Age: 22.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Musculoskeletal chest pain, Pain in extremity, Panic attack, Pyrexia, Testicular pain
Clinical narrative: Muscle twitches started a month after vaccine-one twitch to a few minutes; Fever; Chills; Left testicle felt like someone punched it. Pain less in right one; Pain traveled to abdomen, back (lower & upper), rib cage-deep within on left mostly and shooting pain within a week started in same areas as well as penis and down legs-mostly left; This is a spontaneous report from a contactable consumer, the patient. A 22-year-old male patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration in the left arm on 06Mar2021 at 08:30 (at the age of 22-year-old), as a single dose for COVID-19 immunisation. Medical history included reflex sympathetic dystrophy (RND) and colectomy on unknown dates (RND maybe in 5th grade? Never came back since that episode. Had sigmoid colon removed because it never functioned; not because of illness). The patient did not receive any other medications within 2 weeks of vaccination. The patient previously received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration in the left arm on 13Feb2021 at 15:30 (at the age of 22-year-old), as a single dose for COVID-19 immunisation. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had been tested for COVID-19.  On an unknown date in Mar2021, the patient underwent nasal swab test and the result was negative. On an unknown date, the patient underwent bloodwork, electrocardiogram (EKG), ultrasound, magnetic resonance imaging (MRI) and exams all are normal. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 07Mar2021, the patient experienced fever, chills, testicular pain and radiating pain. On an unknown date in Apr2021, the patient experienced muscle twitches. Its reported that the patient had fever and chills in 12 hrs, but went away in hrs. Also left testicle felt like someone punched it, pain less in right one. Pain traveled to abdomen, back (lower & upper), rib cage-deep within on left mostly. Shooting pain within a week started in same areas as well as penis and down legs-mostly left. Muscle twitches started a month after vaccine-one twitch to a few minutes. Pain hadn't left, and cannot sit or walk or even move at times. Patient had zero problems until the second vaccine. The events resulted in doctor or other healthcare professional office/clinic visit and emergency room/department or urgent care also. Therapeutic measures were taken as a result of the events which included treatment with gabapentin (MANUFACTURER UNKNOWN), vitamin D (MANUFACTURER UNKNOWN), multi-vitamin and magnesium (MANUFACTURER UNKNOWN). The clinical outcome of the events of fever and chills was recovered on 07Mar2021. The clinical outcome of the events of testicular pain, radiating pain and muscle twitches was not recovered at the time of this report.  No follow-up attempts are needed; information about lot/batch number cannot be obtained.  Amendment: This follow-up report is being submitted to amend previously reported information: Lab data results and narrative was updated.