Sex: M
Vaccine: COVID19
Symptoms: Decreased appetite, Haemorrhage, Renal disorder
Clinical narrative: Had given him vitamin K to stop the bleeding; kidneys started shouting down; Died; Raised C-reactive protein; Shoulder pain; Loss of appetite; Stomach discomfort; This case was initially received via an unknown source (no reference has been entered for a health authority or license partner) on 26-Feb-2021. The most recent information was received on 08-Jul-2021 and was forwarded to Moderna on 08-Jul-2021.    This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of DEATH (Died) and HAEMORRHAGE (Had given him vitamin K to stop the bleeding) in a 73-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 012M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Concurrent medical conditions included Cardiac disorder NOS.    On 01-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 02-Feb-2021, the patient experienced DECREASED APPETITE (Loss of appetite), ABDOMINAL DISCOMFORT (Stomach discomfort) and ARTHRALGIA (Shoulder pain). On 03-Feb-2021, the patient experienced C-REACTIVE PROTEIN INCREASED (Raised C-reactive protein). On an unknown date, the patient experienced HAEMORRHAGE (Had given him vitamin K to stop the bleeding) (seriousness criterion medically significant) and RENAL DISORDER (kidneys started shouting down). The patient was treated with VITAMIN K NOS for Bleeding, at an unspecified dose and frequency. The patient died on 23-Mar-2021. The cause of death was not reported. It is unknown if an autopsy was performed. At the time of death, HAEMORRHAGE (Had given him vitamin K to stop the bleeding), RENAL DISORDER (kidneys started shouting down), DECREASED APPETITE (Loss of appetite), ABDOMINAL DISCOMFORT (Stomach discomfort), C-REACTIVE PROTEIN INCREASED (Raised C-reactive protein) and ARTHRALGIA (Shoulder pain) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 03-Feb-2021, C-reactive protein: 128 (High) 128 it gradually increased to 246 and 259.         Concomitant medications were not provided. The patient was given a steroid shot for raised c-reactive protein. On 01-Mar-2021 the patient's kidneys started to shut down. On an unreported date, the patient was given Vitamin -K to stop unspecified bleeding. On 23-Mar-2021 the patient died, specific cause of death was not reported. Treatment included Vitamin K.  Very limited information regarding these events has been provided at this time. Further information has been requested. Further information is not expected   This case was linked to MOD-2021-252597 (Patient Link).   Most recent FOLLOW-UP information incorporated above includes: On 08-Jul-2021: Additional events reported: Patient died; kidneys started to shut down and bleeding. Current conditions updated to include 'heart patient'. Date of vaccine confirmed as first dose.; Sender's Comments: Very limited information regarding these events has been provided at this time. Further information has been requested. Further information is not expected; Reported Cause(s) of Death: Unknown cause of death