Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face
Clinical narrative: foggy brain; agitation; no sleep; face started getting puffy/Her face is still swollen/it looks like two apples/high cheek bone got bigger or floats around or expanded/It filled out the middle, almost like a sponge/it's on both sides/more prevalent on the left than the right; it looks like two apples/high cheek bone got bigger or floats around or expanded/It filled out the middle, almost like a sponge/it's on both sides/more prevalent on the left than the right; patient says she got a booster but not second dose; This spontaneous case was reported by a consumer and describes the occurrence of FEELING ABNORMAL (foggy brain), AGITATION (agitation), INSOMNIA (no sleep), SWELLING FACE (face started getting puffy/Her face is still swollen/it looks like two apples/high cheek bone got bigger or floats around or expanded/It filled out the middle, almost like a sponge/it's on both sides/more prevalent on the left than the right) and SWELLING FACE (it looks like two apples/high cheek bone got bigger or floats around or expanded/It filled out the middle, almost like a sponge/it's on both sides/more prevalent on the left than the right) in an 82-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 058F21A and 019B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included COVID-19 in January 2021. Concurrent medical conditions included Pulmonary embolism (Resolved) since January 2021 and Heart disorder (Resolved) since January 2021.   On 31-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 08-Nov-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient experienced FEELING ABNORMAL (foggy brain), AGITATION (agitation), INSOMNIA (no sleep), SWELLING FACE (face started getting puffy/Her face is still swollen/it looks like two apples/high cheek bone got bigger or floats around or expanded/It filled out the middle, almost like a sponge/it's on both sides/more prevalent on the left than the right), SWELLING FACE (it looks like two apples/high cheek bone got bigger or floats around or expanded/It filled out the middle, almost like a sponge/it's on both sides/more prevalent on the left than the right) and INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (patient says she got a booster but not second dose). At the time of the report, FEELING ABNORMAL (foggy brain), AGITATION (agitation), INSOMNIA (no sleep), SWELLING FACE (face started getting puffy/Her face is still swollen/it looks like two apples/high cheek bone got bigger or floats around or expanded/It filled out the middle, almost like a sponge/it's on both sides/more prevalent on the left than the right) and SWELLING FACE (it looks like two apples/high cheek bone got bigger or floats around or expanded/It filled out the middle, almost like a sponge/it's on both sides/more prevalent on the left than the right) had not resolved and INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (patient says she got a booster but not second dose) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Magnetic resonance imaging: face swelling was from the fillers Face swelling was from the fillers.         No concomitant medication were provided. The patient administered Botox two or three times within a year for cheeks and face swelling. The patient had fillers in her cheeks on each side a year before she got the booster dose.