Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Paraesthesia
Clinical narrative: general weakness all over the body, hangers are weak cannot hold a cup of coffee; tingling in his right hand and arm; fingers are stiff and painful on moving; condition worsened with my shoulders, elbows wrist and fingers feeling as though they were on fire; not had a pain free day/pain is so bad/severe pain in my life; severe pain in joints/sever pain in shoulder ,elbow hands wrist and fingers; fatigued/tired; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of ASTHENIA (general weakness all over the body, hangers are weak cannot hold a cup of coffee), PARAESTHESIA (tingling in his right hand and arm), MUSCULOSKELETAL STIFFNESS (fingers are stiff and painful on moving), BURNING SENSATION (condition worsened with my shoulders, elbows wrist and fingers feeling as though they were on fire) and PAIN (not had a pain free day/pain is so bad/severe pain in my life) in a 79-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 019B21A and 030A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Concurrent medical conditions included Type 2 diabetes mellitus since 03-Jan-2005. Concomitant products included OMEPRAZOLE MAGNESIUM (PRILOSEC [OMEPRAZOLE MAGNESIUM]) for Acid reflux (esophageal), LISINOPRIL for Blood pressure management, METFORMIN from 03-Jun-2005 to an unknown date and EMPAGLIFLOZIN (JARDIANCE) for Diabetes.   On 08-Mar-2021 at 11:00 AM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 05-Apr-2021 at 11:00 AM, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 05-Apr-2021, the patient experienced ASTHENIA (general weakness all over the body, hangers are weak cannot hold a cup of coffee), PARAESTHESIA (tingling in his right hand and arm), MUSCULOSKELETAL STIFFNESS (fingers are stiff and painful on moving), BURNING SENSATION (condition worsened with my shoulders, elbows wrist and fingers feeling as though they were on fire), PAIN (not had a pain free day/pain is so bad/severe pain in my life), ARTHRALGIA (severe pain in joints/sever pain in shoulder ,elbow hands wrist and fingers) and FATIGUE (fatigued/tired). At the time of the report, ASTHENIA (general weakness all over the body, hangers are weak cannot hold a cup of coffee), PARAESTHESIA (tingling in his right hand and arm), MUSCULOSKELETAL STIFFNESS (fingers are stiff and painful on moving), ARTHRALGIA (severe pain in joints/sever pain in shoulder ,elbow hands wrist and fingers) and FATIGUE (fatigued/tired) outcome was unknown and BURNING SENSATION (condition worsened with my shoulders, elbows wrist and fingers feeling as though they were on fire) and PAIN (not had a pain free day/pain is so bad/severe pain in my life) had not resolved.            Patient went to the doctor on an unknown date who gave him a steroid shot, he felt better for a few days and then the symptoms came back. Patient went to the emergency room on an unknown date and they gave him a steroid shot, tramadol and pain killers which helped him with his joint pain, but patient still has fatigue. In the follow up source document patient reported that he have not had a pain free day since the first shot at the beginning of March.  The pain is so bad that he have had 2 ER visits since the beginning of April.   This case was linked to MOD-2021-101592 (Patient Link).   Most recent FOLLOW-UP information incorporated above includes: On 04-Jun-2021: Height, weight, race and ethnicity of the patient, medical history, dose 1 and dose 2 details and 2 extra events were added. Vaccination facility information was added.