Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination site pain, Vaccination site swelling
Clinical narrative: the pain was radiating up her left arm, shooting down her back and up her neck and from the 24th or 25th she had pain every day and got worse.; the pain was radiating up her left arm, shooting down her back and up her neck and from the 24th or 25th she had pain every day and got worse.; the pain was radiating up her left arm, shooting down her back and up her neck and from the 24th or 25th she had pain every day and got worse.; started to feel like imagine heart beating in arm, constant throbbing and was a little but not totally uncomfortable; started to feel like imagine heart beating in arm, constant throbbing and was a little but not totally uncomfortable; arms started to swell a little bit; had a pinch, was a little sore; she is scared to go on days of no sleep; This is a spontaneous report from a contactable consumer or other non-health care professional reporting for herself. A 60-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; Lot Number: EW0158; Expiration Date: Jul2021; NDC 59267-1000-02), via an unspecified route of administration, in Left Arm on 21Apr2021 between 14:15 -14:45 hr (at the age of 59-years-old) as DOSE 2, SINGLE for covid-19 immunisation. The patient medical history included ongoing hypertension diagnosed about 2 years ago, herpes zoster from an unknown date and unknown if ongoing. The patient concomitant medications included metoprolol (METOPROLOL); nifedipine (NIFEDIPINE) taken for hypertension from an unspecified start date and ongoing. She stated that her blood pressure medicine was Nifedipine ER 30mg and she was taking it first in the morning and then at night she was taking Metoprolol 25mg one by mouth at night. Patient previously had shingles and was given the shingles vaccine and was a two-dose thing that was administered to her at Walgreens about 6 weeks ago, but she did not have an adverse event at that time. Vaccine or Brand Name was reported as unknown name of product, but it was the shingles vaccine. The patient previously took first dose of BNT162B2(Solution for injection, Batch/Lot Number: ER8733; Expiration Date: Jul2021; NDC 59267-1000-02) via an unspecified route of administration on 31Mar2021 as dose 1, single for Covid-19 immunisation and experienced no adverse events. Additional vaccines administered on same date of the Pfizer Suspect, prior vaccinations (within 4 weeks), AE following prior vaccinations, family medical history relevant to AE, relevant tests included none. The patient experienced had a pinch, was a little sore on Apr2021, started to feel like imagine heart beating in arm, constant throbbing and was a little but not totally uncomfortable, arms started to swell a little bit on 23Apr2021, the pain was radiating up her left arm, shooting down her back and up her neck and from the 24th or 25th she had pain every day and got worse on 24Apr2021, she is scared to go on days of no sleep on unspecified date in 2021. Patient visited Emergency Room due to the events but not required to visit Physician office. Caller stated with the 1st dose of the Pfizer COVID Vaccine she had no problems and no throbbing whatsoever. On 21Apr2021, patient had the Pfizer COVID vaccine 2nd dose in her left arm and had a pinch but no problem and nothing on 21Apr2021 or 22Apr2021 and on 22Apr2021 she attributed it to maybe the way she slept and was a little sore but nothing else. On 23Apr2021, she started to feel like imagine your heart beating in your arm and that is how she felt with constant throbbing and was a little but not totally uncomfortable but later that night it started to swell a little bit and she put on a heating pad and nothing else happened. On 24Apr2021, she was the same, but the pain was radiating up her left arm, shooting down her back and up her neck and from the 24Apr2021 or 25Apr2021 she had pain, every day and got worse. Patient stated that she had hypertension and still took her regular medications at that time with no problems; she still had pain and knew not to take Advil at that time due to the hypertension and it is best to take Tylenol so she was chewing two 500mg tablets of Tylenol assuming it would help her but the Tylenol did nothing for the pain; states the Tylenol has lot ABC212, expiry date Oct2022 and the UCP is on the box which she did not have but she had to get her glasses to see the scan number 122113 and another number which is 30044815/122113. Caller stated she was scared to go on days of no sleep which she had and did not have a fever and was not nauseous and did not know what to do and on 02May2021, her son said go to the emergency room so she did go to the ER in the closest hospital; states she stayed in the ER 5-6 hours and her HCP there basically told her to take Prednisone 20mg take day 1-5 two tablets then on day 6-10 take one tablet per day and then day 11-14 take a half tablet; clarified she was taking Prednisone two tablets by mouth for 5 days for a total of 17 tablets and the Prednisone is in an orange pharmacy bottle with no lot, expiry date or NDC. Patient was given two Prednisone in the ER at night and she started taking two tablets after that and she had four pills left and had to break them in half. Caller was still taking Prednisone and asked the HCP if it was ok to take something other than that and she took Advil and started to feel relief after the Advil duel action 250mg and she just takes two and has not taken any today because she tries not to take things she does not need and was to the point where she can live with it and it is not pain but is a funny sensation. Caller stated she was not in pain and had a sensation that was like buzzing but low-key buzzing and imagine your body buzzing in your arm and it was not pain but the buzzing was in her left arm. Caller stated she tried to call the other number for Pfizer and sounded like it was overseas and was choppy and she could barely hear the agent and has report reference number J91SD3N6, and the agent had an accent and was difficult to understand. Caller issue was trying to find out information related to compensation and states she started getting medical bills and services she received through the ER visit and in the ER was closest to her and she went to that one because she was in so much pain and they took her medical card but her insurance won't pay for it and what happens when she received that bill and was just concerned because she did not worked since 11Mar2021 and does not think she should have to pay for it and was looking for information on absorbing the cost of her medical bills. Stated if she files this with Pfizer should she reach out to the other CDC website or VAERS to report it also and did email them but only got a generic response. Caller was provided with report reference number and contact information for the Pfizer Legal Department regarding her question to request possible compensation. Upon follow-up (11May2021), it was reported that patient went to the emergency room last Sunday on 21Apr2021, had second Pfizer shot and on that shot, the first shot I had no problem the second shot I had on 21Apr2021 first didn't feel anything and then days later her arms started to swell and started throbbing, the pain got, day by day the pain got worst, so patient ended up in the emergency room last Sunday on 09May2021, patient was taking anti-inflammatory drugs but my arms are still not quite what it should be. Caller was reporting it in case something else happens to her. Secondly, patient went to emergency room for couple of thousand dollars and that she didn't intend to pay, so Pfizer could pay it. Consumer stated vaccination facility name as the mass vaccination site. Caller went to the emergency room and stated that they didn't want any test they did the Physical and asked her questions. She told them what happened, and they gave prescription for Prednisone, sated she had to take it for 15days, its Prednisone, it 20mg anti-inflammatory as treatment. Caller asked how she could get a copy of the report and in response she was provided with report reference number J91SD3N6. Caller stated she was still experiencing events, it was not as bad as it was but was still experiencing the pain, the pain in left arm where the injection was, all the way to her back up neck. Clinical outcome of the events was not recovered.  No follow-up attempts are needed; Information about lot/batch number cannot be obtained.