Age: 50.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Muscle twitching, Oral herpes, Oropharyngeal pain, Pain, Pain in extremity
Clinical narrative: short of breathing; was diagnosed as Vestibular Neuronitis; chest pain; ring in left ear; right face hot to touch; almost fainted; painful sore throat; canker sore on tongue; body ache; felt dizzy; fast pulse; off balance sensation; blurry vision; headache; hot flash; burning eyes; High fever at night with chills; ear pain; cold sores; chills; scalp twitching; abdominal pain; arm pain; This is a spontaneous report from a contactable consumer (patient). A 50-years-old non-pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), intramuscular, administered in arm left on 07Jul2021 15:00 (Batch/Lot Number: EW0191) (at age 50-years-old) as dose 2, single for covid-19 immunisation. The first dose was received on 16Jun2021 15:00 (lot number: EW0167), intramuscular on the right arm at age 50-years-old). Medical history included acid reflux from an unknown date and unknown if ongoing. Concomitant medication(s) included potassium bicarbonate, sodium alginate (GAVISCON ADVANCED) taken for gastrooesophageal reflux disease from Mar2021 and ongoing. Patient previously took SHINGRIX on 22May2021. The patient felt dizzy 10 minutes right after the shot, but managed to drive home. She had high fever at night with chills, body ache, headache, abdominal pain, ear pain, arm pain, burning eyes and hot flash on 07Jul2021. Her fever didn't go away until 12Jul201 evening, chills were gone but all other symptoms stay. Since 08Jul2021, patient also developed painful sore throat and canker sore on tongue. Dizziness was constant since day 1 (07Jul2021) and took 1 Meclizine on 09Jul2021 and 11Jul2021. On 14Jul2021, there was sudden increased dizziness, scalp twitching/headache, ring in left ear and sharp ear pain from right ear, right face hot to touch, and she almost fainted. Patient took Meclizine and Ibuprofen (200mg) which helped a little.  Patient saw internal doctor on 15Jul2021 and was diagnosed as Vestibular Neuronitis. She was instructed to take Ibuprofen 400-800mg 3 times a day for 1 week. If it gets worse, she need steroids. Patient plans to see ENT later. Until on 18Jul2021, patient still have constant dizziness, headache with scalp twitching, ear pain and painful canker sore. On 20Aug2021, patient reported dizziness, off balance sensation, fast pulse, blurry vision on 07Jul2021 15:10. Patient also experienced headache, hot flash, burning eyes, high fever, chills, body ache, cold sores, sharp ear pain, scalp twitching on 07Jul2021. On 14Jul2021, patient experienced chest pain and on 28Jul2021 short of breath. Events resulted in physician's office visit on 15Jul2021. Events vestibular neuritis, tinnitus resulted to 1 ENT & 2 primary care visits. The patient underwent lab tests and procedures which included EGG 12 LEAD: normal on 29Jul2021, haemoglobin: normal on 29Jul2021, and troponin t: normal on 29Jul2021. Events hot flash, burning eyes, high fever, chills, body ache, sharp ear pain was recovered with sequel on 01Aug2021. Vestibular neuritis, tinnitus, chest pain and short of breath was recovering. Outcome of the remaining events was not recovered. Events dizzy, fast pulse, off balance sensation, blurry vision, headache, hot flash, burning eyes, fever, body ache, ear pain, ring in ear, canker sore on tongue, cold sores, chills, scalp twitching, vestibular neuronitis , chest pain and short of breathing were considered important medical event by the reporter. Patient was not diagnosed with covid prior to vaccination and had not been tested post-vaccination.