Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Breast pain, Headache, Illness
Clinical narrative: terribly sick; terrible headache; aches started/ Everything was hurting; her left arm where she got the vaccine, under her arm, her lymph nodes swelled to the size of a little kid's ball; Part of her left breast near the swollen lymph node was sore; back was hurting; couldn't even sleep with her ankles together in bed because she was hurting; couldn't even sleep with her ankles together in bed because she was hurting; low grade fever/ feeling feverish; congestion; This is a spontaneous report from a contactable nurse (patient).  A 57-year-old female patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration at age of 56-years, at single dose in left arm on 05Apr2021 11:30 (Lot Number: ER8735) for covid-19 immunisation.  The patient medical history was not reported. Historical Vaccine included the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) also at age of 56-years, at single dose in left arm on 15Mar2021 13:45 (Lot Number: EP7534) for covid-19 immunisation. The patient had no side effects from the first covid-19 vaccine.   Concomitant medications included ongoing estradiol and atenolol; montelukast sodium (SINGULAIR); ongoing rosuvastatin calcium.  The patient reported that her side effects were terrible. She felt fine after her vaccine but that night on 05Apr2021, she became terribly sick. She had a terrible headache. Then aches started. In her left arm where she got the vaccine, under her arm, her lymph nodes swelled to the size of a little kid's ball, liked a toddler sized ball. She was sure it was the lymph node. Part of her left breast near the swollen lymph node was sore. It was just really terrible. Her back was hurting. Everything was hurting. She couldn't even sleep with her ankles together in bed because she was hurting. She was totally miserable. She also had a low-grade fever. She thought she would feel better the next day but her symptoms went on the whole week. As far as she could tell her symptoms were over on 10Apr2021. By 10Apr2021, she didn't feel bad anymore and the lymph nodes under her arm had gone down. And she had been taking Tylenol (took 2 tablets almost every time) and different things for her headache and feeling feverish. She had to take something for her aches. She had no idea her symptoms were going to continue that long. She also took Mucinex because she had congestion and she wanted to try and dry herself up. She had called her primary care doctor and was told to go to the emergency room but she never went. She was already miserable enough, she didn't want to sit in the emergency room. The patient did not take vaccines and probably hadn't had a vaccine since she was a teenager and that was a long time ago. She has no known allergies to medications. It was reported that the adverse events did not result in a visit to Emergency room or Physician Office. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The outcome for event congestion was recovering, while for remains event was recovered on 10Apr2021.  No follow-up attempts are needed. No further information is expected.