Age: 69.0
Sex: M
Vaccine: COVID19-2, COVID19
Symptoms: Ear pain, Facial paralysis, Hypoaesthesia oral, Neck pain, Oral pain
Clinical narrative: Facial nerve palsy/the right side of his face was paralyzed; pain radiating behind his neck behind his right ear; pain radiating behind his neck behind his right ear; pain radiating behind his neck behind his right ear/pain has radiated on right ear canal; severe numbness in his mouth and tongue; The pain has radiated on right ear canal into his temporomandibular joint and persists into his mouth causing him to have trouble speaking; The pain has radiated on right ear canal into his temporomandibular joint and persists into his mouth causing him to have trouble speaking; The pain has radiated on right ear canal into his temporomandibular joint and persists into his mouth causing him to have trouble speaking; thought he was having a tooth issue; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 69-year-old male patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 30Apr2023 as dose 5 (booster), single (Lot number: GL2042) at the age of 69 years for covid-19 immunisation. The patient had no relevant medical history. The patient's concomitant medications were not reported. Vaccination history included: j&j (Dose: 01, Time: Unknown , Anatomical Site of injection: Left Arm , Route of Administration: intramuscular), administration date: 11Mar2021, when the patient was 66-year-old, for COVID-19 Immunization; BNT162b2 (Dose: 02, Time: Unknown , Anatomical Site of injection: Left Arm , Route of Administration: intramuscular), administration date: 01Nov2021, when the patient was 67-year-old, for COVID-19 Immunization; moderna (Dose: 03, EXPIRY: 05Jul2022 , Time: Unknown , Anatomical Site of injection: Left Arm , Route of Administration: intramuscular), administration date: 01Apr2022, when the patient was 68-year-old, for COVID-19 Immunization; BNT162b2;BNT162b2 omi ba.4-5 (Dose: 04, Time: Unknown. , Anatomical Site of injection: Left Arm , oRute of Administration: intramuscular), administration date: 17Nov2022, when the patient was 68-year-old, for COVID-19 Immunization. The following information was reported: FACIAL PARALYSIS (medically significant) with onset 10May2023, outcome "not recovered", described as "Facial nerve palsy/the right side of his face was paralyzed"; TEMPOROMANDIBULAR JOINT SYNDROME (non-serious), ORAL PAIN (non-serious), SPEECH DISORDER (non-serious) all with onset 2023, outcome "unknown" and all described as "The pain has radiated on right ear canal into his temporomandibular joint and persists into his mouth causing him to have trouble speaking"; PAIN (non-serious), NECK PAIN (non-serious) all with onset 2023, outcome "unknown" and all described as "pain radiating behind his neck behind his right ear"; EAR PAIN (non-serious) with onset 2023, outcome "unknown", described as "pain radiating behind his neck behind his right ear/pain has radiated on right ear canal"; HYPOAESTHESIA ORAL (non-serious) with onset 2023, outcome "unknown", described as "severe numbness in his mouth and tongue"; TOOTH DISORDER (non-serious) with onset 2023, outcome "unknown", described as "thought he was having a tooth issue". The event "facial nerve palsy/the right side of his face was paralyzed" required physician office visit. The patient underwent the following laboratory tests and procedures: X-ray: (11May2023) X-ray showed nothing at all. Therapeutic measures were not taken as a result of facial paralysis. Additional information: Clarified the adverse reaction he is having is facial nerve palsy. Started 5 or 6 days following the vaccination. Initially presented with pain radiating behind his neck behind his right ear. The Bivalent COVID-19 Vaccine was administered on 30Apr2023 and he noticed the symptoms 5 or 6 days after the vaccine. Yesterday, 10May2023, the right side of his face was paralyzed. He is experiencing severe numbness in his mouth and tongue. His smile is completely lopsided. Clarified he is not able to effect a smile on the right side of his face only the left. The pain has radiated on right ear canal into his temporomandibular joint and persists into his mouth causing him to have trouble speaking. Bivalent COVID-19 Vaccine: Was administered by a pharmacy. EXPIRY not on vaccine card. Dose: Unknown. The pharmacy did provide another document of some sort which had product NDC number on it. Has had no changes and has taken nothing outside of his normal medical regiment. Had a Panorex x-ray of his head and neck this morning to look for any possible oral circumstance that would relate to this and the x-ray showed nothing at all. The patient went to his Dentist, thought he was having a tooth issue.