Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test, Vaccination site pain
Clinical narrative: fatigue/flat on my back in bed; chills; injection site reaction lymph node swelling under arm; Fever; Muscle aches; Pain at the injection site; This case was received via an unknown source (no reference has been entered for a health authority or license partner) on 19-Feb-2021 and was forwarded to Moderna on 19-Feb-2021.    This spontaneous case was reported by a consumer and describes the occurrence of FATIGUE (fatigue/flat on my back in bed), CHILLS (chills), INJECTION SITE LYMPHADENOPATHY (injection site reaction lymph node swelling under arm), PYREXIA (Fever) and MYALGIA (Muscle aches) in a 72-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 006M20A and 032M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included COVID-19 on 03-Nov-2020. Concurrent medical conditions included Food allergy (Trout), Hypertension since 15-Sep-1998, Sinusitis since 01-Sep-2014, Obesity (Weight gain due to inactivity.) since 20-Aug-1948, Seasonal allergy since 20-Aug-1956 and Arthritis since 20-Aug-2005. Concomitant products included MONTELUKAST SODIUM (MONTELUCAST) from 15-Mar-2017 to an unknown date for Allergy, MELOXICAM from 15-Oct-2012 to an unknown date for Arthritis, SIMVASTATIN from 20-Oct-2010 to an unknown date for Hyperlipidaemia, HYDROCHLOROTHIAZIDE, VALSARTAN (VALSARTAN/HYDROCHLOROTHIAZIDE) from 14-Nov-2014 to an unknown date and AMLODIPINE from 05-Oct-2020 to an unknown date for Hypertension, AMOXICILLIN TRIHYDRATE, CLAVULANATE POTASSIUM (AMOXICILLIN/CLAVULANIC ACID) from 09-Sep-2017 to an unknown date for Sinusitis.   On 14-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 15-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 15-Feb-2021, the patient experienced FATIGUE (fatigue/flat on my back in bed), CHILLS (chills), INJECTION SITE LYMPHADENOPATHY (injection site reaction lymph node swelling under arm), PYREXIA (Fever), MYALGIA (Muscle aches) and VACCINATION SITE PAIN (Pain at the injection site). On 16-Feb-2021, FATIGUE (fatigue/flat on my back in bed), CHILLS (chills), PYREXIA (Fever) and MYALGIA (Muscle aches) had resolved. On 18-Feb-2021, INJECTION SITE LYMPHADENOPATHY (injection site reaction lymph node swelling under arm) had resolved. At the time of the report, VACCINATION SITE PAIN (Pain at the injection site) had resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 03-Nov-2020, SARS-CoV-2 test: (Positive) Type of test : Nasal swab.     For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.   No treatment details were reported.   This case was linked to MOD-2021-096947 (Patient Link).   Reporter did not allow further contact   Most recent FOLLOW-UP information incorporated above includes: On 28-Apr-2021: This Follow-up was received on 28-APR-2021 which updated patient demographics, lab details, concomitant medications and event details.