Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Contusion, Joint range of motion decreased, Pain in extremity, Paraesthesia, Ultrasound Doppler
Clinical narrative: since she had her first COVID-19 Vaccine dose on 18Jan2021 her arm (left) has been quite sore; pain in left shoulder down to her left elbow; she had a pins and needles feeling develop in her left hand; discoloration under her armpit/her left armpit area, for about 10 days, was reddened and developed a black and blue like area; discoloration under her armpit/her left armpit area, for about 10 days, was reddened; she had trouble lifting her left arm; This is a spontaneous report from a contactable consumer (patient). A 68-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/Lot Number: EL8982), via an unspecified route of administration, administered in Left arm on 18Jan2021 15:30 (at the age of 68 year old) as dose 1, single for COVID -19 immunization. Medical history reported as none. Concomitant medication included folic acid on a regular basis for an unspecified indication. On 18Jan2021, after she had her first COVID-19 vaccine dose, her arm (left) has been quite sore. Initially, she had a little soreness in her left arm, but the on next day (19Jan2021) her left arm pain got worse, and has continued to get worse since then. She clarified that, when the nurse administered the vaccine shot in her left arm, the nurse was gentle, and she felt nothing, and was painless.  She reported that her whole left arm hurts. She said, her left arm pain was mainly from her left shoulder down to her left elbow and sometimes the pain was sharp, like someone sticking her with a needle, and sometimes was a dull pain that is, pins and needles feeling. Her left arm pain was a little bit of everything; sometimes it feels like nerve pain, saying she feels like her left arm was shocked. The pain was so bad, and it would wake her up at night. She said that, for about 10 days, her left armpit area had become discolored, turned reddish and developed a black and blue like area. When her left arm pain continued to get worse, she went to her doctor to see what was going on and her doctor told her about condition called 'COVID arm', and that her left arm pain would eventually go away. She said that, it has not been getting any better, but worse. As her left arm was so sore, she had trouble lifting her left arm to show her doctor her left armpit discoloration. she had a left shoulder x-ray (on 26Feb2021) and the x-ray showed normal wear and tear for someone her age. Her physician prescribed a topical gel, Diclofenac Sodium 1% Gel (Lot Number: DS089 and Expiration Date: Aug2022), that need to apply 1-2 times daily to the affected area. She said that she started the Diclofenac Sodium 1% Gel and Gabapentin 600mg tablets on 26Feb2021. The gabapentin was prescribed to take 1 Gabapentin 600mg tablet three times a day, but she did not take as prescribed during the day because it made her feel like a zombie. On 05Mar2021, a vascular ultrasound of her left arm was performed and awaiting for the results.  She said she had an appointment with a neurologist, and the neurologist said her nerves seem to be OK. She hadn't spoke to her doctor specifically about the left shoulder x-ray results. and reported to have a third appointment with her doctor on Wednesday, 10Mar2021, for her left arm. Also, has an appointment with an orthopedic doctor to look at her left arm on 12Mar2021. Since there was no real history for the Pfizer COVID-19 Vaccine, she was not sure what had caused her left arm pain, or what could be the cause of her left arm problem. The outcome of the event painful left arm was not recovered and of pins and needles was recovered and of other events was unknown.