Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Injection site reaction, Muscle twitching, Peripheral swelling, Pruritus
Clinical narrative: She had a reaction on her skin immediately. It was hot and itchy and went on for six days/itchiness; she had muscle twitches on the arm/had muscle twitches on the left arm (injection site); muscle pain; a big dent in the arm were she got the shot/it looks like the muscle has atrophied in the vaccine injection site on left arm; muscle atrophy and the indentation is getting worse.; She had a reaction on her skin immediately. It was hot and itchy and went on for six days; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  A 59-year-old female patient received BNT162b2 (BNT162B2), on 19Dec2021 at 11:00 as dose 3 (booster), single (Lot number: 3303D8D) at the age of 59 years, in left arm for covid-19 immunisation. The patient's relevant medical history included: "Diabetes" (unspecified if ongoing); "hypothyroid disease" (unspecified if ongoing). Concomitant medication(s) included: LEVOTHYROXINE taken for hypothyroidism; BIOTIN; ZOLPIDEM; MELATONIN; NOVOLOG taken for diabetes mellitus; TRESIBA taken for diabetes mellitus. Vaccination history included: BNT162b2 (First Dose, Expiry: unknown, Anatomical location: right arm), administration date: 31Mar2021, when the patient was 58-year-old, for Covid-19 immunization; BNT162b2 (Second Dose, Lot: at first caller states she can't make out the writing, but then provides CW0153, Expiry: unknown, Anatomical location: right arm), administration date: 21Apr2021, when the patient was 58-year-old, for COVID-19 immunization; Small pox vaccine (near or on the same spot as her small pox vaccine that she received when she was a child). The following information was reported: SKIN WARM (non-serious) with onset 19Dec2021, outcome "unknown", described as "She had a reaction on her skin immediately. It was hot and itchy and went on for six days"; PRURITUS (non-serious), outcome "unknown", described as "She had a reaction on her skin immediately. It was hot and itchy and went on for six days/itchiness"; MUSCLE TWITCHING (non-serious), outcome "unknown", described as "she had muscle twitches on the arm/had muscle twitches on the left arm (injection site)"; MYALGIA (non-serious), outcome "unknown", described as "muscle pain"; VACCINATION SITE ATROPHY (non-serious), outcome "unknown", described as "a big dent in the arm were she got the shot/it looks like the muscle has atrophied in the vaccine injection site on left arm"; MUSCLE ATROPHY (non-serious), outcome "recovering", described as "muscle atrophy and the indentation is getting worse.".  Additional information: Caller also mentioned that the booster dose of the Pfizer COVID-19 vaccine was given "near or on the same spot as her small pox vaccine that she received when she was a child. They said at the pharmacy to take an antihistamine, something like Benadryl, and she did that. It looked like they gave the booster shot in the spot she had the small pox vaccine. She was born in, so the small pox vaccine, was a long time ago. She had no problem with the first two and she did the right arm with those. She doesn't think that would matter.