Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Vaccination site pain
Clinical narrative: ad soreness on the left side, where they got the vaccine; within  1 week after they had the shot, various lymph nodes  had swollen really bad, a dozen of them, lymph nodes are the size of 2 to 3 cm; had a strong pretty bad  reaction/ reactive to the vaccine; affecting their sleep; is very uncomfortable; the neck is all swollen up; This spontaneous case was reported by a patient and describes the occurrence of IMMUNISATION REACTION (had a strong pretty bad  reaction/ reactive to the vaccine), SLEEP DISORDER (affecting their sleep), DISCOMFORT (is very uncomfortable), SWELLING (the neck is all swollen up) and VACCINATION SITE PAIN (ad soreness on the left side, where they got the vaccine) in a 65-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 059m21a) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Previously administered products included for Product used for unknown indication: Pfizer. Past adverse reactions to the above products included No adverse event with Pfizer. Concurrent medical conditions included Bee sting. Concomitant products included VITAMIN D [VITAMIN D NOS] and SILDENAFIL CITRATE (VIAGRA) for an unknown indication.    On 02-May-2022, the patient received fourth dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 04-May-2022, the patient experienced VACCINATION SITE PAIN (ad soreness on the left side, where they got the vaccine). In May 2022, the patient experienced IMMUNISATION REACTION (had a strong pretty bad  reaction/ reactive to the vaccine), SLEEP DISORDER (affecting their sleep), DISCOMFORT (is very uncomfortable), SWELLING (the neck is all swollen up) and LYMPHADENOPATHY (within  1 week after they had the shot, various lymph nodes  had swollen really bad, a dozen of them, lymph nodes are the size of 2 to 3 cm). At the time of the report, IMMUNISATION REACTION (had a strong pretty bad  reaction/ reactive to the vaccine) and VACCINATION SITE PAIN (ad soreness on the left side, where they got the vaccine) outcome was unknown and SLEEP DISORDER (affecting their sleep), DISCOMFORT (is very uncomfortable), SWELLING (the neck is all swollen up) and LYMPHADENOPATHY (within  1 week after they had the shot, various lymph nodes  had swollen really bad, a dozen of them, lymph nodes are the size of 2 to 3 cm) had not resolved.            The events reported were shown up to 25-May-2022. It was reported that other physician that they spoke to, three of them, think this was a side effect, and a strong one, a severe one It was reported that one of the doctors said that has seen lymph nodes as big as them, but not so many, and has seen patient that took a long time to resolve, but not this combination of symptoms. It was reported that a Radiologist, made an ultrasound and said that they do not look like metastatic, but reactive to the vaccine. Four physician, said that, this was relative to the vaccine, and was more severe that what is found in the literature. No treatment medication was provided.   This case was linked to MOD-2022-575907, MOD-2022-576316 (Patient Link).