Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy, Metabolic disorder, Myalgia, Palpitations
Clinical narrative: Dizziness; Crusty formation on lip; Spike in blood sugar, up to 280-300; Ears were ringing like he has tinnitus; Lymph nodes were hot; Lymph nodes were hurting; Lymph nodes were going nuts especially the ones at the bottom of the ear/lymph nodes were swollen; Low grade fever 99-100; Achy; Fast heart beat; Arm was hot; Hard at the injection site; This spontaneous case was reported by a consumer and describes the occurrence of TINNITUS (Ears were ringing like he has tinnitus), PALPITATIONS (Fast heart beat), VACCINATION SITE WARMTH (Arm was hot), FEELING HOT (Lymph nodes were hot) and LYMPH NODE PAIN (Lymph nodes were hurting) in a 58-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 021B21A and 026A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included Tinnitus (triggered by another flu vaccine when patient  was younger). Previously administered products included for an unreported indication: FLU VACCINE VII. Concurrent medical conditions included Type 2 diabetes mellitus (Type 2 diabetes under good control with a low carb diet).   On 04-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 01-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 02-Apr-2021, the patient experienced PALPITATIONS (Fast heart beat), VACCINATION SITE WARMTH (Arm was hot), VACCINATION SITE INDURATION (Hard at the injection site) and MYALGIA (Achy). On 03-Apr-2021, the patient experienced FEELING HOT (Lymph nodes were hot), LYMPH NODE PAIN (Lymph nodes were hurting), LYMPHADENOPATHY (Lymph nodes were going nuts especially the ones at the bottom of the ear/lymph nodes were swollen) and PYREXIA (Low grade fever 99-100). On 05-Apr-2021, the patient experienced TINNITUS (Ears were ringing like he has tinnitus). On an unknown date, the patient experienced DIZZINESS (Dizziness), LIP SCAB (Crusty formation on lip) and METABOLIC DISORDER (Spike in blood sugar, up to 280-300). At the time of the report, TINNITUS (Ears were ringing like he has tinnitus), PALPITATIONS (Fast heart beat), VACCINATION SITE WARMTH (Arm was hot), FEELING HOT (Lymph nodes were hot), LYMPH NODE PAIN (Lymph nodes were hurting), DIZZINESS (Dizziness), LIP SCAB (Crusty formation on lip), METABOLIC DISORDER (Spike in blood sugar, up to 280-300), VACCINATION SITE INDURATION (Hard at the injection site), LYMPHADENOPATHY (Lymph nodes were going nuts especially the ones at the bottom of the ear/lymph nodes were swollen), PYREXIA (Low grade fever 99-100) and MYALGIA (Achy) had resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 03-Apr-2021, Body temperature: 99-100 (High) Low grade fever 99-100. On an unknown date, Blood glucose: 280-300 (High) after the second vaccine, patient experienced a spike in blood sugar, up to 280-300 for about a week. Resolved now.         Patient takes oral antidiabetic medication only as needed for elevated blood sugar.  No treatment medication was reported.   This case was linked to MOD-2021-139789 (Patient Link).   Most recent FOLLOW-UP information incorporated above includes: On 17-May-2021: Event detail updated, medical history updated, concomitant medication list updated, Lab data added, events added, outcom e of the events updated, first dose details updated On 17-Jun-2021: The follow up included event information and their outcome.