Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood pressure measurement, Hypertension, Ultrasound scan
Clinical narrative: pain caused blood pressure to go sky high after the second dose; such tremendous pain from my knee to my toes; pains in elbow; This is a spontaneous report from a contactable consumer (patient).   An 86-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), dose 2 via an unspecified route of administration on 12Feb2021 (age at vaccination 86-years-old) (Batch/Lot Number: EM9810) as DOSE 2, SINGLE for covid-19 immunisation. Medical history included right knee replacement on Apr2018. Caller reported that she has a history of a knee replacement about 3 years ago, as a result she normally experiences nerve pain from her hip to her knee, breast cancer from Aug2013 to an unknown date, ongoing diastolic heart failure, ongoing macular degeneration, ongoing vitamin d decreased, ongoing reflux and to protect her stomach and ongoing hypothyroidism. Concomitant medication included 200ug levothyroxine sodium (SYNTHROID) (daily), 20mg omeprazole (20 mg, daily (ER 20mg daily), furosemide (40 mg, daily) for diastolic heart failure, spironolactone (12.5 mg, daily (25mg, takes half tab daily) for diastolic heart failure, ascorbic acid, betacarotene, cupric oxide, tocopheryl acetate, zinc oxide (PRESERVISION) (1 daily) for Macular degeneration, vitamin d nos (5000 iU, daily (5,000 units daily) for vitamin D level was low. On 22Jan2021, the patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), dose 1 via an unspecified route of administration at left arm (age at vaccination 85-years-old) (Batch/Lot Number: EK4176) as DOSE 1, SINGLE for covid-19 immunisation and had sore arm and was achy. On 13Feb2021, over the weekend she woke up with pains in her elbow like sticking a needle in it. It lasted for a minute and then it went away. It came and went and then it was gone. She had five episodes of pain in the elbow. On 14Feb2021, her pains in elbow recovered. On 15Feb2021, Monday she had tremendous pain in her right leg from the knee down to her ankle. She was unsure if the pain is related to the vaccine or to the knee replacement. She had an ultrasound to check for a deep vein thrombosis. It was assumed to be negative. They didn't make her wait on the table. She asked if we had any weird side effects. The pain in her right leg varies. On 16Feb2021, the pain caused her blood pressure to go sky high. Normally her blood pressure was 120/70. She was active. She tried to rule out the pain. She had two episodes with her blood pressure last night. Each time lasted a half an hour and went back down to 120/51. As soon as she got off her feet and eliminated the pain, her BP dropped. On 19Feb2021, her pain caused blood pressure to go sky high after the second dose recovered. At the time of this report, the outcome of such tremendous pain from my knee to my toes was unknown and other event outcome was recovered on 14Feb2021 and the event pain caused blood pressure to go sky high was recovered on 19Feb2021.  No follow-up attempts are possible. No further information is expected.