Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination site reaction, Vaccination site warmth
Clinical narrative: injection site warm; Covid arm with rash; I have a warm red slight raised area at the injection site; Covid arm with rash; Mild diarrhea; lymph glands swollen and could barely breath; lymph glands swollen and could barely breath; Fever of 102 F; Fatigue; Chills; This spontaneous case was reported by a nurse and describes the occurrence of DIARRHOEA (Mild diarrhea), DYSPNOEA (lymph glands swollen and could barely breath), VACCINATION SITE WARMTH (injection site warm), VACCINATION SITE REACTION (Covid arm with rash) and RASH (Covid arm with rash ) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 022M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included Pacemaker insertion (cardiac) on 26-Mar-2021. Concurrent medical conditions included Drug allergy (Levaquinc, Cipro, Avelox). Concomitant products included VITAMIN D NOS, VITAMIN C [ASCORBIC ACID] and ATROPINE SULFATE, DIPHENOXYLATE HYDROCHLORIDE (LOMOTIL [ATROPINE SULFATE;DIPHENOXYLATE HYDROCHLORIDE]) for an unknown indication.    On 27-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 27-Jan-2021, the patient experienced CHILLS (Chills). On 31-Jan-2021, the patient experienced DYSPNOEA (lymph glands swollen and could barely breath), FATIGUE (Fatigue), LYMPHADENOPATHY (lymph glands swollen and could barely breath) and PYREXIA (Fever of 102 F). On 02-Feb-2021, the patient experienced DIARRHOEA (Mild diarrhea). On 09-Feb-2021, the patient experienced VACCINATION SITE REACTION (Covid arm with rash). On 10-Feb-2021, the patient experienced VACCINATION SITE ERYTHEMA (I have a warm red slight raised area at the injection site). On an unknown date, the patient experienced VACCINATION SITE WARMTH (injection site warm) and RASH (Covid arm with rash ). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency. On 30-Jan-2021, CHILLS (Chills) had resolved. On 01-Feb-2021, DYSPNOEA (lymph glands swollen and could barely breath), LYMPHADENOPATHY (lymph glands swollen and could barely breath) and PYREXIA (Fever of 102 F) had resolved. On 06-Feb-2021, FATIGUE (Fatigue) had resolved. On 08-Feb-2021, DIARRHOEA (Mild diarrhea) had resolved. At the time of the report, VACCINATION SITE WARMTH (injection site warm) and VACCINATION SITE REACTION (Covid arm with rash) had resolved and VACCINATION SITE ERYTHEMA (I have a warm red slight raised area at the injection site) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 02-Feb-2021, Coronavirus test negative: negative (Negative) Negative. On 02-Feb-2021, Influenza A virus test negative: negative (Negative) Negative.     The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.   For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter considered FATIGUE (Fatigue), LYMPHADENOPATHY (lymph glands swollen and could barely breath), PYREXIA (Fever of 102 F) and CHILLS (Chills) to be possibly related. No further causality assessments were provided for DIARRHOEA (Mild diarrhea), DYSPNOEA (lymph glands swollen and could barely breath), VACCINATION SITE WARMTH (injection site warm), VACCINATION SITE REACTION (Covid arm with rash), RASH (Covid arm with rash ) and VACCINATION SITE ERYTHEMA (I have a warm red slight raised area at the injection site).    This case was linked to MOD-2021-100986 (Patient Link).   Most recent FOLLOW-UP information incorporated above includes: On 11-Feb-2021: No specific follow-up information recorded. On 29-Apr-2021: No specific follow-up information recorded.  No treatment information was reported.