Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature, COVID-19, Feeling abnormal, Movement disorder, Musculoskeletal pain
Clinical narrative: scalp hurt; everything hurts. Brushing his teeth hurts.; couldn't move his body; wasn't feeling like himself; rapid test and he came positive/yesterday (29Mar2021), he started having chills, shivering, and fever; butt cheeks hurt; This is a spontaneous report from a contactable consumer (patient's wife). A 56-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), via an unspecified route of administration administered in left arm on 26Mar2021 11:15 (at the age of 56-year-old) (Batch/Lot Number: ER8730) as 1ST DOSE, SINGLE DOSE for covid-19 immunisation. Medical history included Penicillin allergy, pain, arthritis, was hospitalized when the patient was small for 15 days in a bubble following an allergic reaction, and had knee surgery. Concomitant medications included ongoing vitamin c [ascorbic acid] taken to make sure he doesn't catch a cold; acetylsalicylic acid (ASPIRIN BAYER) taken for pain, arthritis, and as a preventative to make sure he doesn't get any clogs; and ongoing ascorbic acid, betacarotene, biotin, boron, calcium, calcium pantothenate, chloride, chromium, colecalciferol, copper, cyanocobalamin, folic acid, iodine, iron, lycopene, magnesium, manganese, molybdenum, nickel, nicotinamide, phosphorus, potassium, pyridoxine hydrochloride, retinol, riboflavin, selenium, silicon dioxide, thiamine, tin, tocopheryl acetate, vanadium, vitamin k nos, zinc (CENTRUM MEN) taken for multi-vitamins, after a certain age you need to take a multi vitamin. On 29Mar2021, the patient experienced couldn't move his body, wasn't feeling like himself, he started having chills, shivering, and fever yesterday (29Mar2021) then had a rapid test and he came positive, and butt cheeks hurt; on an unspecified date, scalp hurt, and everything hurts. Brushing his teeth hurts. It was further reported that they went to take a rapid test in the morning of 30Mar2021 and he came positive. The patient didn't have problems Friday/Saturday/Sunday. Yesterday (29Mar2021), he woke up and he felt like he's been having aches and pains and when he took a shower, washing his head hurt. And his butt cheeks hurt from sitting down. He's allergic to penicillin and they kept them there for 30 minutes. Everything was fine. No side effects from Friday through Sunday. But yesterday (29Mar2021), he started having chills, shivering, and fever. Additionally, it was reported that the patient was tested for Covid-19 prior to getting vaccinated and the results were negative. The wife also clarified that last night, 29Mar2021, the patient had chills, couldn't move his body, and had a temperature of 101-102. Therefore, they both made an appointment to get tested at 09:30 this morning (30Mar2021) to get tested. The patient's test came back positive. The wife again states they are going back tomorrow for a rapid and mouth Covid-19 test. Furthermore, it was reported that yesterday (29Mar2021), her husband woke up and wasn't feeling like himself. In the night, he was hot, shivering, and his temperature got up to 101. The patient's temperature was not so high this morning but that he still wasn't feeling himself. He began not feeling like himself yesterday morning, 29Mar2021. The patient confirmed that he still feels unlike himself today. The wife also reported that every time her husband would move he said that everything hurts. Brushing his teeth hurts. He even said his butt cheeks hurt. When her husband was taking a bath and passed the soap over his head, his scalp hurt. The wife makes the comment that this isn't like her husband. The patient works like a mule and doesn't complain about anything. That's why the wife got worried. For example, the patient had knee surgery and walked out limping but did not use a cane because that was the kind of man he is. He was not whiner so when he tells you something's wrong, something's wrong. The patient's second dose was scheduled 16Apr2021. The patient was allergic to the penicillin class in generalized. When the patient was small, he was hospitalized for 15 days in a bubble following an allergic reaction. The wife reported that the patient drinks (takes) every day religiously one Centrum for men, one Vitamin c, and an aspirin. She clarified all the medications that her husband drinks (takes) he has been on for at least 10 years, since he was 35 or 40 years old, tops. All of these medications are approved by the doctor. She mentions when she try and give her husband a pill, he just looks at it. He won't even drink (take) a Tylenol. Her husband works construction and was around a lot of dust. Sometimes, he will work with Clorox and stuff like that cleaning towers, so he just takes Vitamin C to stay safe. Their son was a vet and when her husband helps their son with the animals, he takes it to make sure he was clean. She also clarified that her husband drinks (takes) the aspirin that was for arthritis because he's 57 and has worked very hard. She believes the dose was 325 or 500, she was not sure. She clarified further it's the aspirin that's for body and aches. His doctor doesn't let him take any more than one tablet daily in case he gets cut, he could bleed. The patient takes the aspirin daily because both his dad and mom died of aneurysms so he was told to take an aspirin daily to make sure his arteries and everything are clean. It's a preventative to make sure he doesn't get any clogs and for the pain. She makes the comment unfortunately, their son that's 35 had to have 2 open heart surgeries. She and her husband have not been in contact with anyone. They have 3 small grandkids and a son with a history of open heart surgery. The wife reported that she and her husband live in a bubble. The patient underwent lab tests and procedures which included body temperature: 101-102 on 29Mar2021 and COVID-19 test which was negative on an unspecified date in Mar2021 and then became positive   on 30Mar2021. On an unspecified date, the patient recovered from COVID-19 while outcome of the rest of the events was unknown.