Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Insomnia, Muscle twitching, Muscular weakness, Myalgia
Clinical narrative: neuropathy; muscle pain; muscle weakness; brain fog; insomnia; twitching; tinnitus; blurry vision; This is a spontaneous report received from contactable reporter(s) (Pharmacist) from medical information team.  A female patient in her 50's received bnt162b2 (BNT162B2), administration date 31Aug2021 (Lot number: XC3182, Expiration Date: Aug2021) as dose 2, single for covid-19 immunisation. The patient's relevant medical history and concomitant medications were not reported. Vaccination history included: Bnt162b2 (1st dose, lot: EW0167), administration date: Aug2021, for COVID-19 Immunization. The following information was reported: NEUROPATHY PERIPHERAL (medically significant) with onset 2021, outcome "unknown", described as "neuropathy"; MYALGIA (medically significant) with onset 2021, outcome "not recovered", described as "muscle pain"; MUSCULAR WEAKNESS (medically significant) with onset 2021, outcome "not recovered", described as "muscle weakness"; FEELING ABNORMAL (non-serious) with onset 2021, outcome "unknown", described as "brain fog"; INSOMNIA (non-serious) with onset 2021, outcome "unknown", described as "insomnia"; MUSCLE TWITCHING (non-serious) with onset 2021, outcome "unknown", described as "twitching"; TINNITUS (non-serious) with onset 2021, outcome "unknown", described as "tinnitus"; VISION BLURRED (non-serious) with onset 2021, outcome "unknown", described as "blurry vision".  Clinical Course included: Caller states the patient was concerned that the lot number of the 2nd dose of her Pfizer Covid vaccine was maybe expired and caller does not think it is expired because she found a report on the beyond use date. Caller states the patient got her Pfizer Covid vaccine at another pharmacy. Caller states the patient had the 1st dose of the Pfizer Covid vaccine with lot EW0167 and does not know the date of that but it was 3 weeks from her 2nd dose which was administered caller clarifies on 31Aug2021 with lot XC3182; states she has no expiry date but the patient thinks the expiry date for the 2nd dose of her vaccine is Aug2021 and it would be the last day of that month and she has no NDC numbers to provide.  Caller states for causality, she does not think the Pfizer Covid vaccine is related to the reported events and she would not say the reported events are life threatening but they are medically significant since the patient has had the reported events since Sep; states the reported events began when the patient had the 2nd dose of the Pfizer Covid Vaccine.; Sender's Comments: Based on the information in the case report, a possible causal association between the events and suspect drug BNT162B2 cannot be excluded.  The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to regulatory authorities, Ethics Committees, and Investigators, as appropriate.