Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine, Nausea, Pain in extremity, Vaccination site erythema, Vaccination site swelling
Clinical narrative: nose bleeds; Dizzy; Nausea; nose bleeds; Bones ached; Fatigue; pain in shoulder and couldn't raise arm/heaviness on her shoulders; Migraine; Headache; Injection site was angry pink; Skin around injection was swollen; This spontaneous case was reported by a consumer and describes the occurrence of MIGRAINE (Migraine), PAIN IN EXTREMITY (pain in shoulder and couldn't raise arm/heaviness on her shoulders), the second episode of EPISTAXIS (nose bleeds), DIZZINESS (Dizzy) and the first episode of EPISTAXIS (nose bleeds) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 011L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included Mononucleosis infectious (Dormant) in 2008. Concurrent medical conditions included Reflex sympathetic dystrophy since 16-Feb-2011, Tachycardia, Thyroid disorder NOS since 1982, Migraine since 1999, Drug allergy (Allergic to codeine), Allergy to metals (Allergic to Sulphur.), Nickel sensitivity and Drug allergy (Allergic to  keflex). Concomitant products included METOPROLOL, GABAPENTIN, MONTELUKAST, CYCLOBENZAPRINE, HCTZ, LOSARTAN, PROGESTERONE, HYDROCHLOROTHIAZIDE and THYROID for an unknown indication.    On 12-Jan-2021 at 1:30 PM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 12-Jan-2021, the patient experienced VACCINATION SITE ERYTHEMA (Injection site was angry pink) and VACCINATION SITE SWELLING (Skin around injection was swollen). On 15-Jan-2021, the patient experienced MIGRAINE (Migraine). On 16-Jan-2021, the patient experienced PAIN IN EXTREMITY (pain in shoulder and couldn't raise arm/heaviness on her shoulders) and FATIGUE (Fatigue). On 17-Jan-2021, the patient experienced ARTHRALGIA (Bones ached). On 19-Jan-2021, the patient experienced the first episode of EPISTAXIS (nose bleeds). On 25-Jan-2021, the patient experienced DIZZINESS (Dizzy). On 26-Jan-2021, the patient experienced the second episode of EPISTAXIS (nose bleeds). The patient was treated with IBUPROFEN (ADVIL [IBUPROFEN]) at an unspecified dose and frequency. On 17-Jan-2021, ARTHRALGIA (Bones ached) had resolved. On 20-Jan-2021, MIGRAINE (Migraine) had not resolved. On 25-Jan-2021, DIZZINESS (Dizzy) had resolved. On 26-Jan-2021, last episode of EPISTAXIS (nose bleeds) had resolved. On 04-Feb-2021, VACCINATION SITE ERYTHEMA (Injection site was angry pink) had resolved. At the time of the report, PAIN IN EXTREMITY (pain in shoulder and couldn't raise arm/heaviness on her shoulders), VACCINATION SITE SWELLING (Skin around injection was swollen) and FATIGUE (Fatigue) had not resolved.        The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.       Treatment medication was not reported.  The patient reported having bloodwork done and reported EBV Level high and thyroid result in the dirt.   This case was linked to MOD-2021-026906 (Patient Link).   Most recent FOLLOW-UP information incorporated above includes: On 29-Apr-2021: Follow-up information received on 29-APR-2021 contains non-significant information. On 20-May-2021: Added patient demographics, medical history, concomitant medications. Events were added and outcome was updated.