Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Vaccination site pain, Vaccination site reaction, X-ray
Clinical narrative: like a little prick that comes and goes, at night he also gets it / sharp pain; pain he felt in his shoulder, in his bones; pain he felt in his shoulder, in his bones; He continues to have twinges in the place where he received the vaccine every 2 or 3 hours; little pain at the injection site; He fell on Feb 23rd, and fell on his shoulder, where he received the vaccine; shoulder became inflamed during the night; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of FALL (He fell on Feb 23rd, and fell on his shoulder, where he received the vaccine), INFLAMMATION (shoulder became inflamed during the night), PAIN (like a little prick that comes and goes, at night he also gets it / sharp pain), BONE PAIN (pain he felt in his shoulder, in his bones) and ARTHRALGIA (pain he felt in his shoulder, in his bones) in a 75-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 013M20A and 013L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Concomitant products included ISOSORBIDE, NIFEDIPINE, ASPIRIN [ACETYLSALICYLIC ACID], TICAGRELOR (BRILINTA), ROSUVASTATIN and LOSARTAN for an unknown indication.   On 20-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 16-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 23-Feb-2021, the patient experienced FALL (He fell on Feb 23rd, and fell on his shoulder, where he received the vaccine) and INFLAMMATION (shoulder became inflamed during the night). On an unknown date, the patient experienced PAIN (like a little prick that comes and goes, at night he also gets it / sharp pain), BONE PAIN (pain he felt in his shoulder, in his bones), ARTHRALGIA (pain he felt in his shoulder, in his bones), VACCINATION SITE REACTION (He continues to have twinges in the place where he received the vaccine every 2 or 3 hours) and VACCINATION SITE PAIN (little pain at the injection site). The patient was treated with PARACETAMOL (TYLENOL) at a dose of 1 dosage form. At the time of the report, FALL (He fell on Feb 23rd, and fell on his shoulder, where he received the vaccine), INFLAMMATION (shoulder became inflamed during the night), PAIN (like a little prick that comes and goes, at night he also gets it / sharp pain), BONE PAIN (pain he felt in his shoulder, in his bones), ARTHRALGIA (pain he felt in his shoulder, in his bones), VACCINATION SITE REACTION (He continues to have twinges in the place where he received the vaccine every 2 or 3 hours) and VACCINATION SITE PAIN (little pain at the injection site) outcome was unknown. Not Provided    DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 25-Feb-2021, X-ray: normal (normal) Normal.     For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.   Treatment also included warm compresses and showers was reported by the reporter. The action taken with the suspect drug was reported as not applicable by the reporter.   Most recent FOLLOW-UP information incorporated above includes: On 10-Jun-2021: Follow-up information received on 10 JUN  2021 contain Information include patient's primary HCP and facility center was updated. Concomitant medications were updated and patient's first dose  of Moderna COVID-19 vaccine start date and batch/lot number were also updated.