Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Ear disorder, Ear pain, Ear swelling, Eye movement disorder
Clinical narrative: left ear swelling; both eyes are super blood shot; can't hold his eyes open; right ear is bothering him; eyes hurting; pains in his joints/left ankle started hurting; left hand is locking up; ear collapsed, like a floppy ear; This is a spontaneous report from a Pfizer sponsored program from a contactable consumer (patient's wife). A 54-years-old male patient (reporter's husband) received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot number was not reported), dose 2 via an unspecified route of administration, administered in left arm on 05May2021 at 3:00 PM to 4:00 PM as DOSE 2, SINGLE (at the age of 54-years-old) for COVID-19 immunisation. The patient's medical history included heart stent from Jan2021 to an unknown date, hypertension, heart attack from an unknown date and unknown if ongoing, and ongoing overweight he weighs 250 lbs, but reporter thinks he weighs 270 lbs. Concomitant medications included aspirin [acetylsalicylic acid]; metoprolol, prasugrel; and atorvastatin. The patient's historical vaccine included bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot number was not reported), dose 1 via an unspecified route of administration, administered in left arm on 14Apr2021 as DOSE 2, SINGLE (at the age of 54-years-old) for COVID-19 immunisation. The patient initially began having side effects on 23May2021 or 24May2021, but the reporter noticed left ear swelling on 26May2021, went to urgent care. On an unspecified date in May2021, the patient had experienced his eyes hurting, on 26May2021, both eyes are super blood shot, he can't hold them open. On an unspecified date in 2021, the patient has had pains in his joints, his left hand was locking up, and his left ankle started hurting but reports that she was most concerned about the ear. The reporter stated that all the events were on the same side and has concern that there may be infection that has travelled from the left ear to the eyes on 26May2021, the patient's right ear has started to feel funny on 26May2021. The patient has had 2 hospital admissions, could not remember the date of the first but the second was 03July2021 through the 7th or 8th. The patient has been treated with antibiotics, seen a Rheumatologist, seen an ENT 3 times and been to his PCP. The reporter stated that "No one know what this was" and questioned "How can not one person does not know what was going on". She also reports that because ears get the least amount of blood flow, his ear was coagulating, it was traveling to his eyes. Both were totally red and painful. She has had to pack patient's head with a cold cloth. She reports that because he was getting such strong antibiotics in the hospital that he had to have the shots in his stomach to prevent blood clotting. The patient went to a Chiropractor who recommended a regimen of vitamins and things, but they have not been to pick up the supplements because her husband was still working 70 hours a week and popping aspirin for pain in his eyes. The patient's ear was completely drooped. The patient has seen over 20 doctors and were planning to go to a 3rd hospital. The reporter does not know the name of the medication that the patient was receiving in stomach and does not know the name of the antibiotic that patient was receiving while in the hospital. The patient was not currently receiving shots in stomach to prevent blood clots. She stated no one knew what was going on with his ear, everybody had taken pictures of the ear. She clarified it was his left ear and on 26May2021, right ear is bothering him. She states maybe the infection was going from the ear to his eyes. This happened with his eyes in the last few weeks and both eyes were super blood shot. It was reported that everything started on the left side, the same side where the patient received the COVID-19 vaccine. The patient had pains in his joints on his left side. The patient's left hand was locking up, left ankle started hurting. This was what making her think it was not a coincidence. The patient was admitted on 03Jul2021 to and saw so many doctors while was there, stayed four nights. He was also admitted to hospital prior to his stay and does not recall the dates patient was at hospital. The patient has not been to a doctor for eyes yet. The patient kept taking aspirin and that could not be good for him. He was prescribed an 81 mg aspirin that he took daily. The patient's heart doctor recommended getting the COVID-19 vaccine because the patient was a risk factor. The patient had a lot of blood work. The hospital did tons of blood work to check for clotting since he was getting the shots in his stomach and the antibiotics. The patient received both doses of the Covid 19 vaccine in left arm because he uses his right arm. The patient gets his regular vaccines every year and had no problems. The patient was a strong man working 60-70 hours a week. He had been working through his problems with ears and eyes. The patient's symptoms were getting worse because at the time of reporting, it was moving to both eyes and eyes were completely red. The reporter stated may be eyes being red are connected to ear; maybe it was connected to the COVID-19 vaccine. The patient went to a rheumatologist, the rheumatologist took a picture of his ear and told the patient to come back in 9 weeks. On an unspecified date in 2021, the patient's ear collapsed, like a floppy ear. When probed for what part of ear she was referring to, the reporter stated she could send a picture. She took a before and after picture of the ear. The patient was given an antibiotic for his ear. Then the patient saw their primary care doctor, was referred to an Ear, Nose, and Throat doctor and saw that doctor 3 times. The Ear, Nose, and Throat doctor had no clue what was happening with his ear. That doctor advised her husband to go to the emergency department if the swelling did not go down in 24 hours. The patient's symptoms have just continued since then. He has had 3 months of pain and anguish. Prior to vaccinations (within 4 weeks), the patient had not received any other vaccinations. The patient had no events following prior vaccinations. Therapeutic measures were taken as a result of the events. The patient had not recovered from the events left ear swelling, both eyes are super blood shot, can't hold his eyes open, eyes hurting, right ear is bothering him, and maybe the infection is going from the ear to his eyes. The clinical outcome for the other events was unknown.  The lot number for the vaccine, [BNT162B2] was not provided and will be requested during follow-up.