Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Blindness unilateral, Cerebrovascular accident, Computerised tomogram, Electrocardiogram
Clinical narrative: Atrial fibrillation; mild stroke; my skin was kind of different looking you know like aging a little bit you know like wrinkling; seeing flash burn every once in a while; have a obstruction in the main artery of left eye; went totally blind in my left eye; probably got macular degeneration; pain in the arm; This is a spontaneous report from a contactable consumer reported for himself. A 66-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE) dose 2 via an unspecified route of administration in the left arm upper muscle on 02Apr2021 11:45 at age of 66-year-old (Lot Number: ER8737) as 2nd dose, single for covid-19 immunisation. Historical vaccine included first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, LOT number was EN6204) for Covid-19 immunisation in Mar2021, at age of 66-year-old and experienced pain in the arm. Medical history included Barrett's esophagus, Diverticulitis, Gastrooesophageal reflux disease, Generalised anxiety disorder, Cataracts, Kidney stones, Chlamydial infection, Left ventricular hypertrophy, Vertigo, hiatal hernia repair done, hypertension, had a colonoscopy quite often in another words to remove the polyps from his colon. Concomitant medication included omeprazole taken for GERD (gastrooesophageal reflux disease) and paracetamol (TYLENOL). The patient experienced atrial fibrillation on an unspecified date with outcome of unknown, mild stroke on an unspecified date with outcome of unknown, went totally blind in my left eye on 09Apr2021 with outcome of not recovered, probably got macular degeneration on 09Apr2021 with outcome of unknown, pain in the arm on 02Apr2021 with outcome of unknown , my skin was kind of different looking you know like aging a little bit you know like wrinkling on an unspecified date with outcome of unknown , seeing flash burn every once in a while on 09Apr2021 with outcome of unknown , have a obstruction in the main artery of left eye on 09Apr2021 with outcome of unknown.  The patient underwent lab tests and procedures which included CAT scan and EKG both with unknown results on 24May2021. The events result in Physician Office Visit, no treatment was received.  Clinical course: Consumer stated, "Well, I got my first Pfizer shot I just thought I should just call and discuss this with somebody bit of some sheet I got I got the Pfizer vaccine and I got that one on 15Mar2021 the first one and then I received the second one 02Apr2021 and when after I received the second one I had the pain in the arm like normal but it was a lot more severe than I got from the first one but it went away but you know normal 3 to 4 days it went away so I did not wasn't that concerned but I also know this to ask. After I got my skin was kind of different looking you know like aging a little bit you know like wrinkling but then all of a sudden it cleared up too that went away probably about the same time a week after I got the shot I started having vision problem(distorted voice and incomplete sentence). I visited an ophthalmologist an regular eye doctor it was an ophthalmologist (distorted voice and incomplete sentence) and he said no I don't see that you have a stroke I don't see that you have vision problems with your retina this time you probably got macular degeneration going on so anyways he said comeback if you have an issue then I said so you are telling me that even though my vision is going in my left eye I am not gonna go blind and I didn't have a stroke he said yes. Ok, so anyways exactly a month after that I went totally blind in my left eye my vision came back, my vision came back. I forgot to tell you my vision came back fully for a while but it was different in my left eye like I was seeing flash burn every once in a while when I was in the sunlight and stuff. Anyway a month later after I got the second shot when I went totally blind in my left eye and so I got upset about the doctor's here and I had to go to (Address) to pick my new eyeglasses anyway so I had to drive to (Address) with one eye which is 230 miles from me anyways, so when I got my glasses there at they were the right prescription thank god and I told them about the eye issue so they didn't throw a eye test really thorough and said yes I definitely see a problem in your left eye looks like a flash burn or something like that so then they had me setup an appointment with really good ophthalmologist in (Address) because I wanted a second opinion whether my insurance covered it or not. So I went to this retinal specialist and I was in his office for like 3 hours they were checking me out in there you know he said yes definitely you have an obstruction in the main artery of your left eye and that's why you lost your vision and this doctor said there's only two things it could be it it could be you had a stroke or that you had a bad reaction to the Pfizer vaccine and so anyway he wanted me to go either into the emergency room a good (Address) to further do testing, I said no I don't wanna do that because that's all out of my own pocket that would have been thousands of dollars you know, but I don't know I am all confused about this medical care. I am just trying to give you all a scenario from day 1 going forward you know anyway so I refused to go to good (Name) and he said well it should be okay anyway because it's been so much time since the original problem that you would be probably alright to just back to your hometown there and go to the hospital and have your testing then there I did and the next day I got back to (Address) from (Address) I went  to the hospital there they did an EKG on my heart and they did a CAT scan on my head and they said they couldn't see anything from the EKG or the CAT scan that I had but that doesn't mean you didn't have(Incomplete sentence), so they said you could have a mild stroke and you know anyway we want you to go further testing well I had a primary care physician appointment two weeks later which is still coming up so I have to her so they want to order an MRI and some other tests on my heart because they think I have might have an AFib atrial fibrillation where the blockage I mean where the blood flow properly to my heart you know if I want to do those tests too but I am just letting you know this cause the one doctor said it could be that you have the eye problem because of the vaccine that's what I am calling you about." Consumer Stated, "Yes, you can follow up sure because I am more anyway cause on the 09June2021 I have an appointment with my primary care physician which is the one that have to do the order in heart chest and the MRI and the following week. I am going back to (Address) to that Ophthalmologist that said that it might because of Pfizer vaccine I am going back to him I got a follow up with him because he wants to me to take care of my eye issue so maybe I can get my eye sight back in other words or so." Date adverse event started: Consumer stated, "I had my first shot on Friday 02Apr2021. The exact day that I started having issues was exactly one week later on 09Apr2021. Other than the normal you now pain in the arms because that started and went away normal that started you know. Well that started basically right after I got the shot on 02Apr2021 with the pain and the arm thing that was right after I got the shot 02Apr2021 and it was the little bit more severe than the original shot. 09Apr2021 is when I stated having eye problem." Anatomical Sites of administered: Consumer Stated, "The first one I had them do it in my right arm in the muscle top in my right arm and the second one was done in the left arm upper muscle." Other Medical Conditions: Consumer Stated, "Nothing life threatening but I have chronic health conditions, quite a few of them. I got Barrett's esophagus, then Diverticulitis of the sigmoid colon then electro cardiogram(Further not clarified) they did was abnormal they said. I got GRD Gastroesophageal reflux disease. I got generalized anxiety disorder, GAD. I have Cataracts. They said I had a genital disorder I don't know what that means. I got history of Calculus in the kidneys, kidney stones but I haven't had a problem with that from quite a while, I changed my diet. I have past Chlamydial infection which is an STD. I had hiatal hernia repair done, so surgery. I have hypertension disorder they say, left ventricular hypertrophy which I guess has something to do with the heart, I think that's why they wanna do more test of my heart. I got polyps in colon (Further not clarified) and occasionally I get Vertigo so I have to have a colonoscopy quite often in another words to remove the polyps from my colon." Treatment medication for medical conditions: Consumer Stated, "Well they only I take Vitamin D3 and I take Vitamin C but that's vitamins basically the only meds and I am taking. I am using Eye Drops right now over the counter stuff basically the only meds I really take is Omeprazole which is for my GRD disorder you know my gas my stomach gas it controls my stomach gas and then extra strength Tylenol I take that as needed sometimes." Start date of taking the medication: Consumer Stated, "Well the Omeprazole I probably been taking that for 10 years at least 8 years or 7 years. I really couldn't give that to you without going through a pile of paper work." When asked about if consumer is taking any other medication, consumer Stated, "No, Just Omeprazole." Lab test: Consumer Stated, "Well they did an EKG and they did a CT scan and that was just recently because of my issue that I got right now going on. Yeah, that was done at (Name)." Date of test: 24May2021. Result of test: Consumer Stated, "Only the doctor has that I don't have that I have to go to my primary physician on 09May2021 to get those results." Event Details: Event Date: Consumer Stated, "When I had the first shot I didn't have any side effects at all except for the minor arm pain." When confirmed event date as 02Apr2021 and 09Apr2021, consumer stated, "Yes that's when I started having adverse side effects." Still experiencing the problem: Consumer Stated, "Yeah, I am still blind in my left eye yes." Outcome: Consumer Stated, "Well I don't know it's kind of early if they are gonna improve or not they want to do more testing the doctor know more when they did more tests I don't have all the information because they still doing test on me to figure out what's going on but I decided to call you know before it got too late in the whole situation you know." Treatment: Consumer took for the adverse events consumer stated, "No I don't think they gave me any drugs or anything for the tests." Consumer hung up abruptly hence further probing could not be done.