Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Gait disturbance, Glossodynia, Pain in extremity, Peripheral swelling
Clinical narrative: Hives itching in hairline on back, behind the ears, few on face and forehead and some on lateral portion of trunk of the body and pubic region and buttocks, raised and itchy; limping because of the swelling; plantar aspect of left foot became swollen and looked like a round ball, visibly swollen, tender, and bulgy leading to limping next morning; plantar aspect of left foot became swollen and looked like a round ball, visibly swollen, tender, and bulgy leading to limping next morning; tongue raised bumps; Pain to lateral portion of right ankle without swelling and pain to both wrists; Pain to lateral portion of right ankle without swelling and pain to both wrists; pain in taste buds on top of tongue; lingual papilla felt raised and tender; Pain at site of injection; This spontaneous case was reported by a physician (subsequently medically confirmed) and describes the occurrence of RASH PRURITIC (Hives itching in hairline on back, behind the ears, few on face and forehead and some on lateral portion of trunk of the body and pubic region and buttocks, raised and itchy), GAIT DISTURBANCE (limping because of the swelling), PERIPHERAL SWELLING (plantar aspect of left foot became swollen and looked like a round ball, visibly swollen, tender, and bulgy leading to limping next morning), GLOSSODYNIA (pain in taste buds on top of tongue; lingual papilla felt raised and tender) and PAIN IN EXTREMITY (plantar aspect of left foot became swollen and looked like a round ball, visibly swollen, tender, and bulgy leading to limping next morning) in a 60-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 025J20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included Hemorrhage brain (Patient reports history of brain hemorrhage x 2.  No dates reported.). Concurrent medical conditions included Obesity, Hypertension and Intraventricular shunt. Concomitant products included Beta blocker (BETA BLOCKING AGENTS), ZINC, VITAMIN D3 and ASCORBIC ACID (VITAMIN C ACID).    On 22-Dec-2020 at 1:00 PM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 22-Dec-2020, the patient experienced VACCINATION SITE PAIN (Pain at site of injection). On 24-Dec-2020, the patient experienced GLOSSODYNIA (pain in taste buds on top of tongue; lingual papilla felt raised and tender). On an unknown date, the patient experienced RASH PRURITIC (Hives itching in hairline on back, behind the ears, few on face and forehead and some on lateral portion of trunk of the body and pubic region and buttocks, raised and itchy), GAIT DISTURBANCE (limping because of the swelling), PERIPHERAL SWELLING (plantar aspect of left foot became swollen and looked like a round ball, visibly swollen, tender, and bulgy leading to limping next morning), PAIN IN EXTREMITY (plantar aspect of left foot became swollen and looked like a round ball, visibly swollen, tender, and bulgy leading to limping next morning), TONGUE DISORDER (tongue raised bumps), the first episode of ARTHRALGIA (Pain to lateral portion of right ankle without swelling and pain to both wrists) and the second episode of ARTHRALGIA (Pain to lateral portion of right ankle without swelling and pain to both wrists). On 23-Dec-2020, VACCINATION SITE PAIN (Pain at site of injection) had resolved. On 25-Dec-2020, GLOSSODYNIA (pain in taste buds on top of tongue; lingual papilla felt raised and tender) had resolved. At the time of the report, RASH PRURITIC (Hives itching in hairline on back, behind the ears, few on face and forehead and some on lateral portion of trunk of the body and pubic region and buttocks, raised and itchy), GAIT DISTURBANCE (limping because of the swelling), PERIPHERAL SWELLING (plantar aspect of left foot became swollen and looked like a round ball, visibly swollen, tender, and bulgy leading to limping next morning), PAIN IN EXTREMITY (plantar aspect of left foot became swollen and looked like a round ball, visibly swollen, tender, and bulgy leading to limping next morning) and TONGUE DISORDER (tongue raised bumps) outcome was unknown and last episode of ARTHRALGIA (Pain to lateral portion of right ankle without swelling and pain to both wrists) had resolved.        The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.   For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.   Treatment for the event included Epson salt baths, ibuprofen, Benadryl, cetirizine and a Medrol dose pak.   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.; 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.