Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Axillary pain, Chills, Dizziness, Influenza
Clinical narrative: Pain in her left arm; Pain in neck; My arm here the shot was given was hot; Pain in her shoulder/pain in both hips; Chills; Aches in my lower back; My arm here the shot was given was red; Pain in armpits; Patient states she felt like she had the flu; i tried up to get up I found it difficult; dizzy; shaking just like I had the virus; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of PAIN IN EXTREMITY (Pain in her left arm), NECK PAIN (Pain in neck), VACCINATION SITE WARMTH (My arm here the shot was given was hot), ARTHRALGIA (Pain in her shoulder/pain in both hips) and CHILLS (Chills) in a 74-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 006M20A and 001/B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included Macular degeneration in 2019, Scoliosis in 1958 and COVID-19 (Had the virus in March 2020) in March 2020. Previously administered products included for an unreported indication: Flu vaccine. Concurrent medical conditions included Asthma (Worsening) since 2007, Glaucoma since 1972 and Latex allergy. Concomitant products included FLUTICASONE PROPIONATE, SALMETEROL XINAFOATE (ADVAIR) from 2007 to an unknown date and SALBUTAMOL SULFATE (PROAIR HFA) from 2007 to an unknown date for Asthma, IRBESARTAN from 2000 to an unknown date for Blood pressure management, DORZOLAMIDE from 1972 to an unknown date and LATANOPROST for Glaucoma.   On 12-Feb-2021 at 9:00 AM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 13-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 12-Feb-2021, the patient experienced PAIN IN EXTREMITY (Pain in her left arm), NECK PAIN (Pain in neck), ARTHRALGIA (Pain in her shoulder/pain in both hips), CHILLS (Chills), AXILLARY PAIN (Pain in armpits) and INFLUENZA (Patient states she felt like she had the flu). 12-Feb-2021, the patient experienced VACCINATION SITE WARMTH (My arm here the shot was given was hot), MYALGIA (Aches in my lower back), VACCINATION SITE ERYTHEMA (My arm here the shot was given was red), MOVEMENT DISORDER (i tried up to get up I found it difficult), DIZZINESS (dizzy) and TREMOR (shaking just like I had the virus). On 15-Feb-2021, PAIN IN EXTREMITY (Pain in her left arm), NECK PAIN (Pain in neck), VACCINATION SITE WARMTH (My arm here the shot was given was hot), ARTHRALGIA (Pain in her shoulder/pain in both hips), CHILLS (Chills), MYALGIA (Aches in my lower back), VACCINATION SITE ERYTHEMA (My arm here the shot was given was red), AXILLARY PAIN (Pain in armpits), INFLUENZA (Patient states she felt like she had the flu), MOVEMENT DISORDER (i tried up to get up I found it difficult), DIZZINESS (dizzy) and TREMOR (shaking just like I had the virus) had resolved.            No treatment medication provided. Patient has asthma. Her asthma medication has had to be doubled and she is out of breath all the time since being diagnosed in March2020. Action taken with mRNA-1273 in response to the drug was not applicable.   This case was linked to MOD-2021-048005 (Patient Link).   Most recent FOLLOW-UP information incorporated above includes: On 07-May-2021: Additional information added on 07MAY2021 contains significant information. Patient's demographics updated. Medical history added. Dose 1 details added. Concomitant medications added. On 09-May-2021: The first follow up received on 09-May-2021 did not contain any new information On 09-May-2021: Additional information added on 09MAY2021 contained significant information. Vaccination facility added. Medical history updated. Vaccination site warmth, Myalgia, Movement disorder, Dizziness and Tremor were added as events. On 02-Jun-2021: Additional information added on 02JUN2021 contains significant information. Adverse drug reaction form contained additional event Vaccination site erythema, now added.