Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Limb injury, Myalgia, Pain in extremity, Palpitations
Clinical narrative: pain from left elbow up.; Feels muscular; palpitations; she is still unable to lift the arm; Right arm - She has full motion, but painful and painful if she lays on it.; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) from medical information team, Program ID. The reporter is the patient.  A 68-year-old female patient received BNT162b2 (BNT162B2), on 17May2022 as dose 4 (booster), single (Lot number: FP4554) at the age of 68 years, in right arm for covid-19 immunisation. The patient's relevant medical history included: "breast cancer", start date: 1999 (unspecified if ongoing); "lumpectomy" (unspecified if ongoing); "Uveitis", start date: 2009 (unspecified if ongoing); "Genital herps", start date: 1996 (unspecified if ongoing); "Anxiety" (unspecified if ongoing); "Hyperthyroidism" (unspecified if ongoing); "Hypothyroidsm" (unspecified if ongoing); "Known allergies: Eggs" (unspecified if ongoing); "Known allergies: Penicillin" (unspecified if ongoing); "Migraine" (ongoing); "Catract" (unspecified if ongoing), notes: Bad cataracts diagnosed as being bad 2-3 years ago. Previously just had cataracts for 10 years. The patient's family history included: "Cancer" (unspecified if ongoing); "High blood pressure" (unspecified if ongoing); "Bad allergies" (unspecified if ongoing); "Asthma" (unspecified if ongoing); "high cholesterol" (unspecified if ongoing). Concomitant medication(s) included: ATIVAN taken for anxiety; SYNTHROID taken for hypothyroidism, hyperthyroidism. Vaccination history included: BNT162b2 (DOSE 1, SINGLE, Lot No: EN6207, Exp. date: Jul2021, Injected in right arm), administration date: 16Mar2021, for COVID-19 Immunization; BNT162b2 (DOSE 2, SINGLE, Lot Number: EW0162, Injected in right arm), administration date: 13Apr2021, for COVID-19 Immunization; BNT162b2 (DOSE 3 (BOOSTER), SINGLE, Lot Number: FF8839, Expiry date: Unknown, Injected in right arm), administration date: 19Oct2021, for COVID-19 Immunization, reaction(s): "At that time 86 lbs. very low"; Flu vaccine, for Immunization. The following information was reported: PAIN IN EXTREMITY (non-serious) with onset 17May2022, outcome "not recovered", described as "Right arm - She has full motion, but painful and painful if she lays on it."; PALPITATIONS (non-serious) with onset 18May2022, outcome "recovered" (May2022); LIMB INJURY (non-serious) with onset 18May2022, outcome "not recovered", described as "she is still unable to lift the arm"; ARTHRALGIA (non-serious), outcome "unknown", described as "pain from left elbow up."; MYALGIA (non-serious), outcome "not recovered", described as "Feels muscular". Therapeutic measures were taken as a result of palpitations  Additional information: Patient got the shot on a Tuesday, the following day, Wednesday, the day after, she had palpitations and entire body was racing for about twelve hours. Patient notes that this occurred for "straight 12 hours and tranquilizer did not help" and then it self resolved. She was a nervous person but this was not like anything she had before except when she mixed two drugs and had a reaction a few months earlier, something like this happened. It was Ativan and very small dose of Lexapro and they were taken about 3 hours of each other and then she woke up in the middle of the night with this same kind of thing and her doctor said it was a reaction to the Lexapro and she should stop taking it. She does not have it to provide lot or expiration and has not taken it since then. Patient was allergic (eggs and penicillin) which she was diagnosed when she was a kid, about 55 years ago. She never took Penicillin just came back on the test and was told not to take it or any of it's relatives, so she never did. No medical treatment required. Her doctor just said to take Ativan. They thought it was anxiety, but she knows it was not. She knows what she usually gets when she is anxious and this was not it. Caller states she experienced adverse events following the last dose of the Pfizer COVID 19 Vaccine she received. The caller states her reaction happened 24 hours after receiving the product and to this day, still cannot lift her arm. She started Synthroid 40 years ago and she's been on Ativan for many years. The tranquilizer, Ativan, did not help with her anxiety. She did not have product with her to provide manufacturer, lot or expiration. Patient scheduled for fifth booster on Monday and was getting concerned because of palpitations. No investigations were performed. There were no other vaccinations within four weeks prior to the first administration date of the suspect vaccine. Patient Age at time of vaccination (years): 10:00 am. All were between 9:00-10:00. Patient mother and father both had bad allergies, like Asthma, and used inhalers and father as well. Pain is concerning because it was still bothering her. Patient was a breast cancer survivor and had lumpectomy on left side, breast cancer diagnosed 1999. She cannot get any on left arm. Pain from left elbow up. Really only when she uses it to lift or push or lie on it, otherwise it does not bother her that much. She just got flu shot last week, which made it a little worse. She does not have flu shot card and does not have a manufacturer, lot or expiration. She took Tylenol afterwards. She gets migraines which started 30 years ago.  No follow-up attempts are possible. No further information is expected.