Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Malaise, Muscle tightness, Musculoskeletal pain, Musculoskeletal stiffness
Clinical narrative: Didn't feel well; Muscle tension; Soreness in his legs all the way up to the shoulder blades, it kept intensifying; Soreness in his legs all the way up to the shoulder blades, it kept intensifying; Soreness in his legs all the way up to the shoulder blades, it kept intensifying; Pain; his back was tightening up all the way down to his legs, the back of the legs; Pain; his back was tightening up all the way down to his legs, the back of the legs; A little sluggish; Left upper arm literally swelled up like a softball; it is purple in that area and then it is also yellow; Bruise at the site of injection; This is a spontaneous report received from a contactable consumer. This is report 2 of 2. The caller is reporting on her husband. This consumer (patient's wife) reported for 65-year-old male patient (husband) that. A 65-years-old male patient received BNT162B2 (formulation: Solution for injection, Lot Number: EW0161), via an unspecified route of administration, administered in Arm Left on 26Apr2021 (age at vaccine 65-years-old) as DOSE 1, SINGLE for covid-19 immunization. The patient medical history included prostate cancer from 2014 to an unknown date (Prostate cancer), idiopathic pulmonary fibrosis from an unknown date (family history) He said the only known family history was his mother passed away from idiopathic pulmonary fibrosis, prostatectomy from 2015 to an unknown date. Concomitant medications included lisinopril (LISINOPRIL) taken for blood pressure measurement from an unspecified start date and ongoing, He said he had been taking this for roughly around 8 years. cetirizine hydrochloride (ZYRTEC ALLERGY) taken for hypersensitivity from an unspecified start date and ongoing, He said he had been taking this for well over a year because of round the year allergies. montelukast (MONTELUKAST) taken for an unspecified indication, start and stop date were not reported He said he had been taking this for about 6 months, amlodipine (AMLODIPINE) taken for blood pressure measurement from an unspecified start date and ongoing, He says he has been taking this for 8 years along with Lisinopril, He said he had been taking this for 8 years along with Lisinopril. hydrochlorothiazide (HYDROCHLOROTHIAZIDE) taken for diuretic therapy from an unspecified start date and ongoing, He said this was a diuretic they prescribed. He said he had been taking this for he thinks the same amount of time, about 7 years, acetylsalicylic acid (BABY ASPIRIN) taken for an unspecified indication from an unspecified start date and ongoing, He said he had been taking this for about 8 years He said his doctor recommended this for the heart: preventative. The patient receives any other vaccines within four weeks prior to the unknown vaccination. The patient received previously Historical Vaccine Gets the annual flu shot on unspecified date for immunization. He said his shot was on 26Apr2021. He said at first when it was injected in the left upper arm it literally swelled up like the size of a softball. He confirmed that his dose was on 26Apr2021 and said the swelling occurred immediately after the shot was administered. He said he noticed it during the following day and did not feel like it was abnormal because he normally gets the annual flu shot. His mother passed away from idiopathic pulmonary fibrosis. He said he was a little sluggish, that was Wednesday, and on Saturday he had this and it never happened before, he had started to have the feeling of soreness in his legs all the way up to the shoulder blades, it kept intensifying. He said he normally did not take medications, his wife thought maybe he strained his back or something out of the ordinary. He said he did not do anything out of the ordinary. He said he did take Aleve. He said he was in pain; he was having trouble, he would not say he was having difficulty breathing, but rather his back was tightening up even more all the way down to his legs. He said he used to have prostate cancer and the symptoms in his legs were similar to when the prostate was too large and his legs were sore to the point that they hurt, on the backside of his legs. He said he stayed at the pharmacy for 30 to 40 minutes. He said normally they want patient to wait 15 minutes but the person who gave him the shot wanted him to stay longer because of the swelling. He said that was 26Apr2021 and now he had a big bruise in that area. He says he recovered completely from the swelling and now there was a bruise at the site of injection. He said it was weird because it was purple in that area and then it was also yellow. When querying outcome, stated it was unknown. He said the soreness in the legs all the way up to the shoulder blade occurred on 01May2021, went away Saturday 01May2021, and came back Monday 03May2021, and was now ongoing. He said it was weird that he and his wife on Saturday both didn't feel well. He said Sunday he took 2 Aleve and it relieved whatever issue he was having. He said on Monday last night when he went to bed, he started having the same soreness then pain, slight pain, and right away took Aleve again. He said he did not want to lose sleep so at midnight he took Aleve again, 1 instead of 2, and that helped. He noticed the soreness and it gradually got to pain. It concerned his because it got up to his back and shoulder blades, which was very uncommon. He wanted to emphasize that it was in the back of his legs. That was Saturday night at midnight and the outcome was unknown. The patient experienced left upper arm literally swelled up like a softball on 26Apr2021, a little sluggish on 28Apr2021, soreness in his legs all the way up to the shoulder blades, it kept intensifying on 01May2021, soreness in his legs all the way up to the shoulder blades, it kept intensifying on, soreness in his legs all the way up to the shoulder blades, it kept intensifying, pain; his back was tightening up all the way down to his legs, the back of the legs, pain; his back was tightening up all the way down to his legs, the back of the legs all from on 01May2021, bruise at the site of injection on 26Apr2021, didn't feel well and muscle tension both on an unspecified date. The clinical outcome of the event Left upper arm literally swelled up like a softball recovered onAp2021 and other events was unknown.  No follow-up attempts are needed. No further information is expected.