Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Peripheral swelling, Vaccination site pain
Clinical narrative: not being able to do his daily activities such as grabbing utensils and putting his shoes on; The patient stated that his right foot swelled up in February 2024, and it progressed to his right leg and his left foot; Patient reports chills and severe fatigue starting on February 13th; Patient reports chills and severe fatigue starting on February 13th; Patient stated having carpal syndrome and it was getting a little better but that the joint pain increased on his shoulder, fingers, and legs after receiving the Moderna Vaccine; The patient also mentioned falling asleep in a parking lot as a result of the extreme fatigue, as well as losing his appetite; The patient stated that he thought he had internal damage, which was affecting his breathing; Patient stated that the injection site was painful, and it had a circular appearance after receiving the Moderna Covid-19 shot and that it took 2 weeks for the pain to disappear; This spontaneous case was reported by a patient and describes the occurrence of VACCINATION SITE PAIN (Patient stated that the injection site was painful, and it had a circular appearance after receiving the Moderna Covid-19 shot and that it took 2 weeks for the pain to disappear), CHILLS (Patient reports chills and severe fatigue starting on February 13th), FATIGUE (Patient reports chills and severe fatigue starting on February 13th), ARTHRALGIA (Patient stated having carpal syndrome and it was getting a little better but that the joint pain increased on his shoulder, fingers, and legs after receiving the Moderna Vaccine) and DECREASED APPETITE (The patient also mentioned falling asleep in a parking lot as a result of the extreme fatigue, as well as losing his appetite) in a 71-year-old male patient who received mRNA-1273.815 (SPIKEVAX 2023-2024) (batch no. ASKU) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included Abdominal pain on 14-Jan-2024, Back pain on 14-Jan-2024 and Wrist operation NOS (Carpal tunnel surgery). Previously administered products included for Product used for unknown indication: Pfizer covid-19 vaccine, Pfizer covid-19 vaccine and Pfizer covid-19 vaccine. Past adverse reactions to the above products included No adverse event with Pfizer covid-19 vaccine, Pfizer covid-19 vaccine and Pfizer covid-19 vaccine. Concurrent medical conditions included Lymphedema (Transient lower extremity lymphedema) and Carpal tunnel syndrome.    On 16-Jan-2024, the patient received fourth dose of mRNA-1273.815 (SPIKEVAX 2023-2024) (unknown route) 1 dosage form. On 16-Jan-2024, the patient experienced VACCINATION SITE PAIN (Patient stated that the injection site was painful, and it had a circular appearance after receiving the Moderna Covid-19 shot and that it took 2 weeks for the pain to disappear), ARTHRALGIA (Patient stated having carpal syndrome and it was getting a little better but that the joint pain increased on his shoulder, fingers, and legs after receiving the Moderna Vaccine), DECREASED APPETITE (The patient also mentioned falling asleep in a parking lot as a result of the extreme fatigue, as well as losing his appetite) and DYSPNOEA (The patient stated that he thought he had internal damage, which was affecting his breathing). On 13-Feb-2024, the patient experienced CHILLS (Patient reports chills and severe fatigue starting on February 13th) and FATIGUE (Patient reports chills and severe fatigue starting on February 13th). On 15-Feb-2024, the patient experienced PERIPHERAL SWELLING (The patient stated that his right foot swelled up in February 2024, and it progressed to his right leg and his left foot). On an unknown date, the patient experienced LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES (not being able to do his daily activities such as grabbing utensils and putting his shoes on). On 29-Jan-2024, VACCINATION SITE PAIN (Patient stated that the injection site was painful, and it had a circular appearance after receiving the Moderna Covid-19 shot and that it took 2 weeks for the pain to disappear) had resolved. At the time of the report, CHILLS (Patient reports chills and severe fatigue starting on February 13th), FATIGUE (Patient reports chills and severe fatigue starting on February 13th), ARTHRALGIA (Patient stated having carpal syndrome and it was getting a little better but that the joint pain increased on his shoulder, fingers, and legs after receiving the Moderna Vaccine), DECREASED APPETITE (The patient also mentioned falling asleep in a parking lot as a result of the extreme fatigue, as well as losing his appetite), PERIPHERAL SWELLING (The patient stated that his right foot swelled up in February 2024, and it progressed to his right leg and his left foot) and DYSPNOEA (The patient stated that he thought he had internal damage, which was affecting his breathing) had not resolved and LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES (not being able to do his daily activities such as grabbing utensils and putting his shoes on) outcome was unknown.        For mRNA-1273.815 (SPIKEVAX 2023-2024) (Unknown), the reporter did not provide any causality assessments.   Patient did not received any other vaccines in the 4 weeks prior to COVID-19 vaccine  Patient stated that the injection site was painful, and it had a circular appearance after receiving the Moderna Covid-19 shot and that it took 2 weeks for the pain to disappear.  Patient scraped his chest and ribs. The patient stated he went to the Emergency Room a couple of days later but was not hospitalized.Patient reported that, needing a hip replacement in the future. All the symptoms that patient was experienced worsen severely after receiving the Moderna vaccine  No concomitant medications was provided. No treatment medications was provided.   Most recent FOLLOW-UP information incorporated above includes: On 20-Feb-2024: Significant follow-up received contains patient DOB updated.