Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: WEAKNESS; THROBBING PAIN IN HANDS; FELT NEEDLES IN FINGER TIPS OF LEFT HAND; COLD BODY/FELT COLD ALL OVER BODY/HANDS BECAME VERY COLD AND WERE FREEZING; HEADACHE; FELT TIRED; This spontaneous report received from a patient concerned a 59 year old female of unspecified ethnicity.  Initial information was processed along with the additional information received on 06-DEC-2021.  The patient's height, and weight were not reported. The patient's past medical history included: cancer on unspecified date in 2014, she was also diagnosed with cancer in 2019, The patient was in remission from cancer. Chemotherapy has created peripheral nerve issues, but they had resolved. The patient was under the care of a neurologist and was normal.    The patient previously received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 207A21A, expiry: UNKNOWN) dose was not reported, (dose number in series was 1), 1 total, administered on 12-APR-2021 to left arm for prophylactic vaccination. On an unspecified date, following vaccination with covid-19 vaccine ad26.cov2.s, the patient felt cold all over her body, had a headache and felt tired following vaccination (dose number in series was 1).  The patient received booster dose of covid-19 vaccine ad26.cov2.s vaccine (suspension for injection, route of admin not reported, batch number: 1855194, expiry: UNKNOWN) dose was not reported, (dose number in series was 2), 1 total, administered on 29-NOV-2021 to left arm for prophylactic vaccination. No concomitant medications were reported.  On 29-NOV-2021, the same night after vaccination with covid-19 vaccine ad26.cov2.s, the patient felt cold all over her body, had a headache and felt tired. Her hands and feet got colder and colder, the cold was extreme to the point of hurting. On 30-NOV-2021, later on morning while she was washing her hands in cool water, she felt needles in finger tips of her left hand and was resolved. 0n 03-DEC-2021, when she was washing her hands in cold water, her hands became very cold and were freezing. It took a long time over 15 minutes for them to warm up. This happened while she was at a grocery store. She tried to warm her hands by putting them in her pockets. When she got in her car, her hands started warming. She felt throbbing pain in hands as they were warming up. On an unspecified date, the patient also experienced weaknesses in certain areas that may have got triggered due to vaccination (dose number in series was 2).  The action taken with covid-19 vaccine ad26.cov2.s was not applicable.  The patient recovered from felt needles in finger tips of left hand, and the outcome of throbbing pain in hands, cold body/felt cold all over body/hands became very cold and were freezing, headache, felt tired and weakness was not reported.  This report was non-serious.  This report was associated with a product quality complaint (PQC): 90000205465.  The suspected product quality complaint has been confirmed to be void (does not meet PQC criteria) based on the PQC evaluation/investigation performed.  This case, involving the same patient is linked to 20211231019.