Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Rash pruritic, Thermal burn
Clinical narrative: I was very weak in my right hand (same side as vaccination).; My wrist was even swollen.; have a hard lump with a very large red rash that is hot to the touch that hurts, burns, itches, and is painful; have a hard lump with a very large red rash that is hot to the touch that hurts, burns, itches, and is painful; have a hard lump with a very large red rash that is hot to the touch that hurts, burns, itches, and is painful; have a hard lump with a very large red rash that is hot to the touch that hurts, burns, itches, and is painful; have a hard lump with a very large red rash that is hot to the touch that hurts, burns, itches, and is painful; This is a spontaneous report received from a contactable reporter(s) (Other HCP). The reporter is the patient.  A 49 year-old female patient (not pregnant) received bnt162b2 (BNT162B2), intramuscular, administered in arm right, administration date 27Oct2021 14:30 (Lot number: 32030BD) at the age of 49 years as dose 3 (booster), single for covid-19 immunisation. Relevant medical history included: "No" (unspecified if ongoing); "COVID-19" (unspecified if ongoing). Concomitant medication(s) included: ESTRADIOL; PROMETRIUM [PROGESTERONE]. Past drug history included: No. Vaccination history included: Bnt162b2 (Dose Number: 1, Batch/Lot No: EL1283, Location of injection: Arm Right, Vaccine Administration Time: 11:30 AM), administration date: 15Jan2021, when the patient was 49 years old, for COVID-19 Immunization, reaction(s): "I had zero side effects"; Bnt162b2 (Dose Number: 2, Batch/Lot No: EL9265, Location of injection: Arm Left, Vaccine Administration Time: 11:30 AM), administration date: 03Feb2021, when the patient was 49 years old, for COVID-19 immunization, reaction(s): "I developed a full blown sickness", "Not just aches, pains and chills, but sore throat, running nose and cough that all last 3-4 days", "Not just aches, pains and chills, but sore throat, running nose and cough that all last 3-4 days", "Not just aches, pains and chills, but sore throat, running nose and cough that all last 3-4 days", "Not just aches, pains and chills, but sore throat, running nose and cough that all last 3-4 days", "Not just aches, pains and chills, but sore throat, running nose and cough that all last 3-4 days", "Not just aches, pains and chills, but sore throat, running nose and cough that all last 3-4 days"; Flu shot (Flu shot 6 weeks prior on 15Sep2021 flu shot), administration date: 15Sep2021, when the patient was 49 years old. The following information was reported: MUSCULAR WEAKNESS (non-serious) with onset 30Oct2021 07:15, outcome "not recovered", described as "I was very weak in my right hand (same side as vaccination)."; JOINT SWELLING (non-serious) with onset 30Oct2021 07:15, outcome "not recovered", described as "My wrist was even swollen."; RASH ERYTHEMATOUS (non-serious), NODULE (non-serious), THERMAL BURN (non-serious), RASH PRURITIC (non-serious), RASH (non-serious) all with onset 30Oct2021 07:15, outcome "not recovered" and all described as "have a hard lump with a very large red rash that is hot to the touch that hurts, burns, itches, and is painful". The events "i was very weak in my right hand (same side as vaccination).", "my wrist was even swollen.", "have a hard lump with a very large red rash that is hot to the touch that hurts, burns, itches, and is painful", "have a hard lump with a very large red rash that is hot to the touch that hurts, burns, itches, and is painful", "have a hard lump with a very large red rash that is hot to the touch that hurts, burns, itches, and is painful", "have a hard lump with a very large red rash that is hot to the touch that hurts, burns, itches, and is painful" and "have a hard lump with a very large red rash that is hot to the touch that hurts, burns, itches, and is painful" were evaluated at the physician office visit. Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of muscular weakness, joint swelling, rash erythematous, nodule, thermal burn, rash pruritic, rash.  Additional information: It was reported by reporter that "Dose 1, I had zero side effects. Dose 2, I developed a full-blown sickness like the flu. Not just aches, pains and chills, but sore throat, running nose and cough that all last 3-4 days. This dose 3 was even more different. Nothing flu or cold like, but 24 hours later, I was very weak in my right hand (same side as vaccination). i kept dropping things i was trying to hold all day. My wrist was even swollen. Possibly they hit a nerve. But, then 4 days later, I developed covid arm. I have a hard lump with a very large red rash that is hot to the touch that hurts, burns, itches, and is painful. It's not responding to benadryl cream or pills and wakes me up at night. I'm 6 days out and still have it and it's waking me up at night with pain and i have to ice it". Facility where the most recent COVID-19 vaccine was administered was hospital. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. Patient provided information regarding the AE with the use of the product by herself. Patient considered that the Pfizer product had a causal effect to the AE. Patient willing to be contacted again by Pfizer on the reported AE. Patient had not required medical intervention. Patient was not seen in the emergency department. Patient was not hospitalized. Patient was not admitted to an intensive care unit. Device Date was reported as 01Nov2021.  No follow-up attempts are possible. No further information is expected.