Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Facial discomfort, Facial pain, Headache, Limb mass, Lymphadenopathy
Clinical narrative: had big left arm, not red and swollen/big lump on the left arm, it was kind of red; had big left arm, not red and swollen/big lump on the left arm, it was kind of red; pain in her bones and joints of both her arms (left and right arm, wrist, forearm and elbow, it was worse on left) and legs (hips and down legs hurt as well), pain in bones in upper legs and knees; pain in her bones and joints of both her arms (left and right arm, wrist, forearm and elbow, it was worse on left) and legs (hips and down legs hurt as well), pain in bones in upper legs and knees; hips and down legs hurt, also her lower back; pain in her bones and joints of both her arms (left and right arm, wrist, forearm and elbow, it was worse on left) and legs (hips and down legs hurt as well), pain in bones in upper legs and knees; pain in left side above collarbone, under jaw, into face; Discomfort in my collar bone, underneath my left jaw up into my face; lymph nodes on the left side of her body were also swollen; swelling under her left arm to the point that it was painful to rest her arm against her body; pain under the left side of her jaw radiating up into her face; swelling under her left collar bone; pain and discomfort in her left side above collar bone; pain under the left side of her jaw radiating up into her face; Discomfort in my collar bone, underneath my left jaw up into my face; really really bad headache; This is a spontaneous report from a contactable consumer (patient). A 52-years-old female patient received BNT162b2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot Number: EL3248, Expiration date and NDC number was unknown), via an unspecified route of administration, administered in left arm (upper) on 08Feb2021 as dose 2, single (at the age of 52-years-old) for COVID-19 immunisation. Medical history included autoimmune issues and gastrointestinal issues (both from an unknown date and unknown if ongoing). Historical vaccine included patient received BNT162b2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot Number: EL3248, Expiration date and NDC number was unknown), via an unspecified route of administration, administered in right arm (upper) on 18Jan2021 as dose 1, single (at the age of 52-years-old) for COVID-19 immunisation. The patient had not received any concomitant medications. Patient is a veteran and had a number of medical conditions, had autoimmune issues, her doctor felt she would be more at risk, her body seems to overreact to everything, so she was concerned what COVID 19 would cause, it was not for reasons she got it, had a walk-in clinic for over 50, she is a veteran and she and her husband got the vaccine. On 08Feb2021 afternoon, patient developed a really really bad headache. On 09Feb2021, patient woke up around 02:00 hours, with a headache, patient had big left arm, not red and swollen/big lump on the left arm, it was kind of red, pain in her bones and joints of both her arms (left and right arm, wrist, forearm and elbow, it was worse on left) and legs (hips and down legs hurt as well), pain in bones in upper legs and knees (both arms the bones hurt upper arms and lower arms cannot rest her arm on her body the way she normally would), lymph nodes on the left side of her body were also swollen, patient described it as swelling under her left arm to the point that it was painful to rest her arm against her body, swelling under her left collar bone, pain and discomfort in her left side above collar bone, pain under the left side of her jaw radiating up into her face and discomfort underneath her left jaw up into my face. Patient stated that headache was unbelievable, and also the bones in her hips and down her legs hurt as well, but not as much as especially the left arm. Patient stated that she was not significantly overweight. Primary care doctor stated that she does not see her that often, she was a patient of may be other doctor but was not sure. Patient stated that bad headache was a little better, then gets worse, rates it between a 4 and 8, if she doesn't talk and does not move around, it more towards a 4, if she moves or talks it gets much worse and regarding big lump on left arm, patient stated that the middle of her arm was super painful, she didn't touch it, she noticed this morning, but imagines it was probably there in middle of night and does not like to touch it as it hurts, she thinks it was about the same. Patient stated that pain in left side above collarbone, under jaw, into face was noticed in the middle of night, it was uncomfortable, under her left arm was most uncomfortable, she cannot wear a bra, can have nothing touching, she cannot keep her arm in neutral resting position, it hurts, it hurts if she moves it above collarbone, her jaw really only hurts if she touches, otherwise it was just barely uncomfortable. Patient stated that hips and down legs hurt, also her lower back, started middle of night, was not getting better. Patient called to see if this was out of the ordinary, she was concerned about taking, and was not supposed to take, Tylenol and Advil due to gastrointestinal issues, she was under the impression, this was a good response she experienced and it can be affected by those meds, so she asked what she can take to help. The outcome of had big left arm, not red and swollen/big lump on the left arm, it was kind of red (limb mass) and pain in her bones and joints of both her arms (left and right arm, wrist, forearm and elbow, it was worse on left) and legs (hips and down legs hurt as well), pain in bones in upper legs and knees was not recovered and unknown for rest of the events.  Follow-up attempts are completed. No further information is expected.