Age: 51.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Injection site muscle atrophy, Injection site pain, Muscular weakness, Musculoskeletal chest pain, Neck pain
Clinical narrative: Very significant what felt like nerve pain; vaccine was injected into the bursa instead of the muscle; General shoulder soreness; Very localized muscle pain inside shoulder; Bursitis in the shoulder; Diagnosed him with SIRVA; This is a spontaneous report from a contactable consumer (patient). A 51-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot Number: ER8730, Expiration date: unknown), dose 1 via an unspecified route of administration, administered in Arm Left on 26Mar2021 17:40 (at the age of 51-year-old) as dose 1, single for COVID-19 immunization. The patient medical history and concomitant medications were not reported. Facility where COVID-19 vaccine was administered at hospital. Patient vaccine was not administered at military facility. Patient did not have any history of all previous immunization with the Pfizer vaccine and not received any additional vaccines administered on same date of the Pfizer suspect. The patient did not receive any other vaccines within 4 weeks prior to the vaccination. The patient experienced general shoulder soreness on 26Mar2021, very significant what felt like nerve pain on 28Mar2021 17:00, very localized muscle pain inside shoulder on an unspecified date in Mar2021. Patient stated that he received the first dose of the Pfizer covid vaccine and was diagnosed with SIRVA and has bursitis in the shoulder due to the vaccine (2021). Patient stated that the vaccine was injected into the bursa instead of the muscle (26Mar2021 17:40). Stated his HCP told him he needed to repeat the first dose because it was given inappropriately. Patient wanted to know what information he needed to provide to Pfizer to prove he needs the dose repeated. Patient wanted to know if he did have to get three doses, how safe and effective was it. Patient stated he had other symptoms and was asking if these symptoms would indicate he did get the vaccine asking specifically how he can tell if he actually got a dose. Patient again stated had some really bad shoulder issues following it where he had never had shoulder issues before on that side. States that on 26Mar2021 he had general shoulder soreness like would with any injection for about 24 hours and then that went away. Stated he was fine on the 27Mar2021 and the morning of 28Mar2021 but in the afternoon into evening around 17:00 he started to experience very significant what felt like nerve pain all the way down from neck through shoulder into his bicep on the side he got his shot. Stated it was a very nasty pain, general nerve pain and was unrelenting for another 36 hours through late Monday, 29Mar2021. Then Tuesday through Thursday the nerve pain went away but it felt like a pulled muscle inside shoulder, a very localized shoulder pain and it has slowly improved, but it is still there today. Stated certain movements were painful. Patient clarified nerve pain went away late on 29Mar2021. Stated yesterday he went to orthopedist, and the orthopedist diagnosed him with SIRVA that caused bursitis and basically the shot was not administered correctly. Stated the orthopedist did x rays as well as physical tests and there was nothing wrong with the rotator cuff or anything like that. Stated the orthopedist felt that the injection hit the bursa and said it was a mild case and will go away. Stated the orthopedist prescribed Aleve and physical therapy but right now he was only taking Advil. patient stated he did not talk about the vaccine to the orthopedist. Stated he did talk to his general practitioner and asked him what he should do. Stated his general practitioner told him he should repeat the first dose because due to diagnosis the injection did not enter the muscle and he will not receive the benefit from the shot, stated this was what he has been told. Stated his main question was did he have to start over and repeat the first dose and how did he trust this. Stated he did have an X-ray and physical tests at the orthopedist. Stated he did not have results but the orthopedist had them. Patient visited physician office and did not emergency room for adverse events. The events were assessed as non-serious. There was investigation assessment. The patient underwent lab tests and procedures which included physical tests and X rays: there is nothing wrong with the rotator cuff or anything like that on an unspecified date. Therapeutic measures were taken as a result of bursitis in the shoulder, diagnosed him with SIRVA. The clinical outcome of event general shoulder soreness was recovered on 27Mar2021, event very significant what felt like nerve pain outcome was recovered on 29Mar2021, event very localized muscle pain inside shoulder outcome was recovering and another events outcome was unknown.   No follow-up attempts are needed. No further information is expected