Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Chest pains; they are not typical chest pains/They are like electrical type pain in the heart area and along the left side of arm, half way down the arm to elbow like; blood pressure has been elevated; fatigue; pain in the arm; enhanced pain; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  A 66 year-old male patient received bnt162b2 (BNT162B2), administered in arm left, administration date 07Sep2021 (Lot number: FC3181) at the age of 66 years as dose 1, single for covid-19 immunisation. Relevant medical history included: "cyst removal was prior to the vaccine" (unspecified if ongoing). There were no concomitant medications. The following information was reported: PAIN (non-serious) with onset 2021, outcome "unknown", described as "enhanced pain"; CHEST PAIN (non-serious) with onset 09Sep2021, outcome "recovered" (Sep2021), described as "Chest pains"; CARDIAC DISORDER (non-serious) with onset Sep2021, outcome "unknown", described as "they are not typical chest pains/They are like electrical type pain in the heart area and along the left side of arm, half way down the arm to elbow like"; HYPERTENSION (non-serious) with onset Sep2021, outcome "unknown", described as "blood pressure has been elevated"; FATIGUE (non-serious) with onset 2021, outcome "unknown", described as "fatigue"; PAIN IN EXTREMITY (non-serious) with onset 2021, outcome "unknown", described as "pain in the arm". The events "enhanced pain", "chest pains", "they are not typical chest pains/they are like electrical type pain in the heart area and along the left side of arm, half way down the arm to elbow like", "blood pressure has been elevated" and "pain in the arm" were evaluated at the physician office visit and emergency room visit. Relevant laboratory tests and procedures are available in the appropriate section.  Additional information: The reporter was told that he didn't had to wait to get the second vaccine dose in the three-week time frame. The patient replied that his own feeling was that it was an unknown symptom with this particularly vaccine and would had to say with this symptom, opt to not to had it if he was going to get covid, he would get covid didn't seem appropriate with the repercussions with enhanced pain in his personal opinion and knew he was not going to get sick with covid. The patient asked whether to go ahead with these symptoms if by the 28Sep of this month, would it be appropriate to get [the second dose]. Pfizer was unable to make any treatment recommendations for individual patients who might receive the Pfizer-BioNTech COVID-19 Vaccine; clinical judgment based on the medical history and the clinical status of a specific patient should dictate the appropriate actions to be taken. Encouraged patient to ask this question of HCP. On 09Sep2021, the patient began experiencing chest pain which was a "very different type of pain, a very electrical in the heart than a typical type of pain" and along the left side of arm. Patient explained the pain as this: "very short, like a second, then multiples times; on Sunday there was five minutes of on -off then it went away, yesterday he had three hits' hours apart (1 pm split second to the arm, one in the late afternoon, the last one was 11pm at night just in the heart). Patient had visited the ED and talked with his PCP. The patient said the ED doctor ruled out heart attack and that he was discharged last night. The patient added that he experienced the typical fatigue, felt like he had mononucleosis for four days, and pain in the arm which he expected, and which cleared up. The patient also indicated he might not receive the second dose in the vaccination series. The patient asked if it was possible to "mix match" the vaccines and asked if he could get the Moderna vaccine. NDC number and Expiry date unknown. The patient was in the hospital last night and had a series of test, EKG, blood pressure, blood work, and enzyme checks. They did tests for heart attack. It all came back clean and negative. He had been experiencing chest pains, but they were not typical chest pains. They were like electrical type pain in the heart area and along the left side of arm, halfway down the arm to elbow like. They were unable to determine what it is from. It was pretty evident as he had his first shot on the seventh. He never had the symptom before. It seemed related to the first vaccine shot of COVID19. The patient clarified that he went to the doctors office originally and was examined. Once again, he had EKG and there were no problems with the heart. He went to the emergency room to further evaluate the heart. He had two visits, one to doctor's office and one to the Emergency Room for the same thing. The chest pain had improved as far as frequency goes. Patient provided lot number as FC3181. It was handwritten on the card. He asked the pharmacist who gave the injection if it was a single dose ampule. The pharmacist said it was a six-dose container that he was drawing the vaccine from. It was not single dose. The patient wanted to look at it, but he said it was a six dose. The patient trust them at that facility and won't question if it was something else or not. The only other thing on the card is the due back date of three weeks, 28Sep2021. It was given in upper left arm where they normally give shots. Investigations: The Emergency Room visit was on 13Sep2021 when he had a series of test, EKG, blood pressure, blood work, enzyme checks, and test for heart attack that all came back clean and negative. The only difference in his vitals would be his blood pressure has been elevated. He did not monitor it every day. Before he got the vaccine, about 3 weeks ago, it was 120/80 in the late afternoon at a doctor's visit for an unrelated event. He had a simple surgical procedure of removing a cyst from the tip of his finger. The patient confirmed that the cyst removal was prior to the vaccine.  Yesterday at the doctor office it was 140/60. He asked how it looked and they said it was a little high. They said it was high but normal at the hospital. Their response was that he was at the hospital and it was high because of the environment. He had to wait hours to get in and get checked out, so he was calm. He knew the vaccine elevated the blood pressure. Product strength and count size dispensed: unknown. There was no sample of the product available to be returned or regarding packaging sealed and intact  Follow-up attempts are completed. No further information is expected.