Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Pain in extremity
Clinical narrative: really bad sore and bruised arm; really bad sore and bruised arm; 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 92-year-old female patient received BNT162b2 (BNT162B2), on 30Nov2021 at 14:00 as dose 3 (booster), single (Lot number: FH8030) at the age of 92 years, in right arm for covid-19 immunisation. The patient's relevant medical history included: "Macular degeneration" (unspecified if ongoing), notes: Macular degeneration diagnosed four years ago; "hearing problem" (unspecified if ongoing), notes: hearing problem diagnosed many many years ago, only has hearing in one ear; "very high fever" (unspecified if ongoing), notes: at one years old running a very high fever; "mastoid broke the year drum" (unspecified if ongoing), notes: a mastoid broke the year drum, deaf in one ear.; "Colostomy" (unspecified if ongoing), notes: Colostomy Diagnosed 27-28 years ago; "lost a weight" (unspecified if ongoing), notes: lost a weight; "poor sight" (unspecified if ongoing), notes: poor sight is very poor. The patient took concomitant medications. Vaccination history included: BNT162b2 (Dose: 1, Lot number: FW0150, Anatomical Location: Right Arm, Expiry Date: Unknown), administration date: 03Apr2021, when the patient was 91-year-old, for COVID-19 Immunization, reaction(s): "No adverse effect"; BNT162b2 (Dose: 2, Lot number: EW0150, Anatomical Location: Right Arm, Expiry Date: unknown), administration date: 24Apr2021, when the patient was 91-year-old, for COVID-19 Immunization, reaction(s): "No adverse effect"; Flu shot (about 50 years ago a Flu shot, made her sick to her stomach, it didn't hurt her arm.), reaction(s): "sick to her stomach". The following information was reported: PAIN IN EXTREMITY (non-serious), CONTUSION (non-serious) all with onset 01Dec2021, outcome "not recovered" and all described as "really bad sore and bruised arm". Therapeutic measures were taken as a result of pain in extremity, contusion.  Additional information: Caller went to withheld pharmacy, she got both of her shots for Covid, no problem. On 30Nov2021, she never felt it when the girl gave the shot to her. she did not feel 'bad' when getting the shot. The next day her arm felt bruised and sore, her arm started getting sore up to her shoulder, and was get so it, it was like bruise and it just kept getting worse and going down, down, now her whole arm was sore, when she pick something up it hurts, when she try to move some thing her arm hurts. she can't pick anything up, her arm hurts no matter what she does. Caller stated that since having the booster vaccine, she has had a "really bad sore and bruised arm." Caller stated that she had a doctor's appointment tomorrow to assess her arm. She is wondering if any other people have had this problem, what she can do for her side effects. Consumer enquired whether had any complaints of people after they got the booster shot having a sore arm. Consumer was informed about the role of Pfizer Drug Safety. Consumer was informed about the Pfizer Medical Information department and telephone# was shared as withheld, option 3, 8 AM to 9 PM, Monday to Friday. Spoke from attached document: "Cons -How long side effects last (v8.0" under "Side effects that had been reported with the vaccine include." Informed caller that Pfizer is unable to make treatment recommendations for individual patients. Referred caller to follow up with her HCP. Fulfillment offered and sent. Survey offered. Case narrative including clinical course, therapeutic measures, outcome and additional relevant information: Report was not related to a study or programme. The patient was also the reporter. HCP consent to contact was Yes. HCP Type was General practitioner. Other Conditions were Yes. No Investigations. NDC number and Expiry Date of Pfizer Covid-19 Vaccine was Unknown. Other Products were Yes. she used to be 5 foot 2 inches height but is now 5 foot 1 and half inch, happened over the last few years. she lost a weight, before the vaccine She has poor sight is very poor, she has to get the magnifying glass to look at the paper with her HCP information. Caller has macular degeneration, clarifies this is nothing to with vaccine. Caller called the drug store and they told her to call her doctor. She is going to her doctor tomorrow, then she thought she should also contact Pfizer. arm felt bruised and sore, started the day after receiving the vaccine. Treatment: she was using a roll on, something cold and it was not helping, didn't know the name of the roll on. Her arm hurts no matter what she does: if she reaches across the table she feels pain. Start: the next day. Hard for her to read vaccine card. Vaccine Card: Looks like they wrote the 30Nov2021, but she went 20Nov2021. She is checking her calendar. At her age it is kind of hard to remember things. Clarifies she had an appointment on 20Nov2021 and they canceled and she did receive the booster on 30Nov2021 as documented on her vaccine card. Second dose received 24Apr2021. Lot number: EWD150 or EW0150. Caller isn't sure if that is a D or Zero following EW in the lot number.  Right Arm. No expiration dates listed. Indication: Allergic to so many things, her daughter went over the list with the Pfizer and the other one and the Pfizer was the only one she could use without having a problem. Her daughter is a physical therapist and she looked through the list of what the other two vaccines contain and she said Pfizer was the best one for her. Concomitant Medications was No, her ordinary medicine was what she was taking. No Investigations. since her arm was not getting better, she wanted to see what she could do for it. Vaccine Lot Expire Date was unknown. Additional Vaccines Administered on Same Date of the Pfizer Suspect was none. arm felt bruised and sore Time of Onset: (24-hour clock) was morning. hurts no matter what she does. Each day it was getting worse. No Emergency room visit. kept thought it was going to get better, has a regular appointment at the doctors tomorrow.  No Physician Office visit. Prior Vaccinations (within 4 weeks) If applicable, list any other vaccinations within four weeks prior to the first administration date of the suspect vaccine(s) were none. Adverse Event Onset Age of flu shot was unknown. Vaccine/Brand Name and Vaccination Date was unknown. Family Medical History Relevant to AE(s) was none. Relevant Tests were None. NDC and UPC number of COVID-19 Vaccine was Unknown. Additional Context: Last name: Consumer stated, "withheld (When clarified as withheld consumer confirmed the same, contradictory information hence, not captured in tab; Initial confirmed as K hence captured)." Lot#: Consumer stated, "Oh god I do not know where my card is right now." Product details (Expiration date, NDC# UPC# and Treatment) and Pharmacy details could not be probed as consumer was unwilling to share further information. Hence further probing could not be done. Limited information available over the call. QR Comment: Reporter type could not be probed hence captured by default as Consumer or other non-health professional in tab.  No follow-up attempts are possible. No further information is expected.