Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle twitching, Paraesthesia, SARS-CoV-2 test, Swelling face
Clinical narrative: I was thinking that everything is ok but September 08/21 my face start tingling and numbness and swelling; I was thinking that everything is ok but September 08/21 my face start tingling and numbness and swelling; fell; left arm and leg crawling sensation and tightness; left arm and leg crawling sensation and tightness; left facial twitching predominantly involving the lower portion of the face and lips; tingling and numbness sensation from the left cheek down to the left half portion of the chin and lips; tingling and numbness sensation from the left cheek down to the left half portion of the chin and lips; This is a spontaneous report received from a contactable reporter(s) (Other HCP). The reporter is the patient.  A 51 year-old female patient (not pregnant) received bnt162b2 (BNT162B2), intramuscular, administered in arm right, administration date 19Aug2021 14:30 (Lot number: EW0178) at the age of 51 years as dose 1, single for covid-19 immunisation. Relevant medical history included: "HTN (hypertension)" (unspecified if ongoing), notes: HTN (hypertension); "Hyperlipidemia" (unspecified if ongoing); "COHyperthyroidism" (unspecified if ongoing), notes: COHyperthyroidism; "PD (chronic obstructive pulmonary disease)" (unspecified if ongoing), notes: PD (chronic obstructive pulmonary disease); "known allergies: Seasonal Allergies" (unspecified if ongoing), notes: known allergies: Seasonal Allergies. There were no concomitant medications. Past drug history included: Codeine, reaction(s): "known allergies: codeine", notes: known allergies: codeine. The following information was reported: MUSCLE TWITCHING (non-serious) with onset 19Aug2021 15:00, outcome "recovered" (Aug2021), described as "left facial twitching predominantly involving the lower portion of the face and lips"; HYPOAESTHESIA (non-serious), PARAESTHESIA (non-serious) all with onset 19Aug2021, outcome "recovered" (Aug2021) and all described as "tingling and numbness sensation from the left cheek down to the left half portion of the chin and lips"; SWELLING FACE (non-serious), HYPOAESTHESIA (non-serious) all with onset 08Sep2021, outcome "not recovered" and all described as "I was thinking that everything is ok but September 08/21 my face start tingling and numbness and swelling"; FALL (non-serious) with onset Sep2021, outcome "not recovered", described as "fell"; MUSCLE SPASMS (non-serious), FORMICATION (non-serious) all with onset Sep2021, outcome "not recovered" and all described as "left arm and leg crawling sensation and tightness". The events "left facial twitching predominantly involving the lower portion of the face and lips", "tingling and numbness sensation from the left cheek down to the left half portion of the chin and lips", "tingling and numbness sensation from the left cheek down to the left half portion of the chin and lips", "i was thinking that everything is ok but september 08/21 my face start tingling and numbness and swelling", "i was thinking that everything is ok but september 08/21 my face start tingling and numbness and swelling", "fell", "left arm and leg crawling sensation and tightness" and "left arm and leg crawling sensation and tightness" were evaluated at the physician office visit. Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of muscle twitching, hypoaesthesia, paraesthesia, swelling face, hypoaesthesia, fall, muscle spasms, formication.  Additional information: The patient did not receive any other vaccines within 4 weeks prior to the  COVID vaccine. No any other medications received within 2 weeks of vaccination. Prior to vaccination, the patient was not diagnosed with COVID19. Since the vaccination, the patient had tested for COVID-19. It was reported that 19Aug2021when 30 minutes after 1st covid vaccination developed left facial twitching predominantly involving the lower portion of the face and lips. Shortly after twitching stopped and she started noticing tingling and numbness sensation from the left cheek down to the left half portion of the chin and lips. The symptoms had been daily but intermittent and lasted for about 10 days and then completely resolved. she was thinking that everything was ok but 08Sep2021 my face start tingling and numbness and swelling and at this time remain constant. After few day start fell that her left arm and leg crawling sensation and tightness. Today 29Sep2021 her numbness and swelling  on my face have not disappeared  No follow-up attempts are possible. No further information is expected.