Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Reduced facial expression, Vaccination complication
Clinical narrative: he started choking; he had difficulty in swallowing; He had so much mucous; adverse event that someone else suffered after getting the Moderna vaccine; He has been confused; disoriented; his face was expressionless; This spontaneous case was reported by an other health care professional and describes the occurrence of CHOKING (he started choking), CONFUSIONAL STATE (He has been confused), DISORIENTATION (disoriented), REDUCED FACIAL EXPRESSION (his face was expressionless), DYSPHAGIA (he had difficulty in swallowing), PRODUCTIVE COUGH (He had so much mucous) and VACCINATION COMPLICATION (adverse event that someone else suffered after getting the Moderna vaccine) in a 73-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 037B21A and 021B21A) for COVID-19 vaccination.     The patient's past medical history included Tracheostomy, Catheter placement and Percutaneous endoscopic gastrostomy.   On 08-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 06-May-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 07-May-2021, the patient experienced CONFUSIONAL STATE (He has been confused) (seriousness criteria hospitalization, medically significant and life threatening), DISORIENTATION (disoriented) (seriousness criteria hospitalization, medically significant and life threatening) and REDUCED FACIAL EXPRESSION (his face was expressionless) (seriousness criteria hospitalization, medically significant and life threatening). On an unknown date, the patient experienced CHOKING (he started choking) (seriousness criteria hospitalization, disability, medically significant and life threatening), DYSPHAGIA (he had difficulty in swallowing) (seriousness criteria hospitalization, medically significant and life threatening), PRODUCTIVE COUGH (He had so much mucous) (seriousness criteria hospitalization, medically significant and life threatening) and VACCINATION COMPLICATION (adverse event that someone else suffered after getting the Moderna vaccine) (seriousness criteria hospitalization, disability, medically significant and life threatening). The patient was hospitalized on 07-May-2021 due to CHOKING, CONFUSIONAL STATE, DISORIENTATION, DYSPHAGIA, PRODUCTIVE COUGH, REDUCED FACIAL EXPRESSION and VACCINATION COMPLICATION. The patient was treated with OXYGEN at an unspecified dose and frequency and Manual therapy (Constant drainage) for Productive cough. At the time of the report, CHOKING (he started choking), CONFUSIONAL STATE (He has been confused), DISORIENTATION (disoriented), REDUCED FACIAL EXPRESSION (his face was expressionless), DYSPHAGIA (he had difficulty in swallowing), PRODUCTIVE COUGH (He had so much mucous) and VACCINATION COMPLICATION (adverse event that someone else suffered after getting the Moderna vaccine) had not resolved.        For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   Concomitant medication of the patient was not reported.  The patient did not have any side effects after the first vaccine. The patient was somewhat okay on 08-May-2021. Due to choking, doctors put a tube in him to make him more comfortable. The patient had all kinds of tests (MRI, CAT scan, Lumbar Puncture and Blood work (with unknown results for all)). Due to, so much mucous and constant drainage, the patient was put on a trach tube. The patient was also put in a PEG tube and a catheter as well. He was not getting better and he will not be getting better. The patient was now in extended care/assisted living and his tube feedings had been stopped.  Company comment: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.   Most recent FOLLOW-UP information incorporated above includes: On 05-Aug-2021: This case became valid case due to addition of patient identifier (date of birth, age and gender). This case was upgraded to a serious case due to addition of life threatening, disability, hospitalization and medical significant as seriousness criteria. Reporter type, outcome of the event VACCINATION COMPLICATION (adverse event that someone else suffered after getting the Moderna vaccine) and action taken for the suspect were updated. First dose details, second dose batch number, additional serious events and corrective treatment were added.; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.