Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination site erythema, Vaccination site movement impairment, Vaccination site pain, Vaccination site pustule
Clinical narrative: chills; aches; tiredness/normally tended to be tired but when she got the second Pfizer Covid injection that she was more tired; injection site; red mark about the size of a dime and in the center of the red mark was an elevated pustule sort of looking; injection site; red mark about the size of a dime and in the center of the red mark was an elevated pustule sort of looking; could not reach for the cane or move anything on that side of body; was given the injection and as soon as it was injected it felt like the nurse lit a fuse in her arm and it traveled down her arm all way down to her wrist like a fuse on stick of dynamite; went to get out of the chair had used a cane and she could not move her arm whatsoever (right upper arm); right upper arm muscle area was still sore/muscle pain between elbow and shoulder (right upper arm); This is a spontaneous report received from a contactable reporter (consumer or other non HCP). The reporter is the patient.  A 77-year-old female patient received BNT162b2 (BNT162B2), on 02Mar2021 as dose 2, single (batch/lot number: unknown) at the age of 77 years, in right arm for covid-19 immunization. The patient's relevant medical history included: "tiredness" (unspecified if ongoing), notes: normally tended to be tired. There were no concomitant medications. Vaccination history included: Bnt162b2 (dose 1), for COVID-19 immunization. The patient informed that she went to the local health department and got the shots; was no doctor (unknown). The patient informed that vaccine administered at facility was no and prior vaccinations within 4 weeks was no.  The following information was reported: PARALYSIS (medically significant) with onset 02Mar2021, outcome "recovered", described as "could not reach for the cane or move anything on that side of body"; VACCINATION SITE ERYTHEMA (non-serious), VACCINATION SITE PUSTULE (non-serious) all with onset 02Mar2021, outcome "not recovered" and all described as "injection site; red mark about the size of a dime and in the center of the red mark was an elevated pustule sort of looking"; MYALGIA (non-serious) with onset 02Mar2021, outcome "recovering", described as "right upper arm muscle area was still sore/muscle pain between elbow and shoulder (right upper arm)"; VACCINATION SITE PAIN (non-serious) with onset 02Mar2021, outcome "recovered" (02Mar2021), described as "was given the injection and as soon as it was injected it felt like the nurse lit a fuse in her arm and it traveled down her arm all way down to her wrist like a fuse on stick of dynamite"; VACCINATION SITE MOVEMENT IMPAIRMENT (non-serious) with onset 02Mar2021, outcome "recovered with sequelae" (02Mar2021), described as "went to get out of the chair had used a cane and she could not move her arm whatsoever (right upper arm)"; PAIN (non-serious) with onset 03Mar2021, outcome "recovered" (04Mar2021), described as "aches"; CHILLS (non-serious) with onset 03Mar2021, outcome "recovered" (04Mar2021); FATIGUE (non-serious) with onset 03Mar2021, outcome "recovering", described as "tiredness/normally tended to be tired but when she got the second Pfizer Covid injection that she was more tired". Therapeutic measures were not taken as a result of paralysis, vaccination site pain, vaccination site movement impairment, myalgia, chills, pain, fatigue, vaccination site erythema, vaccination site pustule. Clinical course: The patient informed that on 02Mar2021 she had her second initial dose of Pfizer Covid vaccine. During the shot she was seated, and the nurse came to her arm dangling to the right side. Was given the injection and as soon as it was injected it felt like the nurse lit a fuse in her arm and it traveled down her arm all the way down to her wrist like fuse on stick of dynamite. Got to her wrist with no problems. Had went to get out of the chair had used a cane and she could not move her arm whatsoever. Could not reach for the cane or move anything on that side of body. Said something and everyone was alarmed. Was able to wiggle her fingers and able to move like twisting a jar (twisting motion) then was able to slap her hand around but nothing on her upper arm. Gradually the sensation came back and she was able to move and grasp the cane. Had went to the waiting area, waited for 15 minutes and left. Had the basic symptoms like she saw advertised like muscle pain and other side effects that were typically reported on the sheet given to her. Had a lot of those side effects which was no big deal except the muscle pain between elbow and shoulder has not gone away. injection site still has some activity going on there. has a red mark about the size of a dime and in the center of the red mark was an elevated pustule sort of looking thing that she will every once in while will pick off. Was fluid but was now a granulated substance. Red mark never went away and the pustule over time will come back again. Has spoke to pharmacy techs, doctors and nurses and nobody knew what was going on. Was told to contact Pfizer and let know oddity was occurring. Clarified that this happened to her right upper arm. Cannot not get anyone to tell her why the area was still on her arm nor what it was. Later clarified that in regards to she could not move anything that side of her body that it was the right side of her body only the right arm and did not go anywhere. The patient clarified that the other side effects that she had like the ones advertised were chills, aches and tiredness. Was given the injection and as soon as it was injected it felt like the nurse lit a fuse in her arm and it traveled down her arm all way down to her wrist like a fuse on stick of dynamite, wrist sensation has resolved. The patient had no treatment for the right arm. Went to get out of the chair had used a cane and could not move her arm whatsoever: Has lasting effect up in right upper arm muscle area was still sore. Did not know what to attribute it to. Is for the right arm. Treatment was none. Later clarified could not move her right upper arm. Has lasting effect of up in her right upper arm the muscle area was still sore: Has improved to a certain point but still sore. Treatment was none. The patient clarified muscle pain as in her right upper arm between the elbow and shoulder has not gone away. Treatment was none. The chills and aches treatment was none. The patient was tired a lot but not from the Covid business but she was just old. Has improved since that because Covid interfered, and she may have been more tired than usual and that cleared up. Clarified that she normally tended to be tired but when she got the second Pfizer Covid injection that she was more tired until the next day and it improved after that. The treatment was none. The injection site still has some activity going on there clarified as upper right arm, got the Pfizer Covid vaccine shot on 02Mar2021, has not been a quiet site and has been active ever since. The patient was saying that it was active because it keeps redness and putting out that little pustule. The treatment was none. The red mark about size of dime and in center of red mark was an elevated pustule sort of looking thing that she will every once in while will pick off. The patient clarified that it was her right upper arm. Has changed shape a little bit, was round oval but now a little jagged. Still the same size but the edges were not as true as used to be. The patient clarified that could not move anything that side of her body was as right side of the body and only the right arm, did not go anywhere.  The information on the batch/lot number for BNT162b2 has been requested and will be submitted if and when received.