Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Limb discomfort, Myalgia, Pain in extremity, Vaccination site mass
Clinical narrative: discomfort and soreness in his arm; soreness in his arm; he did consider general muscle pain in his shoulders as a source for the discomfort in his arm; discomfort and soreness in his arm/he did consider general muscle pain in his shoulders as a source for the discomfort in his arm; see if there was a lump; This is a spontaneous report from a contactable consumer (patient). A 71-years-old male patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Batch/Lot Number: EW0176, Expiry Date: Unknown), via an unspecified route of administration, administered in Arm Left on 20May2021 in the morning (at the age of 71-years-old) as single dose for covid-19 immunization (So that he would have resistance to the Covid-19 virus). Medical history included ongoing High blood pressure. Reporter reported that he was diagnosed with high blood pressure about 3 years ago Stop, hip arthroplasty in Sep2019. Reporter reported that he has had 2 hip replacements, one in Sep2019 and one in Sep2020, hip arthroplasty in Sep2020. Reporter reported that he has had 2 hip replacements, one in Sep2019 and one in Sep2020. Concomitant medication included lisinopril taken for hypertension from an unspecified start date and ongoing. Lisinopril, Reporter reported that he began taking Lisinopril a couple of years ago. Reporter reported that he was diagnosed with high blood pressure probably 3 years ago. Patient previously took first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Batch/Lot Number: EW0176), via an unspecified route of administration, administered in Arm Left on 29Apr2021 (at the age of 71-years-old) as a dose 1, single for covid-19 immunization. After first dose patient had Little bit of discomfort in arm, Fatigued on 29Apr2021. And Little bit of discomfort in arm was resolved on 2021 and Fatigued was resolved on 30Apr2021. Had a little bit of hydraulic pressure from injecting fluid into tissue and he did consider general muscle pain in his shoulders as a source for the discomfort in his arm. Additional Vaccines Administered on Same Date of the Pfizer Suspect were None. Vaccinations (within 4 weeks) were None. following prior vaccinations were also None. Family Medical History Relevant to AEs and Relevant Tests were None. The patient experienced discomfort and soreness in his arm on 20May2021, he did consider general muscle pain in his shoulders as a source for the discomfort in his arm and he did consider general muscle pain in his shoulders as a source for the discomfort in his arm on May2021 and see if there was a lump in 2021. Reporter stated he received his first dose on 29Apr2021 and had some discomfort in his arm that went away, but then he had his second dose on 20May2021 and had discomfort and soreness in his arm that took 5 weeks to go away. Reporter stated he went online and looked at SIRVA. Reporter asks if the practitioner that gave him the second dose injected it incorrectly, and injected it into the bursa sac, would the vaccine come out of the bursa sac and back into his system to be effective or should he get another vaccination. Reporter asks if there is a way of knowing if it came out of the bursa. Reporter stated the vaccine was injected by a pharmacist and if MI has no information for him, why would they. Reporter asked what we tell people with SIRVA or what information do we have on SIRVA because it seems to him that if someone had the wrong angle, they could hit the subdeltoid bursa. Reporter reported that he had both Covid-19 shots, one on 29Apr2021 and the second on 20Jun2021. Reporter reported that the first one was a piece of cake. Reporter stated that he is 71 and has had a few shots in the past. Reporter reported that following the first dose of the Covid-19 vaccine, he experienced a little bit of discomfort and after a few days it was gone. Reporter reported that following the second dose of the Covid-19 vaccine, the discomfort continued to grow in the same location where the vaccine was injected in his arm. Reporter reported that his arm got sorer and sorer and sorer, and it took about 5 weeks to go away. Reporter reported that there are still some telltale signs and he went online and looked at SIRVA, Shoulder Injury Related to Vaccine Administration, and it brought on questions. Reporter inquired if hypothetically, the practitioner administered the Covid-19 vaccine incorrectly and injected the vaccine into his bursa sac, does it eventually get out of the bursa and back into the system so that you have an appropriate amount of vaccine. Reporter reported that he has not gotten an answer from anyone, even doctors. Reporter reported that it does seem remote, but