Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site bruising, Injection site erythema, Injection site pain, Injection site swelling, Sleep disorder
Clinical narrative: hurt much more than any of these other shots/ it hurt so much when the shot went in/ arm hurt a lot; a lot of swelling above elbow / like a big bump; Bruising; rash; This is a spontaneous report received from a Consumer or other non HCP from medical information team.  A 68-year-old female patient received BNT162b2 omi xbb.1.5 (COMIRNATY (2023-2024 FORMULA)), on 05Jan2024 as dose 1, single (Batch/Lot number: unknown) at the age of 68 years, in arm for covid-19 immunisation. The patient's relevant medical history was not reported. There were no concomitant medications. Vaccination history included: Bnt162b2 (DOSE 1, SINGLE), for COVID-19 immunisation, reaction(s): "vaccination site pain"; Bnt162b2 (DOSE 2, SINGLE), for COVID-19 immunisation, reaction(s): "vaccination site pain"; Moderna (DOSE 3 (BOOSTER), SINGLE), for COVID-19 immunisation, reaction(s): "vaccination site pain"; Flu shot, for immunization, reaction(s): "vaccination site pain". The following information was reported: VACCINATION SITE PAIN (non-serious) with onset 05Jan2024, outcome "not recovered", described as "hurt much more than any of these other shots/ it hurt so much when the shot went in/ arm hurt a lot"; CONTUSION (non-serious) with onset Jan2024, outcome "not recovered", described as "Bruising"; PERIPHERAL SWELLING (non-serious) with onset Jan2024, outcome "not recovered", described as "a lot of swelling above elbow / like a big bump"; RASH (non-serious) with onset Jan2024, outcome "not recovered".  Additional information: Patient called about the Pfizer covid vaccine. She saw about online reporting but stated she does not have an adverse reaction by her understanding of the definition of an adverse reaction, since it was not serious. She does not have to go to the hospital or anything. She got the Pfizer covid vaccine last Friday and this was her 3rd Pfizer covid vaccine, stating she had to get one Moderna covid vaccine in between. When she got the Pfizer covid vaccine this time, stating she had a different reaction than the previous Pfizer covid vaccine. The reaction was a lot of swelling above the elbow and this has not gotten better yet and  bruising, she has visible bruises that appeared later that day. Patient further asked if it was common to have bruising and a lot of swelling above the elbow? It appeared the same day. She had the Pfizer covid 19 vaccine last Friday, (comirnaty) vaccine at the (withheld). This is her third Pfizer, she had a Moderna in between because the Pfizer wasn't available. This is in the arm of the injection. What happened was as she was doing the injection she was very competent, the pharmacist, she believed it was. It hurt much more than any of these other shots. Maybe she was tensed. Patient waited around a while because of the way it hurt so much when the shot went in, she went around the store. As soon as she was driving, her arm hurt a lot. She thought "okay, some of the Flu shots, some years some of the Flu shots hurt more than others. Maybe it's the formulation of this Covid vaccine." She knows it changes and that has definitely been her experience with the flu shot. It's the most swelling she's ever had from a vaccine above the elbow, it's like a big bump compared to her other arm. She kept comparing it to her other arm. Patient thought, maybe this was common, this particular one and they were talking about Covid arm, but it doesn't develop for a while, but she said no, this is immediate whatever was going on. There was talk of a rash so she looked at her arm and removed the Band-Aid, she could see outside of the Band-Aid it was purple, so she thought it looked like a bruise. It's definitely bruising, she still has the remanence of all the bruising, her arm still hurts but not quite as bad and she has several bruises with separate round areas that's bruising. She talked to her friends. It's a big bump, bruising and hurts more than the last ones. It's swollen and bruising, not a rash, it's bruising. Patient do not take baby aspirin or blood thinners, she's in good health, not on any meds. Otherwise she is in good health, she don't get swelling of arms, legs or anything else, that's why it just thrown her off that it was still this way. She couldn't find anything about bruising, she thought maybe it was the rash everyone was talking about.  The information on the batch/lot number for BNT162b2 omi xbb.1.5 will be requested and submitted if and when received.