Age: 67.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Limb discomfort, Oedema peripheral, Sluggishness
Clinical narrative: sore arm; ultrasound doctors saw fluid again / Fluid in the arm; she could not drive; she had a big node in her but, it was uncomfortable; she couldn't sit because it hurt so much; This spontaneous case was reported by a patient and describes the occurrence of OEDEMA PERIPHERAL (ultrasound doctors saw fluid again / Fluid in the arm), IMPAIRED DRIVING ABILITY (she could not drive), NODULE (she had a big node in her but, it was uncomfortable), PAIN (she couldn't sit because it hurt so much) and PAIN IN EXTREMITY (sore arm) in a 68-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 056M21A, 021H21B, 023M20A and 042L20A) for COVID-19 vaccination.     No other vaccines given within 1 month prior to Moderna COVID-19 vaccine. Patient never had COVID positive test or diagnosis.  The patient's past medical history included Breast cancer (27 years cancer free) in 1991 and Drainage (On Mar2022, patient went to ER twice because there was fluid into her left arm, and doctors drained the fluid) in March 2022. Concurrent medical conditions included Iodine allergy, Weight loss (lost a lot of weight), Blood pressure and Acid reflux (esophageal). Concomitant products included ESOMEPRAZOLE SODIUM (NEXIUM [ESOMEPRAZOLE SODIUM]) for Acid reflux (esophageal), HYDROCHLOROTHIAZIDE for Blood pressure high, VITAMINS NOS for an unknown indication.   On 28-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 25-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 27-Nov-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 04-May-2022, received fourth dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 04-May-2022, the patient experienced IMPAIRED DRIVING ABILITY (she could not drive), NODULE (she had a big node in her but, it was uncomfortable) and PAIN (she couldn't sit because it hurt so much). On 28-Jul-2022, the patient experienced OEDEMA PERIPHERAL (ultrasound doctors saw fluid again / Fluid in the arm). On an unknown date, the patient experienced PAIN IN EXTREMITY (sore arm). On 11-May-2022, IMPAIRED DRIVING ABILITY (she could not drive), NODULE (she had a big node in her but, it was uncomfortable) and PAIN (she couldn't sit because it hurt so much) had resolved. At the time of the report, OEDEMA PERIPHERAL (ultrasound doctors saw fluid again / Fluid in the arm) and PAIN IN EXTREMITY (sore arm) had not resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In April 2021, Mammogram: swollen lymph node in her left armpit. In July 2021, Biopsy: Negative. On 28-Jul-2022, Mammogram: Negative. On 28-Jul-2022, Ultrasound scan: in an ultrasound doctors saw fluid again. On an unknown date, Weight: lost a lot of weight.         The patient received 2nd booster on her but, because her HCP stated she could not receive any other vaccine in her arm. After the vaccine was given she had to go to the bathtub, she had a big node in her but, it was uncomfortable. On 25-Aug-2022, the patient will visit a plastic surgeon to receive radiation on the scar tissue to make sure the lymph node will not grow back. The patient was very concerned about this situation, and she pointed out that she lost a lot of weight.   No other vaccines was given within 1 month prior to Moderna COVID-19 vaccine. The event caused the patient to seek medical care from surgeon, oncologist, emergency room visits. The patient did not experienced a similar event in the past.  Treatment given was surgery.   This case was linked to MOD-2022-618345, MOD-2022-618346, MOD-2022-618210 (Patient Link).