Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Hypertension, Lethargy, Musculoskeletal chest pain, Palpitations, Sweating fever
Clinical narrative: angina pectoris; syncope (fainting from drop in BP); musculoskeletal chest pain; Lethargy; Last saturday head was spinning/ Feels like a bobble head; right shoulder where received the shot hurt like someone kicked him there for a month; indigestion that is not helped by taking omeprazole; puffing out with gas for no reason; high blood pressure/blood pressure now 147-165/101-107; Palpitations/ middle of the night, resting heart rate would go from from 54-56 bpm and then spike to 100 for 30 seconds; worsening gout; had sweats and temperature elevation; This spontaneous case was reported by a patient and describes the occurrence of ANGINA PECTORIS (angina pectoris), SYNCOPE (syncope (fainting from drop in BP)), HYPERTENSION (high blood pressure/blood pressure now 147-165/101-107), PALPITATIONS (Palpitations/ middle of the night, resting heart rate would go from from 54-56 bpm and then spike to 100 for 30 seconds) and GOUT (worsening gout) in a 55-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 045B21A and 040B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included Pneumonia (was bedridden for 2 weeks with walking pneumonia 2 years in a row.). Previously administered products included for Drug use for unknown indication: flu vaccine (November 1984 and 1985). Past adverse reactions to the above products included No adverse event with flu vaccine. Concurrent medical conditions included Hemorrhoids (Start Date: 3 or 4 years (hemorrhoids)), Gout (gout was building for years) and Allergy to vaccine. Concomitant products included AMLODIPINE for Gout, COLCHICINE for Gout flare, ALLOPURINOL and MORNIFLUMATE (FLOMAX [MORNIFLUMATE]) for an unknown indication.   On 14-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) .5 milliliter. On 12-May-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to .5 milliliter. On 13-May-2021, the patient experienced SWEATING FEVER (had sweats and temperature elevation). On 12-Jul-2021, the patient experienced HYPERTENSION (high blood pressure/blood pressure now 147-165/101-107), PALPITATIONS (Palpitations/ middle of the night, resting heart rate would go from from 54-56 bpm and then spike to 100 for 30 seconds), GOUT (worsening gout), DYSPEPSIA (indigestion that is not helped by taking omeprazole) and FLATULENCE (puffing out with gas for no reason). 12-Jul-2021, the patient experienced VACCINATION SITE PAIN (right shoulder where received the shot hurt like someone kicked him there for a month). On 14-May-2022, the patient experienced VERTIGO (Last saturday head was spinning/ Feels like a bobble head). On an unknown date, the patient experienced ANGINA PECTORIS (angina pectoris), SYNCOPE (syncope (fainting from drop in BP)), MUSCULOSKELETAL CHEST PAIN (musculoskeletal chest pain) and LETHARGY (Lethargy). The patient was treated with OMEPRAZOLE for Indigestion, at an unspecified dose and frequency and BISOPROLOL for Heart disorder, at an unspecified dose and frequency. At the time of the report, ANGINA PECTORIS (angina pectoris), SYNCOPE (syncope (fainting from drop in BP)), HYPERTENSION (high blood pressure/blood pressure now 147-165/101-107), PALPITATIONS (Palpitations/ middle of the night, resting heart rate would go from from 54-56 bpm and then spike to 100 for 30 seconds), GOUT (worsening gout), SWEATING FEVER (had sweats and temperature elevation), DYSPEPSIA (indigestion that is not helped by taking omeprazole), FLATULENCE (puffing out with gas for no reason), VERTIGO (Last saturday head was spinning/ Feels like a bobble head), MUSCULOSKELETAL CHEST PAIN (musculoskeletal chest pain), LETHARGY (Lethargy) and VACCINATION SITE PAIN (right shoulder where received the shot hurt like someone kicked him there for a month) was resolving.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Blood pressure measurement: 147-165/101-107 (High) It is 147-165/101-107 and 54-56 bpm and then spike to 100 54-56 bpm and then spike to 100, then stay there for approximately 30 seconds and then drops back down to 60 bpm.     For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.   This case was linked to MOD-2022-572790, MOD-2022-572770 (Patient Link).