Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Insomnia, Limb discomfort, Pain in extremity, Pruritus, Rash macular
Clinical narrative: Pain at site of chronic back/spine problem; Extremely tired; A little lightheaded; Eczema started acting up/Eczema moved up to his waist and pelvic area; Pain at site of chronic back/spine problem; Pain in arm; Could barely sleep/Sleeping problems; rubbing his legs; Eczema started acting up; it was so itchy; Pain is in his left hip; Eczema flare-ups were red blotches on his skin like an ink blot/they were pink red in color, nothing major; This is a spontaneous report from a contactable consumer (patient) and other HCP. A 59-year-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for Injection, Batch/Lot Number: EN6203, Expiry Date, NDC number: Unknown), via an unspecified route of administration, administered in arm right on 26Feb2021 at 13:30 (at the age of 59-year-old) as dose 1, single for COVID-19 immunization. The patient medical history included ongoing eczema (It began about the same time as psoriasis, he could not wear his Army socks as they would make him freak out and itch like crazy; he thought the Army socks were made of wool and the material irritated his skin); low vitamin D from an unknown date; psoriasis from 1980 and ongoing (he has had psoriasis his whole life really, his whole adult life, probably since 1980. patient reported that it hadn't been that bad, that it was bad just in certain spots, reported that when psoriasis originally began it was all on his private areas and psoriasis was now only on his inner knee, and the lesions are about a quarter size); panic attack from 2011 to an unknown date; sleep problems/has trouble sleeping from 2011 and ongoing (When queried about when problems sleeping began, caller responded when did not I have sleeping problems and went on to talk about the panic attack he had in 2011); Thyroid removed (date He had his thyroid removed 2 years ago) from 2019 to an unknown date; thyroid nodes from 2018 (that he had 9 nodes on his thyroid, all non-cancerous; he believed the thyroid nodes began about 3 years ago). The patient concomitant medications included colecalciferol (VITAMIN D3) at a dose of 50000 iU, weekly (once weekly on Wednesday) taken for low vitamin D from an unspecified start date and ongoing; clobetasol 5% (Clobetasol 5% spray; 125 mL, Lot: 329687) taken for eczema from an unspecified start date and ongoing; triamcinolone acetonide 0.1% cream (80 gm, Lot: 1013988) taken for eczema from an unspecified start date and ongoing; levothyroxine 0.125 mg tablet taken at a dose of 0.125 mg once daily (in the morning Monday through Saturday, Sunday breaks, one tab in AM) for thyroid removed from 2019 and ongoing; alprazolam at a dose of 0.25 mg, as needed (at bedtime as needed) taken for has trouble sleeping from 2019 and ongoing. The patient previously took shingles vaccine and experienced he felt it, it was kind of weird, he could really feel the liquid going in him (Date: Early Feb2021, received a shingles vaccine 2.5 weeks before the first dose of the Covid-19 vaccine. Prior Vaccinations (within 4 weeks), Vaccine name: Shingles vaccine (Vaccination age: 59 years-old), Manufacturer: Unknown, Lot Number: Unknown, Route: Injection, Anatomical Location: Left arm, No. of previous doses: not queried, patient stated it was 2.5 weeks before his first dose of the Pfizer Covid-19 vaccine on 26Feb2021, received the shingles vaccine at his physician office but does not have any details of the vaccine, with the shingles vaccine he felt it, it was kind of weird, he could really feel the liquid going in him and melatonin (Melatonin he has taken in the past does not work, Melatonin 5 mg: Manufacturer: Natrol; Count size: 250 tablets, Lot number: 2066073, Expiration Date: 31Mar2018. Patient reported that he didn't see an NDC number or UPC on the label. Patient reported that he was throwing the tablets away) for sleeping problems and experienced does not work. No family medical history relevant to adverse events were reported. The patient reported that about 2 hours later after he received the first dose of the Covid-19 vaccine he was extremely tired on 26Feb2021 at 15:30 and went to bed, he got the shot at about 13:30, got home 2 hours later, and slept until after 7 PM; after waking up at 7 PM he was wide awake until 5:30 AM on 27Feb2021, he didn't have much pain in his arm; really pushes on the injection site he can tell, but it is not really sore much at all. He stated that this may not be related to the vaccine, he started feeling pain where he has a chronic back/spine problem; it was extremely painful when he was sitting normally in a chair if his back was pressed into the back of the chair. the pain felt like a kidney punch, stating that his tendons felt inflamed like a rubber band that had been completely stretched, he didn't do anything that would have triggered the pain such as lift weights or work out. On 26Feb2021 at 19:30, the pain at the site of his chronic back/spine problem is more joint pain now in his left hip whereas previously it was more muscle pain, he had read that swollen lymph nodes were a side effect but that he had his lymph nodes removed a couple of years ago, It went away 2 days later and that the back pain started happening in the evening of 26Feb2021, the back pain seemed like it was even affecting his nerves and the whole ligament on his left side, he has minor spine problems but the pain he experienced was very painful, the back pain lasted about 2.5 days then stopped, he immediately after receiving the vaccine, he was a little lightheaded (26Feb2021 at 13:45) occurred immediately following the vaccination during the 15 minute waiting period. He didn't eat that much, he meant to eat, and that the lightheadedness could be related to that. The lightheadedness occurred pretty much just the first day for both doses of the Pfizer Covid-19 vaccine. He really feels good today, around midnight on 20Mar2021 the pain in his back came back. He had eczema and psoriasis; eczema started acting up in other places where he never had eczema before, he normally has eczema on his shins, but the eczema moved up to his waist and pelvic area on 26Feb2021. He felt like the thing, referring to the Covid-19 vaccine, was attacking his weaknesses. His eczema flare began the evening of 26Feb2021, it was keeping him up for like a week and that he could barely sleep on an unspecified date in 2021, he could just feel it, it was very noticeable, and it was bothering him, was rubbing his legs on an unspecified date in 2021. The eczema flare ups lasted about a day in each spot, he normally experiences the eczema on his shins. He experienced eczema following the Covid-19 vaccine on his shins, waist band, and hip areas by leg joints. The eczema flare-ups were red blotches on his skin like an ink blot; they were pink, red in color, nothing major on an unspecified date in 2021. He always has eczema spots that are bothering him, but the flare-up has improved. The adverse events required no Emergency Room and Physician Office visit. Patient reported that the medicine he usually puts on it (eczema) wasn't doing much the. This product is Clobetasol 5% spray; 125 mL; Lot: 329687; Expiration: Jun2022; NDC: 0591-4039-74; Manufacturer: Actavis; Caller also notes he has a cream, Triamcinolone acetonide 0.1% cream; 80 gm; NDC: 0713-0225-80; Manufacturer: Cosette pharmaceuticals; Lot: 1013988; Expiration: Aug2022. And he wanted to stab his eyes out and scratch it was so itchy on an unspecified date in 2021, he hasn't spoken to his spine doctor. He will hopefully get a pain injection. The patient stated that something was still there, but he is going to see his chiropractor, he gets out of alignment really easily and that his coccyx and pelvis tilt. The pain was in his left hip on an unspecified date in 2021 and the left side of his spine in a couple of areas: L7, L8, 5, and 6. No Relevant tests were reported. The patient received treatment for the events eczema, red blotches. The outcome of events pain in spine and eczema started acting up/eczema moved up to his waist and pelvic area was recovering; extremely tired, a little lightheaded was recovered on an unspecified date in 2021; pain at site of chronic back/spine problem was recovered on 28Feb2021; and outcome of remaining all other events was unknown.