Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram, Dysphagia, Feeding disorder, Headache, Lagophthalmos
Clinical narrative: Blood pressure spikes, 200/95; severe headache; Bells Palsy/ his face started drooping/ and his lip was twisted, whole left side of face was just deformed; He could not eat or swallow well; He could not eat or swallow well; He had pain in the left arm; fever in the ER in the Low 100's.; left eye since it will not close completely; body ache; This is a spontaneous report from a contactable consumer (patient's mother). A 43-year-old male patient (reporter's son). A 43-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration, administered in Arm Right on 05Aug2021 12:30 (Batch/Lot Number: EW0198) as DOSE 2, SINGLE for covid-19 immunisation (also reported as He's a kidney patient trying to get a transplant, he has to have the vaccine for it.). Medical history included renal failure and takes Dialysis 3 times a week, dialysis treatments started in Jan2020, hypertension Controlled by medications, seasonal allergy, sinuses, all from an unknown date and unknown if ongoing. The patient had a previous flu vaccine on an unspecified date for immunization and it makes him sick with normal flu symptoms, like weak and a fever. She does not know the name of the Flu vaccine or have any Lot number. The patient also had previously administered the first dose of BNT162B2 (lot number: unknown) on 15Jul2021 for covid-19 immunization. The patient concomitant Medications reported was that the medications (unspecified) that the patient is on, he has been taking for over 2 years. He has nothing new prior to the covid vaccine. The patient had no vaccines on the same day or in the 4 week period prior to the covid vaccine. The reporter is reporting a side effect that the patient had from the vaccine. It was reported that the patient took his vaccination on 05Aug2021 at about 12:30 or 1PM in the afternoon. Shortly there after within 3 hours or so the patient had severe headache, body ache, and then she is not sure but his face started drooping, his lip was twisted, his eye, the whole left side of face was just deformed. He could not eat or swallow well. He had pain in the left arm on 05Aug2021, She was not sure what was going on and told her son that he needs to go to the ER. He had a fever in the ER in the Low 100's also on 05Aug2021. It was explained that she does not live with the patient, but she is present with him right now. The patient did not go to ER till the 08Aug2021. This past Sunday 08Aug2021, he went to Hospital. He went to the ER because sometimes his headaches would stop but that particular night his headache was worse. He was having pain down the left arm, the reporter thought that the patient was having a stroke because of the headache and his arm, since he was physically not in the same state, so she was asking questions to the patient over the phone and told him to go to the ER. The reporter explained that the son was admitted on the 08Aug2021 and released from the hospital today around noon. In the hospital they told him it is not a stroke but it is Bells Palsy, even his though lip was twisted. It was not a stroke because they did not find evidence of their being a new lead on his brain.  It was added that the patient has an appointment with a physician on Thursday 12Aug2021 to discuss the bells palsy. It was noted that the first dose was on 15Jul2021, Lot number is Not noted on the card and was given 3 weeks before the second dose on 05Aug2021 (Lot EW0198) No Expiry Date or Dose written. It was reported that the severe headache started on 05Aug2021 and it is gone now, that's why he even went to the hospital, by 09Aug2021 the headache stopped. For the Face drooping: the reporter can see he's difference from yesterday, yesterday was worse. She even pointed that out to the doctors. They are saying it will get better over time but it is worse than what it was.  For could not eat or swallow: It Started on 06Aug2021, it started happening gradually; it was reported that it is getting worse, he can swallow fine but can't open his mouth and transfer the food from the numb left side of the mouth to the right side, he is having difficulty with it, He needs a straw for liquids. The reporter states that she would like to provide his treatment medication before she forgets. At the moment they are giving him steroids, called prednisone. They gave some sort of ointment for the left eye since it will not close completely. For the pain in the left arm: It is not happening anymore, they believe the pain in the arm is the result of the blood pressure spiking. The headache and pain in the arm is because the blood pressure spiked. For the fevers: This happened from the 05Aug2021 until 09Aug2021, on the 8th at nigh the temperature was going up slightly. For the blood pressure spikes: Her son went to dialysis on the 06Aug2021 and his pressure was 140/80 she understands that its considered high but for her son this is normal. Sometime after then, when he got to the hospital on 08Aug2021 the blood pressure was 200/95. When he left the hospital today (10Aug2021) it was 128/65. Caller takes a blood pressure reading during the call and states that her son blood pressure right now is 102/63. It was confirmed that it was bells palsy on 08Aug2021, she had the Neurologist re-confirm today that as well that its Bells Palsy. For the lab tests (Investigation) the reporter stated that: She did not get a copy but the hospital would have that results of the Ct Scan and Blood work that they did every day. He also saw a Speech therapist and physical therapist that did evaluations. The kidney doctor came by. Caller asks to contact the physician for this information. It was added that the events require a visit to Emergency Room and Physician Office (made an appointment for the doctor on 12Aug2021 to speak about bells palsy, as well as 6 month visit is on 16Aug2021). The outcome of the event Bells Palsy, He could not eat or swallow well, left eye since it will not close completely was not recovered; for the events headache, body ache, pain in the left arm, fever was recovered on 09Aug2021; for the event blood pressure spikes was recovering.