Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Palpitations, Panic attack, Paraesthesia, Product dose omission issue
Clinical narrative: Will not get second dose; Feeling unwell; muscle pain/soreness; Pain in chest area; Muscle twitching; Tingling in my lower limbs; Fast heartbeat; Felt sick/been to the hospital several times; Not eating; Panic attack; Heart palpitations; Feeling of trembling inside/internal vibrations/internal tremors/pinky was always trembling,; Throat tightening up; Lips and face tingling/tingling in my lower limbs; Felt like she couldn't breathe; Light headed, dizzy; Nausea; pain in her neck/soreness on her neck; anxiety attack/had a lot of anxiety.; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of THROAT TIGHTNESS (Throat tightening up), PARAESTHESIA (Lips and face tingling/tingling in my lower limbs), DYSPNOEA (Felt like she couldn't breathe), DIZZINESS (Light headed, dizzy) and PANIC ATTACK (Panic attack) in a 32-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Previously administered products included for an unreported indication: INFLUENZA VACCINE. Concomitant products included ESCITALOPRAM OXALATE (LEXAPRO) and GABAPENTIN for an unknown indication.    On 31-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 31-Jan-2021,  after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced THROAT TIGHTNESS (Throat tightening up), PARAESTHESIA (Lips and face tingling/tingling in my lower limbs), DYSPNOEA (Felt like she couldn't breathe), DIZZINESS (Light headed, dizzy), NECK PAIN (pain in her neck/soreness on her neck), ANXIETY (anxiety attack/had a lot of anxiety.) and NAUSEA (Nausea). On 12-Feb-2021, the patient experienced PANIC ATTACK (Panic attack), PALPITATIONS (Heart palpitations) and TREMOR (Feeling of trembling inside/internal vibrations/internal tremors/pinky was always trembling,). On 13-Feb-2021, the patient experienced ILLNESS (Felt sick/been to the hospital several times) and DECREASED APPETITE (Not eating). On an unknown date, the patient experienced CHEST PAIN (Pain in chest area), MUSCLE TWITCHING (Muscle twitching), PARAESTHESIA (Tingling in my lower limbs), HEART RATE INCREASED (Fast heartbeat), PRODUCT DOSE OMISSION ISSUE (Will not get second dose), MALAISE (Feeling unwell) and MYALGIA (muscle pain/soreness). The patient was treated with PARACETAMOL (TYLENOL) on 31-Jan-2021 at a dose of 1 dosage form and AMLODIPINE for Blood pressure high, at a dose of 1 dosage form. At the time of the report, THROAT TIGHTNESS (Throat tightening up), PARAESTHESIA (Lips and face tingling/tingling in my lower limbs), DYSPNOEA (Felt like she couldn't breathe), PALPITATIONS (Heart palpitations), TREMOR (Feeling of trembling inside/internal vibrations/internal tremors/pinky was always trembling,), ILLNESS (Felt sick/been to the hospital several times), DECREASED APPETITE (Not eating), CHEST PAIN (Pain in chest area), MUSCLE TWITCHING (Muscle twitching), PARAESTHESIA (Tingling in my lower limbs), PRODUCT DOSE OMISSION ISSUE (Will not get second dose), NECK PAIN (pain in her neck/soreness on her neck), ANXIETY (anxiety attack/had a lot of anxiety.), MALAISE (Feeling unwell), MYALGIA (muscle pain/soreness) and NAUSEA (Nausea) outcome was unknown, DIZZINESS (Light headed, dizzy) and PANIC ATTACK (Panic attack) had resolved with sequelae and HEART RATE INCREASED (Fast heartbeat) had resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 31-Jan-2021, Blood pressure measurement (120/80-Unknown): 130-140/80-90 (High) Blood pressure slightly above normal range. On 31-Jan-2021, Blood test: unknown (Inconclusive) inconclusive. On 31-Jan-2021, Computerised tomogram: normal (normal) normal. On 31-Jan-2021, Electrocardiogram: normal (normal) normal. On 31-Jan-2021, X-ray: normal (normal) normal. On 12-Feb-2021, Blood pressure measurement (120/80-Unknown): 200/100 (High) Blood pressure elevated. On an unknown date, Blood pressure measurement (120/80-Unknown): 180-190/80-100 (High) Blood pressure elevated.     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.   Concomitant medication also included anti-depression medication.   Most recent FOLLOW-UP information incorporated above includes: On 26-Apr-2021: Report not scheduled for Follow up as initial report is pending for submission, repoter contact details was updated, patient  medical history flu vaccine, concomitant medicines Lexapro, gabapentin. events neck pain, myalgia, anxiety, missed dose and treatment drugs  amlodipine was  updated