Age: 75.0
Sex: F
Vaccine: COVID19-2, COVID19-2, COVID19-2, COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Pain
Clinical narrative: Hot area under inner left arm, closer to elbow after Bivalent Booster; Pain left arm after Bivalent Booster; Red spot under inner left arm, closer to elbow after Bivalent Booster; Swollen area under inner left arm, closer to elbow after Bivalent Booster; Injection site too close to elbow for Bivalent Booster, Thinks missed the deltoid Muscle for Bivalent Booster; This spontaneous case was reported by a patient and describes the occurrence of VACCINATION SITE WARMTH (Hot area under inner left arm, closer to elbow after Bivalent Booster), VACCINATION SITE PAIN (Pain left arm after Bivalent Booster), VACCINATION SITE ERYTHEMA (Red spot under inner left arm, closer to elbow after Bivalent Booster), VACCINATION SITE SWELLING (Swollen area under inner left arm, closer to elbow after Bivalent Booster) and PRODUCT ADMINISTERED AT INAPPROPRIATE SITE (Injection site too close to elbow for Bivalent Booster, Thinks missed the deltoid Muscle for Bivalent Booster) in a 75-year-old female patient who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (batch no. AS7144B) for COVID-19 vaccination.     No Medical History information was reported.    In September 2022, the patient received fifth dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) 1 dosage form. On 16-Sep-2022, the patient experienced VACCINATION SITE WARMTH (Hot area under inner left arm, closer to elbow after Bivalent Booster), VACCINATION SITE PAIN (Pain left arm after Bivalent Booster), VACCINATION SITE ERYTHEMA (Red spot under inner left arm, closer to elbow after Bivalent Booster), VACCINATION SITE SWELLING (Swollen area under inner left arm, closer to elbow after Bivalent Booster) and PRODUCT ADMINISTERED AT INAPPROPRIATE SITE (Injection site too close to elbow for Bivalent Booster, Thinks missed the deltoid Muscle for Bivalent Booster). At the time of the report, VACCINATION SITE WARMTH (Hot area under inner left arm, closer to elbow after Bivalent Booster), VACCINATION SITE PAIN (Pain left arm after Bivalent Booster), VACCINATION SITE ERYTHEMA (Red spot under inner left arm, closer to elbow after Bivalent Booster) and VACCINATION SITE SWELLING (Swollen area under inner left arm, closer to elbow after Bivalent Booster) had not resolved and PRODUCT ADMINISTERED AT INAPPROPRIATE SITE (Injection site too close to elbow for Bivalent Booster, Thinks missed the deltoid Muscle for Bivalent Booster) outcome was unknown.            No Concomitant medications were provided. It was reported that patient received 4 Monovalent and 1 Bivalent Moderna COVID-19 vaccine.  On 04 Jan 2021 patient received first dose of Moderna COVID-19 vaccine with unknown Lot and Exp. Date. Reporter did not had time to provide information about second shot, First Booster dose and second booster dose with unknown Lot and Exp. Date.  Patient received the shot too close to elbow and thinks they missed the deltoid Muscle. Now patient had Pain , Red spot, hot and swollen area under inner left arm, closer to elbow. No treatment medications were provided.   This case was linked to MOD-2021-005712 (Patient Link).