Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: International normalised ratio, Pain in extremity
Clinical narrative: My arm is just killing me, I can't move my arm, the pain is really bad; This is a spontaneous report from a contactable consumer (patient). A 65-years-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection), via an unspecified route of administration, administered in Arm Right on 28Jul2021 11:45 (at the age of 65-years-old male) (Lot Number: FA7484) as single dose for COVID-19 immunization. Medical history included suffering from diabetes, suffering from COPD and high blood pressure also congestive heart failure. Its been the patient would say at least 15 years, he did not know the exact date. The patient also had GERD (gastrooesophageal reflux disease) (problem with GI), blood clots, major depression and PTSD (post-traumatic stress disorder), pain, anxiety, asthma. Concomitant medication(s) included insulin taken for diabetes, start and stop date were not reported; budesonide, formoterol fumarate (SYMBICORT) taken for chronic obstructive pulmonary disease, start and stop date were not reported; atorvastatin calcium (LIPITOR) taken for hyperlipidaemia, start and stop date were not reported; furosemide sodium (LASIX) taken for blood insulin, start and stop date were not reported; lisinopril taken for an unspecified indication, start and stop date were not reported; pantoprazole taken for gastrooesophageal reflux disease, start and stop date were not reported; warfarin (WARFARIN) taken for prevention of multiple blood clots to reoccur that was in his both lungs pulmonary and the one in his leg from an unspecified start date taking almost for about 9 years now and ongoing; sertraline hydrochloride (ZOLOFT) taken for major depression, post-traumatic stress disorder from an unspecified start date and ongoing; diazepam (VALIUM) taken for pain, start and stop date were not reported; bupropion hydrochloride (NICOTEX) taken for anxiety, start and stop date were not reported; salbutamol (VENTOLIN) taken for asthma, start and stop date were not reported; albuterol [salbutamol] taken for asthma, start and stop date were not reported; salbutamol taken for asthma, start and stop date were not reported, taking medication for the congestive heart failure, high blood pressure. The patient did not receive prior vaccination (within 4 weeks). The patient got the vaccine today (28Jul2021) and got it noon, they came to his house and right now his arm was just killing him. He can't even move it. The patient was just sharing this, because, he meant he could take a little pain, he was 65 but this arm pain did not allow him he can't move his arm, the pain was really bad. So, that's one reason he was calling its just a little pain, he would he can tolerate that just ignored just pre substantial its like somebody feel like baseball bat and hurt you know it was really quite painful. For this shot today, the patient did not take anything for the pain he haven't taking anything because he ever looked confused he was told not to take anything. He thought they should don't take anything whether can interfere with the vaccine. So, he don't know if he should take anything or it would make the vaccine less effective. The patient was told to come back on 18Aug2021 sometime. They were making a visit to his home because of him, because of his, this point interedition do not transfer to get the injection. So, they made home visit in another words. The patient stated that he did not have any other lab tests, the only lab test that he had was INR, to determine what his warfarin level was in this last two weeks and that was 2.7 by INR. Outcome of the event was unknown.  Follow-up attempts are completed. No further information is expected.