Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Vaccination site erythema, Vaccination site reaction
Clinical narrative: red around injection site; lesion went down left arm; left thumb numb/second finger and middle finger numb on left hand; depressed; tired; don't feel good right now; muscles stiff in entire left arm; muscles hurt in entire left arm; cannot sleep; lesions on his left wrist; lesions on left thumb/ forearm; left arm sore/ pain in entire left arm; lesions around injection site; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 73-year-old male patient received bnt162b2 omi xbb.1.5 (COMIRNATY (2023-2024 FORMULA)), on 19Oct2023 as dose 1, single (Lot number: Unknown) at the age of 73 years, in left arm for covid-19 immunisation. The patient had no relevant medical history. There were no concomitant medications. Vaccination history included: Comirnaty (Dose number unknown), for COVID-19 immunisation; Comirnaty nos (Dose number unknown), for COVID-19 immunisation. The following information was reported: PAIN IN EXTREMITY (non-serious) with onset Oct2023, outcome "not recovered", described as "left arm sore/ pain in entire left arm"; VACCINATION SITE REACTION (non-serious) with onset Oct2023, outcome "unknown", described as "lesions around injection site"; INSOMNIA (non-serious) with onset 04Nov2023, outcome "unknown", described as "cannot sleep"; MYALGIA (non-serious) with onset 04Nov2023, outcome "not recovered", described as "muscles hurt in entire left arm"; MUSCULOSKELETAL STIFFNESS (non-serious) with onset 04Nov2023, outcome "not recovered", described as "muscles stiff in entire left arm"; ARTHROPATHY (non-serious) with onset Nov2023, outcome "unknown", described as "lesions on his left wrist"; SKIN LESION (non-serious) with onset Nov2023, outcome "unknown", described as "lesions on left thumb/ forearm"; VACCINATION SITE ERYTHEMA (non-serious), outcome "recovering", described as "red around injection site"; SKIN LESION (non-serious), outcome "recovering", described as "lesion went down left arm"; HYPOAESTHESIA (non-serious), outcome "not recovered", described as "left thumb numb/second finger and middle finger numb on left hand"; DEPRESSION (non-serious), outcome "not recovered", described as "depressed"; FATIGUE (non-serious), outcome "unknown", described as "tired"; MALAISE (non-serious), outcome "unknown", described as "don't feel good right now". The events "left thumb numb/second finger and middle finger numb on left hand" required physician office visit. Therapeutic measures were taken as a result of pain in extremity, vaccination site reaction, skin lesion, arthropathy, skin lesion, hypoaesthesia, musculoskeletal stiffness, myalgia, insomnia. Therapeutic measures were not taken as a result of vaccination site erythema, depression.  Clinical course: Caller stated that he got this number from the pharmacist where he got the shot. Was told that Pfizer would be of some help if his doctor is not. Got the Pfizer Covid shot on 19 Oct 2023 his wife and him went together and both got the shot. His arm was sore and then okay he started break out lesions around the injection site at least a week or so later. Started going down inside. Was for his left arm and he is left handed. Went down his left arm, forearm, wrist and thumb. Thumb was numb first and a little bit in second finger and his other fingers got sensation. Broke out in lesions and the doctor gave him steroid pills and antibiotics and it did not stop. Went back and got a shot in the hip of steroids and it started to slow down a little bit. Nothing is helping and he has pain 24 hours day/7 days a week in his muscle and wrist. Doctor had him on codeine and he can take them every 6 hours sometimes but has to take them in 5 hours because he is in so much pain. In a small time he thought maybe the doctor might have a handle on it. Is begging someone help him get out of pain. Is kind of depressed. Was on steroids for 10 days and antibiotic for 5 days. Wanted to know if he was being treated properly for a reaction to the Covid vaccine. Did not know what to do. If cannot help does not feel like holding this phone any longer. Has had every shot for Covid since it began. Never had this problem before since this time. Everything is the left arm. His wife has medical problems and he is her caregiver. Is having a hard time about it, is starting to depress him. Wife is on oxygen. She cannot cook and he has to do it for her. Wife has COPD. Was on oxygen and COPD prior to having the Pfizer Covid shot. Wife took pictures of his left arm.  left arm sore: Within a week after the vaccination. Is really sore, that is the part that is so bad. Pain is worst everyday. Treatment: Pain medication. APAP/Codeine 300mg/30mg tablet Manufacturer Mollinckrodt Pharmaceuticals one tablet by mouth every six hours as needed. lesions around injection site: Within a week or 10 days after the shot. Lesions dried up and just big red blotches (dark red) can still see a big area still red but has lightened up since he has taken the medications: Treatment: Steroids and antibiotics.  red around injection site: Unknown date. Is still red. Has improved. Treatment: None. lesions went down left arm: Date not specified. Progressively kept going down. Drying up and looking a heck of a lot better. Feels like all is in his muscles. Muscles hurt so bad. Treatment: Triamcinolone acetonide cream and Diolofenac sodium 3% gel. Has to get wife to read the name Triamcinolone. Was reading name from the bottle itself. Gets wife to read name because he is tired and don't feel good right now.  lesions on left wrist: Was a day or two before 04 Nov 2023. Still has the places but or not open and puffy. Is now on his arm. Has now dried up. Treatment: Cream.   lesions on left thumb: Was a day or two before 04 Nov 2023. Still has lesions but are drying up. Are not the puffy kind. Improved. Dried up. Treatment: Cream, shots and everything.  left thumb numb: Noticed when whole left arm numb. Was a day or two after went to doctor first time. Is ongoing. Has to hold it. Worst. Treatment: What the doctor is giving him.  second finger and middle finger numb on left hand. Guess was the same time whole arm went numb. Is ongoing. Has not improved if anything has gotten worst. Treatment: Same as got for the rest of it.  left arm went numb: Started probably after the first doctor's visit and the second one between 04 Nov 2023 and 08 Nov 2023. Is ongoing. Worsened. Treatment: on 08 Nov 2023 was given steroid injection in hip and the steroid wore that off and was just back on medications again.  muscles stiff in entire left arm where gave injection: Started on 04 Nov 2023. Is ongoing. Worsened. Treatment: Medications mentioned earlier. muscles hurt in entire left arm where gave injection: Started on 04 Nov 2023. Is ongoing. Worsened. Treatment: Medications mentioned earlier. pain in entire left arm: Started on 04 Nov 2023. Is ongoing. Progressively worsened. Treatment: Same as the other.  depressed: Started a week or so ago. Is ongoing. Worsened. Treatment: None. cannot sleep: Noticed when went to doctor first. Started on 04 Nov 2023. Get about four hours at night. Sometime will nap on couch if can get it to settle. Treatment: Pain pills.  The information on the batch/lot number for bnt162b2 omi xbb.1.5 has been requested and will be submitted if and when received.