Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Headache, Joint range of motion decreased, Lymphadenopathy
Clinical narrative: Large swollen lymph node on left arm; Headache; Chills; Fever; She had so much pain in arm that she could not move it, lift it; She had so much pain in arm that she could not move it, lift it; Tasted medicine right after she received injection; Dizzy; Pain in left arm and injection site; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  A 54 year-old female patient received bnt162b2 (BNT162B2), intramuscular, administered in arm left, administration date 25Aug2021 09:00 (Lot number: FD8448) at the age of 54 years as dose 1, single for covid-19 immunisation. Relevant medical history included: "Low thyroid" (unspecified if ongoing); "COVID", start date: Jul2020 (unspecified if ongoing). Concomitant medication(s) included: T3/T4 SUPPORT taken for hypothyroidism. The following information was reported: HEADACHE (non-serious) with onset 26Aug2021, outcome "recovering", described as "Headache"; CHILLS (non-serious) with onset 26Aug2021, outcome "recovering", described as "Chills"; PYREXIA (non-serious) with onset 26Aug2021, outcome "recovering", described as "Fever"; LYMPHADENOPATHY (non-serious) with onset 27Aug2021, outcome "recovering", described as "Large swollen lymph node on left arm"; PAIN IN EXTREMITY (non-serious), JOINT RANGE OF MOTION DECREASED (non-serious) all with onset 25Aug2021, outcome "recovering" and all described as "She had so much pain in arm that she could not move it, lift it"; PRODUCT AFTER TASTE (non-serious) with onset 25Aug2021, outcome "recovering", described as "Tasted medicine right after she received injection"; DIZZINESS (non-serious) with onset 25Aug2021, outcome "recovering", described as "Dizzy"; VACCINATION SITE PAIN (non-serious) with onset 25Aug2021, outcome "recovering", described as "Pain in left arm and injection site".  Additional information included: The patient did not receive any vaccine prior to the first administration date of the suspect vaccine. Patient's Medical History (including any illness at time of vaccination) was none. 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) was none. Additional Vaccines Administered on Same Date of the Pfizer Suspect was none. Concomitant included T3T4: Taking for 2-3 years for low thyroid. The patient stated that she got her first dose of the vaccine (Left arm near shoulder in the muscle on 25Aug2021. and had COVID previously in Jul2020. She is due for next shot next week. When she had the last one, she had not only the headache, chills, fever, but she had a large swollen lymph node on side of shot. She had so much pain in arm that she could not move it, lift it, or sleep on left side where she had shot. She is concerned about going in and getting second shot next week. She wanted to know if the worst is over or will it be worse. She really thought that, people need to be aware and she was putting off getting vaccinated and she thought she would have an issue because her body is very sensitive. She did not wish to provide her primary care provider information. She stated she was trying to complete the report online and was unable to figure it out. The next day after she received the shot was when she had most of the symptoms. The large swollen lymph node has improved, but not completely gone. Her whole arm was encompassed in pain and she could not even lay on her left side. It started that night. Her arm still has a little bit of pain every now and then. As soon as she got injected, she could taste the medicine in her mouth and she got a little dizzy immediately right after. They made her wait for few minutes because she had COVID virus prior and wanted to make sure she did not have a serious reaction. She sat there and did not tell them she was dizzy and just really wanted to go on home. Her husband was there and he did not get dizzy and did not taste anything the medicine after getting his. It went away after an hour or so. She got home and lied down and the dizziness felt better then. The adverse events did not result in physician/ emergency visit. She was concerned if we have reports on getting worse side effects from the vaccines second dose. She was due next week for her second dose.   No follow-up attempts are possible. No further information is expected.