Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Feeling jittery, Head discomfort, Headache, Middle insomnia
Clinical narrative: dizzy; arms were very jittery; exaggerated movement every time she would have tried to move [her] arms; eyes felt like her "pupils were tight/ contractive"/ pupils got tiny; she could still see but her things looked "surreal"/ vision felt weird; headache; had "pressure on top of [her] head, not like a typical headache"/ a headache like the top of head was squeezing just her brain; could not think right / she can't think right; super fuzzy; crunching [her] teeth really hard/ clench her teeth; had pressure underneath [her] cheek bone; cheek bones was painful; jaw muscles felt tense / feels tense under her chin all the way across her bottom jaw; she woke up in the night; arms were jerky; arm / shaky feeling; neurological system was affected; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  A 46 year-old female patient received bnt162b2 (BNT162B2), administered in arm right, administration date 08Mar2021 14:45 (Lot number: EN6201) at the age of 46 years as dose 1, single for covid-19 immunisation. Relevant medical history included: "Blood pressure high" (unspecified if ongoing); "Cholesterol" (unspecified if ongoing); "Iron low" (unspecified if ongoing); "indigestion" (unspecified if ongoing); "low on B" (unspecified if ongoing); "low on D" (unspecified if ongoing); "thyroid" (unspecified if ongoing), notes: patient was taking thyroid medication. Concomitant medication(s) included: B12 [CYANOCOBALAMIN] taken for vitamin b12 deficiency, start date: 2020 (ongoing); D3 taken for vitamin d deficiency, start date: 2020 (ongoing); FERROUS GLUCONATE taken for blood iron decreased, start date: 2020 (ongoing); GARLIC [ALLIUM SATIVUM] taken for hypertension, start date: 2020 (ongoing); PANTOPRAZOLE taken for dyspepsia, start date: 2018; ROSUVASTATIN taken for blood cholesterol (ongoing); VITAMIN C [ASCORBIC ACID], start date: 2020 (ongoing). Past drug history included: Unithroid for thyroid disorder, reaction(s): "arms were very jittery", notes: at the lowest dose; Unithroid for thyroid disorder, reaction(s): "exaggerated movement every time she would have tried to move [her] arms", notes: at the lowest dose; Unithroid for thyroid disorder, reaction(s): "eyes felt like her "pupils were tight/ contractive"/ pupils got tiny", notes: at the lowest dose; Unithroid for thyroid disorder, reaction(s): "she could still see but her things looked "surreal"/ vision felt weird", notes: at the lowest dose; Unithroid for thyroid disorder, reaction(s): "headache", notes: at the lowest dose; Unithroid for thyroid disorder, reaction(s): "had "pressure on top of [her] head, not like a typical headache", notes: at the lowest dose; Unithroid for thyroid disorder, reaction(s): "could not think right / she can't think right", notes: at the lowest dose; Unithroid for thyroid disorder, reaction(s): "super fuzzy", notes: at the lowest dose; Unithroid for thyroid disorder, reaction(s): "crunching [her] teeth really hard/ clench her teeth", notes: at the lowest dose; Unithroid for thyroid disorder, reaction(s): "had pressure underneath [her] cheek bone", notes: at the lowest dose; Unithroid for thyroid disorder, reaction(s): "cheek bones was painful", notes: at the lowest dose; Unithroid for thyroid disorder, reaction(s): "jaw muscles felt tense / feels tense under her chin all the way across her bottom jaw", notes: at the lowest dose; Unithroid for thyroid disorder, reaction(s): "she woke up in the night", notes: at the lowest dose; Unithroid for thyroid disorder, reaction(s): "arms were jerky", notes: at the lowest dose; Unithroid for thyroid disorder, reaction(s): "arm / shaky feeling", notes: at the lowest dose; Unithroid for thyroid disorder, reaction(s): "dizzy", notes: at the lowest dose; Unithroid for thyroid disorder, reaction(s): "neurological system was affected", notes: at the lowest dose. The following information was reported: FEELING JITTERY (non-serious) with onset 08Mar2021, outcome "recovered" (09Mar2021), described as "arms were very jittery"; MOVEMENT DISORDER (non-serious) with onset 08Mar2021, outcome "recovered" (08Mar2021), described as "exaggerated movement every time she would