Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Contusion, Fatigue, Feeling abnormal, Inflammation
Clinical narrative: "i" was having mass body inflammation; causing subluxation of several of "my" joints/subluxation of shoulder; at the site bruising (bruise is still healing now), and pretty bad; Brain fog; "I" deal with chronic pain and my usual treatment couldn't touch how painful it was; A quarter-sized raised lump at the site; Shoulder where the vaccine was given was very swollen; Extreme exhaustion; Extreme pain in "my" joints, especially on the right side; Fatigue; This is a spontaneous report from a contactable consumer, the patient. A 36-year-old non-pregnant female patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot number: EW0151) via an unspecified route of administration in the right arm on 09Apr2021 (at the age of 36-year-old) as a single dose for COVID-19 immunisation. Medical history included mast cell activation syndrome (MCAS) and joint hypermobility syndrome. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. Concomitant medications were not reported. The patient previously received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot number: EP6955) via an unspecified route of administration in the left arm on 19Mar2021 (at the age of 36-year-old) as a single dose for COVID-19 immunisation. On 09Apr2021, when the patient received the vaccine, it felt like the needle actually moved something aside in her shoulder. Later that evening (on 09Apr2021), the patient was having mass body inflammation causing subluxation of several of her joints, extreme exhaustion and extreme pain in joints, especially on the right side. The patient stated, she dealt with chronic pain and her usual treatment could not touch how painful it was. As per the patient, the shoulder where the vaccine was given was very swollen, including a quarter-sized raised lump at the site plus bruising (bruise was still healing), and pretty bad subluxation of her shoulder. The worst of the pain and swelling resolved in 1-2 days, but the fatigue and brain fog persisted for 5 days. The events did not result in doctor or other healthcare professional office or clinic visit and emergency room or department or urgent care. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the events chronic pain and shoulder where the vaccine was given was very swollen was resolved on an unknown date in Apr2021, after the duration of in 1-2 days. The clinical outcome of the events fatigue and brain fog was resolved on an unknown date in Apr2021, persisted for approximately 5 days. The clinical outcome of the events mass body inflammation, subluxation of several of joints/subluxation of shoulder, a quarter-sized raised lump, extreme exhaustion, extreme pain in joints, especially on the right side was resolved on an unknown date in Apr2021. The clinical outcome of the event bruising was resolving (also reported as still healing).  No follow-up attempts are needed. No further information is expected.