Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Limb discomfort
Clinical narrative: Pt states that she does not believe she received the vaccine. She believes that the syringe did not contain any vaccine as it appeared clear and she could not see any cloudy fluid in the vaccines. Her statement:  I want to let you know that it took lots of courage for me to speak up, but as you said, we have to be our own health advocates. As you requested, I have included an account of my appointment that occurred yesterday, 01/14/2021.   I was scheduled to receive the Moderna vaccine on 01/14/2021 at 1:20 pm. When I was finally attended, I sat at station. I was first patient that afternoon, and while she got acquainted with the template of the note, I focused my attention on the vial of Moderna vaccine that was placed in front of me. I noticed that the solution was a white, cloudy color, and being as excited as I was, I asked if it was okay to take a picture of it as a memory.   After going through the entire vaccine questionnaire, then began to draw the syringe. As she drew the solution, I noticed that the syringe looked clear, as if the vaccine solution had not been drawn into the syringe, and instead, air filled the syringe. At that point, I had some doubt that may not have drawn the solution. However, given the power dynamic and the vulnerability of the moment, I did not speak up because I did not want to question  technique, especially not in front of all the other people in the room. As she administered the vaccine on my left arm, I felt the needle pinch, and that was it.   I was then taken to for the 30-minute observation, and after 30 minutes, I felt fine. My left arm felt heavy post-vaccination, but that feeling only lasted an hour. That night, I began to press on my left arm, and to my surprise, I felt no pain or soreness. However, I believed that the following morning I would feel the soreness that I experience after I get vaccines.   Today, I have rubbed my arm, and I do not feel any pain or soreness associated with the site of vaccination. Further, I cannot distinguish where the vaccine was administered on my arm as I cannot sense pain, discomfort, and soreness. This added to my concern and suspicion that I perhaps did not receive a dose. The final incidents that led me to speak to you were when coworkers asked me if my arm was just as sore as their arm. Every person who shared their experience with me reported experiencing some level of local arm soreness and tenderness.   It has now been more than 24 hours since I was administered the Moderna vaccine, and I still do not feel a sore arm, nor any of the common side effects. I understand that every person is different and that we all react differently; however, I cannot shake off the feeling that I might not have received a dose.   As I posed the question earlier today, can an antibody test be done in a few weeks to determine if my body received the dose? I am aware that Dr. will be reaching out to Moderna, and I look forward to hearing from you soon.   Lastly, I want to say that I have no doubts about as a provider, but mistakes can and do happen in this field all the time. I want to point out that eased my nerves during my appointment, and I am grateful for her warm and caring approach during my appointment. Nevertheless, given the heightened rates of COVID infections throughout the community, I want to be certain that I have some level of protection against this dangerous virus that has taken so many lives.