Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Red blood cell sedimentation rate, Spinal pain, Swollen tongue, Tremor, Vertigo
Clinical narrative: Patient also states they cannot bend their neck; extreme weaknes in legs; shaky legs when walking short distance; getting harder to type / had to stop working by 2pm as the pain was extreme; can only walk short distances without feeling like going to fall or legs will collapse from under me; intermittent nausea; Very dizzy both with eyes closed and with eyes open while laying in still position,ambulating,every movement; they feel the room is spinning; sharp chest pain/htey feel they cannot expand their chest enough / burning chest pain/ Thoracic pain; pain/pressure in their cervical and thoracic spine area; pain/pressure in their cervical and thoracic spine area; numbness and  tingling sensation going down both arms/but mostly the right one, to the hands and fingers / numbness down right arm to right pinky and ring finger, progressed to left hand and fingers as well.; numbness and  tingling sensation going down both arms/but mostly the right one, to the hands and fingers; intermittent pain down right arm to right pinky and ring finger progressed to left hand and fingers as well.; left armpit also was hurting; felt like there is something in her spine; harder to focus on work; Tired; body was in extreme pain in back; attempted to work through this discomfort; weak; body was in extreme pain in all joints; extreme body aches / Full body pain; 101.9°F fever; Chills; headache; Deep ache / stabbing pain; Feeling hot; swelling of left side of tongue; Chest tightness; Flushing; burning sensation all over their body /  pain progressed to burning; shortness of breath/Patient cannot take a deep breath; This spontaneous case was reported by a consumer and describes the occurrence of NECK PAIN (pain/pressure in their cervical and thoracic spine area), SPINAL PAIN (pain/pressure in their cervical and thoracic spine area), HYPOAESTHESIA (numbness and  tingling sensation going down both arms/but mostly the right one, to the hands and fingers / numbness down right arm to right pinky and ring finger, progressed to left hand and fingers as well.), PARAESTHESIA (numbness and  tingling sensation going down both arms/but mostly the right one, to the hands and fingers) and DIZZINESS (Very dizzy both with eyes closed and with eyes open while laying in still position,ambulating,every movement ) in a 41-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 032f21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included COVID-19 (COVID-19 back in Nov-2021 , treated with steroids and antibiotics.) in 2021 and Lyme disease (History of lyme disease resolved.) in 2018. Concurrent medical conditions included Hives, Asthma, Hay fever, Hypersensitivity, Drug allergy (Tardive dyskinesia due to Haldol) since 1994, Drug allergy (Slurred speech due to Namenda) since 1996, Constipation, Tourette's syndrome since 1993, Urinary tract infection and Sinus infection. Concomitant products included METHYLCELLULOSE (CITRUCEL) for Constipation.    On 01-Nov-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 02-Nov-2021, the patient experienced BACK PAIN (body was in extreme pain in back), DISCOMFORT (attempted to work through this discomfort), ASTHENIA (weak), ARTHRALGIA (body was in extreme pain in all joints), MYALGIA (extreme body aches / Full body pain), PYREXIA (101.9°F fever) and FATIGUE (Tired). On 03-Nov-2021, the patient experienced DISTURBANCE IN ATTENTION (harder to focus on work). On 04-Nov-2021, the patient experienced NECK PAIN (pain/pressure in their cervical and thoracic spine area), SPINAL PAIN (pain/pressure in their cervical and thoracic spine area), HYPOAESTHESIA (numbness and  tingling sensation going down both arms/but mostly the right one, to the hands and fingers / numbness down right arm to right pinky and ring finger, progressed to left hand and fingers as well.), PARAESTHESIA (numbness and  tingling sensation going down both arms/but mostly the right one, to the hands and fingers), CHEST PAIN (sharp chest pain/htey feel they cannot expand their chest enough / burning chest pain/ Thoracic pain), PAIN IN EXTREMITY (intermittent pain down right arm to right pinky and ring finger progressed to left hand and fingers as well.), FEELING ABNORMAL (felt like there is something in her spine) and AXILLARY PAIN (left armpit also was hurting). On 05-Nov-2021, the patient experienced DIZZINESS (Very dizzy both with eyes closed and with eyes open while laying in still position,ambulating,every movement ) and VERTIGO (they feel the room is spinning). On 10-Nov-2021, the patient experienced MUSCULOSKELETAL DISCOMFORT (Patient also states they