Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Amnesia, Anosmia, Balance disorder, Brain injury
Clinical narrative: unconscious/passed out; Three Brain bleeds; convulsions; retina detachment from the eye; softening of the brain; brain damage; heart issues; he has lost all this weight; he was not feeling well; lost teeth from blood sitting on brain; no taste or smell; no taste or smell; skin peel that had peeled off on the side of head like the size of nickel; concussion; He cannot perform like could before; short term memory, cognitive skills, and balance are gone; short term memory, cognitive skills, and balance are gone; short term memory, cognitive skills, and balance are gone; body was hurting/aching all over/hurting from head to toe; This is a spontaneous report received from a Consumer or other non HCP.  A 54-year-old male patient received BNT162b2 (BNT162B2), on 10Jul2021 at 09:00 as dose 1, single (Batch/Lot number: unknown) at the age of 54 years, in arm for covid-19 immunisation. The patient's relevant medical history included: "ADHD" (ongoing), notes: ADHD Diagnosed 2007 or 2008 but has had whole life; "Bipolar" (ongoing), notes: bi polar Diagnosed 2007 or 2008 but has had whole life; "smokes cigarettes" (ongoing); "did drink a beer every night" (unspecified if ongoing). Concomitant medication(s) included: ADDERALL oral taken for attention deficit hyperactivity disorder (ongoing); LEXAPRO oral taken for bipolar disorder (ongoing). The patient also took other concomitant therapy. The following information was reported: CEREBRAL HAEMORRHAGE (hospitalization, medically significant, life threatening) with onset 10Jul2021, outcome "not recovered", described as "Three Brain bleeds"; PAIN (non-serious) with onset 10Jul2021, outcome "unknown", described as "body was hurting/aching all over/hurting from head to toe"; SEIZURE (hospitalization, medically significant, life threatening) with onset 10Jul2021, outcome "unknown", described as "convulsions"; LOSS OF CONSCIOUSNESS (hospitalization, medically significant, life threatening) with onset 10Jul2021, outcome "recovered", described as "unconscious/passed out"; BRAIN INJURY (hospitalization, medically significant, life threatening) with onset Jul2021, outcome "unknown", described as "brain damage"; RETINAL DETACHMENT (hospitalization, medically significant, life threatening) with onset Jul2021, outcome "unknown", described as "retina detachment from the eye"; ENCEPHALOMALACIA (hospitalization, medically significant, life threatening) with onset Jul2021, outcome "unknown", described as "softening of the brain"; CARDIAC DISORDER (medically significant), outcome "unknown", described as "heart issues"; WEIGHT DECREASED (medically significant), outcome "unknown", described as "he has lost all this weight"; MALAISE (non-serious), outcome "unknown", described as "he was not feeling well"; TOOTH LOSS (non-serious), outcome "unknown", described as "lost teeth from blood sitting on brain"; AGEUSIA (non-serious), ANOSMIA (non-serious), outcome "unknown" and all described as "no taste or smell"; SKIN EXFOLIATION (non-serious), outcome "unknown", described as "skin peel that had peeled off on the side of head like the size of nickel"; CONCUSSION (non-serious), outcome "unknown"; LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES (non-serious), outcome "unknown", described as "He cannot perform like could before"; AMNESIA (non-serious), COGNITIVE DISORDER (non-serious), BALANCE DISORDER (non-serious), outcome "unknown" and all described as "short term memory, cognitive skills, and balance are gone". The patient was hospitalized for loss of consciousness, cerebral haemorrhage, encephalomalacia, brain injury, seizure, retinal detachment (start date: 11Jul2021, discharge date: Jul2021). The events "unconscious/passed out", "three brain bleeds", "softening of the brain", "brain damage", "convulsions" and "retina detachment from the eye" required emergency room visit. The patient underwent the following laboratory tests and procedures: Weight: lost, notes: he has lost all this weight; 220 lbs, notes: pounds; 157 lbs, notes: 157 pounds now. Therapeutic measures were taken as a result of cerebral haemorrhage, encephalomalacia, brain injury, retinal detachment, cardiac disorder, pain.  Clinical course: Patient's wife on the line calling and mentioned patient had three brain bleeds due to taking the Covid shot and wanted to report that experience. The patient had a big difference in weight loss around 63 pounds. Patient had just filed for disability. His job was kind enough to allow him to continue working for insurance and now had to let him go. He cannot perform like could before. Mentioned his short term memory, cognitive skills and balance were gone. Patient remained at the (pharmacy withheld) after getting shot for 15 minutes. His body was hurting when he came home. He was hurting from head to toe. He went to go purchase a pain relief patch that one would put on their back because he was aching all over. He put the patch on his back and arms. He then went to his friend's house. He called his wife shortly after because he was not feeling well. He had gone outside to the truck to get something to drink and never came back in. He was found on the sidewalk like he was in a coffin, unconscious. He had no bump on his head like would if had fallen on the side walk. Only thing was a skin peel that had peeled off on the side of head like the size of nickel. It was like he had some convulsions on the ground when passed out and rubbed the skin off because he had no lumps. He was unconscious and missing from his friend group for 5-7 minutes. Once his wife got there and found him it took her 3-5 minutes to get her husband to become conscious. They were concerned he had a concussion and did not want him to go to sleep. They kept him up for 3 hours. When she checked back on him his eyes were black big and round like the size of Tonka tire truck. They then took him to the Emergency Room. Now it's 11Jul2021 when got him to the Emergency Room and before they could get the arm band on him he was taken to the trauma unit downtown, was admitted, and in the ICU for 17 days. Reporter indicated there was not a specific reason admitted. There was no specific diagnosis provided as far as why admitted. At the time they were not trying to say it's related to the shot and now the doctors were thinking differently. He was being told nothing was wrong with him. Reporter explained the day prior the patient was able to run circles around the younger guys. He works in construction. Confirmed he did drink a beer every night, he smokes cigarettes and was trying to quit and was coming off of that, and also coming off of pot. The pot was what helped to calm him because he was also bi-polar and had ADHD. The pot kept him calm. However, after these events the bipolar had gone away and he does not have to smoke pot. His alter ego was named when it comes to bi-polar and they do not see him anymore. Patient received dose about 9:00 in the morning. Confirmed this was after the patient's first dose. Dr. (name) informed them there was a new strand out there, Delta and it was hitting their age group hard and it was suggested they get vaccine. Reporter then also added, both her parents have gotten the Covid vaccine and nothing happened to them. They had no issues. Other Conditions: The patient also experienced retina detachment from the eye. This was due to softening of the brain because blood sat in the brain so long. When this happened he had to have immediate surgery. Was told this was a side effect coming from the vaccine. Patient also had heart issues due to the vaccine and had to have a heart cath. Investigations: Had had testing/lab work done. Patient also went to (facility withheld). Patient was discharged from the hospital around 21-23Jul2021. He was then sent to an inhouse rehab, (facility withheld). He went to rehab due to brain damage. He was there for 15-20 days. Treatment/Intervention: Physical Therapy and cognitive therapy. Also then added patient had lost teeth from blood sitting on brain. The softening of brain made his teeth go bad. Teeth falling a part in his mouth. Added he had no taste or smell since this all happened. This was why he had lost all this weight. Prior Vaccinations (within 4 weeks) was none. The patient was receiving Multivitamin every day by mouth as concomitant medication.  The information on the batch/lot number for BNT162b2 will be requested and submitted if and when received.