Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Investigation, Joint injury, Lupus-like syndrome, Lymphadenopathy, Musculoskeletal discomfort
Clinical narrative: I may have develop a lupus; Lymph nodes were quite enlarged; They were 3, one was 3 centimeters by 2 centimeters; They should be 1 or less; They are fairly large and they hurt; I got the normal largeness of the glands over some the one time neuron lymph gland/my lymph nodes were quite enlarged; Fever; I have some sort of sickness at first I thought that it was COVID; they hurt.; I also got Raynaud's syndrome; I am presenting a lot of different things as an auto immune that I had never ever had before; I began having problems with my wrist and my shoulders not as bad as after I got the booster; I began having problems with my wrist and my shoulders not as bad as after I got the booster; I do a lot of swelling and do a lot of camping; very bad headache; This is a spontaneous report received from a contactable reporter (Consumer or other non HCP). The reporter is the patient.  A 76 year-old female patient received bnt162b2 (BNT162B2), administered in arm left, administration date Oct2021 (Batch/Lot number: unknown) at the age of 76 years as dose 3 (booster), single for covid-19 immunisation. Relevant medical history included: "Cholesterol" (unspecified if ongoing), notes: Cholesterol; "Blood pressure" (unspecified if ongoing), notes: Blood pressure. The patient took concomitant medications. Vaccination history included: Covid-19 vaccine (DOSE 2, SINGLE, Manufacturer Unknown, I had the two originals and I also had  the booster), administration date: 02Feb2021, when the patient was 75 years old, for Covid-19 Immunization; Covid-19 vaccine (Dose 1 SINGLE, Manufacturer Unknown, I had the two originals and I also had  the booster), for Covid-19 Immunization. The following information was reported: LUPUS-LIKE SYNDROME (medically significant) with onset 16Oct2021, outcome "unknown", described as "I may have develop a lupus; Lymph nodes were quite enlarged; They were 3, one was 3 centimeters by 2 centimeters; They should be 1 or less; They are fairly large and they hurt"; LYMPHADENOPATHY (non-serious) with onset 16Oct2021, outcome "unknown", described as "I got the normal largeness of the glands over some the one time neuron lymph gland/my lymph nodes were quite enlarged"; PYREXIA (non-serious) with onset 16Oct2021, outcome "unknown", described as "Fever"; ILLNESS (non-serious) with onset 16Oct2021, outcome "unknown", described as "I have some sort of sickness at first I thought that it was COVID"; PAIN (non-serious) with onset 16Oct2021, outcome "unknown", described as "they hurt."; RAYNAUD'S PHENOMENON (non-serious) with onset 16Oct2021, outcome "unknown", described as "I also got Raynaud's syndrome; I am presenting a lot of different things as an autoimmune that I had never ever had before"; JOINT INJURY (non-serious), MUSCULOSKELETAL DISCOMFORT (non-serious) all with onset 16Oct2021, outcome "unknown" and all described as "I began having problems with my wrist and my shoulders not as bad as after I got the booster"; SWELLING (non-serious) with onset 16Oct2021, outcome "unknown", described as "I do a lot of swelling and do a lot of camping"; HEADACHE (non-serious) with onset 16Oct2021, outcome "unknown", described as "very bad headache". The events "i may have develop a lupus; lymph nodes were quite enlarged; they were 3, one was 3 centimeters by 2 centimeters; they should be 1 or less; they are fairly large and they hurt", "i got the normal largeness of the glands over some the one time neuron lymph gland/my lymph nodes were quite enlarged", "fever", "i have some sort of sickness at first i thought that it was covid", "they hurt.", "i also got raynaud's syndrome; i am presenting a lot of different things as an autoimmune that i had never ever had before", "i began having problems with my wrist and my shoulders not as bad as after i got the booster", "i began having problems with my wrist and my shoulders not as bad as after i got the booster", "i do a lot of swelling and do a lot of camping" and "very bad headache" were evaluated at the physician office visit. The patient underwent the following laboratory tests and procedures: biopsy lymph gland: (Mar2022) unknown results; (2021) my lymph nodes were quite enlarged; blood test: (2021) develop a lupus, notes: my blood tests showed that I may have develop a lupus; computerised tomogram: (2021) nothing is wrong there; (Mar2022) unknown results; investigation: (2021) nothing is wrong there; (2021) negative; (2021) negative, notes: I had that one done in a nursing care and that was also negative; (2021) nothing is wrong there; (2021) negative, notes: they gave me still another one and it was negative. Therapeutic measures were not taken as a result of lupus-like syndrome, lymphadenopathy, pyrexia, illness, pain, raynaud's phenomenon, joint injury, musculoskeletal discomfort, swelling, headache.  