Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Pain, Product dose omission issue
Clinical narrative: has problems with his blood pressure; didn't get the second shot; His lower back tightens up sometimes.; a growth at the base of his rib cage; causing pain; Soreness in his ribcage; costochondritis; This is a spontaneous report from a contactable consumer or other non hcp. A 67-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot Number: EN6198), via an unspecified route of administration in the right arm on 17May2021 at 15:30 (at the age 67-year-old) as 1st dose, single dose for COVID-19 immunisation. Medical history included atrioventricular block, diagnosed about 3 years ago; aortic aneurysm, diagnosed about 3 years ago; anxiety and depression. The patient's family history included father had prostate cancer that went into his throat. Historical vaccine included flu vaccine about 4 years ago and experienced has not had anything except a sore arm after vaccines. One time the patient had weakness in his left arm for months. The pharmacist said it was because of how they administered it. The patient's concomitant medications were not reported. The patient did not receive any other vaccines within four weeks prior to the vaccination. The patient stated he was called about the COVID 19 vaccine. He had his first vaccine on 17May2021, and second shot was supposed to be on 07Jun2021. He went to his doctor "tomorrow" at 20:40 regarding a growth at the base of his rib cage. He called and spoke to someone at Pfizer earlier "today", 14Jun2021 and forgot to tell the agent that he was taking Tylenol and Advil. He completely forgot. He does not have a report number from the call "this morning". When probed the information from the COVID 19 vaccine card, he reports it was hard to read the pharmacist's handwriting but the date for the first vaccine was 17May2021, he remembered it was a Monday and he was supposed to have his second vaccine 3 weeks from 17May2021. He reported he did not have the growth on his rib cage prior to the COVID 19 vaccine. He had soreness in-between his ribs and went to the doctor. The doctor said he had costochondritis, two weeks after the vaccine and felt all along that area in his ribs. This was 3 weeks and 3 days after he had the first COVID 19 vaccine. He woke up and felt big lump right underneath where his ribcage ends, the size of his hand, and it was causing pain. That Wednesday the patient was fine and then Thursday it was there. He does not know if the lump was pressing on nerves or whatever. His doctor told him to take Tylenol. The patient's physician assistant said it was a sub-Q lump of fat, it was very pronounced. The caller sees his doctor "tomorrow". When he first got up in the morning for the first 5 or 10 minutes, he has pain that nearly brings him to tears and the Advil and the Tylenol was not curing that. He has been fortunate that the pain disappears after about 10 minutes. He has been taking Tylenol at 1000mg twice a day, once in the morning and once in the evening. He stopped taking the Advil because he has problems with his blood pressure. His doctor does not want him to take Advil. He was not reported any new events. He was taking the Tylenol also taking a muscle relaxer, Skelaxin. He takes Skelaxin for his lower back. His lower back tightens up sometimes. He was not blaming that on the vaccine because he had this problem in the past. The Patient was very questionable to get the COVID 19 vaccine, but his doctor said he does not want the caller to be the last person who ends up in a grave. So, he decided to get the COVID 19 vaccine. The Tylenol was Acetaminophen at 500mg (Lot# OKE2997, Expiry Sep2022). He bought it from the supermarket "PRIVACY". Advil at 200mg, Lot# X84375, Expiry Jul2021. He would take 2 tablets in the morning and 2 tablets at bedtime so he could sleep. He has one tablet left but he was not taking this anymore. He will ask the doctor tomorrow at this appointment if he was going to order an ultrasound. He was not in pain at the time of the first call to Pfizer. The events resulted in visit to physician's office. The outcome of event "a growth at the base of his rib cage" was not resolved; pain was resolved and rest all other was unknown.