Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Malaise, Pyrexia
Clinical narrative: lack of energy; feeling hot and then cold; she didn't feel good; dry cough; flu like symptoms; shortness of breath; Low grade fever between 98.5 to 99; This spontaneous case was reported by a consumer and describes the occurrence of ASTHENIA (lack of energy), FEELING OF BODY TEMPERATURE CHANGE (feeling hot and then cold), MALAISE (she didn't feel good), COUGH (dry cough) and INFLUENZA LIKE ILLNESS (flu like symptoms) in a 79-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 05M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included Allergic asthma, Bronchial asthma (Bronchial asthmatic cough), Lymphedema, Immobile (two bad knees), Back pain and Knee pain. Concurrent medical conditions included Drug allergy (Allergy to Opana(tching)), Drug allergy (Allergy to Hydromorphone(Itching)), Drug allergy (Allergy to Fentanyl(in IV or patch)(itching)), Drug allergy (Allergy to Morphine(itching)), Drug allergy (Allergy to Hydrocodone(itching)), Drug allergy (Allergy to  Darvocet(Nausea)), Drug allergy (Allergy to  Ultrase(Nausea)), Drug allergy (Allergy to Tramadol(Nausea)), Drug allergy (Allergy to  Propoxy(Itching)), Drug allergy (Allergy to Codine(spasms in esophagus)), Drug allergy (Allergy to  Trazodone(Nausea)), Drug allergy (Allergy to  Ambium CR(Severe depression)), Drug allergy (Allergy to  Bethanechol(Spasms in esophagus for 5 hrs, stomach cramps, nauses)), Drug allergy (Allergy to  Singelair(Daily migrane headaches)), Drug allergy (Allergy to  Xolair injections(Spasms in esophagus/itching)), Drug allergy (Allergy to  Theopalin(Itching)), Allergy to antibiotic (Allergy to amoxicillin(Severe reflux and lip swelling)), Allergy to antibiotic (Allergy to  clarithromycin(Bad diahhoea)), Drug allergy (Allergy to  Divalproex SOD dr 250mg(haluchating and sleep walking(including bad fall)), Anaphylactic reaction (Allergy to Minocycline), Allergy to antibiotic (Allergy to  clindamycin(breathing problems)), Drug allergy (Allergy to  cyclobenzaprine(nausea, fast heartbeat)), Drug allergy (Allergy to  Forteo(Dizziness and nausea)), Drug allergy (Allergy to  Isradipine (Headache)), Drug allergy (Allergy to  Meloxicam(Headache)), Drug allergy (Allergy to  Mirtazapine(Pain in chest)), Drug allergy (Allergy to  Nortriptyline(Trouble breathing)), Drug allergy (Allergy to  Cyclobenzaprine(Nausea, fast heartbeat)), Drug allergy (Allergy to  Flexeral(Irregular heartbeat, nausea and spasms in esophagus)), Drug allergy (Allergy to  Topramate(Spasms in esophagus, itching)), Drug allergy (Allergy to  Skelaxin(irregular heartbeat, nausea, headaches)), Drug allergy (Allergy to  Nedmycin(Bad diarrhea)), Drug allergy (Allergy to  Metronidazole(Bad diarrhea)), Drug allergy (Synvisc injections in knees-Severe allergic swelling that lasted for days and less severe swelling for months very painful) since May 2009, Blood pressure since 2003, Spasm oesophageal since 1987 and Fibromyalgia since 1999. Concomitant products included NAPHAZOLINE HYDROCHLORIDE (EYE DROPS [NAPHAZOLINE HYDROCHLORIDE]) for Glaucoma, CANDESARTAN for Hypertension, TAPENTADOL HYDROCHLORIDE (NUCYNTA) for Pain, LEVOTHYROXINE for Thyroid disorder, RABEPRAZOLE SODIUM (RABEPRAZOLE EC), PRAMIPEXOLE, PARACETAMOL (TYLENOL), XYLOMETAZOLINE HYDROCHLORIDE (NASAL SPRAY II), CIMETIDINE, MIRABEGRON (MYRBETRIQ), OXYBUTYNIN, MULTIVITAMIN [ASCORBIC ACID;BIOTIN;CALCIUM;CHOLINE BITARTRATE;CHROMIUM;COPPER;FOLIC ACID;INOSITOL;IODINE;IRON;MAGNESIUM;MANGANESE;MOLYBDENUM;NICOTINAMIDE;PANTOTHENIC ACID;PHOSPHORUS;POTASSIUM;PYRIDOXINE;RETINOL;RIBOFLAVIN;SELENIUM;THIAMINE;TOCOPHEROL, CURCUMA LONGA, SILYBUM MARIANUM, TARAXACUM OFFICINALE (MILK THISTLE [CURCUMA LONGA;SILYBUM MARIANUM;TARAXACUM OFFICINALE]), CARMELLOSE SODIUM (THERA TEARS), COENZYME Q10 [UBIDECARENONE], VITAMIN B COMPLEX, COLECALCIFEROL (VITAMIN D [COLECALCIFEROL]), CETIRIZINE HYDROCHLORIDE (ALLERGY RELIEF [CETIRIZINE HYDROCHLORIDE]), CURCUMA LONGA (TURMERIC [CURCUMA LONGA]) and GABAPENTIN for an unknown indication, TAPENTADOL HYDROCHLORIDE (NUCYNTA ER) for pain.   On 06-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 03-Feb-2021, received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient experienced ASTHENIA (lack of energy), FEELING OF BODY TEMPERATURE CHANGE (feeling hot and then cold), MALAISE (she didn't feel good), COUGH (dry cough), INFLUENZA LIKE ILLNESS (flu like symptoms), DYSPNOEA (shortness of breath) and PYREXIA (Low grade fever between 98.5 to 99). The patient was treated with ONDANSETRON for Nausea, at a dose of 4 milligram. At the time of the report, ASTHENIA (lack of energy), FEELING OF BODY TEMPERATURE CHANGE (feeling hot and then cold), MALAISE (she didn't feel good), COUGH (dry cough), INFLUENZA LIKE ILLNESS (flu like symptoms), DYSPNOEA (shortness of breath) and PYREXIA (Low grade fever between 98.5 to 99) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Body temperature: 97.5 degree Celsius (normal) normal and 98.8/99.9 degree Celsius (abnormal) low-grade temperatures.     The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown.       Patient reported was treated with an antibiotic and two rounds of a steroid dose pack two weeks apart for asthma symptoms.   This case was linked to MOD-2021-041179 (Patient Link).   Most recent FOLLOW-UP information incorporated above includes: On 04-Jul-2021: significant follow up received. Added patient medical history details. Allergy to Opana, Hydromorphone, Fentanyl,  morphine, hydrocodone, Darvocet, ultrase, ultram, tramadol, propoxy, codine, trazodone, ambium CR, bethanechol, stomach cramps, amoxicilyn, theopalin etc.