Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Polymerase chain reaction positive, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive, Transient ischaemic attack
Clinical narrative: Covid-19; This spontaneous case was reported by a patient and describes the occurrence of COVID-19 (Covid-19) in a 66-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 030M20A, 04BA21A, 017F21A and 001M21A) for COVID-19 prophylaxis.     The patient's past medical history included COVID-19 (stayed home and isolated for approximately 2 years) in 2020. Concurrent medical conditions included Penicillin allergy, Blood pressure high since 2012, Psoriasis since 1990 and Neutropenia since 2012.   On 17-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 17-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 24-Oct-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 03-Apr-2022, received fourth dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 01-Sep-2022,  after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced COVID-19 (Covid-19). The patient was treated with NIRMATRELVIR, RITONAVIR (PAXLOVID) (oral use) from September 2022 to October 2022 for COVID-19, at a dose of Packet. At the time of the report, COVID-19 (Covid-19) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 01-Sep-2022, SARS-CoV-2 test: Positive. In September 2022, SARS-CoV-2 test: Positive. In July 2023, SARS-CoV-2 test: Positive. In September 2023, SARS-CoV-2 test: Negative. On an unknown date, Blood pressure measurement: raising to the 165-170 range after having a Covid vaccine for approximately 20 to 30 days.. On an unknown date, Body temperature: 101.         No concomitant medications were reported.  The patient had COVID-19 again on 11-APR-2023 and on an unknown date in 2023.  Prior to Covid and the Covid vaccine's, Patient had mild high blood pressure and mild neutropenia  Condition worsen during covid-19 illness was high blood pressure.  Patient experienced COVID-19 symptoms, included  Fever for 3 days duration. Temperature maximum 101.Chills for 5 days Shortness of breath  for 5 days , Muscle aches for 10 days, Headache for 5 days, Nasal congestion/ runny nose for 10 days, Loss of taste for 3 days, Loss of smell for 2 days, slept for 10 days.  It was unknown, patient had 2 TIA's, it was not caused by Aneurysms per doctors, not caused by PFO, had TTE, it was Negative, Plaque in Carotid mild was Possible, Loop Recorder placed in 1/2024 to determine if any AFIB was possible.   Covid and/or Covid and Vaccines were causing patient current health issues with TIA and NSVT. Patient monitor BP when patient get a vaccine (and/or Covid and/or had to take Paxlovid) and ensure patient doctor provides extra medication to keep patient blood pressure stable during these times.   This case was linked to MOD-2023-753450, MOD-2024-758794 (Patient Link).   Most recent FOLLOW-UP information incorporated above includes: On 28-Jan-2024: Significant follow-up received. Patient medical history, lab data, Product details added.