Age: 35.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pharyngeal swelling, SARS-CoV-2 test negative, Streptococcus test negative
Clinical narrative: Epstein Mono virus positive; freezing cold and could not get warm; Heat intolerance; Tongue discoloration; Sore throat; Lost 20 pounds; Swollen lymph nodes; Anxiety causing him to not sleep; constant pressure on his neck; he could barely hear; Trouble swallowing; Breathing was becoming a concern; Anxiety-like symptoms; Pain on right side of neck; Tightness in throat; Right ear plugged; Pretty severe chills; Swollen neck; General fatigue and malaise; General fatigue and malaise; This is a spontaneous report from a contactable consumer (patient). A 35-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), dose 1 via an unspecified route of administration, administered in Arm Right on 21Jan2021 12:00 (at 35 years old) (Batch/Lot Number: EL9263) as 1ST DOSE, SINGLE for covid-19 immunisation. Medical history included ongoing food allergy. The patient's concomitant medications were not reported.  After receiving the Covid Vaccine on 21Jan2021, the caller has experienced a lot of adverse side effects that he's dealing with now almost 3 and a half months later. He has seen numerous doctors as well as specialists. He has a long list of symptoms that occurred at onset. What he is dealing with now is a swollen neck (onset date 21Jan2021), a sore throat (onset date 21Jan2021), tongue discoloration, and just general fatigue (onset date 21Jan2021) and malaise (onset date 21Jan2021). Prior to the shot he was physically healthy. He was running about 20 miles a week. Then he got the shot and his health declined significantly and he is still recovering. When this occurred, caller weighed 165 pounds, and now he weighs 145 pounds. He lost 20 pounds. These events happened after the first dose of the vaccine. He got his vaccine at around noon on 21Jan2021, and by that evening at around 2000 he had a tightness in his throat, felt like his right ear was plugged up, then had pain on the right side of his neck. It all coincided with the same side as the vaccine, which he had in his right arm. He also experienced some pretty severe chills. His throat still feels swollen, probably because of his swollen lymph nodes. Some days it is better and some days it is worse. It is causing constant pressure on his neck. He is not sure if he noticed the swollen lymph nodes the same day as the shot or shortly after.Patient does not currently have neck pain. He should probably mention it started probably a few weeks after the onset of his symptoms. He does not know when it went away. He was getting swollen lymph nodes on his left side as well, and his throat became sore on the left side as well. It went away maybe a few weeks ago. He is not sure when the swollen lymph nodes or the sore throat started. His right ear was plugged and then it affected his left ear and it got plugged up as well. It was to the point where he could barely hear. It was almost like an ear infection when it is completely plugged and there is pressure behind the ear drum. 2 weeks after his right side it started on the left side. It has subsided by this time, but it has not completely gone away, but it is not as bad. Patietnt had the chills for 3 weeks, but they weren't as severe as the first night. He was just freezing cold and could not get warm. After that night he was still having issues feeling warm and had to keep his bedroom at like 80 degrees constantly. It probably continued for about a month. He doesn't have chills now, however it evolved into more of a heat intolerance. Whenever he feels to warm he feels more tired and not well overall. It is really odd. It is more heat intolerance he feels is going on. After the first few months it started then he had the opposite. He had a problem getting warm, then after the first month he didn't tolerate heat too well. He is not sure when the tongue discoloration first started, but he noticed it about a month and a half ago. The general fatigue and malaise started at the beginning with everything else. He did not have the second dose of the vaccine. Caller believes the doctors ran a CBC. He had a complete panel done a few times and nothing concerning presented or stood out to the doctors. They did an ultrasound on the left side of his abdomen to make sure he had no spleen enlargement, and that came back normal. They ran thyroid panels and those came back normal. One thing that came back abnormal that explains more of this but the timing is odd with the vaccine is he came back positive for Mono. He started seeing an ENT specialist, and he believes that getting the vaccine could have caused his immune system to freak out considering his history with allergies. It could have caused the Epstein Mono virus already present to become reactivated. That was kind of his theory on why this could have occurred. All the events caused a visit to Emergency Room. He went to the ER about a week, exactly a week after he had the vaccine that day. He was having trouble swallowing (onset date 28Jan2021) as well as his breathing was becoming a concern (onset date 28Jan2021) for him. He also was just having what felt like anxiety-like symptoms (onset date 28Jan2021), and he has no history of anxiety. If he got the vaccine on 21Jan2021 then this happened around 28Jan2021. He did have another ER visit about a week after that one as well. He started to have severe symptoms similar to the first time he went. He is still having a little bit of an issue swallowing. He attributes that to the swelling in his lymph nodes and neck possibly affecting that. His breathing he does not have problems with so much now. He has more of a constant discomfort in his neck, though it is not affecting his breathing at this point. As far as general anxiety he still has that and it does cause issues. It is causing him to not sleep as a result. His swallowing is better. His breathing was the most severe of the symptoms. Maybe after the first month it began to become less of an issue. He couldn't say exactly when it went away. It probably went away as a result of the swelling subsiding. To be honest he is not sure. Doctors put the caller on numerous medications as well as a medicine that he continued with. He doesn't know if his anxiety is better as a result of the medicine helping or if it would be the same if he went off of it. He is not sure. He has had trouble sleeping since this all began. It has been a little better. It could be a result of the medicine that helped. He is really unsure if he was not on the medicine how it would be. Patient visited a Physician Office for all events.No other vaccinations within four weeks prior to the first administration date of the suspect vaccine. No AE(s) following prior vaccinations. The outcome of the events Throat tightness,Sensation of block in ear,Swallowing difficult,Anxiety, Sleep difficult,Hearing reduced was recovering; chills,Swollen lymph nodes,Neck pain,Sore throat was recovered; Tongue discoloration, heat intolerance,Fatigue,Malaise was not recovered; other events was unknown.