Sex: M
Vaccine: COVID19, FLUX, RSV
Symptoms: Adverse drug reaction, Epistaxis, Memory impairment
Clinical narrative: BLOODY NOSE; HASSLE; SOMETIMES FORGETS TO TAKE HIS MEDICATION; This spontaneous report received from a patient concerned a male of unspecified age. Initial information was processed along with follow-up information received on 11-Mar-2024. It was determined that Manufacturer Case Number [20240240750] was a duplicate of this case. All relevant information regarding this case will be submitted under Manufacturer Case Number [20240309764].  The patient's height, and weight were not reported. The patient's concurrent conditions included: rheumatoid arthritis, and other persistent atrial fibrillation. The patient received rivaroxaban (film-coated tablet, oral, batch number was not reported) dose, frequency, and therapy dates were not reported for other persistent atrial fibrillation. The patient received (dose series: 1) covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number was not reported) dose, start therapy date were not reported for covid-19 prophylaxis. Non-company suspect vaccine included: influenza vaccine (dose series: 2) ( form of admin, route of admin, and batch number were not reported), dose, start therapy date were not reported for an unspecified indication. ; and  (dose series: 3) rsv vaccine ( form of admin, route of admin, and batch number were not reported), dose, start therapy date were not reported for an unspecified indication. No concomitant medications were reported.  The batch number was not reported. The Company is unable to perform follow-up to request batch/lot numbers. On 13-FEB-2024, the patient experienced sometimes forgets to take his medication. The patient had bloody nose once but he is not sure if the medication caused it but he stated that he knows that he has to be careful with what he is doing. He has had COVID vaccination shots like 3-4 of them along with other vaccinations like the Flu and SRV vaccine but they didn't tell him at the pharmacy who makes the vaccines and he hasn't had any adverse events. He stated that he will not spend any of his money to send this letter back. He will just send a piece of paper to GMS telling them that he doesn't know what this is about. Agent attempted to collect more information from caller but he states that he hasn't had a bloody nose in a long while since that one time. He thinks he was picking his nose and irritated a blood vessel and there are some blood vessels on the surface so it doesn't take much to get it out. He was cleaning his nose out with his finger and he had pretty good bloody nose. He stated that his nose started running when he tried to pick out a booger from his nose from the night before. He had to go to the ER as he nose was running right out. He can't say that XARELTO caused it. When agent attempted to collect NDC, Lot and Expiration Date of the XARELTO. He stated that he has to get up to get the bottle and that this is a hassle. He stated that he gets irritated easily and his knees bother him as he has Rheumatoid Arthritis. The action taken with covid-19 vaccine ad26.cov2.s, influenza vaccine, and rsv vaccine was not applicable; action taken with rivaroxaban was not reported for the event of bloody nose and hassle; and treatment with rivaroxaban was withdrawn for the events of  sometimes forgets to take his medication. The outcome of the sometimes forgets to take his medication, bloody nose and hassle was not reported. This report was non-serious. This case is a duplicate of 20240240750.