Sex: M
Vaccine: COVID19
Symptoms: Dizziness postural, Electrocardiogram ambulatory, Fatigue, Heart rate, Hypertension
Clinical narrative: anxiety/had very bad anxiety and wearing a mask in public made it worse; tension headaches; had to lay straight if head lifted or if he stood his blood pressure would raise; if he stands up he would feel dizzy; clammy; light headed; episodes of fatigue; felt flash through chest; heart started racing/palpitations; This spontaneous case was reported by a consumer and describes the occurrence of ANXIETY (anxiety/had very bad anxiety and wearing a mask in public made it worse), TENSION HEADACHE (tension headaches), CHEST DISCOMFORT (felt flash through chest), PALPITATIONS (heart started racing/palpitations) and HYPERTENSION (had to lay straight if head lifted or if he stood his blood pressure would raise) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 036A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included Panic attacks. Concurrent medical conditions included Anxiety attack. Concomitant products included LORAZEPAM (ATIVAN) for an unknown indication.    On 25-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. In March 2021, the patient experienced CHEST DISCOMFORT (felt flash through chest) and PALPITATIONS (heart started racing/palpitations). On an unknown date, the patient experienced ANXIETY (anxiety/had very bad anxiety and wearing a mask in public made it worse), TENSION HEADACHE (tension headaches), HYPERTENSION (had to lay straight if head lifted or if he stood his blood pressure would raise), DIZZINESS POSTURAL (if he stands up he would feel dizzy), COLD SWEAT (clammy), DIZZINESS (light headed) and FATIGUE (episodes of fatigue). The patient was treated with LORAZEPAM (ATIVAN) for Adverse event, at an unspecified dose and frequency and VENLAFAXINE HYDROCHLORIDE (EFFEXOR) for Adverse event, at a dose of 75 mg then to raise to 150 mg after 1 month. This treatment was for 6 months.. At the time of the report, ANXIETY (anxiety/had very bad anxiety and wearing a mask in public made it worse) had not resolved, TENSION HEADACHE (tension headaches) and FATIGUE (episodes of fatigue) outcome was unknown and CHEST DISCOMFORT (felt flash through chest), PALPITATIONS (heart started racing/palpitations), HYPERTENSION (had to lay straight if head lifted or if he stood his blood pressure would raise), DIZZINESS POSTURAL (if he stands up he would feel dizzy), COLD SWEAT (clammy) and DIZZINESS (light headed) was resolving.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Blood pressure measurement: high (High) had to lay straight if head lifted or if he stood his blood pressure would raise. On an unknown date, Electrocardiogram ambulatory: abnormal (abnormal) Cardiologist ruled out myocarditis and pericarditis as per patient and was diagnosed with anxiety. On an unknown date, Heart rate: high (High) had to lay straight if head lifted or if he stood his heart rate would raise.     mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosing remained unchanged.       After 15 minutes from the 1st dose, the patient went to waiting room and the events were started. When he got to the car, the patient took Ativan (that he had taken in the past). For next two weeks, the patient took 2 weeks off of work. The patient went to ER and ambulance was called numerous times. The patient was being released with diagnosis of anxiety and the ER referred back to PCP, cardiologist, neurologist and endocrinologist. The patient reported that, after the 2 weeks he started feeling better. The patient also went to physical therapist to rule out vertigo and went to ENT doctor. The patient did not experience symptoms like those before receiving the Moderna COVID-19 vaccine and the patient did not have a history of COVID-19 infection.   This case was linked to MOD-2022-467629 (Patient Link).