Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Death, Diet refusal, Fall, Fluid intake reduced, Hallucination
Clinical narrative: Death; Hallucination; Aggression; Agitation; Anger; Cognitive disorder; Diet refusal; Fall; Fluid intake reduced; Irritability; Neurological symptom; Screaming; Wheelchair user; Paranoia; This case was received via VAERS (Reference number: 1273324) on 18-May-2021 and was forwarded to Moderna on 18-May-2021.    This case was reported by an other health care professional and describes the occurrence of DEATH (Death) and HALLUCINATION (Hallucination) in a 73-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 023M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included Dementia (Diagnosed with dementia 9 years ago), Blood pressure high, Cholesterol high and Mastectomy bilateral. Concomitant products included ATORVASTATIN, LISINOPRIL, FISH OIL, VITAMIN D3, CALCIUM, ANASTROZOLE and MEMANTINE HYDROCHLORIDE (MEMANTO) for an unknown indication.    On 18-Feb-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 22-Feb-2021, the patient experienced HALLUCINATION (Hallucination) (seriousness criterion medically significant), AGGRESSION (Aggression), AGITATION (Agitation), ANGER (Anger), COGNITIVE DISORDER (Cognitive disorder), DIET REFUSAL (Diet refusal), FALL (Fall), FLUID INTAKE REDUCED (Fluid intake reduced), IRRITABILITY (Irritability), NEUROLOGICAL SYMPTOM (Neurological symptom), SCREAMING (Screaming) and WHEELCHAIR USER (Wheelchair user). 22-Feb-2021, the patient experienced PARANOIA (Paranoia). The patient was treated with LORAZEPAM (ATIVAN) at an unspecified dose and frequency. The patient died on 24-Apr-2021. The cause of death was not reported. It is unknown if an autopsy was performed. At the time of death, HALLUCINATION (Hallucination), AGGRESSION (Aggression), AGITATION (Agitation), ANGER (Anger), COGNITIVE DISORDER (Cognitive disorder), DIET REFUSAL (Diet refusal), FALL (Fall), FLUID INTAKE REDUCED (Fluid intake reduced), IRRITABILITY (Irritability), NEUROLOGICAL SYMPTOM (Neurological symptom), SCREAMING (Screaming), WHEELCHAIR USER (Wheelchair user) and PARANOIA (Paranoia) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 22-Feb-2021, Computerised tomogram abnormal: abnormal (abnormal) abnormal.     For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.   No treatment information was provided. Patient got  the first dose vaccine on 1/29/21, later she experienced hallucinations, feeling heavy and face was drooping on one side. She hospitalized for a week and got discharged on controlled symptoms. Patient brought to home with nurses assistance and her paranoia was evident, hallucinations were very evident. CAT and MRI was done to the patient which result in no stroke on unknown date.  They thought she was suffering from Lewy body dementia at one point.  They were going to have her tested for that and they could not do it on Saturday when she passed   Company comment: This is a case of death in a 73-year-old female subject with a history of dementia, high blood pressure, high cholesterol, and bilateral mastectomies who died 61 days after receiving second dose of vaccine. Very limited information has been provided at this time. No further information is expected.; Sender's Comments: This is a case of death in a 73-year-old female subject with a history of dementia, high blood pressure, high cholesterol, and bilateral mastectomies who died 61 days after receiving second dose of vaccine. Very limited information has been provided at this time. No further information is expected.; Reported Cause(s) of Death: Unknown cause of death