Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Facial pain, Feeling hot, Headache, Hypertension
Clinical narrative: right arm pain/debilitating arm pain; use left arm to pick up her right arm when she is sleeping; felt faint/ felt as if i would black out; nipple felt painful; breast swollen to twice the usual size/R breast was double the size of L breast wit pin-pricking type of pain; Felt a sharp pain in right breast/pin-pricking type of pain; Her breast was warm to touch; body ache after booster shot; felt disoriented; Facial pain; Chest pain; I was unable to sleep from the pain in head and R arm; Blood pressure was significantly elevated; lymph nodes painful; lymph nodes were swollen/lymph nodes became very big/painful swelling of the lymph node under my right arm; headache after booster shot/headache was on top of the head and feels like squeezing and releasing/headache on the right side/terrible headache radiating down the L side of my face, teeth, gums and neck; This spontaneous case was reported by a consumer and describes the occurrence of FACIAL PAIN (Facial pain), CHEST PAIN (Chest pain), PAIN IN EXTREMITY (right arm pain/debilitating arm pain), DISORIENTATION (felt disoriented) and INSOMNIA (I was unable to sleep from the pain in head and R arm) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 049C21A, 006B21A and 036A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Previously administered products included for Product used for unknown indication: Tetanus vaccine on 13-Nov-2021 and Influenza vaccine on 13-Nov-2021. Past adverse reactions to the above products included No adverse event with Influenza vaccine and Tetanus vaccine. Concurrent medical conditions included Blood pressure abnormal, Drug allergy (Flagyl), Drug allergy (Tessalon perles), Back pain, Diverticulosis and Migraine (S/P booster vaccine). Concomitant products included LOSARTAN for Blood pressure, COLECALCIFEROL (VITAMIN D3) for an unknown indication.   On 05-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 02-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 27-Nov-2021 at 4:30 PM, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 28-Nov-2021, the patient experienced INSOMNIA (I was unable to sleep from the pain in head and R arm), HYPERTENSION (Blood pressure was significantly elevated), LYMPH NODE PAIN (lymph nodes painful) and LYMPHADENOPATHY (lymph nodes were swollen/lymph nodes became very big/painful swelling of the lymph node under my right arm). 28-Nov-2021, the patient experienced HEADACHE (headache after booster shot/headache was on top of the head and feels like squeezing and releasing/headache on the right side/terrible headache radiating down the L side of my face, teeth, gums and neck). On 29-Nov-2021, the patient experienced FACIAL PAIN (Facial pain), CHEST PAIN (Chest pain), DISORIENTATION (felt disoriented), BREAST PAIN (Felt a sharp pain in right breast/pin-pricking type of pain), FEELING HOT (Her breast was warm to touch) and BREAST SWELLING (breast swollen to twice the usual size/R breast was double the size of L breast wit pin-pricking type of pain). 29-Nov-2021, the patient experienced PAIN (body ache after booster shot). On 01-Dec-2021, the patient experienced NIPPLE PAIN (nipple felt painful). On 03-Dec-2021, the patient experienced DIZZINESS (felt faint/ felt as if i would black out). On an unknown date, the patient experienced PAIN IN EXTREMITY (right arm pain/debilitating arm pain) and VACCINATION SITE PAIN (use left arm to pick up her right arm when she is sleeping). The patient was treated with PARACETAMOL (TYLENOL [PARACETAMOL]) on 29-Nov-2021 for Headache, at a dose of 500 mg, 3 doses; IBUPROFEN (MOTRIN [IBUPROFEN]) (oral) on 29-Nov-2021 at a dose of 600 mg twice a day; SUMATRIPTAN for Headache, at a dose of 50 mg and ACETYLSALICYLIC ACID (ASPIRIN COX [ACETYLSALICYLIC ACID]) for Blood pressure high, at a dose of 1 dosage form. At the time of the report, FACIAL PAIN (Facial pain), CHEST PAIN (Chest pain), PAIN IN EXTREMITY (right arm pain/debilitating arm pain), BREAST PAIN (Felt a sharp pain in right breast/pin-pricking type of pain), LYMPH NODE PAIN (lymph nodes painful) and HEADACHE (headache after booster shot/headache was on top of the head and feels like squeezing and releasing/headache on the right side/terrible headache radiating down the L side of my face, teeth, gums and neck) had not resolved, DISORIENTATION (felt disoriented), INSOMNIA (I was unable to sleep from the pain in head and R arm), DIZZINESS (felt faint/ felt as if i would black out), FEELING HOT (Her breast was warm to touch), PAIN (body ache after booster shot), HYPERTENSION (Blood pressure was significantly elevated), NIPPLE PAIN (nipple felt painful) and VACCINATION SITE PAIN (use left arm to pick up her right arm when she is sleeping) outcome was unknown and BREAST SWELLING (breast swollen to twice the usual size/R breast was double the size of L breast wit pin-pricking type of pain) and LYMPHADENOPATHY (lymph nodes were swollen/lymph nodes became very big/painful swelling of the lymph node under my right arm) was resolving.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 28-Nov-2021, Blood pressure measurement: elevated (High) Significantly elevated. On 03-Dec-2021, Blood pressure measurement: 151/143 (High) 151/143. On an unknown date, Mammogram: normal (normal) Normal. On an unknown date, X-ray: no obvious change (normal) no obvious change.         Treatment medication reported nitrate pill for BP on 03-DEC-2021. Patient was taking Motrin twice daily , oral for back pain.  Patient went to the hospital on 29 NOV 2021.  On 03 Dec 2021, patient felt faint and her husband called 911 and she was taken to the hospital, her BP was elevated and was discharged on 03 Dec 2021. Patient was seen by another doctor on 06 DEC 2021. Patient reported that she had never went to emergency room so often, experienced this debilitating/any arm pain, breast pain and swelling, swollen lymph node or headaches at this level prior to having the vaccine.   This case was linked to MOD-2021-403385, MOD-2021-406585 (Patient Link).   Most recent FOLLOW-UP information incorporated above includes: On 08-Dec-2021: Follow-up document received contains significant information: Demographic details updated, treatment dugs updated events added,  I narrative updated.