Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test, Vaccination site joint pain, Vaccination site pain
Clinical narrative: fever; muscle aches/bone pain; muscle aches/bone pain; chills; not feeling well; Feeling cold; pain in the joint of her left hand; Headache; knee pain, pain on her left side; has gotten much worse this morning; pain in the area where she got the shot done; This is a spontaneous report from a contactable consumer (patient). A 67-years-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection), via an unspecified route of administration, administered in left arm on 08Apr2021 at around 2:00 or 2:05 pm (Lot Number: EN6207), at the age of 67 years, as single dose for COVID-19 immunisation. Medical history included heavy headache with chronic migraines last year in 2020 of January or February and ongoing arthritis but patient don't remember exactly when she was diagnosed with arthritis but some time around 3 or 4 years ago and not receiving any treatment, they just gave her Ibuprofen and told her it was age-related and there is not much they can do so she wasn't doing anything besides that. Patient had no family medical history relevant to AE, she lives alone and she doesn't have family here. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Patient did not receive any other vaccines on Same Date of the Pfizer Suspect. Patient had no AE following prior vaccinations. The patient's concomitant medications were not reported. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection), via an unspecified route of administration, administered in left arm on 18Mar2021 at 09:00 (Lot Number: EN6206), at the age of 67 years, as single dose for COVID-19 immunisation. Patient also taking a medication related to nerves called Gabapentin. She is no longer taking the Gabapentin. She was taking it for her nerves because she got a shot done to her hips that damaged her nerves. She clarifies she started the Gabapentin around 2018 and stopped taking it at the end of 2019. She does not currently have the Gabapentin. On 09Apr2021, the patient experienced pain in the area where she got the shot done, fever of 99, Headache, muscle aches/bone pain, chills, not feeling well, feeling cold, pain in the joint of her left hand, knee pain, pain on her left side and condition has gotten much worse. Patient started taking Tylenol and it's not helping with the pain, the headaches or the fever. For headaches she was taking Tylenol Extra and it's not helping. When probed for the strength she is taking of the Tylenol, the caller clarifies it is extra strength. She reads acetaminophen 250 mg, aspirin 250 mg and caffeine 65 mg. Her usual temperature is somewhere around 97.2 or 97.5. Her temperature started going up to 98.8 and right now her temperature is 99.0. When the COVID started in 2020, patient tried to go to appointments and they wouldn't take her because she needed to do a COVID test, so she did a COVID test results were unknown. Patient going to have an appointment with primary care doctor on 13Apr2021. The outcome of the events fever, muscle aches/bone pain, chills, not feeling well, Feeling cold, pain in the joint of her left hand was not recovered. The outcome of rest all the events was unknown.   No follow-up attempts are needed. No further information is expected.