Age: 47.0
Sex: F
Vaccine: UNK, COVID19
Symptoms: Erythema, Induration, Lymphadenopathy, Myalgia
Clinical narrative: Muscle twitching in her left hand/ left palm; Lay in bed continuously for at least 20 hours; Fever; Chills; Fast heartbeating; Accute pain; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of HEART RATE INCREASED (Fast heartbeating), MUSCLE TWITCHING (Muscle twitching in her left hand/ left palm), BEDRIDDEN (Lay in bed continuously for at least 20 hours), PAIN (Accute pain) and PYREXIA (Fever) in a 47-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 004M20A and 026L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Concurrent medical conditions included Hives, Penicillin allergy (Positive skin test, possibly allergic to other components in the lot, as confirmed by one Penicillin allergy test 05/2021 at PCP) since 1992, Allergy to antibiotic (Allergy to Cephalosporin. Positive skin test) since 2014 and Environmental allergy (Accute hives or rashes all over my body due to something from a tree in front of my parents' house. Happened multiple time in the summer of several years) since 1988.   On 31-Dec-2020, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 29-Jan-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 20-Jan-2021, the patient experienced PAIN (Accute pain). On 29-Jan-2021, the patient experienced HEART RATE INCREASED (Fast heartbeating), BEDRIDDEN (Lay in bed continuously for at least 20 hours), PYREXIA (Fever) and CHILLS (Chills). On 30-Jan-2021, the patient experienced MUSCLE TWITCHING (Muscle twitching in her left hand/ left palm). The patient was treated with LORATADINE (CLARITIN [LORATADINE]) for  and Hives, at an unspecified dose and frequency; LORATADINE (CLARITIN [LORATADINE]) (oral) from 29-Jan-2021 to 30-Jan-2021 for  and Hives, at a dose of 1 dosage form once a day and PARACETAMOL (TYLENOL) (oral) from 29-Jan-2021 to 30-Jan-2021 at a dose of 1 dosage form four times per day. On 30-Jan-2021, HEART RATE INCREASED (Fast heartbeating), BEDRIDDEN (Lay in bed continuously for at least 20 hours), PAIN (Accute pain), PYREXIA (Fever) and CHILLS (Chills) had resolved. On 07-Feb-2021, MUSCLE TWITCHING (Muscle twitching in her left hand/ left palm) had resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 29-Jan-2021, Body temperature: 38.5 degree Celsius (High) Increased. On 29-Jan-2021, Heart rate: 98 (High) 98 beats per minute. On 30-Jan-2021, Body temperature: 38.5 degree Celsius (High) Increased. On 30-Jan-2021, Heart rate: 98 (High) 98 beats per minute.         Action taken with mRNA-1273 in response to the events was not applicable.  The patient experienced the following symptoms on an unknown date: Local itching/pruritus, local redness/erythema, irregular heart rate/palpitations, nausea/vomiting   This case was linked to MOD-2021-011438 (Patient Link).   Most recent FOLLOW-UP information incorporated above includes: On 04-Jun-2021: Follow-up information received on 04-JUN-2021 contains significant information: Added patient demographics, medical history (Allergy: Penicillin, Cephalosporin, Environment; Current condition: Hives), lab data (Body temperature, Heart rate), 1st dose vaccine information (start date, lot number, site and route of vaccine administration), concomitant medications (Claritin), treatment medications (Claritin and Tylenol), new events ("Accute pain right after injection", "Fast heartbeating for about 30 hours"). The outcome of the events changed from unknown to resolved.