Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope, Upper limb fracture, Urticaria, Vaccination site pain
Clinical narrative: Soreness in the arm; Rashes on both arms; Started feeling extremely nauseous like she was going to throw up but did not throw up; Was unconscious / her husband found her unconscious and she woke up; She broke her arm or whole arm as the arm was completely on her chest / broken left arm; At midnight patient started feeling really ill, did not feel well and went to bed; her body turned cold as ice; Had welts on the body and said as fast as it came, it left; Lost her eyesight temporarily; This spontaneous case was reported by a consumer and describes the occurrence of SYNCOPE (Was unconscious / her husband found her unconscious and she woke up), BLINDNESS TRANSIENT (Lost her eyesight temporarily), UPPER LIMB FRACTURE (She broke her arm or whole arm as the arm was completely on her chest / broken left arm), MALAISE (At midnight patient started feeling really ill, did not feel well and went to bed) and URTICARIA (Had welts on the body and said as fast as it came, it left) in a 59-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 022B21A and 024C21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Previously administered products included for Product used for unknown indication: Flu shot (Her body usually reacts to things and after she gets a flu shot and usually sits down for 30 minutes). Past adverse reactions to the above products included Vaccination adverse reaction with Flu shot.   On 05-May-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 02-Jun-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 02-Jun-2021,  after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced URTICARIA (Had welts on the body and said as fast as it came, it left). On 02-Jun-2021 at 11:00 PM, the patient experienced FEELING COLD (her body turned cold as ice). On 03-Jun-2021, the patient experienced SYNCOPE (Was unconscious / her husband found her unconscious and she woke up), UPPER LIMB FRACTURE (She broke her arm or whole arm as the arm was completely on her chest / broken left arm), MALAISE (At midnight patient started feeling really ill, did not feel well and went to bed), RASH (Rashes on both arms) and NAUSEA (Started feeling extremely nauseous like she was going to throw up but did not throw up). In June 2021, the patient experienced BLINDNESS TRANSIENT (Lost her eyesight temporarily). On an unknown date, the patient experienced VACCINATION SITE PAIN (Soreness in the arm). The patient was treated with GABAPENTIN for Adverse event, at an unspecified dose and frequency and TRAMADOL for Adverse event, at a dose of as needed. In June 2021, URTICARIA (Had welts on the body and said as fast as it came, it left) had resolved. At the time of the report, SYNCOPE (Was unconscious / her husband found her unconscious and she woke up), BLINDNESS TRANSIENT (Lost her eyesight temporarily), MALAISE (At midnight patient started feeling really ill, did not feel well and went to bed) and FEELING COLD (her body turned cold as ice) had resolved and UPPER LIMB FRACTURE (She broke her arm or whole arm as the arm was completely on her chest / broken left arm), RASH (Rashes on both arms), NAUSEA (Started feeling extremely nauseous like she was going to throw up but did not throw up) and VACCINATION SITE PAIN (Soreness in the arm) outcome was unknown.            No concomitant medications were reported.  The patient woke up the next day of vaccine administration, sat on the bed and felt a little better but had red rashes. The patient then showed the rashes on both arms to her husband and felt nauseous. She described it as started to feel like it was coming up, came up and went down. The patient also reported that her eyesight went completely white when she went to the bathroom, grabbed on to the towel and tried to go back to the bed. She had no idea how she got from bathroom to between bed and dresser, was unconscious, does not remember how she got from bathroom to bedroom as she could not see as the vision went white. She stated that her husband found her unconscious and could not get to her, so called 911, woke up and was still white. The patient had vision but could see a little bit through the center. The patient stated that she broke her arm or whole arm as the arm was completely on her chest, it was straight but could not get up. She sat up but was not able to get up as it was painful and did not remember that of a broken left arm.   The patient went to the hospital for many hours but was not hospitalized due to lot of COVID cases that day in the hospital so asked the doctor to send her home the same day. The patient stated that in the ER and hospital, she was going in and out of consciousness but stated that the white vision had gone away while in the ER and ended up with a broken arm.   This case was linked to MOD-2021-434066 (Patient Link).