Sex: M
Vaccine: COVID19, VARZOS, COVID19, COVID19
Symptoms: Illness, Influenza like illness, Lagophthalmos, Magnetic resonance imaging, Mobility decreased
Clinical narrative: Got pretty sick off of it; Flu like symptoms; Left side of his mouth went bonkers; His mouth it felt tingly and weird / it was confined to the left half of his face / tongue was tingly; The right doesn't bother him as much in the way of tingling and numbness; Left is the main problem / right is not far behind / regard to nerve compression; Moved his thumb / felt like there was a rubber band pulling his thumb back; Sleeping wrong / his brain doesn't want to shut off; With extra salivation; Thinking he was having a bad day / It was weird at first; 5-6 weeks ago it was back to where it was / eye / feeling like it couldn't close; 5-6 weeks ago it was back to where it was / left side face felt taut; 5-6 weeks ago it was back to where it was / gum felt like his skin was thicker; Either very little or really annoying / it was just annoying on and off; Stress; Still sees some nerve inflammation / jaw line / upper part of of his eye / brow; Has had overlapping stuff from cervical stenosis / manifests on the left side; This case was reported by a consumer via other manufacturer and described the occurrence of cervical spinal stenosis in a 71-year-old male patient who received Herpes zoster (Shingrix) for prophylaxis.   Co-suspect products included TOZINAMERAN (COVID-19 VACCINE PFIZER) (batch number EN6203, expiry date June 2021) for prophylaxis.   The patient's past medical history included shingles (had shingles in his ear and mouth on the left side of face in October 2019), bell's palsy, ramsay-hunt syndrome, paralysis, lagophthalmos, vertigo, hearing decreased, stiffness, tingling mouth, gingival discomfort, neuritis, sarcoidosis (case of sarcoidosis uncovered, there was only one node of it at the back of the trachea where it splits to go into the lungs) and mononucleosis. Previously administered products included Covid vaccine (received 1st dose on an unknown date, batch nuber- EL9264 and expiration date- May 2021). Concurrent medical conditions included diabetes, blood pressure high and lipids increased. Concomitant products included simvastatin, alprazolam and alprazolam (Xanax).   On an unknown date, the patient received Shingrix. On 7th March 2021, the patient received the 2nd dose of COVID-19 VACCINE PFIZER. On 7th March 2021, less than 6 months after receiving Shingrix, the patient experienced cervical spinal stenosis (serious criteria GSK medically significant), oral discomfort, tingling mouth, numbness, nerve compression, mobility decreased, restlessness, increased salivation, feeling bad, lagophthalmos, stiffness, gingival discomfort, discomfort, stress and neuritis. On an unknown date, the patient experienced sickness and influenza-like symptoms. On an unknown date, the outcome of the cervical spinal stenosis, sickness, influenza-like symptoms, oral discomfort, tingling mouth, numbness, nerve compression, mobility decreased, restlessness, increased salivation, feeling bad, lagophthalmos, stiffness, gingival discomfort, discomfort, stress and neuritis were unknown.   It was unknown if the reporter considered the cervical spinal stenosis, sickness, influenza-like symptoms, oral discomfort, tingling mouth, numbness, nerve compression, mobility decreased, restlessness, increased salivation, feeling bad, lagophthalmos, stiffness, gingival discomfort, discomfort, stress and neuritis to be related to Shingrix.  Additional details were provided as follows: The age at vaccination was not reported but could be 70 or 71 years old for Shingrix vaccine. The patient received Shingrix vaccine too late last year and received 2nd dose of Covid vaccine on 7th March 2021. The patient had overlapping stuff from cervical stenosis that manifested on the left side on his shoulder arm and hands, droopy mouth, eye wouldn't close, vertigo, ear issues, hearing drop. His eye had the feeling like it couldn't close his eyelids at night the muscles in his face on the left side face felt taut. The inside of his gum felt like his skin was thicker, he was not sure it was or wasn't but that was the sensation and that never went away and down the side of his tongue was tingly. These things overlap and it was either very little or really annoying. it was just annoying on and off and after the shot on Sunday it was weird at first, he was writing it off as both stress and relief and other things. He wasn't dizzy, he waited for 15 minutes and went home and after and that evening the left side of his mouth went bonkers, it wound up being like when the shingles were acting up on the inside of his mouth it felt tingly and weird and it was confined to the left half of his face and nothing else. The patient did not have droopiness or any Bells palsy kind of thing had gone away the Ramsey-Hunt syndrome. The patient experienced the stenosis, the cervical stenosis, the left was the main problem but the right is not far behind with regard to nerve compression, the right doesn't bother him as much in the way of tingling and numbness. The weird thing was he had his hands sitting in his lap and he moved his thumb towards his forefinger and there was a couple inches between and it felt like there was a rubber band pulling his thumb back, it happened 2-3 times he was fooling around with it and it went away but the sensation was still there a little in the back ground, the rest of him the right side of him was fine. The patient had MRI in November 2019 when he first got sick and then he had another one done and his neurologist said in August that he still had some nerve inflammation particularly down jaw line, he saw inflammation from 2019 to 2020 and the upper part of of his eye, the brow seemed to behave as if there may be some inflammation running through it. The patient had been thinking the whole idea was that the vaccine woke up the immune system and got it to recognize the RNA for COVID and generate antibodies and if it was acting like inflammation getting the body's attention. The patient had one had case of sarcoidosis uncovered, there was only one node of it at the back of the trachea where it splits to go into the lungs. His pulmonologist was keeping track of it with X-ray and CT scans, the last time everyone looked in there, there was nothing left, the thing never changed since, it never showed up anywhere else. The patient does not know if that disappeared but he never ended up getting it again. It was unknown if the reporter considered the cervical spinal stenosis, sickness, influenza-like symptoms, oral discomfort, tingling mouth, numbness, nerve compression, mobility decreased, restlessness, increased salivation, feeling bad, lagophthalmos, stiffness, gingival discomfort, discomfort, stress and neuritis to be related to Covid vaccine.