Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Vaccination site pain
Clinical narrative: Injection site pain on and off for 3-4 months; Approximately 1 week ago, a rash on his back appeared right up his spine and still ongoing; The pain spread all over his body so much that is debilitating/ The pain has worsened; Feet, palms hurt/ His palms feel like they are going to explode, if he puts any pressure on them it just hurts; Debilitating; Joints, ankle, shoulders, hips hurts/ The shoulders are the worst ones; Muscles hurt; This spontaneous case was reported by a patient family member or friend and describes the occurrence of PAIN (The pain spread all over his body so much that is debilitating/ The pain has worsened), PAIN IN EXTREMITY (Feet, palms hurt/ His palms feel like they are going to explode, if he puts any pressure on them it just hurts), ASTHENIA (Debilitating), ARTHRALGIA (Joints, ankle, shoulders, hips hurts/ The shoulders are the worst ones) and MYALGIA (Muscles hurt) in a 73-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 060H21A, 010H20A and 012L20A) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below.     Concurrent medical conditions included Heart rate irregular (Irregular heart beat). Concomitant products included SPIRONOLACTONE, LISINOPRIL and METOPROLOL for Heart rate irregular.   On 18-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 19-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 28-Dec-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. In June 2022, the patient experienced PAIN (The pain spread all over his body so much that is debilitating/ The pain has worsened), PAIN IN EXTREMITY (Feet, palms hurt/ His palms feel like they are going to explode, if he puts any pressure on them it just hurts), ASTHENIA (Debilitating), ARTHRALGIA (Joints, ankle, shoulders, hips hurts/ The shoulders are the worst ones) and MYALGIA (Muscles hurt). In July 2022, the patient experienced RASH (Approximately 1 week ago, a rash on his back appeared right up his spine and still ongoing). On an unknown date, the patient experienced VACCINATION SITE PAIN (Injection site pain on and off for 3-4 months). The patient was treated with IBUPROFEN at an unspecified dose and frequency. At the time of the report, PAIN (The pain spread all over his body so much that is debilitating/ The pain has worsened), PAIN IN EXTREMITY (Feet, palms hurt/ His palms feel like they are going to explode, if he puts any pressure on them it just hurts), ARTHRALGIA (Joints, ankle, shoulders, hips hurts/ The shoulders are the worst ones), MYALGIA (Muscles hurt) and RASH (Approximately 1 week ago, a rash on his back appeared right up his spine and still ongoing) had not resolved, ASTHENIA (Debilitating) outcome was unknown and VACCINATION SITE PAIN (Injection site pain on and off for 3-4 months) had resolved.            The patient had no allergies. Patient never had COVID positive test or diagnosis. No other vaccines were given within 1 month prior to Moderna COVID-19 vaccine. After the booster dose on 28Dec2021 patient started having injection site pain on and off for 3-4 months. Approximately 1 month ago, the pain spread all over the body so much that was debilitating. Patient did not seek medical care.