Age: 79.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Laboratory test, Muscle discomfort, Muscular weakness, Pain in extremity, Peripheral swelling
Clinical narrative: leg muscles a bit weak; Very little sleep; Peed 5 times-almost on the hour; Body sore-weak; Numbness; Arm Muscles Useless; Hand swollen; 09Mar2021 Dr (Name) suggested hypertension, higher than usual blood pressure; right hand became swollen-maximum-pain and numbness; This is a spontaneous report from a contactable consumer (patient). This 79-year-old male consumer reported in response to non-Health Care Professional follow-up letter sent in cross reference case which included that a 79-year-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot Number: EN 6203; Expiration Date: Jun2021), via an unspecified route of administration in left arm on 05Mar2021 at noon (at the age of 79 years old) as single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient did not use antipyretic around the dates of vaccination. Historical vaccine included first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot number: EM9809, Expiration date: Jun2021), via an unspecified route of administration in left arm on 12Feb2021 (at the age of 78 years old) for covid-19 immunisation and patient experienced muscle stiffness and soreness - legs,arms, shoulders, etc.- for the past 14days or so - since injection on 13Feb2021; movement, sleeping, bending, etc.,almost impossible on 05Mar2021. On 06Mar2021, patient experienced right hand became swollen-maximum-pain and numbness. He was now getting concerned about how long will these reactions go on. On 09Mar2021, interviewed with the (facility) on a walk in basis. Doctor suggested hypertension, higher than usual blood pressure, and that keep a record of BP on a newer machine at home. Lab-blood and urine were taken. He ordered him Vitamin D pills and blood pressure pills-Lisinopril-20mg. On 11Mar2021, he visited at the (Clinic) on a walk in/immediate care basis at 8am. More blood taken No urine. He suggested to discontinue the Ibuprophen (4-200's) was taking and prescribed a new pain pill-325 mg. He wanted him to come back the 13th. He would consult with doctor. On 13Mar2021, Sat 8:00 am-immediate care-Clinic: Blood work again. Prednisone-20mg-was recommended and an ultra-sound was done on both legs-Inside and outside checking for blood clots. There was a choice given to him to continue under hospital care or do the prednisone at home. He decided to do it at home. If a compensation area was available, he was checking with associate, in assistance to get compensation. He was still taking Prednisone through Sat. 17Apr2021. The patient experienced some numbness on 12Apr2021, hand swollen on 13Mar2021. On 17Apr2021, right hand slightly swollen and numbness in two fingers. Just took last two Preds-3 round. Feeling like a Guinea pig more each day. "News" just announced that a 3 shot will be needed later for people who have had two shots of Moderna and Pfizer. Does anybody know what was going on? Over 3 million people have died worldwide as of this date of Corona. The patient also experienced arm muscles useless on 18Mar2021. On 19Apr2021, second day without taking Prednisone. Right hand swelling still an issue. (Making a fist was somewhat difficult). Numbness still noticeable. On 21Apr2021 hands and lower arms swollen and weak making typing this a bit difficult. Watch on left tight. Very little sleep. Peed 5 times-almost on the hour. Body sore-weak. Will this ever go away?? On 22Apr2021, left hand more swollen and weaker than right slept a bit better. Up only twice peeing Squeezing tooth paste tube an issue with left hand. He was right handed. So sort glad the right hand had some strength. Upper leg muscles still weak but workable. On 23Apr2021 at 8:00am. Hard to type this. Both hands swollen. Drinking lots of water. Both thumbs numb had to open window curtains in living room. Grasping the string was a no- no. Shoulders, legs weak but working. Took teaspoon of Apple Vinegar. On 24Apr2021 at 10am took Vinegar teaspoon, again Choked/cough not good. On 25Apr2021 at 7am, he was noticed a bit of improvement Advil every 4 or 5 hrs (2), Also taking 1 Wal-Dryl with Advil Hands more mobile. Swelling goes down a bit with light exercising (both) first thing in morning. He could tie shoes and squeeze hands better. Typing easier. On 26Apr2021 at 7am. Last Advil was 7pm last night. Did not take any till just now (2) Abe 1 Wal-Dryl Hands wrist weak and hands swollen. Thumbs numb, especially right Arms, leg muscles a bit weak. Taking pills earlier might be the trick? The patient underwent lab tests and procedures which included blood test: unknown results, blood test: unknown results on 13Mar2021, relevant test on legs: satisfactory on 11Mar2021, ultrasound scan: satisfactory on 11Mar2021, urine analysis: unknown results. No surgical event needed for the event. No family medical history relevant to adverse events was provided. The patient did not visit emergency room. The numbness, hand swollen, arm muscles useless resulted in a visit to Physician office. No hospitalization required. Therapeutic measures were taken as a result of numbness, hand swollen, arm muscles useless with Prednione-3, 09Mar2021 Dr (Name) suggested hypertension, higher than usual blood pressure with Vitamin D pills and blood pressure pills-Lisinopril-20mg. The outcome of numbness, hand swollen, arm muscles useless was not recovered, while with other events was unknown.  No follow-up attempts are possible, no further information is expected