Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity, Paraesthesia, Vaccination site pain, X-ray
Clinical narrative: tingling in fingers/mostly index finger and middle finger, maybe the thumb a little. It is not all five fingers. On left hand.; pain in arm from elbow down to the hand; tenderness at injection site; This is a spontaneous report received from a Consumer or other non HCP.  A 78-year-old female patient received BNT162b2 omi xbb.1.5 (COMIRNATY (2023-2024 FORMULA)), on 23Mar2024 at 09:50 as dose 1, single (Batch/Lot number: unknown), in left arm for covid-19 immunisation. The patient's relevant medical history included: "fractured bone in wrist of left hand", start date: Oct2023 (unspecified if ongoing); "fall", start date: Oct2023 (unspecified if ongoing), notes: fracture in left wrist due to fall at beginning of Oct2023; "mastectomy on right side" (unspecified if ongoing); "nerve problem" (unspecified if ongoing). Concomitant medication(s) included: ELIQUIS taken for cardiac failure congestive (ongoing); ROSUVASTATIN taken for blood cholesterol abnormal (ongoing); RAMIPRIL taken for blood pressure abnormal (ongoing); BISOPROLOL (ongoing); FUROSEMIDE taken for diuretic therapy (ongoing); APO PENTOXIFYLLINE (ongoing). Vaccination history included: BNT162b2 (DOSE 6, (BOOSTER) SINGLE), administration date: 23Dec2023, when the patient was 78-year-old, for COVID-19 immunisation; BNT162b2 (DOSE 2, SINGLE, LOT EW0221), administration date: 09Jun2021, when the patient was 75-year-old, for COVID-19 immunisation; pfizer vaccine (DOSE 1, SINGLE, LOT ER1742), administration date: 25Mar2021, when the patient was 75-year-old, for COVID-19 immunisation; Bnt162b2 (DOSE 5, SINGLE), for COVID-19 immunisation; Bnt162b2 (DOSE 4, SINGLE), for COVID-19 immunisation; Bnt162b2 (DOSE 3, SINGLE), for COVID-19 immunisation. The following information was reported: VACCINATION SITE PAIN (non-serious) with onset 23Mar2024, outcome "recovered" (25Mar2024), described as "tenderness at injection site"; PAIN IN EXTREMITY (non-serious) with onset 24Mar2024, outcome "not recovered", described as "pain in arm from elbow down to the hand"; PARAESTHESIA (non-serious) with onset 27Mar2024, outcome "not recovered", described as "tingling in fingers/mostly index finger and middle finger, maybe the thumb a little. It is not all five fingers. On left hand.". Relevant laboratory tests and procedures are available in the appropriate section.  Additional information: Medical conditions include a fractured bone in wrist of left hand in October and it has not fully healed. She clarified the bone has healed and she has had multiple x-ray and specialist has said no problem, but there is still discomfort with certain movements. The physio therapist said that is not uncommon and said it can take up to a year to be fully functional. There has been something there. It was a fracture in left wrist due to fall at beginning of Oct2023. Patient still has discomfort that is unrelated to the injection. The discomfort she can tell the difference. The wrist is still tender. As she rotates it, unfortunately she is left handed so uses that hand a lot more, she is aware of the hand not being back up to its previous lack of discomfort. She has excellent doctors that she sees as needed. She has been away for 4 months and as soon as she gets home she sees cardiologist and regular GP. Nothing else she can think of that could be relevant. She did wonder if she had injured nerves or injured that arm if that might have anything to do with it. She is not sure to say bone or nerves. She chose to put it in the left arm and should have put it in the right, but she had mastectomy on right side. It is recommended not to have bloodwork or injection on the right. She had injection intentionally in the arm as the accident. She clarified with mastectomy on right side she had lymph glands removed many years ago so the recommendation is don't draw blood in that arm and don't in general get injections there. She has now learned since she is left handed she needs to do in right arm. In her imagination she can't imagine the fracture would be related and she is not suggesting a connection.  The fracture is not connected. The nerve problem that she still has a bit of from the injury, the physiotherapist said it could take up to a year to not have that pain not cause by the break but caused by the fall. That takes longer time to go away. That is not the pain that she experienced since the injection. Patient is 78 years old and received the Covid vaccine recommended for people over 65. It was almost 4 months to the day after her last one. It is the seventh of the Pfizer vaccines and she has received every one when available. She is up to date. Never before in her lifetime has she ever had an adverse effect to medication or vaccination. She had the shot last 23Mar2024. On the first day and half or so she had tenderness in the injection site and nothing else. She has had that before and that is nothing to worry about. Starting on Sunday afternoon (24Mar2024) or Monday she started to feel pain in the arm, not at injection site but lower down, from elbow down to the hand. It has been painful and she doesn't know another word to use. It has gotten worse in the last day or two. On 27Mar2024, she has tingling in fingers which was mostly index finger and middle finger, maybe the thumb a little. It is not all five fingers on left hand. She noticed it since she woke up in the morning (27Mar2024). It has not gotten worse, but has not gone away. The tingling is ongoing and persisting. She finds if she massages or holds onto her arm it helps it a little bit. Mostly helps if she keeps it elevated. She has arm on a pile of pillows at the time of report.  The information on the batch/lot number for BNT162b2 omi xbb.1.5 will be requested and submitted if and when received.