Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Blood cholesterol, Blood pressure measurement, Body temperature, Dizziness, Feeling cold
Clinical narrative: UNCONTROLLABLE SHAKING; VERTIGO; DIZZINESS; HEART RATE ELEVATED; FEELING COLD AS HECK LIKE A FREEZING SENSATION; SHOT HURT LIKE HECK; LOT OF MUSCLE PAIN ESPECIALLY IN UPPER BACK ALONG THE SPINATUS MUSCLE; This spontaneous report received from a patient concerned a 60 year old adult male. The patient's weight was 127 pounds, and height was 68 inches. The patient's pre-existing medical conditions included: The patient was exposed to 5FU (Fluorouracil) and faced respiratory issue. The patient was previously on a steroid breather to help with his breathing. The patient received vaccination with covid-19 vaccine ad26.cov2.s (dose number in series 1) (suspension for injection, route of administration was not reported, and batch number: 1802070 and expiry: Unknown ) dose was not reported, administered on 12-MAR-2021 for prophylactic vaccination. On unspecified date following vaccination with covid-19 vaccine ad26.cov2.s (series 1), the patient experienced calf pains, calfs was enlarged and edema of ankles. Calf pains are resolved. calf swelling not recovered and outcome of ankle edema was unknown. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient received covid-19 vaccine ad26.cov2.s (Dose number series 2) (suspension for injection, route of administration was not reported, batch number: 1822811 expiry: Unknown) dose was not reported, administered on 09-NOV-2021 for prophylactic vaccination.  On AUG-2021, The patient had a full workup done. On 09-NOV-2021, the patient had uncontrollable shaking, the patient stated the shot hurt like heck and that he can tolerate a lot of pain. On the same day he was experiencing a lot of muscle pain especially in his upper back along the spinatus muscle. He stated that his blood pressure was normal but that his heart rate seems elevated which he stated he usually has a heart rate of 45 beats per minutes (bpm) but that it was at 68-70 beats per minutes (bpm). Patient stated that he was experiencing vertigo and dizziness as well. He stated that he was feeling cold as heck, like a freezing sensation. but that his temperature was normal. He stated that he was allergic to Chloramphenicol, takes Flomax 0.4mg daily, Losartan 50mg daily, Amlodipine 10mg daily, Motrin as needed.  Laboratory data included: Blood pressure and Body temperature was normal. Cholesterol was 130 mg/dL, and Heart rate was 68-70 beats per minutes (bpm). On unspecified date unspecified laboratory tests showed with no blood clots, patient feels its possible that the smaller veins may have had clots but did not show up on measurable tests, and Pain scale 1 to 2 or more out of 4. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from feeling cold as heck like a freezing sensation, vertigo, shot hurt like heck, lot of muscle pain especially in upper back along the spinatus muscle, dizziness, and heart rate elevated, and the outcome of uncontrollable shaking was not reported. This report was non-serious. This case, involving the same patient is linked to 20211165581.