Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: sore arm with the first dose was worse than with the 2nd dose; This is a spontaneous report received from a contactable reporter(s) (Other HCP). The reporter is the parent.  A 18 year-old female patient received bnt162b2 (BNT162B2), administration date 09Apr2021 (Lot number: ER8727) at the age of 17 years as dose 1, single for covid-19 immunisation. Relevant medical history included: "Asthma" (ongoing); "Klippel-Feil syndrome", start date: 11May2003 (ongoing); "Golden-har's syndrome", start date: 11May2003 (ongoing); "Craniofacial deformity" (unspecified if ongoing); "Spinal deformity" (unspecified if ongoing); "Spinal fusion", start date: 2016 (unspecified if ongoing), notes: Caller clarifies that her daughter had the spinal fusion in 2016.; "Lung disease obstructive" (unspecified if ongoing), notes: has an obstruction that is similar to obstructive lung disease because of underdeveloped lungs because of the spinal deformity. There were no concomitant medications. The following information was reported: PAIN IN EXTREMITY (non-serious) with onset 2021, outcome "recovered" (2021), described as "sore arm with the first dose was worse than with the 2nd dose".  Additional Information: Patient history: Asthma. The patient was probably 7 or 8 years of age when this was diagnosed. History/ Investigations: There are no other products but she was born with two rare syndrome has Klippel-Feil and Goldenhar, so she has a craniofacial deformity and a spinal deformity but otherwise she faired well in the rest of the things that go along with those syndromes. She has had a spinal fusion and has an obstruction that is similar to obstructive lung disease because of under-developed lungs because of the spinal deformity. She regularly sees pulmonology and her daughter is due to see them again on 29Nov2021 and the caller is going to send the doctor an email and see if there is any way that her daughter can get the vaccine's third dose while they are there. Caller clarifies that her daughter had the spinal fusion in 2016. It began that same day 30Apr2021 and it was there for a couple of hours before it went away, this was confirmed to it maybe lasting 2 hours. Neither of them didn't have any symptoms after the vaccine, they just both had a sore arm and the caller herself was tired but they faired well with the vaccine. The caller knows that Pfizer has a lower dose than Moderna and she has heard that Moderna is having big reactions and that's why they wanted to get Pfizer and she is very glad that they did. Sore arm: Her daughter's sore arm with the first dose was worse than with the 2nd dose, the 2nd dose wasn't as bad and caller adds that it could of just been the injection itself. Inquired for when this ended each time and the caller states that her daughter's sore arm with the first dose lasted a week and then with the second dose it only lasted a few days. Seriousness: With the sore arm this is going to happen with vaccines, of course it may be worse with tetanus but having a sore arm from a vaccine is always a potential. What had concerned her was the circumoral swelling that was behaving more like a potential allergic reaction and her daughter does have asthma so she already has an active immune system. The caller didn't want to go ahead and get the 2nd dose without reporting this and the caller is considering her daughter getting the 2nd dose at a hospital or at a doctor's office and maybe linger for a bit just to be prudent but she just wanted to see what Pfizer knows and thinks, she thinks that side effect was serious. Caller clarifies that when she just spoke about the 2nd dose (the last two times it was mentioned) she was meaning the 3rd dose, not the 2nd.  No follow-up attempts are possible. No further information is expected.