Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotension, Loss of personal independence in daily activities, Neutrophil count, Pain, Presyncope
Clinical narrative: So weak; In pain; Inability to do much; Stress; No appetite; Right arm numbness; Shortness of breath / Shortness of breath (intensified) / It was quite severe; Dizziness; Severely low BP / low blood pressure event / my blood pressure was in the 80s/50s; Near syncopal episodes; Chest pain; Extreme fatigue; This spontaneous case was reported by an other health care professional and describes the occurrence of ASTHENIA (So weak), PAIN (In pain), LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES (Inability to do much), STRESS (Stress) and DYSPNOEA (Shortness of breath / Shortness of breath (intensified) / It was quite severe) in a 29-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 012L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.   Concurrent medical conditions included Autonomic dysfunction and Migraine. Concomitant products included TOPIRAMATE (TOPAMAX) for Migraine.  On 22-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. In January 2021, the patient experienced DIZZINESS (Dizziness), HYPOTENSION (Severely low BP / low blood pressure event / my blood pressure was in the 80s/50s), PRESYNCOPE (Near syncopal episodes), CHEST PAIN (Chest pain) and FATIGUE (Extreme fatigue). On 26-Jan-2021, the patient experienced DYSPNOEA (Shortness of breath / Shortness of breath (intensified) / It was quite severe). In February 2021, the patient experienced HYPOAESTHESIA (Right arm numbness). On an unknown date, the patient experienced ASTHENIA (So weak), PAIN (In pain), LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES (Inability to do much), STRESS (Stress) and DECREASED APPETITE (No appetite). The patient was treated with ASPIRIN [ACETYLSALICYLIC ACID] for Adverse event, at a dose of UNK UNK, prn and IBUPROFEN for Adverse event, at a dose of UNK UNK, prn. At the time of the report, ASTHENIA (So weak), PAIN (In pain), LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES (Inability to do much) and STRESS (Stress) outcome was unknown, DYSPNOEA (Shortness of breath / Shortness of breath (intensified) / It was quite severe), DIZZINESS (Dizziness), HYPOAESTHESIA (Right arm numbness), HYPOTENSION (Severely low BP / low blood pressure event / my blood pressure was in the 80s/50s), PRESYNCOPE (Near syncopal episodes), CHEST PAIN (Chest pain) and FATIGUE (Extreme fatigue) was resolving and DECREASED APPETITE (No appetite) had resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Blood pressure measurement: 80s/50s (Low) blood pressure was in the 80s/50s. On an unknown date, Blood test: normal (normal) did blood tests but it was all looking at heart attack or covid-19 symptoms, everything returned normal.. On an unknown date, Electrocardiogram: normal (normal) did EKG but it was all looking at heart attack or covid-19 symptoms.Everything returned normal.. On an unknown date, Neutrophil count: abnormal (abnormal) abnormal due to stress..   The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.   For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.   Chest pain, shortness of breath, extreme fatigue, dizziness, right arm numbness, severely low BP and had near syncopal episode were  came on about 4 to 5 days after receiving first dose of the Moderna vaccine. The patient drank mostly protein shakes. ETG and  bone level were abnormal due to stress. The patient only received one dose of the vaccine because she did not want to put herself through that again.   Most recent FOLLOW-UP information incorporated above includes: On 23-Sep-2021: Follow up received and does not contain any new information.