Received Oct 3, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (MODERNA)) | MODERNA | UNK | — | — |
| COVID19 | COVID19 (COVID19 (PFIZER-BIONTECH)) | PFIZER\BIONTECH | UNK | — | — |
| PNC | PNEUMO (PREVNAR) | PFIZER\WYETH | UNK | — | — |
he got covid; SIRVA; This spontaneous case was reported by a consumer and describes the occurrence of COVID-19 (he got covid) and SHOULDER INJURY RELATED TO VACCINE ADMINISTRATION (SIRVA) in a 77-year-old male patient who received mRNA-1273.712 (SPIKEVAX 2024-2025 PFS) for COVID-19 prophylaxis. Co-suspect products included non-company products Tozinameran (Pfizer BioNTech COVID-19 vaccine) for an unknown indication and Pneumococcal vaccine conj 7v (CRM197) (Prevnar) for Prevention. Previously administered products included for COVID-19 prophylaxis: Moderna COVID-19 vaccine (3 weeks apart in Fall of 2020) in 2020, Moderna COVID-19 vaccine in 2021, Spikevax NOS in 2022 and Spikevax NOS in 2023. Past adverse reactions to the above products included No adverse effect with Moderna COVID-19 vaccine, Moderna COVID-19 vaccine, Spikevax NOS and Spikevax NOS. On 05-Sep-2024, the patient received dose of mRNA-1273.712 (SPIKEVAX 2024-2025 PFS) (unknown route) 1 dosage form. In March 2025, the patient started Tozinameran (Pfizer BioNTech COVID-19 vaccine) (unknown route) 1 dosage form and dose of Pneumococcal vaccine conj 7v (CRM197) (Prevnar) (unknown route) 1 dosage form. In March 2025, the patient experienced SHOULDER INJURY RELATED TO VACCINE ADMINISTRATION (SIRVA). On 01-Jun-2025, the patient experienced COVID-19 (he got covid). The patient was treated with Nirmatrelvir, Ritonavir (Paxlovid) in June 2025 for COVID-19, at an unspecified dose and frequency. In May 2025, SHOULDER INJURY RELATED TO VACCINE ADMINISTRATION (SIRVA) had resolved. On 06-Jun-2025, COVID-19 (he got covid) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In June 2025, SARS-CoV-2 test: home kit that showed positive for COVID, he did it twice. He continued testing himself during the week until it was clear. The action taken with mRNA-1273.712 (SPIKEVAX 2024-2025 PFS) (Unknown) was unknown. No concomitant medications were reported. The patient received Moderna as the first vaccine and was stuck by it. Because he was 65 and older he was recommended that he get another one in 6 months, he took the Pfizer vaccine in March 2025. His Pfizer vaccine was an old strain, the fall shot that they gave him again in March, he was told to take it as a booster. The extra Pfizer shot did not work. He caught covid on 01-Jun-2025, and he got better on 05-Jun-2025. He took Paxlovid right away, it was only a day and a half delay until he started Paxlovid. He was sure it protected him somewhat because he did not get very sick. He had a home kit that showed positive for COVID, he did it twice. He continued testing himself during the week until it was clear. It took 5 days to be clear. Sick on Monday, completely over it by Friday. He had a slight cough, runny nose, typical cold symptoms but he was a little more severe than that. A little bit of a fever, not much, but a little bit. Every year he took the Moderna shot. Two weeks after he had the Pfizer booster in March, he got the new Pneumonia 21 valent shot as per his doctor's recommendation. 4 days later, his arm started to hurt so bad it felt like it was falling off, and it got worse, the pain did not go away for 3 months. They thought the pharmacist misdirected the injection; they called it SIRVA - something about injury during vaccine administration. It went away eventually. The pharmacist aimed too high and injected his bursa or something like that. It caused nerve damage too it seemed, but it all went away. It took 3 months. They did not give him the shot right, that was what happened. It was reported that he told the pharmacist had injured his arm. He got hurt in March, he was in pain since March, that went away in the middle of May, that finally dissipated. That was an injury. He went to his doctor. It was not the covid shot, it was the pneumonia shot. He took his Spikevax 2025-2026 shot, Lot/Batch Number: 3052549, Expiration Date: 08-May-2026, with dose of 0.5 ml on 24-Sep-2025 in his right arm, and took his flu shot in the left arm, just to make sure not to injure his arm too much. It was unknown if the patient experienced any additional symptoms/events.
Test Date: 202506; Test Name: home covid test; Result Unstructured Data: home kit that showed positive for COVID, he did it twice. He continued testing himself during the week until it was clear