Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Clostridium difficile infection, Erythema, Impaired work ability, Influenza like illness
Clinical narrative: Severe joint pain spread to include both hips, right knee,& left side of jaw.; Severe joint pain spread to include both hips, right knee,& left side of jaw.; swelling, & redness in both hands & wrists; swelling, & redness in both hands & wrists; swelling, & redness in both hands & wrists; severe joint pain spread to include both ankles & left wrist in addition to previously mentioned joints; immobilization/severe pain maintained since onset, esp. in hands; moderate all over joint pain/right shoulder/elbow/left shoulder; Severe joint pain in right shoulder resulting in inability to move shoulder/arm in any direction/immobilization; Flu-like symptoms approx 20 hrs after booster dose; nausea; low fever; body aches; pain at injection site; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 26-year-old female patient (not pregnant) received BNT162b2 (BNT162B2), on 28Jun2022 at 17:45 as dose 3 (booster), single (Lot number: FM0173) at the age of 26 years, in right arm for covid-19 immunisation. The patient's relevant medical history included: "Known allergies: Coconut" (unspecified if ongoing), notes: Known allergies: Coconut; "Allergy-induced asthma" (unspecified if ongoing), notes: Allergy-induced asthma; "Allergy-induced asthma" (unspecified if ongoing), notes: Allergy-induced asthma; "Anemia" (unspecified if ongoing); "ADHD" (unspecified if ongoing), notes: ADHD; "Chronic Depression" (unspecified if ongoing); "Anxiety" (unspecified if ongoing); "Narcolepsy" (unspecified if ongoing); "sleep-wake disorder" (unspecified if ongoing), notes: sleep-wake disorder; "Known allergy:Almond" (unspecified if ongoing), notes: Known allergy:Almond; "Known allergy: Lavender" (unspecified if ongoing), notes: Known allergy: Lavender. The patient took concomitant medications. Past drug history included: Rx tramadol, reaction(s): "Known allergies: RX Tramadol", notes: Known allergies: RX Tramadol. Vaccination history included: BNT162b2 (Dose Number: 2, Batch/Lot No: EW0175, Location of injection: Right arm), administration date: 21May2021, when the patient was 25-year-old, for COVID-19 Immunization; BNT162b2 (Dose Number: 1, Batch/Lot No: EW0175, Location of injection: Right arm), administration date: 30Apr2021, when the patient was 25-year-old, for COVID-19 Immunization. The following information was reported: INFLUENZA LIKE ILLNESS (non-serious) with onset Jun2022, outcome "recovered" (2022), described as "Flu-like symptoms approx 20 hrs after booster dose"; PAIN (non-serious) with onset Jun2022, outcome "recovered" (2022), described as "body aches"; PYREXIA (non-serious) with onset Jun2022, outcome "recovered" (2022), described as "low fever"; NAUSEA (non-serious) with onset Jun2022, outcome "recovered" (2022); VACCINATION SITE PAIN (non-serious) with onset Jun2022, outcome "recovered" (2022), described as "pain at injection site"; MOBILITY DECREASED (non-serious) with onset 30Jun2022, outcome "not recovered", described as "Severe joint pain in right shoulder resulting in inability to move shoulder/arm in any direction/immobilization"; ARTHRALGIA (non-serious) with onset 30Jun2022, outcome "not recovered", described as "moderate all over joint pain/right shoulder/elbow/left shoulder"; PAIN IN EXTREMITY (non-serious) with onset 30Jun2022 at 08:00, outcome "not recovered", described as "immobilization/severe pain maintained since onset, esp. in hands"; ARTHRALGIA (non-serious) with onset 03Jul2022, outcome "recovered" (05Jul2022), described as "severe joint pain spread to include both ankles & left wrist in addition to previously mentioned joints"; PERIPHERAL SWELLING (non-serious), JOINT SWELLING (non-serious), ERYTHEMA (non-serious) all with onset 06Jul2022, outcome "not recovered" and all described as "swelling, & redness in both hands & wrists"; ARTHRALGIA (non-serious), PAIN IN JAW (non-serious) all with onset 08Jul2022, outcome "recovered" (10Jul2022) and all described as "Severe joint pain spread to include both hips, right knee,& left side of jaw.". The events "flu-like symptoms approx 20 hrs after booster dose", "nausea", "low fever", "body aches", "pain at injection site", "moderate all over joint pain/right shoulder/elbow/left shoulder", "severe joint pain in right shoulder resulting in inability to move shoulder/arm in any direction/immobilization", "severe joint pain spread to include both ankles & left wrist in addition to previously mentioned joints", "swelling, & redness in both hands & wrists", "immobilization/severe pain maintained since onset, esp. in hands" and "severe joint pain spread to include both hips, right knee,& left side of jaw." required physician office visit. Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were not taken as a result of influenza like illness, nausea, pyrexia, pain, vaccination site pain, arthralgia, mobility decreased, arthralgia, peripheral swelling, joint swelling, erythema, pain in extremity, arthralgia, pain in jaw.  Additional information: No other vaccine in four weeks, took other medications in two weeks. Unknown if covid prior to vaccination and not tested positive post vaccination. 2 days after injection (30Jun2022) moderate joint pain all over. 01Jul2022 moderate all over joint pain & severe joint pain in right shoulder. 02Jul2022 increased severity of joint pain in right shoulder resulting in inability to move shoulder/arm in any direction. 03Jul2022-05Jul2022 severe joint pain spread to include both ankles & left wrist in addition to previously mentioned joints. 06Jul2022 upon waking, severe joint pain, swelling, & redness in both hands & wrists, & severe joint pain w/o swelling in right shoulder and elbow, resulting in inability to use or move hands/fingers on either side. 07Jun2022 continued severe joint pain in previously mentioned areas, & now including left shoulder. 08Jun2022-10Jun2022 severe joint pain spread to include both hips, right knee, & left side of jaw. Swelling & immobilization/severe pain maintained since onset, esp. in hands.