Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Impaired driving ability, Loss of personal independence in daily activities, Muscle spasms, Musculoskeletal pain
Clinical narrative: stabbing pain; muscle that tightens in his neck; lymphadenopathy/ swollen on left side below clavicle; Feeling of congestion in the front; Left armpit tender; very lumpy down his rib cage; Left side pain from neck to scapula; Felt a little funny; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP).  A 73 year-old male patient received bnt162b2 (BNT162B2), administered in arm left, administration date 31Dec2021 (Batch/Lot number: unknown) at the age of 73 years as dose 3 (booster), single for covid-19 immunisation. Relevant medical history included: "Spinal fusion surgery", start date: Oct2019 (unspecified if ongoing), notes: Verbatim: Spinal fusion, She later stated it was Oct2019 instead of Nov2019, He had spinal surgery and had neck and vertebrae fused Nov2019.; "Food allergies diagnosed when he was in high school." (unspecified if ongoing), notes: Food allergies diagnosed when he was in high school. There were no concomitant medications. Vaccination history included: Bnt162b2 (DOSE 1, Vaccine Name: , Lot Number / Expiry Date: Unknown/Unknown, Route, Anatomical Location: Injected in left arm, No. of Previous Doses: 0, Date: 05Feb2021), administration date: 05Feb2021, when the patient was 72 years old, for COVID-19 Immunization, reaction(s): "Sore left arm"; Bnt162b2 (DOSE 2, 5. History of all previous immunization with the Pfizer vaccine considered as suspect (or patient age at first and subsequent immunizations if dates of birth or immunizations are not available): , Vaccine Name: Pfizer COVID vaccine, Lot Number / Expiry Date: Unknown/Unknown, Route, Anatomical Location: Injected in left arm, No. of Previous Doses:1, Date: 26Feb2021), administration date: 26Feb2021, when the patient was 72 years old, for COVID-19 immunization, reaction(s): "Sore left arm".  The following information was reported: FEELING ABNORMAL (non-serious) with onset 31Dec2021, outcome "not recovered", described as "Felt a little funny"; NECK PAIN (non-serious) with onset 01Jan2022, outcome "not recovered", described as "Left side pain from neck to scapula"; TENDERNESS (non-serious) with onset 03Jan2022, outcome "recovering", described as "Left armpit tender"; AXILLARY MASS (non-serious) with onset 03Jan2022, outcome "recovering", described as "very lumpy down his rib cage"; LYMPHADENOPATHY (non-serious) with onset 04Jan2022, outcome "recovering", described as "lymphadenopathy/ swollen on left side below clavicle"; NASAL CONGESTION (non-serious) with onset 04Jan2022, outcome "unknown", described as "Feeling of congestion in the front"; PAIN (non-serious), outcome "unknown", described as "stabbing pain"; MUSCLE TIGHTNESS (non-serious), outcome "unknown", described as "muscle that tightens in his neck". The events "left side pain from neck to scapula", "left armpit tender", "lymphadenopathy/ swollen on left side below clavicle", "feeling of congestion in the front" and "stabbing pain" were evaluated at the physician office visit. The event "muscle that tightens in his neck" was evaluated at the emergency room visit. Relevant laboratory tests and procedures are available in the appropriate section.  Additional information: 31Dec2021 is the day he received booster shot. The day after the booster shot, he began to have pain in left side, which he never had on that side before. It was in his neck and went down to his scapula. Then, his armpit was tender and very lumpy down his rib cage, so she looked it up and there had been reports of lymphadenopathy. On the day received booster shot, they had to drive quite a distance to come back to (State Initials) and knew he struggled the entire way. She first stated it was persisting. She would say it is a tiny bit better, he can find places where he sits or moves where he can stop it, but it is a stabbing pain. It is hard to describe. It is a muscle that tightens in his neck and she can feel it and it goes down the scapula. Then he has a feeling of congestion in the front. He is swollen on left side below clavicle. She did not feel armpit because he got worse after driving. She tried to probe around to try and help relieve him. That was by 03Jan2022. Lumpy rib cage improved quite a bit. She used it as a massage center for him and could not get into a doctor right away. It seemed as though massaging tending to help them release. On 04Jan2022, he said that was bothering him. That was the least of the things. The stabbing pain is in his shoulder and connection where trapezius comes across that spot in his shoulder. It is not painful, just kind of a presence. Vaccination Facility Type as Pharmacy. Physician Office visited, the Orthopedic doctor. He x-rayed him to determine if related to surgery and it was not. He said he could not offer anything other than take Tylenol unless he wanted a heavier medication, which he did not. X-ray neck and where surgery was and cervical and it was ok. No-any other vaccinations within four weeks prior to the first administration received. Felt a little funny was reported as worsened.  No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.  Follow-up (24Feb2022): This follow-up is being submitted to notify that the lot/batch number is not available despite the follow-up attempts made. Follow-up attempts completed. No further information is expected.