Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Joint range of motion decreased, Pain in extremity, Product dose omission issue
Clinical narrative: She states she continues to have pain in  her shoulder; Missed dose; Arm was still sore; She still can't lift or raise her arm above 90 degrees without difficulty; This is a spontaneous report from a contactable consumer (patient).  A 59-years-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number was not reported, and Expiration date was unknown) via an unspecified route of administration, administered in left arm on 14Apr2021 between 16:45-17:00 (at the age of 59-years-old) as DOSE 1, 0.3 ML SINGLE for covid-19 immunization. The patient medical history included asthma, hormone replacement therapy and ADHD (Attention deficit hyperactivity disorder). Patient previously took ibuprofen and had experienced allergy. It was reported that both of her parents died from pancreatic cancer. Patient concomitant medications included fluticasone propionate, salmeterol (WIXELA INHUB) and montelukast both taken for asthma, dextroamphetamine salt combo [dexamfetamine] (DEXTROAMPHETAMINE) taken for attention deficit hyperactivity disorder all were from an unspecified date and still ongoing. Estradiol (ESTROGEN), testosterone (TESTOSTERONE) and progesterone cream (PROGESTERONE) all were taken for hormone replacement therapy from on an unspecified date in 2011 and ongoing. It was reported that patient had not received any other vaccinations within four weeks prior to the first administration date of the suspect vaccine. There were no adverse event following prior vaccinations. No additional vaccines were administered on same date of the Pfizer Suspect. Patient had no history of previous immunization with the Pfizer vaccine considered as suspect (or patient age at first and subsequent immunizations if dates of birth or immunizations are not available). On 14Apr2021 after the vaccination, the patient experienced arm was still sore, she still can't lift or raise her arm above 90 degrees without difficulty. On an unspecified date, the patient experienced she stated she continues to have pain in her shoulder and missed dose.it was reported that, the consumer was the patient who called regarding her first dose of Pfizer Covid-19 Vaccine. Patient stated she received her 1st Pfizer vaccine on 14Apr2021 almost 4 weeks ago, and immediately after injection, right away continued to have pain in her shoulder, it was still painful to take off my shirt. She still cannot lift or raise her arm above 90 degrees without difficulty. The day after the injection arm was still sore, they say that was normal and she thought that would go away. The level of pain went away but it was the fact that it just sorts of rendered her left arm kind of weak. For a couple of weeks it felt like her arm was not connected to her body. She would play tennis and was having trouble touching the tennis ball for her serve. Her arm was still sore, painful to pull her shirt off over her head. Event was getting better since the first couple of days. She would say it was getting slightly better daily but still ongoing. Feels like she got punched in the arm and has a charley horse. She missed dose of second dose of Pfizer Covid-19 Vaccine. She went to get the second dose of Pfizer Covid-19 Vaccine and asked if they could do the shot in another body part because obviously the arm was not a good situation for her and would like to receive her 2nd Pfizer vaccine in her leg muscle. The place where she received her 1st dose, said they could not give anywhere else besides the arm and her HCP said they could only give in the deltoid/arm muscle. They said they could not give the shot in another body part, that at a pharmacy level they can only inject in the arm. She emailed her doctor who said that the Pfizer Covid-19 Vaccine was only approved for the muscle in the arm; and advised her to get the second shot and then to go and get an orthopaedic; but patient does not need orthopaedic, this was muscular. Everything patient has read showed intramuscular; so, she asked why she cannot get the shot in another muscle in her body. The patient stated If she was a double amputee then they would have to give it into a different muscle. What can she do to get the 2nd dose in my leg instead of her arm. It was reported that the adverse event did not require emergency room or physician office visit. There were no relevant tests. Outcome of the event arm was still sore was recovering, while the outcome of other events were unknown.  No follow-up attempts are needed; information about lot/batch number cannot be obtained.