Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Lymph node pain, Lymphadenopathy
Clinical narrative: Axillary lymph nodes enlarged/Swollen and sore lymph nodes under arm pit of left arm (same side as covid injection); Lymph node pain/Swollen and sore lymph nodes under arm pit of left arm (same side as covid injection); Headache; Fatigue; This spontaneous case was reported by a consumer and describes the occurrence of LYMPHADENOPATHY (Axillary lymph nodes enlarged/Swollen and sore lymph nodes under arm pit of left arm (same side as covid injection)), LYMPH NODE PAIN (Lymph node pain/Swollen and sore lymph nodes under arm pit of left arm (same side as covid injection)), HEADACHE (Headache) and FATIGUE (Fatigue) in a 47-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination.    Co-suspect product included non-company product RISANKIZUMAB (SKYRIZI [RISANKIZUMAB]) for an unknown indication.    No Medical History information was reported.   On 08-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 04-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 20-Aug-2021, the patient started RISANKIZUMAB (SKYRIZI [RISANKIZUMAB]) (Subcutaneous) at an unspecified dose. On 30-Sep-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 30-Sep-2021, the patient experienced FATIGUE (Fatigue). On 01-Oct-2021, the patient experienced LYMPHADENOPATHY (Axillary lymph nodes enlarged/Swollen and sore lymph nodes under arm pit of left arm (same side as covid injection)), LYMPH NODE PAIN (Lymph node pain/Swollen and sore lymph nodes under arm pit of left arm (same side as covid injection)) and HEADACHE (Headache). At the time of the report, LYMPHADENOPATHY (Axillary lymph nodes enlarged/Swollen and sore lymph nodes under arm pit of left arm (same side as covid injection)), LYMPH NODE PAIN (Lymph node pain/Swollen and sore lymph nodes under arm pit of left arm (same side as covid injection)) and FATIGUE (Fatigue) was resolving and HEADACHE (Headache) had resolved.            Concomitant product use was not provided by the reporter. The patient received 3rd Covid vaccine on 30 Sep 2021 and now had fatigue. Headache 24 hours after receiving 3rd Covid vaccine. Swollen and sore lymph nodes under the arm pit of the left arm (same side as Covid injection) 24 hours after the injection on 30 Sep 2021 and diminishing in size and soreness as of 04 Oct 2021. It was unknown if patient was enrolled in a COVID-19 Vaccine Trial. The reporter's causality for the event(s) of SWOLLEN AND SORE LYMPH NODES UNDER ARM PIT OF LEFT ARM (SAME SIDEAS COVID INJECTION) onset 01 Oct 2021, SWOLLEN AND SORE LYMPH NODES UNDER ARM PIT OF LEFT ARM (SAME SIDE AS COVID INJECTION) onset 01 Oct 2021, HEADACHE and FATIGUE with SKYRIZI(RISANKIZUMAB) was no reasonable possibility. Treatment information was not provided.  This case was identified as part of a retrospective clean-up activity where certain emails received in the Moderna mailbox were missed to be booked-in