Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Blood thyroid stimulating hormone, Dental examination normal, Malaise, Myalgia
Clinical narrative: muscle pain; Left knee had pain that radiated 6 inches down; dental pain/intermittent right jaw pain; feeling unwell; This is a spontaneous report from a contactable consumer (56-year-old male consumer reported). A 74-year-old male patient received the first dose of bnt162b2 (Pfizer-BioNtech Covid-19 Vaccine, Solution for injection, Lot Number: EL9265, Expiry date: Unknown), via an unspecified route in the left arm on 20Feb2021 (Saturday) at 10:00 (age at vaccination: 74-year-old), as a single dose for covid-19 vaccine. The patient medical history and concomitant medications were not reported. Historical vaccine included flu shot in Oct2020. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. No additional Vaccine administered on same date of the Pfizer Suspect. He wears hearing aids, and glasses, and that was the only minuses he had at his age. On 20Feb2021, at about 23:00 that night patient started feeling a throbbing pain in his right-side dental area. He said he took some Ibuprofen and an hour afterwards, the Ibuprofen started taking effect, and he fell asleep. His right-side dental area pain continued to Monday (22Feb2021), Tuesday (23Feb2021), and Wednesday (24Feb2021). He kept popping pills to control the pain. Around Tuesday (23Feb2021) he made an appointment with his dentist to make sure he didn't have a root canal, or crown acting up. On 25Feb2021 Thursday afternoon, he saw his dentist and his dentist made x-rays of the whole side, upper and lowers, and everything turned out ok, tapped on his teeth, and applied ice to his teeth (clarifying ice or cold water will intensify tooth pain). His Dentist found nothing is wrong with his teeth. On 24Feb2021 on Wednesday morning at around 01:30, he felt a throbbing pain on the inside of his left knee and the throbbing pain radiated about 6" down from his left knee. He popped another pill and after a while, the pain subsided, but continued. His left knee pain has improved and at one point, as he walked, his left knee would almost buckle, he had to be careful changing elevations on the floor, if he steps down, it wanted to buckle, he doesnt have that now. The last 3 days his left knee pain had improved, and he still feels a little bit of pain, but he can live with the left knee pain. It has improved but intermittent pain that will not go away. Reported this morning at 11:00, his right-side jaw started to have pain/ throbbing pain that he never experienced before. At 13:15 as he was talking to the agent, this 10-minute pain resurfaced/the right-side jaw pain and discomfort started again until 13:25 today. The right-side jaw pain went away in 10 minutes. Reporter asked if he should pop a pill when he has the right-side jaw pain because the right-side jaw pain seemed to only last 10-15 minutes. The only thing that bothers him is this 10-minute episode that is going on with my jaw. On 12Mar2021, he was scheduled for the second dose at 09:30, and he was hesitant to get the second COVID-19 Vaccine shot. The symptoms he had have to be from the COVID-19 Vaccine. He never experienced discomfort like he has had since he got his first COVID-19 Vaccine shot. He said he knows what a toothache feels like, and what he had was not a toothache. He said his dentist did a thorough exam, and confirmed he was OK. Does he take a pain killer after or an hour ahead? forecasting this episode. He was at loss 10 days from the vaccine. At 14:30, while he was on hold, his jaw started hurting again, he has about 3 minutes left for the 10 minutes. Except for hearing aids and glasses, he was in good condition. The pain went away at 20 till., exactly 10 minutes. No throbbing anymore, the knee is feeling better. He was going to cross his body and ask God to help. Patient would like information sent to me regarding anything that would be helpful, like deviation in time for the second dose. Treatment: Reported he took Ibuprofen and Extra-Strength Tylenol. He clarified he had a prescription for generic Ibuprofen 800mg tablets and tablets were dispensed in a white manufacturer's bottle, but he did not see the NDC, Lot, and Expiration Date listed. The letters ASCE Generic SCHN was listed by Ibuprofen 800mg tab and the directions are to take 1 tablet three times a day with food. He took the generic Ibuprofen 800mg for about 4 days at the beginning of his symptoms, and then noticed the Ibuprofen prescription label had a 2019 expiration date and when he realized the generic Ibuprofen 800mg prescription was expired he moved to taking the Extra-Strength Tylenol Adult Extra Strength Tylenol 500mg caplet, 24 caplets/bottle: Lot Number: SMA031, Expiration Date: Aug2024, Manufacturer: Johnson & Johnson. He said the Adult Extra Strength Tylenol 500mg caplet was listed as a pain reliever and fever reducer. He had taken the Adult Extra Strength Tylenol 500mg caplet for the last 3 days. Reported he has had occasional right sided jaw pain and at 13:15, he had right sided jaw pain, and the jaw pain lasted until 13:25. Reporter asked does he take an aspirin for the right sided jaw pain. He said the right sided jaw pain only lasted 10 minutes, and then went away. He feels perfect now. He said twice this morning, he had two 10-minute episodes of right sided jaw pain and the pain felt like it was in his right dental area, in his right teeth. The only thing dentist could think he could have been joint and muscle pain, and feeling unwell, the left knee pain could be a joint pain, his right sided jaw pain was a muscle pain. Patient felt better now. Reported he called his primary care doctor's office 5 days ago and spoke to his doctor's nurse. He said he explained to the nurse the throbbing pain in his left knee. He said the nurse said that his throbbing pain might be a blood clot, and he should go to the emergency room, since the left knee pain comes right on heels of him getting his first COVID-19 Vaccine, he was not going to associate his left knee pain with something else. He didn't get to the emergency room. Reported he was feeling better in his left knee now, but the 10-minute episodes in the right side of his jaw have him especially concerned. The patient underwent lab test and procedure which included x-rays of the whole side, upper and lowers in Feb2021, and everything turned out ok, on 25Feb2021 dental examination normal result unspecified. Blood test on 12Feb2021 to check his thyroid TSH test was 4, and the TSH range was between 3.6 and 5, so his result was normal. The clinical outcome of jaw pain was recovered, left knee pain radiated about 6 inch down, muscle pain was recovering and feeling unwell was unknown.   No follow-up attempts are needed. No further information is expected.