Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Insomnia, Palpitations
Clinical narrative: heart started racing (booster)/heart rate was 151 BPM (walking); "little bit of chest tightness"/COVID infection caused chest tightness; trouble breathing; coughing; hard to sleep at night; headache; This spontaneous prospective pregnancy case was reported by a consumer and describes the occurrence of PALPITATIONS (heart started racing (booster)/heart rate was 151 BPM (walking)), CHEST DISCOMFORT ("little bit of chest tightness"/COVID infection caused chest tightness), DYSPNOEA (trouble breathing), COUGH (coughing) and INSOMNIA (hard to sleep at night) in a 35-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 066M21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included Mitral valve prolapse (Patient has experienced heart palpitations in the past from Mitral Valve Prolapse (MVP).) and Barrett's esophagus. Concurrent medical conditions included Allergy (allergies) and Asthma (severe asthma). Concomitant products included EPINEPHRINE BITARTRATE (ASTHMAHALER) for Asthma, PANTOPRAZOLE for Barrett's esophagus, ASPIRIN [ACETYLSALICYLIC ACID] for Pre-eclampsia, MINERALS NOS, VITAMINS NOS (PRENATAL VITAMINS [MINERALS NOS;VITAMINS NOS]) and FLUOXETINE for an unknown indication.    On 16-Jan-2022, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. The patient's last menstrual period was on an unknown date and the estimated date of delivery was unknown. On 16-Jan-2022, the patient experienced PALPITATIONS (heart started racing (booster)/heart rate was 151 BPM (walking)), CHEST DISCOMFORT ("little bit of chest tightness"/COVID infection caused chest tightness), DYSPNOEA (trouble breathing), COUGH (coughing), INSOMNIA (hard to sleep at night) and HEADACHE (headache). The patient was treated with PARACETAMOL (TYLENOL [PARACETAMOL]) ongoing since an unknown date for Headache, at an unspecified dose and frequency. At the time of the report, PALPITATIONS (heart started racing (booster)/heart rate was 151 BPM (walking)), CHEST DISCOMFORT ("little bit of chest tightness"/COVID infection caused chest tightness), DYSPNOEA (trouble breathing), COUGH (coughing), INSOMNIA (hard to sleep at night) and HEADACHE (headache) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In 2022, Heart rate: 151 bpm resting heart rate was 151 BPM and 105 bpm resting heart rate was 105 BPM.     For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.   Treatment medication was reported for headache and for rest of event it was not reported.  Patient reported that couple of hours after receiving the booster dose, Patient heart started racing. She also reported a "little bit of chest tightness" with a deep breath, trouble breathing, coughing and headache. Patient also reported it is hard to sleep at night. Patient had scheduled appointment with a new physician for evaluation on 19-Jan-2022   This case was linked to MOD-2022-453882, MOD-2022-453536 (Patient Link).