Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Asthenia, Gait disturbance, Joint swelling, Musculoskeletal stiffness
Clinical narrative: lost weight; figure out how to straighten herself up to walk; left ankle is swelling; shaking; joint pain and weakness; joint pain in shoulders and hips; sore at injection site; Stiff and sore; This is a spontaneous report from a contactable consumer or other non-health care professional reported for patient. A 63-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), via an unspecified route of administration, administered in arm left on 29Mar2021 at 13:30 (Lot Number: EP7533, Expiry date: not reported, age at vaccination was 63-year-old) as dose 1, single for COVID-19 immunization. Medical history included ongoing renal cancer stage II Verbatim: Stage II kidney disease. Concomitant medications included calcium (CALCIUM); calcium citrate, colecalciferol (CALCIUM CITRATE WITH VITAMIN D3); curcuma longa rhizome, piper nigrum fruit (TURMERIC +); krill oil (KRILL OIL); colecalciferol, collagen, fish oil (COLLAGEN II); cyanocobalamin (B12-VITAMIIN), Multivitamin active woman taken for an unspecified indication, start and stop date were not reported. Reporter stated that she only took 2 tablets but the recommended is 4 tablets. She stated that she thinks that it too much. The whole dose was 24 g, but she took 12. The patient experienced stiff and sore on 29Mar2021, sore at injection site on 30Mar2021, joint pain in shoulders and hips on 05Apr2021, joint pain and weakness on 06Apr2021, left ankle was swelling on 13Apr2021, shaking on 13Apr2021, figure out how to straighten herself up to walk, lost weight on an unspecified date. Reporter said that about a week after the 1st dose she was fine the first day, she was a little stiff and sore but that went away. She said a week later she started having joint pain in her shoulder and hips. She stated that it was increasing joint pain, and she was a bit worried about it. She stated that after that, a week later she started getting very weak, and loosing strength. She said she was a fitness instructor. She said she started having pain and getting weaker, so she called her doctor before the 2nd dose because she was afraid to get it. She stated that the second time she called the doctor they got her to have COVID test which came back negative. She stated that she got the second shot and was sitting on the sofa at midnight and stated that she did not have an email for her doctor at this time. She stated that they do send her emails, but she was not sure that they were ones that allow contact threw. She stated that the emails were generated through the patient portal, reporter stated that on 30Mar2021 she had soreness at site, probably went away might be the next day she said it didn't last very long. She said that on 06Apr2021 she really started getting weak, and the way she could tell she was weak was because she thought senior fitness classes virtually, and that Tuesday she could not do a front arm raise with 5 lbs. worth of weight. She stated she was that weak. She said she couldn't do it. She said that it was mainly her left arm that is weaker than right arm. She said she has a previous injury on right arm, so she sometimes had trouble with that arm. She said that her left arm was her strong arm normally and now it was weak. She said it seems to have gotten a little better now, but she could not sit for a long period of time she has to figure out how to straighten herself up to walk. She said starting this week she had been having trouble with opening the cap of a water bottle. She said the weakness is getting worse. She said that the shaking started on the 13Apr2021 still ongoing, not a constant, the shaking body or trembling happens when she hinges from her hips, when she was leaning over or bends over. She stated that it also happens when she is extending her arms out to reach. She said that was when she trembles getting worse. She stated that her ankle growing, started 13Apr2021 and right now she was looking at her ankle and she can see the bones. She could see her ankles, but the left side of her foot was slightly, just a little bit bigger, but it had gone down. She stated that it appeared randomly, and it did not stay, it happened and then went away. Caller confirmed there was not an expiration for the first dose, NDC number, or dosing information on the vaccine card. She was reluctant to do it, but she was a fitness instructor for seniors and the adult population ages 55 and over. She stated that most of her job is in senior living facilities and for her to get back in there she must get the vaccine. She was still doing most of her classes virtually but had started going back to the community. She was currently going down the steps while talking to the CH. She had a client picking up Zumba toning sticks and the client was in parking lot waiting for her. She stated the client is 84. No other vaccines were administered 4 weeks prior vaccinations NO, had not past fall had pneumonia vaccine and flu vaccine had to get booster for shingles. had those three this past fall no reactions to them. Reporter says that she was asking if someone had the same experience or side effects with her with regarded to the Pfizer COVID Vaccine. 6 days after the first dose patient experienced joint pain and weakness, she was getting weaker and weaker. The outcome of event stiff and sore was recovered on 30Mar2021, sore at injection site was recovered on 31Mar2021. Outcome of joint pain in shoulders and hips, left ankle is swelling was resolving. Outcome of joint pain and weakness was not resolved, and outcome of remaining events was unknown.  No follow-up attempts are needed. No further information is expected.