Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Skin mass, Ultrasound scan
Clinical narrative: he has days when he can't hear, clarified as selective hearing; trouble finding veins/ he was stuck 20 times yesterday trying to get blood and find a vein; knot on face; his eyeball and bone around the eyeball hurts; jawbone hurts; inner ear and outer ear hurts all the way down to neck and shoulder; inner ear and outer ear hurts all the way down to neck and shoulder; inner ear and outer ear hurts all the way down to neck and shoulder; Headache; This is a spontaneous report from a contactable consumer (patient). A  male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), via an unspecified route of administration, administered in left arm on 31Mar2021 at 18:00 (Batch/Lot Number: ER8732; expiration date not reported) at the age of  at a single dose for COVID-19 immunisation. The vaccination facility type was pharmacy. Medical history included diabetic from 2006 and ongoing; heart patient, had first heart attack in 2006; kidney stones, diagnosed during end of last year 2020 or beginning of this year 2021. Patient had his 1st car accident when he was . Family medical history relevant to adverse events was reported as none. There is no history of previous immunization with the Pfizer vaccine, no additional vaccines administered on same date, no other vaccinations within four weeks prior to the first administration date of the vaccine and no adverse events following prior vaccinations. There were no concomitant medications. The patient stated that he got the COVID vaccine at the end of the last month, the 30Mar2021 or 31 Mar2021. Patient then confirmed it was 31Mar2021. Patient stated that he is diabetic and a heart patient. He has been having kidney stones that has nothing to do with vaccine. He was supposed to have a procedure for the kidney stones done yesterday, 13Apr2021. He drank a lot of water 3 days before but when he went in yesterday, 13Apr2021, they couldn't find a vein and usually he does not have trouble with people finding a vein. They did try to go in his neck a couple of times to place an IV and he did end up with a knot in his face. They couldn't find a vein that would hold an IV, so he was not able to have the procedure done. Patient reported that the knot was just a little knot on the jaw below the ear lobe, and so he went home but it kept getting bigger and hurting a lot more. He reported that the knot is now all the way to the center of his nose, his eyeball and bone around the eyeball hurts. The patient's jawbone hurts, inner ear and outer ear hurts all the way down to neck and shoulder. He went back to the surgical center yesterday, 13Apr2021, they told him there was no bleeding and that he could go home or do whatever he wanted to do. Patient stated that he ended up in emergency room on 13Apr2021. He reported that the emergency room ran some bloodwork but doesn't know what kind and that they had to stick him 4 or 5 times and then had to use a sonogram machine to find a vein. He stated that he was stuck 20 times yesterday trying to get blood and find a vein. He stated that finding a vein on him has never been that hard and that he does have tricky veins sometimes, but if someone is good enough, they can get it. Patient reported that the emergency room basically did a CAT or CT scan, it wasn't an MRI, but he thinks it was a CAT scan with contrast. He stated that the emergency room didn't find anything and that they told him it was his imagination but that it is not his imagination to see a knot on the side of his face. Patient stated that he could be wrong, but he thinks it is because of the COVID vaccine. He stated that he has had needles, surgeries, IVs before and never had this where they can't get a vein and have never had knots just pop up on his body. Patient commented he has days when he can't hear, clarified as selective hearing since an unknown date. Patient stated that he will not be getting that second COVID vaccine. He stated that last month he had no problems with his veins, so the only thing new since last month is the COVID vaccine he received on 31Mar2021. He stated that he thinks he received the COVID vaccine on the left side but everything he is experiencing is on the right side. Patient reported that trouble finding veins started at 7:00 AM, the knot showed up around 8:00 AM or 8:30 AM and that he has a headache that started on 13Apr2021, around 8:00 AM or 8:30 AM that is ongoing and staying about the same as a constant headache. Patient stated that he was told that the hospital isn't for what he has. The outcome of the events knot on face and headache was not recovered while the outcome of the other events was unknown.