Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pain in extremity, SARS-CoV-2 test, Urine analysis
Clinical narrative: getting weaker and had severe muscle damage; Losing weight, lost eight pounds of muscle weight; severe muscle atrophy; severe muscle atrophy Getting weaker. Severe muscle damage; hard to walk 15 feet to bathroom; pain in arms and legs around 4am. Less in groin muscles and roared into shoulders; pain in arms and legs around 4am. Less in groin muscles and roared into shoulders; pain in arms and legs around 4am. Less in groin muscles and roared into shoulders; This is a spontaneous report from a contactable consumer (patient). A 64-year-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number: unknown), via an unspecified route of administration on an unspecified date as 2nd single dose for COVID-19 immunisation. The patient had no medical history. The patient concomitant medication included multi vitamin every two-three days, glucosamine. Prior to the vaccination the patient was not diagnosed with COVID-19. The patient did not receive any other vaccine within 4 weeks prior to the vaccine. Allergies to medications, food, or other products was none. Since the vaccination the patient had been tested for COVID 19. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number: EN6205) intramuscular on left arm on 15Mar2021 at 11:00 as 1st single dose for COVID-19 immunisation and experienced pain in different parts. On an unspecified date, the patient experienced that "he went for the 2nd shot, i was denied due to symptoms" after first dose of vaccine. The patient underwent lab tests and procedures which included sars-cov-2 test: negative on 05Apr2021. Upon follow-up (10Jun2021): Patient stated that he was in excellent health, per yearly labs all results in normal range. All blood pressure, "AIC", sugar, cholesterol, triglycerides all. Exercised walked 1 and half to 2 miles per day. Bike ride, lift weights, 20 pushups, 90 leg lifts, planks, excellent diet and no prescriptions previously. The patient was started 2nd dose, same procedure, same result. On 10May21, he got woke up by pain in arms and legs around 04:00, less in groin muscles and roared into shoulders, Level 10 would not get out of bed. The patient had to roll off bed into pillows, go to hands and knees and claw my way up the side of the bed to stand up. Pain level a 10. He felt hard to walk 15 feet to bathroom. On 16May2021, getting worse. The patient started waking up with extreme pain in arms, legs shoulders, level 10-12. At "1:30am and 3:30am, 24/7" pain. He was losing weight, lost eight pounds of muscle weight, severe muscle atrophy. He was getting weaker and had severe muscle damage. On 26May2021, Computer tomography scan was performed, and result was not reported. The patient underwent lab tests and procedures which included C-reactive protein (CRP) high on 05Apr2021, Regular Covid test negative on 25Apr2021, 3 different set of blood tests, waiting on 3rd test results. On 24May2021, more unspecified lab tests were performed. On 21May2021, the patient was started prednisone at 50 mg every day with a 30day script, still taking. The outcome of the events was unknown.  No follow-up attempts are needed. information about lot/batch number cannot be obtained.  Follow-up #02 (10Jun2021): New information report from a contactable consumer (patient) reported in response to consumer letter sent via follow-up letter which included that: New events added, clinical course treatment details were added.  No Follow-up attempts needed. No further information expected.