Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram, Magnetic resonance imaging, Pain in extremity, Prothrombin time
Clinical narrative: 1st dose- had a sore arm after the shot; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) for a Pfizer sponsored program. The reporter is the patient.  A 57 year-old male patient received bnt162b2 (BNT162B2), administration date 16Apr2021 (Lot number: EW0164) at the age of 57 years as dose 1, single for covid-19 immunisation. Relevant medical history included: "HIV", start date: 1991 (ongoing), notes: Verbatim: HIV; "Vertigo", start date: 2018 (unspecified if ongoing), notes: he had bout of vertigo 3 years ago, gave him some type of IV medication and as been gone since then; "lightheaded", start date: 2018 (unspecified if ongoing), notes: A week after he had gotten lightheaded. Concomitant medication(s) included: TIVICAY taken for hiv infection, start date: 2013 (ongoing); DESCOVY taken for hiv infection, start date: 2013 (ongoing). Past drug history included: Lexiva, start date: 1998, stop date: 2013, for HIV; Epivir, start date: 1998, stop date: 2013, for HIV; Zerit, start date: 1998, stop date: 2013, for HIV. The following information was reported: PAIN IN EXTREMITY (non-serious) with onset 16Apr2021, outcome "recovered" (16Apr2021), described as "1st dose- had a sore arm after the shot". Relevant laboratory tests and procedures are available in the appropriate section.  Additional information: Concomitant medicinal Tivicay and Descovy  Dosage text: one pill every day at night before bed. 1st dose- had a sore arm after the shot. Sore Arm: Originally he states that this had began within the first two weeks of his COVID vaccine but he would have to look at his COVID vaccine card for that date. He clarifies and confirms that he only had the sore arm after his 1st dose and that had only started probably about an hour or so after that dose and it was very mild and only lasted a couple of hours. He wouldn't of even called it a 1 on a 1 to 10 scale, it was just more annoying. He did not have the sore arm after the 2nd dose. He did take his HIV medication 2 weeks prior to his COVID vaccine because he take them once every day. He did take his HIV medication 2 weeks prior to his COVID vaccine because he take them once every day. He takes Tivicay and Descovy and for both he takes one pill every day at night before bed. He says he doesn't know the exact dosage because it doesn't come in dosages like normal medications like 10 mg or 40 mg, there's a standard dosing for it and that's what he takes. There is no lower or higher dose and he started those two in 2013. Before that was on Lexiva, Epivir and Zerit and took those from 1998 until 2013. He was diagnosed in 1991 but he didn't seek treatment until 1998. He had an MRI when he got there and then another when he was discharged. At first they did a CAT scan and then an MRI, both on 24Aug2021, Tuesday, and then before he left the hospital they gave him a second MRI which was on Wednesday, 25Aug2021. They also did a clotting test before the left the hospital and from what he heard it had came back fine. They took 15 vials of blood and did that clotting test.  No follow-up attempts are possible. No further information is expected.