Sex: U
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Pain in extremity, Paraesthesia
Clinical narrative: What I believe may have triggered this reaction is that in October I had a carpal and ulnar tunnel release in the same extremity/affected the nerves; my entire upper arm began aching-pain from my trapezius down to my elbow; my index and middle finger began tingling; I am noting pain in each of the major joints of my arm-shoulder, elbow and wrist; I am noting pain in each of the major joints of my arm-shoulder, elbow and wrist.; I am noting pain in each of the major joints of my arm-shoulder, elbow and wrist.; This is a spontaneous report from a contactable nurse (patient).  A patient of unspecified age and gender received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), via an unspecified route of administration on the arm on 19Dec2020 as single dose for covid-19 immunization.  The patient's medical history and concomitant medications were not reported.  The patient experienced the following:  " my entire upper arm began aching-pain from my trapezius down to my elbow " in Dec2020 with outcome of unknown;  "my index and middle finger began tingling "  in Dec2020 with outcome of unknown;  " I am noting pain in each of the major joints of my arm-shoulder, elbow and wrist " in Dec2020 with outcome of unknown; " what I believe may have triggered this reaction is that in October I had a carpal and ulnar tunnel release in the same extremity " in Dec2020 with outcome of unknown.  Therapeutic measures were taken as a result of the events. Details were as follows: The injection itself was without any issues. However, 6-7 hours later, the patient described the following: patients entire upper arm began aching-pain from trapezius down to the elbow. This continued throughout the weekend and then Monday, patients index and middle finger began tingling (as if asleep). This symptom never subsided. The patient noted pain in each of the major joints of the arm shoulder, elbow and wrist. The patient tried trigger injections in the trapezius, ibuprofen, muscle relaxers, heat, exercises, and a steroid burst-all without relief of symptoms. Patient was able to move arm and had strength in the extremity. Patient saw a specialist in physical medicine and rehabilitation. The patient believed that what triggered this reaction is that in October the patient had a carpal and ulnar tunnel release in the same extremity. The patient wondered whether the medication affected the nerves that had been manipulated during surgery. The events outcome was unknown.   The batch/lot number for the vaccine, BNT162B2, was not provided and will be requested during follow-up .; Sender's Comments: Based on the time association, the possible contribution of suspect BNT 162B2 injection to the event Neuropathy peripheral cannot be excluded. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.