Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure measurement, Body temperature, Computerised tomogram, Heart rate, Insomnia
Clinical narrative: Swelling; difficult in sleeping; I started having paresthesia / even part of my face/ numbness, and weakness of the same arm/eft arm numbness and burning since, neck pain with tingling, loss of strength and burning muscle pain; dull pain on the vaccine site; This spontaneous case was reported by a patient and describes the occurrence of SWELLING (Swelling), INSOMNIA (difficult in sleeping), PARAESTHESIA (I started having paresthesia / even part of my face/ numbness, and weakness of the same arm/left arm numbness and burning since, neck pain with tingling, loss of strength and burning muscle pain) and VACCINATION SITE PAIN (dull pain on the vaccine site) in a 38-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 0918214) for COVID-19 prophylaxis.     The patient had no medical history, concomitant disease or risk factor.  The patient's past medical history included Neck discomfort and Back discomfort.    On 29-Jul-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 29-Jul-2021, the patient experienced SWELLING (Swelling) and INSOMNIA (difficult in sleeping). 29-Jul-2021, the patient experienced PARAESTHESIA (I started having paresthesia / even part of my face/ numbness, and weakness of the same arm/left arm numbness and burning since, neck pain with tingling, loss of strength and burning muscle pain) and VACCINATION SITE PAIN (dull pain on the vaccine site). On 13-Jan-2023, PARAESTHESIA (I started having paresthesia / even part of my face/ numbness, and weakness of the same arm/eft arm numbness and burning since, neck pain with tingling, loss of strength and burning muscle pain) and VACCINATION SITE PAIN (dull pain on the vaccine site) had resolved with sequelae. At the time of the report, SWELLING (Swelling) and INSOMNIA (difficult in sleeping) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 21-Jul-2021, Computerised tomogram: done to rule out stroke and it was normal. On 29-Nov-2021, Blood pressure measurement: 109/67 mmHg. On 29-Nov-2021, Body temperature: 97.7 temperature-oral was 97.7 Fahrenheit. On 29-Nov-2021, Heart rate: 73 breaths per minute. On 29-Nov-2021, Oxygen saturation: 99 %. On 29-Nov-2021, Respiratory rate: 18 /min.     mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosing was delayed on an unknown date.   For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.   No concomitant medications were reported.  The physician stated that, shortly after receiving the first dose of vaccine the patient experienced swelling, numbness, and weakness of the same arm where the vaccine was administered. She was now undergoing a neurological evaluation directly related to this issue and physician had advised her to delay the second dose of the vaccine until the evaluation was completed. On 15-Sep-2021, the patient visited another physician for evaluation of left upper extremity numbness and weakness 2 hours post vaccination. She had a sudden onset of left arm numbness and burning since, neck pain with tingling, difficult in sleeping, loss of strength and burning muscle pain. The primary care provider was consulted who sent her for testing for underlying stroke. The steroid had not helped. She had prior discomfort in neck and back. Her symptoms remain unchanged since they occurred, and no position seems to relieve the symptoms. The purpose of evaluation was to rule out an underlying nerve compression etiology. After the thorough physical examination and cervical radiological study; structural compromise was ruled out; patient symptoms were not related to neurovascular compromise. On 29-Nov-2021, the patient visited the office of allergist over the concern of COVID vaccine; her left arm (shoulder through fingertips) was weak and in pain. At night, the left arm becomes numb. On the same day at 10:35 am, her vital signs were as follows; body mass index 26.2 kg/m2, body surface area 1.70 m2 and oxygen saturation 99%. The physician assessed neuropathy from COVID Moderna vaccine injection left arm. There was no evidence of COVID-19 allergy to Jonson & Jonson and Moderna vaccines. The physician also suggested to pursue MRI of cervical spine and left arm with neurologist. Patient's BMI and blood pressure measurement was satisfactory. Patient's symptoms persisted for about 6 months and still flared up every nowand then.