Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Body temperature increased, Heart rate, Neck pain, Pain
Clinical narrative: developed a fever; Soreness in neck and shoulders both sides; Soreness in neck and shoulders both sides; body soreness; Soreness left upper arm/ soreness all over upper part of arm where she got vaccine; This is a spontaneous report from a contactable consumer (patient). A 62-years-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot number: EW0167, Expiry date: not reported), via an unspecified route of administration in left arm on 17May2021 11:00 (at age of 62-years-old) as dose 1, single for covid-19 immunization in hospital. Medical history included ongoing diabetes mellitus Onset Date: Had for maybe 20 years , ongoing glaucoma Onset Date: Had for about 15 years , covid-19 (developed in lungs, was on antibiotic for 2 weeks, breathing not right) from 23Mar2021 to an unknown date Stop Date: Resolved, unknown date. Family medical history relevant to adverse event were none. Concomitant medication(s) included metformin hydrochloride, sitagliptin phosphate (JANUMET LONG) taken for diabetes mellitus from an unspecified start date and ongoing; glimepiride (GLIMEPIRIDE) taken for diabetes mellitus, start and stop date were not reported; latanoprost (LATANOPROST) taken for glaucoma from an unspecified start date and ongoing. The patient had not received any other vaccine within 4 weeks. On 17May2021 at 20:00, the patient experienced soreness left upper arm, soreness all over upper part of arm where she got vaccine and body soreness. On 18May2021, the patient developed a fever (at 10:26) and soreness in neck and shoulders both sides. Consumer stated she developed a fever on 18May2021, with a temperature of 101.2 Fahrenheit. Caller took her temperature a little while ago and it was 100.2 Fahrenheit. Caller stated those were temperature readings after she had taken Tylenol. Caller was wondering if that was normal and if she should seek medical attention. Caller was also asking how long her symptoms might last. The patient took bnt162b2 vaccine as she works with public, mother was elderly, hesitant to get it, wants to get back to normal. The patient had been having low-grade fever ever since. The patient had arm soreness that went away and body soreness. The patient was taking Tylenol. The patient had low-grade fever ever since and wanted to know what was going on. The patient remarked she had paper with common side effects, but wants to know if that was normal. Caller clarified she had soreness all over upper part of arm where she got vaccine. Soreness in arm went away. Caller said the soreness was in the left arm. Then caller clarified that left arm was still a little tender to touch where she had the injection. Soreness in arm started the evening of the shot. She said she could lift her arm now. Caller then added that she had soreness in back of neck where shoulders are on both left and right side. Soreness in shoulders started in the evening. Caller stated she took her temperature on 18May2021 at 10:26 confirmed temperature of 101.2 degrees. The patient took temperature right after and it was also 101.2 degrees. Caller said she took her pulse and it was 100/106 on an unspecified date. Attempted to clarify several times with caller that pulse was 100/106 and she stated pulse was 100/106. Caller took temperature on day of reporting at 13:20 and it was 100.2 degrees. She took temperature twice and second time was also 100.2 degrees. No history of all previous immunization with the bnt162b2 vaccine considered as suspect (or patient age at first and subsequent immunizations if dates of birth or immunizations are not available). Additional vaccines administered on same date of the bnt162b2 suspect were none. Adverse events following prior vaccinations were reported as none. The adverse event did not required visit to emergency room or visit to physician's office. Treatment included tylenol for soreness in left arm and shoulders and low-grade fever. The patient underwent lab tests and procedures which included body temperature increased: 101.2 fahrenheit, body temperature increased: 101.2 fahrenheit on 18May2021, body temperature increased: 100.2 fahrenheit on 19May2021, body temperature increased: 100.2 fahrenheit on 19May2021 and heart rate: 100/106 on an unspecified date.  Therapeutic measures were taken as a result of soreness in left arm and shoulders and fever. The outcome of the event soreness all over upper part of arm where she got vaccine was not recovered and outcome of rest of the events was unknown.   Information on Lot/Batch number was available. Additional information has been requested. Follow-up attempts completed. No further information expected.