Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Autoimmune disorder, Epicondylitis, Joint swelling, Musculoskeletal stiffness
Clinical narrative: It's hard to wash my hair and brush my teeth because my arms hurt/general 24HR a day intense pain in both arms; joint pain in elbows; acute tendinitis in both arms; she can't straighten her arms out completely, she can't bend them completely/stiff; tennis elbow/golf elbow; right wrist and elbow are swollen up twice their normal size; left arm swelling; It's hard to wash my hair and brush my teeth because my arms hurt/general 24HR a day intense pain in both arms; This is a spontaneous report from a contactable consumer(patient).   A 73-Year-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), intramuscular, on 29Jan2021 (Lot Number: EN5318) at age of 72-year-old at SINGLE DOSE in Arm Right for covid-19 immunisation.  Medical history included atrial fibrillation, hypertension from 2010 and ongoing. The patient's concomitant medications were not reported.  She was taking her regular prescribed medications which are primary for atrial fibrillation and hypertension, however she has been on these medications for years.The patient previously received first dose of bnt162b2 on 8Jan2021 (Lot Number: EL3246) as SINGLE DOSE in Left arm for covid-19 immunisation.  8 or 9 days later after she received the first dose, she broke out in rash on her upper left chest and shoulder area. It spread, and she then had a patch in the small of her back and then, her legs from her knees to ankles broke out. She reports that after her 1st vaccination she developed a rash 1 week after the injection. Explaining that its a "strange rash some of which I still have on my chest, the small of my back and from my knees to my ankles", The "ones on my legs have never really resolved, its pretty ugly and the dermatologist said it looks like eczema". The doctor gave her some topical steroid cream "Mometaesone" for all of these areas. However, her legs are still not cleared up. She still has lesions there. It looks and is like eczema, but the eczema treatments are not working. For some reason instead of staying as little bumps, the bumps developed into some large, scaly patches. It's those scaly patches that are red and nasty looking which is what the dermatologist has been treating. She was also prescribed Ammonium Lactate lotion which kind of helps with the scaliness that the area produces. The patient received both doses of the COVID vaccine. Both shots were given around 1-2pm. The reaction to the second dose is far more troubling and problematic in all sorts of ways than the first dose. About 7 or 8 days after the second shot, she began to have joint pain in her elbows. She was told she has acute tendinitis and was given oral steroids to take and she was sent to physical therapy. She has had general 24HR a day intense pain in both arms. It's to the point she can't straighten her arms out completely, she can't bend them completely, especially early in the morning when she first wakes up and everything is kind of stiff. She can't even brush her teeth without having to prop her elbow on the edge of the sink. She can't brush her hair, wash her hair without pain. She has to get her partner to undo her bra because she can't. She was given a Medrol pack. With the second one, "My elbows began to hurt, ortho did x-rays and said nothing was wrong with them, and that it may be tendonitis. PT who is a hand and extremity therapist said my swelling is strange and asked if I had Rheumatoid problems. She states she has to go back to dermatologist next week for them to look at the area again. In the mean time, she has taken oral steroids and topical steroids and not much has done any good. She has had reactions autoimmune disorders to both of her vaccinations, the reactions began about a week after getting vaccinated. It was stated that these symptoms are better than dying of COVID but its very unpleasant. She has had X-rays done but it showed there was nothing wrong with her joints. No one has done any blood test. The orthopedic people took X-rays because she told them her elbow hurts. She was told that there was nothing wrong with her elbows, but she does have all this other stuff going on. She clarifies she has tendonitis, tennis elbow, golf elbow- but the hasn't had anything to cause this, and she was told they are really, really bad. Her right wrist is swollen up twice its normal size as is her right elbow. It has been going on now since February, March, April. Her left arm is doing a little bit better but her right arm is pretty acute. She confirms this swelling is still ongoing and persisting in her right arm.  The AEs require a visit to Physician Office. Prior Vaccinations (within 4 weeks) was None. AE following prior vaccinations was No. She mentions she was in the military and she received many vaccines from cholera to small pox and beyond. She never had a reaction. The outcome of Joint swelling was not recovered, of left arm swelling was recovering, of other events were unknown.  No follow-up attempts needed. No further information expected.