Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging
Clinical narrative: had a mild stroke; Lightheadedness; Dull feeling under the skin; This is a spontaneous report from a Pfizer sponsored program COVAX US support. A contactable consumer (patient) reported that a 57-years-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration at the age of 57-years-old on 07May2021 (Lot Number: EW0165) as single dose for covid-19 immunisation. Medical history included HIV from 1991 and ongoing, vertigo from 2018 (3 years ago). Concomitant medications included dolutegravir sodium (TIVICAY) taken for HIV from 2013 and ongoing; emtricitabine, tenofovir alafenamide fumarate (DESCOVY) taken for HIV from 2013 and ongoing. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration at the age of 57-years-old on 16Apr2021 (Lot Number: EW0164) as single dose for covid-19 immunization and had the sore arm; meningitis vaccine at the age of 57-years-old in Aug2021 (2 weeks ago). On 23Aug2021, he had a mild stroke and he also had heavy shaking eyes and lightheadedness for 5 to 6 days after the stroke; dull feeling under the skin. Caller clarified and said that the rapid eye movements that he experienced lasted for 20 minutes and then the lightheadedness was after that and it had lasted for about 5 days; also where they shaved a spot on his head for the magnetic resonance imaging (MRI) that diagnosed it as a stroke, on top of his head a little to left, there was a spot and he didn't really know how to explain it but he feels like there is something that happened there. There's like a dull feeling under the skin like he can tell that something happened, he didn't really understand. He was not in pain and he wouldn't say there was pressure there but he doesn't know how to explain it. But he can feel something and it has been that way since it happened. He could feel the spot and it doesn't hurt when he pushes on it and he doesn't have a headache or anything but he just feels like something is there. Caller clarified that this has been that way since he had the stroke. For the event mild stroke, this was around 6:30 PM on 23Aug2021. He said that the rapid eye movements and the lightheadedness were his symptoms of the stoke. He didn't know if he was having a seizure or a stroke. He wasn't sure what was going on because that has never happened before to him. He didn't go to the doctor until the next morning at 10:20 on 24Aug2021. He clarifies and said that he called his regular doctor and they said to go to the hospital so he went right to the emergency room and they did all of the tests and kept him over night and then they released him the next evening around 6 PM. He Confirmed dates as populated within formal fields. He was admitted to the first floor. He was completely ambulatory and went to the bathroom if he needed to. He was inquired if he had recovered completely and he said that he was at about 97%, he still didn't feel completely himself but he was back to work, today was his first day back to work. He confirmed he had improved. For the event dull feeling under the skin, he noticed it between 24Aug2021 and 25Aug2021 around 3:00 or 3:30 in the morning and he let them know about that and that he was slightly lightheaded. When he woke up there was a vent in front of the bed on the ceiling and when he looked at it, it had slightly moved to the left and that lasted for maybe 10 minutes. When he looked at something it would move and he still has that dull feeling. He also would say that he was still very slightly lightheaded but not to where he feels like he needs to sit down or stop, it has gotten better, like he said he was at 97% better. He also wanted to mention that he had a bout of vertigo 3 years ago. A week after he had gotten lightheaded they gave him some type of IV medication for that vertigo and it had been gone since then. He tried to take some motion sickness stuff and a prescription form of it and it didn't do anything, but whatever they gave him in the IV did work. All he would say was that he didn't drive home after that and he doesn't remember getting home. The patient was hospitalized for a mild stroke from 24Aug2021 to 25Aug2021. Investigations: He had an MRI when he got there and then another when he was discharged. At first they did a CAT scan and then an MRI, both on 24Aug2021, Tuesday, and then before he left the hospital they gave him a second MRI which was on Wednesday, 25Aug2021. They also did a clotting test before the left the hospital and from what he heard it had came back fine. They took 15 vials of blood and did that clotting test. The patient underwent lab tests and procedures which included coagulation test: unknown results on 25Aug2021, computerised tomogram: unknown results on 24Aug2021, magnetic resonance imaging: stroke on 24Aug2021, magnetic resonance imaging: unknown on 25Aug2021. The outcome of the events was recovering.