Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Interchange of vaccine products, Joint swelling, Osteopenia, Pain in extremity
Clinical narrative: Pfizer booster: cannot even lift her left arm / Movement on her hand is unbearable with the pain. Is for the left arm and hand; Pfizer booster: left arm pain was reported as worsened; Pfizer booster: left wrist swollen (inflamed); Pfizer booster: left wrist pain; Pfizer booster: left shoulder swollen (inflamed) was reported as worsened; Pfizer booster: injection was painful; she got the three shots from Moderna and her second booster shot was from Pfizer; left shoulder from injection site all the way to her hand is swollen and inflamed / bump on her left arm; left shoulder from injection site all the way to her hand is swollen and inflamed; osteopenia; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP), Program ID. The reporter is the patient.  A 64-year-old female patient received BNT162b2 (BNT162B2), on 28Jun2022 as dose 4 (booster), single (Lot number: FP7150) at the age of 64 years, in left arm for covid-19 immunisation. The patient's relevant medical history included: "Blood pressure", start date: 2020 (ongoing), notes: Blood pressure has no issues with the medication. Concomitant medication(s) included: LOSARTAN oral taken for blood pressure abnormal, start date: 2020 (ongoing). Vaccination history included: moderna (Dose 1, lot number: 012A21A), administration date: 05Mar2021, when the patient was 63-year-old, for COVID-19 immunization; moderna (Dose 2, lot number: 046A21A), administration date: 02Apr2021, when the patient was 63-year-old, for COVID-19 immunization; moderna (Dose 3, Lot number: 058H121A or 058-121A, Expiration date: 26Mar2022), administration date: 01Dec2021, when the patient was 63-year-old, for COVID-19 immunization. The following information was reported: PERIPHERAL SWELLING (non-serious) with onset 2022, outcome "not recovered", described as "left shoulder from injection site all the way to her hand is swollen and inflamed"; VACCINATION SITE SWELLING (non-serious) with onset 2022, outcome "not recovered", described as "left shoulder from injection site all the way to her hand is swollen and inflamed / bump on her left arm"; OSTEOPENIA (non-serious) with onset 2022, outcome "unknown"; VACCINATION SITE PAIN (non-serious) with onset 28Jun2022, outcome "not recovered", described as "Pfizer booster: injection was painful"; JOINT SWELLING (non-serious) with onset 28Jun2022, outcome "not recovered", described as "Pfizer booster: left shoulder swollen (inflamed) was reported as worsened"; INTERCHANGE OF VACCINE PRODUCTS (non-serious) with onset 28Jun2022, outcome "unknown", described as "she got the three shots from Moderna and her second booster shot was from Pfizer"; PAIN IN EXTREMITY (non-serious) with onset 30Jun2022, outcome "not recovered", described as "Pfizer booster: left arm pain was reported as worsened"; ARTHRALGIA (non-serious) with onset 30Jun2022, outcome "not recovered", described as "Pfizer booster: left wrist pain"; JOINT SWELLING (non-serious) with onset 30Jun2022, outcome "not recovered", described as "Pfizer booster: left wrist swollen (inflamed)"; VACCINATION SITE JOINT MOVEMENT IMPAIRMENT (non-serious) with onset 01Jul2022, outcome "not recovered", described as "Pfizer booster: cannot even lift her left arm / Movement on her hand is unbearable with the pain. Is for the left arm and hand". The event "osteopenia" required physician office visit. Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of pain in extremity, joint swelling, joint swelling, arthralgia, vaccination site joint movement impairment, vaccination site pain, vaccination site swelling, peripheral swelling, osteopenia.  Additional information: The patient reported that she got the three shots from Moderna, and her second booster shot was from Pfizer. Her left shoulder from injection site all the way to her hand was swollen and inflamed. Could not even lift her arm up. Movement on her hand was unbearable with the pain. It was for the left arm and hand. Later clarified that as her hand and not her wrist. Everything was Moderna and the last one she took was Pfizer. One from Pfizer was a booster. Wanted to see if this was the cause. Left arm was ridiculous with pain. Was sent by nurse practitioner to an X-ray and found she had osteopenia and nothing else. Went to the orthopedic and was given a steroid shot right in the middle of her wrist to see if the pain would go away. Was prescribed Meloxicam which was not budging or helping her with nothing. Is only on blood pressure medication. Her left wrist was swollen. Was on blood pressure medication prior to the above medications. Taken Losartan 40 mg for blood pressure. When experienced pain spoked to main pharmacist and told her all this and wanted it noted in all her information. Injection was painful on 27Jun. Clarified this as the Pfizer booster injection and that it was on 28Jun2022. Painful when she rubs it with alcohol but not that severe. As she was feeling a bump on her left arm. Left arm pain: Treatment: steroid injection given in wrist on the top and Meloxicam medication. Left wrist swollen (inflamed): Ice packs. Still swollen on outer side. Left wrist pain: Went to orthopedic and given steroid shot. Left shoulder swollen (inflamed): No treatment. Clarified that the Meloxicam was not budging or helping her with the pain itself and the inflammation/swelling: Waited for seven days. Said it should have stopped right away since they gave her the injection itself. Could not even lift her left arm: Clarified that she could lift it to a certain point. Could not lift it without pain. No treatment. Certain movements were painful to lift because of her shoulder as well. Clarified that she had an X-ray of the left wrist since it was swollen the end of Jun or Jul. Meloxicam on Sep2022 to ongoing, 15mg one by mouth every day for 30 days for inflammation/pain.