Age: 67.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Injected limb mobility decreased, Injection site swelling, Lymphadenectomy, Lymphadenopathy, Mammogram
Clinical narrative: swollen lymph node in her left armpit/ lymph node bigger than a pinky finger; headache; her arm sore but wasn't quite sore as the first time/her arm was still sore but functional; This spontaneous case was reported by a patient and describes the occurrence of HEADACHE (headache), PAIN IN EXTREMITY (her arm sore but wasn't quite sore as the first time/her arm was still sore but functional) and LYMPHADENOPATHY (swollen lymph node in her left armpit/ lymph node bigger than a pinky finger) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 023M20A, 042L20A, 021H21B and 056M21A) for COVID-19 vaccination.     The patient's past medical history included Breast cancer (27 years cancer free) in 1991. Concurrent medical conditions included Iodine allergy. Concomitant products included ESOMEPRAZOLE SODIUM (NEXIUM [ESOMEPRAZOLE SODIUM]) for Acid reflux (esophageal), HYDROCHLOROTHIAZIDE for Blood pressure, VITAMINS NOS for an unknown indication.   On 28-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 25-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 27-Nov-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 04-May-2022, received fourth dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 25-Feb-2021, the patient experienced HEADACHE (headache) and PAIN IN EXTREMITY (her arm sore but wasn't quite sore as the first time/her arm was still sore but functional). In April 2021, the patient experienced LYMPHADENOPATHY (swollen lymph node in her left armpit/ lymph node bigger than a pinky finger). On 25-Feb-2021, HEADACHE (headache) and PAIN IN EXTREMITY (her arm sore but wasn't quite sore as the first time/her arm was still sore but functional) had resolved. In July 2021, LYMPHADENOPATHY (swollen lymph node in her left armpit/ lymph node bigger than a pinky finger) had resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In April 2021, Mammogram: Noticed a swollen lymph node in left armpit.. In July 2021, Biopsy: (Negative) Negative.     For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.   After the 2nd dose the patient had headache, did not really get sick, arm was sore but not quite sore as the first time. The patient came home to sleep, and next day felt fine, arm was still sore but functional. The patient put some ice. At the end of Apr-2021 patient had a routine mammogram because had breast cancer on 1991, and doctors noticed a swollen lymph node in her left armpit. On Jul-2021 doctors made a biopsy and it came negative, but still oncologist requested surgeon to remove the lymph node, which was bigger than a pinky finger.  No treatment drug details was reported.   This case was linked to MOD-2022-618345, MOD-2022-618210, MOD-2022-618347 (Patient Link).