Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Magnetic resonance imaging, Thrombosis
Clinical narrative: blood clot; he has numbness from his left knee down to his foot, it's 50-60% numb; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from medical information team for a Pfizer sponsored program (002191). The reporter is the patient.  A 64 year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), administration date 07Apr2021 (Batch/Lot number: unknown) at the age of 64 years as dose 2, single for covid-19 immunisation. The patient's relevant medical history and concomitant medications were not reported. Vaccination history included: Bnt162b2 (Dose 1), administration date: 17Mar2021, when the patient was 64 years old, for COVID-19 immunization. The following information was reported: THROMBOSIS (hospitalization, medically significant) with onset 2021, outcome "unknown", described as "blood clot"; HYPOAESTHESIA (non-serious) with onset 2021, outcome "unknown", described as "he has numbness from his left knee down to his foot, it's 50-60% numb". The event "blood clot" was evaluated at the physician office visit and emergency room visit. The patient underwent the following laboratory tests and procedures: magnetic resonance imaging: unknown results. Therapeutic measures were taken as a result of thrombosis. Clinical course: The patient was diagnosed with a blood clot and needed a surgery after getting the second dose of the COVID-19 vaccine. Approximately a week or two weeks after the second shot he started having leg cramps /pains in both of his legs where if he walked 50-100 yards he would come down with severe muscle pains in both of his legs for about 3-4 weeks. What happened was that same pain went to his left leg and all of a sudden his right was better, he had no pain in his right leg but his left was excruciating pain. Eventually his left leg was in severe pain.  States he finally got a diagnosis in early June2021 or late May2021 and was rushed to emergency surgery somewhere from 02Jun2021 - 04Jun2021 and had a 5 and a half hour surgery to remove clots out of his left leg and groin. He was hospitalized for either 5 or 6 days.  After surgery he was placed on Xarelto blood thinner. They explained to him that the blood clot travelled from his heart and settled in the main artery that goes to both legs.  It caused shortage of blood flow to both legs. States his legs would be in severe pain upon walking and he would have to sit down. They explained to him that the same clot travelled into the left leg.  This caused the severe pain in his left leg.  His right leg no longer had pain at that time. He has numbness from his left knee down to his foot, it's 50-60% numb. States this is what he is facing right now and isn't sure if it's a direct result from surgery or the blood clots caused it or what happened, he is not sure if he had the numbness before or after the surgery. States his left leg had severe pain and doesn't know when the numbness started, before or after the surgery and all he knows is its still there. States he doesn't know what caused it. The surgery or the blood clots, he's not sure. He thinks his doctor gave him some pain medication and he doesn't recall what it was to relieve some of the pain so he could sleep, he's not sure if he got something. States he doesn't think anything was prescribed, they didn't know what the hell was wrong and were trying to figure it out, he didn't know if he had Lyme disease or whatever. They wanted to see if he was having anything going on with his heart so he had, he doesn't know what it is, a heart scan. He went in for he thinks a camera up into his heart to see if he had heart causing problems or what was going on and was in the hospital for that. States it was a 1 hour scope stuck up in his heart. States he was at 2 hospitals, one did some kind of scope on his left leg trying to figure out if he had blood clots and didn't find any and that was a week before he went down to the another hospital and they pinpointed blood flow problems in his left leg. States this is the 1st time he found out and the 2nd time with a scope on his leg and he came down with blood clots and he doesn't know if it's different scoping. States that one didn't find anything and then the 2nd found the actual blood clots at the other hospital. He was sent for MRI, he thinks multiple, on his left leg and within 1-2 days he had emergency surgery.  The MRI happened on maybe Tuesday or Wednesday and Thursday he was admitted to the hospital and Friday he was brought to surgery. The patient was discharged probably 5-6 days after he was operated on on Friday. States maybe Wednesday or Thursday the following week.  The lot number for bnt162b2 was not provided and will be requested during follow up.