Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Mass, Myokymia, Pain in extremity, Pruritus
Clinical narrative: right eye pulling and twitching; bad headache; I got chills, heat bump and itchy and it is ongoing; 3 bumps on the left side of back where moderna vaccine was given on left arm; sore arm one week later after moderna vaccine/Legs are very achy; protruding chest pain; Left breast is hurting and has noticeable lymph nodesthat actually feels like it wraps around to the back; Lump on the site of injection; Lump had a lot of heat; Lump was itchy; Big red lump; Heat on the site of injection; Redness on the site of injection; Itch on the site of injection; This spontaneous case was reported by a non-health professional (subsequently medically confirmed) and describes the occurrence of MYOKYMIA (right eye pulling and twitching), HEADACHE (bad headache), PAIN IN EXTREMITY (sore arm one week later after moderna vaccine/Legs are very achy), CHEST PAIN (protruding chest pain) and LYMPHADENOPATHY (Left breast is hurting and has noticeable lymph nodesthat actually feels like it wraps around to the back) in a 53-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 025B21A and 005C21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Concurrent medical conditions included Food allergy (Wheat), Egg allergy (Egg whites, egg yolk), Peanut allergy, Shellfish allergy, Allergy to nuts (Either pistachios or cashews and tree nuts . Hives /red hot .Felt like was on fire .) since 2009, Fruit allergy (All Berries) and Hypersensitivity. Concomitant products included ALPRAZOLAM, TRIAMTERENE and RABEPRAZOLE SODIUM (ACIPHEX) for an unknown indication.   On 05-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 10-May-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 05-Apr-2021, the patient experienced INJECTION SITE ERYTHEMA (Redness on the site of injection), INJECTION SITE PRURITUS (Itch on the site of injection) and INJECTION SITE WARMTH (Heat on the site of injection). On 12-Apr-2021, the patient experienced FEELING HOT (Lump had a lot of heat), PRURITUS (Lump was itchy) and ERYTHEMA (Big red lump). On 13-Apr-2021, the patient experienced PAIN IN EXTREMITY (sore arm one week later after moderna vaccine/Legs are very achy), CHEST PAIN (protruding chest pain), LYMPHADENOPATHY (Left breast is hurting and has noticeable lymph nodesthat actually feels like it wraps around to the back) and MASS (3 bumps on the left side of back where moderna vaccine was given on left arm). 13-Apr-2021, the patient experienced INJECTION SITE MASS (Lump on the site of injection). On 24-Apr-2021, the patient experienced CHILLS (I got chills, heat bump and itchy and it is ongoing). On an unknown date, the patient experienced MYOKYMIA (right eye pulling and twitching) and HEADACHE (bad headache). The patient was treated with HYDROCORTISONE in 1998 for Mass, Localised feeling of warmth, Itchy and Redness, at a dose of .5 mg three times a day; VALACICLOVIR HYDROCHLORIDE (VALTREX) at a dose of 1 dosage form; MOMETASONE at a dose of 1 dosage form; CALAMINE, GLYCEROL, ZINC OXIDE (CALAMINE LOTION) at a dose of 1 dosage form and DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) at an unspecified dose and frequency. On 08-Apr-2021, INJECTION SITE ERYTHEMA (Redness on the site of injection) outcome was unknown. At the time of the report, MYOKYMIA (right eye pulling and twitching) had not resolved, HEADACHE (bad headache) was resolving, PAIN IN EXTREMITY (sore arm one week later after moderna vaccine/Legs are very achy), CHEST PAIN (protruding chest pain), LYMPHADENOPATHY (Left breast is hurting and has noticeable lymph nodesthat actually feels like it wraps around to the back), CHILLS (I got chills, heat bump and itchy and it is ongoing), MASS (3 bumps on the left side of back where moderna vaccine was given on left arm), INJECTION SITE PRURITUS (Itch on the site of injection), INJECTION SITE MASS (Lump on the site of injection) and INJECTION SITE WARMTH (Heat on the site of injection) outcome was unknown and FEELING HOT (Lump had a lot of heat), PRURITUS (Lump was itchy) and ERYTHEMA (Big red lump) 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.   This case was linked to MOD-2021-186030 (Patient Link).   Most recent FOLLOW-UP information incorporated above includes: On 24-May-2021: Follow up was received Concomitant medications and medical history updated; outcome of events updated. On 30-May-2021: Follow up was received Event added. On 01-Jul-2021: Significant follow-up appended