Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Condition aggravated, Loss of personal independence in daily activities, Myalgia, Vaccination site pain
Clinical narrative: having a pain in my left hand that I took the vaccine and that is more in the muscle, muscle pain and joint pain; having a pain in my left hand that I took the vaccine and that is more in the muscle, muscle pain and joint pain; The pain is increasing it is really getting worse; I cannot eat from my hand at the back, I cannot lift anything; having a pain in my left hand that I took the vaccine and that is more in the muscle, muscle pain and joint pain; This is a spontaneous report from a contactable consumer (patient). A 62-years-old male patient received second dose BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: ER8729 and Expiration Date: 31Jul2021) via intramuscular route in the arm left on 10Apr2021 as 2ND DOSE, SINGLE for COVID-19 immunization. The patient medical history included diabetes and Blood pressure high. The concomitant medications included metformin hydrochloride 1000mg, sitagliptin phosphate monohydrate 50mg (Janumet XR) and Glimepiride 1mg tablet (taking half because diabetes was not that high) taken for diabetes mellitus the morning and in evening and taking for 7 years, lisinopril taken for High blood pressure taking for 3 years, tadalafil; the patient went in surgery in 2020 (start feeling the excursion) So that time the patient was taking medication so would say 3 months and having appointment to continue or discontinue. After that the only thing the patient was taking tadalafil. The patient historical vaccine included first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: N6207 and Expiration Date: 31Jul2021) via an unspecified route of administration on 20Mar2021 for COVID-19 immunization and experienced no adverse event and in 2008, flu shot (lot number and expiration date was unknown) for immunization and experienced was sick, got sick and flu or fever or headache (After that did not take the shot again). On 10Apr2021 after the 3 weeks of first dose the patient received second dose of vaccine and waited for like 20 minutes before leaving the facility, the hospital, and like on third day (may be on 13Apr2021) the patient experienced having a pain in my left hand that I took the vaccine and that is more in the muscle, muscle pain and joint pain. The patient reported that, the pain was not that severe and did not have fever, headache and any other side effect at all. It was just the pain 3 days after, and then it did continue to increase and maybe like one week of joint pain because of that injection and it continue. The patient was feeling pain and then by May2021, the pain was like most and stated that I cannot eat from my hand at the back, I cannot lift anything, so that was new problem, the patient cannot lift anything and cannot turn hand at the back. The patient reported, it was not that very severe that I cannot eat and not that harsh, it was just in the joint and in the muscle. The patient reported, the first day and second day was not that much, the third day was when he started really experiencing and one week after he really feel it. The patient reported that, the pain was increasing. The patient was trying to see maybe within 1 week, within 2 week and within one month but now on 02Jun2021, it was really getting worse, and this was his experience. The patient started really feeling it and thought maybe after 2 weeks it will be going to be over, but it continued, so when it continued, he decided to go to the hospital and so they told me that. The patient took Tylenol and then kept taking Tylenol until for one month after it was lie if he was taking Tylenol it not really hurt maybe it was coming back, he cannot lift of his hand at back and cannot lift anything, the pain was not that kind of pain that it why I was taking. The patient reported that, the pain was continued. On 23Feb2021, the patient underwent laboratory tests, it was a general check-up for Diabetes to check it once and see the kidney, the blood pressure, everything the doctor was checking and then the physician said that that they wanted to check his system the blood work, they did find out that he had COVID 19 symptom on it. Physician told it was not positive. The physician told that, the patient has a strong immune system and if he tested positive, he would not feel anything, and physician told everything was excellent. The patient reported that, he took Tylenol 500mg, and that medication he always takes if he has too much pain. The patient reported that, he takes 2 tablets twice a day and sometimes 3 times in a day, sometimes 2 times in a day. The outcome of events was unknown.  Information on Lot/Batch number was available. Additional information has been requested.