Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Vaccination site discolouration, Vaccination site pain, Wheezing
Clinical narrative: wheezing on breathing out; developed a chesty cough; slight shortness of breath; there was a slight discoloring along the inner side of the arm; pulled muscle on the underside of his upper right arm/ underarm pain; This spontaneous case was reported by a patient and describes the occurrence of WHEEZING (wheezing on breathing out), COUGH (developed a chesty cough), DYSPNOEA (slight shortness of breath), VACCINATION SITE DISCOLOURATION (there was a slight discoloring along the inner side of the arm) and VACCINATION SITE PAIN (pulled muscle on the underside of his upper right arm/ underarm pain) in an 81-year-old male patient who received mRNA-1273.815 (SPIKEVAX 2023-2024) for COVID-19 prophylaxis.     Concurrent medical conditions included Heart disorder (Heart condition for several years .).    In May 2024, the patient received dose of mRNA-1273.815 (SPIKEVAX 2023-2024) (unknown route) 1 dosage form. In May 2024, the patient experienced WHEEZING (wheezing on breathing out), COUGH (developed a chesty cough), DYSPNOEA (slight shortness of breath), VACCINATION SITE DISCOLOURATION (there was a slight discoloring along the inner side of the arm) and VACCINATION SITE PAIN (pulled muscle on the underside of his upper right arm/ underarm pain). At the time of the report, WHEEZING (wheezing on breathing out), COUGH (developed a chesty cough), DYSPNOEA (slight shortness of breath), VACCINATION SITE DISCOLOURATION (there was a slight discoloring along the inner side of the arm) and VACCINATION SITE PAIN (pulled muscle on the underside of his upper right arm/ underarm pain) had not resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In 2024, Blood test: Unknown results. In 2024, Chest X-ray: Unknown results. In 2024, Electrocardiogram: Unknown results.     For mRNA-1273.815 (SPIKEVAX 2023-2024) (Unknown), the reporter did not provide any causality assessments.   No Concomitant medications provided by the reporter.  Patient received vaccination into his right upper arm in early May-2024. The patient stated that approximately eight days later post vaccination he developed what he first thought was pulled muscle on the underside of his upper right arm and there was a slight discoloring along the inner side of the arm. A few days later, he noticed he was wheezing on breathing out and shortly after developed a chesty cough and a slight shortness of breath. The patient stated that this symptom persisted for about six weeks. The patient stated that four months later he still has more enhanced symptoms.   The symptom was particularly uncomfortable first thing in the morning when coughing and lifting his arm to shave. Patient experienced painful when sneezing. Patient reported that the underarm pain soon fades after moving around for a short while, but the coughing wheezing and shortness of breath were there, and all this symptom patient experienced during his walked hours.  Patient has been issued with a treatment medication of inhaler that has not improved the condition for patient.   Patent given a sputum sample, and he was waiting for a spirometry test.  Patient general physician reported that patient has no symptom related with of myocarditis and pericarditis.   Most recent FOLLOW-UP information incorporated above includes: On 05-Oct-2024: Live follow-up received, and follow-up information included no new information.