Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Musculoskeletal disorder, Pain in extremity, Wrong technique in product usage process
Clinical narrative: Looking for information about loosing the use of an arm and pain in the arm after getting the 2nd dose of the COVID shot; Looking for information about loosing the use of an arm and pain in the arm after getting the 2nd dose of the COVID shot; The second shot wasn't high like it should have been, it was 6 inches down from shoulder; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) from medical information team.  A 68-year-old female patient received BNT162b2 (BNT162B2), on 07Mar2022 as dose 2, single (Batch/Lot number: unknown) at the age of 67 years, in right arm for covid-19 immunisation. The patient's relevant medical history included: "Diabetes" (unspecified if ongoing); "GERD" (unspecified if ongoing); "thyroid" (unspecified if ongoing); "Congestive heart failure" (unspecified if ongoing); "Asthma" (unspecified if ongoing); "heart" (unspecified if ongoing); "Restless legs" (unspecified if ongoing); "Joint pain" (unspecified if ongoing); "swelling" (unspecified if ongoing); "depression" (unspecified if ongoing); "diastolic heart failure" (unspecified if ongoing), notes: also diastolic heart failure associated with COPD.; "COPD" (unspecified if ongoing), notes: also diastolic heart failure associated with COPD. Concomitant medication(s) included: METFORMIN taken for diabetes mellitus (ongoing); PANTOPRAZOLE taken for gastrooesophageal reflux disease (ongoing); SYNTHROID taken for thyroid disorder (ongoing); SPIRONOLACTONE taken for cardiac failure congestive (ongoing); FUROSEMIDE taken for swelling (ongoing); MONTELUKAST taken for asthma (ongoing); SERTRALINE HCL taken for depression (ongoing); SIMVASTATIN (ongoing); METOPROLOL SUCCINATE taken for cardiac disorder (ongoing); PRAMIPEXOLE taken for restless legs syndrome (ongoing); GABAPENTIN taken for arthralgia (ongoing). Vaccination history included: BNT162b2 (right arm), administration date: 14Feb2022, when the patient was 67-year-old, for COVID-19 immunization. The following information was reported: MUSCULOSKELETAL DISORDER (disability), PAIN IN EXTREMITY (medically significant) all with onset 07Mar2022, outcome "unknown" and all described as "Looking for information about loosing the use of an arm and pain in the arm after getting the 2nd dose of the COVID shot"; WRONG TECHNIQUE IN PRODUCT USAGE PROCESS (non-serious) with onset 07Mar2022, outcome "unknown", described as "The second shot wasn't high like it should have been, it was 6 inches down from shoulder".  Clinical course: Pfizer COVID 19 Vaccine - 2nd dose, Monovalent. Looking for information about loosing the use of an arm and pain in the arm after getting the 2nd dose of the COVID shot. Concomitant Metformin: been on it for maybe 6 years. Pantoprazole: been on it for a long time. Synthroid been on it a while but can't remember exact date; will be on it for rest of her life. Spironolactone been on it about 2 years. Furosemide frequency depends on how swollen she was because it is for swelling. It supposed to be once a day, but sometimes it has to be two or three times a day. Montelukast been taking it for 4 years. Sertraline HCL generic for Zoloft. dose: it was 100mg but just increased it to 1.5 tablets at night. Clarified now taking 150mg at night. It was increased due to pain and the pain was driving her insane. Simvastatin it is like Zocor. She can't remember what it is for. Been on it maybe 3-4 years. Metoprolol Succ ER her heart dose strange things at times. It flips and flops. She was kidding, it races. Started seeing doctor about 3 years ago and he put her on it. Pramipexole ER been on it 2 years. She was on same medication but a smaller dose for 6 years before switching to 1.5 mg once a day. There were no Investigations reported. Calling about Covid19 Vaccine second shot that she received on 07Mar2022. Ever since then she has been losing use of right arm. It has been painful. She knew it might be painful. The first shot was successful, but with the second shot the nurse went too far down. The second shot wasn't high like it should have been, it was 6 inches down from shoulder. The pain is killing her. She talked to her doctor. She doesn't know what to do. The doctor said it might go away, but it is getting worse and is to the point she can't use right arm. She is right handed. Weight: probably 208 pounds. Loosing use of right arm: she had pain on the day she got the shot. Reporter told her sister that the nurse hit the bone because it was killing her. Reporter thought it would go away in 2 days. The pain started getting worse and continued to get worse. It is to the point now that she can't squeeze anything or open anything. Her writing has gone down hill terribly. Some might think it is caller's age but reporter has always had beautiful handwriting and paints. Has not been able to paint due to this. She has pain in top of shoulder from cartilage going away or whatever it does in shoulder, but this is different type of pain not associated with that. This pain has been every since she go the shot. One other thing is she can't use deodorant under that arm. If she tries to use deodorant, it breaks out in a rash under that arm. First dose of Covid19 vaccine: She thinks she got it on Valentine's day, 14Feb2022. She went exactly 3 or 4 weeks before or whatever it was supposed to be. Her sister took her. Doesn't have card to provide NDC/LOT/EXP. The first was fine. Both Covid19 vaccines were manufactured by Pfizer. Both doses were given in right arm. Indication for prevention. She wanted to make sure because she is high risk and has other illness. She thinks the nurse hit the wrong thing maybe with the second shot. Concomitant medications: on a lot of medications. she thinks if it were a reaction with the medications she was on it would have happened with the first one too. Puts all medications in a bag so she doesn't have to keep up with them. Sertraline HCL: was on something else for depression. Her mother died four years ago and she was her best friend. They put her on some other medication first and caller doesn't remember what that was, but the depression seemed to be getting worse and worse. They then put caller on Sertraline HCL, but recently increased dose because the pain was getting to her. The depression sneaks up on her and she doesn't know why. strength: 100mg, she is now taking 1.5 of the 100mg. She not only has congestive heart failure but also diastolic heart failure associated with COPD. The pain is so bad she will be having blood work soon. She thinks 17Feb2023 is when she goes, but she is not sure. Prior Vaccinations (within 4 weeks) was none reported. Family Medical History Relevant to Adverse Events (AEs): did not think so. Patient did not visit emergency room and intensive care unit. She didn't get booster because she is scared it would cause pain or something else. She started to not get the vaccine at all because they were saying things about blood type and all this kind of talk that surrounds it. Her sister talked caller into getting it because caller is such high risk. patient is O negative blood type. She wishes she hadn't taken it. This pain is unbearable and she can't do anything. It is ridiculous. Clarified she is looking for information about loosing use of arm and pain in arm after getting second dose of Covid shot.   The information on the batch/lot number for BNT162b2 has been requested and will be submitted if and when received.