Age: 66.0
Sex: F
Vaccine: COVID19-2, COVID19-2
Symptoms: Nerve conduction studies, SARS-CoV-2 test, Vaccination site discomfort
Clinical narrative: On all four injection sites I had knots underneath my skin; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP), Program ID: (005570). The reporter is the patient.  A 66-year-old female patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 01Oct2022 at 12:00 as dose 4 (booster), single (Lot number: GH9703) at the age of 66 years intramuscular, in left arm for covid-19 immunisation. The patient's relevant medical history included: "Retinal vein occlusion", start date: 01Aug2018 (ongoing), notes: Pertinent details: eyelea injection every 4 to 6 weeks; "High blood pressure" (ongoing), notes: Onset date: 10 years ago, Pertinent details: metoprolol succinate 100 mg 1x a day. The patient's family history included: "Thyroid" (ongoing), notes: Levothyroxine sodium-25mcg; "Stroke" (unspecified if ongoing); "Alzheimers" (unspecified if ongoing); "Arthritis" (unspecified if ongoing); "eye diseases" (unspecified if ongoing); "Thyroid" (unspecified if ongoing); "High blood pressure" (unspecified if ongoing). Concomitant medication(s) included: METOPROLOL SUCCINATE taken for hypertension; LEVOTHYROXINE SODIUM taken for thyroid disorder. Vaccination history included: BNT162b2 (dose-1, Time : 10:00 am, Route of administration : Intramuscular, Anatomical site of injection : Right upper arm, Batch lot no:ELO142), administration date: 04Jan2021, for Covid-19 immunization, reaction(s): "On all four injection sites I had knots underneath my skin"; BNT162b2 (dose-1, Time : 10:00 am, Route of administration : Intramuscular, Anatomical site of injection : Right upper arm, Batch lot no:ELO142), administration date: 04Jan2021, for Covid-19 Immunization, reaction(s): "pain that radiates down my arm to my right thumb", "pain that radiates down my arm to my right thumb"; BNT162b2 (Dose-2, Time : 02:00 PM, Route of administration : Intramuscular, Anatomical site of injection : Right upper arm, Batch lot no: EL8a82), administration date: 26Jan2021, for Covid-19 Immunization, reaction(s): "On all four injection sites I had knots underneath my skin"; BNT162b2 (dose-3, Time : 10:00 am, Route of administration : Intramuscular, Anatomical site of injection : Left upper arm, Batch lot no: EW0186), administration date: 20Aug2022, for Covid-19 immunization, reaction(s): "On all four injection sites I had knots underneath my skin". The following information was reported: VACCINATION SITE DISCOMFORT (non-serious), outcome "unknown", described as "On all four injection sites I had knots underneath my skin". Relevant laboratory tests and procedures are available in the appropriate section.  Additional information: Booster dose due to high risk of frequent institutional or occupational exposure to coronavirus (and at risk of serious COVID-19 complications). Specific Relevant Test for Thromboembolic events with Thrombocytopenia was None. first Pfizer injection was given on 04Jan2021 and still experience pain that radiates down, my arm to my right thumb. On all four injection sites I had knots underneath my skin. I have had a nerve conduction test for carpal tunnel syndrome yet highly arthritic. I got covid on my birthday and it felt more like flu. My doc tested me and I was positive. (hubby was too) I am willing to be followed for research since I am concerned of having lasting effect.I have had 2 vaccines for COVID that were Pfizer on dates 04Jan2021 & 26Jan2021. Then two Pfizer boosters on 20Aug2021 & 01Oct2022. My right upper arm where two of the injections were given stay sore along with pain on occasion traveling down my arm into my right thumb. This has been ongoing for quite awhile and I thought it was my side sleeping but bought a spinal alignment pillow and it still persists. The pain is not severe but was there. I am 66 years old white female and am concerned.