Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Acne, Arthralgia, Axillary pain, Chills, Erythema
Clinical narrative: Swelling; Redness; Pain in the left armpit; Tenderness of lymph nodes in the left armpit; Swelling of the lymph nodes in the left armpit; Fatigue; Headache; Muscle pain; Joint pain; Chills; Nausea; Fever; Lower half of face broke out like a hormonal breakout; Ringing in ears that is getting progressively worse,Constant ringing that doesn't stop,Possibly left side has gotten a little bit louder but hard to tell because constant,feels like left side has gottenworse.; Having a hard time working; Having a hard time sleeping; Felt off after booster compared to the first two; This spontaneous case was reported by a consumer and describes the occurrence of TINNITUS (Ringing in ears that is getting progressively worse,Constant ringing that doesn't stop,Possibly left side has gotten a little bit louder but hard to tell because constant,feels like left side has gottenworse.), MALAISE (Felt off after booster compared to the first two), IMPAIRED WORK ABILITY (Having a hard time working), INSOMNIA (Having a hard time sleeping) and ACNE (Lower half of face broke out like a hormonal breakout) in a 49-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 069F21A, 038B21A and 003B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Concurrent medical conditions included Asthma (Asthma inhaler not used in over a year) and Migraine. Concomitant products included ALBUTEROL [SALBUTAMOL] for Asthma, RIZATRIPTAN for Migraine.   On 27-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 24-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 02-Dec-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 02-Dec-2021,  after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced MALAISE (Felt off after booster compared to the first two). On 03-Dec-2021, the patient experienced TINNITUS (Ringing in ears that is getting progressively worse,Constant ringing that doesn't stop,Possibly left side has gotten a little bit louder but hard to tell because constant,feels like left side has gottenworse.), IMPAIRED WORK ABILITY (Having a hard time working) and INSOMNIA (Having a hard time sleeping). On 05-Dec-2021, the patient experienced ACNE (Lower half of face broke out like a hormonal breakout). On an unknown date, the patient experienced SWELLING (Swelling), ERYTHEMA (Redness), AXILLARY PAIN (Pain in the left armpit), LYMPH NODE PAIN (Tenderness of lymph nodes in the left armpit), LYMPHADENOPATHY (Swelling of the lymph nodes in the left armpit), FATIGUE (Fatigue), HEADACHE (Headache), MYALGIA (Muscle pain), ARTHRALGIA (Joint pain), CHILLS (Chills), NAUSEA (Nausea) and PYREXIA (Fever). At the time of the report, TINNITUS (Ringing in ears that is getting progressively worse,Constant ringing that doesn't stop,Possibly left side has gotten a little bit louder but hard to tell because constant,feels like left side has gottenworse.) had not resolved and MALAISE (Felt off after booster compared to the first two), IMPAIRED WORK ABILITY (Having a hard time working), INSOMNIA (Having a hard time sleeping), ACNE (Lower half of face broke out like a hormonal breakout), SWELLING (Swelling), ERYTHEMA (Redness), AXILLARY PAIN (Pain in the left armpit), LYMPH NODE PAIN (Tenderness of lymph nodes in the left armpit), LYMPHADENOPATHY (Swelling of the lymph nodes in the left armpit), FATIGUE (Fatigue), HEADACHE (Headache), MYALGIA (Muscle pain), ARTHRALGIA (Joint pain), CHILLS (Chills), NAUSEA (Nausea) and PYREXIA (Fever) outcome was unknown.        For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   Treatment information was not provided.   This case was linked to MOD-2021-405038, MOD-2021-405042 (Patient Link).