Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Biopsy, Extra dose administered, Rash
Clinical narrative: swollen arm from her shoulder to her elbow; Felt like she had the flu; She was in bed for 4 days after receiving the 3rd dose; The rash got much worse; Headaches; muscle aches; Joint pains; This spontaneous case was reported by a consumer and describes the occurrence of PERIPHERAL SWELLING (swollen arm from her shoulder to her elbow), INFLUENZA LIKE ILLNESS (Felt like she had the flu), MOBILITY DECREASED (She was in bed for 4 days after receiving the 3rd dose), RASH (The rash got much worse) and HEADACHE (Headaches) in a 73-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included Knee operation. Concurrent medical conditions included Drug allergy (Promethazine), Psoriatic arthritis, May-Thurner syndrome, Burning mouth syndrome, Hypothyroidism, Migraine, Immunocompromised, Dry mouth, Digestion impaired (to help with digestion), Gastrointestinal disorder (for gut problem), Anxiety, Hyperlipidemia, Drug allergy (Betadine) and Drug allergy (Lovenox). Concomitant products included BUPROPION for Anxiety, CLONAZEPAM for Burning mouth syndrome, METFORMIN for Digestion impaired, PILOCARPINE for Dry mouth, OMEPRAZOLE for Gastrointestinal disorder, ATORVASTATIN for Hyperlipidemia, TOPIRAMATE for Migraine, LEVOTHYROXINE for an unknown indication.   On 10-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 07-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 25-Aug-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 25-Aug-2021, the patient experienced PERIPHERAL SWELLING (swollen arm from her shoulder to her elbow), INFLUENZA LIKE ILLNESS (Felt like she had the flu), MOBILITY DECREASED (She was in bed for 4 days after receiving the 3rd dose), RASH (The rash got much worse), HEADACHE (Headaches), MYALGIA (muscle aches) and ARTHRALGIA (Joint pains). The patient was treated with MUPIROCIN at a dose of UNK, tid; PIMECROLIMUS (topical) at a dose of 1 % percent twice a day and TRIAMCINOLONE (topical) at a dose of .1 % percent twice a day. On 29-Aug-2021, MOBILITY DECREASED (She was in bed for 4 days after receiving the 3rd dose) had resolved. At the time of the report, PERIPHERAL SWELLING (swollen arm from her shoulder to her elbow), HEADACHE (Headaches) and MYALGIA (muscle aches) outcome was unknown, INFLUENZA LIKE ILLNESS (Felt like she had the flu) and ARTHRALGIA (Joint pains) had resolved and RASH (The rash got much worse) had not resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Biopsy: they couldn't detect what it was. They couldn't detect what it was..         Patient did not tested positive for Covid-19 and she did not receive any other vaccine within one month prior to Moderna Covid-19 vaccine. Patient did not experience a similar event on the past. Patient chronic illnesses did not improve or worsening after the vaccination.   Patient reported that she was a swimmer , was embarrassed to go the pool for swimming and she cannot exercise. She said that her life had been put on hold due to that.  Treatment included five to six different medications including cortisone, as well as light therapy for rash. However, none of the treatments had worked in treating the rash.   This case was linked to MOD-2022-503106, MOD-2022-503094, MOD-2022-503108 (Patient Link).   Most recent FOLLOW-UP information incorporated above includes: On 07-Mar-2022: Updated product (added dose 1 and dose 2 details). Added events (peripheral swelling, mobility decreased, headache and  myalgia) and narrative.