Age: 53.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Joint range of motion decreased, Pain in extremity, Vaccination site pain, X-ray
Clinical narrative: limited range of motion; pain at the injection site and all upper left arm pain; pain at the injection site and all upper left arm pain; This is a spontaneous report received from contactable reporter(s) (Pharmacist) from medical information team.  A 53-year-old male patient received BNT162b2 (BNT162B2), on 12Nov2021 at 14:00 as dose 3 (booster), single (Lot number: EW0186) at the age of 53 years, in left arm for covid-19 immunization. The patient's relevant medical history and concomitant medications were not reported. Vaccination history included: BNT162b2 (Vaccine Name: Pfizer COVID vaccine, Lot Number / Expiry Date: EN6206, expiration is unknown, Route, Anatomical Location:Injected in left arm, No. of Previous Doses: 1, Date: 03May2021), administration date: 03May2021, when the patient was 53-year-old, for Covid-19 immunization; BNT162b2 (Vaccine Name: Pfizer COVID vaccine, Lot Number / Expiry Date: EN6206, expiration is unknown, Route, Anatomical Location:Injected in left arm, No. of Previous Doses: 0, Date: 05Mar2021), administration date: 05Mar2021, when the patient was 53-year-old, for Covid-19 immunization. The following information was reported: INJECTION SITE PAIN (non-serious), PAIN IN EXTREMITY (non-serious) all with onset 12Nov2021, outcome "not recovered" and all described as "pain at the injection site and all upper left arm pain"; JOINT RANGE OF MOTION DECREASED (non-serious), outcome "not recovered", described as "limited range of motion". The events "pain at the injection site and all upper left arm pain" and "limited range of motion" required physician office visit. Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of pain in extremity, joint range of motion decreased.  Additional information: Caller was a pharmacist on behalf of a 53-year-old male patient who was also on the line. The patient was administered the third dose (first booster dose) of Pfizer COVID-19 Vaccine on Nov2021. Since then, he has experienced pain at the injection site and all upper left arm pain, followed by a limited range of motion. He had tried several pain medication and treatment modalities, but nothing has helped. States that the common side effects should go away in a few days. Adverse effects that could cause a long-term health problem are extremely unusual following any vaccination, including COVID-19 vaccination. Please also note that these may not be all the possible side effects of the vaccine. Serious and unexpected side effects may occur. The possible side effects of the vaccine are still being studied in clinical trials. He has been complaining of moderate to severe pain in upper left arm which was site of injection on the day he received his 3rd booster dose of the Pfizer COVID vaccine. This has progressed to limited range of motion. He has taken multiple medications to resolve it, but the pain is still there. It has been fluctuating from moderate to severe depending on medication. Patient then came on the line and said 1st day of injection he has had severe pain. The pain was so severe that he does not know if he had limited range of motion when it first started. The severe pain lasted 10 days and that is when he started taking pain medication. Reporter told him that site reaction is common, and she said to treat with Ibuprofen and Tylenol, but now he is calling and said it has persisted. She did not think it was an adverse event and thought it was just a side effect. His physician has referred him to rehab and then said he recommended physical therapy. Prior Vaccinations (within 4 weeks) If applicable, list any other vaccinations within four weeks prior to the first administration date of the suspect vaccine(s): Flu vaccine a month afterwards but nothing a month prior to the Pfizer COVID vaccine. Patient would like to know if this has been reported before and is there any treatment offered by Pfizer. He has been dealing with it for 6 months and tried different courses of treatment. He may have permanent damage.