Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination site pain
Clinical narrative: Shoulder pain/ Wrist pain; Pain; Limited use of right hand, especially thumb, index, and middle finger; Damage to right brachial plexus; Weakness; Numbness in forearm and hand; Tingling in forearm and hand; Brachio Neuritis/Parsonage Turner Syndrome; Brachial neuritis; Excruciating pain on right arm/ Pain in arm; Headache; High fever (103.5); Body ache; This spontaneous case was reported by a consumer and describes the occurrence of NEURALGIC AMYOTROPHY (Brachio Neuritis/Parsonage Turner Syndrome), RADICULITIS BRACHIAL (Brachial neuritis), BRACHIAL PLEXUS INJURY (Damage to right brachial plexus), ASTHENIA (Weakness) and HYPOAESTHESIA (Numbness in forearm and hand) in a 49-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 047B21A and 013A27A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Concurrent medical conditions included Seasonal allergy since 1984 and Pain. Concomitant products included DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) for Pain.   On 25-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 23-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 23-Apr-2021, the patient experienced VACCINATION SITE PAIN (Excruciating pain on right arm/ Pain in arm), HEADACHE (Headache), PYREXIA (High fever (103.5)) and MYALGIA (Body ache). On 24-Apr-2021, the patient experienced RADICULITIS BRACHIAL (Brachial neuritis). On 03-May-2021, the patient experienced NEURALGIC AMYOTROPHY (Brachio Neuritis/Parsonage Turner Syndrome). On 11-May-2021, the patient experienced BRACHIAL PLEXUS INJURY (Damage to right brachial plexus), ASTHENIA (Weakness), HYPOAESTHESIA (Numbness in forearm and hand) and PARAESTHESIA (Tingling in forearm and hand). On 17-May-2021, the patient experienced MOVEMENT DISORDER (Limited use of right hand, especially thumb, index, and middle finger). On 24-Jun-2021, the patient experienced PAIN (Pain). On an unknown date, the patient experienced ARTHRALGIA (Shoulder pain/ Wrist pain). The patient was treated with IBUPROFEN (ADVIL [IBUPROFEN]) for Fever, at an unspecified dose and frequency; KETOROLAC TROMETHAMINE (TORADOL) for Shoulder pain, at an unspecified dose and frequency; METHYLPREDNISOLONE (MEDROL [METHYLPREDNISOLONE]) for Pain, at an unspecified dose and frequency; PARACETAMOL (TYLENOL) for Pain, at an unspecified dose and frequency; OXYCODONE for Pain, at an unspecified dose and frequency; DEXAMETHASONE for Pain, at an unspecified dose and frequency; GABAPENTIN (GABANTIN) for Pain, at a dose of 900 mg three times a day; PREGABALIN ongoing from 17-May-2021 for Pain, at a dose of 75 mg twice a day; HYDROCODONE for Pain, at an unspecified dose and frequency; TRAMADOL at an unspecified dose and frequency; IBUPROFEN for Pain, at an unspecified dose and frequency; GABAPENTIN for Pain, at a dose of 900 mg three times a day and Physical therapy (Physical therapy for shoulder) for Arthralgia. On 25-Apr-2021, PYREXIA (High fever (103.5)) had resolved. At the time of the report, NEURALGIC AMYOTROPHY (Brachio Neuritis/Parsonage Turner Syndrome), MOVEMENT DISORDER (Limited use of right hand, especially thumb, index, and middle finger), PAIN (Pain), VACCINATION SITE PAIN (Excruciating pain on right arm/ Pain in arm), HEADACHE (Headache), ARTHRALGIA (Shoulder pain/ Wrist pain) and MYALGIA (Body ache) outcome was unknown and RADICULITIS BRACHIAL (Brachial neuritis), BRACHIAL PLEXUS INJURY (Damage to right brachial plexus), ASTHENIA (Weakness), HYPOAESTHESIA (Numbness in forearm and hand) and PARAESTHESIA (Tingling in forearm and hand) had not resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 13-Apr-2021, Body temperature: 103.5 (High) High fever (103.5). On 05-Nov-2021, Electromyogram: damage to right brachial plexus (abnormal) Damage to right brachial plexus. On 05-Nov-2021, Nerve conduction studies: damage to right brachial plexus (abnormal) Damage to right brachial plexus.         Products known to have been used by the patient, within two weeks prior to the event, included Stamina oil.  Treatment for the event included Steroid pack. Treatment therapy included acupuncture and occupational therapy.   This case was linked to MOD-2021-101832 (Patient Link).   Most recent FOLLOW-UP information incorporated above includes: On 24-Jun-2021: Follow up document was received on 24-0-2021 included patient demographic details included race, ethnicity, height and weight; relevant history details included seasonal allergies; new adverse reactions included damage to right brachial plexus, numbness, tingling, movement disorder, weakness, wrist pain; treatment details included physical therapy, acupuncture and occupational therapy.