Age: 75.0
Sex: F
Vaccine: COVID19, FLUX
Symptoms: Biopsy breast, COVID-19 immunisation, Contusion, Herpes zoster, Interchange of vaccine products
Clinical narrative: Pain in fingers; Cramp in hand; Shingles; Bruising of foot/Pain foot; Localized rash/skin punch on stomach bandage caused rash/Itchy rash; Patient took MODERNA COVID-19 as BOOSTER on 22 Dec 2021/Took PFIZER BIONTECH COVID-19 VACCINE; Patient took MODERNA COVID-19 as BOOSTER on 22 Dec 2021/Took PFIZER BIONTECH COVID-19 VACCINE; Burn of lower limb/got a burn on leg from hot broth; This spontaneous case was reported by a consumer and describes the occurrence of THERMAL BURN (Burn of lower limb/got a burn on leg from hot broth), PAIN IN EXTREMITY (Pain in fingers), MUSCLE SPASMS (Cramp in hand), HERPES ZOSTER (Shingles) and CONTUSION (Bruising of foot/Pain foot) in a 75-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.    Co-suspect products included non-company products ADALIMUMAB (HUMIRA) solution for injection for Rheumatoid arthritis and INFLUENZA VACCINE for an unknown indication.    The patient's past medical history included Malignant breast neoplasm in October 2021. Concurrent medical conditions included Rheumatoid arthritis. Concomitant products included TOZINAMERAN (PFIZER BIONTECH COVID-19 VACCINE) from 24-Mar-2021 to an unknown date for COVID-19 vaccination.   On 22-Dec-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient started ADALIMUMAB (HUMIRA) (Subcutaneous) Citrate Free On an unknown date, ADALIMUMAB (HUMIRA) (Subcutaneous) dosage was changed to Citrate Free. and INFLUENZA VACCINE (unknown route) at an unspecified dose. In October 2021, the patient experienced THERMAL BURN (Burn of lower limb/got a burn on leg from hot broth). On 22-Dec-2021, the patient experienced COVID-19 IMMUNISATION (Patient took MODERNA COVID-19 as BOOSTER on 22 Dec 2021/Took PFIZER BIONTECH COVID-19 VACCINE) and INTERCHANGE OF VACCINE PRODUCTS (Patient took MODERNA COVID-19 as BOOSTER on 22 Dec 2021/Took PFIZER BIONTECH COVID-19 VACCINE). In January 2022, the patient experienced CONTUSION (Bruising of foot/Pain foot). In 2022, the patient experienced RASH (Localized rash/skin punch on stomach bandage caused rash/Itchy rash). On an unknown date, the patient experienced PAIN IN EXTREMITY (Pain in fingers), MUSCLE SPASMS (Cramp in hand) and HERPES ZOSTER (Shingles). In 2022, CONTUSION (Bruising of foot/Pain foot) had resolved. At the time of the report, THERMAL BURN (Burn of lower limb/got a burn on leg from hot broth) was resolving, PAIN IN EXTREMITY (Pain in fingers), MUSCLE SPASMS (Cramp in hand) and RASH (Localized rash/skin punch on stomach bandage caused rash/Itchy rash) had not resolved, HERPES ZOSTER (Shingles) had resolved and COVID-19 IMMUNISATION (Patient took MODERNA COVID-19 as BOOSTER on 22 Dec 2021/Took PFIZER BIONTECH COVID-19 VACCINE) and INTERCHANGE OF VACCINE PRODUCTS (Patient took MODERNA COVID-19 as BOOSTER on 22 Dec 2021/Took PFIZER BIONTECH COVID-19 VACCINE) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In October 2021, Biopsy breast: Found cancer in lump of breast. On an unknown date, Platelet count: High platelet count.         No medical history was reported. It was unknown if patient was enrolled in a COVID-19 Vaccine Trial. For HUMIRA, the reporter causality for the events of Malignant breast neoplasm, Burn of lower limb, Platelet count high, Bruising of foot, Foot pain, Pain in fingers, Cramp in hand, Shingles, Localized rash, Rash aggravated and Itchy rash was no reasonable possibility.  For INFLUENZA VACCINE, the reporter causality for the events of Malignant breast neoplasm, Burn of lower limb, Platelet count high, Bruising of foot, Foot pain, Pain in fingers, Cramp in hand, Shingles, Localized rash, Rash aggravated and Itchy rash was not provided.  Lab data contains Bone Marrow biopsy on unknown date with unknown result and Stomach Ultrasound on unknown date with unknown result.  This case was identified as part of a retrospective clean-up activity where certain emails received in the Moderna mailbox were missed to be booked-in. No treatment medicines were provided.   Reporter did not allow further contact   Most recent FOLLOW-UP information incorporated above includes: On 08-Feb-2022: Non-significant Follow up appended - No New Information appended On 03-Mar-2022: Significant follow up appended. On 06-Apr-2022: Significant follow up appended