Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Peripheral swelling, Pyrexia
Clinical narrative: arm pit and it was painful, redness, swollen; I feel tired; I got headaches; low grade fever 100.3; pain from left knee to left ankle; groin hurt alot; neck started to have pain; Difficult to walk felt like something between legs; Site Left Arm: Wed - Friday: Site on Left Arm very tender since shot given; Swollen lymph nodes on left side of body, Underarm, groin, neck, behind knee.; Pain started in armpit and by evening 2 lumps armpit; arm pit swelling; This is a spontaneous report from a contactable consumer (patient). A 52-years-old non-pregnant female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot number: EN6207), via an unspecified route of administration, administered in Arm Left on 17Mar2021 08:00 as DOSE 1, SINGLE for covid-19 immunisation in hospital (age at the time of vaccination was 52 years). Patient was not pregnant at the time of vaccination. Medical history included asthma, High Blood Pressure, Hepatitis B Antigen Positive since birth, 3 major attacks of MS Relapse Remitting and Allergies to medications, food, or other products to Sulfur, Levaquin, Roses, Tomatoes, Topical Iodine. one of her comorbidities, she has had 3 Multiple Sclerosis episodes. Family medical history that with her comorbidity has had 3 Multiple Sclerosis episodes she usually has pain in her body on her right side. Under her rib cage she gets tightness. Her both feet go to sleep or get numb. She had tests done but has not been officially diagnosed with multiple sclerosis, has had no medications, and can live with it. It is not affecting her mental function. The 3 episodes were from 1997-2000. Even though she has the symptoms that run through her body every once in a while they are not fully diagnosing her with multiple sclerosis or putting her on drug therapy. The pain on her side could be from the shot, it is not normal in her left side. But her usual pain is on her right side. She has complained since she experienced her first multiple sclerosis event in 1997. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Concomitant medications included lisinopril 20mg, tablet, by mouth, once daily Manufacturer name: Lupin expiration date 25Mar2022 and montelukast 10 mg. it was reported that when asked start date of Lisinopril 20 mg, patient said sometime in 2020 as her mother got bad, it may have been in 2019, because she was on 10 mg to start, then 20 mg, and now 40mg. 20mg tablet: Lot/NDC: Unknown, product dispensed in pharmacy vial 30 tablets. Expiry from pharmacy vial: 11Mar2022. Dose provided as 20mg, tablet, by mouth, once daily. On the 25Mar2021 she went to the doctor and her blood pressure was 150/100. She took her blood pressure pill 1 and a half to 2 hours before the appointment and blood pressure was still high. The doctor increased her Lisinopril dose at the appointment. She came home and took another 20 mg that same day, 25Mar2021. On Friday, 26Mar2021 she started the 40 mg tablet, by mouth, once daily. The adverse event improved as a result of dose increased (10mg). The patient was not diagnosed with covid-19 prior to vaccination. On 17Mar2021 patient experienced site Left Arm: Wed - Friday: Site on Left Arm very tender since shot given, Swollen lymph nodes on left side of body, Underarm, groin, neck, behind knee, Progression: Each day it progress. Pain started in armpit and by evening 2 lumps was there in armpit. On 18Mar221, Armpit hurt a lot still lumps but groin started. Difficult to walk felt like something between legs. On 19Mar2021 arm, armpit and groin hurt a lot, neck started to have pain. On 20Mar2021, low grade fever 100.3, rested most of day, pain in neck, armpit, groin. 20Mar201 to 21Mar2021, entire left side swollen, pain in neck, armpit, groin and behind knee to ankle. Since the vaccination, the patient had not been tested for COVID-19. The swollen lymph node pain that started 17Mar2021. The swelling it is not confined to her arm pit. Arm pit swelling started on 17Mar2021 and by 20Mar2021 it was in her neck, in her groin, and behind her knee. The pain from her knee down to her ankle all on her left side. She still has it, but it is improving. It was so bad it made it difficult to walk due to the swelling in her groin. It felt like something was in her legs. Amr pit and it was painful, redness, swollen, I feel tired, I got headaches on unspecified date. Patient visited to physician office for the events. No adverse event reported prior to vaccination. Treatment received included ibuprofen, warm compresses, warm showers and rest. The clinical outcome of event for headache, fatigue, erythema was recovered, outcome for armpit swelling was unknown and rest all was recovering.  No follow-up attempts are needed. No further information is expected.