Age: 46.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Nervousness, Pain in extremity, Peripheral swelling, Thyroid mass
Clinical narrative: Chills; very nauseous; Muscle weakness; lymph node under left armpit is swollen; Headache; Diarrhea; left arm soreness and swelling; left arm soreness and swelling; anxious; Nervous; mass on left side of thyroid, which got bigger after the second vaccine; mass on left side of thyroid, which got bigger after the second vaccine; This is a spontaneous report from a contactable consumer (patient). A 46-year-old female patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration, administered in left aem on 31Mar2021 14:40 (Lot Number: ER8732) as single dose for COVID-19 immunization. Medical history included Menopause from 2019 and ongoing. Concomitant medication included estrogens conjugated, medroxyprogesterone acetate (PREMPRO) taken for Menopause from 2019 and ongoing. There were no other vaccinations within four weeks prior to the first administration date of the suspect vaccine. The patient previously received the first dose of BNT162B2 (lot number: EN6199) on 10Mar2021 17:10 in left arm for COVID-19 immunization, and experienced left arm became swollen and sore, sore throat and a mass on the left side of her thyroid. The patient experienced chills, very nauseous, muscle weakness, lymph node under left armpit is swollen, headache, diarrhea, left arm soreness and swelling, anxious, nervous, mass on left side of thyroid, which got bigger after the second, all on 01Apr2021. No Emergency Room/ Physician Office visited. Clinical course: Patient stated she was 6 days out from her second dose from COVID vaccine and was still having side affects and wondered if there were any recommendations on if she could take something for this and wanted to let somebody know. Patient stated her first Pfizer COVID-19 vaccine was on 10Mar2021 at 17:10 in her left arm and on that day her left arm became swollen and sore but that only lasted about 3 days and was better on the 13Mar2021. Patient also stated that on 11Mar2021, she developed a sore throat and a mass on the left side of her thyroid, which got bigger after the second vaccine that she received on 31Mar2021. Patient stated that she has never had a mass or been diagnosed with any type of mass tumors or anything. Patient stated that on 03Apr2021 she had a CT scan with and without contrast and it came back with a mass on her left thyroid, 40x36x31mm and it was definitely deviating her trachea. Patient stated that she was going to the doctor tomorrow (07Apr2021) to try to get a biopsy of this mass. Patient initially stated it was about 6 hours after the second Pfizer COVID-19 vaccine that she received on 31Mar2021 at 14:40 in her left arm that the chills, headache, being very nauseous, muscle weakness, the lymph node in her left arm pit was swollen, anxious, nervous, diarrhea,  events began. She later clarified they probably ended up starting the next day around midnight. Therefore, event start date captured as 01Apr2021. Stated this woke her up out of her sleep. Patient stated these events all came on simultaneously and they were all persisting just like when they first started. Patient stated she has taken Tylenol for the events she was experiencing. She had blood work done and a CT with and without contrast. The outcome of the events was not recovered.   No follow-up attempts are needed. No further information is expected.