Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Myalgia, Pain in extremity
Clinical narrative: Mornings find me in significant pain in both arms; I have been experiencing severe joint pain since my vaccination which persisted over entire body,/Mornings find me in significant pain in my knees; I have been experiencing severe muscle pain since my vaccination which persisted over entire body,; This spontaneous case was reported by a patient and describes the occurrence of PAIN IN EXTREMITY (Mornings find me in significant pain in both arms), ARTHRALGIA (I have been experiencing severe joint pain since my vaccination which persisted over entire body,/Mornings find me in significant pain in my knees) and MYALGIA (I have been experiencing severe muscle pain since my vaccination which persisted over entire body,) in a 72-year-old male patient who received mRNA-1273.815 (SPIKEVAX 2023-2024) (batch no. 8058856) for COVID-19 prophylaxis.     Previously administered products included for Product used for unknown indication: Pfizer (Lot no.: EM9810) on 28-Feb-2021, Pfizer (Lot no.: EN6203) on 17-Mar-2021, MODERNA COVID-19 VACCINE (Lot no.: 071121A) on 05-Nov-2021, MODERNA COVID-19 VACCINE (Lot no.: 039M21A) on 09-May-2022 and MODERNA COVID-19 VACCINE (Lot no.: 050D22A) on 10-Nov-2022. Past adverse reactions to the above products included No adverse effect with MODERNA COVID-19 VACCINE, MODERNA COVID-19 VACCINE, MODERNA COVID-19 VACCINE, Pfizer and Pfizer.    On 16-Oct-2023, the patient received fifth dose of mRNA-1273.815 (SPIKEVAX 2023-2024) (unknown route) .5 milliliter. In October 2023, the patient experienced PAIN IN EXTREMITY (Mornings find me in significant pain in both arms), ARTHRALGIA (I have been experiencing severe joint pain since my vaccination which persisted over entire body,/Mornings find me in significant pain in my knees) and MYALGIA (I have been experiencing severe muscle pain since my vaccination which persisted over entire body,). The patient was treated with IBUPROFEN at a dose of UNK, bid. At the time of the report, PAIN IN EXTREMITY (Mornings find me in significant pain in both arms), ARTHRALGIA (I have been experiencing severe joint pain since my vaccination which persisted over entire body,/Mornings find me in significant pain in my knees) and MYALGIA (I have been experiencing severe muscle pain since my vaccination which persisted over entire body,) had not resolved.        For mRNA-1273.815 (SPIKEVAX 2023-2024) (Unknown), the reporter did not provide any causality assessments.   Concomitant medication was not provided. Patient reported that he had been experiencing extreme muscle pain and joint pain which persisted over entire body, but mostly both arms and knees and both shoulders. Arms were bad and knees not as bad. Patient reported that the mornings find him in significant pain in both arms and knees. The pain subsides after taking an Ibuprofen pain reliever but returns in the evening requiring additional Ibuprofen. He had never experienced any side effects from any other vaccine and was concerned that the long-lasting pain has not seemed to subside. They were worse in the morning. He can barely use his arms to get out of bed. He had to take hot shower and ibuprofen. He had been doing this since 14-Nov-2023. The doctor said not to go over 2 weeks which would end on 28-Nov-2023, but he continued to take it as he was suffering in the morning. It gets better during the day but comes back at night and wakes me up in the middle of the night, but he tried not to take anything until morning.   Most recent FOLLOW-UP information incorporated above includes: On 03-Dec-2023: Live follow up received and had no new information, added references. On 04-Dec-2023: Live follow up received and added patient details, added batch no., dose, unit, dose number of suspect and updated narrative.