but she wanted to let us know. She stated she got that Covid weight. She had seven seizures over four days. She was back to her normal with her disorder and she was not losing consciousness. She also reported a swollen left arm. She reported getting 2 cold sores. She got them when her immune system struggling. She had two on lip and that had never happened. She stated they were really inflamed and it looked like someone punched her in the lip. She usually had them for a week. She got them once a year if she was really sick, had a fever or the flu. The patient Took 2 Ativan as treatment. She stated that it kind of helped but not really. She took it on 20Mar2021. She also took alcohol because it usually lowered the seizure threshold and she won't get any but it wasn't helping. The patient was having an increase and change in type of seizures after receiving the first Covid vaccine. She had an increase in her normal seizures. They were normally 3-4 minutes and she medicates them away. Those started around 16:00. She stated they then got too powerful and too many for too long around 18:00. At 20:00 she had seizures where she would lose consciousness and fall to the ground. She had 6-7 of those. She stated that each day they were getting weaker and weaker. She stated the one at 20:00 was 10/10 painful and scary and people thought she was dying but she was not. The events did not require a visit to emergency room or physician office. She stateds that they were in a different state, they went to an island and decided if she had second one that night then would go but she didn't. She stated that she was not supposed to go [to the emergency room] unless they last 5 minutes or longer and hers lasted 3 minutes.  The outcome of event seizures was recovered on 24Mar2021. The outcome of event swollen left arm was recovered on 23Mar2021. The outcome of event Cold sores lip was not recovered.  Follow up attempts are needed. Further information has been requested.