Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Neuralgia, Pain in extremity, Paraesthesia
Clinical narrative: His arm was a little more sore after the 2nd shot; It felt more like a nerve pain with a lot of tingling, burning feeling rather than an achy joint pain; Started to get more and more severe; He couldn't sleep at night; Stiffness/ it is hard to bend his fingers; It's more like numbness and burning, a sharp pain in that location between those fingers; It's more like numbness and burning, a sharp pain in that location between those fingers; It felt more like a nerve pain with a lot of tingling, burning feeling rather than an achy joint pain; Started having a pretty sharp pain on  left hand, in between thumb, middle finger, and index finger, pretty severe in his index finger/also felt it in  right hand; This is a spontaneous report from a contactable consumer (patient). A 71-year-old male patient received second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number: EL8982), via an unspecified route of administration on 09Feb2021 at 00:30 in left arm at single dose for COVID-19 immunisation. The patient previously took first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number: EL3246), via an unspecified route of administration on 19Jan2021 later in afternoon, around 2:30M in left shoulder at single dose for COVID-19 immunisation. Medical history included arthritis and injury. He has some arthritis in his knee and also in left elbow. Arthritis diagnosed after he had an injury a year or so ago, diagnosed in left elbow around Nov2020. Concomitant medications included Acetylsalicylic acid (ASPIRIN), Lot number: P122153, Expiration date: Oct2022 at a dose of 81 mg tablet by mouth as needed for arthritis and injury. Patient had arthritis in knee due to injury, had injury while whitewater rafting years ago, has been taking it since then. It is a low dose 81mg, he will take a bigger dose, but only takes one.   The patient reported that his arm was a little more sore after the 2nd shot than in the 1st. On 10Feb2021, he started having a pretty sharp pain on his left hand, some tingling and slight pain in right hand, pain was located between thumb, index finger and middle finger and started to get more and more severe he couldn't sleep at night, and it's more like numbness and burning, a sharp pain in that location between those fingers and thumb, and the tips of his index finger are completely numb and very sore, almost like a burn, it feels like a severe burn on his finger. He was thinking it is not a joint pain, but some kind of neurological thing. It involves his thumb, index and middle finger more than anything, it is a sharp pain in his hand between those fingers. He said that he also felt it in his right hand but it was not as pronounced. It was noted on 10Feb2021, and was pretty severe for two days, now he is experiencing it, he had it last night, it is going on today, and it's more becoming more a stiffness, more like it is hard to bend his fingers, and the burning sensation is in all 3 fingers between mostly in the last joint of those fingers. He was thinking it has something to do with the sinuses in his wrist. It felt more like a nerve pain with a lot of tingling, burning feeling rather than an achy joint pain. It was reported that his wife has osteoporosis. The patient was very sensitive to aspirin, he can take a half dose to what normal people require twice as much as him Baby aspirin looks like 200mg for him, so he tries to stick to Aspirin, as it has less side effects than other pain killers. Also has a higher dose of 325mg he can take, he probably did take one of those the second day after vaccination, it's a 325mg tablet by mouth. It was further stated that when patient was younger, he was given a smallpox vaccination, it never took, they tried again, a few years later, it never took, he must have had an immunity to small pox. The outcome of the events was unknown.