Age: 38.0
Sex: U
Vaccine: COVID19
Symptoms: Physical examination, Respiratory rate decreased, SARS-CoV-2 test
Clinical narrative: This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) for a Pfizer sponsored program (005570). The reporter is the patient.  An adult patient received bnt162b2 (BNT162B2), administered in arm left, administration date 10Dec2021 (Lot number: FF2593) at the age of 38 years as dose 1, single for covid-19 immunisation. Relevant medical history included: "COVID-19", start date: 20Dec2020, stop date: Jan2021; "GERD" (ongoing). There were no concomitant medications.  The following information was reported: FATIGUE (non-serious) with onset 11Dec2021, outcome "recovering", described as "tired/very tired"; PAIN IN EXTREMITY (non-serious) with onset 11Dec2021, outcome "recovering", described as "arm was very sore/Arm sore"; CARDIAC DISCOMFORT (non-serious) with onset Dec2021, outcome "recovering", described as "It felt awful for my heart"; CHEST PAIN (non-serious) with onset 11Dec2021, outcome "recovering", described as "Left side of chest started burning"; RESPIRATORY RATE DECREASED (non-serious) with onset 11Dec2021, outcome "not recovered", described as "I had chest pain and lot of sighing"; HYPOKINESIA (non-serious) with onset Dec2021, outcome "unknown", described as "became hard to move items from one side/had to raise left arm and eventually just went super slow". The events "left side of chest started burning", "i had chest pain and lot of sighing" and "became hard to move items from one side/had to raise left arm and eventually just went super slow" were evaluated at the emergency room visit. Relevant laboratory tests and procedures are available in the appropriate section.  Additional information: The patient got vaccine for the first time recently. Patient was very tired the day after and arm was very sore. So tired patient didn't want to get off the couch. But heart felt fine. Then patient went to work. That was a mistake. The patient got vaccine on 10Dec21. The patient waited for vaccine was outside for ventilation, it was cold and patient didn't have good jacket so was a little numb when patient got vaccine and took a long shower after to warm up. The patient had Arm sore and very tired next day but went to work. Left side of chest started burning shortly after starting work at patient's normal pace , became hard to move items from one side to offer , had to raise left arm and eventually just went super slow. worked for several hours that day in pain. At night, patient called online store doctor service to get doctor note for work so patient would not have to go in and be in bad pain again, he said to go to ER since patient said had chest pain + a lot of sighing. ER did chest x-ray, ECG , blood tests, said results were fine-sodium potassium low but that was to be expected, asked for doctor note for work, he gave that one. The patient went to follow-up appointment few days later, ECG normal, listened to heart was fine, patient was feeling better but still some sighing and told to report back with how patient was doing to see if second shot advisable or not.  No follow-up attempts are possible. No further information is expected.