Age: 75.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Myalgia, Pruritus, Vaccination site pain, Weight
Clinical narrative: normal pain and muscle pain in the arm she received the vaccine; she has dark red, pin needle sized dots on her left arm and legs; She clarifies they are tiny little dots like a pin needle, that look darker in color. It's not a bright red, more so a darker red; Muscle pain; The bottom of her legs were kind of itchy and had this burning sensation; The bottom of her legs were kind of itchy and had this burning sensation; This is a spontaneous report from a contactable consumer (patient). A 75-year-old female patient received bnt162b2 (BNT162B2 reported as PFIZER-BIONTECH COVID-19 VACCINE), dose 1 intramuscularly administered in the left arm on 16Feb2021 11:00 (Lot Number: EL9267) as dose 1, single for covid-19 immunisation. Medical history included asthma, ear infection a couple weeks ago from 2021 to an unknown date so she was taking antibiotics and using some ear drops to take the inflammation off but she thinks this was already gone before she received the vaccine, blood pressure (blood pressure abnormal) and diabetes. Concomitant medications included lisinopril for blood pressure; hydrochlorothiazide for blood pressure; metformin for diabetes; and rosuvastatin calcium (CRESTOR) for an unspecified indication, all therapy dates were not reported. The patient previously had historical vaccine of pneumonia vaccine which is like every 5 years because she is prone to pneumonia (also reported as like a year ago) and had pain in her arm; and she also her had tetanus shot which she had not long ago, but they didn't give it in her arm, they did it in her butt because she knew she would be using her arm all the time wherein she just could not sit for a week. The patient received the vaccine through a drive-thru in the parking garage in the mall. The patient reported that she received the first dose of vaccine yesterday (16Feb2021). She added that she has dark red, pin needle sized dots on her left arm and legs on 17Feb2021. She is not sure if what she is experiencing is serious or not serious. She tried to call her doctor and was told by the doctor that they don't deal with the vaccine and was referred to site she received the vaccine from. She has noticed like pin size red dots on her arms and legs. They are tiny little dots like a pin needle, that look darker in color and was not a bright red, more so a darker red. She noticed on the paperwork she was given there was side effects, but they didn't say nothing about having the red dots or any symptom like that. It says something about a swollen arm, which she doesn't have. She does have some pain, but nothing bad. She has normal pain and muscle pain in the arm she received the vaccine. She was taking Tylenol and she is okay with that. She was not sleeping on that side because it hurts, however, this is normal to her. She always has pain in her arm with any vaccine she receives, she clarifies she always has pain in her arm for a week. She further added that this morning (17Feb2021), she started noticing the red dots and the bottom of her legs were kind of itchy and had this burning sensation. Then, she started looking at her whole body and noticed especially on her left arm where the vaccine was administered. She noticed a few spots there. She saw some on her legs but not that many. She stated that she might have more spots later. The adverse events did not require emergency room or physician's office visit. The patient underwent lab tests and procedures which included blood test with unknown result on 2021, and body height was probably 5'1'' now, she used to be 5'2'' and weight was 155-160lbs, both on an unspecified date.  The outcome of the events was unknown.  Follow-up attempts completed. No further information expected.