Age: 56.0
Sex: F
Vaccine: COVID19, FLUX
Symptoms: Arthralgia, Bursitis, Pain in extremity, Product administered at inappropriate site, Ultrasound scan
Clinical narrative: the booster dose was improperly administered to her bursa instead of her deltoid muscle which have her bursitis; subachromial bursitis of left shoulder; States it hurt so much /her arm was sore a couple of days; joint pain acute of left shoulder; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  A 56 year-old female patient received bnt162b2 (COMIRNATY), administered in arm left, administration date 30Sep2021 13:00 (Lot number: FE3592) at the age of 56 years as dose 3 (booster), single for covid-19 immunisation. Relevant medical history included: "No" (unspecified if ongoing). Concomitant medication(s) included: FLU VACCINE VII. Vaccination history included: Bnt162b2 (Dose 1, Left arm, Time: 2:01 PM, Lot No EN620), administration date: 02Mar2021, for COVID-19 Immunisation; Bnt162b2 (Dose 2, Left arm, Time: 12:07 PM, Lot No ER8727), administration date: 23Mar2021, for COVID-19 Immunisation. The following information was reported: PRODUCT ADMINISTERED AT INAPPROPRIATE SITE (non-serious) with onset 30Sep2021, outcome "unknown", described as "the booster dose was improperly administered to her bursa instead of her deltoid muscle which have her bursitis"; BURSITIS (non-serious) with onset 2021, outcome "unknown", described as "subachromial bursitis of left shoulder"; PAIN IN EXTREMITY (non-serious) with onset 2021, outcome "unknown", described as "States it hurt so much /her arm was sore a couple of days"; ARTHRALGIA (non-serious) with onset 2021, outcome "unknown", described as "joint pain acute of left shoulder". The events "subachromial bursitis of left shoulder", "states it hurt so much /her arm was sore a couple of days" and "joint pain acute of left shoulder" were evaluated at the physician office visit. Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of bursitis, arthralgia.  Additional information: It was reported that she had a caller on the line that said she received her Pfizer Covid booster vaccine and it was improperly administered to her. Agent relays instead of injecting into the deltoid it was given to her bursa which gave her bursitis. Agent relays this is being taken care of with her doctor. Agent relays the caller wanted to know if it gave her antibodies and she addressed that. Patient states that she saw a sports medicine specialist that is at different locations and he did the shot of steroid in her shoulder. Patient states that her medical record says subachromial bursitis of left shoulder, joint pain acute of left shoulder from shoulder injury from vaccine administration (SIRVA). Caller states he gave her a Betamethasone Sodium Phosphate and Betamethasone acetate injection also called Celestone Soluspan. Patient relays that that shot hurt 25 times less than the Covid shot, that hurt so much when she got the shot she winced and jumped with the booster. States it hurt so much she was like what, her arm was sore a couple of days like the other 2 doses and got really bad a week or 2 later. States her arm got stuck inside, like when she was trying to put a coat on.  Patient states she wasn't sure what to do, she was nervous about it since she found out it officially was done improperly on Friday a couple days ago. Caller states she is nervous it didn't work, maybe it will still be absorbed slowly and she will feel fine when she finds out. Patient states if she needs a 4th shot she will, she doesn't know if antibody testing will show anything. States she will get better hopefully, it might take a couple rounds and exercises. States she cares more about the vaccine coverage. Investigations: Caller states she went to the shoulder dude and he did all kinds of press against work up for rotator cuff and shoulder workup for tears and that and he could tell when she felt pain and what motions created the pain. Caller relays she has been hurting since she got the shot and he did an ultrasound of her shoulder where he found some pretty good inflammation and he showed her so he could tell what happened and why there and it's injured. States he then administered an ultrasound guided injection of steroid to reduce the inflammation. Caller states this was last week on 12Nov2021 and he had some exercises he gave her and a referral to PT and she got one from her regular doctor also. States she was told it can sometimes be relieved from 1 injection or up to 3 but it would be over a year as he has seen it take up to a year to resolve.     No follow-up attempts are possible. No further information is expected.