Age: 72.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Arthralgia, Bone pain, Fatigue, Feeding disorder, Lethargy
Clinical narrative: arm hurting; Bones hurt; Joints hurt; Muscles hurt; Tired; lethargic; could not eat; Nauseated; This is a spontaneous report received from an Other HCP.  A 72-year-old female patient received BNT162b2 omicron (kp.2) (COMIRNATY (2024-2025 FORMULA)), on 07Nov2024 as dose 1, single (Batch/Lot number: unknown) at the age of 72 years intramuscular, in left deltoid for covid-19 immunisation; influenza vaccine inact split 4v (FLUZONE QUADRIVALENT), on 07Nov2024 as dose number unknown, single) intramuscular, in left deltoid for immunisation; semaglutide (OZEMPIC). The patient's relevant medical history included: "Hypertension" (unspecified if ongoing). Concomitant medication(s) included: PROPRANOLOL taken for hypertension. Vaccination history included: COVID-19 vaccine (dose number unknown (booster), manufacturer unknown), administration date: 04Jun2024, for covid-19 immunisation; Covid-19 vaccine (primary immunization series complete; manufacturer unknown), for covid-19 immunisation. The following information was reported: BONE PAIN (non-serious) with onset 08Nov2024, outcome "recovering", described as "Bones hurt"; ARTHRALGIA (non-serious) with onset 08Nov2024, outcome "recovering", described as "Joints hurt"; MYALGIA (non-serious) with onset 08Nov2024, outcome "recovered", described as "Muscles hurt"; NAUSEA (non-serious) with onset 08Nov2024, outcome "recovering", described as "Nauseated"; FATIGUE (non-serious) with onset 08Nov2024, outcome "recovering", described as "Tired"; PAIN IN EXTREMITY (non-serious) with onset 08Nov2024, outcome "recovering", described as "arm hurting"; FEEDING DISORDER (non-serious) with onset 08Nov2024, outcome "recovering", described as "could not eat"; LETHARGY (non-serious) with onset 08Nov2024, outcome "recovering", described as "lethargic". The action taken for semaglutide was unknown. Therapeutic measures were taken as a result of pain in extremity, bone pain, arthralgia, myalgia, fatigue, lethargy, feeding disorder, nausea. Additional information: The patient have no vaccination 4 weeks prior. The patient have always gotten her boosters of Covid and she had never reacted. The last booster she got was in 04Jun2024 with no side effects. The patient got COMIRNATY (2024-2025 FORMULA) and FLUZONE QUADRIVALENT in the same arm. By the next day (08Nov2024), patient's arm was not just hurting, it was worse. She was in bed because her bones and joints hurt. She could not get out of the bed. She was so tired and lethargic, she could not eat. She was nauseated and could not eat because it was awful. She felt lethargic and she could not get out of bed. She was in bed for 2 or 3 days. She put ice on it, took some paracetamol (TYLENOL) and rested and stayed in bed. Today (13Nov2024) was the first time she started getting up and feeling like she was going to live, like she can make it. She can walk, she is okay, she is talking. She was feeling a little better now. The events have improved and her muscles were not hurting her. She stated she does not want anybody to go through this again. She was suggesting to not put the vaccination in the same arm. She does not know if it was the two of them together or what happened. It was awful.  The information on the batch/lot number for BNT162b2 omicron (kp.2) will be requested and submitted if and when received.