Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Peripheral swelling, Rash erythematous, X-ray
Clinical narrative: both his feet with pain and swelling/ feet swelled and retaining fluid; feet swelled and retaining fluid; everything was inflamed; hasn't been able to wiggle his toes much; calcium deposit; nerve ending pain in the left big toe area and inside the foot; hardly walk in over a month/ crazy pain, when he tried to stand up this morning, it was so bad, he could barely walk; both his feet with pain / pain in the left foot/ developed pain right foot; problems in left knee / the joint in his ankle, foot and toes hurt; rash under chin/ rash under chin that is red and flakey; rash under chin that is red and flakey; This is a spontaneous report from a contactable consumer, the patient. A 58-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; Lot: FC3181) via an unspecified route of administration in the arm (maybe the right shoulder) on 12Aug2021 (at the age of 58-years-old) as a single dose for COVID-19 immunisation. Medical history included blood pressure, cholesterol and occasional gout flare up. Ongoing concomitant medications included lisinopril for blood pressure and atorvastatin calcium tablet for cholesterol, from unspecified dates reported as taken for 2 years or more. There were no prior vaccinations within 4 weeks of the vaccine. On 15Aug2021, the patient experienced rash under chin that was red and flakey; problems in left knee / the joint in his ankle, foot and toes hurt. On 17Aug2021, the patient experienced both his feet with pain and swelling/ pain in the left foot/ developed pain right foot. On an unspecified date the patient experienced feet swelled and he was retaining fluid; everything was inflamed; he was not able to wiggle his toes much; calcium deposit; nerve ending pain in the left big toe area and inside the foot. On 13Sep2021, the patient hadn't been able to hardly walk in over a month/ crazy pain, when he tried to stand up this morning, it was so bad, he could barely walk. The clinical course was as follows: On 15Aug2021, he started having problems in the left knee. He went to bed and 30 minutes later, he sat straight up in bed, like it was a throbbing, toothache pain. He did not know what was going on. It started moving around the knee from the right side, inside the knee, to the bottom outside on the left, then the top of it. During the night, it just kept rotating around. He was told it was the muscles and it was going on with the back. On 17Aug2021, two days later (on "Tuesday"), it started moving to the foot and since 13Sep2021, he hasn't been able to walk since the joint in his ankle, foot and toes hurt. He has had problems with gout, and they gave him indomethacin (INDOCIN) just in case and he started taking that. He could hardly walk; the pain was so bad. All he could do to get to the rest room. "Friday", his wife took him to the Emergency room, and they did not do X-rays or anything. They gave him some steroids (prednisone), the taper down pack. He took them and even as he was taking them, he was still getting no relief. They did give him something at the hospital, a little medication to take, a little steroid. The next day, he could walk a little bit. Since then, nothing else has worked. He called the family doctor and they changed it to colchicine. It got a little better but not great. After he was off the steroid colchicine, it started catching head on again. For the last week, he had been in pain. He went to the orthopedic doctor and they did an X-ray that showed that everything was inflamed. He had asked for a shot for the pain and they said the shot can cause inflammation or something (the orthopedic was scared he would tear his Achilles or set something loose). They gave him a topical cream; one was an over the counter one and the other was a compound that was made, and he has been on that. His doctor wanted him to go to physical therapy. He went to physical therapy on Friday. It was so swollen and tender, and he hasn't been able to wiggle his toes much. They put some electrodes on to try and stimulate some of it. It was where he was having most of the pain, which was really bad in the right ankle. They put some on his big toes and it was really giving him problems. In his right ankle was where he could really feel the electrodes and could feel his big toes. It was opposite on the left foot; he could feel it in the ankle and could not feel it in the toes. It was so weird. He had spent an hour and a half with them. He was not in the clear. The doctor did not even reschedule because he was not sure what to do. Since then, he developed it on the outside of the right foot. He just left the doctor's office again. He was at the family doctor, getting a bunch of blood work to see what he can get on after this. It won't be too many steroids because of all the side effects. The doctor did not know if it was a calcium deposit or what it was and was hoping for him to see the orthopedic doctor. He originally had an appointment not until 6 weeks, but now he was going this coming Wednesday to see if there was anything else they can do. If not, the family doctor wanted to send him to someone that handled that (someone you see for real severe pain and arthritis). His feet were swelled, and they were retaining fluid. It was in both feet and it all started the same time as everything else (unspecified date). The patient stated that sometimes it was not too bad. Last night he was feeling decent and this morning, he had been awake since 1:00 am with throbbing, nerve ending pain in the left big toe area and inside the foot. It was crazy pain. When he tried to stand up this morning, it was so bad, he could barely walk. It was in his ankles. He was walking around almost looking like a duck, shuffling his feet around. The caller stated "I haven't been able to hardly walk in over a month." The caller also reported he developed a flaky rash under his chin after receiving the vaccine. He stated "we were at the lake and I thought how did I get sunburnt under my chin; I didn't think much about it much but it has not went away. I have been inside over a month because I can't get out. I put lotion and ointment on it and it's still there." The rash started at the same time as everything else. The rash "got really red and got really flakey and stuff". He kept putting lotion on it. It hadn't gone away and was still the same. The reporter thought "these two are connected somehow, to having the rash underneath the chin. It happened at the same exact time." The patient stated he was not taking the second dose. The patient had blood work done about 3 weeks ago and said everything was pretty good. His acid level was 7.5 or something like that. He went in "today" for more blood work. The events "problems in left knee / the joint in his ankle, foot and toes hurt", both his feet with pain / pain in the left foot/ developed pain right foot, "hardly walk in over a month/ crazy pain, when he tried to stand up this morning, it was so bad, he could barely walk", " both his feet with pain and swelling" required an emergency room and physician office visit; " feet swelled and retaining fluid", inflammation, hasn't been able to wiggle his toes much, calcium deposit, nerve ending pain in the left big toe area and inside the foot required a physician office visit. The clinical outcome of rash under chin/ rash under chin that is red and flakey was not resolved; of the other events was unknown.