Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Facial neuralgia, Hypoaesthesia, Hypoaesthesia eye, Musculoskeletal disorder
Clinical narrative: nerve pain in face; Tooth pain; severe nerve pain left ankle/nerve pain in mouth/pain in her legs/pain in the calf; Numbness.  It affects my face and head.  Anything that goes to your brain.; feels numbness/feels it in her eye too; Deep pain.; trigeminal neuralgia; severe damage in both legs; tingling; This is a spontaneous report received from a contactable consumer (patient). A 78-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, administered in Arm Left on 05Apr2021, at the age of 78-year-old, (Lot Number: EW0150) as single dose for covid-19 immunisation. Medical history included ongoing Allergies. The patient had allergies to ciprofloxacin (CIPRO), clindamycin, amoxicillin, penicillin, sulfamethoxazole; trimethoprim (BACTRIM), cefalexin monohydrate (KEFLEX), clarithromycin (MACROBID), levofloxacin (LEVAQUIN), valsartan (DIOVAN) (blood pressure med). Some of them allergic and can never take. Some have minor effects like itching or rashes, allergic reaction to dairy, the enzyme, not the lactose. The patient had bloodwork 2 weeks before the vaccine (in Mar2021) to see if there were any antibodies. Stated that she not only had the short test and the long test but that she went for the blood test that showed no antibodies and was told she could take the shot. Stated that she has taken blood pressure medicine every day since she was 29. No prior vaccinations within 4 weeks. No AEs following prior vaccinations, no family medical history, no relevant tests. Stated that she had an accident that promoted a lot of her nerve damage. No history of all previously immunizations, no additional vaccines administered on same date. The patient had plates and screws. Rod attaches to her hip. Metal Clips in shoulders. Severe spinal stenosis. Rotator cuff operation. Arthritis and a scar in her arm. Concomitant medications included levothyroxine sodium (SYNTHROID) been taking more than 15 years for thyroid, start and stop date were not reported; ongoing hydrochlorothiazide taken for an unspecified indication, start was not reported and stated that this is a water pill that she takes as part of her program; ongoing amlodipine besilate (NORVASC) taken for an unspecified indication, has been taking since age 29; ongoing budesonide (NASOCORT) taken for allergies, Stated that she did take on the day she received the vaccine. Have a lot of pollen down here; ongoing hydrocortisone taken for an unspecified indication, start was not reported, Only takes half of that, takes 2.5mg. Doctor thinks it doesn't do anything, that it's like taking 3 Advil and Has been taking on and off only at night did not take it Monday night. ongoing Coreg -Has been taking since age 29. Ongoing desloratadine (CLARINEX) for allergies, ongoing Vitamin D nos and states she takes either 1000 or 2000 in liquid form for unspecified indication; ongoing Magnesium (Powdered drink mix) for unspecified indication and ongoing ascorbic acid (VITAMIN C) for an unspecified indication. The patient experienced severe nerve pain left ankle on 06Apr2021 (it happened later that night, after 2 or 3 in the morning, so it was 06Apr2021), nerve pain in mouth and face on 07Apr2021,  Had plates and screws, so knows the difference between hurting and nerve pain. She experiences pain constantly every day. This was severe nerve pain. Stated that just the ankle was severe. Stated that when she woke up, she already felt pain in her legs. States that she also had pain in the calf but didn't pay much attention because the pain was mostly in her ankle. States that it was where the metal was and went on for about 15 or 20 minutes. States that it has subsided. None treatment received. The patient experienced tooth pain and states that this started today (07Apr2021) around 10:30 or 11:00 this morning. States that all of a sudden felt an exposed nerve in the tooth, like the worst toothache you've ever had. States that it was pretty devastating and nerve pain really hurts a lot. States that she knows you don't have to have exposed nerve to know. States that it started on her face on the left side, the way neuralgia starts and goes to the eye, all on the left side, same side as the shot. States that it was weird to her. The patient was told by her doctor to take Tylenol but she did not take it because it really doesn't work. States that she can't feel everywhere. States that she would like to know what is going on and she still feels numbness (in Apr2021). States that her face is not numb but feels numb-ish, and can't even explain it. States that she feels it in her eye too. States that it feels better now then when she first noticed it. States that she will take something eventually if it keeps up. Caller states that when getting the shot, she told the man that she already had a scar in the right arm from a full rotator cuff. States that she is leery of the shot. The patient had numbness. It affects my face and head.  Anything that goes to your brain on an unspecified date.  She wanted to know if any metal in their body metal ankle screws in place 47 years.  Rod attaches to her hip.  Metal Clips in shoulders.  Trigeminal neuralgia. Nerve that goes to face.  Severe spinal stenosis.  Vaccine in left arm.  Rotator cuff operation. Talked to HCP.  He is going to leave it up.  She just don't want to experience a bad reaction.  Deep pain.  Eye and Face. Left arm.  Did not affect the rod.  Affected all the nerves on the left side. Supposed to get the shot the 26th. Now this to her face.  It makes she think do she want that shot to her brain. That's what makes she wonder. HCP told to take Tylenol 500mg or go to ER. She chose not to go to ER. Asking if this adverse event has been reported and if she should receive second dose. States that she had the vaccine on Monday 05Apr2021, on that night. States that are several things wrong with her and she questioned everyone about taking it. States that she did report today (07Apr2021) about her recent experience.  Is not sure whether she wants to take the second shot.  States that she has severe damage in both legs. States that she has trigeminal neuralgia. States that she has middle ankle screws and plates that she has had for 47 years on her left side. She have arthritis. On the right side, from the femur to the hip, she has a rod attached there. Has severe spinal stenosis and has long lasting problems. States that this is why she was worried about taking the shot. States that all of her doctors said to really take it because she is 78 years old, so she took it. States that Monday night (05Apr2021), she got the shot in the left side of her body. States that the person giving her the shot noticed a scar in her arm in the muscle area. States that she had one of many operations on that shoulder, including the rotator cuff. States that he asked her if there was any metal in there and she stated that there probably is metal in there, or clips, does not know for sure if metal. States that he went ahead and gave the shot. States that on Monday at about 2 or 3, she woke up with severe nerve pain in that ankle area.  States that she has had other things long enough to know that the nerves were affected. States that it subsided after 15 minutes or so. Today (07Apr2021), got up and felt like an exposed nerve in her mouth, then from her face to her brain. States that she put heat on it, states that she knows things to do and knows that it is not exposed nerve. States that right now it is acting up a little and feels like exposed nerve and a little tingling and numb (in Apr2021). Caller states that she figured they didn't find anything about people who have metal in their body.  States that she does not take meds for nerve damage because she chooses not to. States that they are rough medications. States she is kind of leery about taking the second shot. The events did not require emergency room and physician's office. The outcome of the event severe nerve pain was recovered on 06Apr2021; the outcome of the event nerve pain in face was recovering; of the other events was unknown.  No follow-up attempts are possible; information about lot/batch number cannot be obtained.