Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Joint dislocation, Lacrimal disorder, Nasopharyngitis, Pain
Clinical narrative: COVID-19; COVID-19; Hands are worse with gripping; Coughing; Cold/flu like symptoms; Cold/flu like symptoms; Her pain has been so bad at timesthat she has been in tears; has been in tears; Joint pain in her elbows,wrists, and shoulders which then spread to her knees,toes, and hips; shoulder dislocated,it loosened up; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient. Other Case identifier(s): MOD22-018757 (Moderna).  A female patient received BNT162b2 (BNT162B2), on 28Feb2022 as dose 3 (booster), single (Batch/Lot number: unknown) for covid-19 immunisation; coviD-19 vaccine mrna (mrna 1273) (MODERNA COVID-19 VACCINE), on 11Feb2021 as dose 1, single (Lot number: 031L20A) and on 11Mar2021 as dose 2, single (Batch/Lot number: unknown, Expiration Date: 06Sep2021), all intramuscular. The patient's relevant medical history included: "Neck injury" (unspecified if ongoing), notes: Prior to Moderna, she treated for a neck injury and nerve pain. She had continued treatment following vaccination.; "Nerve pain" (unspecified if ongoing), notes: Prior to Moderna, she treated for a neck injury and nerve pain. She had continued treatment following vaccination. The patient's concomitant medications were not reported. The following information was reported: ARTHRALGIA (non-serious) with onset 15Feb2021, outcome "not recovered", described as "Joint pain in her elbows,wrists, and shoulders which then spread to her knees,toes, and hips"; JOINT DISLOCATION (non-serious) with onset 15Feb2021, outcome "unknown", described as "shoulder dislocated,it loosened up"; DRUG INEFFECTIVE (medically significant), COVID-19 (medically significant) all with onset 01Jun2022, outcome "unknown" and all described as "COVID-19"; GRIP STRENGTH DECREASED (non-serious) with onset 01Jun2022, outcome "not recovered", described as "Hands are worse with gripping"; NASOPHARYNGITIS (non-serious), INFLUENZA LIKE ILLNESS (non-serious) all with onset Jun2022, outcome "unknown" and all described as "Cold/flu like symptoms"; COUGH (non-serious) with onset Jun2022, outcome "unknown", described as "Coughing"; PAIN (non-serious) with onset 2022, outcome "not recovered", described as "Her pain has been so bad at timesthat she has been in tears"; LACRIMAL DISORDER (non-serious) with onset 2022, outcome "unknown", described as "has been in tears". The patient underwent the following laboratory tests and procedures: SARS-CoV-2 test: (01Jun2022) Positive; X-ray: (2021) shoulder was fine. Therapeutic measures were taken as a result of lacrimal disorder, cough, nasopharyngitis, influenza like illness, grip strength decreased, pain.  Clinical Course: on 15Feb2021 she was getting out of bed and her shoulder dislocated, it loosened up. She got an x-ray which showed her shoulder was fine. Also around this time she also started to have joint pain in her elbows, wrists, and shoulders which then spread to her knees, toes, and hips. Prior to receiving the Moderna vaccine, she was being treated for a neck injury and nerve pain. She had continued treatment following vaccination. Her neurologist stated her pain was not related to her neck injury. She has also discussed her symptoms with her primary doctor and a rheumatologist. This pain has continued up until today. On 01Jun2022, she tested positive for COVID-19. She has experienced symptoms including coughing, and cold/flu like symptoms. Her joint pain also has become worse. She took Tylenol, and ivy leaf cough syrup for her symptoms. Her hands are worse with gripping and toes are worse at night since having COVID-19. She has tried to take anti-inflammatories but her kidney doesn't like it. Her pain has been so bad at times that she has been in tears. Her primary doctor also gave her an injectable anti-inflammatory which helped. She states her doctors are baffled and they don't know how to address her symptoms. She has been bitten by ticks and a hobo spider in the past and questions if that has something to do with her pain. She states her doctors are baffled and they don't know how to address her symptoms. She has been bitten by ticks and a hobo spider in the past and questions if that has something to do with her pain.  The information on the batch/lot number for BNT162b2 has been requested and will be submitted if and when received.