Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Influenza, Lethargy, Paraesthesia, Peripheral swelling
Clinical narrative: felt sluggish; hands tingly; Felt like a mild case of the flu after second vaccine; low grade fever; Soreness in arm injection site; severe joint pain in her shoulder carriage after second vaccine; hands to her fingertips felt like they were 10 times the size; lethargic; This is a spontaneous report from a contactable consumer or other non hcp. A 65-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, Batch/Lot Number: ER8731; Expiration Date: 31Jul2021) via intramuscular, route of administration in Left Arm on 17Apr2021 11:00 (at the age of 65-year) as dose 2, single for COVID-19 immunisation. Medical history included hypertension (this has been diagnosed for about 5 to 7 years), high cholesterol (diagnosed with about as long as blood pressure started with diet and then every other day medication and now she is on a daily. First she was breaking up pills), vitamin d deficiency (diagnosed just recently when she was put on Vitamin D 50,000 units. When she went in for her annual, they did blood work and she was deficient), Celiac (Probably diagnosed in 2010) asthma diagnosed a long time ago. Sees her primary doctor every 6 months because of Hypertension. Concomitant medication(s) included vitamin d 50000 (once a week) [vitamin d nos] (VITAMIN D [VITAMIN D NOS]) taken for vitamin d deficiency (diagnosed recently and she thinks in February. Eventually, she will be off of prescription and just on OTC and take it daily, hydrochlorothiazide, valsartan (VALSARTAN & HCTZ) 12.5 mg, daily taken for blood pressure measurement (Less than 10 years but more than 5. She had to go on when her brother passed away, maybe 7 years), QCOQ10 with Lutein for eye health (Caller has been on for a couple years) and rosuvastatin 5 mg (ROSUVASTATIN) taken for blood cholesterol (Probably about 4 years). Received pneumonia vaccine in Nov2020, and Tetanus 7 years ago. Patient three year ago had hands evaluated because she is on the computer and mousing all the time.  Her fingers were starting to lock up, like a trigger finger.  Patient got cortisone shots.  Tested her and put her through tests for carpal tunnel.  That was fine, it was just the tendon.  Cortisone is 97% effective and cure without surgery.  People can receive a maximum of 2 injections.  She does not remember which fingers and which hand.  Last summer right index finger locking up again and she received second cortisone shot ( If it does not last, then she will have to do surgery). Patients confirm in Nov2021 had pneumonia vaccine. The patient was previously received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, Batch/Lot Number: ER8732; Expiration Date: 31Jul2021) via intramuscular route of administration in Left Arm on 27Mar2021 11:00 (at the age of 65year) as dose 1, single for COVID-19 immunisation and experienced mild headache/dull headache and sore arm/soreness in arm injection site. The patient did not had any AEs following prior vaccinations. The patient did not receive any other vaccines within four weeks prior to the COVID-19 vaccine.  On 17Apr2021 at 11:00 Saturday patient had second dose and on 02:00 on Sunday (18Apr2021) she woke up in morning with severe joint pain in her shoulder carriage, her hands to her fingertips felt like they were 10 times the size they should be/ her shoulder carriage, left and right shoulders, and across was joint pain that was really severe.  She adds that her hands and fingers both on the upper side and bottom side she felt completely swollen like 10 times their size, tingling and soreness in arm injection site. She had minor low grade temperature after second dose/ body has a different temperature feeling. Felt a mild case of flu after second vaccine: At that point, she got up and took more Tylenol.  She hydrated and kept dozing in and out every 2 hours.  She was watching the clock and hydrating.  She just could not get out of bed.  It was like she was hit by a bus.  It felt like a mild case of the flu.  At 11 am, which was 24 hours post-injection, she started feeling better/ By 11 o'clock, she was able to get out of bed and take it easy, not do anything strenuous.  She did have soreness in the injection but not like how it was the first time.  It started in the middle of the night.  Everything started in the middle of the night Sunday, 18APR2021. On 20Apr2021 Monday she felt sluggish and under the weather. She was able to go for work. Tuesday things were getting better and on Wednesday everything was gone. Everything was going fine until this past Tuesday. This week, Tuesday, it returned and her hands felt the same way.  They were tingly, like how it feels right before a foot falls asleep like those censors that the body sends to say it is going to fall asleep. In the middle of the night, when she got up to use the bathroom, she noticed her hands had the same sensation and it has not stopped.  Patient adds it feels like the sensory alert before a body part falls asleep.  Her palm of hand, top of hand, both hand fingers, and the palm were having his reaction and it is not going away.  Patient adds it fades in and out but does not go away.  Patient confirms that this was this past Tuesday, 27Apr2021. Patient forgot that she had these cortisone shots and adds that you never know if the vaccine interacted with the cortisone. She don't know what happens if this continues and is going to be an ongoing situation. She feels fine, it is just her hands. She knowns it's a allergy season and she is going back and forth with headache. She added that there is also her stomach  but she thinks it is stomach bug. The outcome of the event hands to her fingertips felt like they were 10 times the size was unknown, and for the other events was recovered on 21Apr2021. No follow-up attempts are needed. No further information is expected.