Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Abnormal loss of weight, Chills, Fall, Haematochezia
Clinical narrative: it nearly killed me; blood in my stool; spinal cord hurts; stomach hurts; I lost 2 pounds; dropped on the floor; super chill; high fever; feeling blackout, blurry black vision; goosebumps rashes came up on every pores of my skin; body hurts/whole body hurts; This spontaneous case was reported by a patient and describes the occurrence of NEAR DEATH EXPERIENCE (it nearly killed me), HAEMATOCHEZIA (blood in my stool) and LOSS OF CONSCIOUSNESS (feeling blackout, blurry black vision) in a 49-year-old female patient who received mRNA-1273.712 (SPIKEVAX 2024-2025 PFS) (batch no. 808U799) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below.     Previously administered products included for COVID-19 prophylaxis: Moderna COVID-19 Vaccine (Dose 1, batch number: 021C21A) on 06-May-2021, Moderna COVID-19 Vaccine (Dose 1 and batch number: 021C21A) on 06-May-2021. Past adverse reactions to the above products included Nervous system disorder with Moderna COVID-19 Vaccine; and Sleep disturbance with Moderna COVID-19 Vaccine.    On 25-Oct-2024 at 10:00 AM, the patient received dose of mRNA-1273.712 (SPIKEVAX 2024-2025 PFS) (Intramuscular use) 1 dosage form. On 25-Oct-2024, the patient experienced LOSS OF CONSCIOUSNESS (feeling blackout, blurry black vision) (seriousness criterion medically significant), PILOERECTION (goosebumps rashes came up on every pores of my skin), PAIN (body hurts/whole body hurts), ABDOMINAL PAIN UPPER (stomach hurts), ABNORMAL LOSS OF WEIGHT (I lost 2 pounds), FALL (dropped on the floor), CHILLS (super chill) and PYREXIA (high fever). On 26-Oct-2024,  after starting mRNA-1273.712 (SPIKEVAX 2024-2025 PFS), the patient experienced HAEMATOCHEZIA (blood in my stool) (seriousness criterion medically significant) and SPINAL PAIN (spinal cord hurts). On an unknown date, the patient experienced NEAR DEATH EXPERIENCE (it nearly killed me) (seriousness criterion medically significant). The patient was treated with Diphenhydramine citrate, Ibuprofen (Ibuprofen PM) for Pain, at a dose of 2 pills at night; Diphenhydramine hydrochloride (Nighttime sleep aid) at an unspecified dose and frequency and Ibuprofen at a dose of 200 milligram pills during day. In October 2024, LOSS OF CONSCIOUSNESS (feeling blackout, blurry black vision) and FALL (dropped on the floor) had resolved. At the time of the report, NEAR DEATH EXPERIENCE (it nearly killed me), HAEMATOCHEZIA (blood in my stool), PILOERECTION (goosebumps rashes came up on every pores of my skin), PAIN (body hurts/whole body hurts), SPINAL PAIN (spinal cord hurts), ABDOMINAL PAIN UPPER (stomach hurts), ABNORMAL LOSS OF WEIGHT (I lost 2 pounds), CHILLS (super chill) and PYREXIA (high fever) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 25-Oct-2024, Weight decreased: lost 2 pounds in one day.     For mRNA-1273.712 (SPIKEVAX 2024-2025 PFS) (Intramuscular use), the reporter did not provide any causality assessments.   Concomitant medication was not reported.  Patient had received first dose of Moderna vaccine on 06-May-2021 and had similar symptoms except blood in stool. At that time patient had messed up nerve systems and had hard time sleeping on and off almost every night ever since.  On 25-Oct-2024 in morning patient had received recent vaccine and in evening that day started feeling blackout in the shower. Saw blurry black vision and dropped on the floor in shower. Stomach hurts so bad and crawled to the toilet, using handicap rails to hold her up after that crawled up to bed realized the goosebumps rashes came up on every pore of skin, it came up and went back down and came up like that for a while with a high fever and super chill. Entire body hurts like gangsters beat up with baseball bats. No one can touch patient. She can't even reach her cellphone to call anyone for help. Her tear came down cheeks. Feels like soul wants to leave body. Patient took 2 Ibuprofens to help. The next day whole body hurts and spinal cord hurts the most. Patient had blood in my stool and lost 2 pounds in one day.   This case was linked to MOD-2024-776166 (Patient Link).; Reporter's Comments: Company comment: The benefit-risk relationship of product is not affected by this report.