Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Headache, Myalgia, Pain, Pruritus
Clinical narrative: Pain is sitting in her left  ankle.; Leg muscles sore bilateral on calf, legs and hips; itcy pain; The first 3 days it was affecting her speech and thinking; The first 3 days it was affecting her speech and thinking; It was front and back like squeezing her brain in between; Dizziness; No appetite; It is really so painful that it is blocking her ability to walk/could not walk because of the pain; Left arm injection site pain; All over body aches; Horrible headache; Sleepiness; This is a spontaneous report from a contactable consumer (patient). A 52-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: solution for injection, Batch/Lot number: EW0171, Expiration date: was not reported), via intramuscular in arm left on 27Apr2021 as DOSE 2 single for COVID-19 immunization. The patient medical history included she was having COVID at the end of Oct2020, quite well and she was quite healthy. She was fit and skinny, petite person. She was a healthy eater. The patient read her immunity was probably good for about 6 months. When she was invited to vaccinate, after 6 months of possible immunity, she did. Concomitant medications were not reported. Historical vaccine included BNT162B2 (Batch/Lot number: EW0151, Expiration date: unknown) via intramuscularly in left arm on 06Apr2021 13:00 for covid-19 immunization. The patient stated that she was having COVID at the end of Oct2020, quite well and she was quite healthy. She was fit and skinny, petite person. She was a healthy eater. The patient read her immunity was probably good for about 6 months. When she was invited to vaccinate, after 6 months of possible immunity, she did. On 27Apr2021, the patient received second dose, after the second dose, she was hit hard in 1-2 days after. She had very short but all possible side effects of COVID. She could recognize the symptoms, because she had COVID. On 28Apr2021 at 06:00, the patient had all over body aches, horrible Headache, sleepiness which was further explained as every 4 hours she would have to lie down and pass out and fall asleep. The patient went to bed at 11, woke up at 13:00 and by 15:00 was asleep again. On the same date at 18:00, the patient had dizziness, no appetite; At 09:00, the patient experienced left arm injection site pain and throughout the day. It was not a big deal. She was switching between warm and cold compress. NO emergency room or physician's office required. She was good with pain because she had 3 heavy childbirth deliveries. On 29Apr2021, she would sleep without reason. The day before, she was fine. She would sleep every 3 hours or so. The patient had no appetite on 28Apr2021 through 30Apr2021. On 30Apr2021, she had her first decent meal. She craved Jello like when she was pregnant and cracker or pretzels. That was all she was eating . She lost 6 lbs in a couple of days. She was still not eating well. On 02May2021, she has leg muscles were sore bilateral on calf, legs and hips. It was really so painful that it was blocking her ability to walk. It was like after sports, heavy muscle pain. It was stated that the body aches went down the legs, Just now it was sitting in her left ankle. It was just ice cold, some kind of itcy pain. It was dissolving. It is just in one ankle which was left ankle. That scares her a little because it was her heart side. 03May2021, it was in her entire leg, both sides. It was further clarified that immediately after waking up, she could not walk because of the pain. It was further clarified that she could not stand on legs because of her sore muscles. She described the pain as the same as when you are younger in school and played sports. It was very painful. She was screaming out in pain. On an unknown date in May2021 the patient was able to function in daily activities. The first 3 days headaches was affecting her speech and thinking. It was front and back like squeezing her brain in between. Tylenol only helped. The patient said she got the vaccine for prevention and because both of her 25 year old children live with her. The patient daughter had little bit of fever. Separate report completed for her daughter. They did not have COVID infection. The patient received treatment with one Tylenol 500 mg and that slowly started working on headache, and it lasted 3 days and also received for muscle pain but 7 days after vaccine she has something and also tylenol helps to sleep during the night. Outcome of the events Horrible headache, Sleepiness, Dizziness and Left arm injection site pain was recovering, and not recovered from No appetite, Leg muscles sore bilateral on calf, legs and hips and unknown for other events.  No follow-up attempts are needed. No further information is expected.