Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral
Clinical narrative: Head get pressure; Felt very lightheaded; Painful muscle in chest; Felt awful; Headache, gets on and off headaches/ major headache on the back and front of her head that went down to her neck; Lower jaw, lips tingling; Lower jaw pressure; Lips get pressure; Neck tingling /pressure sensation; Stomach tingling/pressure sensation/stomach squeezy; Chest palpitations/ Heart palpitations/ Feeling of rapid heart beat; Tingling on head, chest, neck, stomach; Pressure in chest; Jaw, lips and tongue were at the verge of going numb; Rising blood pressure; This spontaneous case was reported by a consumer and describes the occurrence of MUSCLE TIGHTNESS (Lower jaw pressure), ORAL DISCOMFORT (Lips get pressure), HEAD DISCOMFORT (Head get pressure), PARAESTHESIA ORAL (Lower jaw, lips tingling) and PARAESTHESIA (Tingling on head, chest, neck, stomach) in a 74-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 030M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included Headache (stopped in 2011.  Returned almost daily since vaccine) and Costochondritis (reoccurring low/moderate level of chest mussel pain) in 2009. Concurrent medical conditions included Drug allergy since 10-Aug-2014, Blood pressure high since 1995, GERD since 2008 and Irritable bowel syndrome since 2005. Concomitant products included CANDESARTAN from 2012 to an unknown date and HYDROCHLOROTHIAZIDE from 2012 to an unknown date for Blood pressure high, ESOMEPRAZOLE MAGNESIUM from 2008 to an unknown date for GERD, UBIDECARENONE (CO Q-10) for Muscle ache, ATORVASTATIN from 2017 to an unknown date and LIDOCAINE for an unknown indication.    On 12-Feb-2021 at 8:40 AM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 12-Feb-2021 at 8:45 AM, the patient experienced PARAESTHESIA (Tingling on head, chest, neck, stomach), CHEST DISCOMFORT (Pressure in chest), ABDOMINAL DISCOMFORT (Stomach tingling/pressure sensation/stomach squeezy), PALPITATIONS (Chest palpitations/ Heart palpitations/ Feeling of rapid heart beat), HYPOAESTHESIA (Jaw, lips and tongue were at the verge of going numb) and BLOOD PRESSURE INCREASED (Rising blood pressure). On 15-Feb-2021, the patient experienced MUSCLE TIGHTNESS (Lower jaw pressure). 15-Feb-2021, the patient experienced ORAL DISCOMFORT (Lips get pressure), PARAESTHESIA ORAL (Lower jaw, lips tingling) and MUSCULOSKELETAL DISCOMFORT (Neck tingling /pressure sensation). On an unknown date, the patient experienced HEAD DISCOMFORT (Head get pressure), DIZZINESS (Felt very lightheaded), CHEST PAIN (Painful muscle in chest), FEELING ABNORMAL (Felt awful) and HEADACHE (Headache, gets on and off headaches/ major headache on the back and front of her head that went down to her neck). At the time of the report, MUSCLE TIGHTNESS (Lower jaw pressure), ORAL DISCOMFORT (Lips get pressure), HEAD DISCOMFORT (Head get pressure), PARAESTHESIA ORAL (Lower jaw, lips tingling), MUSCULOSKELETAL DISCOMFORT (Neck tingling /pressure sensation), DIZZINESS (Felt very lightheaded), CHEST PAIN (Painful muscle in chest), FEELING ABNORMAL (Felt awful) and HEADACHE (Headache, gets on and off headaches/ major headache on the back and front of her head that went down to her neck) outcome was unknown and PARAESTHESIA (Tingling on head, chest, neck, stomach), CHEST DISCOMFORT (Pressure in chest), ABDOMINAL DISCOMFORT (Stomach tingling/pressure sensation/stomach squeezy), PALPITATIONS (Chest palpitations/ Heart palpitations/ Feeling of rapid heart beat), HYPOAESTHESIA (Jaw, lips and tongue were at the verge of going numb) and BLOOD PRESSURE INCREASED (Rising blood pressure) had not resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Blood pressure measurement: high (High) blood pressure went up.     The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.       No treatment information was reported.   This case was linked to MOD-2021-253002 (Patient Link).   Most recent FOLLOW-UP information incorporated above includes: On 09-Jul-2021: Follow up information was received and contain Reporter information added, and conmeds drug lidocaine added and Other Relevant History and lab data added, Vaccine information was updated, events Heart palpitation Dizziness ,headache added On 14-Aug-2021: Follow up information contains Patient demographics, medical history ,concomitant medicine, new event (rising blood pressure, painful muscle in chest and felt awful), outcome and causality of events updated.