Age: 50.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Condition aggravated, Feeling hot, Immunisation reaction, Vaccination site pain, Vaccination site swelling
Clinical narrative: It felt like her arm was on fire.; The swelling looks like a bee sting/the pain was so severe; The same night, her arm started to swell up, became hot, and has been hurting since then; The same night, her arm started to swell up, became hot, and has been hurting since then/The swelling looks like a bee sting.; it's a bad reaction to the vaccine but is not sure; The same night, her arm started to swell up, became hot, and has been hurting since then; This spontaneous case was reported by a patient and describes the occurrence of VACCINATION SITE WARMTH (The same night, her arm started to swell up, became hot, and has been hurting since then), FEELING HOT (It felt like her arm was on fire.), IMMUNISATION REACTION (it's a bad reaction to the vaccine but is not sure), CONDITION AGGRAVATED (The swelling looks like a bee sting/the pain was so severe) and VACCINATION SITE PAIN (The same night, her arm started to swell up, became hot, and has been hurting since then) in a 50-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 059M21A, 939969, 003C21A and 032B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Previously administered products included for Immunization: Tetanus (in her right arm as an IM injection.) on 05-May-2022. Past adverse reactions to the above products included No adverse event with Tetanus. Concurrent medical conditions included Penicillin allergy (Sensitivity to penicillin).   On 05-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) .5 milliliter. On 05-May-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to .5 milliliter. On 29-Nov-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 29-May-2022, received fourth dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to .25 milliliter. On 29-May-2022, the patient experienced VACCINATION SITE WARMTH (The same night, her arm started to swell up, became hot, and has been hurting since then), IMMUNISATION REACTION (it's a bad reaction to the vaccine but is not sure), VACCINATION SITE PAIN (The same night, her arm started to swell up, became hot, and has been hurting since then) and VACCINATION SITE SWELLING (The same night, her arm started to swell up, became hot, and has been hurting since then/The swelling looks like a bee sting.). On 30-May-2022, the patient experienced FEELING HOT (It felt like her arm was on fire.) and CONDITION AGGRAVATED (The swelling looks like a bee sting/the pain was so severe). The patient was treated with IBUPROFEN ongoing since an unknown date for Adverse event, at an unspecified dose and frequency. At the time of the report, VACCINATION SITE WARMTH (The same night, her arm started to swell up, became hot, and has been hurting since then), FEELING HOT (It felt like her arm was on fire.), IMMUNISATION REACTION (it's a bad reaction to the vaccine but is not sure), CONDITION AGGRAVATED (The swelling looks like a bee sting/the pain was so severe), VACCINATION SITE PAIN (The same night, her arm started to swell up, became hot, and has been hurting since then) and VACCINATION SITE SWELLING (The same night, her arm started to swell up, became hot, and has been hurting since then/The swelling looks like a bee sting.) had not resolved.            No concomitant medication provided.  Patient never had COVID positive test or diagnosis.  It was reported as patient had never experienced anything like that before. Patient said that last night, 30May2022, the pain was so severe that she had to wake up and put an ice pack on the swelling. Already patient also had been taking Ibuprofen for her symptoms and will continue to do so as a home remedy. Patient stated that from her previous 3 doses, she never experienced a swollen, painful, and hot arm. she was told she received a half dose and wanted to know if her 4th dose should have been a full dose or half dose. Unsure, if patient had similar events in the past and if so, may have experienced with some other vaccinations.  Consent given for Safety follow-up with patient.   This case was linked to MOD-2022-580253 (Patient Link).