Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Crepitations, Intentional product use issue, Joint swelling, Neck pain, Pain in extremity
Clinical narrative: Pain in neck; She has delayed the date of second dose from 21Mar2021 to 31Mar2021; Not feeling well; Knee started to swell little bit; Flare-up arthritis in knee; When she move bones crack little bit; Shooting pain in right knee that woke her up in middle of the night/ knees felt stressed and hurt a little/ hurting shoulder/ ankle hurt; Pain in arm; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of PAIN IN EXTREMITY (Pain in arm), NECK PAIN (Pain in neck), INTENTIONAL PRODUCT USE ISSUE (She has delayed the date of second dose from 21Mar2021 to 31Mar2021), VACCINATION COMPLICATION (Not feeling well) and JOINT SWELLING (Knee started to swell little bit) in a 51-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 023M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     No Medical History information was reported.    On 21-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced PAIN IN EXTREMITY (Pain in arm), NECK PAIN (Pain in neck), INTENTIONAL PRODUCT USE ISSUE (She has delayed the date of second dose from 21Mar2021 to 31Mar2021), VACCINATION COMPLICATION (Not feeling well), JOINT SWELLING (Knee started to swell little bit), ARTHRITIS (Flare-up arthritis in knee), CREPITATIONS (When she move bones crack little bit) and ARTHRALGIA (Shooting pain in right knee that woke her up in middle of the night/ knees felt stressed and hurt a little/ hurting shoulder/ ankle hurt). The patient was treated with IBUPROFEN (MOTRIN [IBUPROFEN]) at an unspecified dose and frequency. At the time of the report, PAIN IN EXTREMITY (Pain in arm) and INTENTIONAL PRODUCT USE ISSUE (She has delayed the date of second dose from 21Mar2021 to 31Mar2021) had resolved, NECK PAIN (Pain in neck), VACCINATION COMPLICATION (Not feeling well), JOINT SWELLING (Knee started to swell little bit), ARTHRITIS (Flare-up arthritis in knee) and ARTHRALGIA (Shooting pain in right knee that woke her up in middle of the night/ knees felt stressed and hurt a little/ hurting shoulder/ ankle hurt) had not resolved and CREPITATIONS (When she move bones crack little bit) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Antibody test: never had covid-19 (normal) Never had COVID-19. On an unknown date, Blood test: unknown (Inconclusive) unknown. On an unknown date, Bone densitometry: flare-up arthritis in knee (abnormal) Flare-up arthritis in knee. On an unknown date, X-ray: flare-up arthritis in knee (abnormal) Flare-up arthritis in knee.     The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.       No concomitant medications were reported.  The patient reported that the neck pain maybe due to bad sleep and knee pain was worse specially after wakening up in the morning and while standing up from sitting position. Treatment details included the use of icing and elevating her leg for pain in knee.