Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Allergy test, Allergy to chemicals, Amnesia, Blood pressure increased, Chills
Clinical narrative: Neurological Side effects; cognitive issues; Feels like his eyes are crossed (Vision Normal per doctor); visual disturbances; short-term memory loss; tension headaches; unable to sleep; vertigo; fatigue; Woke up with right leg/foot having spasms; I was covered in sweat.; painful genital herpes outbreak; can be cross reactivity with PEG; Red inflammation in vein of right foot; hard vein in my abdominal fat; Lymph nodes swollen in groin and neck; skin felt like crawling; Hands tremoring and shaking; lack of coordination in his legs; Lower quarter of eye is more blurry; teeth were shattering; teeth were shattering; legs felt weak / weakness in hands; freezing; right eye little blurry; Arm was very sore and little achy; rapid heart beat; Feet tingling; blood pressure elevated; light headedness and diziness; heart started raising /  my heart was racing; strange taste in mouth; felt as if he was fainting, foggy, felt like ice was running through my veins; hands and face were tingling; head  was spininning; diziness; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of NERVOUS SYSTEM DISORDER (Neurological Side effects), COGNITIVE DISORDER (cognitive issues), HEART RATE INCREASED (heart started raising /  my heart was racing), TASTE DISORDER (strange taste in mouth) and FEELING ABNORMAL (felt as if he was fainting, foggy, felt like ice was running through my veins) in a 38-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 038A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included gential (vaccine caused painul out break.) since 01-Jan-2016. Concurrent medical conditions included Food allergy (poly sorbate 80), Allergic to dogs, Drug allergy (allergic to acyclovir), Pollen allergy (allergic to grass pollen.) and Pollen allergy (allergic to certain tree pollens.).    On 02-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 02-Apr-2021, the patient experienced HEART RATE INCREASED (heart started raising /  my heart was racing), TASTE DISORDER (strange taste in mouth), FEELING ABNORMAL (felt as if he was fainting, foggy, felt like ice was running through my veins), PARAESTHESIA (hands and face were tingling), DIZZINESS (light headedness and diziness), VERTIGO (head  was spininning) and DIZZINESS (diziness). On 03-Apr-2021, the patient experienced PARAESTHESIA (Feet tingling), BLOOD PRESSURE INCREASED (blood pressure elevated), HEART RATE ABNORMAL (rapid heart beat) and MYALGIA (Arm was very sore and little achy). On 04-Apr-2021, the patient experienced VISION BLURRED (right eye little blurry). On 05-Apr-2021, the patient experienced MUSCULAR WEAKNESS (legs felt weak / weakness in hands) and FEELING COLD (freezing). On 07-Apr-2021, the patient experienced the first episode of CHILLS (teeth were shattering) and the second episode of CHILLS (teeth were shattering). On 09-Apr-2021, the patient experienced SKIN DISCOMFORT (skin felt like crawling), TREMOR (Hands tremoring and shaking), COORDINATION ABNORMAL (lack of coordination in his legs) and VISION BLURRED (Lower quarter of eye is more blurry). On 11-Apr-2021, the patient experienced VEIN DISORDER (hard vein in my abdominal fat) and LYMPHADENOPATHY (Lymph nodes swollen in groin and neck). On 13-Apr-2021, the patient experienced INFLAMMATION (Red inflammation in vein of right foot). On 14-Apr-2021, the patient experienced ALLERGY TO CHEMICALS (can be cross reactivity with PEG). On 27-Apr-2021, the patient experienced GENITAL HERPES (painful genital herpes outbreak). On 15-May-2021, the patient experienced MUSCLE SPASMS (Woke up with right leg/foot having spasms) and HYPERHIDROSIS (I was covered in sweat.). On an unknown date, the patient experienced NERVOUS SYSTEM DISORDER (Neurological Side effects), COGNITIVE DISORDER (cognitive issues), EYE DISORDER (Feels like his eyes are crossed (Vision Normal per doctor)), VISUAL IMPAIRMENT (visual disturbances), AMNESIA (short-term memory loss), TENSION HEADACHE (tension headaches), INSOMNIA (unable to sleep), VERTIGO (vertigo) and FATIGUE (fatigue). On 07-Apr-2021, last episode of CHILLS (teeth were shattering) had resolved. On 14-Apr-2021, ALLERGY TO CHEMICALS (can be cross reactivity with PEG) had resolved. On 17-May-2021, LYMPHADENOPATHY (Lymph nodes swollen in groin and neck) had resolved. On 22-May-2021, MUSCLE SPASMS (Woke up with right leg/foot having spasms) and HYPERHIDROSIS (I was covered in sweat.) had resolved with sequelae. At the time of the report, NERVOUS SYSTEM DISORDER (Neurological Side effects), HEART RATE INCREASED (heart started raising /  my heart was racing), TASTE DISORDER (strange taste in mouth), FEELING ABNORMAL (felt as if he was fainting, foggy, felt like ice was running through my veins), PARAESTHESIA (hands and face were tingling), SKIN DISCOMFORT (skin felt like crawling), TREMOR (Hands tremoring and shaking), PARAESTHESIA (Feet tingling), COORDINATION ABNORMAL (lack of coordination in his legs), VISION BLURRED (Lower quarter of eye is more blurry), BLOOD PRESSURE INCREASED (blood pressure elevated), DIZZINESS (light headedness and diziness), FEELING COLD (freezing), VEIN DISORDER (hard vein in my abdominal fat), INFLAMMATION (Red inflammation in vein of right foot), GENITAL HERPES (painful genital herpes outbreak), EYE DISORDER (Feels like his eyes are crossed (Vision Normal per doctor)), VERTIGO (head  was spininning), AMNESIA (short-term memory loss), TENSION HEADACHE (tension headaches), INSOMNIA (unable to sleep), DIZZINESS (diziness), HEART RATE ABNORMAL (rapid heart beat), VISION BLURRED (right eye little blurry), VERTIGO (vertigo), MYALGIA (Arm was very sore and little achy) and FATIGUE (fatigue) outcome was unknown and COGNITIVE DISORDER (cognitive issues), MUSCULAR WEAKNESS (legs felt weak / weakness in hands) and VISUAL IMPAIRMENT (visual disturbances) was resolving.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 05-Apr-2021, Magnetic resonance imaging: normal (normal) normal. On 07-Apr-2021, Allergy test: allergy present (abnormal) Allergy to Polysorbate 80. On 13-Apr-2021, Electrocardiogram: normal (normal) normal. On 26-Apr-2021, Fibrin D dimer: normal (normal) normal.     The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.       No concomitant medication details were provided  Diagnostic data also included several blood tests which were normal.  Patient was advised not to take the second dose of vaccine by the doctor.  Based on the current available information and temporal association between the use of the product and the start date of the events a causal relationship cannot be excluded. None of the events are confirmed by a HCP, tests are all normal. However, medical history and treatment details are required for further evaluation.   This case was linked to MOD21-090607 (E2B Linked Report).   Most recent FOLLOW-UP information incorporated above includes: On 14-May-2021: New events are updated. On 14-May-2021: New events were updated. On 14-May-2021: Events were updated. On 03-Jun-2021: Follow up received contains no new information. On 03-Jun-2021: Patient demographic details are updated, historical conditions, outcome is updated; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events a causal relationship cannot be excluded. None of the events are confirmed by a HCP, tests are  all normal. However, medical history and treatment details are required for further evaluation. MOD21-090607: