Age: 50.0
Sex: F
Vaccine: COVID19, FLU3, HEP, MMR, PNC21
Symptoms: Arthralgia, Loss of personal independence in daily activities, Product administered at inappropriate site, Vaccination site pain
Clinical narrative: This has completely affected every area of my life; Arthralgia; Pharmacist gave me two shots on each shoulder, one in my left forearm, on my right shoulder he did one too high, I still have pain in that shoulder, he did two in my left shoulder, pain is unbearable.; The pharmacist gave me two shots on each shoulder, and one in my left forearm, on my right shoulder he did one too high; This spontaneous case was reported by a non-healthcare professional and describes the occurrence of LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES (This has completely affected every area of my life), ARTHRALGIA (Arthralgia), VACCINATION SITE PAIN (Pharmacist gave me two shots on each shoulder, one in my left forearm, on my right shoulder he did one too high, I still have pain in that shoulder, he did two in my left shoulder, pain is unbearable.) and PRODUCT ADMINISTERED AT INAPPROPRIATE SITE (The pharmacist gave me two shots on each shoulder, and one in my left forearm, on my right shoulder he did one too high) in a 50-year-old female patient who received mRNA-1273.712 (SPIKEVAX 2024-2025 PFS) for COVID-19 prophylaxis.    Co-suspect products included non-company products Hepatitis b vaccine rHBsAg (yeast) (Engerix b) for an unknown indication, Influenza vaccine inact split 3v (Afluria) for an unknown indication, Mmr ii for an unknown indication and Pneumococcal vaccine conj 21v (CRM197) (Capvaxive) for an unknown indication.    Previously administered products included for Drug use for unknown indication: Clindamycin. Past adverse reactions to the above products included Allergy to antibiotic with Clindamycin. Concurrent medical conditions included Diabetes, Rheumatoid arthritis and Allergy to antibiotic. Concomitant products included Insulin porcine (Insulin), Methylphenidate hydrochloride (Ritalin), Metformin hydrochloride (Metformin), Meloxicam, Ibuprofen (Motrin), Prenatal vitamins, Magnesium, Tocopherol (Vitamin e), Ascorbic acid (Vitamin C), Ergocalciferol (Vitamin d) and Calcium for an unknown indication.   On 03-Dec-2024, the patient received dose of mRNA-1273.712 (SPIKEVAX 2024-2025 PFS) (Other) 1 dosage form, dose of Hepatitis b vaccine rHBsAg (yeast) (Engerix b) (unknown route) 1 dosage form, dose of Influenza vaccine inact split 3v (Afluria) (Other) 1 dosage form, dose of Mmr ii (Other) 1 dosage form and dose of Pneumococcal vaccine conj 21v (CRM197) (Capvaxive) (unknown route) 1 dosage form. On 03-Dec-2024, the patient experienced PRODUCT ADMINISTERED AT INAPPROPRIATE SITE (The pharmacist gave me two shots on each shoulder, and one in my left forearm, on my right shoulder he did one too high). On 05-Dec-2024, the patient experienced LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES (This has completely affected every area of my life), ARTHRALGIA (Arthralgia) and VACCINATION SITE PAIN (Pharmacist gave me two shots on each shoulder, one in my left forearm, on my right shoulder he did one too high, I still have pain in that shoulder, he did two in my left shoulder, pain is unbearable.). At the time of the report, LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES (This has completely affected every area of my life), ARTHRALGIA (Arthralgia) and VACCINATION SITE PAIN (Pharmacist gave me two shots on each shoulder, one in my left forearm, on my right shoulder he did one too high, I still have pain in that shoulder, he did two in my left shoulder, pain is unbearable.) had not resolved and PRODUCT ADMINISTERED AT INAPPROPRIATE SITE (The pharmacist gave me two shots on each shoulder, and one in my left forearm, on my right shoulder he did one too high) outcome was unknown.        The action taken with mRNA-1273.712 (SPIKEVAX 2024-2025 PFS) (Other) was unknown.       It was reported that the site of administration was reported as OT for Moderna COVID-19 vaccine and Afluria. It was reported that the pharmacist gave patient two shots on each shoulder, and one in left forearm. On her right shoulder he did one too high and she still had pain in that shoulder and pharmacist did two in her left shoulder and the pain was unbearable. She had to go to the emergency room a couple days after because the pain was too much. She had been to the emergency room three times since unknown date in Dec-2024 and 05-Feb-2025. This had completely affected every area of her life. The pain had not gotten better, and she did not know where to go from there. She underwent laboratory test and X-ray, but no results were reported. Treatment information was not reported.