Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain in extremity, Pyrexia, Vaccination site discomfort
Clinical narrative: I had a much more intense increase in pain in both arms that has been ongoing now and has so far persisted 2.5 days; injection site discomfort; injection site pain; headache; chills; low grade fever; This is a spontaneous report from a contactable consumer (patient, self-reported). A 39-year-old female patient received second dose of BNT162B2 (PFIZER-BIONTEC COVID-19 mRNA VACCINE, Solution for injection, lot number: ER8736 and expiry date: 30Jun2021), via an unspecified route of administration, in Left leg, on 29Apr2021 at 14:45 PM (age at vaccination: 39 years), as a single dose for COVID-19 immunization at doctor's office/urgent care. The patient was not pregnant at the time of vaccination. The patient's medical history included hypothyroid, suspected Covid-19 (Is suspected to be a post-Covid/long haul symptom that arose a few months following my clinically diagnosed Covid case in April2020 (I was infected before testing was allowed for my age and was therefore diagnosed based on symptoms and ruling out other respiratory viruses), and neurological condition with my arms (bilateral pain, weakness) (that began 7 months ago). The patient did not have any known allergies. Historical vaccine included first dose of BNT162B2 (PFIZER-BIONTEC COVID-19 mRNA VACCINE, Solution for injection, lot number: EW0158 and expiry date was not provided), via an unspecified route of administration, in Left leg, on 08Apr2021 at 02:45 PM (age at vaccination: 39 years), as a single dose for COVID-19 immunization at doctor's office/urgent care and had product administered at inappropriate site, Pain in extremity, vaccination site discomfort, and fatigue. Concomitant medications included Levothyroxine 88mcg and Gabapentin 300mg 3x/day. The patient did not receive any other vaccine in four weeks. It was unknown if the patient was diagnosed with COVID prior vaccination. The patient was not tested for COVID post vaccination. The patient reported that she had a neurological condition with her arms (bilateral pain, weakness) that began 7 months ago and was suspected to be a post-Covid/long haul symptom that arose a few months following her clinically diagnosed Covid case in Apr2020 (she was infected before testing was allowed for her age and was therefore diagnosed based on symptoms and ruling out other respiratory viruses). Following my first Covid vaccine 08Apr (into her left thigh to avoid her arms), she had a brief slight increase in the level of pain in both arms, but the pain level decreased in 48h when other "normal" side effects (injection site discomfort, fatigue) subsided. With her second shot (again, left thigh), on 30Apr2021 at 09:00 AM, she had a much more intense increase in pain in both arms that has been ongoing now and has so far persisted 2.5 days beyond when the "normal" side effects (injection site pain, headache, chills, low grade fever) subsided. The pain in her arms remains strong and persistent. The patient did not receive any treatment for the events. Outcome of the events was not recovered.   Follow-up attempts are completed. No further information is expected.