Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Palpitations, Peripheral swelling, Serum ferritin, Urinary tract infection
Clinical narrative: Blood pressure increase; UTI; Elevated hct and hgb; Presence of huge lymph nodes - LEFT; Dizziness; Weakness; Hard; Palpitation; Left arm soreness; Left arm hurts when raised especially the elbow; Swollen on the left forearm; Swollen on the elbow; Joint ache; Muscle ache; A spontaneous report was received from a healthcare professional concerning a 51-years-old female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced events muscle ache, joint ache, left arm soreness, left arm hurts when raised especially the elbow, swollen on the left upper arm, swollen on the left forearm, swollen on the elbow, hard, palpitation, dizziness, weakness, presence of huge lymph nodes - left, multiple lymph nodes in the clavicle and armpit, uti , swollen lymph nodes on her left axilla.  The patient's medical history was not provided. Concomitant medications reported were Multivitamins for supplemental purposes, Vitamin D3 for drug use for unknown indication.  On 21 Jan 2021, prior to the onset of the events the patient received their first of two planned doses of mRNA-1273 (lot/batch: 028L20A) intramuscularly in the left arm for prophylaxis of COVID-19 infection.  On 21 Jan 2021, the patient experienced the events muscle ache. joint ache, left arm soreness, left arm hurts when raised especially the elbow, swollen on the left upper arm, swollen on the left forearm, swollen on the elbow, hard. On 22 Jan 2021, the patient experienced the event(s) palpitation. elevated heart rate, dizziness, weakness. On 24 Jan 2021, the patient experienced the event(s) presence of huge lymph nodes - left . On 28 Jan 2021, the patient experienced the event(s) bp 199 133. multiple lymph nodes in the clavicle and armpit, elevated hct and hgb. On 29 Jan 2021, the patient experienced the event(s) elevated ferritin level. decreased vitamin d, uti, sinus rhythm abnormality in her t-wave. On 2 Feb 2021, the patient experienced the event(s) swollen lymph nodes on her left axilla. laboratory exams performed to further diagnose the event were blood pressure 199/133, CT scan lung multiple lymph nodes on the clavicle and armpit area, electrocardiogram Sinus Rhythm abnormality in her T-Wave, elevated hematocrit ,hemoglobin, heart rate, ultrasound and mammogram, elevated serum ferritin , urinalysis, decreased vitamin D. Treatment details included Was under Amlodipine and Antibiotics.  Action taken with mRNA-1273 in response to the events was not reported.   The outcome of event muscle ache, joint ache was considered resolved on 23 Jan 2021.The outcome of events, left arm soreness, left arm hurts when raised especially the elbow,swollen on the left upper arm,swollen on the left forearm,swollen on the elbow, hard, palpitation, dizziness, weakness, presence of huge lymph nodes - left,multiple lymph nodes in the clavicle and armpit, uti, swollen lymph nodes on her left axilla was considered not resolved.; Sender's Comments: Based on current available information and the temporal association between product use and the start date of the events a causal relationship cannot be excluded.