Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Musculoskeletal stiffness, Vaccination site bruising, Vaccination site scar
Clinical narrative: developed a purple hard area at the site; fingers on her right side were also swollen; stiffness in her fingers, legs, and neck; tired; had scars on both arms where she received her covid vaccinations; She thought the allergist injected too close to the COVID 19 vaccination site and that caused the bruise; This is a spontaneous report from a contactable consumer (patient). A 40-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), dose 2 via an unspecified route of administration, administered in left arm on 21Mar2021 (Lot Number: EP6555) as single dose for covid-19 immunisation. Medical history included von willebrand's disease, acupuncture and bleeding (She has had acupuncture in the past and had a small amount of bleeding in the past). The patient's concomitant medications were not reported. The patient previously received first dose of bnt162b2 on 01Mar2021 for COVID-19 immunization and experienced tiredness and had scars on both arms where she received her covid vaccinations (Lot number: EN627; Anatomical Location: right arm). About a week later from the second dose of COVID vaccine, she received regularly scheduled weekly allergy shots, one in each arm. After the allergy shot on 31Mar2021, she noticed that her right arm developed a large purple, hard area around the injection site. Her fingers on her right side were also swollen and stiff along with her right leg and right side of her neck. She mentioned also feeling very tired after getting the second vaccination (Mar2021). She had scars on both arms where she received her covid vaccinations on Mar2021. Furthermore, the patient reported that, she received her second dose on 21Mar2021. She reported she got allergy shots in the arm that she got the COVID vaccination and she developed a purple hard area at the site; on the right side. She got scars from the COVID vaccine one in each arm. The vaccine made her tired. The patient corrected information provided by transfer agent. The patient stated she was being dramatic and she did not really bleed, but it was unexpected and surprising to the acupuncturist. She did bleed but it stopped. She has had acupuncture in the past and had a small amount of bleeding in the past. The patient clarified that she received her first dose of the Pfizer COVID 19 vaccine on 01Mar2021 in the afternoon in the right arm; and the second dose on 21Mar2021 at an unknown time on the left arm. She was tired after the first dose and after the second dose. She thought the allergist injected too close to the COVID 19 vaccination site and that caused the bruise (on Mar2021). The patient added that her arm was swollen and that had made it stiff. Her doctor didn't warn her about the von willebrands disease possibly being activated by the vaccine. The scars she noticed from the COVID 19 vaccine were very tiny and one was close to the small pox scar. She mentioned that she got a B12 injection on the other arm and it was fine. The events did not require a visit to the emergency room nor to the physician's office. The patient did not receive any vaccines 4 weeks prior to the COVID vaccine. Outcome of the events was unknown.  No follow-up attempts are possible. No further information is expected.