Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Dyspnoea, Fibrin D dimer, Full blood count
Clinical narrative: lip swelling; tongue swelling; Tingling lips/tingling tongue; pain whle lifting; lymph nodes swelling; ankle swelling; Shoulder pain; severe right arm Pain/severe pain while lifting; Weakness; hamstrings muscles  atrophied; right upper thigh up to the buttocks pain and weakness; She could not climb up the stairs; shortness of breath; shooting jaw pain on the right side; This spontaneous case was reported by a nurse and describes the occurrence of PAIN IN EXTREMITY (severe right arm Pain/severe pain while lifting), ASTHENIA (Weakness), MUSCLE ATROPHY (hamstrings muscles  atrophied), PAIN IN EXTREMITY (right upper thigh up to the buttocks pain and weakness) and MOBILITY DECREASED (She could not climb up the stairs) in a 58-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 010M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included Migraine on 01-Jan-2005 and Osteoporosis on 01-Jan-2000. Concurrent medical conditions included Anaphylaxis, Hypersensitivity NOS and Hives (Cause of this allergic reaction was NSAIDs.) since 12-Jan-2012. Concomitant products included MULTIVITAMIN & MINERAL for an unknown indication.    On 03-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 05-Feb-2021, the patient experienced PAIN IN EXTREMITY (severe right arm Pain/severe pain while lifting), ASTHENIA (Weakness), MUSCLE ATROPHY (hamstrings muscles  atrophied), PAIN IN EXTREMITY (right upper thigh up to the buttocks pain and weakness), MOBILITY DECREASED (She could not climb up the stairs), DYSPNOEA (shortness of breath), PAIN IN JAW (shooting jaw pain on the right side), JOINT SWELLING (ankle swelling) and ARTHRALGIA (Shoulder pain). On an unknown date, the patient experienced LIP SWELLING (lip swelling), SWOLLEN TONGUE (tongue swelling), PARAESTHESIA ORAL (Tingling lips/tingling tongue), PAIN (pain whle lifting) and LYMPHADENOPATHY (lymph nodes swelling). The patient was treated with PREDNISONE at a dose of 8 days on a tapering dose.; OXYMETAZOLINE HYDROCHLORIDE (CLARITIN ALLERGIC) (oral) on 02-Mar-2021 at a dose of 1 dosage form and RANITIDINE HYDROCHLORIDE (ZANTAC) at a dose of 1 dosage form. At the time of the report, PAIN IN EXTREMITY (severe right arm Pain/severe pain while lifting), ASTHENIA (Weakness), MUSCLE ATROPHY (hamstrings muscles  atrophied), PAIN IN EXTREMITY (right upper thigh up to the buttocks pain and weakness), MOBILITY DECREASED (She could not climb up the stairs), DYSPNOEA (shortness of breath), PAIN IN JAW (shooting jaw pain on the right side), PAIN (pain whle lifting), JOINT SWELLING (ankle swelling), ARTHRALGIA (Shoulder pain) and LYMPHADENOPATHY (lymph nodes swelling) outcome was unknown and LIP SWELLING (lip swelling), SWOLLEN TONGUE (tongue swelling) and PARAESTHESIA ORAL (Tingling lips/tingling tongue) had resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Fibrin D dimer: 299 High. On an unknown date, Full blood count: normal (normal) All fine except WBC. On an unknown date, Platelet count: 450 High.     The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.   For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.   The patient stated that her physician prescribed Prednisone for 8 days on a tapering dose,  she also stated that They could not tell whether this was muscle/nerve damage or drug toxicity. She stated that she took anti allergy medication for lip swelling, Tongue tingling.   This case was linked to MOD-2021-300796 (Patient Link).   Most recent FOLLOW-UP information incorporated above includes: On 29-Aug-2021: Follow-up received on 29-AUG-2021 contains significant information-History added, lab data added