Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Product label confusion, Vaccination site pain
Clinical narrative: The HCP feels like a second line should be added after the wording of "a single 0.5ml dose" that there isn't a second dose required at this time. The HCP feels that this additional wording would clear up any confusion about how many doses of Sp; The HCP reports that on November 23, 2023, her left arm was very sore and hurt worse than other vaccinations I have received; This spontaneous case was reported by an other health care professional and describes the occurrence of VACCINATION SITE PAIN (The HCP reports that on November 23, 2023, her left arm was very sore and hurt worse than other vaccinations I have received) and PRODUCT LABEL CONFUSION (The HCP feels like a second line should be added after the wording of "a single 0.5ml dose" that there isn't a second dose required at this time. The HCP feels that this additional wording would clear up any confusion about how many doses of Spikevax) in a 43-year-old female patient who received mRNA-1273.815 (SPIKEVAX 2023-2024) (batch no. 3035264) for COVID-19 prophylaxis.     The patient's past medical history included Chronic pain. Previously administered products included for Drug use for unknown indication: Bupropion (Bupropion 300mg Once daily), Fluoxetine 20mg daily (Fluoxetine 20mg daily), Esomeprazole 40mg once daily (Esomeprazole 40mg once daily), Fluticasone Nasal Spray (Fluticasone Nasal Spray), Cetirizine 10mg tablets daily (Cetirizine 10mg tablets daily), Axelastine Nasal Spray 137mcg per spray (Axelastine Nasal Spray 137mcg per spray) and Famotidine 20mg tablets as needed daily (Famotidine 20mg tablets as needed daily). Past adverse reactions to the above products included No adverse event with Axelastine Nasal Spray 137mcg per spray, Bupropion, Cetirizine 10mg tablets daily, Esomeprazole 40mg once daily, Famotidine 20mg tablets as needed daily, Fluoxetine 20mg daily and Fluticasone Nasal Spray. Concurrent medical conditions included Chronic depression, Anxiety, GERD, Migraine (Patient was taking Migraine Medication) and Herniated disc.    On 22-Nov-2023, the patient received first dose of mRNA-1273.815 (SPIKEVAX 2023-2024) (unknown route) 1 dosage form. On 23-Nov-2023,  after starting mRNA-1273.815 (SPIKEVAX 2023-2024), the patient experienced VACCINATION SITE PAIN (The HCP reports that on November 23, 2023, her left arm was very sore and hurt worse than other vaccinations I have received). On an unknown date, the patient experienced PRODUCT LABEL CONFUSION (The HCP feels like a second line should be added after the wording of "a single 0.5ml dose" that there isn't a second dose required at this time. The HCP feels that this additional wording would clear up any confusion about how many doses of Spikevax). At the time of the report, VACCINATION SITE PAIN (The HCP reports that on November 23, 2023, her left arm was very sore and hurt worse than other vaccinations I have received) was resolving and PRODUCT LABEL CONFUSION (The HCP feels like a second line should be added after the wording of "a single 0.5ml dose" that there isn't a second dose required at this time. The HCP feels that this additional wording would clear up any confusion about how many doses of Spikevax) outcome was unknown.        The action taken with mRNA-1273.815 (SPIKEVAX 2023-2024) (Unknown) was unknown.   For mRNA-1273.815 (SPIKEVAX 2023-2024) (Unknown), the reporter did not provide any causality assessments.   The HCP received the vaccine in her left arm.  The HCP reports that on November 23, 2023, her left arm was very sore and hurt worse than other vaccinations I have received. "It hurt similar to receiving the Tetanus vaccine." The HCP also received a Hepatitis A and Hepatitis B combination vaccine on November 22nd. The HCP received the Spikevax in her right arm.  The HCP told that she received her Spikevax 2023 2024 vaccine on November 22, 2023, and that she asked on that day if she needed a second dose of Spikevax 2023 2024 vaccine and the Pharmacy Technician told no.  Today the HCP called again to double check if she needed a second dose of Spikevax and the Pharmacist told me that he would look that up. The Pharmacist came back on the phone after checking an unknown reference and told the patient that she needed a second Spikevax 2023 2024 dose.  The HCP believed that the wording of "a single 0.5ml dose" contributed to a near mistake and confusion from her employer over if she was fully vaccinated or not.  The HCP felt that additional wording would clear up any confusion about how many doses of Spikevax 2023 2024 vaccine are indicated. The HCP had done a lot of research on the number of Spikevax 2023 2024 doses required. The patient just wants Walmart to have the correct information.  The HCP also received a Hepatitis A and Hepatitis B combination vaccine on November 22nd. The HCP received the Hepatitis A and B in her right arm. Patient had mistakenly reported that the patient received the Hepatitis A and B vaccine on the same day as her Moderna Spikevax 2023 2024 vaccine. Patient had no tetanus shot was received.   Concomitant medications were not reported.  No treatment information was provided by the reporter   Most recent FOLLOW-UP information incorporated above includes: On 05-Dec-2023: Live follow-up received historical vaccine updated, inarrative updated. On 05-Dec-2023: Live follow-up received include QE number added.