Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test
Clinical narrative: joint swelling got worse; joint swelling got worse; worsening pain; stiffness; tightness in chest; cough; difficulty walking; cannot flex toes; inflammation came back worse-in both ankles and feet, toe joints; tightness behind kness; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 47 year-old male patient received bnt162b2 (BNT162B2), administered in arm left, administration date 08Sep2021 18:30 (Lot number: FC3182) at the age of 47 years as dose 2, single for covid-19 immunisation. The patient had no relevant medical history. The patient's concomitant medications were not reported. Vaccination history included: Bnt162b2 (First dose covid-19 vaccine , lot no. FA7480 , Anatomical Location: Arm left), administration date: 18Aug2021, for COVID-19 immunization, reaction(s): "arthralgia". The following information was reported: JOINT SWELLING (non-serious), CONDITION AGGRAVATED (non-serious) all with onset 09Sep2021 06:30, outcome "not recovered" and all described as "joint swelling got worse"; PAIN (non-serious) with onset 09Sep2021 06:30, outcome "not recovered", described as "worsening pain"; MUSCULOSKELETAL STIFFNESS (non-serious) with onset 09Sep2021 06:30, outcome "not recovered", described as "stiffness"; CHEST DISCOMFORT (non-serious) with onset 09Sep2021 06:30, outcome "not recovered", described as "tightness in chest"; COUGH (non-serious) with onset 09Sep2021 06:30, outcome "not recovered", described as "cough"; GAIT DISTURBANCE (non-serious) with onset 09Sep2021 06:30, outcome "not recovered", described as "difficulty walking"; MOBILITY DECREASED (non-serious) with onset 09Sep2021 06:30, outcome "not recovered", described as "cannot flex toes"; INFLAMMATION (non-serious) with onset 09Sep2021 06:30, outcome "not recovered", described as "inflammation came back worse-in both ankles and feet, toe joints"; JOINT STIFFNESS (non-serious) with onset 09Sep2021 06:30, outcome "not recovered", described as "tightness behind kness". The events "joint swelling got worse", "joint swelling got worse", "worsening pain", "stiffness", "tightness in chest", "cough", "difficulty walking", "cannot flex toes", "inflammation came back worse-in both ankles and feet, toe joints" and "tightness behind kness" were evaluated at the physician office visit and emergency room visit. Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of joint swelling, condition aggravated, pain, musculoskeletal stiffness, chest discomfort, cough, gait disturbance, mobility decreased, inflammation, joint stiffness.  Additional information: 12 hrs after 2nd dose joint swelling got worse, worsening pain, stiffness, tightness in chest, cough, difficulty walking, cannot flex toes; after medrol dosepack, inflammation came back worse-in both ankles and feet, toe joints, tightness behind knees; hard to bend them. All indication (per MD) is that this is a response to vaccine. Treatment to AE was provided as medrol-dose pack. came back. AE resulted in doctor or other healthcare professional office/clinic visit, Emergency room/department or urgent care. No covid prior vaccination. Patient was not diagnosed with COVID-19 Prior to vaccination. Post vaccination patient got covid tested. Covid test post vaccination: covid test type post vaccination: Nasal Swab and PCR. Covid test date was 13Sep2021 and 28Sep2021. Covid test result was negative. No Known allergies. None other medical history. Pharmacy or Drug Store was the most recent Facility where COVID-19 vaccine was administered. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. No other medications the patient received within 2 weeks of vaccination.   No follow-up attempts are possible. No further information is expected.