Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Musculoskeletal discomfort, Vaccination site discomfort, Vaccination site pain, Vaccination site swelling
Clinical narrative: stiffness where she got the shot was reported as worsened; swelling, stiffness where she got the shot was reported as worsened; shooting pain in left arm when extending arm or reaching for something, little arm soreness after the first dose; Discomfort in upper shoulder; This is a spontaneous report from a contactable consumer (patient) reporting for herself. A 71-year-old female patient received BNT162B2 (BNT162B2, Pfizer-BioNTech COVID 19 vaccine, Solution for injection, Lot number EL1284), via an unspecified route of administration, administered in Arm on 18Jan2021 as DOSE 1, SINGLE and dose 2 (BNT162B2, Pfizer-BioNTech COVID 19 vaccine, Solution for injection, Lot number E19262) via an unspecified route of administration, administered in Arm Left on 08Feb2021 as DOSE 2, SINGLE (at the age of 71 year) for covid-19 immunisation. Medical history included ongoing High blood pressure (Diagnosed probably about 40 years ago), ongoing thyroid condition (Diagnosed about 21 years ago), ongoing meniere's disease (Diagnosed probably about 2 years ago) all from an unknown date, Cholesterol, Allergy, Hormone Replacement, immune system disorder all from an unknown date and unknown if ongoing. Concomitant medications included amlodipine taken for blood pressure measurement from an unspecified start date and ongoing (Been on this for probably over 20 years), ubidecarenone (COQ-10) taken for blood cholesterol from an unspecified start date and ongoing (Been taking this for going on maybe a year. Doctor did not want her taking cholesterol medication so this is what he prescribed), estradiol, estriol (BIESTROGEN) taken for hormone replacement from an unspecified start date and ongoing (Been taking these for probably about 20 years), progesterone taken for hormone replacement from an unspecified start date and ongoing (Been taking these for probably about 20 years) colecalciferol (VITAMIN D3 1000) taken for immunity (Been taking these probably about 3 years), start and stop date were not reported, zinc taken for an unspecified indication from an unspecified start date and ongoing (Been taking these probably about 3 years), bifidobacterium bifidum, bifidobacterium lactis, lactobacillus acidophilus, lactobacillus brevis, lactobacillus bulgaricus, lactobacillus casei, lactobacillus paracasei, lactobacillus plantarum, lactobacillus rhamnosus, lactobacillus salivarius (PROBIOTIC 10) taken to promotes normal intestinal function and regularity, fexofenadine hydrochloride (ALLEGRA) taken for Allergy from an unspecified start date and ongoing (Been taking for maybe 6-7 months), cyanocobalamin, folic acid (VITAMIN B12 & FOLIC ACID) taken for hormone replacement from an unspecified start date and ongoing (Been taking these for probably about 20 years, now she does it herself- cyanocobalamin), Tumeric and curcumin: Been taking these probably about 3 years, supports healthy inflammatory response, promotes cardiovascular, immune, joint, and skin health, Multivitamin for women health. The patient experienced discomfort in upper shoulder on an unknown date in 2021, left arm soreness, shooting pain in left arm when extending arm or reaching for something, it hurts. The pain gets worse at night on 18Jan2021, swelling, stiffness where she got the shot was reported as worsened on 8Feb2021. Patient stated as she had both vaccines first one was on 18Jan2021, the second one was on 08Feb2021 still having little discomfort in my upper shoulder, usually when she gets any kind of shot, it hurted for a little while then goes away, ever since she received the second shot on 08Feb2021, it still hurts. She thought it would go away by now, that it has not gone away, it is more painful at night, and when she reaches sometimes or extends her arm, it hurts. Patient really had a problem with the second dose, this one has been persistent since getting the second dose. Shooting pain, she noticed it at night about 4 or 5 weeks ago and thought it was going away. She was not one who takes pill for everything, she thought this has been going on for too long. If she tries to hold up her left arm, she can feel the stiffness where the vaccine was administered and when trying to extend her arm. It started out like the first vaccine and did had something, the second dose was not that much of a preferred, this has been a long time that it has been really bothering her and would be asked people if arm hurting. Patient wanted to report it and then curious to how to find out if she did not get the needle injected in the right place or was it too low. Treatment: Consumer stated, "Second time she did not. First time took some Tylenol. Patient had unknown lab test with unknown results (had some almost 3 weeks ago) on an unknown date in 2021.   The outcome of the events was not recovered.  No follow-up attempts are possible; information about lot/batch number cannot be obtained.