Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Fatigue, Gait inability, Headache, Interchange of vaccine products, Muscular weakness
Clinical narrative: Severe muscle weakness/ Muscle weakness with difficulty sitting up for long periods; pain in torso, arms & legs/ Body aches; pain in torso, arms & legs./Arm pain; Low back pain; Headache; Nausea; Joint pain/ shoulder & neck pain; Cough; Muscle weakness with difficulty sitting up for long periods; Dx of capilaritis; Unable to walk around block; Light headed; fatigue with the slightest exertion; shoulder & neck pain; Muscle pain in right hip & down leg with pain sleeping/Constant Muscle pain with no exertion & at rest.; pain in torso, arms & legs./Arm pain/ Severe Pain from thighs into calfs with any exertion; 4 vaccines received on the same date: 14Jun2022; 4 vaccines received on the same date: 14Jun2022; 4 vaccines received on the same date: 14Jun2022; This is a spontaneous report received from contactable reporter(s) (Other HCP). The reporter is the patient.  A 68-year-old female patient (not pregnant) received BNT162b2 (BNT162B2), as dose 4 (booster), single (Lot number: FM7553), in left arm for covid-19 immunisation; coviD-19 vaccine mrna (mrna 1273) (MODERNA COVID-19 VACCINE), as dose 1, single (Batch/Lot number: unknown), in left arm, as dose 2, single (Batch/Lot number: unknown), in left arm and as dose 3 (booster), single (Batch/Lot number: unknown), in left arm for covid-19 immunisation. The patient's relevant medical history included: "Autoimmune hepatitis" (unspecified if ongoing); "Known allergies: Yes" (unspecified if ongoing), notes: Known allergies: Yes. The patient's concomitant medications were not reported. The following information was reported: OFF LABEL USE (non-serious), PRODUCT USE ISSUE (non-serious), INTERCHANGE OF VACCINE PRODUCTS (non-serious) all with onset 14Jun2022, outcome "unknown" and all described as "4 vaccines received on the same date: 14Jun2022"; COUGH (non-serious) with onset 15Jun2022 at 12:00, 1 day 12 hrs after the suspect product(s) administration, outcome "not recovered"; CAPILLARITIS (non-serious) with onset 15Jun2022 at 12:00, 1 day 12 hrs after the suspect product(s) administration, outcome "not recovered", described as "Dx of capilaritis"; HEADACHE (non-serious) with onset 15Jun2022 at 12:00, 1 day 12 hrs after the suspect product(s) administration, outcome "not recovered"; ARTHRALGIA (non-serious) with onset 15Jun2022 at 12:00, 1 day 12 hrs after the suspect product(s) administration, outcome "not recovered", described as "Joint pain/ shoulder & neck pain"; DIZZINESS (non-serious) with onset 15Jun2022 at 12:00, 1 day 12 hrs after the suspect product(s) administration, outcome "not recovered", described as "Light headed"; BACK PAIN (non-serious) with onset 15Jun2022 at 12:00, 1 day 12 hrs after the suspect product(s) administration, outcome "not recovered", described as "Low back pain"; MYALGIA (non-serious) with onset 15Jun2022 at 12:00, 1 day 12 hrs after the suspect product(s) administration, outcome "not recovered", described as "Muscle pain in right hip & down leg with pain sleeping/Constant Muscle pain with no exertion & at rest."; SITTING DISABILITY (non-serious) with onset 15Jun2022 at 12:00, 1 day 12 hrs after the suspect product(s) administration, outcome "not recovered", described as "Muscle weakness with difficulty sitting up for long periods"; NAUSEA (non-serious) with onset 15Jun2022 at 12:00, 1 day 12 hrs after the suspect product(s) administration, outcome "not recovered"; MUSCULAR WEAKNESS (non-serious) with onset 15Jun2022 at 12:00, 1 day 12 hrs after the suspect product(s) administration, outcome "not recovered", described as "Severe muscle weakness/ Muscle weakness with difficulty sitting up for long periods"; GAIT INABILITY (non-serious) with onset 15Jun2022 at 12:00, 1 day 12 hrs after the suspect product(s) administration, outcome "not recovered", described as "Unable to walk around block"; FATIGUE (non-serious) with onset 15Jun2022 at 12:00, 1 day 12 hrs after the suspect product(s) administration, outcome "not recovered", described as "fatigue with the slightest exertion"; PAIN IN EXTREMITY (non-serious) with onset 15Jun2022 at 12:00, 1 day 12 hrs after the suspect product(s) administration, outcome "not recovered", described as "pain in torso, arms & legs./Arm pain"; PAIN IN EXTREMITY (non-serious) with onset 15Jun2022 at 12:00, 1 day 12 hrs after the suspect product(s) administration, outcome "not recovered", described as "pain in torso, arms & legs./Arm pain/ Severe Pain from thighs into calfs with any exertion"; PAIN (non-serious) with onset 15Jun2022 at 12:00, 1 day 12 hrs after the suspect product(s) administration, outcome "not recovered", described as "pain in torso, arms & legs/ Body aches"; NECK PAIN (non-serious) with onset 15Jun2022 at 12:00, 1 day 12 hrs after the suspect product(s) administration, outcome "not recovered", described as "shoulder & neck pain". The events "severe muscle weakness/ muscle weakness with difficulty sitting up for long periods", "pain in torso, arms & legs/ body aches", "pain in torso, arms & legs./arm pain", "low back pain", "headache", "nausea", "joint pain/ shoulder & neck pain", "cough", "muscle weakness with difficulty sitting up for long periods", "dx of capilaritis", "unable to walk around block", "light headed", "fatigue with the slightest exertion", "shoulder & neck pain", "muscle pain in right hip & down leg with pain sleeping/constant muscle pain with no exertion & at rest." and "pain in torso, arms & legs./arm pain/ severe pain from thighs into calfs with any exertion" required physician office visit. Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were not taken as a result of muscular weakness, pain, pain in extremity, back pain, headache, nausea, arthralgia, cough, sitting disability, capillaritis, gait inability, dizziness, fatigue, neck pain, myalgia, pain in extremity.  Additional information: Dose received: More than 3. Product=COVID 19, Administration date=14Jun2022, Administration time=10:00 AM. Other vaccine same date details: Other vaccine same date product=Moderna, Other vaccine same date vaccine date=14Jun2022, Other vaccine same date dose number=3, Other vaccine same date vaccine location=Left arm. Other vaccine same date product=Moderna, Other vaccine same date vaccine date=14Jun2022, Other vaccine same dose number=2, Other vaccine same date vaccine location=Left arm. Other vaccine same date product=Moderna, Other vaccine same date vaccine date=14Jun2022, Other vaccine same date dose number=1, Other vaccine same date vaccine location=Left arm. No other vaccine in four weeks. No covid prior vaccination. Covid was tested post vaccination.  No follow-up attempts are possible. No further information is expected.