Age: 45.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hormone level abnormal, Loss of personal independence in daily activities, Musculoskeletal discomfort, Palpitations
Clinical narrative: anxiety; panic attacks; have sleep problems; His heart is pounding so hard and it feels like his heart is going to explode; Severe vertigo; he felt really faint after doing a walk; Dealing with several AEs that impacted his life; pain in arms; still have some neck pain; tinnitus; after 2nd dose severe neck inflammation; A stiffness of neck; dizziness/ woozy remains; brain fog all day; Thyroid TSH and TPO ab levels increased; TPO ab levels increased; This is a spontaneous report from a contactable consumer (patient). A 45-years-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: EW0161), via an unspecified route of administration on 19Apr2021 at 04:00 (at the age of 45-years-old) as DOSE 2, SINGLE for covid-19 immunisation in Pharmacy or Drug Store. The patient medical history was not reported. Concomitant medication(s) included vitamin d (VITAMIN D), tinospora cordifolia (IMMUMOD), collinsonia canadensis root (CHOLACOL) and phyllanthus niruri (CHANCA PIEDRA). The patient previously took first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: GB8727), via an unspecified route of administration in right arm on 30Mar2021 (at the age of 45-years-old) as DOSE 1, SINGLE for covid-19 immunisation and experienced neck problems, neck inflammation that was very noticeable and was very irritating, which was not recovered. Patient's past drug history included oxycodone, and lotramin af. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient reported that his 2nd dose last 19Apr2021 and since then he was dealing with several AEs that impacted his life. On 03May2021, 2 weeks after his 2nd dose patient felt really faint after doing a walk and on 04May2021, patient had a severe vertigo. On 11May2021, he started to have sleep problems, and he thinks there's something wrong with his heart, and some adrenaline type problem. His heart was pounding so hard and it feels like his heart was going to explode and it was going on for a month. He went to ENT, he was evaluated for vertigo and they did not find anything. He also went to his Cardiologist, they did some tests and they could not find anything wrong with his heart. On an unknown date in 2021, on his 2nd dose, severe neck inflammation - limited range of motion for months - still have some neck pain. He recalled back on his 1st dose side effects, he did some blood work for his thyroid, and his thyroid TSHA levels was elevated to 5.7, and TPO antibodies are present, he also added that his antibodies gone up to 80s. He added last June2021, he had been having sleep problems during the day, he had some panic attacks, bad anxiety every day, pain in arms, tinnitus that lasted for 18hrs and having some brain fog. His main concern right now was his severe dizziness, severe vertigo, bad anxiety, panic attacks. Patient reported still having neck pain and treating with physical therapy. Two weeks after 2nd dose faint feeling, extreme vertigo - went to ER (vertigo went away after 2 days, but dizzy, woozy remains). Three weeks after 2nd dose, sleep problems, hard pounding heart (this has improved). Anxiety during the day. Started having panic attacks (still experiencing). Dizzy and brain fog all day (still experiencing). Thyroid TSH and TPO ab levels increased after each vaccination, but have now stabilized to normal. The patient underwent lab tests and procedures which included antibody test with results in 80s on an unspecified date, anti-thyroid antibody present, blood test with result 5.7, his thyroid TSHA levels was elevated to 5.7 on an unspecified date, and Nasal Swab test result negative on unspecified date on Jul2021. The patient was not diagnosed with COVID-19, prior to vaccination. AE resulted in patient visiting to Emergency room/department or urgent care. The patient was treated with vertigo medications, anti-inflammatory, xanax, and Prozac for the events. The outcome of events recovered for severe vertigo on 07May2021, thyroid TSH and TPO ab levels increased, pain in arms, tinnitus on an unspecified date on 2021, outcome was recovering for events have sleep problems, his heart is pounding so hard and it feels like his heart is going to explode, outcome unknown for dealing with several AEs that impacted his life and rest other events were not recovered.  Follow-up attempts are completed. No further information is expected.