Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Papule, Paraesthesia, Parosmia, Peripheral swelling, Photophobia
Clinical narrative: ears were full and lots of pressure like wom wom wom; had a feeling of Icey hot on her; numbness; tingling in all of her limbs; sound sensitivity; light sensitivity; touch sensitivity; prominent mucosal thickening of the sphenoid sinus; exhausted; slightly anemic; she was thinking about crazy stuff like she was hallucinating; had very lucid dreams the second she shut her eyes even though she wasn't asleep; pain that branches out like lightening in the left side of her head and it went up her neck and face and into her head/left side headache; pain that branches out like lightening in the left side of her head and it went up her neck and face and into her head/left side headache; pain that branches out like lightening in the left side of her head and it went up her neck and face and into her head/left side headache; dizziness/ Dizzy; had very lucid dreams the second she shut her eyes even though she wasn't asleep/sleeping hard; persistent headache/daily headaches; temp spiking to 99.5 for about 8 hours per day for 5 weeks; hives/right knee had this huge red spot over the whole front of the knee. The back of the caller's knee had hives- like raised splotches; bumps under skin on both forearms; revved up feeling in her body like everything is vrrroooom inside her body/foggy brain; ringing in her ears; intermittent diarrhea; had a strange smell, she didn't lose her smell, but had an awful smell in her nose; she can't live like this and wanted to die; Not that the caller was actively suicidal but she can't live like this; 3x1 inch swelling on her right foot; bumps under the skin on both of her forearms; Paresthesia; Hemiparesis; Night sweats; right sided weakness, arm feeling heavy; right sided weakness, arm feeling heavy; long nights of crying; elevated sed rate; low AFT; increased neutrophils; This is a spontaneous report from a contactable other hcp (nurse and patient).   A 38-years-old female patient received bnt162b2 (BNT162B2), dose 1 via an unspecified route of administration, administered in Deltoid Left on 03Sep2021 16:45 (Batch/Lot number was not reported) as DOSE 1, 0.3 ML SINGLE (at the age of 38 years) for covid-19 immunisation.  Medical history included hypothyroidism from an unknown date, migraine from an unknown date, hasn't had this in 10 years, fibromyalgia from an unknown date, depression from an unknown date, anxiety from an unknown date, hypertension from an unknown date, abortion spontaneous from an unknown date, delivery from an unknown date. She has had a rough year- she had a miscarriage, her grandmother passed away, her mother got sick, her son hit a deer in his car, she had a baby, and now feeling like this.   No additional Vaccines administered on same date of the Pfizer suspect.  No prior vaccinations (within 4 weeks).  Concomitant medications included levothyroxine (LEVOTHYROXINE) and unspecified vitamin.  The patient experienced dizziness/ dizzy on 03Sep2021 with outcome of recovering, intermittent diarrhea on Sep2021 with outcome of not recovered, had a strange smell, she didn't lose her smell, but had an awful smell in her nose on Sep2021 with outcome of not recovered, had very lucid dreams the second she shut her eyes even though she wasn't asleep/sleeping hard on 03Sep2021 with outcome of not recovered, ringing in her ears on Sep2021 with outcome of not recovered , persistent headache/daily headaches on 03Sep2021 with outcome of not recovered , temp spiking to 99.5 for about 8 hours per day for 5 weeks on Sep2021 with outcome of recovering, hives/right knee had this huge red spot over the whole front of the knee, the back of her knee had hives- like raised splotches on Sep2021 with outcome of unknown, bumps under skin on both forearms on Sep2021 with outcome of not recovered, revved up feeling in her body like everything is vrrroooom inside her body on Sep2021 with outcome of unknown, pain that branches out like lightening in the left side of her head and it went up her neck and face and into her head/left side headache on 03Sep2021 with outcome of recovered on 03Sep2021, ears were full and lots of pressure like wom wom wom on an unspecified date with outcome of unknown, paresthesia on Sep2021 with outcome of not recovered, hemiparesis on Sep2021 with outcome of unknown , night sweats on Sep2021 with outcome of not recovered , had a feeling of icy hot on her on an unspecified date with outcome of unknown, 3x1 inch swelling on her right foot on Sep2021 with outcome of unknown , bumps under the skin on both of her forearms (skin disorder) on Sep2021 with outcome of not recovered, prominent mucosal thickening of the sphenoid sinus on 13Oct2021 with outcome of unknown, increased neutrophils on Sep2021 with outcome of unknown, numbness on unspecified date with outcome of unknown, tingling in all of her limbs on unspecified date with outcome of unknown, Elevated sedimentation rate Sep2021 with outcome of unknown, low AFT (Alphafoetoprotein) on Sep2021 with outcome of unknown,  right sided weakness, arm feeling heavy on Sep2021 with outcome of unknown, long nights of crying on Sep2021 with outcome of unknown, she can't live like this and wanted to die; Not that the caller was actively suicidal but she can't live like this on Sep2021 with outcome of unknown, sensitivity to sound, light and touch on an unspecified date with outcome of unknown, exhausted on 03Sep2021 with outcome of unknown,  slightly anemic on 03Sep2021 with outcome of unknown, she was thinking about crazy stuff like she was hallucinating on 03Sep2021 with outcome of unknown.  Patient went to a neurologist and they did a MRI and head CT and everyone is like "meh I don't know what is wrong with you." They wanted to chock it up to functional neurological disorder which is what one neurologist thought but they have to exclude organic causes before doing that. The doctor motioned that this vaccine has been known to cause functional neurological disorder. The patient was not diagnosed with this but nothing was found on any imaging or EMG studies. The patient has immense anxiety and stress all her life and has never had these neurological issues. The neurologist thought the patients anxiety could have caused these symptoms. The patient underwent lab tests and procedures which included alpha 1 foetoprotein decreased: low   on Sep2021, aspartate aminotransferase: low on Sep2021, body temperature: 98.9, 98.6, 97.7, on unspecified date 99.5 on Sep2021 temperature of 99.5 for 8 hours per day, everyday for 5 weeks, body temperature: 97.5 on 24Sep2021 usually 97.5 which is normal for her, computerised tomogram head: didn't show anything on 24Sep2021, c-reactive protein: 0.6 on Sep2021 0.5 is normal, investigation: didn't show Guillain barre on Sep2021, magnetic resonance imaging: prominent mucosal thickening of the sphenoid sinus on 13Oct2021, neutrophil count: increased on Sep2021, red blood cell sedimentation rate: elevated; 16 to 20 to 24 on Sep2021 went from 16 to 20 to 24 and 20 is the high normal.  Therapeutic measures were taken as a result of persistent headache/daily headaches, pain that branches out like lightening in the left side of her head and it went up her neck and face and into her head/left side headache; Tylenol.  Nurse/patient considers all of her events as disabling for criteria.   The lot number for the vaccine, [BNT162B2], was not provided and will be requested during follow up.  Amendment: This follow-up report is being submitted to allow appropriate reporting to health authorities.; Sender's Comments: As there is limited information in the case provided, the causal association between the reported events and the suspect drug BNT162B2 cannot be excluded. The case will be reassessed once new information is available. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to regulatory authorities, Ethics Committees, and Investigators, as appropriate.