Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Vaccination site swelling
Clinical narrative: swelling/bumps that scattered around her injection site/lump that was there whole arm has spread down to my arm to my elbow and up to my shoulder and around the spreading back sides of my arm; swelling/bumps that scattered around her injection site/lump that was there whole arm has spread down to my arm to my elbow and up to my shoulder and around the spreading back sides of my arm; 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 58-year-old female patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 23Oct2022 as dose 4 (booster), single (Batch/Lot number: unknown) for covid-19 immunisation. The patient's relevant medical history included: "autoimmune" (unspecified if ongoing). The patient's concomitant medications were not reported. Vaccination history included: Bnt162b2 (DOSE 1, SINGLE), for COVID-19 Immunisation; Bnt162b2 (DOSE 2, SINGLE), for COVID-19 Immunisation; Bnt162b2 (DOSE 3 (BOOSTER), SINGLE), for COVID-19 Immunisation. The following information was reported: VACCINATION SITE SWELLING (non-serious), PERIPHERAL SWELLING (non-serious) all with onset 23Oct2022, outcome "not recovered" and all described as "swelling/bumps that scattered around her injection site/lump that was there whole arm has spread down to my arm to my elbow and up to my shoulder and around the spreading back sides of my arm".  Additional information: COVID-19 Vaccine Bivalent was a Pfizer product. COVID-19 Vaccine Bivalent manufacturer was unspecified. NDC number/ UPC number of COVID-19 Vaccine Bivalent was unknown. Patient do not have the LOT. Expiry Date of COVID-19 Vaccine Bivalent was Unknown. Consumer (patient) called to find out if it is normal for a patient who received the Pfizer BionTech covid-19 Bivalent Booster Vaccine (Gray cap) 5 days ago to still experience swelling/bumps that scattered around her injection site. Patient stated that she received 4 doses of the Pfizer biontech covid-19 vaccine (2 shots for the monovalent primary series, 1 shot for monovalent booster dose and 1 shot for the bivalent booster). The last shot she received was last Sunday 23Oct2022 for the booster bivalent vaccine and stated that she still experienced swelling/bumps that scattered around her injection site. Caller specified that it extended to her elbow and shoulder as well as around her extremities. Caller also stated that she has autoimmune. Patient got a lump on her arm and that was not normal; has spread down to my arm to my elbow and up to my shoulder and around the spreading back sides of patient arm. patient just want to know is that normal for the lump to spread. It is been 5 days. Patient was informed about the role of Pfizer Drug Safety and Pfizer Medical Information department. Product details (Expiration Date, NDC# and UPC#) and Pharmacy details could not be probed. Hence limited information was available over the call.  No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.