Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal chest pain, Nerve compression, Pain in extremity, Radial nerve compression
Clinical narrative: a lot of inflammation flare ups in her right extremities in her arm, wrist, forearm, and it started in her elbow and went up around the shoulder and side of the ribcage with shooting pain; a lot of inflammation flare ups in her right extremities in her arm, wrist, forearm, and it started in her elbow and went up around the shoulder and side of the ribcage with shooting pain; a lot of inflammation flare ups in her right extremities in her arm, wrist, forearm, and it started in her elbow and went up around the shoulder and side of the ribcage with shooting pain; gut inflammation; a lot of inflammation flare ups in her right extremities in her arm, wrist, forearm, and it started in her elbow and went up around the shoulder and side of the ribcage with shooting pain; a lot of inflammation flare ups in her right extremities in her arm, wrist, forearm, and it started in her elbow and went up around the shoulder and side of the ribcage with shooting pain; causing other complications like radial tunnel syndrome; pinching the nerve; This is a spontaneous report received from a Consumer or other non HCP, Program ID.  A 43-year-old female patient received BNT162b2 (BNT162B2), in Jan2022 as dose 2, single (Batch/Lot number: unknown) at the age of 43 years, in arm for covid-19 immunisation. The patient had no relevant medical history. She was a healthy person and did not take any medications and has no history of any medical conditions. The patient is not allergic to any previous vaccination, medications, food or other products. There were no concomitant medications. The patient did not receive any other vaccines on the same date as the Pfizer vaccine, did not the patient receive any other vaccines within 4 weeks prior to the first administration of the suspect vaccine, was not taking any other medications within 2 weeks prior to the event onset. Vaccination history included: Bnt162b2 (DOSE 1, around the 30th or 31st of Dec2021/administered in her arm), administration date: Dec2021, when the patient was 43 years old, for Covid-19 immunization. The following information was reported: PAIN IN EXTREMITY (medically significant) with onset 2022, outcome "recovering", ARTHRALGIA (medically significant), MUSCULOSKELETAL CHEST PAIN (medically significant), INFLAMMATION (medically significant), ARTHRITIS (medically significant) all with onset 2022, outcome "unknown" and all described as "a lot of inflammation flare ups in her right extremities in her arm, wrist, forearm, and it started in her elbow and went up around the shoulder and side of the ribcage with shooting pain"; RADIAL NERVE COMPRESSION (medically significant) with onset 2022, outcome "unknown", described as "causing other complications like radial tunnel syndrome"; GASTROINTESTINAL INFLAMMATION (medically significant) with onset 2022, outcome "unknown", described as "gut inflammation"; NERVE COMPRESSION (medically significant) with onset 2022, outcome "unknown", described as "pinching the nerve". The events "a lot of inflammation flare ups in her right extremities in her arm, wrist, forearm, and it started in her elbow and went up around the shoulder and side of the ribcage with shooting pain", "gut inflammation", "causing other complications like radial tunnel syndrome" and "pinching the nerve" required physician office visit (for physical therapy and those types of things) and emergency room visit. The patient underwent the following laboratory tests and procedures: Lab test: had no food allergies. Therapeutic measures were taken as a result of pain in extremity, arthralgia, musculoskeletal chest pain, gastrointestinal inflammation, inflammation, arthritis, radial nerve compression, nerve compression. Clinical course: the patient was having inflammation and later clarified it is not lung inflammation but clarified it is gut inflammation she was having. This started in 2022 so it began about three years ago. She just felt she had a lot of inflammation and it was not with her lungs but started in the gut and lead to her extremities and was causing other complications like radial tunnel syndrome and she thinks the inflammation was persisting and at times would say it was worsened and probably in last month felt it was getting a little better but thinks it had worsened over the years. Initially she received the vaccine and she was one of the early patient's to receive vaccine because she worked at the hospital and so she had both doses and then after that probably within 5 months had a lot of gut inflammation and thought it was related to allergies and food allergies and was tested and had no food allergies and had no cause for the gut inflammation. So she then thought maybe it was stress and she changed jobs and later had inflammation and a lot of inflammation flare ups in her right extremities in her arm, wrist, forearm, and it started in her elbow and went up around the shoulder and side of the ribcage with shooting pain and so what was happening with the inflammation was pinching the nerve. The pain in the right extremities is improved but also she has done cortisol steroid injections in her arm and also had 6 months of physical therapy. First dose was around the 30th or 31st of Dec2021 and the 2nd vaccine was in Jan2022 as she remembers it more or less. She could go back and pull her labs but she does not have lab results or dates of the labs to provide at this time but it was standard care labs. The information on the batch/lot number for BNT162b2 will be requested and submitted if and when received.