Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood test, Echocardiogram, Investigation, Peripheral swelling
Clinical narrative: her left knee was bothering her; swelling in left leg; swelling in both feet; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  A 74-year-old female patient received BNT162b2 (BNT162B2), on 13Feb2021 as dose 2, single (Lot number: EL3251) at the age of 74 years for covid-19 immunisation. The patient's relevant medical history included: "hypertension" (unspecified if ongoing), notes: she had hypertension because of lungs; "COPD" (unspecified if ongoing). Concomitant medication(s) included: VITAMIN D3. Vaccination history included: BNT162b2 (Dose:1, Pfizer, 0.3ml, lot number: EL3247), administration date: 23Jan2021, when the patient was 74-year-old, for Covid-19 Immunization. The following information was reported: PERIPHERAL SWELLING (non-serious) with onset 2021, outcome "unknown", described as "swelling in both feet"; PERIPHERAL SWELLING (medically significant) with onset 2021, outcome "unknown", described as "swelling in left leg"; ARTHRALGIA (non-serious), outcome "unknown", described as "her left knee was bothering her". The events "swelling in left leg" and "swelling in both feet" required physician office visit. The patient underwent the following laboratory tests and procedures: Blood test: Improved, notes: her blood tests improved; Echocardiogram: noticed hypertension; Test: Normal, notes: all kinds of test/ everything looked normal. Therapeutic measures were taken as a result of peripheral swelling, peripheral swelling, arthralgia. On Call reporter called about Pfizer Covid19 Vaccine. She lives in #. She had both the vaccine plus the booster. She believes she had a side effect from the Pfizer. She didn't realize how bad it would get. Her left leg was swollen. After the second vaccine her left knee was bothering her. She went to her orthopedist because she had the right one done. Her doctors said no surgery and gave her a shot of Cortisone. The Cortisone shot only lasted 3 weeks. Her whole left leg was swollen up to the foot. They thought it was related to surgery, but she was fine after surgery. She did her therapy and was good. After second vaccine her right foot was swollen and she has been on water pills since. Second vaccine was on 13Feb2021. The booster was on 03Nov2021. She has been having this and now she was on oxygen, but that has nothing to do with the vaccine. She never had swollen feet in her life. Caller clarified she had her right leg done in 2015. The left leg was done 11Aug2021. 13Feb2021 she got the second Covid vaccine. After she had that, she had to go to her doctor and was complaining her knee was bothering her. The doctor said she probably wouldn't have to have surgery but gave her a cortisone shot, but it only lasted 3 weeks. after that her left leg started to swell. She had done therapy and had no problems. She had to go to the hospital  to make sure she didn't have blood clots. They did echo on both legs and the right foot felt kind of funny too. It felt stiff. The doctor said if the right foot feels like that, then it is not from the surgery. The orthopedic doctor suggested caller go to her primary doctor and ask to be put on water pills. Caller clarified that she did not have blood clots in either leg. The doctor only put her on 20mg for the water pill. Then the swelling in both legs went down a little bit. After a few months she thought they were getting better. She stopped it a little bit and then they started swelling up again. Now she was taking two 20mg water pills and it was into the following year. Caller clarified that this started after the second vaccine on 13Feb2021. On 03Nov2021 she had booster. She only did one booster. She was totally disgusted with this. She never had trouble with her feet. She was on her feet for work. She never had problem with her feet. She was on oxygen because she had COPD to begin with. Dealing with the COPD and now on oxygen she also had to go get cardiogram for her heart. She had to have a cath put in her heart from her arm. The doctor said she was low risk, but she has hypertension in lungs now. Caller clarified that she had COPD prior to the vaccines. That was the reason for getting the vaccines because she was high risk. The water pill medicine she is taking is Furosemide 20mg. Initially caller provided that it was grams, but clarified the unit as mg. Furosemide: it is in pharmacy bottle. Quantity: 60; There is the number 3105857-04871. Lot: unknown. Expiration: unknown. One tablet by mouth twice daily. The pills are good until 20Apr2023. She had COPD and was aware of that. She understands she needed oxygen. What she doesn't understand was the feet swelling. Booster dose: The card had the date of 31Mar2022 and lot: FF2587, but she received the booster on 03Nov2021. Medical Conditions: diagnosed with COPD a long time ago when living in #. She has had it for years. She had to take care of her husband on dialysis. She had to go for classes for that. Caller moved to # in 2015 after her husband died in 2014. Her husband was diabetic and had to go on peritoneal dialysis. A nurse trained both caller and her husband, but caller did it. She only takes vitamins, like vitamin D3. Investigations: did all kinds of test on her and everything looked normal. She had good outcome on it. Her kidneys were a little lower, but had improved from prior month.  She had echocardiogram at hospital. They checked everything and showed something about right side of heart enlarged a little bit then noticed hypertension. Then the heart specialist put catheter in right arm and went to heart and said she didn't have to worry about her heart because she was low risk. Caller doesn't know what the doctor saw, but it looked good. She does have pulmonary lung hypertension. When it goes to the lung it has to pump back to the heart. That is where it shows it. Basically she has to worry with respiratory doctor. The swollen feet is the reason she did all these test because usually it is the heart. Caller knows some medical things. After the second vaccine her left knee was bothering her. She went to her orthopedist because she had the right one done. Her doctors said no surgery and gave her a shot of Cortisone. The Cortisone shot only lasted 3 weeks. The doctor only put her on 20mg for the water pill. Then the swelling in both legs went down a little bit. After a few months she thought they were getting better. She stopped it a little bit and then they started swelling up again. Now she was taking two 20mg water pills and it was into the following year. The water pill medicine she is taking is Furosemide 20mg. Initially caller provided that it was grams, but clarified the unit as mg. Furosemide with quantity 60. There was the number 3105857-04871. Lot: unknown. Expiration: unknown. One tablet by mouth twice daily. The pills are good until 20Apr2023.  No follow-up attempts are possible. No further information is expected.