Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Computerised tomogram, Dizziness, Facial paralysis, Fall
Clinical narrative: stroke like symptoms/minor stroke; high/extremely high blood pressure; blood sugar numbers were very high in the 700s; face on the left side felt paralyzed like she couldn't feel if something was in her mouth; trouble seeing on the side of her eye/can only see straight on the left side; Blurry vision; fall; splintered hand; losing her balance; numbness in her arm; Soreness/sharp pain on her arm; dizzy spells; fatigue; This is a spontaneous report from a contactable consumer (daughter). A 58-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), via an unspecified route of administration in the left arm, on 17Mar2021 (at the age of 58-years-old) as a single dose for COVID-19 immunisation. Medical history included stroke in 2012 (first stroke was from a heart attack), heart attack in 2012, stroke in 2017, stroke in Dec2020, high blood pressure from 2012 and ongoing, diabetes from 2013 and ongoing, glaucoma from 2009 and ongoing, ongoing at risk for heart failure, ongoing tumor in her stomach (23 years, benign and hasn't been surgically removed due to other issues and not harming her), ulcers (3 ulcers in the past and none currently), broken ankle in 2014, preeclampsia attack in 1990, baby being strangled during birth in 1994, broke her pelvis during birth in 1996, and complicated birth in 1996 (which she was in a coma for). The patient had no family history. Concomitant medications included labetalol (MANUFACTURER UNKNOWN) taken for heart condition from Dec2020 and ongoing; acetylsalicylic acid (BABY ASPIRIN) taken for stroke from 2012 and ongoing; furosemide (MANUFACTURER UNKNOWN) from an unspecified date and ongoing; atorvastatin (MANUFACTURER UNKNOWN) taken for stroke from an unspecified date and ongoing; ascorbic acid, betacarotene, biotin, calcium, chromium, copper, folic acid, iodine, iron, magnesium, manganese, molybdenum, nicotinic acid, pantothenic acid, phosphorus, pyridoxine hydrochloride, retinol, riboflavin, selenium, thiamine, vitamin B12, vitamin D, vitamin E, vitamin K, zinc (CENTRUM WOMEN 50+) from an unspecified date and ongoing, and unspecified eye drops for glaucoma from an unspecified date and ongoing. The patient did not receive any other vaccines within four weeks prior to the vaccination. The patient experienced stroke like symptoms/minor stroke, high/extremely high blood pressure, blood sugar numbers were very high in the 700s, face on the left side felt paralyzed like she couldn't feel if something was in her mouth, trouble seeing on the side of her eye/can only see straight on the left side, and blurry vision on 08Apr2021, which all required hospitalization from Apr2021 to Apr2021 for 4 days. The patient also experienced losing her balance, numbness in her arm, soreness/sharp pain on her arm, dizzy spells, and fatigue on 08Apr2021 and fall and splintered hand on 30Apr2021. The clinical course was reported as follows: It was reported that the patient had stroke like symptoms, which were reported to be not a result of the vaccine as the patient had a lot of health issues. The patient had the vaccine and was completely fine and then right around the time she was supposed to get her second dose she was showing signs that could have been a minor stroke. She just had high blood pressure and her blood sugar numbers were very high in the 700s on 08Apr2021. It affected her face. It was not a full on stroke, she got to the hospital in time. The patient had strokes before. They thought it was better to stabilize her blood pressure and blood sugar before getting the next shot. She was in the hospital for 4 days. They gave it time to stabilize and come to a normal number. When it did and they went back to the pharmacy, they said they did not feel comfortable administering the second shot after 42 days. Now it was pushing more than 42 days. The reporter stated she would not necessarily call it a stroke. Her mother had symptoms leading up to a stroke but not a full on stroke. She had numbness of her arm and blurry vision, but not a full on stroke. She was in the hospital the week of 07Apr2021. She was supposed to have the second shot on 14Apr2021. She was discharged from the hospital the week of 12Apr2021, either that Monday or Tuesday. She had trouble seeing on the side of her eye. She can only see straight on the left side. Her face on the left side felt paralyzed, like she couldn't feel if something was in her mouth. She has been losing her balance. Her blood pressure was through the roof on 08Apr2021, as well as her blood sugar. She did a video chat with the doctor the night before going to the emergency room (ER). They monitored her symptoms, and they started within the first 72 hours before going to the hospital. She had a blind spot in her left eye. The other one she can see just not as great as before. Before this instance she did not have a blind spot, and now she does. The patient walked with a cane now. If she is outside, she is held with someone and cannot just walk along because she does not see well by herself. She had to sit at a certain angle to see clearly. Her vision is not well. The numbness in her arm comes and goes. Sometimes it is a sharp pain and sometimes it is numb. It was definitely worse when she was at the hospital. The numbness and sharpness level goes hand in hand with when her blood pressure is too high and fluctuates with her blood sugar and blood pressure. With her face feeling paralyzed, her left eye socket is closed a little bit. She has more mobility than when it happened. She has been working on it with physical therapy trying to get it back. Her balance was off when she wasn't seeing well and was unassisted. She would get dizzy spells and fall. Now she is more aware of when she will feel dizzy and will let them know. The cane helps her balance. The dizzy spells came at the same time as the other symptoms. They fluctuate. They have stabilized over time. When it first happened, they were a lot more frequent. Now they almost never happen. The patient underwent lab tests and procedures, all in 2021, which included bloodwork: unknown results, computerised tomogram (CAT) scan: unknown results, and x-ray: unknown results (on her hand when she broke it in the past 2 weeks). The clinical outcome of stroke like symptoms/minor stroke, soreness/sharp pain on her arm, fatigue, fall, and splintered hand was unknown; high/extremely high blood pressure, blood sugar numbers were very high in the 700s, face on the left side felt paralyzed like she couldn't feel if something was in her mouth, losing her balance, numbness in her arm, and dizzy spells was recovering; and trouble seeing on the side of her eye/can only see straight on the left side and blurry vision was not recovered.  The batch/lot number for the vaccine, BNT162B2, was not provided and will be requested during follow-up.