Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Foot fracture, Gait disturbance, Investigation, Joint swelling
Clinical narrative: I cannot walk, it affected the 'nervous' system, very painful./really painful like you hit my nerve; My feet got swollen; I cannot walk; very painful; I cannot walk; very painful; It (feet) turned red; feet and ankles are swollen and hurts/ swelling in both of his feet and it goes up to his ankle and leg.; feet and ankles are swollen and hurts/ swelling in both of his feet and it goes up to his ankle and leg/thighs are swollen; Feet and ankles are swollen and hurts; Feet and ankles are swollen and hurts; broke one toe on the right side; Bedridden; This is a spontaneous report from a contactable consumer (patient). A 71-year-old male patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; solution for injection; Lot #: Unknown) via an unspecified route of administration in Apr2021  "in the morning" (at the age of 71-years-old) as a single dose in the left arm for COVID-19 immunization. Medical history included type II diabetes mellitus from an unspecified date and ongoing (diagnosed about a year ago). The patient also had home nursing care. The patient did not have a history of adverse events that followed prior vaccinations. There was no family medical history relevant to the events. Concomitant medications included unspecified medications, "three or four different ones", that the patient had been taking previously. He did not start anything new within the 2-week period leading up to the adverse events. The patient did not receive prior vaccinations within 4 weeks prior to the first administration of the COVID-19 vaccine or administered on the same date as the COVID-19 vaccine. The patient stated that he had a cortisone shot prior to the administration of the COVID-19 vaccine. The patient previously received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; solution for injection; Lot #: Unknown) via an unspecified route of administration in Apr2021  "in the morning" (at the age of 71-years-old) as a single dose in the left arm for COVID-19 immunization. On an unspecified date in Apr2021 the patient experienced my feet got swollen, I cannot walk; very painful, it (feet) turned red, feet and ankles are swollen and hurts/ swelling in both of his feet and it goes up to his ankle and leg, feet and ankles are swollen and hurts/ swelling in both of his feet and it goes up to his ankle and leg/thighs are swollen and on an unspecified date the patient experienced I cannot walk, it affected the nervous system, very painful./really painful like you hit my nerve, broke one toe on the right side and bedridden. The swelling events required a visit to the physician office and to the emergency room. The clinical course was reported as follows: The patient stated that he received the Pfizer vaccine and about a week later (also reported as end of Apr) his feet got swollen and were still swollen. He stated that it was a reaction to the vaccine. He could not walk; it affected the nervous system and was very painful. His feet were still swollen for almost 2-3 months. They turned red, looked like a chicken. His feet and ankles were swollen and hurt. The swelling went up to his ankle and leg. This started since he got the vaccine in Apr2021. The patient stated that he was bedridden. The patient stated that he could not walk through it, it was swollen like you could not believe. He could not walk it off. He knew it was from the medication (unspecified). He reported that he broke one toe on the right side and both feet started swelling up like crazy and turned red. The patient clarified that he initially noticed the swelling a couple of days after the vaccine. He never thought about it being from the shot. His feet swelled up and kept swelling although he kept putting ice on it. Both feet were swelling. He clarified that the swelling occurred prior to him breaking his toe. The swelling was already there when he broke his toe. He stood up and heard a snap and a bone snapped in his foot. His feet continued to swell, and he had pain in his whole ankle- his ankle became swollen and was still swollen. The patient went to the hospital where they kept him for a week (Jul2021 to Jul2021) and did all kinds of tests. They kept him hydrated and checked for blood clots, "then it went down my legs to see what it was" and heart failure, which he did not have. He also had a stress test. He stated that nobody knew what he had. He did not have treatment as they were trying to figure out what it was. He wanted to know more information about this and how to get rid of it. He hoped that his feet would get better. He just wanted his feet to be better. They were really painful, like you hit his nerve, hit the nerve after a beat (as reported). He mentioned that the hospital gave him a cortisone short, but this was prior to the Pfizer vaccine. The clinical outcomes of the events my feet got swollen, I cannot walk; very painful, it (feet) turned red, feet and ankles are swollen and hurts/ swelling in both of his feet and it goes up to his ankle and leg, feet and ankles are swollen and hurts/ swelling in both of his feet and it goes up to his ankle and leg/thighs are swollen were not recovered/not resolved while the clinical outcomes of the events I cannot walk, it affected the nervous system, very painful./really painful like you hit my nerve, broke one toe on the right side and bedridden were unknown.   Information about lot/batch has been requested.