Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Hypokinesia, Pain, Sleep deficit, Vaccination site pain
Clinical narrative: worsening pains in the deltoid area, the bicep, shoulder forearm, even to the hand/it continues to hurt even in other areas along the arm; she cannot lie down on it/ getting sleep deprived; could not lift her arm, she could not lift her arm over her head without severe pain; one week went by and she was slightly sore at the shot site (left arm), but that was it. And then it got better; This spontaneous case was reported by a patient family member or friend and describes the occurrence of PAIN (worsening pains in the deltoid area, the bicep, shoulder forearm, even to the hand/it continues to hurt even in other areas along the arm), SLEEP DEFICIT (she cannot lie down on it/ getting sleep deprived), HYPOKINESIA (could not lift her arm, she could not lift her arm over her head without severe pain) and VACCINATION SITE PAIN (one week went by and she was slightly sore at the shot site (left arm), but that was it. And then it got better) in a 79-year-old female patient who received mRNA-1273.815 (SPIKEVAX 2023-2024) for COVID-19 prophylaxis.     Previously administered products included for Product used for unknown indication: COVID-19 vaccine (5 doses). Past adverse reactions to the above products included No adverse reaction with COVID-19 vaccine.    On 30-May-2024, the patient received dose of mRNA-1273.815 (SPIKEVAX 2023-2024) (unknown route) 1 dosage form. In June 2024, the patient experienced PAIN (worsening pains in the deltoid area, the bicep, shoulder forearm, even to the hand/it continues to hurt even in other areas along the arm), SLEEP DEFICIT (she cannot lie down on it/ getting sleep deprived), HYPOKINESIA (could not lift her arm, she could not lift her arm over her head without severe pain) and VACCINATION SITE PAIN (one week went by and she was slightly sore at the shot site (left arm), but that was it. And then it got better). The patient was treated with GABAPENTIN for Pain, at a dose of 100 milligram. At the time of the report, PAIN (worsening pains in the deltoid area, the bicep, shoulder forearm, even to the hand/it continues to hurt even in other areas along the arm), SLEEP DEFICIT (she cannot lie down on it/ getting sleep deprived) and HYPOKINESIA (could not lift her arm, she could not lift her arm over her head without severe pain) had not resolved and VACCINATION SITE PAIN (one week went by and she was slightly sore at the shot site (left arm), but that was it. And then it got better) was resolving.        For mRNA-1273.815 (SPIKEVAX 2023-2024) (Unknown), the reporter did not provide any causality assessments.   Concomitant medication was not reported.  As per reporter there was none of the medical history/conditions, allergy, concomitant diseases and risk factor. Patient had previous shot of mRNA-1273.815 0.1MG/ML PFS; batch no.: 3030339. Patient did not receive any other vaccines in the 4 weeks prior to COVID-19 vaccine.  One week went by after vaccination and patient was slightly sore at the shot site (left arm), but that was it. And then it got better. Patient had not fallen or in any other way injured the arm or shoulder area. And then from the second week, patient had worsening pains in the deltoid area, the bicep, shoulder forearm, even to the hand, not all at once, in the tricep, bicep area and so on the pains here for her can be so sharp that patient cannot lie down on it. And, if patient does fall asleep, patient wakes up from the pain of shooting through her hand, somewhere in her arm, could not lift her arm, patient could not lift her arm over her head without severe pain. Now recently it had been bad in that, patient had to keep her arm tucked in close to her body to avoid severe pain. Patient cannot reach backward to adjust her own bra strap. Patient cannot do that without extreme and the pain of course travels, the sharp pain sometimes was severe enough that it brings tears to her eyes. So, her life has been horribly, horribly changed. Patient had not been in an accident. There had been nothing else that had been a variable other than this shot. Patient reported this to the doctor on Tuesday, 02-Jul and was prescribed Gabapentin 100 mg tablets. Patient had been taking these, but the pains were not lessened and as a matter of fact, it continues to hurt even in other areas along the arm. Patient received 7 COVID-19 doses in total.   This case was linked to US-MODERNATX, INC.-MOD-2024-771310 (Linked Report).   Most recent FOLLOW-UP information incorporated above includes: On 12-Jul-2024: Live follow-up received: Event verbatim of sleep deficit and narrative was updated and reference ID was added. On 12-Jul-2024: Live follow-up contains non-significant information (reference ID added).; Sender's Comments:  US-MODERNATX, INC.-MOD-2024-771310:Husband Case