Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Malaise, Pain in extremity, Peripheral swelling, Vertigo
Clinical narrative: developed vertigo; has an overall feeling of feeling miserable/ brain fog; has bouts of fatigue off and on throughout/ was extremely exhausted; for about 3-4 weeks her body would not shut down and she wouldn''t sleep; inflammatory syndrome; her vision has changed off and on since the 2nd vaccine; it feels like her brain is almost vibrating or tingling; it feels like her brain is almost vibrating or tingling; swollen hands; joint pain in her fingers and then spread to her feet; joint pain in her fingers and then spread to her feet; This is a spontaneous report from a contactable consumer (patient).  A 52-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration, administered in Arm Right on 08May2021, in the early afternoon (Lot Number: ER8727) as single dose (at the age of 52-years-old) for COVID-19 immunization. The patient's medical history was not reported. No prior vaccinations (within 4 weeks). No events following prior vaccinations. She is not one to get a flu shot but she did get one last fall 2020. There were no concomitant medications. Historical vaccine was bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration, administered in Arm left on 17Apr2021, in the early afternoon (Lot Number: ER8727) as single dose (at the age of 52-years-old) for COVID-19 immunization. She is not on any prescription medications, she is very healthy. The patient had been diagnosed with post vaccine inflammatory syndrome after the Pfizer vaccine. States she got her 2nd dose on 08May2021 and shortly after had swollen hands that turned into joint pain in her fingers and then spread to her feet. She developed vertigo on 28Jul2021 and has an overall feeling of feeling miserable. She is not getting any better and her doctor is trying to help her. States she is had a round of Prednisone in Jul2021 and then Celebrex and is on her 2nd round of prednisone now. She is feeling halfway decent to make a phone call. Last month most days she can't do anything that's how bad it is. She has bouts of fatigue off and on throughout. The vertigo is really bad, that started 28Jul2021. It feels like her brain is almost vibrating or tingling and that started not that long ago, probably a month ago. Right after she got the vaccine for about 3-4 weeks her body would not shut down and she wouldn't sleep and so she was extremely exhausted. She could not rest like she just wouldn't shut down. States that part of it she was really focused on and not on her hands because she was miserable and couldn't sleep. The hand she did connect the dots when that started but was in denial about it. The symptoms reflected rheumatoid arthritis and she was worried about that and that was cleared. All autoimmune diseases have been cleared. She wants to get an eye exam but the vertigo is so bad that what's the point it won't turn out correct. She feels like her vision has changed off and on since the 2nd vaccine, that everything happened after the 2nd vaccine. Her vision has been in the last 2 months related to when the vertigo started. She also has brain fog that started sometime during the summer. The patient had a ton of blood work done, she thinks 2-3 tests in the first round ruled out rheumatoid arthritis and lupus and she did see a rheumatologist and he ran the RA factor blood test that was negative on 30Aug2021. Patient had her 1st round of Prednisone mid Jul2021 to the end of Jul2021 and that did help with her joint pain but then she saw her primary care doctor and she wanted blood work and she had to stop the prednisone for 14 days before she had the blood work. She then took Celebrex and that helped but didn't take it away completely but it does help. States that she then went on Prednisone again 22Sep2021. The events required a visit to: Physician Office. The patient underwent lab tests and procedures which included rheumatoid factor: negative on 30Aug2021 and blood work done, she thinks 2-3 tests in the first round ruled out rheumatoid arthritis and lupus in 2021. Therapeutic measures were taken as a result of joint pain in her fingers and then spread to her feet. The outcome of the events was unknown.  Follow-up attempts are completed. No further information is expected.