Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Dizziness, Fatigue, Spinal pain
Clinical narrative: This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient. A 59 year-old male patient received bnt162b2 (BNT162B2), administered in arm right, administration date 19Mar2021 12:59 (Lot number: ER8727) at the age of 59 years as dose 2, single for Covid-19 immunisation. Relevant medical history included: "Psoriasis", start date: 1980 (ongoing), notes: hadn't been that bad just in certain spots.; "Eczema", start date: 1980 (ongoing), notes: began about the same time as psoriasis; "Panic attack", start date: 2011 (unspecified if ongoing); "Thyroid nodes", start date: 2018 (unspecified if ongoing), notes: 9 nodes on his thyroid, all non-cancerous; began about 3 years ago; "Thyroid removed", start date: 2019 (unspecified if ongoing); "Sleep problems" (ongoing); "Lymph nodes removed" (unspecified if ongoing), notes: couple of years ago; "minor spine problem" (unspecified if ongoing). Concomitant medication(s) included: ALPRAZOLAM taken for insomnia, start date: 2019 (ongoing); CLOBETASOL taken for eczema (ongoing); LEVOTHYROXINE taken for thyroidectomy, start date: 2019 (ongoing); TRIAMCINOLONE ACETONIDE taken for eczema (ongoing); VITAMIN D3 taken for vitamin D decreased, start date: 2020 (ongoing). Past drug history included: Melatonin for Sleeping problems, reaction(s): "Does not work", notes: Natrol 5 mg; Lot number: 2066073, Expiration Date: 31Mar2018. Vaccination history included: Bnt162b2 (Lot number: EN6203 in right arm at 13:30 as dose 1, single), administration date: 26Feb2021, when the patient was 59 years old, for COVID-19 immunisation, reaction(s): "Extremely tired", "Pain at site of chronic back/spine problem", "Pain at site of chronic back/spine problem", "Pain in arm", "lightheadedness", "Eczema started acting up/Eczema moved up to his waist and pelvic area", "Could barely sleep/Sleeping problems", "rubbing his legs", "it was so itchy", "more muscle pain", "Eczema flare-ups were red blotches on his skin like an ink blot/they were pink red in color, nothing major"; Shingles vaccine (in left arm), administration date: Feb2021, when the patient was 59 years old, reaction(s): "He felt it, it was kind of weird, he could really feel the liquid going in him". The following information was reported: DIZZINESS (non-serious) with onset 19Mar2021, outcome "recovered" (Mar2021), described as "little lightheaded"; FATIGUE (non-serious) with onset 19Mar2021, outcome "recovered" (Mar2021), described as "Extremely tired"; SPINAL PAIN (non-serious) with onset 19Mar2021 18:59, outcome "recovering", described as "minor spine problems / very painful"; BACK PAIN (non-serious) with onset 20Mar2021, outcome "recovered" (Mar2021), described as "pain at the site of his chronic back"; VACCINATION SITE PAIN (non-serious) with onset Mar2021, outcome "unknown", described as "Pain in arm / on the injection site"; ARTHRALGIA (non-serious) with onset Mar2021, outcome "not recovered", described as "joint pain now in his left hip". Additional information: It was reported that immediately after receiving the vaccine on each dose, the patient experienced a little lightheadedness. It was not as bad following the second dose and that it has completely resolved. The patient experienced tiredness on the first day following both doses of the Pfizer Covid-19 vaccine and reported that it has completely resolved. It was reported that pain at site of chronic back / spine problem began about 6 hours after the injection after both doses (as reported) and went away between the first and second dose and came back with a vengeance after the second dose. It was further reported that around midnight on 20Mar2021, the pain in his back came back. The back pain lasted about 2.5 days then stopped. The patient has minor spine problems but the pain he experienced was very painful. Patient stated that the pain has improved. The pain at the site of his chronic back/spine problem is more of a joint pain now in his left hip whereas previously it was more of a muscle pain (in dose 1). It was reported that something was still there but he was going to see his chiropractor and that he hasn't spoken to his spine doctor and hopefully will get a pain injection. It was further reported that the patient didn't have much pain in his arm but when he pushes on the injection site he can tell, but it did not really sore much at all. No follow-up attempts are possible. No further information is expected.