Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Mobility decreased, Muscle spasms, Nausea, Oropharyngeal pain
Clinical narrative: spasm on the muscles across their back, mainly in the right side; 2 or 3 ribs became twisted; feels burning in their body mostly affecting their torso, arms and severely affecting the left side of their neck; Arm is swollen; can barely cook; cannot lift anything; inflammation throughout their body, muscles and joints/inflammation and soreness of their joints is getting worse; dizziness; inflammation and soreness of their joints is getting worse; slight nausea; 102°F fever; headache; felt ill; dry cough; sore throat; inflammation throughout their body, muscles and joints/ongoing  inflammation./inflammation is going down their legs; severe pain lasted  at level 9-10 in a scale of 1 to 10; pain is going down the left side shoulder/pain is sharp at the site of the injection/arm is in pain; site of the injection has a rash; This spontaneous case was reported by a consumer and describes the occurrence of MALAISE (felt ill), COUGH (dry cough), OROPHARYNGEAL PAIN (sore throat), INFLAMMATION (inflammation throughout their body, muscles and joints/ongoing  inflammation./inflammation is going down their legs) and PAIN (severe pain lasted  at level 9-10 in a scale of 1 to 10) in an 80-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 069F21A, 030M20A and 036A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Concurrent medical conditions included Drug allergy (Ibuprofen allergy).   On 04-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 04-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 11-Nov-2021 at 11:00 AM, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 11-Nov-2021, the patient experienced MALAISE (felt ill), COUGH (dry cough), OROPHARYNGEAL PAIN (sore throat), INFLAMMATION (inflammation throughout their body, muscles and joints/ongoing  inflammation./inflammation is going down their legs), PAIN (severe pain lasted  at level 9-10 in a scale of 1 to 10), ARTHRITIS (inflammation throughout their body, muscles and joints/inflammation and soreness of their joints is getting worse), DIZZINESS (dizziness), ARTHRALGIA (inflammation and soreness of their joints is getting worse), NAUSEA (slight nausea), PYREXIA (102°F fever) and HEADACHE (headache). In November 2021, the patient experienced VACCINATION SITE PAIN (pain is going down the left side shoulder/pain is sharp at the site of the injection/arm is in pain) and VACCINATION SITE RASH (site of the injection has a rash). On an unknown date, the patient experienced MUSCLE SPASMS (spasm on the muscles across their back, mainly in the right side), CHEST DISCOMFORT (2 or 3 ribs became twisted), BURNING SENSATION (feels burning in their body mostly affecting their torso, arms and severely affecting the left side of their neck), PERIPHERAL SWELLING (Arm is swollen), LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES (can barely cook) and MOBILITY DECREASED (cannot lift anything). The patient was treated with ASPIRIN [ACETYLSALICYLIC ACID] for Adverse event, at an unspecified dose and frequency and PARACETAMOL (TYLENOL [PARACETAMOL]) for Adverse event, at a dose of extra strength. In November 2021, MALAISE (felt ill), COUGH (dry cough), OROPHARYNGEAL PAIN (sore throat), DIZZINESS (dizziness), NAUSEA (slight nausea), PYREXIA (102°F fever) and HEADACHE (headache) had resolved. At the time of the report, INFLAMMATION (inflammation throughout their body, muscles and joints/ongoing  inflammation./inflammation is going down their legs), PAIN (severe pain lasted  at level 9-10 in a scale of 1 to 10), MUSCLE SPASMS (spasm on the muscles across their back, mainly in the right side), CHEST DISCOMFORT (2 or 3 ribs became twisted), BURNING SENSATION (feels burning in their body mostly affecting their torso, arms and severely affecting the left side of their neck), PERIPHERAL SWELLING (Arm is swollen), LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES (can barely cook), MOBILITY DECREASED (cannot lift anything), ARTHRITIS (inflammation throughout their body, muscles and joints/inflammation and soreness of their joints is getting worse), ARTHRALGIA (inflammation and soreness of their joints is getting worse), VACCINATION SITE PAIN (pain is going down the left side shoulder/pain is sharp at the site of the injection/arm is in pain) and VACCINATION SITE RASH (site of the injection has a rash) had not resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 11-Nov-2021, Body temperature: 102°f (High) 102°F fever.     For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   The  concomitant medications on use were not provided. Treatment included ice, heat and arnica.  Patient had very severe adverse reaction after their booster dose.   This case was linked to MOD-2021-404349, MOD-2021-404749 (Patient Link).