Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Muscle strain, Nasopharyngitis, Pain in extremity
Clinical narrative: she started to feel fatigued; like she was coming down with a cold; pain below her left shoulder bladShe also had a pain below her left shoulder blade. Stated it became so painful she couldn't stand.e; a pulled muscle; Her blood pressure was elevated at the hospital at "over 200"; numbness; This is a spontaneous report from a contactable consumer (patient). A 61-year-old female patient received second dose of bnt162b2 (Pfizer-Biontech Covid19 vaccine, Solution for injection, Lot Number: EW0168 and expiration date not reported), via an unspecified route of administration on right arm on 21May2021 at around 16:30 (at the age of 61-year-old) as 2nd dose, single dose, for covid-19 immunization. Medical history was not reported. The patient's concomitant medications were not reported. It was stated she was very healthy. Patient previously took First dose of bnt162b2 (Pfizer-Biontech Covid19 vaccine, Solution for injection, Lot Number: EW0176 and expiration date not reported), via an unspecified route of administration on right arm on 29Apr2021 for covid-19 immunization. Patient experienced Sore arm after first dose of vaccine which was recovered on 01May2021. On 22May2021, Saturday around 14:00, Patient felt fatigue and felt like she had a cold coming on. She also had a pain below her left shoulder blade. Stated it became so painful she couldn't stand. Stated at night she took some Tylenol. She said that she changed positions a lot while sleeping and had difficulty doing so that night. Her daughter called to see how she was doing and made the caller go to an Urgent Care. Patient stated she went, and they checked her vital signs. The Physician's Assistant talked with her and prescribed her a muscle relaxer and Ibuprofen. While the patient was driving to get her prescriptions, she noticed that the pain was traveling down her left arm as well as some numbness. Her daughter told her that this was a sign of a heart attack in women. She said her daughter was a nurse and was upset that the urgent care did not do an EKG or listen to her heart. The patient went back to the Urgent Care; they said her EKG was abnormal and wanted to send her to the Emergency Room. The caller signed a form refusing the ambulance and took herself to the Emergency Room. The Emergency Room did 2 EKG's, blood work, and a CAT scan of the patient's brain. Everything resulted as normal or near normal per the patient. Her blood pressure was elevated at the Emergency Room, the first one was over 190, the second one over 200 per the patient. She stated that was why they did the second EKG and stated they told her both those EKG's were normal. Patient said that the Physician's Assistant at the Emergency Room told her that her heart was okay. She got home from the Emergency Room around 01:00 on 24May2021. She slept some after taking a muscle relaxer and Ibuprofen. She did not pull a muscle or anything. Stated the only thing she could think of was the vaccine. Patient asked if anyone else had reported having this issue after the second dose. A friend of hers had flu like symptoms after the second dose; no identifying information provided by the patient. She took care of her grandkids but had not been able to do so. Her daughter has had to find someone else to care for them. Patient asked how long may this last. Her HCP had just retired, and she had a new one who works out of withheld. It was stated that the pain below her shoulder blade comes and goes. Rates it as a 7-9 on the 1-10 pain scale. The outcome of the event numbness was unknown. Patient recovered from events other on an unknown date May2021.  Follow up attempt completed. Additional information has been requested.