Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Biopsy liver, Blood test, Body temperature increased
Clinical narrative: 6/29- facial paresthesia began admitted to hospital again; 6/9/21- released with followup scheduled with infectious disease; 6/1/21- admitted to hospital for 104.1 fever, extreme weakness, and right thigh pain thought associated with diagnosis in April for tight IT band in which he had been receiving PT; 6/15- began experiencing a headache in left front lobe when head tilted forward; Experienced sharp pain in left knee which subsided after a few days; 6/1/21- admitted to hospital for 104.1 fever; 6/1/21- admitted to hospital for 104.1 fever, extreme weakness, and right thigh pain thought associated with diagnosis in April for tight IT band in which he had been receiving PT; 6/1/21- admitted to hospital for 104.1 fever, extreme weakness, and right thigh pain thought associated with diagnosis in April for tight IT band in which he had been receiving PT; fatigue; Inappropriate schedule of vaccine administered; Overdose; This is a spontaneous report from a contactable consumer (patient) reported for himself. A 74-years-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number: EL3246, Expiration date: unknown) via an unspecified route of administration, administered in left arm on 22Jan2021 (age at vaccination was 74 years) as dose 1, single for COVID-19 immunization and second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number: EL3249, Expiration date: unknown) via an unspecified route of administration, administered in left arm on 22Jan2021 (age at vaccination was 74 years) as dose 2, single for COVID-19 immunization. The patient did not have any medical history. The patient did not have any known allergies. Concomitant medications the patient received within 2 weeks of vaccination included amlodipine, allopurinol, bisoprolol and latanoprost all taken for an unspecified indication. The facility where the most recent COVID-19 vaccine was administered was Hospital. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. On 01Jun21, the patient was admitted to hospital for 104.1 fever, extreme weakness, and right thigh pain thought associated with diagnosis in April for tight IT band in which he had been receiving PT (physical therapy). The patient received broad spectrum intravenous antibiotics, did not respond. Physicians performed MRI of brain and entire spine, CT scan of all organs, ultrasound of abdomen and pelvis, ECG, liver biopsy, and numerous blood tests- no diagnosis. Fever, fatigue, and weakness continued- experienced sharp pain in left knee which subsided after a few days. On 09Jun2021, released with follow-up scheduled with infectious disease. On 10Jun2021, the patient continued to battle low grade fever until 6/24. On 15Jun2021, the patient began experiencing a headache in left front lobe when head tilted forward. On 16Jun2021, the patient had infectious disease follow-up and was referred to rheumatologist. On 21Jun2021, ophthalmologist. On 23Jun2021 and 24Jun2021, the patient had rheumatologist appointment. On 25Jun2021, the patient's retina specialist revealed nothing. On 29Jun2021, the patient had begun experiencing facial paresthesia and admitted to hospital again. The adverse events resulted in Doctor or other healthcare professional office/clinic visit and Emergency room/department or urgent care. The patient was hospitalized for 10 days. Since the vaccination, the patient has been tested for COVID-19. The patient underwent lab test included SARS-CoV-2 test (Nasal swab): Negative on 01Jun2021, SARS-CoV-2 test (nasal swab): Negative on 02Jun2021 and SARS-CoV-2 test (Nasal swab): Negative on 29Jun2021. The treatment was not received for the events infectious disease carrier, paraesthesia, headache and arthralgia. The device date was reported as 05Jul2021. The case was reported as serious (hosp and disabling/Incapacitating). The outcome of the events was not resolved.