Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain, Pain in extremity, Poor quality sleep, Vaccination site pain
Clinical narrative: she woke up this morning it was aggravating her; She did not sleep well last night; Mild headache; Pinpoint pain whole body; Pain in both of her arms; She has had a deep dull ache since she got the vaccination in the left arm; This is a spontaneous report from a contactable consumer reported for herself.  A 74-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection. Lot number: unknown), dose 1 via an unspecified route of administration, administered in left arm on May2021 (at the age of 74-years-old) as dose 1, single for COVID-19 immunization. Medical history included patient never had a flu shot that the pain did not subside within 2 or 3 days. Patient never had pain in the other arm, only at the injection site with a flu shot. She also stated that she has an ongoing autoimmune disease but did not take any medications. Patient has gotten the flu shot for years and patient was used to it, sometimes it hurts a little, sometimes little stuff with pain and sometimes no pain and sometimes a lot more and sometimes no pain. The patient did not provide any additional details regarding the flu shot. did not think about having arm pain. The patient never had a flu shot where patient was still experiencing pain at the injection site. Concomitant medication was not reported. The patient was not looking forward to getting the second shot in arm when she was still hurting from the first one. The patient wanted to know if she should get it in the other arm, but she did not want two arms to hurt like this. She never had this with a flu shot. It always went away after 2 to 3 days most. Patient going to make less antibodies or have less of a response to the vaccine. Patient had to get a second shot, did not want to get a second shot until she understands why she was having this persisting pain. Should patient get a second dose. On an unknown date in 2021, the patient had pain in both of arms initially. The right arm pain was very mild, more like sensation, almost like a phantom pain in the right side. The left side was rather mild like a typical flu shot or a little stronger than a regular flu shot, the pain. Patient had a little pain the first two nights that kept from sleeping. It was obviously noticeable for the first two days when she would roll on to it. If she lifted her up to the sky, she still had pain in that arm. She also had pain at the palm of hand, the size of an egg. Patient has had a deep dull ache since she got the vaccination in the left arm on an unknown date in 2021. When patient woke up this morning it was aggravating (09Jun2021), and it was noticeable during the day. Has this been heard of is it normal for it to last this long. Also, the patient reported having a mild headache. It was stated that the patient did not contain any information regarding pain in both arms or pain that lasts this long. Frequency and Percentages of Participants with Solicited Local Reactions, by Maximum Severity, Within 7 Days After Each Dose - Participants 56 Years of Age and Older Reactogenicity Subset of the Safety Population, 6.2 Post Authorization Experience. Spoke from the attached Side Effects document. On 09Jul2021 it was reported that she was different, she has an autoimmune and she was 74 years old so she was in the house sequestered and not as functional. It went against her best judgement and she had a gut feeling too that she should not get the vaccine. She got it and she did not sleep well last night (08Jun2021); and she cannot talk because she did not sleep well. Arm pain in both arms, First, patient had nothing and got it around 5 o clock in the afternoon and then by 12 midnight. Patient was like okay there was the pain. It lasted through the night because patient did not want to roll over on that side, part was not wanting to roll to the left. Then, by the next day evening, it was substantially better with mild pain. Patient was talking about the Pfizer Covid-19 Vaccine. One thing she noticed, she had side effects of the thing not right away, it was going to be like the flu shot and she decided she was intrigued by the arm pain. That was basically the only thing patient got pain in both arms. It was at the injection site at the arm, and then down in the palm on her left palm. It was the size of an egg spot. She thought it was peculiar why was it hurting in such a pronounced way and patient was just curious. She was noticing in her other arm, it was almost a phantom pain when patient was feeling pain from one arm to the other. It was intriguing and patient was being a lot more alert. Usually with the flu shot patient gets it and it hurts, and patient expects it. Patient was tuned into it and expected to get it first thing. Caller was asked regarding filing reports on what she has discussed, and she states she did not know, she did not have joint pain or chills. It has been 2 weeks today that she had the shot. After the second day, it hurt, and she was up and down for two nights because of it. It was in her head; she did not want to roll to that side because it would hurt. The patient was half awake, like when subconsciously body says do not go to that side when you are sleeping. Patient got the vaccine in left arm, and patient did not know if in the past she was asked right or left but that was where they chose and where patient went. Patient went to pharmacy where patient always gets the flu shot, it was not a drive up and it was a pharmacy. By the third day, or by the second evening of the second day, patient did not even notice except in bed when rolls on it. Patient did get like pinpoint, it was interesting, little pinpoint little starbursts of pain. It was not pain how people say aches and pains, it was just little. Pinpoint bursts, pain throughout body pinpoints in 2021. The reason it caught attention was because patient never had anything like that before. Mostly small things. Patient did not think anything of those things and patient was still having a deep, dull aching pain in arm and that was the only reason. She was asked regarding location of the continuing pain and states she will call it at the injection site in the injection area at that muscle and it does not go away. She stated it was hurting more than usual, otherwise it would just hurt when she would lay on it at night. Patient was distracted during the day. During the day, it was not big and prevalent and was fine. The patient wanted to know why 2 to 3 weeks later it hurts today more than in the past. If patient rolls over at night on it, it was exacerbated at night. Patient generally sleeps on side on right side, so it was smart to do the left arm because patient was more inclined to roll onto right shoulder than left. It was reported, today particularly, it was hurting while patient was awake, and patient was aware of it. Usually, the patient can put it out of mind because she was distracted with other things. This was more predominantly still in that arm. She clarified that the pain was predominant in the arm patient got the vaccine. Today, generally patient will be distracted because it was a mild pain because it was a deep ache, but patient forgot about it during the day. Today, it was at the top like if someone has a headache or something and cannot pay attention at work because attention was more on the headache than the work. It was on arm more than anything. She thought so long as it continues to do this and hurt, she was questioning why this hurting was and what was the reason for it. It made hesitate for the second. It has not been a big deal but today was the most it has hurt in two weeks later. She thought it would go away and it should not have lasted the two weeks. She just needed to know. Three weeks later, the other day, she looked at paperwork and noticed symptoms and it said arm pain and she thought that was interesting. She wondered if it was in both arms and that intrigued her, so patient saw a phone number to call directly to Pfizer and see if this was a small feature of the shot. The patient did not want to complete the report or provide any additional information. The other thing unique that got attention that got her was passing sensations still ache if patient rolls on it, it was still aggravated, and patient has never had this before. It was left arm, and the Pfizer Covid-19 vaccine first dose. Serious was reported as no. The outcome of the event pinpoint pain whole body was recovered in 2021 and event pain in extremity was recovering, and outcome of the events mild headache and She did not sleep well last night were unknown whereas other event she woke up this morning it was aggravating her, and She has had a deep dull ache since she got the vaccination in the left arm was not resolved.    Follow-up attempts are completed. No further information is expected