Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Finger deformity, Headache, Heart rate, Hypertension
Clinical narrative: NOT ABLE TO SIT STILL; DIZZY; BLURRY VISION; FINGERS (RING AND PINKY FINGERS)  CRAWLING UP ON THEIR OWN (SEEMED); PINCHED NERVE; FELT LIKE HAD A WEIGHT IN SHOES; LEFT LEG SWELLING-TOES TO KNEES; LEFT LEG TIGHTNESS/MUSCLE TIGHTNESS; RAPID HEART RATE/HEART RACING; HIGH BLOOD PRESSURE; LEFT ARM WEAKNESS; UNEASINESS/ANXIETY; DRY MOUTH; VERTIGO; TINGLING IN FOUR EXTREMITIES; MILD FEVER; FATIGUE; MILD HEADACHE; This spontaneous report received from a patient concerned a 43 year old male. Initial information is processed with Additional information received on 21-APR-2021 The patient's height, and weight were not reported. The patient's concurrent conditions included seafood allergy (intolerance) and non smoker. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 203A21A, expiry: UNKNOWN) dose was not reported, frequency 1 total administered on 10-APR-2021 to right deltoid for prophylactic vaccination. Concomitant medications included minoxidil.  On 10-APR-2021, the patient experienced fatigue, a mild fever and headache about 24 hours after receiving the vaccine. Patient did not take temperature, treated with acetaminophen which then resolved in less than 24 hours. On 14-APR-2021, patient's  heart racing, experienced rapid heart rate, left arm weakness, uneasiness/anxiety, dry mouth, vertigo, tingling in four extremities/tingling in left hand/tingling up to biceps/tingling from toes to hamstrings. Patient went to emergency room. They ran number of tests- urine, blood test, lung scan, MRI, (all these other tests) review of health that evening all clear. Heart rate (at hospital was 154 resting heart rate) and blood pressure (high before calling 911) they went back down and went home. Patient had dry mouth during the time and his heart rate was high. Hospital only treated him with IV fluids and sent home as all lab tests were clear. Patient took Excedrin for a mild headache on  16-APR-2021. Over the next several days, patient experienced  vertigo, uneasiness, not able to sit still, tingling off and on and throughout different extremities sometimes left leg sometimes left arm, vertigo was the worst part. On 18-APR-2021, the patient felt heaviness in left leg, left leg swelling-toes to knees, left leg tightness/muscle tightness ,swelling and tightness did not look swollen but felt it was being squeezed. Patient's Left felt like had a weight in his shoes. On 19-APR-2021, patient was good (this week), Monday evening legs started swelling and heaviness became even worse. Patient experienced pinched nerve. Patient  went to urgent care (Monday or Tuesday, 19-APR-2021 or 20-APR-2021) and symptom went to go down a bit as he was sitting in urgent case, he was said to self monitor and if got worse to call them again. Urgent care did not treat with any medications.  On 20-APR-2021, nothing was abnormal, most day was good and end of work day during dinner time, his left arm was getting numbness in fingers,  numbness in left arm (ring and pinky), fingers were trying to crawl up on their own. Patient experienced anxiety on and off. On 21-APR-2021, patient  started fairly normal, started get dizzy but was fine at the time of report, vision was slightly blurry that was very short lasting and went away right away and came back to normal and vey inconsistency. "It comes and goes." Patient visited emergency room on 14-APR-2021  and was sent home with only being treated with IV fluids. Patient later visited the urgent care on 20-APR-2021 and was sent home with no treatment as doctor did not fear it was a blood clot and was sent home. Patient stated  of having coffee in the morning on 14-APR-2021  prior to emergency room visit around 3pm where he was experiencing heart racing.  He felt that he was  unsure if caffeine may had been the reason for some of these side effects but noticed most change after receiving vaccine. Patient stated he had caffeine in the morning every day and unsure if that can cause it as he tolerated  caffeine. He mentioned he did not know if it was anxiety driven due to recent news events. Laboratory data included: Blood pressure (NR: not provided) high, Blood test (NR: not provided) clear, Heart rate (NR: not provided) 154, Lung scan (NR: not provided) clear, MRI (NR: not provided) clear, and Urine strip test (NR: not provided) clear.  Treatment medications (dates unspecified) included: acetylsalicylic acid/caffeine/paracetamol/salicylamide, and paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from blurry vision on 21-APR-2021, not able to sit still, fingers (ring and pinky fingers) crawling up on their own (seemed), and dizzy, felt like had a weight in shoes on 20-APR-2021, mild fever, and mild headache on 11-APR-2021, and fatigue on 19-APR-2021, was recovering from vertigo, uneasiness/anxiety, left leg swelling-toes to knees, and left leg tightness/muscle tightness, had not recovered from rapid heart rate, high blood pressure, tingling in four extremities/tingling in left hand/tingling up to biceps/tingling from toes to hamstrings, left arm weakness, numbness in fingers, and dry mouth, and the outcome of numbness in left arm, pinched nerve  and heart racing was not reported. This report was serious (Other Medically Important Condition).  ,; Sender's Comments: V0 20210443261-covid-19 vaccine ad26.cov2.s-Rapid heart rate/high blood pressure/uneasiness/anxiety/ numbness in fingers and dry mouth. This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s). V0 20210443261-covid-19 vaccine ad26.cov2.s-Left arm weakness. This event(s) is labeled and is therefore considered potentially related.