Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Stress, Thyroid function test, X-ray
Clinical narrative: my neck feels so sore; stress; feeling sore; depressed; it also is giving him minor headache once in a while; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  A 59 year-old male patient received bnt162b2 (BNT162B2), administered in arm right, administration date 29Nov2021 (Batch/Lot number: unknown, Expiration Date: 19Dec2021) at the age of 59 years as dose 2, single for covid-19 immunisation. Relevant medical history included: "had Covid", start date: Aug2021 (unspecified if ongoing), notes: I had Covid back in August, mild case, just lost taste and smell; "just lost taste" (unspecified if ongoing); "just lost taste and smell" (unspecified if ongoing); "thyroid" (unspecified if ongoing). Concomitant medication(s) included: LEVOTHYROXINE taken for thyroid disorder (ongoing). Vaccination history included: Bnt162b2 (Dose 1, Lot: FF2590, Expiration Date: 21Nov2021), administration date: 06Nov2021, when the patient was 59 years old, for COVID-19 Immunization, reaction(s): "No reaction on previous exposure to vaccine". The following information was reported: NECK PAIN (non-serious) with onset 02Dec2021, outcome "not recovered", described as "my neck feels so sore"; STRESS (non-serious) with onset 02Dec2021, outcome "unknown", described as "stress"; PAIN (non-serious) with onset 02Dec2021, outcome "unknown", described as "feeling sore"; DEPRESSION (non-serious) with onset 02Dec2021, outcome "unknown", described as "depressed"; HEADACHE (non-serious) with onset 2021, outcome "unknown", described as "it also is giving him minor headache once in a while". The events "my neck feels so sore", "stress", "feeling sore", "depressed" and "it also is giving him minor headache once in a while" were evaluated at the physician office visit. Relevant laboratory tests and procedures are available in the appropriate section.  Additional information: Reporter was a consumer (59 years old, male) inquiring about side effects for the Pfizer Covid-19 vaccine. Reporter reported that he didn't want to receive the vaccine, but his company mandated it he would get fired or have to quit. Reporter stated "He did fine after the first dose, had no side effects, just a sore arm after. After the second dose--4 days or 3 days later, had not felt the same since, his neck feels so sore, stress-feeling sore, sore since Thursday after the shot. Reporter stated "He had Covid back in Aug, mild case, just lost taste and smell. He went to the doctor this morning, went to his family doctor, he felt his thyroid and it felt normal, He had blood work done, and just to check he did an x-ray on neck. He was a sales rep, it's got him depressed, never had this happen before. He had to get it. He read about a 40 years old, female who had neck pain and got steroids to make it better for neck." Reporter continued "He got my second dose on 29Nov-2nd dose Monday, then Thursday it started." Reporter stated "He was reading about the lady who's 40 years old had subacute thyroiditis--4 days after second dose severe anterior neck pain for so many weeks treated with Prednisolone which he thought was a steroid, they scanned her thyroid came back high, that's where her lymph nodes were. He was not always sore, just when he turn neck left to right." Reporter stated "it could be strain, don't think he slept on it, just a coincidence, he went to the chiropractor, but he didn't mess with his neck, but he said the medicine affects the glands in his neck." Upon follow-up on 03Jan2022 same contactable consumer reported for himself that address was updated. Patient height, weight race updated. Concomitant indication added in RMH. Suspect drug expire date, vaccination facility details updated. Neck pain outcome updated. Concomitant drug added. New event headache is added. The report was not related to a study or programme. Dates for neck issues were reported from 2021 to ongoing. Reporter seriousness for neck issues was unspecified. Reason for no lot number: of Covid shot was other and stated it was not very clear on vaccination card. It was written on the bottom of the card and cannot tell if it says E or F 18762. Expiry Date of Covid shot was 19Dec2021. He was calling with a question. He got the second shot on 29Nov2021 and three days later started to have side effects, issues with the neck. He went to the doctor and had an X-Ray and is now waiting for results. It had been like 30 days now with neck issues. Prior to this he had no issues with the neck. He wants to know if this is a side effect, he is upset about this. Reporter stated he had been transferred several times and this was the third department. He confirmed he had not reported these details to our safety department previously. Got the second dose on 29Nov2021, and three days later had neck issues and has not been the same since. He clarified neck issues as being sore. He would turn from left to right and it's sore. He saw the doctor this morning and had an X-ray of the neck. Results of X-ray are unknown at this time. He wants to know if this is a normal side effect. If this could come from the pfizer shot. Outcome was reported as same, it was not going away. When his neck was straight it's okay .It was turning left to right that was the issue, it also was giving him minor headache once in a while; it was like his neck was sore and stressed. Initially stated as Nov2021, did not know exact date, later provided as, 06Nov2021. He had the first shot and then had the second dose on 29Nov2021. Reporter looked and vaccination card to provide details and mentioned the writing on the card was so small. He also added, he had Covid back in Aug2021. It was a very mild case. He just lost taste and smell and that was it. Patient age at time of vaccination was 59 years. Time the vaccination Was Given as around 1:00 pm if can remember correctly. Anatomical location of administration of Pfizer vaccine considered as suspect was arm right. Vaccination facility type was pharmacy/drug store. Vaccine was not administered at military facility. AE(s) did not required a visit to emergency room but to physician office. The patient had no prior Vaccinations (within 4 weeks). The patient had no AE(s) following prior vaccinations. Patient had no medical History (including any illness at time of vaccination). Relevant Tests included X-rays, but waiting on results. While providing details for supplemental form reporter mentioned the 1st vaccine he had no side effect, no nothing. The second dose he initially said he had no side effect or anything the first day, except a little sore arm of course. He did not notice the neck starting till later and has been this way since. He also added this had been very stressful, it was each day. He had blood work done checking different things like Thyroid and a couple of other things.  This follow-up is being submitted to notify that the lot/batch number is not available despite the follow-up attempts made. Follow-up attempts completed. No further information is expected.