Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Body temperature, Headache, Heart rate, Nausea
Clinical narrative: My arm gets very sore pretty quickly after receiving the vaccine; I get very achy; It takes me a week or so to get back to my usual energy level; even scalp and after a day it fades to look like a mild sunburn and gets itchy because it dries out my skin.; I felt a bit nauseous on and off; run a temperature of 100.5; I have a bit of a headache; I get a splotchy rash - starts on torso and works its way out to arms and legs/I get this rash happened for most Pfizer ones as well.; This spontaneous case was reported by a patient and describes the occurrence of PAIN IN EXTREMITY (My arm gets very sore pretty quickly after receiving the vaccine), PAIN (I get very achy), ASTHENIA (It takes me a week or so to get back to my usual energy level), PRURITUS (even scalp and after a day it fades to look like a mild sunburn and gets itchy because it dries out my skin.) and NAUSEA (I felt a bit nauseous on and off) in a 62-year-old female patient who received SPIKEVAX NOS (SPIKEVAX NOS) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included Flu, Faint (was in High School), Heart murmur (born with a heart murmur, not severe) and Palpitations (occasionally get palpitations). Previously administered products included for Product used for unknown indication: Pfizer (Dose 5), Pfizer (Dose 4), Pfizer (Dose 1), Pfizer (Dose 2) and Pfizer (Dose 3). Past adverse reactions to the above products included Rash with Pfizer, Pfizer, Pfizer, Pfizer and Pfizer. Concurrent medical conditions included GERD (managed primarily with diet but on occasion with over-the-counter strength Pepcid.) since May 2019. Concomitant products included Famotidine (Pepcid) for GERD, Melatonin and Matricaria chamomilla, Passiflora incarnata (Passionflower & Chamomile) for Sleep problem, Colecalciferol (Vitamin d3), Plantago ovata (Metamucil) and Docusate sodium (Colace) for an unknown indication.    In 2023, the patient received sixth dose of SPIKEVAX NOS (SPIKEVAX NOS) (unknown route) 1 dosage form. On an unknown date, the patient experienced PAIN IN EXTREMITY (My arm gets very sore pretty quickly after receiving the vaccine), PAIN (I get very achy), ASTHENIA (It takes me a week or so to get back to my usual energy level), PRURITUS (even scalp and after a day it fades to look like a mild sunburn and gets itchy because it dries out my skin.), NAUSEA (I felt a bit nauseous on and off), PYREXIA (run a temperature of 100.5), HEADACHE (I have a bit of a headache) and RASH (I get a splotchy rash - starts on torso and works its way out to arms and legs/I get this rash happened for most Pfizer ones as well.). At the time of the report, PAIN IN EXTREMITY (My arm gets very sore pretty quickly after receiving the vaccine), PAIN (I get very achy), ASTHENIA (It takes me a week or so to get back to my usual energy level), PRURITUS (even scalp and after a day it fades to look like a mild sunburn and gets itchy because it dries out my skin.), NAUSEA (I felt a bit nauseous on and off), PYREXIA (run a temperature of 100.5), HEADACHE (I have a bit of a headache) and RASH (I get a splotchy rash - starts on torso and works its way out to arms and legs/I get this rash happened for most Pfizer ones as well.) had resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Body temperature: 100.5 or a bit higher. On an unknown date, Heart rate: feels a somewhat higher than normal.     For SPIKEVAX NOS (SPIKEVAX NOS) (Unknown), the reporter considered RASH (I get a splotchy rash - starts on torso and works its way out to arms and legs/I get this rash happened for most Pfizer ones as well.) to be not related. No further causality assessments were provided for PAIN IN EXTREMITY (My arm gets very sore pretty quickly after receiving the vaccine), PAIN (I get very achy), ASTHENIA (It takes me a week or so to get back to my usual energy level), PRURITUS (even scalp and after a day it fades to look like a mild sunburn and gets itchy because it dries out my skin.), NAUSEA (I felt a bit nauseous on and off), PYREXIA (run a temperature of 100.5) and HEADACHE (I have a bit of a headache).    Patient had no known allergies to medications, food and other products.  Patient felt bad from Covid shots typically for a couple of days. Patient was occasionally taking Melatonin, or a Calms sleep aid (chamomile/passionflower), and stopped using it for some time prior to the vaccination.  Patient occasionally got palpitations and was born with heart murmur which was not severe and did not need to take antibiotics prior to the dental appointment.  The patient received a total of 7 doses. Patient received first 5 doses that were of Pfizer vaccine and then in 2023 and 2024, patient received Moderna vaccines.  Patient got very sore arm pretty quickly after receiving the vaccine for a couple of days. The patient felt very achy, had a temperature of 100.5 or a bit higher, a bit of a headache, and the heart rate felt a somewhat higher than normal. With this vaccine, the patient felt a bit nauseous on and off. These symptoms lasted typically for a couple of days like 2 to 3 days. The side effects started tapering off typically after the first day and a half or so at which point, the patient got a splotchy rash - started on torso and worked its way out to arms and legs, even scalp and after a day, it faded to look like a mild sunburn and gets itchy because it dried out the skin. The rash was not a result of the vaccine, and patient gets it anytime, for example, if the patient ate something that the patient disagreed or at times when the patient had bad cold or the flu. Patient felt bad enough due to the Covid vaccines as the rash occurs and it occurred with most Pfizer vaccines as well. It took a week for the patient to get back to the usual energy level.  Treatment medication was not reported.   This case was linked to MOD-2024-775677 (Patient Link).   Most recent FOLLOW-UP information incorporated above includes: On 18-Nov-2024: Live non-significant follow-up received which contains no new information.