Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Visual impairment
Clinical narrative: She started experiencing a funny sensation in her legs and fingers/it was like a tingling sensation; her vision felt funny and different as well; checked the blood pressure and pulse and it was high; Her mouth was drying up; This spontaneous case was reported by a patient and describes the occurrence of HYPERTENSION (checked the blood pressure and pulse and it was high), DRY MOUTH (Her mouth was drying up), PARAESTHESIA (She started experiencing a funny sensation in her legs and fingers/it was like a tingling sensation) and VISUAL IMPAIRMENT (her vision felt funny and different as well) in a 75-year-old female patient who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (batch no. 055F22B) for COVID-19 vaccination.     Patient did not have any allergies to medications, food and other products and had never been diagnosed or tested positive for COVID-19.  Previously administered products included for Flu: Flu shot on 03-Oct-2022. Past adverse reactions to the above products included No adverse event with Flu shot. Concurrent medical conditions included High cholesterol (started 5 years ago. current status: stable) since 2017. Concomitant products included PITAVASTATIN CALCIUM (LIVALO) for Blood cholesterol abnormal.    On 14-Oct-2022 at 11:00 AM, the patient received fifth dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) .5 milliliter. On 14-Oct-2022, the patient experienced PARAESTHESIA (She started experiencing a funny sensation in her legs and fingers/it was like a tingling sensation). In October 2022, the patient experienced HYPERTENSION (checked the blood pressure and pulse and it was high), DRY MOUTH (Her mouth was drying up) and VISUAL IMPAIRMENT (her vision felt funny and different as well). The patient was treated with CARVEDILOL in October 2022 for Blood pressure high, at an unspecified dose and frequency. At the time of the report, HYPERTENSION (checked the blood pressure and pulse and it was high) had not resolved and DRY MOUTH (Her mouth was drying up), PARAESTHESIA (She started experiencing a funny sensation in her legs and fingers/it was like a tingling sensation) and VISUAL IMPAIRMENT (her vision felt funny and different as well) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In October 2022, Blood pressure measurement: 180/100, very high, and after an hour, blood pressure was fine/normal. In October 2022, Electrocardiogram: Normal. In October 2022, Heart rate: 159, very high. On 17-Oct-2022, Blood pressure measurement: 152/92. On 17-Oct-2022, Heart rate: 81.         Patient had received first dose of Moderna vaccine on 30-Jan-2021 (route of administration : intramuscular, dose : 0.5ml, batch no.: 030L20A), second dose of Moderna vaccine on 27-Feb-2021 (dose : 0.5ml, batch no.: 002A21A), third dose of Moderna vaccine on 02-Sep-2021 (batch no.: 004A21A) and fourth dose of Moderna vaccine on 03-May-2022.  The patient received the bivalent booster dose at around 11 A.M on 14-Oct-2022 and started to experience the events after the vaccination in the evening at around 8:30 P.M to 9 P.M. After having high blood pressure and high pulse, the patient got scared and called emergency. The respondents came and checked her vitals again and at that time, the blood pressure was 180 (high) and pulse was 159 and advised her to go the emergency room as they could not control such vitals.  It was further reported that in the hospital waiting room, she was having little symptoms. However, her blood pressure reading was still high. After an hour, she was advised to go home. After an hour, her blood pressure was fine and an EKG test was done, which came back normal as well. The patient was told to go back home at that point and when she got back home, she caller her primary care physician's office and explained the situation to them.  After taking Carvedilol (as prescribed by physician), the patient's blood pressure returned to normal. However, after a few hours, her blood pressure shot up again to 180/100.  On the day of report, the patient was not having any symptoms but took Carvedilol again. During the phone call with the agent, she checked her blood pressure and pulse again and stated that it was 152/92 and 81, respectively. The patient reported that she never had any severe reaction like this to her previous doses.  It was further reported that the high blood pressure was controlled by the medication but after some time, this reading went back up again.   This case was linked to MOD-2022-660006 (Patient Link).