Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Allergy to vaccine, Rash macular, Vaccination site pain
Clinical narrative: arm hurt, muscles in arm hurt / felt burning sensation; two red blotches on upper part of arm; allergic reaction; This is a spontaneous report received from a Consumer or other non HCP from medical information team.  A 79-year-old female patient received BNT162b2 omicron (kp.2) (COMIRNATY (2024-2025 FORMULA)), on 13Sep2024 as dose 1, 0.3 ml single (Lot number: LM2215) at the age of 79 years intramuscular, in left deltoid for covid-19 immunisation. The patient's relevant medical history included: "Covid", start date: 2023 (unspecified if ongoing); "Covid", start date: 04Jul2024 (unspecified if ongoing), notes: Started coughing and felt strange. Test kit at home: positive; "dry cough" (unspecified if ongoing), notes: Normally; "bad back" (ongoing), notes: For years. Latest test: abnormal. Doctor suggested pain management, went to acupuncturist. Concomitant medication(s) included: FLU [INFLUENZA VACCINE] taken for immunisation, on 13Sep2024 as dose number unknown, single. The patient also took other concomitant therapy. Past drug history included: Paxlovid for Covid-19 treatment, notes: Taken twice. Vaccination history included: Pfizer covid vaccines (Primary Immunization series complete), for Covid-19 immunisation, reaction(s): "some reactions"; Covid vaccine (DOSE 1; early Jun2024), administration date: Jun2024, for Covid-19 immunisation. The following information was reported: VACCINATION SITE PAIN (non-serious) with onset 13Sep2024, outcome "recovering", described as "arm hurt, muscles in arm hurt / felt burning sensation"; ALLERGY TO VACCINE (non-serious) with onset Sep2024, outcome "unknown", described as "allergic reaction"; RASH MACULAR (non-serious) with onset Sep2024, outcome "not recovered", described as "two red blotches on upper part of arm". Therapeutic measures were taken as a result of vaccination site pain, rash macular, allergy to vaccine.  Additional information: The patient reported that ever since Covid came around, she had all of the Pfizer COVID vaccines, and while there were some reactions, nothing was concerning until this point, and the reason was that this was a slightly different reaction than before. First part was sort of similar, but after a few hours arm hurt and muscles in arm hurt, she thought it would go away. The shot was administered up higher, within that muscle and the pain came down the arm. The pain in arm started on Friday 13Sep2024 later in day, the patient thought that the shot was administered maybe around 15:30 in afternoon and started to feel painful maybe a few hours later and when she went to bed, she couldn't turn on side, it was too painful to lay on it. The patient put ice pack on it. The patient got the flu shot and the covid vaccine at the same time. The flu shot was fine, she didn't feel needle going in. When the covid vaccine was done, the patient felt a burning sensation, and that was different from before, normally no burning sensation. On 16Sep2024 at morning, the patient glanced at arm and most of the pain had gone away, but she noticed two red blotches on upper part of arm, and she had never that before. The patient was putting ice on to ease, she described it as "felt like lump almost". The red blotches were ongoing, hadn't gotten worse, still pretty much the way they were. She was feeling better on arm, the part of that muscle, pain and discomfort was easing. It was still sensitive when touching and felt kind of warm where the blotches were. The patient took some medications and over the counter products, but nothing different than what she had been taking. On 17Sep2024, the patient called and mentioned that she developed an allergic reaction after receiving the vaccine.; Sender's Comments: Linked Report(s) : US-PFIZER INC-202400258475 Same patient, different vaccine dose and event;US-PFIZER INC-202400258476 Same patient, different vaccine dose and event;US-PFIZER INC-202400259240 Same patient, different vaccine dose and event;