Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chills, Influenza like illness, Pain in extremity, Rash
Clinical narrative: usual like flu with all the shots; I had spasms; contractions were in and out/felt like it was in the urinary tract; started experiencing chills; went to the bathroom and sat down, but ended up throwing up instead/threw up; felt very sick; has terrible claustrophobia; my memory is foggy so I cannot remember exact details/started to feel so bad/thought I had to go to the bathroom/felt like I was dying/the last one frightened me; so cold; I couldn't breathe/I was not gasping for air, but felt like a pressure/then I couldn't breathe/became really frightened when I couldn't breathe; I must have only slept 56 minutes that night; This spontaneous case was reported by a patient and describes the occurrence of INFLUENZA LIKE ILLNESS (usual like flu with all the shots), CLAUSTROPHOBIA (has terrible claustrophobia), FEELING ABNORMAL (my memory is foggy so I cannot remember exact details/started to feel so bad/thought I had to go to the bathroom/felt like I was dying/the last one frightened me), NASOPHARYNGITIS (so cold) and DYSPNOEA (I couldn't breathe/I was not gasping for air, but felt like a pressure/then I couldn't breathe/became really frightened when I couldn't breathe) in a 75-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 05A22A, 058F21A, 008B21-2A and 026A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient had no allergies. The patient had no acute and chronic illnesses at the time of vaccination.  Concomitant products included ROSUVASTATIN, IRBESARTAN and CALCIUM for an unknown indication.   On 05-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) .5 milliliter. On 02-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to .5 milliliter. On 02-Nov-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 22-May-2022, received fourth dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to .25 milliliter. On 22-May-2022, the patient experienced CLAUSTROPHOBIA (has terrible claustrophobia), FEELING ABNORMAL (my memory is foggy so I cannot remember exact details/started to feel so bad/thought I had to go to the bathroom/felt like I was dying/the last one frightened me), NASOPHARYNGITIS (so cold), DYSPNOEA (I couldn't breathe/I was not gasping for air, but felt like a pressure/then I couldn't breathe/became really frightened when I couldn't breathe), INSOMNIA (I must have only slept 56 minutes that night), MALAISE (felt very sick) and VOMITING (went to the bathroom and sat down, but ended up throwing up instead/threw up). On 23-May-2022, the patient experienced UTERINE SPASM (I had spasms), UTERINE HYPOTONUS (contractions were in and out/felt like it was in the urinary tract) and CHILLS (started experiencing chills). On an unknown date, the patient experienced INFLUENZA LIKE ILLNESS (usual like flu with all the shots). On 23-May-2022, FEELING ABNORMAL (my memory is foggy so I cannot remember exact details/started to feel so bad/thought I had to go to the bathroom/felt like I was dying/the last one frightened me), NASOPHARYNGITIS (so cold), DYSPNOEA (I couldn't breathe/I was not gasping for air, but felt like a pressure/then I couldn't breathe/became really frightened when I couldn't breathe), INSOMNIA (I must have only slept 56 minutes that night), UTERINE SPASM (I had spasms), UTERINE HYPOTONUS (contractions were in and out/felt like it was in the urinary tract), MALAISE (felt very sick), CHILLS (started experiencing chills) and VOMITING (went to the bathroom and sat down, but ended up throwing up instead/threw up) had resolved. At the time of the report, INFLUENZA LIKE ILLNESS (usual like flu with all the shots) and CLAUSTROPHOBIA (has terrible claustrophobia) outcome was unknown.    On 02-Nov-2021, received 1st booster dose of Moderna COVID-19 Vaccine. On 22-May-2022, received 2nd booster dose Moderna COVID-19 Vaccine. On 22-May-2022, patient felt very sick and thought she had to go to the bathroom. Patient went to the bathroom and sat down, but ended up throwing up instead. Patient then came back to bed but states that she couldn't breathe. Patient stated that she was not gasping for air, but felt kind of like a pressure and could not breathe properly. Patient started to feel better after some time, but a little while later, another wave came over her again. Patient again went to the bathroom and threw up. When patient came back to bed, she could not breathe again. Patient stated that she had terrible claustrophobia and felt like she was dying. It happened several times during the night. On 23-May-2022 around 1 AM, patient started experiencing chills. Next day  she woke up she did not had that feeling of not being able to breathe. The contractions coming in and out and spasms in the urinary tract didn't last long and were not very strong. It went on for a little while and then stopped, after which patient started to feel better. Patient felt much better by the end of the day on 23-May-2022, but this episode really frightened her.  No treatment medications were reported.   This case was linked to MOD-2022-657100, MOD-2022-657079 (Patient Link).