Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vaccination site pain
Clinical narrative: nerve sensitivity to the touch in her left arm, near the injection site/The sensitivity feels like a stinging nerve feeling/If her sleeve rubs against it, it's like touching a raw nerve; Both her shins started burning also; Her upper legs feel like they tighten up sometimes when she stand/Intermittently, her heels, especially in morning, are tight & painful; tenderness to the touch in her left arm, near the injection site; upper arms were very achy/upper legs were very achy; large spot/discoloration that was about 3 inches long near the injection site; This spontaneous case was reported by a patient and describes the occurrence of PAIN IN EXTREMITY (upper arms were very achy/upper legs were very achy), VACCINATION SITE DISCOLOURATION (large spot/discoloration that was about 3 inches long near the injection site), VACCINATION SITE NERVE DAMAGE (nerve sensitivity to the touch in her left arm, near the injection site/The sensitivity feels like a stinging nerve feeling/If her sleeve rubs against it, it's like touching a raw nerve), BURNING SENSATION (Both her shins started burning also) and MUSCULOSKELETAL STIFFNESS (Her upper legs feel like they tighten up sometimes when she stand/Intermittently, her heels, especially in morning, are tight & painful) in a 75-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 006M21A, U51PZ1A, 028A21A and 025A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     It was unknown, if patient had any allergies. It was unknown, if the patient was ever tested or diagnosed with COVID. It was unknown if the history was related to mentioned event and both Acute and Chronic illnesses at the time of vaccination.  Concurrent medical conditions included Idiopathic thrombocytopenic purpura (have ITP, which is an autoimmune disorder. It's a low platelet disorder that had for 9 yrs. Get IVIG treatments every 6wks.).   On 27-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 27-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 06-Nov-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 20-Apr-2022, received fourth dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 02-May-2022, the patient experienced PAIN IN EXTREMITY (upper arms were very achy/upper legs were very achy) and VACCINATION SITE DISCOLOURATION (large spot/discoloration that was about 3 inches long near the injection site). On 12-Sep-2022, the patient experienced VACCINATION SITE NERVE DAMAGE (nerve sensitivity to the touch in her left arm, near the injection site/The sensitivity feels like a stinging nerve feeling/If her sleeve rubs against it, it's like touching a raw nerve), BURNING SENSATION (Both her shins started burning also), MUSCULOSKELETAL STIFFNESS (Her upper legs feel like they tighten up sometimes when she stand/Intermittently, her heels, especially in morning, are tight & painful) and VACCINATION SITE PAIN (tenderness to the touch in her left arm, near the injection site). At the time of the report, PAIN IN EXTREMITY (upper arms were very achy/upper legs were very achy) outcome was unknown and VACCINATION SITE DISCOLOURATION (large spot/discoloration that was about 3 inches long near the injection site), VACCINATION SITE NERVE DAMAGE (nerve sensitivity to the touch in her left arm, near the injection site/The sensitivity feels like a stinging nerve feeling/If her sleeve rubs against it, it's like touching a raw nerve), BURNING SENSATION (Both her shins started burning also), MUSCULOSKELETAL STIFFNESS (Her upper legs feel like they tighten up sometimes when she stand/Intermittently, her heels, especially in morning, are tight & painful) and VACCINATION SITE PAIN (tenderness to the touch in her left arm, near the injection site) had not resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Blood test: All of the test came back normal.         No concomitant medications was reported.  It was reported that on 2 May2022 patient upper arms & legs were very achy. It went way & returned about 10 days later on 12 May 2022.  Patient also had a large spot/discoloration that was about 3 inches long near the injection site that lasted nearly a week.  It was reported that adverse events large spot/discoloration that was about 3 inches long near the injection site, the sensitivity feels like a stinging nerve feeling, tenderness to the touch in left arm, near the injection site, sleeve rubs against it, it's like touching a raw nerve,  Both patient shins started burning also, Patient upper legs felt like they tighten up sometimes when stand,  Intermittently, patient heels, especially in morning, are tight & painful patient seeks medical care (office visit, Urgent care, ER, hospitalized) and symptoms were worsened for these events.  It was reported that the patient did not experienced a similar event in the past.   Treatment medication was not provided by the reporter.   This case was linked to MOD-2022-644403 (Patient Link).