Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Fatigue, Headache, Inflammation
Clinical narrative: She got an MRI scan and they told her that she had a "discbound" in the neck/Her neck started locking up and couldn't turn due to the intense pain/intense pain; Intensified back pain/pain got worse after receiving vaccine; She thinks that she has an autoimmune response to the vaccine an that provoked a general inflammation in her body; Hand ache/Severe arm pain; She didn't expect having hips achy; Muscle pain; Headache/She has severe headache; Tiredness; This spontaneous case was reported by a consumer and describes the occurrence of NECK PAIN (She got an MRI scan and they told her that she had a "discbound" in the neck/Her neck started locking up and couldn't turn due to the intense pain/intense pain) in a 23-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 046B21A and 048A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included COVID-19 (She had Covid-19 on Jan2021, but she never tested herself because she was living in a house with positive covid-19 family members and she had symptoms.) in January 2021 and Surgery (first surgery) in 2017. Concurrent medical conditions included Low back pain (chronic low back pain), Grass allergy (allergic to grass), Allergy to plants (allergic to trees), Allergic to cats and Allergic to dogs. Concomitant products included FEXOFENADINE HYDROCHLORIDE (ALLEGRA [FEXOFENADINE HYDROCHLORIDE]) for Allergy, SERTRALINE HCL for Depression, CALCIUM CARBONATE, COLECALCIFEROL (CALTRATE [CALCIUM CARBONATE;COLECALCIFEROL]) for Vitamin D supplementation and Calcium supplementation.   On 24-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 21-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 21-Apr-2021, the patient experienced NECK PAIN (She got an MRI scan and they told her that she had a "discbound" in the neck/Her neck started locking up and couldn't turn due to the intense pain/intense pain) (seriousness criterion medically significant), BACK PAIN (Intensified back pain/pain got worse after receiving vaccine), INFLAMMATION (She thinks that she has an autoimmune response to the vaccine an that provoked a general inflammation in her body), PAIN IN EXTREMITY (Hand ache/Severe arm pain), ARTHRALGIA (She didn't expect having hips achy), MYALGIA (Muscle pain), HEADACHE (Headache/She has severe headache) and FATIGUE (Tiredness). The patient was treated with IBUPROFEN for Pain, at an unspecified dose and frequency; PARACETAMOL (TYLENOL [PARACETAMOL]) for Pain, at an unspecified dose and frequency and Physical therapy for Back pain. At the time of the report, NECK PAIN (She got an MRI scan and they told her that she had a "discbound" in the neck/Her neck started locking up and couldn't turn due to the intense pain/intense pain), BACK PAIN (Intensified back pain/pain got worse after receiving vaccine), INFLAMMATION (She thinks that she has an autoimmune response to the vaccine an that provoked a general inflammation in her body), PAIN IN EXTREMITY (Hand ache/Severe arm pain), ARTHRALGIA (She didn't expect having hips achy), MYALGIA (Muscle pain), HEADACHE (Headache/She has severe headache) and FATIGUE (Tiredness) was resolving.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Magnetic resonance imaging: abnormal (abnormal) had a discbound in the neck.         Patient took unknown concomitant medications for Multivitamin, Magnesium and Vitamin D3. It was reported that, patient went to see her doctor and she was not hospitalized. Patient received a steroid injection for the pain and physical therapy 3 to 4 times a week. Patient did not experience a similar event on the past. Patient did not want to receive the Booster because of the side effects. So, she was concerned about if those side effects were normal or not.  Company comment. This spontaneous case concerns a 23  year  old, female patient with relevant medical history of chronic low back pain, who experienced the unexpected, serious important medical event of neck pain. The event occurred a few hours after the administration of the second dose of mRNA-1273 vaccine. The report stated that the patient experienced headache, myalgia, arthralgia, intensified back pain, general inflammation in her body and that "her neck started locking up and couldn't turn due to the intense pain". She consulted a neurologist and in an MRI scan she had a "discbound" in the neck. She was treated with ibuprofen, Tylenol and received a Steroid injection for the pain and physical therapy 3 to 4 times a week. Although she expressed that this made her not incapacitating but with inability to function, she also referred the symptoms improved. Patient´s medical history of chronic low back pain (she stated she had back pain at the time of vaccination) could be confounding. The benefit-risk relationship of mRNA-1273 vaccine is not affected by this report.; Sender's Comments: This spontaneous case concerns a 23  year  old, female patient with relevant medical history of chronic low back pain, who experienced the unexpected, serious important medical event of neck pain. The event occurred a few hours after the administration of the second dose of mRNA-1273 vaccine. The report stated that the patient experienced headache, myalgia, arthralgia, intensified back pain, general inflammation in her body and that "her neck started locking up and couldn't turn due to the intense pain". She consulted a neurologist and in an MRI scan she had a "discbound" in the neck. She was treated with ibuprofen, Tylenol and received a Steroid injection for the pain and physical therapy 3 to 4 times a week. Although she expressed that this made her not incapacitating but with inability to function, she also referred the symptoms improved. Patient´s medical history of chronic low back pain (she stated she had back pain at the time of vaccination) could be confounding. The benefit-risk relationship of mRNA-1273 vaccine is not affected by this report.