Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Breast pain, Burning sensation, Chest X-ray
Clinical narrative: This is a spontaneous report from a contactable consumer or other non healthcare professional (patient) from a Pfizer- sponsored program. A 64 years female patient received second dose of BNT162B2 (COMIRNATY, formulation: solution for injection, Batch/Lot number and expiry date not reported ), via an unspecified route of administration on 21Apr2021 (at the age of 63-years old) as dose 2, single for covid-19 immunisation. Medical history included Neurologist condition, back surgery for fusing C6 and C7 in 2013, covid-19 from 23Dec2020 to an unknown date. Concomitant medications included collagen (COLLAGEN) taken for alopecia Collagen Peptides: lot: EC102, expiry: 10Mar2026, ascorbic acid (ASCORBIC ACID) taken for an unspecified indication, zinc (ZINC) taken for an unspecified indication from an unspecified start date to 2021, Multivitamin Lot. number is 05211168, Expiry: Jun2024, Manufacturer: Nutribiotic. Past drug included Mucinex for congestion.  The patient previously took BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: solution for injection, Batch/lot number: EP6955, expiry date: not reported) via unspecified route of administration in the upper arm as dose 1, single on 24Mar2021 for covid-19 immunisation. On an unspecified date in 2021, the patient experienced shooting pain, pain in her left breast- shooting pain and it feels like its coming out of her nipple, having difficulty walking/ calling herself peg leg pete and it hurt to put her foot down, she was unable to pull her chest to sit up- pain was just excruciating, it burns, it shoots, it does all of that, shooting pain is primarily on the left side all the way down her leg, she also has pains that shoots around her back to the shoulder blade down her sternum under the breast and then all the way back around again to the shoulder, she's had six episodes of pain like this, with each episode lasting about 7 days (pain), couldn't sit up, breathing problems. The patient underwent lab tests and procedures which included chest x-ray, magnetic resonance imaging: unknown results on 09Jun2021, on 02Sep2021, chest x-ray: unknown results, magnetic resonance imaging neck: unknown results on 21Jul2021, mammogram: it is mainly the left breast on 09Jun2021, it will move across the chest to right breast, but she doesn't have that terrible shooting pain out of it, one time it started on right side in the bra area and moved over to the left. It hasn't done that since. Approximately 36 days after the second dose, she developed shooting pain. Shooting pain is primarily on the left side all the way down her leg. She also has pains that shoots around her back to the shoulder blade down her sternum under the breast and then all the way back around again to the shoulder. She also gets pain in her left breast- shooting pain and it feels like its coming out of her nipple. She's had six episodes of pain like this, with each episode lasting about 7 days. She is just getting over her last episode. She is feeling better today but is still having some pain. She is trying not to take medicine that the pain management clinic prescribed because its not working anyway. She is able to walk down the steps better today. Before she was having difficulty walking and was calling herself Peg Leg Pete and it hurt to put her foot down. She used to have to take one step at a time and then bring the other food up. The patient has gone to so many doctors. She went to primary care first and then was referred to pain doctor. That is who caller has been going to in between visits to cardiologist and today she will go to gastroenterologist. It took With held a while for them to take her serious about her pain. She calls it a pyramid scheme where you can't get someone at the top. She would love for Pfizer to provide information to With held. She thinks the doctor thought she was a cut and dry person that comes in and they give epidurals to every so often and that type of thing. Caller states she went to With held, her primary care, on 10May2021 because she thought it was a COVID relapse. She was having symptoms like when she had COVID. Caller had COVID starting on 23Dec2020 and she didn't leave the house until the first week of February 2021. It lasted 3 weeks, but she didn't want to contaminate anyone. Caller doesn't even remember the week of Christmas. She was going to the neurologist, With held, because when she was having her first attack she was in severe pain. She thought at the time, because of the location and shooting of the pain, it was caused by her preexisting neurologist condition from a back surgery she had in 2013.  She went to neurologist hoping she would get something to give her relief. The only thing he did is ordered an MRI. She had the MRI on 09Jun2021. After the vaccine she felt like she was having some breathing problems too. When she had COVID she drank Mucinex like crazy because she was so congested. She was not sure if the breathing was from that. The pain is a moving pain. It doesn't stay isolated. The attacks last about 7 days. The pain is mainly located on the left side and that is why she thought it was coordinated with the back surgery. She had never experienced anything like that the entire time she saw With held. She saw With held for at least 3.5 years starting in 2017 or 2018. He had caller on Gabapentin 300mg twice a day. Caller states that the pain doctor increased Gabapentin to 600mg four times a day. Now she will be stopping Gabapentin and will be starting Lyrica. Caller can provide dates for when the shooting pain attacks occurred. The first one occurred approximately 36 days after second shot on 26May2021. The next one was on 01Jul2021. The next one was 03Aug2021. The next was on 02Sep2021. She went to the emergency room that time. The next one was on 06Oct2021. The one she just had on was 28Oct2021. They will go down the leg. It may be half way down, or just the lower half, or it may be the whole leg. It varies. It shoots all the way down to the leg. She had a period where it was just the leg. That had to be back in September and it was just a week of the leg. That was around the time she tried physical therapy. That occurred before she started last attack. She knows the dates are confusing. She has never had pain below her ribcage in the lower back area. It has been thoracic area. Sometimes it will move over to the right. It shoots around the back and shoulder blade. That is why she thought it was related to the surgery. A lot of it is in the same area where she had surgery. It will radiate and goes down sternum under breast and all the way back around back bone to top of shoulder. The pain coming out of the breast is unreal. It is a shooting pain. She feels like it is coming out of nipple. She just had a mammogram this year. It is mainly the left breast. It will move across the chest to right breast, but she doesn't have that terrible shooting pain out of it. One time it started on right side in the bra area and moved over to the left. It hasn't done that since. She clarified she is unsure if started Collage Peptides after or before the vaccines. She has quit the vitamin. She cut back on the Collagen to once a day or every other day to see if she can tell a difference and couldn't see a difference. She is not sure how long that would take. Caller clarified that she quit the vitamin and decreased collage about a month ago. she had MRI of thoracic area. Then on 21Jul2021 she had MRI of cervical neck area. She had epidural in the neck on 12Aug2021. Then she had epidural of thoracic area on 28Sep2021. The epidurals were in With held clinic and caller doesn't have medication NDC, lot, and expiry to provide. She had chest X-ray when she went to the Emergency Room on 02Sep2021. She clarified that Percocet (5-325mg, quantity 45), Zanaflex (4mg, quantity: 60 tablets), and Tramadol (strength 50mg, quantity: 15) didn't helped with the pain. They will try her on a new pain medication, but caller's husband hasn't picked it up yet form pharmacy. It was expensive. Caller hasn't taken it and probably won't take any pain medication today. Her pain is not that bad today. She won't take it unless she has another episode. Therapeutic measures were taken as a result of the events. The outcome of the events was recovering.  The lot number for the vaccine [BNT162B2], was not provided and will be requested