Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Antinuclear antibody, Hypoacusis, Pain in extremity, Product dose omission issue
Clinical narrative: Decided to delay the 2nd Moderna shot; Pain at the base of my thumb; Had lost hearing (mainly high pitched tones) in my ears most likely due to age; Ringing in ears is called Tinnitus and it felt like electronic high pitched ringing sound tinnitus.; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of TINNITUS (Ringing in ears is called Tinnitus and it felt like electronic high pitched ringing sound tinnitus.), HYPOACUSIS (Had lost hearing (mainly high pitched tones) in my ears most likely due to age), PAIN IN EXTREMITY (Pain at the base of my thumb) and PRODUCT DOSE OMISSION ISSUE (Decided to delay the 2nd Moderna shot) in a 65-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 015A21A) for COVID-19 vaccination.     Concurrent medical conditions included Autoimmune disorder. Concomitant products included FAMOTIDINE from 2020 to an unknown date for Acid reflux (esophageal), ALPHA LIPOIC ACID from 2020 to an unknown date, VITAMIN B COMPLEX, MAGNESIUM and VITAMIN C [ASCORBIC ACID] for an unknown indication.    On 26-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 26-Mar-2021, the patient experienced TINNITUS (Ringing in ears is called Tinnitus and it felt like electronic high pitched ringing sound tinnitus.). On 13-Apr-2021, the patient experienced HYPOACUSIS (Had lost hearing (mainly high pitched tones) in my ears most likely due to age). On 21-Apr-2021, the patient experienced PAIN IN EXTREMITY (Pain at the base of my thumb). On an unknown date, the patient experienced PRODUCT DOSE OMISSION ISSUE (Decided to delay the 2nd Moderna shot). The patient was treated with FISH OIL for Tinnitus, at an unspecified dose and frequency; FLUTICASONE at an unspecified dose and frequency; AZELASTINE at an unspecified dose and frequency; LINUM USITATISSIMUM SEED OIL (FLAX SEED OIL) at an unspecified dose and frequency and CURCUMIN at a dose of 750 milligram. At the time of the report, TINNITUS (Ringing in ears is called Tinnitus and it felt like electronic high pitched ringing sound tinnitus.) had not resolved, HYPOACUSIS (Had lost hearing (mainly high pitched tones) in my ears most likely due to age) and PAIN IN EXTREMITY (Pain at the base of my thumb) outcome was unknown and PRODUCT DOSE OMISSION ISSUE (Decided to delay the 2nd Moderna shot) had resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 13-Apr-2021, Acoustic stimulation tests: abnormal (abnormal) The patient had lost hearing (mainly high pitched tones) most likely due to age. On an unknown date, Antinuclear antibody: positive (Positive) positive. On an unknown date, White blood cell count: decreased (Low) decreased.     The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.       The patient on 26-Mar-2021, one day before their second shot was scheduled experienced ringing in their left ear on the same side where they got the Moderna shot.  The patient felt like electronic high pitched ringing sound and decided to delay the 2nd Moderna shot hoping the ringing in the ear would clear up. On 13-Apr-2021, the patient saw an ENT doctor and a hearing test was performed which showed the patient had lost hearing most likely due to age and prescribed Fluticasone and Azelastine sprays which hasn't helped. The patient also injured their thumb while trying to turn off a water value and on 21-Apr-2021, the patient got a steroid shot in their left hand due to pain at the base of their thumb and their tinnitus lessened in volume for 3-4 weeks. The patient's hand surgeon said that the steroid injection would not affect the vaccine.  On 25-Jun-2021 the patient had a Covid quantitative antibody test, and the test results was 2.7. The patient believed their low results could be possibly due to having an autoimmune condition. The patient's Lymphocytes absolute was slightly below the normal and said it might be the steroid shot that lowered their antibodies.  Reportedly, the patient still experienced tinnitus but felt slightly better than first started. The patient also included 3 supplements to their daily routine that appeared to keep their tinnitus volume at a minimum. Nature Made Flax Seed Oil capsules, Curcumin 750 mgs, and Solaray C and Bioflavonoids (250 mgs or each). The patient also reported that they don't plan to get the 2nd Moderna shot now even if the tinnitus clears up since it appeared that only a few antibodies generated from the first shot and if it doesn't clear up the patient don't want to chance the tinnitus getting worse.  Treatment medications also included steroid injection, Herbal remedies and Solaray C and Bioflavonoids (250 mgs or each).   Most recent FOLLOW-UP information incorporated above includes: On 24-May-2021: Follow-up was received and does not contain any new information. On 21-Jul-2021: Follow-up was received and Updated patient demographics. Added Medical history and lab data. Added Concomitant and treatment medications. Added new Events and their outcomes.