Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Full blood count, Headache, Musculoskeletal discomfort, Pain, Paraesthesia
Clinical narrative: extreme dizziness, to the point I had to hold on to furniture to be able to walk; intense ear pressure; My arm that received the injection has a rash, there is a different kind of rash on my other arm; my legs and feet were freezing intermittently to the point I had to wear 6 pairs of socks; worse at fingers and toes/pain in all my extremities/I started having pain in all my extremities; Joint pain; muscle pain; Severe headache; ringing in ears; numb/tingling/itchy face and head; numb/tingling/itchy face and head/I continue to have high sensitivity feelings like numbness in both sides of my face, scalp and both sides of my head and through my jawline; numb/tingling/itchy face and head; lupus "flare up."; This is a spontaneous report from a contactable consumer (patient). A 58-years-old female patient received first dose of BNT162B2 (BNT162B2, solution for injection, batch/lot number was not reported), via an unspecified route of administration, administered in arm right on 06Apr2021 13:45 (at the age of 58-year-old) as single dose for COVID-19 immunisation. The patient's medical history included systemic lupus erythematosus, breast cancer, mastectomy, autoimmune disorder from an unknown date and unknown if ongoing I had rashes before because of autoimmune disorder. The patient's concomitant medications were not reported. Patient had allergy to sulfa drugs. The patient did not receive any other vaccines within four weeks prior to the vaccination. The patient did not receive any other medications within 2 weeks of vaccination. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. On 06Apr2021, patient experienced zapping shooting pain in limbs, worse at fingers and toes/pain in all my extremities, joint pain, muscle pain, severe headache, ringing in ears, numb/tingling/itchy face and head, continue to have high sensitivity feelings like numbness in both sides of my face, scalp and both sides of my head and through my jawline, legs and feet were freezing intermittently to the point patient had to wear 6 pairs of socks. On an unknown date, patient experienced lupus flare up, extreme dizziness, to the point patient had to hold on to furniture to be able to walk, intense ear pressure, arm that received the injection had a rash, there is a different kind of rash on patient's other arm. Doctor had advised the patient not to receive the 2nd Pfizer vaccine dose. On 06May2021, patient experienced pain in all extremities. The patient underwent lab tests and procedures which included SARS-COV-2 antibody test: negative on 25Apr2021 Blood test. Therapeutic measures were taken as a result of lupus flare up included steroids. patient stated that could not finish the 5 days of steroids because the steroids were exacerbating that sensitive, underlying speeding up feeling I was having all the time, like the feeling you get when you are about to sneeze is the only way can describe the feeling. The outcome of the events zapping shooting pain in limbs, worse at fingers and toes/pain in all my extremities, joint pain, muscle pain, severe headache, ringing in ears, numb/tingling/itchy face and head, continue to have high sensitivity feelings like numbness in both sides of my face, scalp and both sides of my head and through my jawline were not recovered. The outcome of the events lupus flare up, extreme dizziness, to the point patient had to hold on to furniture to be able to walk, intense ear pressure, arm that received the injection had a rash, there is a different kind of rash on patient's other arm, pain in all extremities were unknown.   Information on the lot/batch number has been requested.