Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Muscular weakness, Pain in extremity, X-ray limb
Clinical narrative: My arm has been hurting / Right arm is so sore; arm got weak; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  A 69-year-old female patient received bnt162b2 omi xbb.1.5 (COMIRNATY (2023-2024 FORMULA)), on 13Oct2023 as dose 1, single (Batch/Lot number: unknown) at the age of 69 years, in right arm for covid-19 immunisation. The patient's relevant medical history included: "steroids allergy" (unspecified if ongoing). Concomitant medication(s) included: FLUZONE HIGH DOSE QUADRIVALENT, on 13Oct2023. Vaccination history included: pfizer covid-19 vaccine (1st Pfizer Dose: Grey cap monovalent, LOT: FM7553), administration date: 02Jun2022, when the patient was 68-year-old, for COVID-19 immunisation, reaction(s): "nothing happened"; pfizer covid-19 vaccine (2nd Pfizer Dose: COVID-19 Pfizer Bivalent 12 plus years , LOT: GJ66665), administration date: 16Nov2022, when the patient was 69-year-old, for COVID-19 immunisation, reaction(s): "nothing happened"; Johnson & johnson covid-19 vaccine (Unknown dose), for COVID-19 immunisation, reaction(s): "nothing happened"; Moderna covid-19 vaccine (Unknown dose), for COVID-19 immunisation, reaction(s): "nothing happened". The following information was reported: PAIN IN EXTREMITY (non-serious) with onset Oct2023, outcome "unknown", described as "My arm has been hurting / Right arm is so sore"; MUSCULAR WEAKNESS (non-serious) with onset Oct2023, outcome "unknown", described as "arm got weak". The events "my arm has been hurting / right arm is so sore" and "arm got weak" required physician office visit. Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of pain in extremity. Additional information: patient received the Pfizer COVID-19 vaccine 2023-2024 formula for adults on 13Oct2023 soon after she developed almost a useless arm. Her arm had been hurting a lot no matter what she did sleep or drive. The doctor did some X-rays, but they found no fracture. They recommended physical therapy, but nothing had improved. Patient stated her arm had really been hurting for over a month she can't dry or sleep, drive or move it much. Patient stated that she had been having arm pain for about 6 weeks since she received her 2023-24 Comirnaty vaccine. She let it go for awhile as she had heard that people sometimes have a sore arm. She was having trouble driving, sleeping and when she scrolls on her phone or writes her hand and arm got weak. She didn't have the flexibility that it should have and it's real painful the more she used it the more pain she had. Her doctor did an X-ray and confirmed that she does not have a fracture. Her treating hcp had recommended she received physical therapy as treatment. She cannot take steroids as she was allergic. NDC number of Comirnaty was 00069-2392-10. Had the shot in her right arm on 13Oct2023 and it just was so sore afterwards. Thought she heard people say their arm was sore. She gave it few days and it was still sore as a can be. She can't drive good, can't sleep, was having all kinds of trouble. It's it's very weak and painful. Caller told the doctor she had read to do physical therapy and took steroids, but she is allergic to steroids. Began one or two days later after the shot on 13Oct2023. She didn't feel it right at first. She had to sit at the pharmacy for a while, she didn't have a problem. But it continued to get worse as the month went along, it's not gotten any better and she's getting concerned about it. Knows that's what it came from because she didn't do anything else. They took an X-ray. Received the COVID shot in the arm that she had the pain in. She also received the flu shot in the left arm on the same day. Had no problems with that arm the Flu shot was given in. The COVID shot was the one she can't use very well. Confirms COVID shot was given in the right arm, Flu shot was given in the left arm. The right arm is what's giving her trouble. Patient had nothing other than the X-ray as treatment. All they prescribed was physical therapy. She just went on Monday to the doctor. Hasn't heard from Physical Therapy yet. With the holiday and everything it probably hasn't been set it up yet. Had not started physical therapy yet. The only thing she took it Tylenol for the pain, but that didn't seem to help much. She would take 2 tablets Tylenol, but no more than 1 time a day. It's an 8 hours pain relief. If she had a really active day with her arm, she would take 2 tablets. The more she uses her arm, the worse it hurts. She would take the Tylenol 650mg extended release tablet as needed. Patient had X-Ray of the Shoulder 2+VW Right on 17Nov2023. After this X-ray she was prescribed physical therapy.  The information on the batch/lot number for bnt162b2 omi xbb.1.5 has been requested and will be submitted if and when received.