Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Breast swelling, Cough, Dyspnoea, Gait disturbance
Clinical narrative: her underarm had a huge swollen area; She couldn't put her arm all the way to her side or touch it because it was so sore; she could barely walk; Typical stuffy nose; cough; Shortness of breath; Severe pain in hips; heart palpitations; Left arm swelling and couldn't move wrist; Left arm swelling and couldn't move wrist; Face was puffy too; Arm is now sore; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  A 67 year-old female patient received bnt162b2 (BNT162B2), administered in arm left, administration date 10Mar2022 16:30 (Lot number: FK9895) at the age of 67 years as dose 1, single for covid-19 immunisation. The patient had no relevant medical history. There were no concomitant medications. The following information was reported: PERIPHERAL SWELLING (non-serious), JOINT RANGE OF MOTION DECREASED (non-serious) all with onset 10Mar2022, outcome "recovering" and all described as "Left arm swelling and couldn't move wrist"; SWELLING FACE (non-serious) with onset 10Mar2022, outcome "recovering", described as "Face was puffy too"; PAIN IN EXTREMITY (non-serious) with onset 10Mar2022, outcome "recovering", described as "Arm is now sore"; NASAL CONGESTION (non-serious) with onset 11Mar2022, outcome "not recovered", described as "Typical stuffy nose"; COUGH (non-serious) with onset 11Mar2022, outcome "not recovered", described as "cough"; DYSPNOEA (non-serious) with onset 11Mar2022, outcome "not recovered", described as "Shortness of breath"; ARTHRALGIA (non-serious) with onset 11Mar2022, outcome "not recovered", described as "Severe pain in hips"; PALPITATIONS (non-serious) with onset 11Mar2022, outcome "not recovered", described as "heart palpitations "; GAIT DISTURBANCE (non-serious) with onset 12Mar2022, outcome "not recovered", described as "she could barely walk"; LYMPHADENOPATHY (non-serious) with onset 13Mar2022, outcome "not recovered", described as "her underarm had a huge swollen area"; AXILLARY PAIN (non-serious) with onset 13Mar2022, outcome "unknown", described as "She couldn't put her arm all the way to her side or touch it because it was so sore". The events "left arm swelling and couldn't move wrist", "left arm swelling and couldn't move wrist", "face was puffy too", "arm is now sore", "typical stuffy nose", "cough", "shortness of breath", "severe pain in hips", "heart palpitations ", "she could barely walk", "her underarm had a huge swollen area" and "she couldn't put her arm all the way to her side or touch it because it was so sore" were evaluated at the physician office visit.  Additional information: The patient did not have any family medical history relevant to adverse events. There was no history of any previous immunization with the Pfizer vaccine considered as suspect. No additional vaccines were administered on same date of the Pfizer suspect. The patient did not get vaccines. The last vaccine was when she was a kid. The facility where the most recent COVID-19 vaccine was administered was Pharmacy. The vaccine was not administered at Military Facility. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient received her first shot on Thursday evening and three hours later had some adverse reactions and continued having different reactions all weekend long. The patient received the vaccine at 16:30 pm and at about 19:30-20:00 pm, the patient started experiencing first symptoms. Left arm swelling and couldn't move wrist started on Thursday. She received the vaccine in her left arm. Her left arm, the whole arm, swelled and she couldn't move her wrist. Face was puffy too. Arm was now sore, but not as swollen. She was not talking about at the injection site, but the whole forearm. It was getting a little better. The patient woke up with Typical stuffy nose and cough on Friday. She expected that. Shortness of breath started on Friday. She reported that it comes and goes. It had been the same. It hadn't gotten worse but hadn't gotten better either. On Friday night, the patient started having severe pain in hips. By Saturday morning she could barely walk. Sunday morning, she woke up and her left side, down by her breast down her side and to her underarm had a huge swollen area. Huge swollen area down left side. She couldn't put her arm all the way to her side or touch it because it was so sore. The patient went to PCP that day, 14Mar2022 to document this, but she didn't give her anything. The adverse events did not require a visit to Emergency Room. No relevant tests were done. The patient went to primary care and the doctor noted all of that. Was wondering if they could help her with what to do about the second shot. She did not want to get it with the severity of the reaction she had. They wanted to know if there was any possibility that they would give her something where she would not have to get the second vaccine. With the severity of the first shot she didn't feel it was safe to get the second shot.   No follow-up attempts are possible. No further information is expected.