Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Gait inability, Joint swelling, Muscle spasms, Pain in extremity, Peripheral swelling
Clinical narrative: Right ankle swollen; could not walk for several weeks; Leg cramp; pain in right leg that comes and goes; right leg swelled up; This spontaneous case was reported by a consumer and describes the occurrence of GAIT INABILITY (could not walk for several weeks), MUSCLE SPASMS (Leg cramp), PAIN IN EXTREMITY (pain in right leg that comes and goes) and PERIPHERAL SWELLING (right leg swelled up) in a 71-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 022M20A and 022M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included Fall from high place (fell off a roof 20 years ago), Coma (for 23 days after a fall), Clot blood (in left leg after being in coma for 23 days) and Nerve damage (left leg). Concurrent medical conditions included Depression (mild), Acid reflux (esophageal) and Disability. Concomitant products included OMEPRAZOLE for Acid reflux (esophageal), ST. JOHN'S WORT for Depression.   On 28-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 26-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 26-Feb-2021, the patient experienced PERIPHERAL SWELLING (right leg swelled up) (seriousness criterion disability). On 26-Feb-2021 at 8:00 PM, the patient experienced MUSCLE SPASMS (Leg cramp) (seriousness criterion disability) and PAIN IN EXTREMITY (pain in right leg that comes and goes) (seriousness criterion disability). On 27-Feb-2021, the patient experienced GAIT INABILITY (could not walk for several weeks) (seriousness criterion disability). On 01-Apr-2021, the patient experienced JOINT SWELLING (Right ankle swollen). At the time of the report, GAIT INABILITY (could not walk for several weeks), MUSCLE SPASMS (Leg cramp) and PERIPHERAL SWELLING (right leg swelled up) outcome was unknown and PAIN IN EXTREMITY (pain in right leg that comes and goes) and JOINT SWELLING (Right ankle swollen) had not resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 27-Feb-2021, X-ray: normal (normal) no blood clots.         Treatment for the events included diclofenac sodium cream and paracetamol.  On 06 Mar 2021, a physician told the patient that it was okay for him to do  leg presses so he did 350 pounds x100 and he also walked in a pool.  He went home and after sitting for a half hour, his leg cramped up again and he needed a crutch to walk.  The patient also reported using a cane.  The patient stated, stated "now I just exercise leg with movements that seem to help."  Very limited information regarding this event/s has been provided at this time.  Further information has been requested.   Most recent FOLLOW-UP information incorporated above includes: On 01-Apr-2021: City, state and zip code updated; patient's date of birth and race updated; medical history and concomitant medications added; events updated.; Sender's Comments: Very limited information regarding this event/s has been provided at this time.  Further information has been requested.