Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Pallor, Palpitations, Presyncope, Skin discolouration, Somnolence
Clinical narrative: The feeling that get in stomach when drop, felt that in chest sometimes; Things didn't tasted the same any more; Heart was pounding when he lay down sometimes, now not as much but felt same when tired / heart rate jumps to 125 to 130 suddenly sometimes; At 10.30 am felt like he was going to throw up; Joint pain, especially in his fingers & ankles; Had body aches; Felt like he was going to pass out; Looked pale & had no color; One of the other coaches said he was talking to his dad who died 6 yrs before; Looked pale & had no color; Walked about 10 yards, then he was down; Woke up feeling not very good; Just felt like he wanted to go to sleep.; Felt exhausted for the next  few days / get tired; This spontaneous case was reported by a consumer and describes the occurrence of PRESYNCOPE (Felt like he was going to pass out), PALLOR (Looked pale & had no color), MENTAL DISORDER (One of the other coaches said he was talking to his dad who died 6 yrs before), SKIN DISCOLOURATION (Looked pale & had no color) and SYNCOPE (Walked about 10 yards, then he was down) in a 53-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 088D21A and 054C21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included COVID-19 (Patient had a history of COVID in summer 2021) in 2021.   On 29-Jul-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 25-Aug-2021 at 7:30 PM, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. In August 2021, the patient experienced FATIGUE (Felt exhausted for the next  few days / get tired). On 26-Aug-2021,  after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced PRESYNCOPE (Felt like he was going to pass out) (seriousness criteria disability and medically significant), PALLOR (Looked pale & had no color) (seriousness criteria disability and medically significant), MENTAL DISORDER (One of the other coaches said he was talking to his dad who died 6 yrs before) (seriousness criterion medically significant), SKIN DISCOLOURATION (Looked pale & had no color) (seriousness criteria disability and medically significant), SYNCOPE (Walked about 10 yards, then he was down) (seriousness criteria disability and medically significant), FEELING ABNORMAL (Woke up feeling not very good), SOMNOLENCE (Just felt like he wanted to go to sleep.), ARTHRALGIA (Joint pain, especially in his fingers & ankles) and MYALGIA (Had body aches). On 26-Aug-2021 at 10:30 AM, the patient experienced NAUSEA (At 10.30 am felt like he was going to throw up). On 17-Dec-2021, the patient experienced CHEST DISCOMFORT (The feeling that get in stomach when drop, felt that in chest sometimes) and PALPITATIONS (Heart was pounding when he lay down sometimes, now not as much but felt same when tired / heart rate jumps to 125 to 130 suddenly sometimes). 17-Dec-2021, the patient experienced TASTE DISORDER (Things didn't tasted the same any more). At the time of the report, PRESYNCOPE (Felt like he was going to pass out), PALLOR (Looked pale & had no color), MENTAL DISORDER (One of the other coaches said he was talking to his dad who died 6 yrs before), SKIN DISCOLOURATION (Looked pale & had no color), SYNCOPE (Walked about 10 yards, then he was down), FEELING ABNORMAL (Woke up feeling not very good), SOMNOLENCE (Just felt like he wanted to go to sleep.), CHEST DISCOMFORT (The feeling that get in stomach when drop, felt that in chest sometimes), TASTE DISORDER (Things didn't tasted the same any more), PALPITATIONS (Heart was pounding when he lay down sometimes, now not as much but felt same when tired / heart rate jumps to 125 to 130 suddenly sometimes), NAUSEA (At 10.30 am felt like he was going to throw up), ARTHRALGIA (Joint pain, especially in his fingers & ankles), MYALGIA (Had body aches) and FATIGUE (Felt exhausted for the next  few days / get tired) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 26-Aug-2021, Chest X-ray: normal (normal) The patient had undergone chest X-ray when he got into the emergency room to check if anything was wrong with the heart and if he had fluid around the heart but reported that everything showed negative.. On 26-Aug-2021, Electrocardiogram: abnormal (abnormal) EKG showed a little something, but was not able to conclude if it was new or something that was always been there.. On 17-Dec-2021, Heart rate: 125 - 130 (High) Patients heart rate jumps to 125-130 suddenly sometimes while his normal heart rate was around 58..         No concomitant medications were reported.  Treatment information was not provided.  The patient had no history of cardiac, myocardia or pericardia.  The patient once stepped out of classroom then felt like he was going to pass out later he was down after which the patient was carried to another room.   The school nurse hooked up AED & it said to shock him. Later the ambulance came, and chest X-ray was performed in emergency room..   This case was linked to MOD-2021-418095 (Patient Link).; Sender's Comments: This case concerns a 53-year-old, male patient with no relevant medical history, who experienced the unexpected events of Presyncope, Pallor, Mental Disorder, Skin Discoloration, and Syncope. The events occurred approximately 1 day after the second dose of mRNA-1273 (Moderna covid-19 vaccine). The rechallenge was not applicable as events occurred after second dose. The benefit-risk relationship of mRNA-1273 (Moderna covid-19 vaccine) is not affected by this report.