Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Ear pain, Fatigue, Headache, Herpes zoster
Clinical narrative: looked like shingles; rash L shoulder and some around sternal notch; tired; Felt like I had the flu; intense  ear pain; worst headache of my life; sore throat; swollen glands; Hot arm; Red arm; Vaccination site Pruritus; Muscle in the area of the vaccination site began to really hurt; Vaccination site swollen; Diarrhea; This spontaneous case was reported by an other health care professional and describes the occurrence of HERPES ZOSTER (looked like shingles), DIARRHOEA (Diarrhea), OROPHARYNGEAL PAIN (sore throat), INFLUENZA LIKE ILLNESS (Felt like I had the flu) and EAR PAIN (intense  ear pain) in a 57-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 037K20A and 037K20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Concurrent medical conditions included Drug allergy (Septra).   On 04-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 03-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 07-Jan-2021, the patient experienced DIARRHOEA (Diarrhea). On 12-Jan-2021, the patient experienced VACCINATION SITE WARMTH (Hot arm), VACCINATION SITE ERYTHEMA (Red arm), VACCINATION SITE PRURITUS (Vaccination site Pruritus), VACCINATION SITE PAIN (Muscle in the area of the vaccination site began to really hurt) and VACCINATION SITE SWELLING (Vaccination site swollen). On 15-Jan-2021, the patient experienced OROPHARYNGEAL PAIN (sore throat) and LYMPHADENOPATHY (swollen glands). On 16-Jan-2021, the patient experienced HEADACHE (worst headache of my life). On 18-Jan-2021, the patient experienced INFLUENZA LIKE ILLNESS (Felt like I had the flu), EAR PAIN (intense  ear pain), RASH (rash L shoulder and some around sternal notch) and FATIGUE (tired). On 19-Jan-2021, the patient experienced HERPES ZOSTER (looked like shingles). The patient was treated with GABAPENTIN (oral) from 01-Jan-2021 to 01-Mar-2021 for Shingles, at a dose of 300 milligram; PARACETAMOL (TYLENOL) at an unspecified dose and frequency and ACYCLOVIR [ACICLOVIR] at an unspecified dose and frequency. At the time of the report, HERPES ZOSTER (looked like shingles), OROPHARYNGEAL PAIN (sore throat), INFLUENZA LIKE ILLNESS (Felt like I had the flu), EAR PAIN (intense  ear pain), LYMPHADENOPATHY (swollen glands), VACCINATION SITE WARMTH (Hot arm), VACCINATION SITE ERYTHEMA (Red arm), VACCINATION SITE PRURITUS (Vaccination site Pruritus), VACCINATION SITE PAIN (Muscle in the area of the vaccination site began to really hurt), VACCINATION SITE SWELLING (Vaccination site swollen), HEADACHE (worst headache of my life), RASH (rash L shoulder and some around sternal notch) and FATIGUE (tired) outcome was unknown and DIARRHOEA (Diarrhea) had resolved.        The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown.   For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   No concomitant medication details was reported. Action taken with mRNA-1273 in response to the events was not applicable.    Most recent FOLLOW-UP information incorporated above includes: On 23-Apr-2021: Followup received on 23-apr-2021.Patient details were added. Past medical history was updated. Concomitant medication was added. Treatment medication was added. Additional events were updated.; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.