cannot bend their neck), MUSCULAR WEAKNESS (extreme weaknes in legs), TREMOR (shaky legs when walking short distance), IMPAIRED WORK ABILITY (getting harder to type / had to stop working by 2pm as the pain was extreme), GAIT DISTURBANCE (can only walk short distances without feeling like going to fall or legs will collapse from under me) and NAUSEA (intermittent nausea). In November 2021, the patient experienced DYSPNOEA (shortness of breath/Patient cannot take a deep breath), BURNING SENSATION (burning sensation all over their body /  pain progressed to burning), PAIN (Deep ache / stabbing pain), FEELING HOT (Feeling hot), SWOLLEN TONGUE (swelling of left side of tongue), CHEST DISCOMFORT (Chest tightness), FLUSHING (Flushing), CHILLS (Chills) and HEADACHE (headache). The patient was treated with ACETAMINOPHEN on 02-Nov-2021 for Discomfort, at an unspecified dose and frequency; IBUPROFEN on 02-Nov-2021 for Pain, at an unspecified dose and frequency; CEFIXIME (FLEXERIL [CEFIXIME]) (oral) ongoing from 05-Nov-2021 for Pain, at a dose of 10 milligram three times a day and TRAMADOL (oral) ongoing from 08-Nov-2021 for Adverse event, at a dose of UNK, prn. At the time of the report, NECK PAIN (pain/pressure in their cervical and thoracic spine area), SPINAL PAIN (pain/pressure in their cervical and thoracic spine area), HYPOAESTHESIA (numbness and  tingling sensation going down both arms/but mostly the right one, to the hands and fingers / numbness down right arm to right pinky and ring finger, progressed to left hand and fingers as well.), PARAESTHESIA (numbness and  tingling sensation going down both arms/but mostly the right one, to the hands and fingers), DIZZINESS (Very dizzy both with eyes closed and with eyes open while laying in still position,ambulating,every movement ), VERTIGO (they feel the room is spinning), DYSPNOEA (shortness of breath/Patient cannot take a deep breath), CHEST PAIN (sharp chest pain/htey feel they cannot expand their chest enough / burning chest pain/ Thoracic pain), BURNING SENSATION (burning sensation all over their body /  pain progressed to burning), MUSCULOSKELETAL DISCOMFORT (Patient also states they cannot bend their neck), PAIN IN EXTREMITY (intermittent pain down right arm to right pinky and ring finger progressed to left hand and fingers as well.), PAIN (Deep ache / stabbing pain), FEELING HOT (Feeling hot), MUSCULAR WEAKNESS (extreme weaknes in legs), TREMOR (shaky legs when walking short distance), SWOLLEN TONGUE (swelling of left side of tongue), CHEST DISCOMFORT (Chest tightness), FLUSHING (Flushing), BACK PAIN (body was in extreme pain in back), DISCOMFORT (attempted to work through this discomfort), ASTHENIA (weak), DISTURBANCE IN ATTENTION (harder to focus on work), IMPAIRED WORK ABILITY (getting harder to type / had to stop working by 2pm as the pain was extreme), FEELING ABNORMAL (felt like there is something in her spine), GAIT DISTURBANCE (can only walk short distances without feeling like going to fall or legs will collapse from under me), AXILLARY PAIN (left armpit also was hurting), ARTHRALGIA (body was in extreme pain in all joints), MYALGIA (extreme body aches / Full body pain), PYREXIA (101.9°F fever), NAUSEA (intermittent nausea), CHILLS (Chills), HEADACHE (headache) and FATIGUE (Tired) had not resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 02-Nov-2021, Body temperature: 101.9°f (High) 101.9°F fever. On 08-Nov-2021, Body temperature: 101.9°f (High) 101.9°F fever. On an unknown date, Electrocardiogram: normal (normal) Normal. On an unknown date, Full blood count: normal (normal) within normal limits per PCP. On an unknown date, Laboratory test: negative (Negative) negative.. On an unknown date, Magnetic resonance imaging: negative (Negative) negative.. On an unknown date, Magnetic resonance imaging thoracic: negative (Negative) Negative. On an unknown date, Red blood cell sedimentation rate: normal (normal) within normal limits per PCP.     The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown.   For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   Treatment medication includes: 05-Nov-2021 HCP indicated a shot of steroid, a steroid dose package in the form of steroid injection, and by mouth titrating dosage pack, taken intramuscularly. COVID-19 back in Nov2021 and were treated with steroids and antibiotics. For the first few days patient took acetaminophen and ibuprofen that provided some relieved CERVICAL MRI being ordered by doctor. On 08-Nov-2021 all previous conditions aggravated.   Most recent FOLLOW-UP information incorporated above includes: On 13-Nov-2021: Added reporter details, added medical history, added lab tests and new events. Updated event outcome from unknown to Not recovered.