Age: 64.0
Sex: F
Vaccine: COVID19, FLU4, VARZOS
Symptoms: Chest X-ray, Pain in extremity, Tuberculin test
Clinical narrative: little soreness in her arm; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (little soreness in her arm) in a 64-year-old female patient who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) for COVID-19 prophylaxis.    Co-suspect products included non-company products VARICELLA ZOSTER VACCINE RGE (CHO) (SHINGRIX) for an unknown indication and INFLUENZA VACCINE INACT SPLIT 4V (FLUZONE HIGH DOSE QUADRIVALENT) for an unknown indication.    The patient's past medical history included Welts (Twenty-flve or thirty years ago she had a TB test with ppd. After that test, her entire arm "blew up" instantly with a giant welt.). Previously administered products included for Drug use for unknown indication: Flu Shots, TD and Typhoid. Past adverse reactions to the above products included No adverse event with TD and Typhoid; and Pain in extremity with Flu Shots. Concomitant products included CORTISONE ACETATE (CORTISONE [CORTISONE ACETATE]) for an unknown indication.   On 09-Sep-2022, the patient received dose of INFLUENZA VACCINE INACT SPLIT 4V (FLUZONE HIGH DOSE QUADRIVALENT) (unknown route) at an unspecified dose. On an unknown date, the patient received dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) 1 dosage form and dose of VARICELLA ZOSTER VACCINE RGE (CHO) (SHINGRIX) (unknown route) at an unspecified dose. On an unknown date, the patient experienced PAIN IN EXTREMITY (little soreness in her arm). At the time of the report, PAIN IN EXTREMITY (little soreness in her arm) was resolving.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Chest X-ray: Negative. On an unknown date, Tuberculin test: test was contaminated with something.         Patient dermatologist gave her a shot Of cortisone and she took antihistamines. Both her dermatologist and internist were not sure if the Fluzone HD could be the cause, especially with the 4-day delay Of onset, however the patient could not think of anything else that she might had been exposed to that would have caused the hives. When the hives began, they started in the armpit of her right arm at that same level as the injection site. She discussed her previous experience with other vaccines as to how it was so unusual for her to had hives after Fluzone HD QIV. She received Moderna Covid vaccines. The bivalent Covid booster a week ago caused her to have a little soreness in her arm. All of the  other Covid boosters did not cause problems for her. She has taken vaccines against pneumonia without problems. Twenty-five or thirty years ago she had a TB test with ppd. After that test, her entire arm blewed up instantly with a giant welt. She was told at first that she had T B. A follow-up chest x-ray was negative. It was realized that she did not have TB and that instead something was wrong with that test. She later had subsequent ppd tests without reactions. No treatment medications were provided.   This case was linked to MOD-2022-679659 (Patient Link).