Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, X-ray
Clinical narrative: Felt funky; Muscle aches and pains; Nausea; Out of breath walking his dog; Arm soreness; Headache; This is a spontaneous report received from a contactable consumer or other non-health care professional (patient). A 70-years-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: EL8982), via an unspecified route of administration, administered in Arm Left on 09Feb2021 12:45 (at the age of 70-years-old) as dose 1, single for COVID-19 immunisation. Medical history included neuropathy peripheral (caller says this has been diagnosed for a few years, he takes Gabapentin for it. No further details provided about his Gabapentin), cardiac disorder, obstructive airways disorder from an unknown date and unknown if ongoing (caller says he had a chest X-ray on Monday before he got the vaccine on Tuesday. He says that the x-ray showed an enlarged heart and mild obstructive lung disease). There were no concomitant medications. The patient previously took gabapentin for neuropathy peripheral. Consumer said he had the Pfizer COVID-19 vaccine first dose on Tuesday, and yesterday on 10Feb2021 he had arm soreness. He said he had a screaming headache last night that came on fast that thankfully subsided after a while. He said he had muscle aches and pains where he does not normally get them, like his shoulder blades. He said he has had no swelling. He said that this morning he had some nausea and was out of breath when he walked his dog, which he does not normally had that and felt funky on unknown date. Caller asked if there are any issues after he got the vaccine in getting a COVID test, and if there has been any studies on how long people experience symptoms. He said his vaccine card was handwritten but the LOT was stamped on there. Caller said his arm was still a little sore there today, he has no redness or swelling. Patient received treatment for headache and sore arm Caller says that he has been taking Tylenol, clarified to being Extra Strength Acetaminophen he got at (name), since after his vaccination. He said the dose he takes was two tablets every four hours. He said he switched to Advil last night, clarified to being Extra Strength Acetaminophen UPC: Unknown, caller said that the bottle does not had a barcode on it, it may has been on an outer package that was discarded, LOT: 8JE2250A and caller said that this product expired Jan2020. He said he took 1000 mg every four hours, so at 01:30 PM, then 05:30 PM, then 09:30 PM. He said on the next morning, which was yesterday, he thinks he started in the middle of the night feeling funky so he took it about 4 then 8 then 12 and 4 then stopped and starting taking Ibuprofen IB 200 mg. He said he took Ibuprofen IB 200 mg as two tablets at one time last night before bed. Ibuprofen IB Expiry date: May 2021 UPC: 9661962159, LOT: 9HE3444A. The patient underwent lab tests and procedures which included x-ray: showed an enlarged heart and mild obstructive lung (disease) on 08Feb2021. The outcome of the events was reported as unknown.    Follow-up attempts are completed. No further information is expected.