Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Breast pain, Lymphadenopathy, Nipple pain, Pain in extremity, Vaccination site pain
Clinical narrative: shooting pain that went from the injection site thru my arm into my breast and felt like it shot out my nipple; shooting pain that went from the injection site thru my arm into my breast and felt like it shot out my nipple; shooting pain that went from the injection site thru my arm into my breast and felt like it shot out my nipple; shooting pain that went from the injection site thru my arm into my breast and felt like it shot out my nipple/  burning pain thru my nipple; it may be swollen lymph nodes; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 65 year-old female patient (not pregnant) received bnt162b2 (BNT162B2), administered in arm left, administration date 25Feb2021 12:00 (Lot number: EN6202) at the age of 65 years as dose 1, single and administered in arm right, administration date 18Mar2021 (Batch/Lot number: unknown) as dose 2, single for covid-19 immunisation. Relevant medical history included: "Hypertension" (unspecified if ongoing); "High cholesterol" (unspecified if ongoing); "Psoriasis" (unspecified if ongoing). The patient's concomitant medications were not reported. The following information was reported: VACCINATION SITE PAIN (non-serious), PAIN IN EXTREMITY (non-serious), BREAST PAIN (non-serious) all with onset 26Feb2021, outcome "not recovered" and all described as "shooting pain that went from the injection site thru my arm into my breast and felt like it shot out my nipple"; NIPPLE PAIN (non-serious) with onset 26Feb2021, outcome "not recovered", described as "shooting pain that went from the injection site thru my arm into my breast and felt like it shot out my nipple/  burning pain thru my nipple"; LYMPHADENOPATHY (non-serious) with onset 26Feb2021, outcome "not recovered", described as "it may be swollen lymph nodes". The events "shooting pain that went from the injection site thru my arm into my breast and felt like it shot out my nipple", "shooting pain that went from the injection site thru my arm into my breast and felt like it shot out my nipple", "shooting pain that went from the injection site thru my arm into my breast and felt like it shot out my nipple", "shooting pain that went from the injection site thru my arm into my breast and felt like it shot out my nipple/  burning pain thru my nipple" and "it may be swollen lymph nodes" were evaluated at the physician office visit. Therapeutic measures were not taken as a result of vaccination site pain, pain in extremity, breast pain, nipple pain, lymphadenopathy.  Additional Information: The vaccine was administered in a Pharmacy of Drug store. The patient has no allergies and prior to vaccination the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine and did not received medications received within 2 weeks of vaccination. Since vaccination, the patient has not been tested for COVID-19. Clinical course was as follows: The next day after the first vaccination on 26Feb2021, the patient had a shooting pain that went from the injection site through her arm into her breast and felt like it shot out of her nipple. Then the next day after the second vaccination on 18Mar2021 at 11:00PM, the patient felt pain again in her right arm injection site through her arm and breast and again shooting (burning pain through her nipple) and it has continued every day since 18Mar2021 until the day of report. The patient had annual pap on 24Mar2021 and told her doctor about this and said it may be swollen lymph nodes that they would watch. It was because a mammogram was not recommended until at least 30 days after COVID-19 vaccine. The patient was worrisome for having daily breast pain after receiving the vaccines.  No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.