Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pruritus, Sleep disorder, Vaccination site erythema, Vaccination site rash
Clinical narrative: Terrible muscle and joint pain; Terrible muscle and joint pain; arthritis; Terrible joint pain; Second dose: Red, swollen rash around injection site; Second dose: Red, swollen rash around injection site; Second dose: Red, swollen rash around injection site; itch; Second dose: A little achy; inflammation of her bursa; was not able to sleep last night; This is a spontaneous report from a contactable consumer (patient). A 91-years-old female patient received second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot Number: EL9264), via an unspecified route on 02Feb2021 at 14:50 (at the age of 91-years) as dose 2, single in the left arm for covid-19 immunisation. The patient medical history included High blood pressure, thyroid. The patient concomitant medications were not reported. The patient did not receive any other vaccines within four weeks prior to the vaccination. The patient previously received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot Number: EC1283), via an unspecified route on 14Jan2021 at 14:35 (at the age of 91-years) as dose 1, single in the left arm for covid-19 immunisation and experienced shot site a little bit pink and sore. Patient received a Flu shot in fall, but that is longer than a month. She takes for her thyroid, and for her High Blood Pressure. She uses drops for her eyes. The patient experienced a little achy on 02Feb2021. A little achy: It started the day of 02Feb2021 and lasted a week. It wasn't bad. Caller is not 100% sure when it ended, but she recovered completely, Red, swollen rash around injection site on 05Feb2021, Terrible muscle and joint pain on unknown date, Not able to sleep after taking Tylenol; Interfering with my sleep; did not help and could not sleep, After her first dose, the 1st site, the shot site was no more than after a flu shot. After her 2nd dose, the shot site was more red and more swollen. She also experienced a rash that was gone in 10 days. Patient added she also experienced little bits of aches and pain. She contacted her Primary Medical Doctor and of course her neighbour has a phone to take pictures and talk. The doctor advised her don't get excited and put something on it for the itch. It took 10 days to clear up. The muscle soreness was not much. It got more red and more swollen and lasted 3 to 4 days. She recovered completely. She was advised to put calamine lotion on it for the itch and she did. It started on 05Feb2021, it started when her rash appeared. Clarified it ended around the 11Feb2021 or 12Feb2021. Terrible muscle and joint pain: For about the last, at least a month or 5 weeks, she had been having terrible muscle and joint pain. She normally doesn't get headaches and doesn't take Tylenol often, so when she does take it, it was effective and she hardly takes it. She took it last night, but the achiness in her muscles wouldn't let her sleep. She had been awake since 0300 this morning. Patient was not sure of start date, but it was about 5 weeks ago. It continues, and was not improving. The Tylenol won't take care of it, she was calling Pfizer, before she calls her doctor to send her to a specialist. Patient added it feels like, if a person has a pain in the shoulder joint. They put their fingers in the soft spot, the spot between the soft spot and between the bone, and they push in there. She looked up bursa. Patient thought it may be inflammation of her bursa, because the sore ness in between the bones. She normally takes Tylenol for headaches, but she didn't have a headache with the vaccines. Tylenol PC: dose suggested is 500 mg, she takes 2 at a time. She hasn't taken them all, there were 24. Patient added fortunately, all her neighbours are young, but have arthritis all over them and she has never had it. It started 5 weeks ago, all the aches, she thought it may be arthritis. Patient needed to get her magnifying glass to read the label, she blames it on old age. Patient stated, "Yes. The first part of this Month (May). They did all kind of blood work. They have routine blood work about every 3-6 month." When probed for any treatment, consumer, "No, because not even sure that this. This is terrible achiness in my muscles and in my joints, so I thought I would call first before I call my doctor. It is now interfering with my sleep. I don't normally have to take Tylenol it's very effective but I took 2 before going to bed and that did not help. I could not sleep because of the pain." The outcome of the events red, swollen rash around injection site, itch was recovered on Feb2021, a little achy was recovered on 2021, terrible muscle and joint pain, terrible joint pain was not recovered, inflammation of her bursa, arthritis, was not able to sleep last night was unknown.  No follow up attempts are possible. No further information is expected.