Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Vaccination site pain
Clinical narrative: Pain in arm of injection site; Tis is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 38 year-old male patient received bnt162b2 (BNT162B2), administered in arm left, administration date 01Apr2021 (Lot number: EN6207) at the age of 37 years as dose 1, single and administered in arm right, administration date 22Apr2021 (Lot number: ER8731) as dose 2, single for covid-19 immunisation. Relevant medical history included: "Asthma" (unspecified if ongoing), notes: Verbatim: Asthma. Family history included: "stage 4 lung cancer" (unspecified if ongoing), notes: Mother got shot as well and is doing fine. Had stage lung cancer, she found out a few years ago. Concomitant medication(s) included: MELATONIN (ongoing); FEXOFENADINE taken for hypersensitivity (ongoing); AMLODIPINE taken for blood pressure measurement (ongoing); BENADRYL ALLERGY/CONGESTION taken for hypersensitivity (ongoing); ALBUTEROL SULFATE taken for asthma (ongoing); SYMBICORT (ongoing); IPRATROPIUM BROMIDE AND ALBUTEROL SULFATE (ongoing). Vaccination history included: Tetanus (tetanus shot). The following information was reported: VACCINATION SITE PAIN (non-serious), outcome "not recovered", described as "Pain in arm of injection site". Therapeutic measures were not taken as a result of vaccination site pain.  Additional information: The patient had been taking the 10mg of Melatonin around 4months. Fexofenadine was an occasional allergy medicine that he takes during pollen season. Had allergies all the time but he only takes it when it gets really bad. Had been taking amlodipine from more than a year. Benadryl Allergy/Congestion: Takes if it is really bad and his nose has been running a while. Takes at night occasionally, maybe 4 times a month. Had taken Symbicort on the regular at least 3 years. Ipratropium Bromide and Albuterol Sulfate: Takes maybe once or twice a month. Has been taking since last year. Probably 2 or 3 days, the arm where the patient got the second injection started hurting again like someone stuck a real long needle in the deep tissue. There had been pain over the past couple days and is starting to get worse. If his arm is to the side, and he tries to bring it half way up, it really starts to hurt. Had a tetanus shot in the butt cheek and that's what it feels like in the arm. It just hurts. There is no knots or lumps or anything, it just hurts. Pain in arm of injection site: Saturday it started to hurt for 2 or 3 days after the initial shot. Then, it went back to normal. Maybe Friday or Saturday he started to notice it again.  He started to rotate his shoulders a bit. Now it gets progressively worse. Is from the elbow up to his shoulder and that whole part of his arm. The only medicine the patient took this morning was his blood pressure medicine. It is the only thing has had. Has respiratory issues. Mother was a  lung cancer survivor. Was worried about himself and her. The dose of Melatonin can be anywhere from 5mg, to 10mg, to 15mg, depending on where he gets it. Switches inhalers every month. Always had asthma pretty bad. Had quit going to the doctor when the patient was a teenager. Maybe 5 or 6 years ago it got really bad and has been going regularly since. No additional vaccines administered on same date of the pfizer suspect. Prior vaccincations wtihin 4 weeks: No, had blood work done months ago and had a tetanus shot last November. Mother got the shot as well and is doing fine. She has stage 4 lung cancer, she found out a few years ago.  No follow-up attempts are possible. No further information is expected.