Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Vaccination site pain
Clinical narrative: to point where it goes all the way into the muscle; As far as his wrists, it didn't always get that far but, it did make it very difficult, especially in shoulder area; had come around and down into the left side of the chest a little; It made hard to sleep/sleeping at night was where it will tend to wake him up; pain had progressed down arm; The soreness the next day, was just in the one spot where he got the shot; This is a spontaneous report received from a Consumer or other non HCP.  An 84-year-old male patient received BNT162b2 omi xbb.1.5 (COMIRNATY (2023-2024 FORMULA)), on 15Mar2024 as dose 1, single (Batch/Lot number: unknown) at the age of 84 years for covid-19 immunisation. The patient had no relevant medical history. Concomitant medication(s) included: METFORMIN taken for type 1 diabetes mellitus; LOSARTAN POTASSIUM taken for blood pressure measurement; ASPIRIN [ACETYLSALICYLIC ACID]. Vaccination history included: Covid-19 vaccine (DOSE 1, SINGLE, MANUFACTURER UNKNOWN), for COVID-19 immunisation; Covid-19 vaccine (DOSE 2, SINGLE, MANUFACTURER UNKNOWN), for COVID-19 immunisation. The following information was reported: VACCINATION SITE PAIN (non-serious) with onset 16Mar2024, outcome "unknown", described as "The soreness the next day, was just in the one spot where he got the shot"; PAIN IN EXTREMITY (non-serious), outcome "not recovered", described as "pain had progressed down arm"; MYALGIA (non-serious), outcome "unknown", described as "to point where it goes all the way into the muscle"; ARTHRALGIA (non-serious), outcome "unknown", described as "As far as his wrists, it didn't always get that far but, it did make it very difficult, especially in shoulder area"; CHEST PAIN (non-serious), outcome "unknown", described as "had come around and down into the left side of the chest a little"; SLEEP DISORDER (non-serious), outcome "unknown", described as "It made hard to sleep/sleeping at night was where it will tend to wake him up". Therapeutic measures were taken as a result of pain in extremity, vaccination site pain, myalgia, arthralgia, chest pain.  Additional information: Anatomical location was left shoulder. On 15Mar2024, got the shot, it just started. The soreness the next day, was just in the one spot where he got the shot. It had gotten progressively worse, to point where it goes all the way into the muscle, down arm. As far as his wrists, it didn't always get that far but, it did make it very difficult, especially in shoulder area. It had come around and down into the left side of the chest a little. It made hard to sleep. After second day of vaccination, got a little more sore than expected. Using some type rub to numb pain a little bit. Age adverse events started at 84, it started from there, got  progressively worse. One thing he did find, that gave some relief was, eventually wore off and pain came back, was Hempvana. It gave some pain relief. Now, the patient could not event to gym. Sometimes, the pain in arm pushed on sometimes, really radiated up into shoulder. When he called doctor, confirmed it can be side effect. It started out at one arm then, kind of went around, right underneath arm, more into chest, just a little bit, not much. On occasion, right shoulder would have some pain. Did not really blame that on shot, was just old age. Clarifying there was pain starting to set in right arm but, it was mainly the left arm. Clarified, it was the left arm where it started. The shot, was what was giving the pain on the left arm. The patient was left handed. Was an artist, into watercolor, oils, etcetera. It's could not be do that anymore.  If using computer, even just doing crossword or heart game, something like that, it could really aggravate the pain. The patient could not really mess around with computer too much. Had to try to do everything, stick with right hand. He did not have ability to write with right hand yet. The patient had hoped it was going to go away, realized it was getting worse. He had all ready spent money on that rub. That seemed to be the only thing for relief. Used it before going to bed, this morning before shower, rubbed into arm. Arm stayed ok but, sleeping at night was where it would tend to wake him up. Got about 4 hours sleep then, struggles around. Sometimes, he could not to get to sleep until 2:00 or 3:00 in the morning. The patient took hydro something, something like a water pill and for blood pressure. Took magnesium and potassium. It's not really on a lot of medication, had been on more before. The patient had 2 doses of Covid shot, prior to this latest one. Unknown if previous shots were Pfizer. Pretty sure he had them in same arm. Prior Vaccinations (within 4 weeks) was none. About Hempvana, patient bought 2 jars so far. First jar was a white cream, with no smell or anything to it, was not  menthol. The second one was a gel, was green but, got a little bit warm feel to it.  They gave some relief for patient. Tried to make not of what he was doing so, he didn't aggravate it any longer. There were no investigations. Patient had no family medical history relevant to the adverse events.  The information on the batch/lot number for BNT162b2 omi xbb.1.5 will be requested and submitted if and when received.