Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Red blood cell sedimentation rate, Rheumatoid factor, Tendon rupture, Ultrasound scan
Clinical narrative: CONSTANT MUSCLE SPASMS IN HIP (RIGHT HIP), BOTH SHOULDERS; TEARS IN THE FIBERS OF TENDONS/TENDON WAS BEING PULLED OFF BONES; LEFT WRIST PAIN; SWOLLEN LEFT WRIST; FLUID IN JOINTS OF SHOULDERS; SORENESS IN SHOULDERS; COULD NOT LIFT ARMS, GET DRESSED, COULD NOT USE UPPER BODY; This spontaneous report received from a patient concerned a 72 year old female. The patient's height, and weight were not reported. The patient's concurrent conditions included: atrial fibrillation, non-alcoholic, non-smoker, and high cholesterol, and other pre-existing medical conditions included: The patient reported that there was no previous injury and no activities that would aggravate ligaments/muscles/tendons. No drug abuse or illicit drug usage usage. The patient had allergies to sulfa drug had experienced skin rash. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 205A21A, expiry: 21-SEP-2021) dose was not reported, administered on 06-AUG-2021 for prophylactic vaccination. Concomitant medications included digoxin for atrial fibrillation, propranolol for atrial fibrillation, acetylsalicylic acid for drug used for unknown indication, and atorvastatin for high cholesterol. On 07-SEP-2021, the patient experienced soreness in shoulders. On 07-SEP-2021, the patient experienced could not lift arms, get dressed, could not use upper body. On 30-SEP-2021, the patient experienced swollen left wrist. On 30-SEP-2021, the patient experienced fluid in joints of shoulders. On 30-SEP-2021, the patient experienced left wrist pain. On OCT-2021, treatment medications included: prednisone. On 05-OCT-2021, Laboratory data included: Basic metabolic panel (NR: not provided) normal, C-reactive protein (NR: not provided) 17.4 less than 10 standard range, CBC (NR: not provided) normal range, Diagnostic ultrasound (NR: not provided) ultrasound showed inflammation, and Erythrocyte sedimentation rate (NR: not provided) 51 less than 30 standard range. On NOV-2021, the patient experienced tears in the fibers of tendons/tendon was being pulled off bones. On 09-NOV-2021, Laboratory data included: C-reactive protein (NR: not provided) 3.3, CD4/CD8 ratio (NR: not provided) 0.01 in range, Erythrocyte sedimentation rate (NR: not provided) 31, Hepatitis viral test NOS (NR: not provided) all non-reactive and negative, Mitogen stimulation test (NR: not provided) 7.69, and Tuberculosis test negative (NR: not provided) negative and within standard range. On 24-NOV-2021, Laboratory data included: MRI (NR: not provided) degenerative supraspinatus tendon, and X-ray (NR: not provided) moderate acromioclavicular OA. On an unspecified date, the patient experienced constant muscle spasms in hip (right hip), both shoulders. Laboratory data (dates unspecified) included: Antibody test (NR: not provided) 0.4, Inflammatory marker test (NR: not provided) elevated, Rheumatoid factor (NR: not provided) 10, and Uric acid (NR: 2.6 - 6) 4. Additional treatment medications (dates unspecified) included: animal unspecified/ascorbic acid/calcium/herbal nos/manganese/retinol/vitamin b12 nos/vitamin d nos/vitamin e nos, and ascorbic acid/chromium/copper/folic acid/iron/pyridoxine hydrochloride/retinol/selenium/tocopherol/vitamin b12 nos/zinc. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from soreness in shoulders, constant muscle spasms in hip (right hip), both shoulders, swollen left wrist, fluid in joints of shoulders, left wrist pain, and could not lift arms, get dressed, could not use upper body, and the outcome of tears in the fibers of tendons/tendon was being pulled off bones was not reported. This report was non-serious.