Sex: M
Vaccine: COVID19
Symptoms: Inflammation, Magnetic resonance imaging, Pain in extremity, X-ray
Clinical narrative: he had severe arm pain; inflammation; 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 53 year-old male patient received bnt162b2 (BNT162B2), administered in arm left, administration date 24Jul2021 10:30 (Lot number: EY0584) at the age of 53  as dose 1, single for covid-19 immunization.There were no concomitant medications. The following information was reported: PAIN IN EXTREMITY (non-serious) with onset 10Aug2021, outcome "recovering", described as "he had severe arm pain"; INFLAMMATION (non-serious) with onset 10Aug2021, outcome "recovering", described as "inflammation". The events "he had severe arm pain" and "inflammation" were evaluated at the physician office visit. Relevant laboratory tests and procedures are available in the appropriate section.  Additional information:The patient got his first dose of the Pfizer-BioNTech Covid-19 vaccine on 24Jul2021 and 2 to 2 and half weeks later, around 10Aug he had severe arm pain, on the arm that was injected, and inflammation. They all say it is inflammation. They think it was injected into the Tricep or Bicep area, possibly a tendon. This has persisted since then. He stated he had a rogue pharmacist that did not roll up his sleeve properly. It has been 4 months. They say if you shoot too low you could get into the tendon soft tissue. The patient wanted to know how long the pain will last for if it was given in the bicep or tricep or tendon? How long did arm pain generally last for?  Response was given as This vaccine is to be given intramuscularly. Patient was agreed that the bicep and tricep are muscles and provided the disclaimer that this was just from my own nursing judgement (for the sake of helping to assist with his understanding of the previous question/response), that TYPICALLY vaccines in the arm are given in the deltoid muscle and referred back to HCP's judgement on evaluation of if it was given in the correct place. Pfizer COVID-19 Vaccine Asked what this DSU agent's role is and if she has a medical background. 24Jul2021, went to [Pharmacy name withheld] to get first Pfizer COVID-19 Vaccine shot. He trusted [Pharmacy name withheld], has gotten Flu shots there before and never had issues. Was scared to get the COVID-19 Vaccine. Wasn't really focusing on the person who was giving him the shot. Stated the person administering the shot was the pharmacy manager at [Pharmacy name withheld]. Everything looked fine. He had on a long sleeve shirt. Got into a really bad situation at the pharmacy. Didn't roll up his sleeve enough and the pharmacy manager did not shoot him in deltoid muscle. He was given the COVID-19 Vaccine below the deltoid muscle. Has been to several doctors. States COVID-19 Vaccine was administered in the tricep /bicep area. Didn't know until 2.5 weeks later. Saw another pharmacist who stated the injection site was a lot lower because he still had his band aid on. He confronted the pharmacy manager who administered his COVID-19 Vaccine and states she is a psycho pharmacist who should be fired for not doing her job. The COVID-19 Vaccine was too low. Noticed the pain 2.5 weeks later. Went to the same [Pharmacy name] to buy Advil. Arm pain was really bad. Went to see a doctor and was put on Etodolac. Advised he should never have gone to [Pharmacy name] for the vaccine. Has been to several doctors. First doctor was hoping the Etodolac would be it, but he kept coming back with arm pain. First doctor said the COVID-19 Vaccine shot maybe have been given in the tendon. Was told he may have tendonitis. Worst case, caller was told he may want to get a Cortisone shot in his arm around the area. Then went to a couple other doctors. One doctor from (university name withheld) stated he believed the COVID-19 Vaccine was given in the tricep/bicep area and stated it was good that it was in the muscle. States a tendon is rubbery and the person administering it would know if she hit a tendon. Was going to get a Cortisone shot on 31Oct2021, but for whatever reason the doctor didn't come in that day. Then the arm started to feel better. He delayed getting the Cortisone shot university name withheld doctor stated caller should get the Cortisone shot because it's not going to hurt him. Then recommended before the Cortisone shot to try Prednisone. He's going to try the Prednisone and then see how that goes and probably get at least one Cortisone shot. Is being told it's inflammation Told the vaccine is long gone and not in his system anymore. Was told it's just right where the area was where the pharmacy manager shot him with the COVID-19 Vaccine. States this mostly likely not because of the Pfizer COVID-19 Vaccine, but because of the Pharmacist who shot him too low in an area where the vaccine is not supposed to go. He called Pfizer wondering if there is any insight to how long this will go on for It has been going on since 24Jul2021. States the inflammation is going down. Wants to know if this could eventually go away. Could it be a year? Obviously hoping he doesn't have a permanent arm disability. HCP Details: Full contact details are unknown Knows [Pharmacy name] made a report through their system. He made a complaint to his insurance, Anthem, who wanted more so to talk to the pharmacy. Caller clarified the COVID-19 Vaccine was on 24Jul2021. The severe arm pain and inflammation was 2.5 weeks later, around 10Aug2021 Sometimes it flares up and sometimes it's calmer. One doctor told him the arm pain will go away if they can get the inflammation down to 0. States there is inflammation. COVID-19 Vaccine: Lot number was read back and confirmed with caller. NDC/LOT/EXP for Etodolac, Prednisone, and Cortisone, are unknown. Investigations: MRI on arm came out clean. Everything looked normal. History of all previous immunization with the Pfizer vaccine considered as suspect (or patient age at first and subsequent immunizations if dates of birth or immunizations are not available) was not applicable. Severe arm pain and inflammation was Unknown; Reiterates it began on 10Aug2021 He didn't feel anything with the shot. He read all this stuff. States it wasn't anything serious. When it became serious was because it started to build up and he knew something was wrong. The pain was building up. His long sleeve shirt was covering up his deltoid. He could see pictures on the internet of everyone rolling up their sleeve. States the pharmacy manager should have asked him to take his shirt off. He can't remember, he was so nervous. There was no, list any other vaccinations within four weeks prior to the first administration date of the suspect vaccines.  Product complaints states that patient was administered the COVID-19 Vaccine below the deltoid muscle. Began experiencing severe arm pain and inflammation 2.5 weeks after the COVID-19 Vaccine. Purchased Advil. Was prescribed Etodolac. First doctor was hoping the Etodolac would be it, but he kept coming back with arm pain. Was also put on Prednisone to get the inflammation down. Caller is still having arm pain and inflammation to 09Dec2021, but states the inflammation is going down. NDC/LOT/EXP for Advil, Etodolac, and Prednisone are unknown. Was told by his doctors that the COVID-19 vaccine is long gone and not in his system anymore. NDC/LOT/EXP documented in formal fields.  No follow-up attempts are possible. No further information is expected.