Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Pain, Pain in extremity, Peripheral swelling
Clinical narrative: painful joint pains in both hands; has never gone through bouts of arthritis like that; right foot was swollen up all of a sudden/It had swollen like he had gout; severe burning pain in my right hip, which then turned into severe pain in my left thigh, then down into my left shin.; severe burning pain in my right hip/muscle pain which went into his right hip and it was burning and extremely painful; severe burning pain in my right hip, which then turned into severe pain in my left thigh, then down into my left shin.; horse and shooting pains down into his shin/ then down into my left shin.; muscle pain which went into his right hip and it was burning and extremely painful; had cramping and it was also really bad/Had like a Charlie horse and shooting pains down into his shin; neck stiffness; This is a spontaneous report from a contactable consumer (patient) reported for himself. A 61-years-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: ER8737, Expiration date: unknown) via an unspecified route of administration, administered in left arm on 05Apr2021 at 14:00 pm noon (age at vaccination was 61 years) as dose 2, single for COVID-19 immunization. The patient's medical history included pre-diabetic, diagnosed allergies, genetic/chromosomal abnormalities, endocrine abnormalities and ongoing arthritis. The patient did not have any known allergies or illness/AE. The patient did not have family medical history relevant to AE. Concomitant medications included simvastatin (ZOCOR), atenolol, chlortalidone (TENORIC), tamsulosin hydrochloride (FLOMAX [TAMSULOSIN HYDROCHLORIDE]) and metformin all taken for an unspecified indication, start and stop date were not reported. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: EN6208, Expiration date: unknown) via an unspecified route of administration, administered in right arm on 15Mar2021 at 14:00 pm (age at vaccination was 61 years) as dose 1, single for COVID-19 immunization. The patient previously took, meloxicam, tylenol arthritis for arthritis, aleve, naproxen and Voltaren cream. No other vaccines given the same day and no problems with vaccines in past. There was no history of any previous immunization with the Pfizer vaccine considered as suspect. No additional vaccines were administered on same date of the Pfizer Suspect. The facility where the most recent COVID-19 vaccine was administered was School/Student Health Clinic. The vaccine was not administered at Facility. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. On 07Apr2021, the patient had neck stiffness within 24 hours after the shot. On 09Apr2021, 2 days later, the patient experienced severe burning pain in his right hip, which then turned into severe pain in his left thigh, then down into his left shin. This had persisted for till present. He went back to Health Clinic to report to nurse practitioner, who informed him that he needed to go to Urgent care. The doctor there could not offer any solution other than persist with what he had been taking to alleviate or ease the pain. Aspirin, Aleve, naproxen. He had tried these individually and then in combination to help. The patient did go to the Urgent care to begin with when the hip started to scare the crap out of him. Since they hadn't given the shots yet they recommended him to go back to Health Clinic where he got the shot and the nurse practitioner just waved it off and told him to see his doctor, which he did. He was sent to a podiatrist and they did his blood work to give back to the doctor. The patient started having side effects 4 days later on 09Apr2021. On 09Apr2021, the patient experienced muscle pain which went into his right hip and it was burning and extremely painful, right thigh was doing the same thing, but also had cramping and it was also really bad, had like a Charlie horse and shooting pains down into his shin. He had muscle pain which was tolerable and no big issue and then it went into his right hip and it was burning and extremely painful. Then it went to the right thigh doing the same thing, but he also had cramping and it was also really bad. Had like a horse and shooting pains down into his shin. This lasted from 09Apr2021 to 29Jun2021. The patient checked with the doctor and was told to report this to Pfizer. On an unspecified date in Sep2021, the patient experienced right foot was swollen up all of a sudden, which was weird, since he was pretty active and it had swollen like he had gout. On an unspecified date in Sep2021, the patient went to the doctor and they did blood work and the results came back fine and they put him on a boot and told to have foot stay elevated. Last week his right foot was swollen up all of a sudden, which was also weird since he was pretty active. It had swollen like he had gout and he went to the doctor and they did blood work and it did come back negative, which the doctors said that it was still totally possible for him to have it. That started on a Friday because he couldn't go to them until Monday (4 days after the incident started). The results came back fine and they put him on a boot and told to have foot stay elevated. Nothing helped, like Tylenol arthritis, Meloxicam, Aleve, Naproxen, any anti-inflammatories, or Voltaren cream, none of those helped. Had Meloxicam for something he had a year ago and he didn't like it. He has since purchased a new bottle of Aleve 220mg and provides Lot number of NAA9R94 and Expiry of Mar2024. No problems with new bottle of Aleve. Provided lot number for the Tylenol 8 hour arthritis pain 650mg as PPA041 and Expiry of Sep2022. He took 2 tablets by mouth. Provided lot number for Voltaren cream 1% (Diclofenac) as 08339122A, NDC: 65162-833-66, and Expiry of May 2021 and used it as needed, no longer had the box. Only put that on like a couple of times daily, but it wasn't really helping. Currently he was not having any swelling, but it was still painful off and on with the foot. The patient was not having any swelling, but it was still painful off and on with the foot. He talked with the sister-in-law last night and now her right elbow was swollen for no reason and it was almost like they were getting the same side effects and now it was attaching their joints. The patient had never gone through bouts of arthritis like that. It was just weird and so he wanted to follow the doctor's orders and report this. He knows that there may not be a lot of people who experienced these side effects, things, but there was not a lot of information about the vaccines so to speak. He just knows it was extremely painful and he does not know if it was due to the shot, but the way it was looking he was not totally sure, but again there was not enough information about the shot. Later added they both had really painful joint pains in both hands, but he still had some off and on, but not a lot. His hip, legs, and shoulders were all fine. They all stopped all of a sudden. He woke up and everything was gone. Found out that his sister-in-law, who was a white lady, had the same side effects, but her didn't last as long. The adverse events resulted in Doctor or other healthcare professional office/clinic visit, Emergency room/department or urgent care. It was unknown if any relevant tests were done. There was a Product Complaint. The outcome of the event myalgia and muscle spasms was resolving. The outcome of the other events was not resolved.  Follow-up attempts are completed. No further information is expected.