Age: 90.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, Pain in extremity, Painful respiration, Vaccination site swelling
Clinical narrative: the patient's arm was sore with all the shots; The patient's whole body could not move for a day due to the pain/the patient could hardy get out of bed the next morning because the patient was in a lot of pain; The patient's whole body could not move for a day due to the pain/the patient could hardy get out of bed the next morning because the patient was in a lot of pain; experienced chest pain/taking a deep breath would hurt the left side of the chest; experienced chest pain/taking a deep breath would hurt the left side of the chest/Painful respiration; Patient had severe swelling in the left arm where the patient received the injection that lasted for about a week; Patient had severe swelling in the glands under the arm  that lasted for about a week; This spontaneous case was reported by a consumer and describes the occurrence of PAIN (The patient's whole body could not move for a day due to the pain/the patient could hardy get out of bed the next morning because the patient was in a lot of pain), MOBILITY DECREASED (The patient's whole body could not move for a day due to the pain/the patient could hardy get out of bed the next morning because the patient was in a lot of pain), CHEST PAIN (experienced chest pain/taking a deep breath would hurt the left side of the chest), PAINFUL RESPIRATION (experienced chest pain/taking a deep breath would hurt the left side of the chest/Painful respiration) and VACCINATION SITE SWELLING (Patient had severe swelling in the left arm where the patient received the injection that lasted for about a week) in a 90-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 057M21A, 077C21B, 045A21A and 012M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient had never been diagnosed with or tested positive for COVID-19.  No other vaccines were given to the patient within 1 month prior to administration of Moderna COVID-19 vaccine.  The patient did not have a medical history of Myocarditis/pericarditis and COVID-19 infection.  Previously administered products included for Flu: Flu shot (patient had a similar reaction like pain and arm swelling to the flu shot many years ago). Past adverse reactions to the above products included Swelling arm with Flu shot. Concurrent medical conditions included Drug allergy (anti-inflammatory drugs allergy), Food allergy (green pepper allergy), Food allergy (garlic allergy), Milk allergy (milk products allergy), Food allergy (raw onions allergy), Food allergy (spicy food allergy), Arthritis (50 years ago, condition worsened) since 1972, Asthma (20 years ago, condition worsened but not on any medications for it) since 2002, Neck pain (5 years ago, condition worsened) since 2017, Heart rate irregular (20 years ago, condition was stable) since 2002 and Allergy (Patient states that the patient had a huge list of allergies). Concomitant products included PARACETAMOL (TYLENOL) for Arthritis, DULOXETINE, FAMOTIDINE (PEPCID [FAMOTIDINE]), ATORVASTATIN, TRAZODONE and LOSARTAN for an unknown indication.   On 17-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) .5 milliliter. On 19-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to .5 milliliter. On 16-Nov-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 28-Apr-2022, received fourth dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 29-Apr-2022, the patient experienced PAIN (The patient's whole body could not move for a day due to the pain/the patient could hardy get out of bed the next morning because the patient was in a lot of pain), MOBILITY DECREASED (The patient's whole body could not move for a day due to the pain/the patient could hardy get out of bed the next morning because the patient was in a lot of pain), CHEST PAIN (experienced chest pain/taking a deep breath would hurt the left side of the chest), PAINFUL RESPIRATION (experienced chest pain/taking a deep breath would hurt the left side of the chest/Painful respiration), VACCINATION SITE SWELLING (Patient had severe swelling in the left arm where the patient received the injection that lasted for about a week) and LYMPHADENOPATHY (Patient had severe swelling in the glands under the arm  that lasted for about a week). On an unknown date, the patient experienced PAIN IN EXTREMITY (the patient's arm was sore with all the shots). On 29-Apr-2022, CHEST PAIN (experienced chest pain/taking a deep breath would hurt the left side of the chest) and PAINFUL RESPIRATION (experienced chest pain/taking a deep breath would hurt the left side of the chest/Painful respiration) had resolved. On 30-Apr-2022, PAIN (The patient's whole body could not move for a day due to the pain/the patient could hardy get out of bed the next morning because the patient was in a lot of pain) and MOBILITY DECREASED (The patient's whole body could not move for a day due to the pain/the patient could hardy get out of bed the next morning because the patient was in a lot of pain) had resolved. On 05-May-2022, VACCINATION SITE SWELLING (Patient had severe swelling in the left arm where the patient received the injection that lasted for about a week) and LYMPHADENOPATHY (Patient had severe swelling in the glands under the arm  that lasted for about a week) had resolved. At the time of the report, PAIN IN EXTREMITY (the patient's arm was sore with all the shots) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 29-Apr-2022, Blood pressure measurement: result not reported Result not reported. On 29-Apr-2022, Heart rate: 94 beats per minute (High) 94 beats per minute : pulse seemed to be higher than normal (the patient's pulse rate had been on the higher side ever since that day). On an unknown date, Heart rate: 70-80 beats per minute (normal) 70-80 beats per minute (the patient's pulse normally runs around 70-80 beats per minute).         On 28-Apr-2022, the patient received second booster dose of Moderna COVID-19 Vaccine.  The patient had reactions from receiving the booster shot of Moderna vaccine.  The patient had not undergone through ECG, cardiac test and cardiac enzymes test. No respective cause was determined for the cardiac symptoms.  The patient had an increased heart rate on the next day after second booster shot vaccination and still had residual effects.  The chest pain lasted the entire day, after which the patient felt back to normal.  Treatment medication also included Tylenol.   This case was linked to MOD-2022-565145, MOD-2022-565146, MOD-2022-565147 (Patient Link).