Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, Arthralgia, Bundle branch block, COVID-19, Overweight
Clinical narrative: overweight; caller experienced hair loss which continues to this day/Lost hair in clumps; a partial bundle branch block in heart; joint in body, finger, toe, knee, shoulder, hip, every joint was in excruciating pain/joints in knees are hurting; had a Covid like flu last December in 2022; Caller has developed spinal stenosis in Oct 2022; This spontaneous case was reported by an attorney and describes the occurrence of OVERWEIGHT (overweight), ALOPECIA (caller experienced hair loss which continues to this day/Lost hair in clumps), SPINAL STENOSIS (Caller has developed spinal stenosis in Oct 2022), BUNDLE BRANCH BLOCK (a partial bundle branch block in heart) and COVID-19 (had a Covid like flu last December in 2022) in a 73-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below.     No Medical History information was reported.   In November 2020, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. In December 2020, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. In October 2022, the patient experienced SPINAL STENOSIS (Caller has developed spinal stenosis in Oct 2022). In December 2022, the patient experienced COVID-19 (had a Covid like flu last December in 2022). On an unknown date, the patient experienced OVERWEIGHT (overweight), ALOPECIA (caller experienced hair loss which continues to this day/Lost hair in clumps), BUNDLE BRANCH BLOCK (a partial bundle branch block in heart) and ARTHRALGIA (joint in body, finger, toe, knee, shoulder, hip, every joint was in excruciating pain/joints in knees are hurting). The patient was treated with ELECTROLYTES NOS, GLUCOSE (PEDIALYTE [ELECTROLYTES NOS;GLUCOSE]) at an unspecified dose and frequency. At the time of the report, OVERWEIGHT (overweight), ALOPECIA (caller experienced hair loss which continues to this day/Lost hair in clumps), SPINAL STENOSIS (Caller has developed spinal stenosis in Oct 2022), BUNDLE BRANCH BLOCK (a partial bundle branch block in heart) and ARTHRALGIA (joint in body, finger, toe, knee, shoulder, hip, every joint was in excruciating pain/joints in knees are hurting) had not resolved and COVID-19 (had a Covid like flu last December in 2022) outcome was unknown.        For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   Concomitant medication details not reported by the reporter. It was reported that patient had two Moderna shots in 2020. 1st dose in November, second dose in December. Patient said she will never ever take a shot again. Patient was waited to make this report and did not want to jump the gun and be overreactive. Patient was overweight at the time at 180. After second dose, 2 weeks later, patient experienced hair loss which continues to this day, at least half or two thirds of hair was gone. Patient knows others who were experiencing this too. Lost hair in clumps. The other thing that happened about two to three weeks later was every single solitary joint in body, finger, toe, knee, shoulder, hip, every joint was in excruciating pain which lasted about a year in a half. Patient had developed spinal stenosis in Oct 2022 and they don't know if it was a result of that. Patient was getting epidural steroids shots in back, they have had two and know they will need a third one. Patient went to physcial rehab. More importantly, patient developed a partial bundle branch block in heart which could lead to cardio myopathy. Caller was becoming winded when walking distances and then officially diagnosed about a year or year a half and ago. Joints in knees are hurting. Patient was dealing with everything naturally and not taking any medications. Caller had no previous heart conditions. Patient  had a Covid like flu last December in 2022, took Pedialyte and soup and refused to go to the hospital.  Company Comment: This spontaneous case report concerns a 73-year-old female patient with no relevant medical history, who experienced non serious unexpected events of Spinal stenosis, COVID-19, Overweight, Alopecia, Bundle branch block (AESI) as well as non serious expected event of Arthralgia. Reportedly, 2 weeks after the administration of the second dose of the mRNA-1273 vaccine, the patient experienced hair loss which continues at the time of this report, and, at least half or two thirds of hair was gone. In addition, about two to three weeks later the patient started to have excruciating pain in every single solitary joint in body (finger, toe, knee, shoulder, hip), which lasted about a year in a half. Approximately 10 months after second dose, the patient was diagnosed with spinal stenosis. The patient was treated with epidural steroids shots and physical rehab. Furthermore, the patient developed a partial bundle branch block on an unknown date. In addition, the patient complained that her joints in knees were hurting. Approximately 2 years after second vaccination, the patient had "COVID like flu", as stated. At the time of this report, no further details regarding clinical course of the events were available. The patient's elderly age provides more alternative explanation for the event of Spinal stenosis and having in mind nature of the event (which refers to age-related changes in the spine), the company causality for this event is assessed as not related to the mRNA-1273 vaccine. The patient's elderly age also remains a confounder for the events of Alopecia, Bundle branch block and Arthralgia. No further details were available for medical assessment. The benefit-risk relationship of mRNA-1273 vaccine is not affected by this report.; Sender's Comments: This spontaneous case report concerns a 73-year-old female patient with no relevant medical history, who experienced non serious unexpected events of Spinal stenosis, COVID-19, Overweight, Alopecia, Bundle branch block (AESI) as well as non serious expected event of Arthralgia. Reportedly, 2 weeks after the administration of the second dose of the mRNA-1273 vaccine, the patient experienced hair loss which continues at the time of this report, and, at least half or two thirds of hair was gone. In addition, about two to three weeks later the patient started to have excruciating pain in every single solitary joint in body (finger, toe, knee, shoulder, hip), which lasted about a year in a half. Approximately 10 months after second dose, the patient was diagnosed with spinal stenosis. The patient was treated with epidural steroids shots and physical rehab. Furthermore, the patient developed a partial bundle branch block on an unknown date. In addition, the patient complained that her joints in knees were hurting. Approximately 2 years after second vaccination, the patient had "COVID like flu", as stated. At the time of this report, no further details regarding clinical course of the events were available. The patient's elderly age provides more alternative explanation for the event of Spinal stenosis and having in mind nature of the event (which refers to age-related changes in the spine), the company causality for this event is assessed as not related to the mRNA-1273 vaccine. The patient's elderly age also remains a confounder for the events of Alopecia, Bundle branch block and Arthralgia. No further details were available for medical assessment. The benefit-risk relationship of mRNA-1273 vaccine is not affected by this report.