Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Pain, Post vaccination syndrome, Sinus headache, Vestibular disorder
Clinical narrative: brain fog; vestibular disorder; wasn't moving around so much; I have to use my hands to stand up from a sitting position; It hurt so bad; leg muscle aches, muscle aches on my shoulders; headache came back, still experiences headache now, I know I still have a headache, 1-2 out of 10 on the pain scale; first dose was Pfizer, second dose was Moderna; Within 4 hours of the Moderna shot, he had (and still has) long haul symptoms from it/ Everything hit all at once within 4 hours after getting the shot; severe sinus headache on the left side of his face; This spontaneous case was reported by a consumer and describes the occurrence of SINUS HEADACHE (severe sinus headache on the left side of his face), FEELING ABNORMAL (brain fog), VESTIBULAR DISORDER (vestibular disorder), HYPOKINESIA (wasn't moving around so much) and DYSSTASIA (I have to use my hands to stand up from a sitting position) in a 72-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 033H21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included Bypass surgery (patient had triple bypass heart surgery and he started physical therapy at that time.) on 14-Jul-2021 and Hip fracture (patient broke his left trochanter, which was a slight hip fracture.) in November 2021. Previously administered products included for COVID-19 vaccination: Pfizer (Dose number 1, Lot number : EW0182, Route: Intramuscular and location: right arm) on 20-May-2021. Past adverse reactions to the above products included No adverse event with Pfizer. Concurrent medical conditions included Bee sting, Ex-smoker and Ex-alcohol user. Concomitant products included CLOPIDOGREL HYDROCHLORIDE (CLOPIDOGREL [CLOPIDOGREL HYDROCHLORIDE]), MIRTAZAPINE, FAMOTIDINE, METOPROLOL TARTRATE, DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL N), ACETYLSALICYLIC ACID (BABY ASPIRIN), VITAMIN B12 NOS, COLECALCIFEROL (VITAMIN D3), IRON and VITAMINS NOS for an unknown indication.    On 05-Jan-2022, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 05-Jan-2022, the patient experienced POST VACCINATION SYNDROME (Within 4 hours of the Moderna shot, he had (and still has) long haul symptoms from it/ Everything hit all at once within 4 hours after getting the shot) and INTERCHANGE OF VACCINE PRODUCTS (first dose was Pfizer, second dose was Moderna). On an unknown date, the patient experienced SINUS HEADACHE (severe sinus headache on the left side of his face), FEELING ABNORMAL (brain fog), VESTIBULAR DISORDER (vestibular disorder), HYPOKINESIA (wasn't moving around so much), DYSSTASIA (I have to use my hands to stand up from a sitting position), PAIN (It hurt so bad), MYALGIA (leg muscle aches, muscle aches on my shoulders) and HEADACHE (headache came back, still experiences headache now, I know I still have a headache, 1-2 out of 10 on the pain scale). The patient was treated with PREDNISONE on 25-Jan-2022 for Headache, at a dose of 1 dosage form; DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL N) at a dose of 1 dosage form as required; AMOXICILLIN for Sinus headache, at a dose of 1 dosage form and Physical therapy for Vestibular disorder. At the time of the report, SINUS HEADACHE (severe sinus headache on the left side of his face) had resolved, FEELING ABNORMAL (brain fog), HYPOKINESIA (wasn't moving around so much), DYSSTASIA (I have to use my hands to stand up from a sitting position), PAIN (It hurt so bad), POST VACCINATION SYNDROME (Within 4 hours of the Moderna shot, he had (and still has) long haul symptoms from it/ Everything hit all at once within 4 hours after getting the shot), MYALGIA (leg muscle aches, muscle aches on my shoulders) and HEADACHE (headache came back, still experiences headache now, I know I still have a headache, 1-2 out of 10 on the pain scale) had not resolved, VESTIBULAR DISORDER (vestibular disorder) was resolving and INTERCHANGE OF VACCINE PRODUCTS (first dose was Pfizer, second dose was Moderna) outcome was unknown.        For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.   Patient did not get a second dose of Pfizer.   On an unknown date, patient went to the hospital. Patient consulted neurologist on 7Mar2022. Patient's general practitioner prescribed amoxicillin, but it did nothing. On 25Jan2022, patient took one prednisone, and after 2 hours, his pain went down to 2 on a pain scale. He took another one the next day because the headache came back. Again, it subsided down to 2 on a pain scale after a couple hours of taking the prednisone. He still experienced the headache at the time of this report. It was 1-2 out of 10 on the pain scale, however patient knew that he still had headache. Patient was hit badly and his autoimmune system was supercharged. Event of vestibular disorder improved because of physical therapy. Patient's doctor recommended a recovery program for long-term COVID at the hospital. Patient was on Benadryl off and on. After the shot, patient never got a fever, never lost sense of taste/smell, no heart palpitations.