Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Investigation, Joint stiffness, Joint swelling, Magnetic resonance imaging, Nerve compression
Clinical narrative: she experienced pain in her joints, including her hips, into the sciatica area, and right down her toes; she experienced pain in her joints, including her hips, into the sciatica area, and right down her toes; she experienced pain in her joints, including her hips, into the sciatica area, and right down her toes; inflamed; She has lost the sense of taste and smell; She has lost the sense of taste and smell; She feels like something is not right with the ball of her foot; She has a dull ache; swelling in left wrist and forefinger; pain in right pinky toe; right wrist was a little tight; tingling in pinky toe and ankle; left ankle pain; felt a pinching in her hand; right knee pain; swelling in left wrist and forefinger; This is a spontaneous report from a contactable consumer (patient). An 84-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Formulation: Solution for injection, lot number: EN6198, expiration date: 30Jun2021), via an unspecified route of administration, administered in left arm on 27Feb2021 1:30 (at the age of 84-years-old) as dose 1, single for covid-19 immunization at hospital. The patient medical history included diabetes mellitus (Verbatim: diabetes), rheumatoid arthritis (Verbatim: rheumatoid arthritis), polymyalgia, concussion, caller is hard of hearing (hypoacusis), blood pressure, migraine, vertigo, to calm her down (asthenia), diuretic (diuretic and potassium for swollen ankle), potassium for swollen ankle, joint pain. Concomitant medications included amlodipine (5 mg, daily) taken for blood pressure measurement from 2017 and ongoing, amitriptyline (25 mg, 1x/day, [25mg at night ]) taken for migraine from 2017  and ongoing, diazepam (2 mg, 2x/day) taken for vertigo from 1985 and ongoing, fluoxetine (10 mg, 1x/day, [10mg at night]) taken for asthenia (to calm her down, higher dose was no good. too much heavy made her drowsy 10mg twice daily) from 2016 and ongoing, glimepiride (0.5 mg, daily, [1/2 daily]) taken for diabetes mellitus from 2019 and ongoing, atorvastatin (10 mg, daily) taken for cholesterol from 2011 and ongoing, hydrochlorothiazide (12.5 mg, 1x/day) taken for diuretic, potassium for swollen ankle (mineral supplementation), potassium for swollen ankle (joint swelling) from Feb2021 and ongoing; aspirin [acetylsalicylic acid] (81 mg, daily) taken for (to avoid heart problems) an unspecified indication from Oct2020 to an unspecified stop date, Charlottes Web Salve for Joint pain (hemp infused balm). No history of all previous immunization with the Pfizer vaccine considered as suspect. No additional vaccines administered on same date of the pfizer suspect. No prior vaccinations received by patients within 4 weeks. It was reported that, patient is hard of hearing. She received the Covid-19 vaccine on Saturday. She is diabetic. She has rheumatoid arthritis and polymyalgia. On Saturday (27Feb2021) night she felt pinching in her hand. She didn't pay too much attention to it. During the night (on 27Feb2021) her right knee started having pain. It was not atrocious. Is this a side effect. Everything was ok and then last night around 7-8pm her left wrist and forefinger was swollen and was warm. Her knee started hurting again. During the night the pain went to her right pinky toe (on 28Feb2021). She had problems with it before she received the vaccine. She had pain that went to the joint of her left ankle (on 28Feb2021). She had swelling in this ankle three weeks ago. Her doctor gave her a cortisone shot and took X-rays. The doctor said she was ok. It started hurting again during the night. She had tingling in her pinky toe and ankle(on 28Feb2021). Her right wrist is a little tight (on 28Feb2021).  It is not hurting but it makes her know something is there. She called the (Hospital name) They said it was not unlikely. She balls of her feet from the injection last week. Last week felt she like she was rubbing balls with her feet. When she stands or puts her foot on something other than the floor, it feels like she is stepping on something and is unbalanced. Like putting part of her foot on a ball. That is how she feels when she walks. She is able to put her foot on the ledge of the chair that she is sitting in. She feels like something is not right with the ball of her foot. She has a dull ache. She is more concerned about her right wrist than her left. The right is sort of sensitive and left wrist is swelling. The pinching is like a static feeling. The pain in her right knee is a dull ache. The pain in her right pinky feels like she cut her toe nail too short. Patient adds that in Oct she got up too fast and banged her head on the floor and had a concussion. She had a MRI and everything else. She had to take it easy but she is ok. The reason they knew she had a concussion was she said she banged her head really bad and heard a bell. She needs to see a neurologist. She is concerned about her mouth. She has lost the sense of taste and smell. She was tested in Oct before and after the fall. Everything was fine. The patient experienced, felt a pinching in her hand, right knee pain, swelling in left wrist and forefinger, pain in right pinky toe, right wrist was a little tight, tingling in pinky toe and ankle, left ankle pain. Patient with rheumatoid arthritis said that 8 hours after receiving the 1st dose of the Pfizer-BioNTech Covid-19 Vaccine, she experienced pain in her joints, including her hips, into the sciatica area, and right down her toes. She said that it feels like it is inflamed. Patient wants to know if this is a normal reaction to the vaccine, and if it will go away. She also wants to know if the side effects will be worse after the 2nd dose. The patient underwent lab tests and procedures which included She was tested in Oct before and after the fall (investigation): everything was fine (She has lost the sense of taste and smell. She was tested in Oct before and after the fall. Everything was fine) on an unspecified date, MRI (magnetic resonance imaging): unknown result on an unspecified date, x-ray: unknown result (The doctor said she was ok) on an unspecified date. The outcome of the events felt a pinching in her hand was recovered on 27Feb2021, the outcome for events right knee pain, swelling in left wrist and forefinger, pain in right pinky toe, right wrist was a little tight, tingling in pinky toe and ankle was not recovered and outcome was unknown for other events.  No follow-up attempts are needed. No further information is expected.