Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Fatigue, Flushing, Magnetic resonance imaging, Phantosmia
Clinical narrative: I was dealing with flushed head; I was dealing with skin sensation; I was dealing with extreme fatigue; I was smelling things (odors) that were not there. Initially like oil, then heavy chemical smells day and night/this time the phantom odor (Phantosmia); This spontaneous case was reported by a patient and describes the occurrence of FLUSHING (I was dealing with flushed head), SKIN DISCOMFORT (I was dealing with skin sensation), PAROSMIA (I was smelling things (odors) that were not there. Initially like oil, then heavy chemical smells day and night/this time the phantom odor (Phantosmia)) and FATIGUE (I was dealing with extreme fatigue) in a 77-year-old male patient who received mRNA-1273.712 (SPIKEVAX 2024-2025 PFS) for COVID-19 prophylaxis.     The patient's past medical history included Sickness (Patient became less sick, but still something, in January 2020. Before anyone knew what it was. so, it could have been covid). Previously administered products included for Product used for unknown indication: Unspecified vaccine (Luckily patient had not had any side effects on any other types of vaccines); for COVID-19 prophylaxis: Spikevax NOS (Patient started taking the Moderna version as soon as it became available and with no side effects.). Past adverse reactions to the above products included No adverse effect with Spikevax NOS and Unspecified vaccine. Family history included Polio (patient's mother had polio as a girl).   In September 2024, the patient received eighth dose of mRNA-1273.712 (SPIKEVAX 2024-2025 PFS) (Intramuscular use) dosage was changed to 1 dosage form. On an unknown date, the patient received ninth dose of mRNA-1273.712 (SPIKEVAX 2024-2025 PFS) (unknown route) 1 dosage form. In 2024, the patient experienced PAROSMIA (I was smelling things (odors) that were not there. Initially like oil, then heavy chemical smells day and night/this time the phantom odor (Phantosmia)). In November 2024, the patient experienced FLUSHING (I was dealing with flushed head), SKIN DISCOMFORT (I was dealing with skin sensation) and FATIGUE (I was dealing with extreme fatigue). At the time of the report, FLUSHING (I was dealing with flushed head), SKIN DISCOMFORT (I was dealing with skin sensation), PAROSMIA (I was smelling things (odors) that were not there. Initially like oil, then heavy chemical smells day and night/this time the phantom odor (Phantosmia)) and FATIGUE (I was dealing with extreme fatigue) had not resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In November 2024, Blood test: Patient had a blood workup followed by ear/nose/throat. Finding nothing and the physicians basically shrugging their shoulders. On an unknown date, Magnetic resonance imaging: Finding nothing and the physicians basically shrugging their shoulders.         No concomitant and treatment medication were reported.  Patient had a question concerning the Moderna COVID vaccine. Patient was growing up in the 1950s, patient was 100% pro-vaccine.  In Sep-2024, patient had 8th Moderna and within a couple of days, patient was smelling things (odors) that were not there. Initially like oil, then heavy chemical smells day and night. By Nov-2024, patient was dealing with extreme fatigue, flushed head and skin sensation. In Mar-2025 there was a slight improvement, patient got the booster, and all the symptoms had come back, in spades this time the phantom odor (Phantosmia) was like saline water.  Patient thought he had not had Covid before. At his age, Patient had a big X on his back for covid, so patient did everything to avoid it.   It was unknown if the patient experienced any additional symptoms/events.