Age: 70.0
Sex: M
Vaccine: COVID19-2
Symptoms: Erythema, Feeling cold, Injection site reaction, Limb discomfort, Neurological symptom
Clinical narrative: experienced with them soreness, redness and swelling, the expected side effects; experienced with them soreness, redness and swelling, the expected side effects; experienced with them soreness, redness and swelling, the expected side effects; I woke up and felt like my arm was asleep, from elbow to shoulder/sensation was as if someone had a cool pad on my arm, it is like a chill, it moves from the side to the back pf the arm/it is uncomfortable, and feels like a cool pad or a cool mitten; I woke up and felt like my arm was asleep, from elbow to shoulder/sensation was as if someone had a cool pad on my arm, it is like a chill, it moves from the side to the back pf the arm/it is uncomfortable, and feels like a cool pad or a cool mitten; This spontaneous case was reported by a patient and describes the occurrence of SWELLING (experienced with them soreness, redness and swelling, the expected side effects), ERYTHEMA (experienced with them soreness, redness and swelling, the expected side effects), TENDERNESS (experienced with them soreness, redness and swelling, the expected side effects), FEELING ABNORMAL (I woke up and felt like my arm was asleep, from elbow to shoulder/sensation was as if someone had a cool pad on my arm, it is like a chill, it moves from the side to the back pf the arm/it is uncomfortable, and feels like a cool pad or a cool mitten) and PERIPHERAL COLDNESS (I woke up and felt like my arm was asleep, from elbow to shoulder/sensation was as if someone had a cool pad on my arm, it is like a chill, it moves from the side to the back pf the arm/it is uncomfortable, and feels like a cool pad or a cool mitten) in a 70-year-old male patient who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (batch nos. AS7180B and AS7163B) for COVID-19 prophylaxis.     No Medical History information was reported.   On 23-Sep-2022, the patient received fifth dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) 1 dosage form. On 21-May-2023, received sixth dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) dosage was changed to 1 dosage form. On 25-May-2023, the patient experienced SWELLING (experienced with them soreness, redness and swelling, the expected side effects), ERYTHEMA (experienced with them soreness, redness and swelling, the expected side effects), TENDERNESS (experienced with them soreness, redness and swelling, the expected side effects), FEELING ABNORMAL (I woke up and felt like my arm was asleep, from elbow to shoulder/sensation was as if someone had a cool pad on my arm, it is like a chill, it moves from the side to the back pf the arm/it is uncomfortable, and feels like a cool pad or a cool mitten) and PERIPHERAL COLDNESS (I woke up and felt like my arm was asleep, from elbow to shoulder/sensation was as if someone had a cool pad on my arm, it is like a chill, it moves from the side to the back pf the arm/it is uncomfortable, and feels like a cool pad or a cool mitten). At the time of the report, SWELLING (experienced with them soreness, redness and swelling, the expected side effects), ERYTHEMA (experienced with them soreness, redness and swelling, the expected side effects), TENDERNESS (experienced with them soreness, redness and swelling, the expected side effects), FEELING ABNORMAL (I woke up and felt like my arm was asleep, from elbow to shoulder/sensation was as if someone had a cool pad on my arm, it is like a chill, it moves from the side to the back pf the arm/it is uncomfortable, and feels like a cool pad or a cool mitten) and PERIPHERAL COLDNESS (I woke up and felt like my arm was asleep, from elbow to shoulder/sensation was as if someone had a cool pad on my arm, it is like a chill, it moves from the side to the back pf the arm/it is uncomfortable, and feels like a cool pad or a cool mitten) had not resolved.        For mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (Unknown), the reporter did not provide any causality assessments.   Concomitant and treatment medications were not reported.   On 04-Feb-2021, the patient received first dose (Moderna COVID-19 Vaccine) (013M20A). On 04-Mar-2021, received second dose of Moderna COVID-19 Vaccine (029A21A). On 30-Oct-2021, received third dose of Moderna COVID-19 Vaccine (071F21A). On 03-Apr-2022, received fourth dose of Moderna COVID-19 Vaccine (048L21A).  He took his second Moderna Bivalent on 25-May-2023, but this time on day 4 after the vaccine, he woke up and felt like his arm was asleep, from elbow to shoulder.  The sensation was as if someone had a cool pad on his arm, it was like a chill, it moves from the side to the back of the arm. The day before yesterday, on 12-Jun-2023, it moved to the top of his forearm. The patient continued stating, that it was not painful, it was perplexing, annoying and concerns me that it's been 3 weeks now. The patient informed that he had not seen his HCP, and was unsure if they would know how to assess that problem because it was neurological. The patient also provided additional clarification of the reaction stating, because it was difficult to describe, he want to add that it was not a prickly sensation, neither numb nor painful, it is uncomfortable, and feels like a cool pad or a cool mitten.  The patient was still experiencing the same side effects as reported earlier, nothing was changed at reporting time. The sensation he felt around the injection site as well the upper arm from elbow to shoulder (both front and back) as well as the top of forearm was still very annoying and moved around throughout the day (it was a neuropathy of some sort was his sense) and was on-going for nearly 6 weeks. It was also reported that patient never had any side-effects from any vaccination ever, or the previous 5 Covid vaccinations (all of which were Moderna).   This case was linked to MOD-2023-729262 (Patient Link).   Most recent FOLLOW-UP information incorporated above includes: On 14-Jun-2023: Live Follow-up - received include event outcome updated, iNarrative updated. On 06-Jul-2023: Follow-up information received included event onset date, outcome and iNarrative updated.