Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Back pain, Gait disturbance, Musculoskeletal stiffness, Myalgia
Clinical narrative: Caller mentioned he can barley walk; Hip pain, it severely hurt/ It is still somewhat painful; Low back pain; A lot of pain; Severe pain in neck, it felt like muscle pain, could only look straight; Severe pain in his right shoulder; Neck was locked and he couldn't move it; This is spontaneous report from a contactable consumer or other non hcp reported for her husband. A 66-years-old male patient received bnt162b2 (Formulation: Solution for injection in pre-filled syringe, Batch/lot number : Unknown), dose 2 via an unspecified route of administration, administered in Arm Left on 25Feb2021 as DOSE 2, SINGLE for covid-19 immunization. Patient age at the time vaccination is 66 years old.Medical history included high blood pressure- probably 15 years ago, Diabetes mellitus- about 25 years ago or so, and it hasn't gotten worse, High cholesterol. Historical vaccine included bnt162b2 (Formulation: Solution for injection in pre-filled syringe, Batch/lot number : Lot: EN3518), dose 1 via an unspecified route of administration, administered on 04Feb2021, Time- mid-day in Arm Left/left shoulder, as DOSE 1, SINGLE for covid-19 immunization and flu shot vaccination. Concomitant medication(s) included Metformin ER for Diabetes, (Patient states he has been taking for several years), Enalapril for high pressure taking for several years, Simvastatin (many years ago), Low dose aspirin start date 20 years ago, (he should take it as a precaution against a heart attack). The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine.  On 2Mar2021, the patient reported as an unspecified  Severe pain in neck, it felt like muscle pain, could only look straight, The Patient experienced severe pain in his right shoulder. On 29Mar2021, the patient experienced low back pain was reported as worsened. The Neck was locked and he couldn't move it, On 2Apr2021, the patient had a severely hurt Hip pain. On an unknown date, She states that her husband was in a lot of pain. She states that he got the second shot on 25Feb2021 and a week later, he experienced muscle and joint aches, but more like pain. She states he had to go to his Orthopedist and get a Cortisone shot for his shoulder. Now it is not just his shoulder, but his back, hips, and neck are in pain. She states nothing has resolved. He has neck pain. It was like it is locked and can't move. She states when he moves it was painful. She states that for the last couple of days he has had back pain and hip pain. Patient states it was the same, sometimes it is really bad, and sometimes it was bearable. Severe pain in his right shoulder. Initially stated it started on 03Mar2021, but later clarified it was the night of 02Mar2021.Patient states that sometimes it is better and other times he feels it. On the 17Mar2021, he went to an Orthopedist he knew and he took X-rays and gave him a Cortisone shot in the right shoulder, between the collar bone and shoulder. Time: it started at night. Patient states it was tough to sleep.Patient reports that after the Cortisone shot, he felt better and then it was painful again. It is still somewhat painful. Patient states he does not have any identifying information for the Cortisone, such as NDC, Lot, expiration date, or brand. Neck was locked and could not move it. Patient  reports in the morning Low back pain. Patient states in the morning. Explained it is his right hip. Caller mentioned he can barley walk. Patient states because it hopefully will stop him from catching the virus. Patient confirms that his other medications were stopped before the vaccine. Patient states he hasn't had another vaccination for some time, his last one was the Flu shot several months ago. The patient underwent for X ray lab test, the result is unknown. The outcome of the event pain was unknown; The outcome for the event severe pain in neck, it felt like muscle pain, could only look straight was not recovered,  For severe pain in his right shoulder the outcome was unknown, The outcome for event Neck was locked and he couldn't move it was Recovering, The outcome for event Low back pain was Not recovered, The outcome for the event Hip pain, it severely hurt was Not recovered, the outcome for the event It is still somewhat painful was unknown; the outcome for the event Caller mentioned he can barley walk was unknown.  No follow-up attempts are possible; information about lot/batch number cannot be obtained.