Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Hypokinesia, Pain in extremity, Vaccination site pain
Clinical narrative: Following my 2nd dose of the 2 part series vaccine in August I have had intermittent pain that comes from the injection site (Left Arm)/ The pain is locateddirectly at the injection site.; When the pain presents itself it is deep and sore and it inhibits me from having full range of motion because of the discomfort.; When the pain presents itself it is deep and sore and it inhibits me from having full range of motion because of the discomfort.; Additionally, I can no longer lay on my side ( Lt. Arm) at night for long periods of time without having a gnawing pain that occurs throughout my whole Lt. arm.; This is a spontaneous report from a contactable nurse, the patient. A 39-year-old non-pregnant female patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0191) via intramuscular route of administration in the left arm on 27Aug2021 (at the age of 39-years-old), as a single dose for COVID-19 immunisation. Medical history included chronic back pain and known allergies to sulfa and penicillin (PCN). Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any concomitant medications. The patient previously received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0186) via intramuscular route of administration in the left arm on 23Jul2021 (at the age of 39-years-old), as a single dose for COVID-19 immunisation. The patient did not receive any other vaccines within four weeks prior to the COVID-19 vaccine. On an unknown date in Sep2021, following 2nd dose of the 2-part series vaccine in Aug2021, the patient experienced intermittent pain that came from the injection site (Left Arm). As of 29Oct2021, it had occurred on 4 occasions. The patient reported that, when the pain presented itself, it was deep and sore, it inhibited the patient from having full range of motion because of the discomfort. The pain was located directly at the injection site. Additionally, the patient could no longer lay on her side (left arm) at night for long periods of time without having a gnawing pain that occurred throughout her whole left arm. The patient was concerned that this would not go away and potentially get worse over time. The pain that patient experienced felt like she just got the vaccine yesterday and it was almost 3 months since vaccination. The events did not result in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care. Therapeutic measures were not taken as a result of the events. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the events had intermittent pain that came from the injection site (Left Arm), when the pain presented itself, it was deep and sore, it inhibited the patient from having full range of motion because of the discomfort, the pain was located directly at the injection site, additionally, the patient could no longer lay on her side (left arm) at night for long periods of time without having a gnawing pain that occurred throughout her whole left arm was not resolved at the time of this report.