Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Vaccination site swelling
Clinical narrative: pain is located between the heart and the left shoulder, not on the heart but it is above the heart around the chest bone/the pain is above the heart and it's not the heart; Feet swollen again; had a rash from knees to feet, it was dark red; Rash from knees to feet; swelling at injection site; Rash from shoulder to elbow; Fatigued/tired; Knees and neck hurt; Light-headed / Dizzy; Knees and neck hurt; Chest pains; This spontaneous case was reported by a consumer and describes the occurrence of NON-CARDIAC CHEST PAIN (pain is located between the heart and the left shoulder, not on the heart but it is above the heart around the chest bone/the pain is above the heart and it's not the heart), DIZZINESS (Light-headed / Dizzy), NECK PAIN (Knees and neck hurt), CHEST PAIN (Chest pains) and PERIPHERAL SWELLING (Feet swollen again) in a 71-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 011A21A.) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included Open heart surgery and Knee surgery NOS. Concomitant products included ACETYLSALICYLIC ACID (ASPIRIN 81), AMLODIPINE, SIMVASTATIN, ALLOPURINOL, OXYBUTYNIN, METOPROLOL and CLOPIDOGREL for an unknown indication.    On 25-Feb-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 26-Feb-2021, the patient experienced DIZZINESS (Light-headed / Dizzy). 26-Feb-2021, the patient experienced NECK PAIN (Knees and neck hurt), CHEST PAIN (Chest pains), ARTHRALGIA (Knees and neck hurt), FATIGUE (Fatigued/tired) and VACCINATION SITE RASH (Rash from shoulder to elbow). On 27-Feb-2021, the patient experienced ERYTHEMA (had a rash from knees to feet, it was dark red), RASH (Rash from knees to feet) and VACCINATION SITE SWELLING (swelling at injection site). On 21-Mar-2021, the patient experienced PERIPHERAL SWELLING (Feet swollen again). On an unknown date, the patient experienced NON-CARDIAC CHEST PAIN (pain is located between the heart and the left shoulder, not on the heart but it is above the heart around the chest bone/the pain is above the heart and it's not the heart). On 03-Mar-2021, ERYTHEMA (had a rash from knees to feet, it was dark red) and RASH (Rash from knees to feet) outcome was unknown, VACCINATION SITE SWELLING (swelling at injection site) was resolving. On 22-Mar-2021, PERIPHERAL SWELLING (Feet swollen again) was resolving. At the time of the report, NON-CARDIAC CHEST PAIN (pain is located between the heart and the left shoulder, not on the heart but it is above the heart around the chest bone/the pain is above the heart and it's not the heart), DIZZINESS (Light-headed / Dizzy), NECK PAIN (Knees and neck hurt), ARTHRALGIA (Knees and neck hurt), FATIGUE (Fatigued/tired) and VACCINATION SITE RASH (Rash from shoulder to elbow) outcome was unknown and CHEST PAIN (Chest pains) had not resolved.            Treatment drug include water pills.  Lab data; Ultrasound, EKG, and X-rays . The patient said that had to go to ER again due to severe chest pain. The patient said it's not the heart. The patient said the cardiologist gave it an angiogram, ultrasound and every test you can get and can't find what it is. The patient stated that the pain now happens more often and that the first time thought it was having a heart attack and it wasn't a heart attack. The patient said that the times it was on ER it was always the same thing but that the first times it used to last from 5 to 10 minutes and disappeared for a while. The patient said that then on march 23rd had another attack and lasted for an hour and that the last time it lasted for 3 hours and then lingered on for a while. the patient stated that is getting this attacks more often and they are staying longer. the patient said there is no kind of medication or anything to control the pain, but then said that on March 23rd the cardiologist gave it pain killers and with them the pain went away, on July third the patient had another attack and called the doctor  on July 5th to ask for more pills (still haven't heard of it's doctor). The patient states that the pain is above the heart and it's not the heart, The patient said the heart beats like normal, blood pressure normal, and that it has nothing to do with the heart. The patient said that from 1 to 10  the pain is a 20 and that it bends from the pain cause it hurts so mu   Most recent FOLLOW-UP information incorporated above includes: On 24-May-2021: Non-Significant F/U AE Updates Info. On 24-May-2021: Non-Significant follow up appended to AER On 08-Jun-2021: All laboratory test added. Lower level term updated from rash to Vaccination site rash. Peripheral swelling and heartbeats increased deleted as event. Vaccination site swelling added as new event. Outcome updated for Chest pain, Vaccination site swelling, Swelling of feet.Action taken updated to not applicable in product-event details. On 06-Jul-2021: Significant follow up