Age: 72.0
Sex: F
Vaccine: UNK
Symptoms: Contusion, Myalgia
Clinical narrative: bruising; Patient just received 2024-25 Spikevax on 30-Aug-2024 and, It did not feel like the ones received in the past, it hurt the muscle, more in the arm; arm was black and blue in the middle and the outside it was yellowish; This spontaneous case was reported by a patient and describes the occurrence of SKIN DISCOLOURATION (arm was black and blue in the middle and the outside it was yellowish), CONTUSION (bruising) and MYALGIA (Patient just received 2024-25 Spikevax on 30-Aug-2024 and, It did not feel like the ones received in the past, it hurt the muscle, more in the arm) in a 72-year-old female patient who received mRNA-1273.712 (SPIKEVAX 2024-2025 PFS) (batch no. 3042560) for COVID-19 prophylaxis.     Previously administered products included for COVID-19 prophylaxis: Moderna covid-19 vaccine (Dose 1) on 26-Feb-2021, Moderna covid-19 vaccine (Dose 2) on 26-Mar-2021, Moderna covid-19 vaccine (Dose 3) on 28-Oct-2021 and Moderna covid-19 vaccine (Dose 4) on 07-Sep-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 and Moderna covid-19 vaccine. Concurrent medical conditions included Pinched nerve (Chronic lower back pinched nerve for which back surgeon was referring to acupuncture. Also referred to a specialist that gives steroid shots for the back. This specialist states the steroid shots should be 2 weeks before or after the shot. Steroid shots had not been received yet.).    On 30-Aug-2024, the patient received fifth dose of mRNA-1273.712 (SPIKEVAX 2024-2025 PFS) (unknown route) .5 milliliter. In 2024, the patient experienced SKIN DISCOLOURATION (arm was black and blue in the middle and the outside it was yellowish) and MYALGIA (Patient just received 2024-25 Spikevax on 30-Aug-2024 and, It did not feel like the ones received in the past, it hurt the muscle, more in the arm). On 02-Sep-2024,  after starting mRNA-1273.712 (SPIKEVAX 2024-2025 PFS), the patient experienced CONTUSION (bruising). At the time of the report, SKIN DISCOLOURATION (arm was black and blue in the middle and the outside it was yellowish), CONTUSION (bruising) and MYALGIA (Patient just received 2024-25 Spikevax on 30-Aug-2024 and, It did not feel like the ones received in the past, it hurt the muscle, more in the arm) had not resolved.            Patient did not receive any other vaccines in the 4 weeks prior to COVID-19 vaccine.  Concomitant product use was not provided by the reporter.  It did not feel like the ones received in the past, it hurt the muscle, more in the arm. So now the arm was black and blue in the middle and the outside it's yellowish. The infection site was kept covered up by bandage for 2 days after infection. Patient first noticed bruising on 02-Sep-2024. Bruising seems to be staying the same (not getting better or worse).  Treatment information was not provided.  Reporter causality was not reported.   This case was linked to US-MODERNATX, INC.-MOD-2021-060483 (E2B Linked Report).; Sender's Comments:  US-MODERNATX, INC.-MOD-2021-060483:same patient but different product