Age: 71.0
Sex: M
Vaccine: COVID19, VARZOS, COVID19, COVID19
Symptoms: Musculoskeletal stiffness, Nerve compression, Neuritis, Oral discomfort, Paraesthesia oral
Clinical narrative: 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; 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; 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; stress; nerve inflammation; His hand on the right is not doing the thing is his left thumb, it is being weird; stenosis, the cervical stenosis, the left is the main problem; he moved his thumb towards his forefinger, there was a couple inches between and it felt like there was a rubber band pulling his thumb back; This is a spontaneous report from a contactable consumer or other non-healthcare professional. A 71-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, lot number: EN6203; Expiration Date: Jun2021) dose 2 via an unspecified route of admin-istration on 07Mar2021 (at the age of 71-year-old) as single dose for covid-19 immunisation. The patient medical history included diabetes mellitus; he does not take medication for it. It was controlled by diet and exercise, high blood pressure, high lipids, herpes zoster from Oct2019, bell's palsy from Oct2019, herpes zoster oticus from Oct2019, paralysis, vertigo, ear disorder, paraesthesia oral and his tongue was tingly. Concomitant medications included alprazolam taken for sleep disorder, simvastatin taken for lipids increased, alprazolam (XANAX) taken for sleep disorder.  The patient had his second shot last sunday and had a discussion had with his doctor's nurse this morning that centered around people taking the Moderna and had some issues with Bell's Palsy or some-thing like that and he wanted to call about what had happened. He has had overlapping stuff from cer-vical stenosis that manifests on the left side on his shoulder arm and hands and also about a year and half ago Oct2019 he had shingles in his ear and mouth on the left side of face. He had Bell's palsy and Ramsey Hunt syndrome number 2. He had paralysis, droopy mouth, eye wouldn't close, vertigo, ear issues, hearing drop and that recovered which was weird. He went to physical therapy until early last year before COVID then he was steered away from that. About 10 months ago some of the symptoms came back in a odd way. His eye had the feeling like it couldn't close. His eyelids had 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 the sensation and that never went away. With the shingles he had an issue where down the side of his tongue was tingly, these things overlap and it was either very little or really an-noying. In last 10 months it had got quite a bit better until about 5-6 weeks ago it was back to where it was, it was just annoying on and off. Then he got the shot sunday, and it was weird at first, he was writing it off as both stress and relief and other things. He was not dizzy 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. He did not have droopiness or any Bell's palsy kind of thing had gone away the Ramsey-Hunt syndrome, he says it was a series of things and he has number 2, he does not know what the other ones are, but it was something that comes along with the chicken pox or the herpes zoster virus. The stenosis, the cervical stenosis, the left is the main problem, but the right was not far behind with regard to nerve compression, the right does not bother him as much in the way of tingling and numbness. The weird thing is he had his hands sitting in his lap and he moved his thumb towards his forefinger, 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, the sensation was still there a little in the back ground, the rest of him the right side of him was fine and today is a lot better like he said things over lap so he is not saying anything has anything to do with the vaccine but he is operating under the as-sumption that if Moderna patients are having some issues with Bell's Palsy or something similar, if he has left over inflammation and in Nov2019, he had magnetic resonance imaging (MRI), when he first got sick and then he had another one done and his neurologist said on an unspecified date in Aug that he still sees some nerve inflammation particularly down jaw line, he saw inflammation from 2019 to 2020 he still seen inflammation and the upper part of his eye, the brow seems to behave as if there may be some inflammation running through it. His hand on the right is not doing the thing is his left thumb, it is being weird and the thing sunday night with his mouth. He thinks the whole idea is that the vaccine wakes up the immune system and gets it to recognize the RNA for COVID and generate anti-bodies and if it is acting like inflammation gets the body's attention, he is not a biologist but maybe it also caught on to his nerve inflammation and took a look at his nerves and cause them to bounce around and have other things occur that were more intense and he was trying to report to let some-one know that the underlying things left over from his shingles, he does not know about the rest of it because sleeping wrong could affect his neck shoulders and arms, he was not sure if it could be an is-sue with the vaccine, there was no clear definite thing, but the thing sunday night with his mouth was definitely far more, he thought this was the way he felt in his mouth a couple weeks after he got the shingles diagnosis like he had hives on inside of his cheek and tongue, it was crazy with extra salivation but he did not have the hives. The last time he got a vaccine it was the Shingrix it was probably too late last year, he got pretty sick off of it with flu like symptoms but he doesn't ever want another run in with shingles. It was his second COVID 19 vaccine he got 07Mar and it was the same day that the thing with his mouth happened and that was the most noticeable aspect of it, if he had not had the vaccine he would be sitting here right now just thinking he was having a bad day it runs down the left side of his tongue and stops smack in middle of the front of it. It jumps over sometimes but he was not sure if the nerve endings go on both sides of the tip of tongue or not. It has improved since sunday there was a span there where it was pretty annoying and he commented that he feels like it did when he first had shingles and over a period of time when he went to bed, whenever that was, it abated a bit. His second dose was EN6203 and it is dated Jun2021. The patient was sure they were trained to draw up the exact correct amount in there but he did not ask to look at it, it did not even occur to him. The only other thing is he was diabetic, he takes no medications for that it was diet and exercise controlled both of which COVID has been horrible for, his weight has gone up because they have a tough climate there, it has been cold for 2.5 months. It was finally starting to get a little better but the primary things he would have would be blood pressure, he takes medication for and the same for lipids he takes Simvastatin for that, the things many males his age are taking medication for. He also takes Alprazolam and Xanax to get to sleep at night, because his brain doesn't want to shut off, cost of being an engi-neer. He 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. he does not know if that disappears but he never ended up getting it again. Apparently it shows up frequently in lungs but it did not with him. Those 2 things would be the top of the list type of things for him. He has never had cancer or blood disease, he had mononucleosis in college. The patient underwent lab tests and procedures which included computerized tomogram there was nothing left on. He had one 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, magnetic res-onance imaging was an unknown results on Nov2019. He first got sick and then he had another one done , x-ray: there was nothing left on an unknown date. He had one had case of sarcoidosis uncov-ered, 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 outcome of the events was reported as unknown.  No follow-up attempts are possible. No further information is expected.