Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Antinuclear antibody, Arthralgia, Arthropathy, Blood creatine phosphokinase normal, C-reactive protein normal
Clinical narrative: States it was a little raised spot, not red, it was humped over where they gave the vaccine and it was sore the next day; quite a bit of discomfort and can tell she has fluid on her joints and both knees are swollen; quite a bit of discomfort and can tell she has fluid on her joints and both knees are swollen; quite a bit of discomfort and can tell she has fluid on her joints and both knees are swollen/neither are red, just swollen; it is both of her elbows also, one is not hurting as bad and her mom felt one and it's inflamed and swollen, it's not red; spot where you could tell where she got the vaccine/little raised spot, not red, it was humped over where they gave the vaccine and it was sore the next day; joint pain/pain in her joints and knees/both of her elbows also, one is not hurting as bad; she ran a little fever; This is a spontaneous report from a contactable consumer (patient). A 46-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration, administered in Arm Left on 07Apr2021 just before 11:00 (Batch/Lot Number: ER8735) as single dose for covid-19 immunisation. Medical history included anaphylactic reaction; she had been in a state working and came home and went to a resturant and got her girlfriend some food and thinks it was the black cherry or the peanut oil used for cooking (stated it is not vaccine related). The patient got her Tetanus and Flu shot last fall. Concomitant mediation included vitamins. No additional vaccines administered on same date of the Pfizer suspect and patient has no prior vaccinations within 4 weeks. The patient received the first dose on 07Apr2021 and was fine. She already had an anaphylactic reaction once, so she waited 30 minutes, and everything was fine. She is scheduled for the 2nd dose on 05May2021. Right at the weekend (Apr2021), she had pain in her joints and knees and still does. She thought it was regular side effects and just be one of those that goes away eventually but she is still having joint pain. She has high tolerance for pain anyhow and she has quite a bit of discomfort and can tell she has fluid on her joints and both knees are swollen on 07Apr2021. She took Ibruprofen for swelling. It is both of her elbows also, one is not hurting as bad and her mom felt one; it's inflamed and swollen, it's not red. She stated that neither are red, just swollen. The patient wanted to know how long joint pain usually lasts for symptoms. She read the little paper from the health department they gave her, and it says what are the risks of Pfizer vaccine and it says injection site pain, tiredness, muscle aches, chills. The patient stated that joint pain is different and is a problem to her, she is an active person and it's driving her nuts it hurts to walk or move. She also had the discomfort and asked her mom who had the vaccine but she (patient's mom) didn't have it, she has bad lung (her mom who is a nurse is still working on bronchitis and has been with bronchitis since December of last year and her mom has lung issues and she has been to a pulmonologist this month. The patient stopped work to be the primary care giver and has not worked since Nov of last year. The patient stated she would be the factor to bring it in the house) and had it in Feb2021 and they have been quarantined since Nov last year and go out once a month for gas for the mower and that is an outing that is safe for her. She stated that the issue is she was looking forward to doing this, she tried to get it in Feb2021 and got it in Mar2021 (patient clarified that she got the vaccine on 07Apr2021). She read the instructions and had some discomfort but it didn't point toward this and she has been working mowing the yard and working out and fixing the garden and thought she had over done it and had lactose build up. It didn't go away about 2-3 days into it and it got to where she had problems, they have 2 dogs and when they bounced on the bed her joints hurt, it was like being jabbed with an ice pick through her elbows. This morning, the patient woke up and went to fix grits and walked down the steps like a 90-year-old woman holding on to both railings because her knees were hurting. She spent the week in the gardens tilled and planted okra and a lot in the garden. On Monday 12Apr2021, she got the discomfort and thought it was from the garden and being on and off the tractor and on her knees planting and built some lactose but it progressively got worse and Tuesday morning she had the problem of the aching in all 4 joints. She read her information for the second dose from the health department and thinks it may be vaccine related, stated she didn't have any at all. She is over the aching. She is a beekeeper by trade and stings don't bother her and this feels like someone hit her with a baseball bat in the joints. She has a high tolerance for pain. The patient has been taking Ibuprofen and she started that 2 days ago and took 3 twice a day via her mom's instruction and it helps her to sleep and work. The patient stated that it is not a normal joint pain, she thought she had overworked herself and had lactose build up and it would work out but this stuff doesn't go away not like normal overworked muscle; the joints have sharp needle pain, like huge shin splint. The patient also had a spot where you could tell where she got the vaccine and she noticed that the same night of the vaccine (07Apr2021). It was a little raised spot, not red, it was humped over where they gave the vaccine and it was sore the next day (08Apr2021). For 2 days, she ran a little fever and as she worked the vaccine out of the muscle it went away. The patient stated that these are not abnormal like her knees and elbows. There is definitely swelling in her knees and when she stands up the swelling moves down. About an inch below the knee there she can tell there is a cuff of swelling below the joint. She noticed this Monday 12Apr2021 also. One elbow feels swollen and worse and they take turns at aching, only one spot at a time. The patient was just wondering about how long this is going to act like this and if she is doing the right thing taking a particular medication because with the J&J with blood clots, they say no heparin. The patient was wondering if there is a specific medication to take or avoid. The outcome of the event joint pain was not recovered while fever was recovered on an unspecified date. The outcome of the other events was unknown.