Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Joint range of motion decreased, Lipids, Malaise, Muscle spasms, Suspected COVID-19
Clinical narrative: Probably had COVID; Probably had COVID; Severe joint pain again/Joint pain mainly in the ankles, Achilles, and knees; Couldn't raise her shoulders; Swelled up; Terribly short of breath; Tendinitis all over/Tendonitis in her ankles, shoulder and knees/Tendonitis is mainly now in her ankles; Felt ill; Cough; Feeling bad; Hand cramped; This is a spontaneous report received from a contactable consumer from medical information team. The reporter is the patient.  A 79-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection), via an unspecified route of administration, administered in the left arm, administration date 11Feb2021 (Lot number: EL9267) at the age of 78 years as dose 2, single for COVID-19 immunization. Relevant medical history included: "Obesity" (unspecified if ongoing); "High cholesterol" (unspecified if ongoing); "Aortic aneurysm" (unspecified if ongoing); "Triple bypass" (unspecified if ongoing); "COVID-19" (unspecified if ongoing); "Sleep apnea" (unspecified if ongoing); "Terrible joint pain" (unspecified if ongoing); "Productive cough" (unspecified if ongoing); "Tendinitis" (unspecified if ongoing); "Hand cramped" (unspecified if ongoing); "Couldn't raise her shoulders" (unspecified if ongoing); "Knees and ankles hurts so bad" (unspecified if ongoing). Concomitant medications included: ADVAIR; LIPITOR taken for high cholesterol; PHENYTOIN; PROTONIX [OMEPRAZOLE]; and VITAMIN D3. Past drug history included: Levaquin, reaction: tendinitis, notes: she developed tendonitis in her ankles, shoulder and knees and it has been 6 months; Aspirin; Tylenol; Ibuprofen; and Mucinex. Vaccination history included: BNT162B2 (dose 1, single; lot: EL9261), administration date: 21Jan2021, when the patient was 78 years old, for COVID-19 immunization; and FLU VACCINE. The following information was reported: The patient reported that in 01Oct2019 (as reported), she was told that COVID was here, and she was from (redacted). She was held over in (redacted) for about 5 hours and then she home to (redacted). About three to four days later, she developed some kind of cough, productive, she felt awful and had to put herself on oxygen around the clock. She was taking Tylenol, Ibuprofen, Advair, Aspirin, and Mucinex. These events occurred before taking the vaccine. Two weeks later, she good enough to go see her doctor. The doctor told her that she had some kind of a terrible virus (not clarified further). The doctor put her on Levaquin, as empirically as per the doctor (though that it will not do any good to the patient but she needed to be treated empirically). Within four days, she developed what she called tendinitis in her ankles, shoulders and knees, she couldn't raise her shoulders, her hand cramped, and she couldn't and hardly get out of bed because her knees and ankles hurst so bad. The pain lasted for about six months and finally in the spring of 2020, she went for physical therapy for about 3 months and got better. On 21Jan2021, the patient her first Pfizer vaccine and then on 11Feb2021 she took the second vaccine. The patient did not receive any other vaccines prior to the COVID-19 vaccine. Shortly after that, she developed severe joint pain again, that she can't seem to get over, it was in her Achilles tendon and her knees, and then she swelled up like all through May and June. She just got terribly short of breath. After getting the second shot, all the previous symptoms after her trip to (redacted) came back again. In June, she had a cardiac test and it was negative. She had to be put on salt-restricted and fluid-restricted diet, and she was taking big doses of Lasix, and she had seen a nephrologist with it. She saw a pediatrist who gave "left" to her shoes and said that she could either have either surgery or ice and Ibuprofen, but she can't take Ibuprofen. The patient didn't have any heart issues but she still got a tendinitis all over and she didn't know how to get rid of it. The patient was feeling bad and felt ill. The tendonitis was mainly now in her ankles. She saw a pulmonologist on Friday (unspecified date) who said and thought that the patient probably had COVID, the patient had reaction because of already having COVID with getting the shot. The patient had lots of lab word done in the past year. She have had a lipid panel, a complete blood count (CBC), chest X-rays, computerized tomogram (CT)s of her chest and abdomen, and X-rays of her knees and feet. Therapeutic measures were taken as result of event "probably had COVID". The outcome of the events was unknown.  No follow-up attempts are possible. No further information is expected.