Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Erythema, Fatigue, Headache, Nausea
Clinical narrative: Low grade fever of 99.7; Severe crushing headache; Right shoulder and arm killing me due to vaccine; Hives and redness around right deltoid at injection site which later spread to  upper chest and neck; Hives and redness around right deltoid at injection site which later spread to  upper chest and neck; Erythema; chest hives; Low grade nausea/ upset stomach; Heavy fatigue; Right shoulder and arm killing me due to vaccine; A spontaneous report was received from a healthcare professional who was also a 53-years-old, female patient who received moderna's covid-19 vaccine (mrna-1273) and who developed right shoulder and arm killing me due to vaccine/ pain in extremity, hives and redness around right deltoid at injection site which later spread to patient's upper chest and neck / vaccination site urticaria, urticaria, low grade nausea/ nausea, heavy fatigue, right shoulder and arm killing me due to vaccine/ arthralgia, low grade fever of 99.7/ pyrexia, severe crushing headache/ headache and hives and redness around right deltoid at injection site which later spread to patient's upper chest and neck / vaccination site erythema.   The patient's medical history included Mild arthritis. Allergies included Salsa allergy, Ultrasound gel, pseudoephedrine and Poison ivy allergy. Current condition included High cholesterol. Products known to have been used by the patient, within two weeks prior to the event, included Repatha for high cholesterol.  On 05 Jan 2020, approximately five minutes prior to the onset of the symptoms, the patient received their first of two planned doses of mRNA-1273 (Batch number: 012C20A or 012L20A) in the right deltoid for prophylaxis of COVID-19 infection.  On 05 Jan 2021 5 minutes after vaccination patient developed hives and redness around right deltoid at injection site which later spread to patient's upper chest and neck. After 2 hours of vaccination patient developed crushing headache, upset stomach/ low grade nausea and patient's shoulder and arm were killing patient due to vaccine on the right wrist and right shoulder- deep gnawing ache, the pain got worser from Tuesday to Wednesday also reported that the pain worsened with weight-bearing exercise. On 06 Jan 2021 Wednesday patient developed low grade fever of 99.7-degree Fahrenheit and heavy fatigue.   On 07 Jan 2021 Thursday, felt eight percentage better and on the day of reporting ninety percentage better but still was little off.   Treatment for the event included Allerga injection for hives and redness around right deltoid, Tylenol 1000mg for symptoms three times, bland diet foe nausea and acetaminophen 1000mg three times not specified.   Action taken with mRNA-1273 in response to the events was not provided.  The events, hives and redness around right deltoid at injection site which later spread to patient's upper chest and neck were considered recovered on 05 Jan 2021 within 2-2:30 hours after vaccination, crushing headache, upset stomach/ low grade nausea, low grade fever of 99.7-degree Fahrenheit and heavy fatigue  is considered recovering on the time of reporting and patient's shoulder and arm were killing patient due to vaccine on the right wrist and right shoulder were not recovered.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.