nevertheless, its plausible. Reporter stated if it in fact did get injected into the bursa, one person, a friend of his that's an anesthesiologist, said that had like to get another shot. Reporter inquired if the Covid-19 vaccine gets out of the bursa sac if it was administered incorrectly. Reporter inquired if there's interference with the Covid- 19 vaccine getting into your system, what is the outcome of getting a third shot and was it recommended. Reporter reported that he has not been to see his primary care physician yet, but he did set up an appointment. Reporter reported that he ended up going to urgent care because it was part of a large hospital versus a small family practice. Reporter reported that he figured with the size, there was a greater probability that they may have run into this. Reporter reported that the practitioner at the urgent care asked why the reporter went to the clinic versus his primary care physician. Reporter reported that he told the practitioner his reasons, and the practitioner suggested that the reporter make an appointment with a doctor the next town over who is a virologist and has more experience with virology than your average doctor. Reporter reported that he went to his pharmacy, and the pharmacist there said that what they would do is call Pfizer and they have a hotline. After first dose patient had Little bit of discomfort in arm, Reporter reported that he sees the discomfort in his arm like a little bit of hydraulic pressure from injecting fluid into tissue. Reporter reported that the discomfort in his arm was gone in a day or two. After second dose he had Discomfort in arm Reporter reported that his arm got more and more and more painful. Reporter reported that it lasted for about 4 weeks until it settled down into the 5th week. Reporter reported that the discomfort in his arm is still present and is just kind of there, but it's mostly gone away. Reporter reported that he doesn't think there as anything to see if he went to the doctor anymore. Reporter reported that when he went to urgent care, they checked to see if there was a lump. Reporter reported that the discomfort in his arm was mostly gone and he doesn't think they'd find anything. Reporter originally reported that he received his second dose of the Covid-19 vaccine on 20Jun2021. Reporter confirmed date of second dose of Covid-19 vaccine as 20May2021. Reporter unable to provide the NDC number or expiry date for the Covid-19 vaccines he received. Reporter reported that he did a lot of reading and read about how the research on mRNA vaccines started in 1990 and the evolution of it. Reporter reported that he found it fascinating and chose Pfizer because he thought they were ahead of the pack. Reporter reported that he periodically takes ibuprofen or naproxen for aches and pains. Reporter reported that sometimes he has to take them more regularly, like lately they've had incredible weather that's been very rainy. Reporter reported that has had 2 hip replacements, and it's not the hip itself because its synthetic, but the muscles around them every once in a while, get a little sore. Reporter reported that he did consider general muscle pain in his shoulders as a source for the discomfort in his arm. Reporter reported that he is still pretty active, very active for 71 years old, and working. Reporter reported that it's a different kind of pain that originated with and continued with the shot in his arm. Worsening discomfort in arm following second dose of Covid-19 vaccine Prior. He reported that he has read and heard from many virologists that side effects from vaccines were a good sign because you can say yes, it was working, because the body was rallying against it. Reporter reported that he does think this is a little bit different only because he would just guess, assume isn't the best word, but if he got a reaction in his arm. Reporter reported that the first one only happened, nothing happened in his arm but at the end of the day it was like someone turned a switch off, he became very fatigued, and that was it. The second dose was nothing like that, just terrific pain in his arm that grew. Reporter reported that it seemed like less of a reaction to the Covid-19 vaccine and more to the injection itself. Event did not require a visit to Emergency Room but Physician Office. Reporter seriousness for the events were Unspecified. Outcome of the events discomfort and soreness in his arm, discomfort and soreness in his arm/he did consider general muscle pain in his shoulders as a source for the discomfort in his arm, resolved on unknown date in 2021 while the outcome of the events if there was a lump, general muscle pain was unknown.  No follow-up attempts are possible. No further information is expected.