Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Chills, Oropharyngeal pain, Pain, Pain in extremity
Clinical narrative: very sharp pains in chest and going up into their throat; very sharp pains in chest and going up into their throat; Pulse went up to 101; fever; chills; Arm is extremely sore; This spontaneous case was reported by a patient and describes the occurrence of PAIN IN EXTREMITY (Arm is extremely sore), CHEST PAIN (very sharp pains in chest and going up into their throat), PYREXIA (fever), CHILLS (chills) and OROPHARYNGEAL PAIN (very sharp pains in chest and going up into their throat) in a 69-year-old female patient who received mRNA-1273.815 (SPIKEVAX 2023-2024) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below.     The patient had no known allergies, no previous health conditions and no previous heart or blood pressure concerns. It was unknown whether the patient had received any other vaccines in the 4 weeks prior to COVID-19 vaccine.  Previously administered products included for Product used for unknown indication: Pfizer (dose 1), Pfizer (dose 3) and Pfizer (dose 2). Past adverse reactions to the above products included No adverse event with Pfizer, Pfizer and Pfizer.    On 18-Sep-2023, the patient received fourth dose of mRNA-1273.815 (SPIKEVAX 2023-2024) (unknown route) 1 dosage form. On 18-Sep-2023, the patient experienced PAIN IN EXTREMITY (Arm is extremely sore), PYREXIA (fever), CHILLS (chills) and PULSE ABNORMAL (Pulse went up to 101). On 20-Sep-2023, the patient experienced CHEST PAIN (very sharp pains in chest and going up into their throat) and OROPHARYNGEAL PAIN (very sharp pains in chest and going up into their throat). The patient was treated with ACETAMINOPHEN on 19-Sep-2023 at an unspecified dose and frequency. At the time of the report, PAIN IN EXTREMITY (Arm is extremely sore), CHEST PAIN (very sharp pains in chest and going up into their throat), PYREXIA (fever), CHILLS (chills), OROPHARYNGEAL PAIN (very sharp pains in chest and going up into their throat) and PULSE ABNORMAL (Pulse went up to 101) had not resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 18-Sep-2023, Blood pressure measurement: normal. On 18-Sep-2023, Body temperature: temperature went up to 101 degrees.    At night, temperature went from 101.7 to 102. On 18-Sep-2023, Heart rate: 100 and Pulse went up to 101.         No concomitant medication was reported. The patient had received the most recent Moderna Spikevax vaccine a couple of days ago. It didn't happen immediate but later in the day temperature went up to 101 degrees which isn't super serious. The pulse went up to 101 and it was normally above 60. The patient was left-handed and was given the shot in left arm. Arm was extremely sore. Two days later on 20th Sep, the patient got a very sharp pains in chest and going up into the throat. The patient's arm was sore right after the shot on 18th Sep, but as the day went on the arm pain got worse and worse and then got fever and chills. This was at night, late evening. The patient took temperature, it was 101.7 to 102. The heart rate was about 100 and blood pressure was normal.