Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Echocardiogram, Feeling hot, Fibrin D dimer, Flushing
Clinical narrative: Face burning; Runny nose; feeling hot; flushing; Local rash; Muscle ache; Continued rapid heart beat/ rapid heart rate due to inflammation caused by COVID; Chest pain; Shortness of breath; COVID-19; Congestion; Headache; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of COVID-19 (COVID-19), NASAL CONGESTION (Congestion), BURNING SENSATION (Face burning), PALPITATIONS (Continued rapid heart beat/ rapid heart rate due to inflammation caused by COVID) and CHEST PAIN (Chest pain) in a 43-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 029M20A and 013L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     No medical history was reported.  Concomitant products included MULTIVITAMIN GUMMY BEARS for Nutritional supplement.   On 30-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 27-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 10-Apr-2021, the patient experienced COVID-19 (COVID-19), PALPITATIONS (Continued rapid heart beat/ rapid heart rate due to inflammation caused by COVID), CHEST PAIN (Chest pain) and DYSPNOEA (Shortness of breath). On an unknown date, the patient experienced NASAL CONGESTION (Congestion), BURNING SENSATION (Face burning), RHINORRHOEA (Runny nose), FEELING HOT (feeling hot), FLUSHING (flushing), RASH (Local rash), MYALGIA (Muscle ache) and HEADACHE (Headache). The patient was treated with IBUPROFEN for Headache, at an unspecified dose and frequency. At the time of the report, COVID-19 (COVID-19), NASAL CONGESTION (Congestion), BURNING SENSATION (Face burning), CHEST PAIN (Chest pain), RHINORRHOEA (Runny nose), FEELING HOT (feeling hot), FLUSHING (flushing), RASH (Local rash) and HEADACHE (Headache) outcome was unknown and PALPITATIONS (Continued rapid heart beat/ rapid heart rate due to inflammation caused by COVID), DYSPNOEA (Shortness of breath) and MYALGIA (Muscle ache) had not resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 10-Apr-2021, Blood pressure measurement: elevated (High) Elevated. On 10-Apr-2021, Heart rate: upto 180 (High) upto 180 at rest. On 10-Apr-2021, Lymphocyte count:. On 10-Apr-2021, SARS-CoV-2 test: positive (Positive) Nasopharyngeal source - Positive detected and positive (Positive) positive for COVID. On 13-Apr-2021, Chest X-ray: normal (normal) Chest X-Ray : Normal. On 13-Apr-2021, Fibrin D dimer: <=0.27 mcg/ml (normal) <=0.27 mcg/ML. On 13-Apr-2021, Lymphocyte count: 44.88% (High) Lymphocyte count - 44.88  range: 18.0-42.0%. On 15-Apr-2021, Echocardiogram: normal (normal) Normal. On 31-Jul-2021, Heart rate: elevated (High) Heart rate elevated.         The patient was not hospitalized. On 16-Apr-2021, the patient was ordered with Holter monitor tests. On 24-Apr-2021, another Holter test was ordered by another cardiologist. Results showed that the heart rate ranges from 46 -180 beats per minute but in normal sinus rhythm. It was advised to give few months to go away by it's on. Patient reported that she still had episodes of rapid heart rate.   This case was linked to US-MODERNATX, INC.-MOD-2021-074468 (E2B Linked Report).   Most recent FOLLOW-UP information incorporated above includes: On 02-Aug-2021: Follow up received and added lab data, treatment medication, events Runny nose, feeling hot, flushing, Muscle ache and rash was added.; Sender's Comments:  US-MODERNATX, INC.-MOD-2021-074468:Husband case