Age: 50.0
Sex: F
Vaccine: COVID19, FLU3, HEP, MMR, PNC21
Symptoms: Arthralgia, Loss of personal independence in daily activities, Product administered at inappropriate site, Vaccination site pain
Clinical narrative: Loss of personal independence in daily activities/ This has completely affected every area of my life.; Arthralgia; The pharmacist gave me two shots on each shoulder, and one in my left forearm, on my right shoulder he did one too high and I still have pain in that shoulder, he did two in my left shoulder and the pain is unbearable; Product administered at inappropriate site/ The pharmacist gave me two shots on each shoulder, and one in my left forearm; This spontaneous case was reported by a patient and describes the occurrence of LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES (Loss of personal independence in daily activities/ This has completely affected every area of my life.), ARTHRALGIA (Arthralgia), VACCINATION SITE PAIN (The pharmacist gave me two shots on each shoulder, and one in my left forearm, on my right shoulder he did one too high and I still have pain in that shoulder, he did two in my left shoulder and the pain is unbearable) and PRODUCT ADMINISTERED AT INAPPROPRIATE SITE (Product administered at inappropriate site/ The pharmacist gave me two shots on each shoulder, and one in my left forearm) in a 50-year-old female patient who received mRNA-1273.712 (SPIKEVAX 2024-2025 PFS) for COVID-19 prophylaxis.    Co-suspect products included non-company products Hepatitis b vaccine rHBsAg (yeast) (Engerix b) for an unknown indication, Influenza vaccine inact split 3v (Afluria) for an unknown indication, Mmr ii for an unknown indication and Pneumococcal vaccine conj 21v (CRM197) (Capvaxive) for an unknown indication.    Previously administered products included for Drug use for unknown indication: Clindamycin. Past adverse reactions to the above products included Allergy to antibiotic with Clindamycin. Concurrent medical conditions included Diabetes, Rheumatoid arthritis and Allergy to antibiotic (Clindamycin). Concomitant products included Insulin porcine (Insulin), Methylphenidate hydrochloride (Ritalin), Metformin hydrochloride (Metformin), Meloxicam, Ibuprofen (Motrin), Prenatal vitamins, Magnesium, Tocopherol (Vitamin e), Ascorbic acid (Vitamin C), Ergocalciferol (Vitamin d) and Calcium for an unknown indication.   On 03-Dec-2024, the patient received dose of mRNA-1273.712 (SPIKEVAX 2024-2025 PFS) (unknown route) 1 dosage form, dose of Hepatitis b vaccine rHBsAg (yeast) (Engerix b) (unknown route) 1 dosage form, dose of Influenza vaccine inact split 3v (Afluria) (unknown route) 1 dosage form, dose of Mmr ii (unknown route) 1 dosage form and dose of Pneumococcal vaccine conj 21v (CRM197) (Capvaxive) (unknown route) 1 dosage form. On 03-Dec-2024, the patient experienced PRODUCT ADMINISTERED AT INAPPROPRIATE SITE (Product administered at inappropriate site/ The pharmacist gave me two shots on each shoulder, and one in my left forearm). On 05-Dec-2024,  after starting mRNA-1273.712 (SPIKEVAX 2024-2025 PFS), the patient experienced LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES (Loss of personal independence in daily activities/ This has completely affected every area of my life.), ARTHRALGIA (Arthralgia) and VACCINATION SITE PAIN (The pharmacist gave me two shots on each shoulder, and one in my left forearm, on my right shoulder he did one too high and I still have pain in that shoulder, he did two in my left shoulder and the pain is unbearable). At the time of the report, LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES (Loss of personal independence in daily activities/ This has completely affected every area of my life.), ARTHRALGIA (Arthralgia), VACCINATION SITE PAIN (The pharmacist gave me two shots on each shoulder, and one in my left forearm, on my right shoulder he did one too high and I still have pain in that shoulder, he did two in my left shoulder and the pain is unbearable) and PRODUCT ADMINISTERED AT INAPPROPRIATE SITE (Product administered at inappropriate site/ The pharmacist gave me two shots on each shoulder, and one in my left forearm) had not resolved.            Route of administration of Moderna COVID-19 vaccine, Afluria, MMR II was reported as OT, Engerix-B and Capvaxive was reported as UN. Site of administration was reported as OT for Moderna COVID-19 vaccine and Afluria.  It was reported that the pharmacist gave patient two shots on each shoulder, and one in left forearm. On her right shoulder he did one too high and she still had pain in that shoulder and pharmacist did two in her left shoulder and the pain was unbearable. She had to go to the emergency room a couple days after because the pain was too much. She had been to the emergency room three times since Dec-2024 and 05-Feb-2025. This had completely affected every area of her life. The pain had not gotten better, and she did not know where to go from there.  She underwent laboratory test and X-ray, but no results were reported.  Treatment information was not reported.