Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure measurement, Heart rate, Heart rate increased, Hypotension, Vaccination site pain
Clinical narrative: had to stop their blood pressure medications because of low blood pressure - 95/60; heart rate of 150 beats per minute/heart races as a horse/trouble keeping heart rate under 100 beats per minute with the medications; felt it a little bit pain on second and third day after the shot, but describes the pain as better than with flu vaccine; This spontaneous case was reported by a non-health professional (subsequently medically confirmed) and describes the occurrence of HYPOTENSION (had to stop their blood pressure medications because of low blood pressure - 95/60) and HEART RATE INCREASED (heart rate of 150 beats per minute/heart races as a horse/trouble keeping heart rate under 100 beats per minute with the medications) in a 70-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 040A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included Anxiety (severe anxiety) and Suicidal ideation. Previously administered products included for Product used for unknown indication: Flu. Past adverse reactions to the above products included Pain with Flu. Concurrent medical conditions included Smoker (decreased from 2 packs per day to about 10 cigarettes per day), Cholesterol, Diabetes and Blood pressure high. Concomitant products included LORATADINE for Allergy, LISINOPRIL and AMLODIPINE for Blood pressure high, CALCIUM for Calcium low, SIMVASTATIN and PLANTAGO OVATA (METAMUCIL CITRON) for Cholesterol, METFORMIN and GLIMEPIRIDE for Diabetes, MULTIVITAMIN IRON for Iron low, NAPROXEN SODIUM for Pain and Arthritis, VARENICLINE TARTRATE (CHANTIX) for Smoker, ACETYLSALICYLIC ACID (BABY ASPIRIN), FISH OIL, MAGNESIUM, MULTIVITAMIN [VITAMINS NOS], UBIDECARENONE, VITAMIN E NOS (COQ10 COMPLEX) and SERTRALINE HYDROCHLORIDE (ZOLOFT) for an unknown indication.    On 08-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced HYPOTENSION (had to stop their blood pressure medications because of low blood pressure - 95/60) (seriousness criterion medically significant), HEART RATE INCREASED (heart rate of 150 beats per minute/heart races as a horse/trouble keeping heart rate under 100 beats per minute with the medications) (seriousness criterion medically significant) and VACCINATION SITE PAIN (felt it a little bit pain on second and third day after the shot, but describes the pain as better than with flu vaccine). At the time of the report, HYPOTENSION (had to stop their blood pressure medications because of low blood pressure - 95/60), HEART RATE INCREASED (heart rate of 150 beats per minute/heart races as a horse/trouble keeping heart rate under 100 beats per minute with the medications) and VACCINATION SITE PAIN (felt it a little bit pain on second and third day after the shot, but describes the pain as better than with flu vaccine) outcome was unknown. Not Provided    DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Blood pressure measurement: 95/60 (Low) 95/60 (low). On an unknown date, Heart rate: 150 (High) 150 beats per minute.     The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.       The patient received treatment with carvedilol at the dose of 3.125 milligrams increased in couple of weeks to carvedilol at a dose of 6.25 milligrams.  Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.