Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Exercise tolerance decreased, Fatigue, SARS-CoV-2 test
Clinical narrative: Six days after that my right shoulder has been very sore; lost a lot of stamina; 50% of my energy is gone/weakness; I get very tired when I'm walking; This spontaneous case was reported by a patient and describes the occurrence of EXERCISE TOLERANCE DECREASED (lost a lot of stamina), ASTHENIA (50% of my energy is gone/weakness), FATIGUE (I get very tired when I'm walking) and ARTHRALGIA (Six days after that my right shoulder has been very sore) in a 67-year-old male patient who received mRNA-1273.815 (SPIKEVAX 2023-2024 PFS) (batch no. 206E232A) for COVID-19 prophylaxis.     The patient's past medical history included COVID-19 (in 2022/2023). Previously administered products included for COVID-19 prophylaxis: Moderna (Dose 1) on 19-Mar-2021, Moderna (Dose 2) on 16-Apr-2021, Moderna (Dose 3) on 04-Dec-2021, Moderna (Dose 4) on 07-May-2022, Moderna (Dose 5) on 10-Nov-2022 and Moderna (Dose 6) on 28-Jul-2023. Past adverse reactions to the above products included No adverse event with Moderna, Moderna, Moderna, Moderna, Moderna and Moderna. Concurrent medical conditions included CLL (he had been monitored with this for 20 years).    On 14-Jan-2024, the patient received seventh dose of mRNA-1273.815 (SPIKEVAX 2023-2024 PFS) (unknown route) 1 dosage form. On 14-Jan-2024, the patient experienced EXERCISE TOLERANCE DECREASED (lost a lot of stamina), ASTHENIA (50% of my energy is gone/weakness) and FATIGUE (I get very tired when I'm walking). On 20-Jan-2024, the patient experienced ARTHRALGIA (Six days after that my right shoulder has been very sore). At the time of the report, EXERCISE TOLERANCE DECREASED (lost a lot of stamina), ASTHENIA (50% of my energy is gone/weakness) and FATIGUE (I get very tired when I'm walking) had not resolved and ARTHRALGIA (Six days after that my right shoulder has been very sore) had resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, SARS-CoV-2 test: positive (COVID test positive in 2022 or 2023).     For mRNA-1273.815 (SPIKEVAX 2023-2024 PFS) (Unknown), the reporter did not provide any causality assessments.   No concomitant medications were reported. Patient did not receive any other vaccines in the 4 weeks prior to COVID-19 vaccine. Patient received the vaccine in the muscle on his right shoulder. Patient reported that, ever since that day to the present day, he had lost a lot of stamina. 50% of his energy was gone and gets very tired when he is walking. Six days after receiving the vaccine, his right shoulder was very sore and in time, it went away. He stated he can only walk 20 minutes and gets very tired. The doctors had run completely different tests, and it still needed to be checked out if there's an infection there. No treatment medications were reported.   This case was linked to US-MODERNATX, INC.-MOD-2024-766771, US-MODERNATX, INC.-MOD-2024-766773 (E2B Linked Report).   Most recent FOLLOW-UP information incorporated above includes: On 02-May-2024: Live non-significant follow-up information received.; Sender's Comments:  US-MODERNATX, INC.-MOD-2024-766771:Same reporter different dose US-MODERNATX, INC.-MOD-2024-766773:Invalid case for unspecified number of patients