Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Respiratory rate increased, Vomiting
Clinical narrative: I was having pain at the site where I had taken the shot; I was having pain in my other shoulder as well all of a sudden; I have been very tired. I was having some tiredness; Headache; Muscle pain; Chills; Joint pain; I throwing my vomit all the day/ all throwing up or whatever vomiting; I am having a lot of pain all of a sudden, I wasn't having the pain like this at first; Breathing very rapidly; Cold; Cough; Chills; Both of my arms hurt; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient. Other Case identifier(s): US-PFIZER INC-202200334968 (Pfizer).  A 57 year-old female patient received bnt162b2 (BNT162B2), intramuscular, administered in arm left, administration date 23Feb2022 (Lot number: FL3209) at the age of 57 years as dose 3 (booster), single for covid-19 immunisation. Relevant medical history included: "Menopause" (unspecified if ongoing), notes: Verbatim: Menopause; "I take my blood pressure pills" (unspecified if ongoing), notes: I take my blood pressure pills; "Arthritis" (unspecified if ongoing), notes: That's what I was taking, not because of the Pfizer, but because of arthritis. The patient took concomitant medications. Vaccination history included: Bnt162b2 (Dose: 1, Was taking that for pain, like I said I was having pain in my foot and I was having pain in my shoulder/but it wasn't the pain that I am having now), administration date: 01Mar2021, when the patient was 56 years old, for COVID-19 Immunization, reaction(s): "I was having pain in my foot and I was having pain in my shoulder", "I was having pain in my foot and I was having pain in my shoulder"; Bnt162b2 (Dose: 2, Second Pfizer dose), administration date: 23Mar2021, when the patient was 56 years old, for COVID-19 Immunization. The following information was reported: INJECTION SITE PAIN (non-serious) with onset Feb2022, outcome "unknown", described as "I was having pain at the site where I had taken the shot"; ARTHRALGIA (non-serious) with onset Feb2022, outcome "unknown", described as "I was having pain in my other shoulder as well all of a sudden"; FATIGUE (non-serious) with onset Feb2022, outcome "unknown", described as "I have been very tired. I was having some tiredness"; HEADACHE (non-serious) with onset Feb2022, outcome "unknown", described as "Headache"; MYALGIA (non-serious) with onset Feb2022, outcome "unknown", described as "Muscle pain"; CHILLS (non-serious), CHILLS (non-serious) all with onset Feb2022, outcome "unknown" and all described as "Chills"; ARTHRALGIA (non-serious) with onset Feb2022, outcome "unknown", described as "Joint pain"; VOMITING (non-serious) with onset Feb2022, outcome "unknown", described as "I throwing my vomit all the day/ all throwing up or whatever vomiting"; PAIN (non-serious) with onset Feb2022, outcome "unknown", described as "I am having a lot of pain all of a sudden, I wasn't having the pain like this at first"; RESPIRATORY RATE INCREASED (non-serious) with onset Feb2022, outcome "unknown", described as "Breathing very rapidly"; NASOPHARYNGITIS (non-serious) with onset Feb2022, outcome "unknown", described as "Cold"; COUGH (non-serious) with onset Feb2022, outcome "unknown", described as "Cough"; PAIN IN EXTREMITY (non-serious) with onset Feb2022, outcome "unknown", described as "Both of my arms hurt". Therapeutic measures were taken as a result of injection site pain, arthralgia, fatigue, headache, myalgia, chills, arthralgia, vomiting, pain, respiratory rate increased, nasopharyngitis, cough, chills, pain in extremity. No follow-up attempts are possible. No further information is expected.  Additional Information: The patient reported that she was having pain at the site where she had taken the shot, she was having pain at that site and also she was having pain in my other shoulder as well all of a sudden and then she had been very tired. She had been having some tiredness. She had been having headache and muscle pain, chills, joint pain and like she was throwing her vomit all the day, Couples of time she had been given like all throwing up or vomiting and she had just been having completely, anyway she had been constantly taking Tylenol. The patient reported that It is the Pfizer, the Pfizer booster because she had already taken the shot, so it was just the booster. The patient reported that she was also kind of like, when she be working or whatever, she was like short 'winded', breathing very rapidly. So the other day so when she was working she kind of have to stop working a couple of times to sit down to get rest. The patient reported that before she took the Pfizer that she was already going through some changes in her body already with cold chills and well she reported that she had cold chills and cough but now have cough, cold, chills, other things different. The patient reported that her shoulders were hurting so bad sometimes. It is not constantly, it's like off and on. Sometimes it hurt, sometimes it don't. But lately it has been hurting when she lay down, when it is cold, it aches, different times it happens. The patient reported that she already had problem from this Feb, before she took booster whatever it was she did not know, but her shoulders were little bit in pain but now is more pain in her shoulders she guessed. But it is not constantly, you know, off and on. The patient reported that she was wondering why she was through so much pain at different time all of a sudden and she started to read the paper. She reported that because she just started reading to the paper and once she started reading the paper, she saw all these things are happening to her. So this is what is going on with her. She reported last time she had taken the other Pfizer was 23Mar. She took one 01Mar2021, 23Mar2021 and then the last one she took 23Feb2022 and she had no other shot other than that. She reported that the arm that she had got hurt before. So that's why she used that arm because she didn't want to use her other arm, just in case anything happens, both of my arms hurt. The patient reported that was taking Tylenol even when she was before she took the other two shots. She was ok when she took the other two shots. It started when she took that shot, so she was not take that shot but went on and took it anyway. So she know she was having side effects. She reported that she was taking Meloxicam for pain and that was when she got the Pfizer, the first Pfizer. That's what she was taking, not because of the Pfizer, but because of arthritis. She was taking that for pain, like she said she was having pain in her foot and was having pain in her shoulder, both shoulders. She was having pain in her shoulders as well but it wasn't the pain that she was having now. She didn't start having the pain till she took that second Pfizer dose. But she didn't look at it as nothing because she just thought it was just normal because it was off and on and I weren't taking Tylenols like that either but now with this here is different.   Follow-Up (02Mar2022): Follow-up attempts are completed. No further information is expected.