Clinical Information: Reason for no lot number of COVID Vaccine was other as reporter stated, "My second shot I can read is DHD some#10M8 as in number or is this an F with a line through I am not sure. This is number 10 and that was in (city), (state) when I had the second shot. So maybe it is supposed to be MI. I don't know." Expiry Date of COVID Vaccine was unknown. Reporter stated she according to her doctors and they are still working on it now. she had reaction to the COVID Vaccine (suspect product) as to what they are, the doctors were saying. She had the two originals and also had the booster and after the booster she got the normal largeness of the glands over some the one time neuron lymph gland and they have never gone down and had some sort of sickness at first she thought that it was COVID (later clarified that consumer didn't experienced COVID). she had on the third day after the fever and the very bad headache unsure she got the and did the over the counter test and it was negative and  wanted to see the doctors so  called him and he said please go and get the other tests. she had that one done in a nursing care and that was also negative then she had problems (further not clarified) around the 13th day and  went in to the hospital to check on that and they gave her still another one and it was negative. So, she had been through a rheumatologist and that in her primary care and there they had sent to for a number of tests. The rheumatologist patient was seeing tomorrow for this one and asking the questions so that she can inform her what would say. What happened was her blood tests showed that patient may have develop a lupus and have also gone through a CT scan, chest and pelvic and nothing was wrong there. She had a lymph node biopsy and at this point she was talking to her about it but her lymph nodes were quite enlarged. They were 3, one was 3 centimeters by 2 centimeters and according to the radiologist they should be they should be 1 or less. So, they are fairly large, and they hurt. So, she has been trying to look up and see if there is have been other reactions to lupus. Now, what she did find was it was a very rare reaction and found one study that was done on like a young women and lupus is usually something that you know, they screw and usually it screwed younger people. I was one month when got sick and was month away from her 77th birthday. So, what she was going to ask was something like an autoimmune symptom disease whatever you wanna call it, is lupus one of those kinds of reactions that you may have had knowledge of (MI was made) and one of things this is presenting is more muscular skeletal it's in, it's showing up between her shoulders and fingers. she also got Raynaud's syndrome that was looked at when I went to the hospital. So, she was showing and presenting a lot of different things as an autoimmune that had never ever had before nor do any of her other relatives, brother and her grandfather both had doubt (further not clarified). So, it shows that it was DNA that's an autoimmune disease. So, she just wanted to know from what she had was a rare condition from the vaccination that's the only thing that was different in her whole life, that was inductive and have got after having this second shot and began having problems with wrist and shoulders not as bad as after got the booster. Reporter was informed about the role of Pfizer Drug Safety and Pfizer Medical Information as the concerned department for the queries. On request, reporter was provided the number of Pfizer Medical Information. Consumer was informed that report reference number would be provided to her. Consumer stated her height was about somewhere between 5 (feet) 1 (inches) and 5 (feet) 2 (inches). Consumer stated Somewhere around 16Oct2021 (further not clarified) about one week after the booster shot but she began noticing and didn't realize that she thought it was because of age some rheumatism in wrist so my shoulder. So, did get some sort of reaction and think now that have at worst now than did after the second shot which was 02Feb2021 (not clarified further). So, she was getting some reactions but not to the things that have right now, in Oct. (Further clarifications unknown hence, not captured in tab). Consumer stated she take medications (not clarified), the only medications she takes for that would be blood pressure (captured as other medical condition in tab) medication (further clarifications unknown hence, concomitant products tab was left unchecked) and cholesterol (captured as other medical condition in tab) but she doesn't have any problem with heart (further clarifications unknown). Consumer stated recently underwent a needle guided biopsy of lymph nodes under right arm that was the last Friday (not clarified) and had a CT scan of my lower pelvic. Consumer stated she had the shot in her left arm but it's the lymph nodes in the right arm that got affected and she said  she must have gotten it in the right arm and she was probably sure that she must have gotten it in the left arm because she do a lot of swelling and do a lot of camping and  don't like it to put her right arm because usually it hurts afterwards. So, always present her left arm, it's just automated. She was pretty sure I got it in the left arm, but my lymph nodes are affected in my right." (Further clarifications unknown hence, not captured in tab). Reporter was provided with the report reference number as 3JP86BAM.  The lot number for bnt162b2 was not provided and will be requested during follow up.