Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms, Pain in extremity, Periorbital swelling, Peripheral swelling, Specialist consultation
Clinical narrative: swollen ankles/feet; swollen ankles/feet; Lower leg pain both legs severe/ Upper back of leg pain worse after the second shot/ Hurt to sit/ stabbed with pain/could not walk without severe pain; Foot burns, pain both severe/ Burn in hands pain severe; muscle spasms whole body / cramp; swollen lymph node-right armpit; Under eye swollen; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 78 year-old female patient received bnt162b2 (BNT162B2), intramuscular, administered in arm, administration date 08Mar2021 13:30 (Lot number: EN6199) at the age of 77 years as dose 2, single for covid-19 immunisation. The patient had no relevant medical history. There were no concomitant medications.  No prior vaccinations within 4 weeks. Vaccination history included: Bnt162b2 (DOSE:1, Time: 01.30PM, Anatomical Site of injection:  Arm, Route of administration: Intramuscular, Batch/Lot number: EL8982), administration date: 15Feb2021, when the patient was 77 years old, for COVID-19 Immunization, reaction(s): "Swelling under left eye", "Leg pain in both legs / Lower leg pain both legs severe", "swollen lymph nodes". The following information was reported: PAIN IN EXTREMITY (disability, medically significant) with onset 30Apr2021, outcome "recovering", described as "Lower leg pain both legs severe/ Upper back of leg pain worse after the second shot/ Hurt to sit/ stabbed with pain/could not walk without severe pain"; BURNING SENSATION (disability, medically significant) with onset 30Apr2021, outcome "not recovered", described as "Foot burns, pain both severe/ Burn in hands pain severe"; JOINT SWELLING (disability, medically significant), PERIPHERAL SWELLING (disability, medically significant) all with onset 04May2021, outcome "recovered" (20May2021) and all described as "swollen ankles/feet"; LYMPHADENOPATHY (disability, medically significant) with onset 09Mar2021, outcome "not recovered", described as "swollen lymph node-right armpit"; PERIORBITAL SWELLING (non-serious) with onset 09Mar2021, outcome "recovered" (14Mar2021), described as "Under eye swollen"; MUSCLE SPASMS (non-serious) with onset 12Mar2021, outcome "not recovered", described as "muscle spasms whole body / cramp". The events "lower leg pain both legs severe/ upper back of leg pain worse after the second shot/ hurt to sit/ stabbed with pain/could not walk without severe pain", "foot burns, pain both severe/ burn in hands pain severe", "swollen ankles/feet", "swollen ankles/feet", "swollen lymph node-right armpit", "under eye swollen" and "muscle spasms whole body / cramp" were evaluated at the physician office visit and emergency room visit. The patient underwent the following laboratory tests and procedures: blood test: normal; breast exam: normal, notes: done for swollen lymph node-right armpit; cardiologist consultation: negative for artery disease. Therapeutic measures were taken as a result of pain in extremity (Topical - applied ice and heat did not want to take Meds), burning sensation (Topical, ice), lymphadenopathy. Therapeutic measures were not taken as a result of joint swelling, peripheral swelling, muscle spasms (did not like take medication).Patient has never had any of these symptoms or pain prior to the vaccine. Patient was healthy, exercising, and was walking 2 to 3 miles almost every day for a long time. Patient is an avid gardener and could no longer do this. Patient is also an artist and have been unable to paint without pain. Patient saw a primary doctor, Neurologist, 2 Orthopedists, Rheumatologist, Emergency Room. Patient saw a Cardiologist to rule out artery disease, which was negative. Patient tried Physical Therapy which was not much help. Patient had numerous blood tests and all were normal. No reason was found by any doctor for the horrible pain. The Physical Therapist encouraged patient to walk a little at a time and build up. This was in Aug2021. Patient walked with pain until she had to stop, very discouraging Leg pain, foot pain, and hand pain started to gradually subside, but not gone. In Dec2021, she was walking up to 30 minutes, but not without pain.   No follow-up attempts are possible. No further information is expected.