Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Muscle tightness, Neck pain, Pain
Clinical narrative: sleepy; tired; tested positive for covid-19 after receiving the first dose of the covid-19 vaccine; tested positive for covid-19 after receiving the first dose of the covid-19 vaccine; body ache; runny nose; left eye was throbbing; she couldn't swallow like her body forgot how to do it; feeling she had something in her throat; severe headache; tension on her neck that felt like a neck injury; neck pain; jaw was paralyzed; pain in arm; This is a spontaneous report from a contactable lactation registered nurse (patient). A 37-year-old patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/lot number and expiration date unknown) via an unspecified route of administration on 06Jan2021 around 5 pm (at 37-year-old) at single dose for COVID-19 immunization. Medical history included migraine. Concomitant medication included amitriptyline since 2018 at 10 mg nightly, 20 mg and 30 mg for migraine and stopped after COVID, and she was feeling tired/ sleepy and that made it worse; riboflavin sodium phosphate (VITAMIN B), and magnesium. The next day on 07Jan2021 about 7:59 am (around 13 hours after receiving the vaccine), all of a sudden she was driving and her jaw was paralyzed, it's became hard, she couldn't move it and it was very painful. she never had that and she was driving with her two little kids and it freaked her out and she tried to park and she finally parked being it lasted for a couple of minutes. When she looked at the time again it was 8:03 am, it was gone. She needed to get her kids to safety because she was driving but then it went away. On 09Jan2021, she started to have all of a sudden this tension on her neck that felt like a neck injury, it was hard to move her neck to a certain side and started while she was working. It was progressing and she thought she hurt herself. The pain began to lead to a severe headache. The neck pain felt like an injury lasted for a couple of days, but headache persisted and was intense, it lasted for 2 weeks and her coworkers thought she had COVID. She worked on 09Jan2021 and 10Jan2021 and then called out after that. On 12Jan2021 and 13Jan2021 the pain was not just in her head but in the left eye, it was throbbing and severe pain deep inside. It lasted for a couple of days lasted for over a week, it was not as bad as the first couple of days, the pain was the most severe on the 12Jan2021 and 13Jan2021 and couldn't do anything and stayed in bed. It felt like it was nerve pain and she never had that before, it was definitely different. She took daily anti migraine medicine and as long as she took it she doesn't have migraine headaches. For her Sumatriptan 50 mg, she took it twice on 12Jan2021, but because of the side effects it makes her nauseous and she couldn't take it anymore, she just has the prescription. She was only allowed to have 10 a month. It is sumatriptan and it didn't work either and she was supposed to take it to reverse the headache and it didn't work. For the amitriptyline, its 10 mg and had to triple to 30 mg. She took it at nighttime, but one of the side effects is that it made her sleepy but she didn't sleep. She has a 3 month supply and had plenty, if she needed to adjust but that was her first time she was taking that much, her doctor said she could up her dose to 20 mg, her gave her permission before because it can be used at higher doses if needed, she did try the 20 mg but that did not work so she had to triple to 30 mg. Once she realized that was not helping she just said forget it. She had to triple the dose of her migraine medicine and she was taking 3000-4000 mg of paracetamol (TYLENOL) even that couldn't take it down and even did cold compresses. The headaches lasted for a couple of weeks and then she finally got COVID. The headache after that was different, not as intense, and even taking paracetamol a couple times per day was dealing with this headache, the fever the body aches. It is not like the headache she got from the vaccine. It lasted for another week with COVID and was different and managing the headache. So currently she was good. She stopped taking amitriptyline, she was taking it for 3 years and was switched to Vitamin B2 and magnesium in the last month and had no headaches. She had to switch after getting COVID because she felt more tired and sleepy and felt that the amitriptyline would make it worse so she had to find something else. She was good with the new medications. She was cleared to go back to work on 03Feb2021. She was pretty much good by 03Feb2021. She was told by her MD not to get a second dose but her employer stated she could be terminated if she was not fully vaccinated. She was concerned and scared of having this reaction again. Her arm pain hurt for a few hours but because she has other pain she thought it was her left arm but she really couldn't recall. she did have pain in her arm, it was normal pain nothing significant. It started at 11 pm on 06Jan2021 and lasted until Saturday 09Jan2021 and remembered that she had a hard time helping at work because she has to used the arm but the arm soreness was just like with any other vaccine, nothing abnormal. From 10Jan2021 to 13Jan2021 she kept feeling she like had something in her throat in the morning, and when she would start drinking she couldn't swallow like her body forgot how to do it. She would hold it in her mouth and then 30 seconds later she would start swallowing and then it went away. It was just in the morning for like 4 days. It cleared by 14Jan2021, clarifies it ended then. Caller stated her husband took a test on 11Jan2021 and didn't get his results until 14Jan2021 and showed he was positive and he was already isolating and she was at home with the kids. States her husband was the one that brought it in. She did start to have COVID symptoms until 23Jan2021, she had fever, chills, body ache, runny nose, shortness of breath and diarrhea. She was prescribed a z pack, azithromycin, and it helped with cough, the congestive cough and nasal spray for her runny nose. It was water coming out of her nose, most runny she has ever felt. She got testing and kept going for testing because she felt so sick and it was negative (on 13Jan2021 and 18Jan2021). She finally tested positive on 25Jan2021. No additional therapies for COVID-19. No other test performed, they see patients that keep testing positive 3 months later after no symptoms and just want to wait for symptoms to go down. The patient was not hospitalized, not admitted to an Intensive Care Unit. The outcome of the event paralyzed jaw was resolved on 07Jan2021, neck pain/ tension was resolved on 11Jan2021, headache was resolved on 03Feb2021, throbbing eye was resolved on 19Jan2021, pain in arm was resolved on 09Jan2021, "feeling she had something in her throat" and swallowing impaired was resolved on 14Jan2021, of other events were unknown.  Reporter seriousness for Jaw was paralyzed: unknown Reporter seriousness for headache: serious, affected her ability to perform and no one wanted to see her in person and only had virtual visits with the doctor Reporter seriousness for tested positive for COVID-19 after receiving the first dose of the COVID-19 vaccine: Unspecified Reporter seriousness for tension on her neck that felt like a neck injury: Not serious Reporter seriousness for left eye was throbbing: Medically significant Reporter seriousness for pain in arm: Not serious Reporter seriousness for feeling she had something in her throat: Not serious  The primary reporter considered the events paralyzed jaw, neck pain, headache, throbbing eye, pain in arm, "feeling she had something in her throat" were related to BNT162B2; while event tested positive for COVID-19 was unrelated.  Information on the lot/batch number has been requested.; Sender's Comments: Based on temporal association, the causal relationship between BNT162B2 and the events