Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Movement disorder, Pain, Product administered at inappropriate site, Vaccination site pain
Clinical narrative: 3 weeks later she "couldn't move her left arm at the shoulder; shoulder pain and immobility; she had horrible pain; only had a little soreness at the injection site; the vaccine had been injected into the bursa and not the arm muscle; This is a spontaneous report received from a Pfizer sponsored program via medical information team. A contactable consumer (patient) reported a 36-year-old female patient received the second dose BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: EW0175, expiry date was unknown) via an unspecified route of administration, administered arm left (in the bursa in and not the arm muscle) on 24Apr2021 (at an age of 36-years-old) as 2nd dose, single dose for COVID-19 immunization. The patient medical history included migraines (from an unknown date in 1997 and current status: ongoing), Splenectomy (onset date: she was 18 years, caller reported that she is technically immunocompromised but hasn't been an issue. Caller reported that she had her spleen removed because of a bleeding disorder and removing her spleen took care of it), chronic pain (from: unspecified, current status: ongoing, in her left hip and back since after she had her left hip replaced when she was 20 years old), infection in femur (onset date: when she was 18, 19, or 20, after left hip replacement at age 20, current status: ongoing, Caller reported that she didn't have any symptoms of infection, the only thing going on was that the bone of her left femur was getting thinner and it was excruciating. Caller reported that all the tests were normal. Caller reported that she developed the infection while she was on prednisone during her recovery from hip replacement), depression (from: unspecified and current status: ongoing), left hip replacement (onset date: she was 20 years old, because the infection in her femur had spread to the joint), immunocompromised (but had not been an issue). The patient did not receive any vaccination prior vaccinations within 4 weeks. The patient's concomitant medication included oxycodone (MANUFACTURER UNKNOWN), via an unspecified route of administration, on an unspecified date in 2010 and ongoing, at 10 mg four times a day for chronic pain (the patient stated the patient took oxycodone during the colder months because her pain was more manageable and she took oxycodone during the hotter months because her pain was much worse); sumatriptan succinate (IMITREX) (MANUFACTURER UNKNOWN), via an unspecified route of administration, on an unspecified date at unknown dose and frequency for migraine (for migraines and it felt similar to that, like a bruise); escitalopram (MANUFACTURER UNKNOWN), via an unspecified route of administration, on an unspecified date in 2020 and ongoing at unknown dose and frequency for unknown indication; cyanocobalamin (VITAMIN B12) (MANUFATURER UNKNOWN), via an unspecified route of administration, on an unspecified date in 2020 and ongoing at unknown dose, once a day for unknown indication; ibuprofen (MANUFACTURER UNKNOWN), via an unspecified route of administration, on an unspecified date in 2020 and ongoing at 800 mg thrice a day for help with inflammation (but that the dose was cut back because she didn't need that high of a dose). The patient reported that she previously was prescribed RELPAX and IMITREX tablets for migraines (one times she was put on a beta blocker and something else combined that gave her major memory problems) and nuvaring for birth control. Historical vaccination included the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: EW0150, expiry date was unknown) via an unspecified route of administration, administered in injection at arm left on 04Apr2021 for COVID-19 immunization. On 24Apr2021, the patient experienced the vaccine had been injected into the bursa and not the arm muscle. On 25Apr2021, the patient experienced only had a little soreness at the injection site. On an unspecified date, the patient experienced 3 weeks later she "couldn't move her left arm at the shoulder, shoulder pain and immobility, she had horrible pain. Caller reported that the vaccine didnt go into her body so it crystallized. The patient reported that she had a little soreness at the injection site a day later after receiving the first dose BNT162B2 on 14Apr2021. The patient reported that the soreness at the injection site felt like a normal and she was unsure of when the soreness at the injection site went away because the soreness was so slight that it was not an issue. Second dose of BNT162B2 Covid-19 vaccine was administered 20 days after first dose. The patient reported that reported that she does 4 weeks at a time to skip her period. On 25Apr2021, the patient experienced with a little soreness at the injection site. The patient reported that she was fine following the vaccine, she waited 15 minutes and was good. The patient reported that she did not have any pain in her shoulder for 3 weeks and only had a little soreness at the injection site. She barely had a bump, and had no muscle soreness, fever, aches, or chills. The patient reported that she had no reaction either time to the Covid-19 vaccine. On an unknown date in May2021, (3 weeks later after second dose of vaccination) the patient suddenly could not move her left arm at the shoulder. The patient went emergency room/physician office for pain in shoulder, could not move shoulder. The patient stated that her shoulder felt exactly like her femur did at the time. She had horrible pain and was unable to move her shoulder. The patient reported that nothing was helping. The event could not move her left arm at shoulder was reported as worsened. The pain began traveling down her arm into her hand. The patient reported that she could not move it completely, but there was a lot that she could do all of the sudden. The patient stated that the shot was given higher than normal (one she had before in first dose). She went to the emergency room and the physician told her the vaccine had been injected into the bursa and not the arm muscle. The patient did not provide further details for other incidents where vaccines were injected into the bursa. The patient was given prednisone in the emergency room and a prescription to take continue taking the prednisone at home. The patient reported that about 12 hours after receiving the prednisone, her shoulder felt so much better. Patient reported that the pharmacy didn't have the prednisone until Friday, 28May2021. The patient did not take the prednisone again until Saturday, 29May2021, because the prednisone had kept her awake and she wanted to get a good night sleep. The patient took the prednisone on Saturday 29May2021, Sunday 30May2021, and Monday 31May2021. Caller reported that she should had also taken the prednisone on Tuesday 01Jun2021 and Wednesday 02Jun2021, but on Sunday 30May2021, she had horrible stomach pains from the prednisone. The patient reported that she took the prednisone on Monday, 31May2021, and it made things worse. The patient's PCP is prescribing another type of steroid for her to take. The patient asked steroid was safe to get the 2nd dose while taking another steroid. The patient reported that the pain in her shoulder was getting worse because she stopped taking the steroids and she was feeling almost back to normal before she stopped taking the steroids. The patient reported that some movements still cause twinges of pain in her shoulder and that the pain is going into her hand. The patient reported that she had a severe reaction to the second dose of BNT162B2. The patient also reported that the vaccine did not go into her body so it crystallized and in the emergency room gave her steroids in order to assist. The patient wanted to know since the second dose of BNT162B2 did not actually work if she can have it redone, and if it was safe to get the second dose of BNT162B2 vaccine while she was on steroids. The patient reported second dose of Covid-19 vaccine didn't work relevant tests was reported as none. The patient went to the emergency room a week ago today, 02Jun2021. The outcome of the event only had a little soreness at the injection site was recovered on an unknown date in 2021. The clinical outcome of the only had a little soreness at the injection site was recovered, of the 3 weeks later she "couldn't move her left arm at the shoulder, shoulder pain and immobility, she had horrible pain were not recovered, of the vaccine had been injected into the bursa and not the arm muscle was unknown.