Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Metabolic function test, Muscle twitching, Musculoskeletal stiffness, Nasal discomfort
Clinical narrative: Swollen lymph nodes under right arm; Chest pain tightness; I woke up the next day having random tqitches on right side of face and if I smile bog or try to close right eye that side of face will twitch; About 3 hours about injection I started getting zing feeling on right side of nose; About 20-30 minutes later I started having face pain and stiffness on right sid; About 20-30 minutes later I started having face pain and stiffness on right side under my eye followed by pain when blinking or moving that side of face or eye; followed by pain when blinking or moving that side of face or eye; followed by pain when blinking or moving that side of face or eye; When I recieved injection I immediately noticed tingling and numbness in right arm, but went away after about 3 minutes. About 20-30 minutes later I started having face pain and stiffness on right sid; When I recieved injection I immediately noticed tingling and numbness in right arm, but went away after about 3 minutes. About 20-30 minutes later I started having face pain and stiffness on right sid; This is a spontaneous report received from a contactable reporter(s) (Other HCP). The reporter is the patient.  A 24 year-old female patient (not pregnant) received bnt162b2 (BNT162B2), administered in arm right, administration date 26Aug2021 18:30 (Batch/Lot number: FA7485) at the age of 24 years as dose 1, single for covid-19 immunisation. Relevant medical history included: "Known Allergies: Sulfa" (unspecified if ongoing). Concomitant medication(s) included: ZYRTEC [CETIRIZINE HYDROCHLORIDE] taken for hypersensitivity, start date: 2017 (ongoing); VITAMIN D3; WOMEN 'S DAILY FORMULA taken for vitamin supplementation, start date: 2020 (ongoing). Past drug history included: Known allergies: cefalexin, reaction(s): "Known allergies: cefalexin", notes: Sulfa and cefalexin; Keflex. The following information was reported: PARAESTHESIA (non-serious), HYPOAESTHESIA (non-serious) all with onset 26Aug2021 18:30, outcome "recovered" (26Aug2021 18:33) and all described as "When I recieved injection I immediately noticed tingling and numbness in right arm, but went away after about 3 minutes. About 20-30 minutes later I started having face pain and stiffness on right sid"; FACIAL PAIN (non-serious) with onset 26Aug2021 19:00, outcome "not recovered", described as "About 20-30 minutes later I started having face pain and stiffness on right sid"; MUSCULOSKELETAL STIFFNESS (non-serious) with onset 26Aug2021 19:00, outcome "not recovered", described as "About 20-30 minutes later I started having face pain and stiffness on right side under my eye followed by pain when blinking or moving that side of face or eye"; EYE PAIN (non-serious), OCULAR DISCOMFORT (non-serious) all with onset 26Aug2021 19:00, outcome "not recovered" and all described as "followed by pain when blinking or moving that side of face or eye"; NASAL DISCOMFORT (non-serious) with onset 26Aug2021 21:30, outcome "not recovered", described as "About 3 hours about injection I started getting zing feeling on right side of nose"; MUSCLE TWITCHING (non-serious) with onset 27Aug2021, outcome "not recovered", described as "I woke up the next day having random tqitches on right side of face and if I smile bog or try to close right eye that side of face will twitch"; LYMPHADENOPATHY (non-serious) with onset 05Sep2021, outcome "recovering", described as "Swollen lymph nodes under right arm"; CHEST DISCOMFORT (non-serious) with onset 29Aug2021, outcome "not recovered", described as "Chest pain tightness". The events "when i recieved injection i immediately noticed tingling and numbness in right arm, but went away after about 3 minutes. about 20-30 minutes later i started having face pain and stiffness on right sid", "when i recieved injection i immediately noticed tingling and numbness in right arm, but went away after about 3 minutes. about 20-30 minutes later i started having face pain and stiffness on right sid", "about 20-30 minutes later i started having face pain and stiffness on right sid", "about 20-30 minutes later i started having face pain and stiffness on right side under my eye followed by pain when blinking or moving that side of face or eye", "followed by pain when blinking or moving that side of face or eye", "followed by pain when blinking or moving that side of face or eye", "about 3 hours about injection i started getting zing feeling on right side of nose", "i woke up the next day having random tqitches on right side of face and if i smile bog or try to close right eye that side of face will twitch" and "swollen lymph nodes under right arm" were evaluated at the physician office visit and emergency room visit. The event "chest pain tightness" was evaluated at the physician office visit. Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were not taken as a result of paraesthesia, hypoaesthesia, musculoskeletal stiffness, eye pain, ocular discomfort, nasal discomfort, muscle twitching. Therapeutic measures were taken as a result of facial pain, lymphadenopathy.   Additional information: No other vaccine in four weeks. After patient received injection she immediately noticed tingling and numbness in right arm, but went away after about 3 minutes. About 20-30 minutes later she started having face pain and stiffness on right side under my eye followed by pain when blinking or moving that side of face or eye that has still not gone away. About 3 hours about injection she started getting zing feeling on right side of nose. She woke up next day having random twitches on right side of face and if I smile big or try to close right eye that side of face will twitch. No Covid prior vaccination. Not tested for Covid post vaccination. Known allergies: Sulfa and cefalexin. Other medical history was none. Patient was treated with Aciclovir for facial pain twitching blotchiness to skin, prednisone for swollen lymph nodes under right arm. ordered heart EKG Ultrasound for chest discomfort.  Follow-up attempts are completed. No further information is expected.