Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Dizziness, Fatigue, Headache
Clinical narrative: Hives 10 days after injection; Loopy; I developed shivering chills; A fever of just 100 degrees/feverish; Aches; Fatigue; Sick; Intense headache; Left arm was hot and itchy; Developed some inflammation; Reaction happened quickly; arm was hot; This spontaneous case was reported by a consumer and describes the occurrence of URTICARIA (Hives 10 days after injection), DIZZINESS (Loopy), CHILLS (I developed shivering chills), PYREXIA (A fever of just 100 degrees/feverish) and MYALGIA (Aches) in a 72-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 006B21A and 023M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Previously administered products included for an unreported indication: FLU VACCINE VII (reaction: red, raised, itchy and large are on right upper arm the side of injection.). Concurrent medical conditions included Drug allergy (Follow up allergy test identify allergy to thimerisol, even the preservative removed always had similar reaction.), Allergy (scratchy, sore throat, hoarseness), Food allergy (scratchy, sore throat, hoarseness), Food allergy (scratchy, sore throat, hoarseness), Hypertension (Controlled with medication) since 2001 and GERD since 2001. Concomitant products included HYDROCHLOROTHIAZIDE;TRIAMTERENE for Hypertension, CALCIUM ASCORBATE, UBIDECARENONE (CO-ENZYME Q10), MAGNESIUM, ALPHA LIPOIC ACID, VITAMIN D3, VITAMIN B COMPLEX (COMPLEX B [VITAMIN B COMPLEX]), ALOE VERA, PROBIOTICS NOS, BIOTIN, GLUCOSAMINE SULFATE and DOCUSATE SODIUM (COLACE) for an unknown indication.   On 18-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 18-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 18-Mar-2021, the patient experienced URTICARIA (Hives 10 days after injection), DIZZINESS (Loopy), CHILLS (I developed shivering chills), PYREXIA (A fever of just 100 degrees/feverish), MYALGIA (Aches), FATIGUE (Fatigue), ILLNESS (Sick), HEADACHE (Intense headache), VACCINATION SITE PRURITUS (Left arm was hot and itchy), INFLAMMATION (Developed some inflammation) and VACCINATION COMPLICATION (Reaction happened quickly). 18-Mar-2021, the patient experienced VACCINATION SITE WARMTH (arm was hot). The patient was treated with PARACETAMOL (TYLENOL) ongoing since an unknown date at an unspecified dose and frequency. On 27-Mar-2021, URTICARIA (Hives 10 days after injection), DIZZINESS (Loopy), CHILLS (I developed shivering chills), PYREXIA (A fever of just 100 degrees/feverish), MYALGIA (Aches), FATIGUE (Fatigue), ILLNESS (Sick), HEADACHE (Intense headache), VACCINATION SITE PRURITUS (Left arm was hot and itchy), INFLAMMATION (Developed some inflammation), VACCINATION COMPLICATION (Reaction happened quickly) and VACCINATION SITE WARMTH (arm was hot) had resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Body temperature increased: 100f after Tylenol 99.4F.    This case was linked to MOD-2021-035051 (Patient Link).   Most recent FOLLOW-UP information incorporated above includes: On 26-May-2021: Follow up report was received , and included information for pregnant status, product info, allergies, historical condition, age, height , weight, race, concomitant medications, AE onset dates, stop dates, and outcome event.