have tried to move [her] arms"; MIOSIS (non-serious) with onset 08Mar2021, outcome "recovered" (09Mar2021), described as "eyes felt like her "pupils were tight/ contractive"/ pupils got tiny"; VISUAL IMPAIRMENT (non-serious) with onset 08Mar2021, outcome "recovered" (09Mar2021), described as "she could still see but her things looked "surreal"/ vision felt weird"; HEADACHE (non-serious) with onset 08Mar2021, outcome "recovered" (13Mar2021), described as "headache"; HEAD DISCOMFORT (non-serious) with onset 08Mar2021, outcome "recovered" (13Mar2021), described as "had "pressure on top of [her] head, not like a typical headache"/ a headache like the top of head was squeezing just her brain"; THINKING ABNORMAL (non-serious) with onset 08Mar2021, outcome "recovered" (16Mar2021), described as "could not think right / she can't think right"; FEELING ABNORMAL (non-serious) with onset 08Mar2021, outcome "recovered" (16Mar2021), described as "super fuzzy"; BRUXISM (non-serious) with onset 08Mar2021, outcome "recovered" (23Mar2021), described as "crunching [her] teeth really hard/ clench her teeth"; FACIAL DISCOMFORT (non-serious) with onset 08Mar2021, outcome "recovered" (23Mar2021), described as "had pressure underneath [her] cheek bone"; BONE PAIN (non-serious) with onset 08Mar2021, outcome "recovered" (Mar2021), described as "cheek bones was painful"; MUSCLE TIGHTNESS (non-serious) with onset 08Mar2021, outcome "recovered" (23Mar2021), described as "jaw muscles felt tense / feels tense under her chin all the way across her bottom jaw"; MIDDLE INSOMNIA (non-serious) with onset 08Mar2021, outcome "unknown", described as "she woke up in the night"; DYSKINESIA (non-serious) with onset 08Mar2021, outcome "recovered" (09Mar2021), described as "arms were jerky"; NERVOUSNESS (non-serious) with onset 08Mar2021, outcome "recovered" (08Mar2021), described as "arm / shaky feeling"; DIZZINESS (non-serious) with onset 09Mar2021, outcome "recovered" (23Mar2021), described as "dizzy"; NERVOUS SYSTEM DISORDER (non-serious) with onset Mar2021, outcome "unknown", described as "neurological system was affected". The events "arms were very jittery", "exaggerated movement every time she would have tried to move [her] arms", "eyes felt like her "pupils were tight/ contractive"/ pupils got tiny", "she could still see but her things looked "surreal"/ vision felt weird", "headache", "had "pressure on top of [her] head, not like a typical headache"/ a headache like the top of head was squeezing just her brain", "could not think right / she can't think right", "super fuzzy", "crunching [her] teeth really hard/ clench her teeth", "had pressure underneath [her] cheek bone", "cheek bones was painful", "jaw muscles felt tense / feels tense under her chin all the way across her bottom jaw", "she woke up in the night", "arms were jerky", "arm / shaky feeling", "dizzy" and "neurological system was affected" were evaluated at the physician office visit.  Additional information: The patient did not receive any other vaccine within 4 weeks prior to COVID-19 vaccine. It was reported that patient was leary when she got the first dose since she had weird side effects. The events (except she woke up in the night, dizzy and neurological system was affected) was experienced after her first injection an hour to two later. Exaggerated movement every time she would have tried to move her arms was experienced that night only. The next day (09Mar2021), the arm jerky thing was gone. Then last Tuesday (23Mar2021) she finally felt like the pressure in the cheekbones and tense jaw was gone. A lot of it came in waves for the whole two weeks. Added, she also got all these same symptoms when she took her thyroid medication and every antidepressant (she can't remember the names, it has been years) she had tried. Patient took levothyroxine sodium (UNITHROID) at the lowest dose but had all these same effects. Patient threw it away because she was no longer taking it and had stopped it at least a month ago prior the vaccination. Patient had called her doctor, called the CDC, and see a couple of other doctors. She asked if she should get the second dose given her reaction to the first dose.  No follow-up attempts are possible. No further information is expected.