Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Insomnia, Musculoskeletal stiffness, Myalgia, Pain in extremity, Red blood cell sedimentation rate abnormal
Clinical narrative: She cant sleep; Experiencing  pain when lying down that feels like everything hurts as she cant bend down to pick something up; Her ESR was elevated as well as her CRP; Her ESR was elevated as well as her CRP; The back of her neck, near the top of her back feels stiff; Inflammation; Pain in her arm/the pain went to her other arm/the thigh muscles hurt/it hurts/the same thing with her legs and cannot bend down; Glute muscle started hurting; This is a spontaneous report from a contactable consumer (patient) via Medical Information Team. A 75-year-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection) via an unspecified route of administration, administered in left arm on 07Feb2021 around 10:30 (Lot number/NDC number/Expiry date: Unknown) as single dose for Covid-19 immunization (preventative). The patient's medical history and concomitant medications were not reported. The patient previously took first dose of BNT162B2 administered in left arm on 17Jan2021 around 12:00 PM as single dose for Covid-19 immunization and experienced under her arm hurt terribly under the muscle and tetanus vaccine (TETANUS SHOT). Caller stated that "she was already done with the 2 doses of the Pfizer Covid 19 vaccine. She said that she experienced side effects after getting the vaccine. She was experiencing pain in her arm and that 3 weeks after her second dose the pain went to her other arm. Every time she wanted to sit down she was having trouble going up as her glute muscle started hurting. She could not sleep, experiencing pain when lying down that felt like everything hurts as she could not bend down to pick something up. They also gave her blood test which they saw that her ESR was elevated as well as her CRP. She was asked about the same reports as that and what medication she should be taking. DSU: E-transmitting DSU as the caller ended the line before she could offer to transfer. Was not able to ask for her zip code and offer survey as caller ended the line. Clinical Trials Experience included: Table 4: Study 2, Frequency and Percentages of Participants with Solicited Systemic Reactions, by Maximum Severity, Within 7 Days After Each Dose. Participants 56 Years of Age and Older. Reactogenicity Subset of the Safety Population. Caller was the patient that wanted to know who to write or talk to about having an adverse reaction after the Covid vaccine. Caller did not explain reaction to agent. Caller was asking what to do about the reaction and agent provided number. Height: She thought she was shrunk. Reported she finally got her HCP to order blood tests for her. She finally took the necessary blood tests. Confirmed product as Pfizer Covid19 vaccine. She took the first vaccine and under her arm hurt terribly under the muscle and it lasted 2 or 3 days and then it went away. When she took the second vaccine the same thing happened, and her arm hurting lasted about 3 or 4 days. She had a very high tolerance to pain and tend to ignore things. It gave her a problem like she could not reach, it hurt when tried to reach things. About 2 or 3 weeks after the second dose both of her arms felt the same way, under the arms muscles when driving it hurt her under both of her arms. It was ongoing, it was terrible, and it got worse. She started documenting it. About 3 weeks ago, when she sat down, she could not get up, underneath her backside and the thigh muscles hurt. It was ongoing and everything seems to be getting worse. Reaching was terrible, she was not sleeping. She was having a terrible, terrible pain under her arm when she asleep and she went from bed to couch. She read that it might help to try to use a pillow when trying to get up. Stated that, the only way she could get up from bed was if she leans on a pillow. In the morning it was the worse and she could not get out of bed, like she did not have the strength to get out of bed. She was then walking, and she walked through it, her behind, it hurt. She was scared since it was gravitating from her upper arm to her lower arm. Reported that, it seems to be the same thing with her legs and could not bend down to pick something up. Everyone kept telling her it was from driving. She did not have her vaccination card to provide lot, expiration date or dosage for either dose. First dose was administered on 17Jan2021 around 12:00 PM, administered in left arm. Second dose administered on 07Feb2021 around 10:30, administered in left arm". Treatment included "tried going into jacuzzi and Epsom salt baths but nothing helps. One time in the jacuzzi it seemed to get better but then the same thing happened the next day. She did not take any prescriptions. She was now concerned that the back of her neck, near the top of her back feels stiff now too. She was not sure if pain was radiating. What was crazy is that her arm pain was only for a short time prior and that was weeks before. She did not realize the pain was gravitating that it was moving. Hoping we can come up with a cure, did not want it to go on forever, it was scary. She was vey tiny. She had high cabinets and she was used to climbing 6-foot ladders to put things away and now cannot reach it. When she tried to climb a ladder now it was scary it hurt and she cannot go up high enough. The pain started moving and she called the doctor and he told her to take blood test to see what it showed. Provides results as C-reactive protein was up. CRP was up. ESR was elevated. Her husband who was a pharmacist told her those results show inflammation in the body. Adverse events following prior vaccinations: No, she did not take vaccines, never took shingles, flu, or pneumonia vaccine. She only got what she needed as a child and the last shot she had was about 10 years ago, it was a tetanus shot. Seriousness was reported as no. Outcome of the event ESR was elevated as well as her CRP was unknown, whereas other events was not recovered.  Information regarding the lot/batch number has been requested.