Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Gait disturbance, Myalgia, Pain, Pyrexia, SARS-CoV-2 test
Clinical narrative: voice had been messed up; hardly walk; Mild fever; Body aches; Muscle pain and joint pain in his hips, shoulders, knees, and back of neck; Muscle pain and joint pain in his hips, shoulders, knees, and back of neck; This is a spontaneous report received from a contactable consumer, the patient. A 48-year-old male patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; Lot: EP7533), via an unspecified route of administration in the left arm on 30Mar2021 at 11:00 (at the age of 48-years-old) as a single dose for COVID-19 immunization. Medical history and concomitant medications were not reported. The patient previously received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; Lot: EN6204) on 09Mar2021 (at the age of 48-years-old) in the left arm for COVID-19 immunization and had no events following the first dose. The patient did not receive any other vaccinations within 4 weeks of the vaccine. On 30Mar2021, the patient experienced body aches, muscle pain and joint pain in his hips, shoulders, knees, and back of neck. On Apr2021, the patient experienced a mild fever and could hardly walk. On an unspecified date, the patient's voice had been messed up. The course of events was follows: On 30Mar2021 at around 20:00-21:00, the patient had full body aches (further described as muscle pain and joint pain in his hips, shoulders, knees, and back of neck ) and then it got a little better for a couple of days. The patient woke up on 31Mar2021 and it was really bad. He tried to work through it. However, he finally went to the doctor and then the Emergency Room (ER) for the first time. He was put on meloxicam 15mg for 4 days and it didn't do anything, although it was reported he didn't take them all. On Apr2021, the first week after the second vaccine (also reported as a few days later, even up to 5 days), the patient had a mild fever, for one or two days it got up to 100.3 degrees F. The patient had not had respiratory problems or breathing problems. When the meloxicam didn't work, the patient went back to the ER. He received a steroid shot while there. He received 5 days of 60mg daily of prednisone. The patient felt fine when he was taking it, but when it wore off, he crashed real hard and was right back to where he could hardly move. After the prednisone wore off, he went back to the ER for the third time, on approximately 23Apr2021, because he could hardly walk. He was told to take ibuprofen and paracetamol (TYLENOL) until he could get into see his primary care. That was probably for about a week. The patient saw his new primary care and was so bad he had to use a wheelchair. The patient had regular blood panels completed with unknown results. The provider put him on the second round of prednisone, but he was told he couldn't keep taking it because it could really screw him up. He was prescribed prednisone 10 mg tablets to take 6 tablets for 3 days (for a total of 60mg), then 4 tablets for 3days, then 2 tablets for 3 days, then 1 tablet for 3 days and stop. He felt good at the beginning, but as the dosage went down, the medication wore off, his pain came back real bad. He was hurting really bad because he was tapering off the steroid, prednisone. He went in "last Friday" and they put him on duloxetine (CYMBALTA) 30mg by mouth once a day. He was also taking over-the-counter naproxen sodium (ALEVE) 220 mg about every 8 hours for pain. The patient was checked for "rheumatoid stuff" with unknown results. The patient was put on duloxetine because he was normally a very active person, but this had been debilitating, some days he cannot even get off the couch because of the pain and not being able to walk. He just started a new job and now he's not been able to work. For example, "today", the patient can hardly lift his arms above his head because his shoulders hurt so bad. The patient reported that the muscle and joint pain persisted, but some days the pain got real bad. "Yesterday" he couldn't even get up hardly to go use the restroom, he had to use a cane. This morning, he has been able to get up better today. The pain is just always there since this all happened. He can't move very good, it hurt so bad. The patient also added that his voice had been messed up since all of this. The patient underwent the following lab tests on 27Mar2021 COVID-19 rapid test: negative, on 09Apr2021 COVID-19 test: negative, on 10Apr2021 COVID-19 rapid test: negative. The clinical outcome of mild fever, voice had been messed up and hardly walk was unknown, of body aches and muscle pain and joint pain in his hips, shoulders, knees, and back of neck was not resolved.  No follow-up attempts are needed; no further information expected.