Age: 70.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Lymph node pain, Vaccination site induration, Vaccination site pain
Clinical narrative: steroid shot screwed up her sugar level; pain around the neck; Hardness at the injection site/more aware of the hardness at the injection site/hardness hard as a rock; pain starts at the injection site would go down to the arm/pain would come and go/pain occurs 2-3 hours a day/pain is worse at night when lying on the arm/pain is throbbing; pain on the left shoulder; This spontaneous case was reported by a patient and describes the occurrence of HYPERGLYCAEMIA (steroid shot screwed up her sugar level), NECK PAIN (pain around the neck), VACCINATION SITE INDURATION (Hardness at the injection site/more aware of the hardness at the injection site/hardness hard as a rock), VACCINATION SITE PAIN (pain starts at the injection site would go down to the arm/pain would come and go/pain occurs 2-3 hours a day/pain is worse at night when lying on the arm/pain is throbbing) and ARTHRALGIA (pain on the left shoulder) in a 70-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 018B21A, 012A21A and 007M20A) for COVID-19 prophylaxis.     Previously administered products included for Flu vaccination: Flu Vaccine in 2021; for Drug use for unknown indication: Pneumonia Vaccine in 2021. Past adverse reactions to the above products included No adverse event with Flu Vaccine and Pneumonia Vaccine. Concurrent medical conditions included Anxiety and Diabetes. Concomitant products included GLIPIZIDE and LINAGLIPTIN (TRADJENTA) for an unknown indication.   On 08-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 08-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 14-Sep-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient experienced HYPERGLYCAEMIA (steroid shot screwed up her sugar level), NECK PAIN (pain around the neck), VACCINATION SITE INDURATION (Hardness at the injection site/more aware of the hardness at the injection site/hardness hard as a rock), VACCINATION SITE PAIN (pain starts at the injection site would go down to the arm/pain would come and go/pain occurs 2-3 hours a day/pain is worse at night when lying on the arm/pain is throbbing) and ARTHRALGIA (pain on the left shoulder). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency. At the time of the report, HYPERGLYCAEMIA (steroid shot screwed up her sugar level) outcome was unknown and NECK PAIN (pain around the neck), VACCINATION SITE INDURATION (Hardness at the injection site/more aware of the hardness at the injection site/hardness hard as a rock), VACCINATION SITE PAIN (pain starts at the injection site would go down to the arm/pain would come and go/pain occurs 2-3 hours a day/pain is worse at night when lying on the arm/pain is throbbing) and ARTHRALGIA (pain on the left shoulder) had not resolved.     Concomitant medication also included unspecified medication for anxiety. Patient did not have any allergic condition. Patient never tested positive for COVID-19. It was reported that, the pain would come and go but would occurred for 2-3 hours every day. It was worse at night when she was lying on her arm. The pain was dull and throbbing. She consulted with her physician, and she was given steroids shot thinking that this was arthritis, but it screwed up her sugar level. Tylenol gives temporary relief. Patient received steroids as treatment medication.   This case was linked to MOD-2022-669114 (Patient Link).