Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria, X-ray
Clinical narrative: Nerve pain in left arm; Could hardly sleep; Could hardly sleep and it was very upsetting; Mobility loss was more debilitating; hives; redness; inflammation; Arthritis; 3.8cm mass in my left lung; Ongoing arm pain; Mobility issues; Itchy rash; Itchy painful rash; This spontaneous case was reported by a consumer and describes the occurrence of MOBILITY DECREASED (Mobility issues), RASH PRURITIC (Itchy rash), NEURALGIA (Nerve pain in left arm), INSOMNIA (Could hardly sleep) and ANXIETY (Could hardly sleep and it was very upsetting) in a 52-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 002C21A and 029A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included Anaphylaxis, Hypersensitivity reaction (NOS) and Hives. Previously administered products included for Product used for unknown indication: Boostrix TDAP (Received in left bicep. Dose number 1 of 1) on 30-Mar-2021. Past adverse reactions to the above products included No adverse reaction with Boostrix TDAP. Concurrent medical conditions included Allergy to antibiotic (Allergy to tetracycline-throat began closing/ suffocating) since 1987, Insect sting allergy (swelling/ hives (patient carried EpiPen)), Drug allergy (Allergy to sulfa-hives/rash), Hypothyroidism since 2014, Blood pressure high since 2002, Raynaud's syndrome (Left arm has less blood circulation) since 1988 and Irritable bowel syndrome since 1980. Concomitant products included LEVOTHYROXINE, HYDROCHLOROTHIAZIDE, VITAMIN C [ASCORBIC ACID], LORATADINE and MONTELUKAST SODIUM for an unknown indication.   On 25-Mar-2021 at 9:00 AM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 22-Apr-2021 at 9:15 AM, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 23-Apr-2021, the patient experienced RASH PRURITIC (Itchy rash). 23-Apr-2021, the patient experienced RASH (Itchy painful rash). On an unknown date, the patient experienced MOBILITY DECREASED (Mobility issues), NEURALGIA (Nerve pain in left arm), INSOMNIA (Could hardly sleep), ANXIETY (Could hardly sleep and it was very upsetting), ASTHENIA (Mobility loss was more debilitating), URTICARIA (hives), ERYTHEMA (redness), INFLAMMATION (inflammation), ARTHRITIS (Arthritis), PULMONARY MASS (3.8cm mass in my left lung) and MYALGIA (Ongoing arm pain). The patient was treated with CLOBETASOL PROPIONATE (CLOBETASOL 0.05%) on 04-May-2021 for Itchy rash, at an unspecified dose and frequency; DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) for Itchy rash, at an unspecified dose and frequency and PARACETAMOL (TYLENOL) at an unspecified dose and frequency. At the time of the report, MOBILITY DECREASED (Mobility issues), NEURALGIA (Nerve pain in left arm) and MYALGIA (Ongoing arm pain) had not resolved, RASH PRURITIC (Itchy rash) and RASH (Itchy painful rash) had resolved and INSOMNIA (Could hardly sleep), ANXIETY (Could hardly sleep and it was very upsetting), ASTHENIA (Mobility loss was more debilitating), INFLAMMATION (inflammation), ARTHRITIS (Arthritis) and PULMONARY MASS (3.8cm mass in my left lung) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Blood test: unknown (Inconclusive) Unknown, doctor asked patient to do 19 blood tests (unspecified). On an unknown date, Bronchoscopy: unknown (Inconclusive) Unknown. On an unknown date, Chest scan: developed a 3.8 cm mass in left lung (Inconclusive) found that patient had developed a 3.8 cm mass in left lung. On an unknown date, Electromyogram: unknown (Inconclusive) Electromyogram. On an unknown date, Magnetic resonance imaging: unknown (Inconclusive) MRI cervical spine, as pain has gone into patients back and neck as well as in the arm. On an unknown date, Rheumatoid arthritis: positive (Positive) Positive RA factor, as well as inflammation and arthritis.. On an unknown date, Sputum test: unknown (Inconclusive) Unknown. On an unknown date, Urine analysis: unknown (Inconclusive) Unknown. On an unknown date, X-ray: unknown (Inconclusive) Shoulder X-ray.   Patient lab investigation included 19  blood test,MRI cervical spine,EMG test,Shoulder X ray,daignosed with positive RA factor as well  as inflammation and arthritis Chest scan was done diagnosed with 3.8cm mass in left lung sputum test and Broncoscopy test was added   This case was linked to MOD-2021-168705 (Patient Link).   Most recent FOLLOW-UP information incorporated above includes: On 24-Jun-2021: Follow-up was received on 24-Jun-2021. Updated patient demographics. Added patient's relevant history. Added concomitant medications. Updated route of administration for both doses. Added events of RASH PRURITIC (Itchy rash), INSOMNIA (Could hardly sleep) and ASTHENIA (Mobility loss was more debilitating) NEURALGIA (Nerve pain in left arm) Anxiety (Could hardly sleep and it was very upsetting) and Rash (Itchy painful rash) were included and added Description of the event in narrative. On 25-Jul-2021: Concomitant medications were provided. Treatment information was reported. patients multiple lab tests was added