Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Computerised tomogram head, Dysstasia, Electrocardiogram, Eyelid sensory disorder
Clinical narrative: This is a spontaneous report from a contactable consumer (patient).   A 42-years-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: EP7534, Expiration date: unknown), via intramuscular route, administered in upper left arm on 19Mar2021 (at the age of 42-year-old) as 1st dose, single dose for COVID-19 immunisation. She was given vaccine between 15:00 pm and 16:00 pm. The patient medical history includes asthma, gastroesophageal reflux disease, covid -19 and migraine. Concomitant medications included Breo, Singulair, Flonase and Azelastine. The hospital advised to stop taking Flonase. She had rabies vaccine for work, and she must be checked every 2 years for titers. There was no family history. She was not HIV positive or syphilis positive. The patient experienced within 15 minutes of receiving the vaccine, her left side of face went numb, and the left arm went heavy. By the next day, the thumb and pinky on left hand were numb and had pain in left arm pit. The patient experienced migraines on 18May2021. The inside of her mouth has been persisting on left side of face. The rest of her face was getting better, but then 2 weeks ago she had another full episode, and it went back numb again on the left side of her face and has been numb since. Now it has traveled into left eye up towards the eyebrow, towards her ear, down to her chin, and straight up the middle. Half of her tongue feels tingly numb, and the other half was fine. Her lips are numb. It was like when you get dental work, get home, and the Novocaine wears off. And that was what the whole left side of her face feels like. Did not feel as heavy as the first couple of days, but she feels like she cannot use her arm because it was weak. Left thumb and pinky were numb was on and off. Since she relapsed 2 weeks ago, it has been numb ever since. The left-hand grip was weak. Numbness of left thumb and pinky has gotten worse. Her left-hand grip has gradually worsened as time has went on. She had pain every once in a while, but pain was not constant like it was. She was been having headaches since she got Covid. Asthma, reflux, and Covid that should be all of her medical conditions. The patient saw on a group to call this number if she had a reaction to the Pfizer vaccine. She did VAERS online reporting back in Mar. She states people are like they never heard of what happened to her before. The patient was 216 or 218 pounds. She had been waiting since Mar since the adverse reaction. She stated it takes about a month to get her fully on the medication. She just started on medications and was told it will take about 2-3 months before she starts feeling better if medications works. She saw EMTs at site and told her if face was still numb next day to go to the ER. She woke up and more of her face was numb, pinky and thumb were numb, and her arm pit was hurting. She went to the ER on 20Mar2021. She was discharged the next day on 21Mar2021 with no diagnosis and told to follow-up with neurologist. On 11May2021 while at work, she had a weird feeling come over her body. She went clammy and was weak, she could barely stand. The numbing of the face was just in her mouth but that night, her whole face went numb on left side. She could barely walk; it was super weird. They did head CT, cervical CT, and bloodwork, but they could not really find anything. She was admitted back into the hospital on 12May2021, and they did more brain MRIs and bloodwork. She was discharged on 14 May with really no diagnosis and to follow-up with the neurologist. Lab test included Covid negative on 13Jan2021 and 4 brain MRIs. Two were regular MRIs, a brain MRI with contrast, and she thinks it was a MRA where they looked at the blood vessels flow in and out of the brain. She also had brain CT, cervical spine CT, and a ton of blood work. She was hospitalized twice. And they still do not know what was wrong with her. She will 2 more brain MRIs and a cervical MRI left to go in 2 more weeks, Covid 19 Test (positive in Dec2020 and negative in 13Jan2021). The outcome of the events left side face went numb and left thumb and pinkie numbness was not recovered/resolved. Left arm heaviness and axillary pain was recovering /resolving. The outcome of feeling abnormal, difficulty in standing, Tingling tongue, Numb lips, migraine, cold sweat(clammy) and asthenia was unknown.   Information on Lot/Batch number was available. Additional information has been requested.