Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Muscle spasms, Myalgia, Pain
Clinical narrative: Still sore because of trauma endured by the muscles; Was in such bad shape that could not take garbage out; Was not one inch of my body that was not in extreme pain/ pain was shooting out of rear end/ crying because of pain; Entire body went into severe muscle spasms/cramps; Pain in fingers; Pain in joints was unbelievable; Severe side effects from 4th dose; Nerve ending in lower back felt squeezed/ears, eyelids, and teeth felt like the nerves were exposed; Could not sit or stand or lay down/ standing up for hours screaming and crying; Crying out of pain/standing up for hours crying/ crying so hard that she was gasping; Up for hours screaming and sobbing/ standing up for hours screaming; Face was twitching like palsy; Gasping; Fingers were distorted and could not straighten them; This spontaneous case was reported by a patient and describes the occurrence of VACCINATION COMPLICATION (Severe side effects from 4th dose), NEURALGIA (Nerve ending in lower back felt squeezed/ears, eyelids, and teeth felt like the nerves were exposed), DYSSTASIA (Could not sit or stand or lay down/ standing up for hours screaming and crying), CRYING (Crying out of pain/standing up for hours crying/ crying so hard that she was gasping) and SCREAMING (Up for hours screaming and sobbing/ standing up for hours screaming) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 052B22A, 098F21A, 026B21A and 014M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included Rheumatic fever (as a child), Muscle spasms in 1995 and Pain (currently as event) in 1995. Previously administered products included for Product used for unknown indication: Cortisone and Cortisone. Past adverse reactions to the above products included No adverse event with Cortisone and Cortisone. Concurrent medical conditions included Arthritis (in knees and hands 10 years ago, stable now), Fibromyalgia (99percentage gone due to being on a gluten free diet, condition improved recently) since 1995, Drug allergy (allergic to lot of drugs), Gluten intolerance, Allergy to antibiotic (Cipro), Sulfonamide allergy (sulfa), Allergy to antibiotic (Erythromycin), Drug allergy (Steroid), Drug allergy (mortin), Drug allergy (advil), Drug allergy (Muscle relaxers), Drug allergy (Soma) and Gluten free diet.   On 02-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) .5 milliliter. On 01-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to .5 milliliter. On 01-Nov-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to .25 milliliter. On 01-Aug-2022, received fourth dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to .25 milliliter. On 01-Aug-2022, the patient experienced VACCINATION COMPLICATION (Severe side effects from 4th dose), NEURALGIA (Nerve ending in lower back felt squeezed/ears, eyelids, and teeth felt like the nerves were exposed), DYSSTASIA (Could not sit or stand or lay down/ standing up for hours screaming and crying), CRYING (Crying out of pain/standing up for hours crying/ crying so hard that she was gasping), SCREAMING (Up for hours screaming and sobbing/ standing up for hours screaming), MUSCLE TWITCHING (Face was twitching like palsy), DYSPNOEA (Gasping), LIGAMENT SPRAIN (Fingers were distorted and could not straighten them), PAIN (Was not one inch of my body that was not in extreme pain/ pain was shooting out of rear end/ crying because of pain), MUSCLE SPASMS (Entire body went into severe muscle spasms/cramps), PAIN IN EXTREMITY (Pain in fingers) and ARTHRALGIA (Pain in joints was unbelievable). On 02-Aug-2022, the patient experienced LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES (Was in such bad shape that could not take garbage out). On 03-Aug-2022, the patient experienced MYALGIA (Still sore because of trauma endured by the muscles). The patient was treated with MAGNESIUM CITRATE at an unspecified dose and frequency and DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) at an unspecified dose and frequency. At the time of the report, VACCINATION COMPLICATION (Severe side effects from 4th dose), NEURALGIA (Nerve ending in lower back felt squeezed/ears, eyelids, and teeth felt like the nerves were exposed), DYSSTASIA (Could not sit or stand or lay down/ standing up for hours screaming and crying), CRYING (Crying out of pain/standing up for hours crying/ crying so hard that she was gasping), SCREAMING (Up for hours screaming and sobbing/ standing up for hours screaming), MUSCLE TWITCHING (Face was twitching like palsy), DYSPNOEA (Gasping), LIGAMENT SPRAIN (Fingers were distorted and could not straighten them), LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES (Was in such bad shape that could not take garbage out), PAIN IN EXTREMITY (Pain in fingers) and ARTHRALGIA (Pain in joints was unbelievable) outcome was unknown, PAIN (Was not one inch of my body that was not in extreme pain/ pain was shooting out of rear end/ crying because of pain) and MUSCLE SPASMS (Entire body went into severe muscle spasms/cramps) was resolving and MYALGIA (Still sore because of trauma endured by the muscles) had not resolved.            Patient had never tested positive for Covid.  No concomitant medication was reported by reporter.  After taking Magnesium pain started to ease up after an hour. Patient kept taking doses of magnesium and drinking water which made patient feel better. At 2:30 AM on 2-Aug-2022, the pain was at it's peak and at 4:30 AM it was still bad but had started to ease up, at 6:15 in the morning it got much better. Patient was trying to take deep breaths to keep calm. Patient was able to sleep on 2-Aug-2022 after taking Benadryl. On 3-Aug-2022 patient was feeling much better. Reactions did not cause patient to seek medical care. Patient had muscle spasm only in 1995 while diagnosed with fibromyalgia. Muscle spasms and extreme pain symptoms had been improved.   This case was linked to US-MODERNATX, INC.-MOD-2022-619389, US-MODERNATX, INC.-MOD-2022-619428 (Linked Report). This case was linked to MOD-2022-620175, MOD-2021-034109, MOD-2021-072834.; Sender's Comments:  US-MODERNATX, INC.-MOD-2022-619389: US-MODERNATX, INC.-MOD-2022-619428: