Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Decreased appetite, Fatigue, Influenza like illness, Muscular weakness, Myalgia
Clinical narrative: Ear ringing/constant tinnitus; Shortness of breath; Sore throat; Coughing; Wheezing; If the patient did any activity the patient could feel her throat constricting; Stiffness in hands to the point that a therapist thought the patient was rock climbing; Brain fog; Inability to concentrate; Tachycardia; Diarrhea; Tingling in her feet/tingling in her fingers; Constant muscle pain; Unbelievable fatigue; Weird headaches on one side of her brain; This spontaneous case was reported by an other health care professional and describes the occurrence of TINNITUS (Ear ringing/constant tinnitus), DYSPNOEA (Shortness of breath), OROPHARYNGEAL PAIN (Sore throat), COUGH (Coughing) and WHEEZING (Wheezing) in a 60-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 057M21A, 017P21A, 041L20A and 025L20A) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Hypothyroidism. Concomitant products included CROMOGLICATE SODIUM (NASALCROM), LEVOTHYROXINE and ALPRAZOLAM for an unknown indication. On 03-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 28-Jan-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 25-Oct-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 29-Apr-2022, received fourth dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 01-May-2022, the patient experienced TINNITUS (Ear ringing/constant tinnitus), DYSPNOEA (Shortness of breath), OROPHARYNGEAL PAIN (Sore throat), COUGH (Coughing), WHEEZING (Wheezing), THROAT TIGHTNESS (If the patient did any activity the patient could feel her throat constricting), MUSCULOSKELETAL STIFFNESS (Stiffness in hands to the point that a therapist thought the patient was rock climbing), FEELING ABNORMAL (Brain fog), DISTURBANCE IN ATTENTION (Inability to concentrate), TACHYCARDIA (Tachycardia), DIARRHOEA (Diarrhea), PARAESTHESIA (Tingling in her feet/tingling in her fingers), MYALGIA (Constant muscle pain), FATIGUE (Unbelievable fatigue) and HEADACHE (Weird headaches on one side of her brain). At the time of the report, TINNITUS (Ear ringing/constant tinnitus), DYSPNOEA (Shortness of breath), OROPHARYNGEAL PAIN (Sore throat), COUGH (Coughing), WHEEZING (Wheezing), THROAT TIGHTNESS (If the patient did any activity the patient could feel her throat constricting), MUSCULOSKELETAL STIFFNESS (Stiffness in hands to the point that a therapist thought the patient was rock climbing), FEELING ABNORMAL (Brain fog), DISTURBANCE IN ATTENTION (Inability to concentrate), TACHYCARDIA (Tachycardia), DIARRHOEA (Diarrhea), PARAESTHESIA (Tingling in her feet/tingling in her fingers), MYALGIA (Constant muscle pain), FATIGUE (Unbelievable fatigue) and HEADACHE (Weird headaches on one side of her brain) outcome was unknown.  DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 01-May-2022, Heart rate: erratic heart beat and 143 143 beats per minute. On an unknown date, Weight: 20 lost 20 pounds since dose 1 and 13 lost 13 pounds after dose 3. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Patient walked 3 houses down from own house and had a heart rate of 143 beats per minute. Any time patient exerted effort heart rate soared. The patient was worked up for multiple sclerosis, rheumatoid arthritis, lupus, brain tumor, zika virus, Lyme disease, inflammation in the blood, arthritis in the spine or other spine diseases and all were ruled out. No treatment medication was reported by reporter. This case was linked to MOD-2022-630583, MOD-2022-630610 (Patient Link).