Age: 15.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Behaviour disorder, Disturbance in attention, Facial discomfort, Facial spasm, Mental status changes
Clinical narrative: signs of ticking twitches like figdeting of the fingers hands arms; facial gestures including the mouth eyes; facial gestures including the mouth eyes; repetitive speech; bizzare behavior; decline mental status; talking to himself; lost in touch with reality and unable to complete task; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 15 year-old male patient received bnt162b2 (COMIRNATY), administered in arm left, administration date 12Oct2021 17:00 (Lot number: 198499) at the age of 15 years as dose 1, single for covid-19 immunisation. The patient's relevant medical history was not reported. There were no concomitant medications in two weeks. Past drug history included: Amoxicillin, reaction(s): "Known allergies: Amoxicillin". The patient did not received other vaccine in four weeks.  The following information was reported: MUSCLE TWITCHING (hospitalization, disability) with onset 15Oct2021 06:00, outcome "not recovered", described as "signs of ticking twitches like figdeting of the fingers hands arms"; FACIAL SPASM (hospitalization, disability), FACIAL DISCOMFORT (hospitalization, disability) all with onset 15Oct2021 06:00, outcome "not recovered" and all described as "facial gestures including the mouth eyes"; REPETITIVE SPEECH (hospitalization, disability) with onset 15Oct2021 06:00, outcome "not recovered", described as "repetitive speech"; BEHAVIOUR DISORDER (hospitalization, disability) with onset 15Oct2021 06:00, outcome "not recovered", described as "bizzare behavior"; MENTAL STATUS CHANGES (hospitalization, disability) with onset 15Oct2021 06:00, outcome "not recovered", described as "decline mental status"; SOLILOQUY (hospitalization, disability) with onset 15Oct2021 06:00, outcome "not recovered", described as "talking to himself"; DISTURBANCE IN ATTENTION (hospitalization, disability) with onset 15Oct2021 06:00, outcome "not recovered", described as "lost in touch with reality and unable to complete task". The patient was hospitalized for muscle twitching, facial spasm, facial discomfort, repetitive speech, behaviour disorder, mental status changes, soliloquy, disturbance in attention (hospitalization duration: 1 day(s)). The events "signs of ticking twitches like figdeting of the fingers hands arms", "facial gestures including the mouth eyes", "facial gestures including the mouth eyes", "repetitive speech", "bizzare behavior", "decline mental status", "talking to himself" and "lost in touch with reality and unable to complete task" were evaluated at the physician office visit and emergency room visit. Therapeutic measures were taken as a result of muscle twitching, facial spasm, facial discomfort, repetitive speech, behaviour disorder, mental status changes, soliloquy, disturbance in attention. As reported: Nearly 72hrs after receiving the 1st dose Patient began to show signs of ticking twitches like fidgeting of the fingers, hands, arms and facial gestures including the mouth, eyes unrelated to the muscles; repetitive speech and bizarre behavior as well as a decline of mental status including talking to himself. lost in touch with reality and unable to complete task. The patient did not receive Covid prior vaccination. The patient did not covid tested post vaccination.