Age: 64.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Arthralgia, Asthenia, Body temperature, Fatigue, Headache
Clinical narrative: pain in his right arm was just everywhere/ unbelievably painful; Extreme pain in all joints; Extreme pain in muscles; Exhaustion; Flu like symptoms; lost all capacity to do anything during the day; Felt very feverish; Coming and going headaches; Difficulty speaking because of exhaustion; This is a spontaneous report from a contactable consumer (patient). A 64-years-old male patient received bnt162b2 (BNT162B2), dose 1 via an unspecified route of administration, administered in left arm on 11Mar2021 15:00 (Lot Number: EN6208) (at the age of 64-years-old) as dose 1, single for covid-19 immunisation. Medical history included ongoing chronic obstructive pulmonary disease diagnosed in 2007 or 2008, ongoing gastrooesophageal reflux disease (GERD) diagnosed in 2008 or 2009 (consequence of being a first responder for 11Sep), ongoing sleep apnoea syndrome diagnosed in 2008 or 2009 (consequence of being a first responder for 11Sep), hypertension from 2012 and ongoing, hip replacement surgery a year ago and back surgery 6 months before and has been going to pain management, torn rotator cuff and rotator cuff surgery in right shoulder 7 weeks ago and had been to physical therapy, the pain had subsided, and he wasn't wearing a brace any longer. Concomitant medications included oxycodone taken for pain management from Nov2019 and ongoing; oxycodone hydrochloride (OXYCONTIN) taken for pain management from Nov2019 and ongoing; naproxen (NAPROXEN) taken for pain from 2020 and ongoing; paracetamol (TYLENOL 8 HR ARTHRITIS PAIN) taken for an unspecified indication from 2020 and ongoing. The patient previously took pneumococcal vaccine for immunization 3 to 4 months ago, before Christmas, with no reactions; influenza vaccine for immunization in Jan2021, aspirin and experienced had allergy to aspirin years ago. Patient had the vaccine on 11Mar2021 and reported that he woke up on 12Mar2021 with extreme pain in all his joints and muscles, reiterating extreme pain, and exhaustion. He stated that it totally and completely wiped him out. He was having flu-like symptoms on 13Mar2021. He felt feverish on 12Mar2021 and the day afterwards on 13Mar2021. He had been monitoring his temperature and it has just been a straight 97. something. He had no temperature, it just felt that way. He never gets headaches and reported that he noticed that he had a headache on Monday or Tuesday in Mar2021 after reading about side effects of the Covid-19 vaccine online. The headaches have been coming and going. He reported that the pain that dissipated from the surgery site was worse now. He reported that even with aspirin, Percocet, and naproxen as treatemnt the pain was not going away, it was just mind numbing. He stated that no one more than him has been a more positive advocate for the Covid-19 vaccine in the last year, 6-8 months or so. He was having difficulty speaking in Mar 2021 because the exhaustion was so bad. He spoke with his doctor and that his nephew was also a pharmacist. He stated that his nephew had told him that if someone had a case of Covid previously that wasn't severe and you may not have known it the first time, that when those people are vaccinated, they can have an extremely bad case. He doesn't know if that is true or not. The patient and his wife had been self-quarantining for the last year. He was almost concerned about getting the second dose of the Covid-19 vaccine at this point because of the pain he's been experiencing. His sister in law's good friend was a doctor who stated that people have been reporting that these neurological effects can last up to 6 months. He stated that he had lost all capacity to do anything during the day and that the pain was bothering him at night, trying to get comfortable. This was just so severe. The patient reported that he called the CDC and was unable to get any information or help from the CDC representative. He reported that he experienced no soreness, redness, or swelling in his left arm. He reported that every single joint and every single muscle and arm hurt and ached. The pain from rotator cuff surgery in right shoulder had subsided, then right after the shot, the pain in his right arm was just everywhere. It was unbelievably painful. Extreme pain in muscles/extreme pain in joints had stayed the same all week. The pain got worse after 12Mar2021 over the weekend and had stayed extremely bad. The pain in his knees when he got up was unbelievable. He didn't have muscle and joint pain/aches like this before the injection. The exhaustion stayed consistently terrible all week. There were no investigations and he just contacted his doctor to ask him, and the doctor said people who have arthritis and neurological issues are having a lot of post-vaccine problems. The events did not require emergency room and physician office visit. The outcome of the event of feverish was recovered on 16Mar2021; flu like symptoms, loss of energy and speech disorder was unknown; outcome of all other events was not recovered.  No follow-up attempts are possible. No further information is expected.