Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Pain in his left arm; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) from medical information team.  A 77-year-old male patient received BNT162b2 (BNT162B2), on 07Jul2022 as dose 4 (booster), single (Lot number: FP7135) at the age of 77 years, in left arm for covid-19 immunisation. The patient's relevant medical history included: "blood pressure problems" (unspecified if ongoing). Concomitant medication(s) included: VALSARTAN; AMLODIPINE BESILATE. Vaccination history included: BNT162b2 (First dose, Lot: EL9266), administration date: 21Feb2021, when the patient was 76-year-old, for COVID-19 Immunization; BNT162b2 (Second dose, Lot: EN6207), administration date: 14Mar2021, when the patient was 76-year-old, for COVID-19 Immunization; Bnt162b2 (1st Booster, 27Sep2021 or 29Sep2021, she has a hard time reading the date on the card., Lot: 30130BA), administration date: Sep2021, when the patient was 76 years old, for COVID-19 Immunization. The following information was reported: PAIN IN EXTREMITY (medically significant) with onset 07Jul2022, outcome "not recovered", described as "Pain in his left arm". The event "pain in his left arm" required physician office visit. Therapeutic measures were taken as a result of pain in extremity.  Clinical course: Partner of a 77-year-old male patient called stating that they received the 2nd booster of the Pfizer COVID-19 Vaccine on 07Jul2022. Patient has been having pain in the arm ever since receiving it. The reporter wanted to know if this has been reported, what could be causing it, how to make it better, and when it should go away. As per caller: Caller stated that she also received the same vaccine on the same day around 15 to 20 minutes after the patient, but did not experience the side effect. Caller stated that that patient experienced it almost immediately. Caller stated that they have tried everything, heat, cold, and aspirin. Caller stated that they have gone to 2 PCPs and went to an orthopedic last week. Caller stated that the patient had a cortisone shot but the pain did not go away. Caller stated that she has called the CDC who referred her to VAERS. Caller stated that this was supposed to be something that will help someone but there is no information on how to remedy any adverse effect. Caller stated that this was supposed to be something that will help someone but there is no information on how to remedy any adverse effect. Specify Consumer or other non health professional: Wife. Other Conditions: Yes Investigations: No. NDC number, UPC number and Expiry Date of COVID-19 Vaccine were Unknown. Is Unspecified Medication a Pfizer product? Unspecified Unspecified Medication manufacturer: unspecified NDC number of Unspecified Medication: Unknown UPC number of Unspecified Medication: Unknown, Reason for no lot number: of Unspecified Medication: Other: Lot# could not be probed as the medication was unspecified, Expiry Date of Unspecified Medication: Unknown. Other Products: Yes Transferring agent stated, "I do have on the other line calling for her husband. The reason for the transfer is that after getting the second booster shot of the Pfizer COVID-19 Vaccine his husband got a bad reaction to the vaccine that is the reason for the transfer."  Reporter stated, "Well he received, We received the dose same day I had no adverse effect he did and he still having it on 07Jul2022, he got his booster and since that time the pain in the arm on he has received the shot has given him so much pain that it has not stopped, have gone to two different doctors regular PCPs and then he has also gone to an Orthopedic because we thought that was it and they gave him a cortisone (Unspecified Medication) nothing has happen. They are trying to refer him to some other type of treatment but we are not getting any, It is not getting any better so I called the CDC and they said they can not help me they referred me to something. For my last thing let me go to Pfizer may be they have more information but we do not understand why the pain has not stopped? Why nobody can tell us? Well I need to find out is there anything that Pfizer can possibly tell us what we, who we need to go to find out what happened to him when he got the second shot?" Weight: Reporter stated, "About 170 (As reporter was unsure hence not captured in tab)." Treatment for side effect: Reporter stated, "They gave him a Cortisone, last week he got Cortisone." Anatomical site of injection: Reporter stated, "It is the left arm on the upper part." Date and time of vaccination: Reporter stated, "07Jul2022 and it does not have the time but that was before 12 O'clock in the morning that I can tell because we both went at that the same time." Vaccination Facility type: Reporter stated, "It was a Pharmacy which is # Pharmacy." Dosage and Relevant Information: Date and Time of Start of Drug: 21Feb2021 Batch/lot number: FP7135 Dosage text: Dose unknown, injection in the left arm Pharmaceutical form (Dosage form): Injection Indication for use in the case: Indication as Reported by the Primary Source: Covid-19 booster. Other Conditions: No, Investigations: No. Caller said that she was calling about the second booster dose for the Covid-19 Vaccine. She was calling for her partner. They received the booster dose on 07Jul2022 from a # pharmacy. Her partner has had pain in his left arm and has not stopped. They have seen 2 primary care doctors and a orthopedic doctor. Her partner received a Cortisone shot and it did not help. Caller would like to know what happened and how to make it better? The patient can hardly move the arm and it is getting bad. He is struggling with his arm. They don't know what to do. They were faithful about getting the boosters and the pain in his arm has not stopped. They thought he would get relief and the doctor said that they have seen people with the same issue. No further details provided. The evening of the 07Jul2022 he started complaining of the pain and said that the next day it got worse. He does not typically complain. When she would challenge him on it he would say that it hurt really bad. They were told to wait by the doctor to see if it would go away. The caller said that the doctors said that they have heard of it before and that people were reporting it after the booster. The doctor told the patient to take Advil and Tylenol and nothing would help. They went to a # hospital in #, # for the first 2 doses and a # pharmacy for the booster doses. Medical condition: She stated that he has blood pressure problems and he is pretty healthy. He is tall and skinny. He is not usually sick. This has worn him down though. Caller asked will it go away? Is it happening to other people? Time the Vaccination Was Given: In the morning before 12 noon. Anatomical Location of Administration of Pfizer vaccine considered as suspect: Arm Left. 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): First dose: 21Feb2021 Lot: EL9266 Expiry date: Unknown Site: Unknown; Second dose: 14Mar2021 Lot: EN6207 Expiry date: unknown Site: Unknown; First booster dose: 27Sep2021 or 29Sep2021, she has a hard time reading the date on the card. Lot: 30130BA Expiry date: Unknown Site: Unknown; Additional Vaccines Administered on Same Date of the Pfizer Suspect were None. Adverse Event: pain in his left arm, Time of Onset: (24-hour clock): between 2100-2200. Did any AE(s) require a visit to: Emergency Room? No; Physician Office? No; If Yes, which AE(s)? Prior Vaccinations (within 4 weeks) If applicable, list any other vaccinations within four weeks prior to the first administration date of the suspect vaccine(s) were None. AE(s) following prior vaccinations were None. Patient's Medical History (including any illness at time of vaccination)? was None. Family Medical History Relevant to AE(s): None. Relevant Tests: None. Description of Product Complaint: Not suspect product, Description of complaint: Reported pain in the patient's left arm after Covid-19 second booster. Her partner received a Cortisone shot and it did not help. Last week received a cortisone shot and that did not help. No NDC, Lot, or expiry date. The patient received it at the orthopedist office. The doctor told the patient to take Advil and Tylenol and nothing would help. No NDC, Lot, or expiry provided.