Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound abdomen, Upper limb fracture
Clinical narrative: there is a growth in large intestine/colon on the right lower abdomen.This could represent a cancerous growth, but it could also be benign.; the liver has a benign-appearing growth called a hemangioma; The ovaries both have cysts, which appear benign; sustained a broken left arm in a minor metrobus accident; Inappropriate schedule of vaccine administered; This is a spontaneous report and received from Consumer or other non HCPs.  A 74-year-old female patient received BNT162b2 (BNT162B2), on 12Mar2021 as dose 2, single (Lot number: EN6202) at the age of 74 years for covid-19 immunisation. The patient's relevant medical history included: "Seasonal flus" (unspecified if ongoing), notes: usually in January or February. The patient's concomitant medications were not reported. Vaccination history included: prevnar 13 syringe (DOSE NUMBER UNKNOWN, SINGLE, Batch/Lot number: S56960, Expiry date: 31Oct2018, VIS date: 05Nov2015, VIS date given: 31Aug2017, Immunization type: Pneumococcal Conjugate (Prevnar), Route of administration: Intramuscular, Anatomical location: Left deltoid, RPH), administration date: 31Aug2017, when the patient was 71-year-old, for Pneumococcal immunisation; fluzone high-Dose 2017-2018 (DOSE NUMBER UNKNOWN, SINGLE, Batch/Lot number: UI808AA, Expiry date: 28Feb2018, VIS date: 07Aug2015, VIS date given: 11Oct2017, Immunization type: Flu (Inactivated), Route of administration: Intramuscular, Anatomical location: Left deltoid, RPH, Sanofi-Pasteur), administration date: 11Oct2017, when the patient was 71-year-old, for Influenza immunisation; fluzone high-Dose 2019-2020 (DOSE NUMBER UNKNOWN, SINGLE, Batch/Lot number: UJ221AA, Expiry date: 01Apr2020, VIS date: 07Aug2015, VIS date given: 04Sep2019, Immunization type: Flu (Inactivated), Route of administration: Intramuscular, Anatomical location: Left deltoid, RPH), administration date: 04Sep2019, when the patient was 73-year-old, for Influenza immunisation; pneumovax 23 (DOSE NUMBER UNKNOWN, SINGLE, Batch/Lot number: S018405, Expiry date: 13Jan2021, VIS date: 30Oct2019, VIS date given: 14Jan2020, Immunization type: Pneumonia, Route of administration: Intramuscular, Anatomical location: Left, RPH, Merck), administration date: 14Jan2020, when the patient was 73-year-old, for Pneumococcal immunisation; fluzone quad 2020-2021 (DOSE NUMBER UNKNOWN, SINGLE, Batch/Lot number: UJ428AB, Expiry date: 30Jun2021, VIS date: 15Aug2022, VIS date given: 08Aug2022, Immunization type: Flu (Inactivated), Route of administration: Intramuscular, Anatomical location: Left deltoid, RPH), administration date: 08Aug2020, when the patient was 74-year-old, for Influenza immunisation; BNT162b2 (DOSE 1, SINGLE, Batch/Lot number: EL9264), administration date: 29Jan2021, when the patient was 74-year-old, for COVID-19 immunisation. The following information was reported: INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (non-serious) with onset 12Mar2021, outcome "unknown", described as "Inappropriate schedule of vaccine administered"; UPPER LIMB FRACTURE (medically significant) with onset 21Apr2021, outcome "unknown", described as "sustained a broken left arm in a minor metrobus accident"; COLON CANCER (medically significant), outcome "unknown", described as "there is a growth in large intestine/colon on the right lower abdomen.This could represent a cancerous growth, but it could also be benign."; HAEMANGIOMA (non-serious), outcome "unknown", described as "the liver has a benign-appearing growth called a hemangioma"; OVARIAN CYST (non-serious), outcome "unknown", described as "The ovaries both have cysts, which appear benign". The patient underwent the following laboratory tests and procedures: Magnetic resonance imaging: hemangioma, notes: Showed the liver has a benign-appearing growth called a hemangioma/the MRI showed that there is a growth in large intestine/colon on the right lower abdomen. This could represent a cancerous growth, but it could also be benign; Ultrasound abdomen: The ovaries both have cysts, notes: which appear benign, but it is a good idea to monitor these just to make sure they are not growing. Clinical course: Now one thing patient had an effect of the lack thereof the Pfizer vaccine was that on 21Apr2021, she had sustained a broken left arm in a minor metrobus accident here in (withheld). About previous injury to subjects. Personally, she do not think that had much to do with the vaccine helping or not helping at all. It was the pharmacist who wrote the squiggles. Chose No Chemo as that was all that (illegible) physician offered. Follow up letter after phone call discussion on Wednesday, 28September. To summarize, MRI showed the liver has a benign-appearing growth called a hemangioma. This does not need further testing. The ovaries both have cysts, which appear benign, but it is a good idea to monitor these just to make sure they are not growing. Sometimes cysts can represent more serious problems such as cancer, and if they grow, then that could be a sign of problems. Monitoring with an ultrasound was one way to make sure that they appear stable and benign. Recommend an ultrasound of these in 3 months and had put a reminder in chart and will contact then to help schedule this. Lastly and most importantly, the MRI showed that there was a growth in patient large intestine/colon on the right lower abdomen. This could represent a cancerous growth, but it could also be benign. The only way to find out is with a biopsy test. The biopsy test can be done through a fairly simple procedure with a needle (without having to have any surgery). It was important to know what this was because treating it early, if it was cancer, could avoid much more serious problems in the future. It is quite possible that if it was a cancer that it could be removed with a rather basic surgical procedure, it was even possible that it would not need chemotherapy or other treatments.; Sender's Comments: Linked Report(s) : US-PFIZER INC-PV202400025603 Same patient/Vaccine, different dose/events (Dose 3);US-PFIZER INC-202400048994 Same patient/vaccine, different events/suspect doses (LOE);