Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anxiety, Asthenia, Biopsy, Biopsy bone marrow normal, Biopsy salivary gland normal
Clinical narrative: Weight loss; Hyperreflexia; neurological symptoms; Swings in blood pressure; Vibrations; Right eye is weird; Hands get really white when I wash them; Electric shock sensations in arms, legs, back, ribs.; Tinnitus and noise sensitivity.; Tinnitus and noise sensitivity.; Difficulty walking; muscle twitches & tremors all over body and face.; muscle twitches & tremors all over body and face.; Muscle fatigue.; Balance problems; feet and right hand burning/Tongue burning; muscle spasms/Cramps in the calves; insomnia; anxiety; Heart palpitations; rapid heartbeat; Metallic taste in mouth; Tightness, throbbing, and pain in thoracic spine; This is a spontaneous report received from a contactable reporter(s) (Other HCP) from medical information team. The reporter is the patient.  A 58 year-old female patient (not pregnant) received bnt162b2 (BNT162B2), administered in arm left, administration date 25Jan2021 13:15 (Lot number: EL3249) at the age of 58 years as dose 2, single for covid-19 immunisation. Relevant medical history included: "Known allergies: Sulfa" (unspecified if ongoing); "Arthritis" (ongoing). Family history included: "Lyme disease", start date: Feb2020 (unspecified if ongoing), notes: her son was diagnosed with Lyme disease in Feb2020 right before the pandemic broke out. He recovered from the Lyme disease and was put on antibiotics. There were no concomitant medications. Past drug history included: Zoloft, reaction(s): "Known allergies: Zoloft"; Cymbalta, reaction(s): "Known allergies: Cymbalta". Vaccination history included: Bnt162b2 (Dose Number: 1, Batch/Lot No: EL1284, Location of injection: Arm Left, Vaccine Administration Time: 01:00 PM, COVID-19 Vaccine: First dose: Manufacturer: Pfizer , LOT: EL1284 NDC/EXP: unknown Dose: unknown, She had a sore arm after the first dose.), administration date: 04Jan2021, when the patient was 58 years old, for COVID-19 immunization, reaction(s): "sore arm".  The following information was reported: SKIN DISCOLOURATION (non-serious) with onset 15Feb2021, outcome "not recovered", described as "Hands get really white when I wash them"; ELECTRIC SHOCK SENSATION (non-serious) with onset 15Feb2021, outcome "not recovered", described as "Electric shock sensations in arms, legs, back, ribs."; TINNITUS (non-serious), HYPERACUSIS (non-serious) all with onset 15Feb2021, outcome "not recovered" and all described as "Tinnitus and noise sensitivity."; GAIT DISTURBANCE (non-serious) with onset 15Feb2021, outcome "not recovered", described as "Difficulty walking"; MUSCLE TWITCHING (non-serious) with onset 15Feb2021, outcome "recovering", TREMOR (non-serious) with onset 15Feb2021, outcome "not recovered" and all described as "muscle twitches & tremors all over body and face."; MUSCLE FATIGUE (non-serious) with onset 15Feb2021, outcome "not recovered", described as "Muscle fatigue."; BALANCE DISORDER (non-serious) with onset 15Feb2021, outcome "not recovered", described as "Balance problems"; BURNING SENSATION (non-serious) with onset 15Feb2021, outcome "not recovered", described as "feet and right hand burning/Tongue burning"; MUSCLE SPASMS (non-serious) with onset 15Feb2021, outcome "not recovered", described as "muscle spasms/Cramps in the calves"; INSOMNIA (non-serious) with onset 15Feb2021, outcome "not recovered", described as "insomnia"; ANXIETY (non-serious) with onset 15Feb2021, outcome "not recovered", described as "anxiety"; PALPITATIONS (non-serious) with onset 15Feb2021, outcome "not recovered", described as "Heart palpitations"; HEART RATE INCREASED (non-serious) with onset 15Feb2021, outcome "not recovered", described as "rapid heartbeat"; FEELING ABNORMAL (non-serious) with onset Mar2021, outcome "unknown", described as "Right eye is weird"; TASTE DISORDER (non-serious) with onset Feb2021, outcome "unknown", described as "Metallic taste in mouth"; BLOOD PRESSURE ABNORMAL (non-serious) with onset Apr2021, outcome "unknown", described as "Swings in blood pressure"; WEIGHT DECREASED (non-serious), outcome "unknown", described as "Weight loss"; SPINAL PAIN (non-serious) with onset Feb2021, outcome "unknown", described as "Tightness, throbbing, and pain in thoracic spine"; HYPERREFLEXIA (non-serious), outcome "unknown", described as "Hyperreflexia"; NEUROLOGICAL SYMPTOM (non-serious), outcome "unknown", described as "neurological symptoms"; JOINT VIBRATION (non-serious) with onset Mar2021, outcome "recovering", described as "Vibrations". The events "hands get really white when i wash them", "electric shock sensations in arms, legs, back, ribs.", "tinnitus and noise sensitivity.", "tinnitus and noise sensitivity.", "difficulty walking", "muscle twitches & tremors all over body and face.", "muscle twitches & tremors all over body and face.", "muscle fatigue.", "balance problems", "feet and right hand burning/tongue burning", "muscle spasms/cramps in the calves", "insomnia", "anxiety", "heart palpitations", "rapid heartbeat", "right eye is weird", "metallic taste in mouth", "swings in blood pressure", "weight loss", "tightness, throbbing, and pain in thoracic spine", "hyperreflexia", "neurological symptoms" and "vibrations" were evaluated at the physician office visit and emergency room visit. Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of skin discolouration, electric shock sensation, tinnitus, hyperacusis, gait disturbance, muscle twitching, tremor, muscle fatigue, balance disorder, burning sensation, muscle spasms, insomnia, anxiety, palpitations, heart rate increased.  Follow-Up (04Feb2022): Follow-up attempts are completed. No further information is expected.  Follow-up (07Feb2022): This is a spontaneous follow-up report received from a contactable Other-HCP This Other-HCP (Patient) reported that: Updated information included: Suspect product time, vaccine facility info and new events and outcome. Salutation of reporter.  Follow-Up (10Feb2022): Follow-up attempts are completed. No further information is expected.  No follow-up attempts are possible. No further information is expected.