Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Palpitations, Panic reaction, Paraesthesia, Pyrexia
Clinical narrative: pounding heart, heart rate increased; panic; Total body flushing; Sensation of hot and cold; Shaking; lightheadedness; feelings of passing out; nausea; arm  numbness; extremity tingling; headache; exhaustion; fever; fluctuating blood pressure; racing heart ,heart palpitations; mild flushing; brain fog; A spontaneous report was received from a healthcare professional concerning a 25-years-old, female patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced panic, rapid pulse, pounding heart, total body flushing, shaking, a sensation of hot and cold, lightheadedness, and feelings of passing out, nausea, extremity tingling, and arm numbness, headache, brain fog, racing heart, heart palpitations, fluctuating blood pressure, mild flushing, exhaustion, and fever.   The patient's medical history, was not provided by the reporter, but patient had a tuberculosis test done in recent days prior to vaccination, reports were  not provided. Concomitant medications reported included vitamin B-12 complex and ibuprofen.  On 04-Mar-2021 at 5:55 pm, prior to the onset of the events, the patient received their first of two planned doses of mRNA-1273 (Lot number: 013A21A) intramuscularly in the deltoid for prophylaxis of COVID-19 infection.   On 04 Mar 2021, approximately after 23 minutes after receiving the vaccine patient developed panic, rapid pulse, pounding heart, total body flushing, shaking, a sensation of hot and cold, lightheadedness, and feelings of passing out. Patient pulled over and called 9-1-1, and she was taken by ambulance to a nearby hospital. Patient had reported that the symptoms persisted during ambulance transit and continued during her three hour hospital stay. Patient reported to have  development of nausea,  extremity tingling, and arm numbness while being admitted.   Patient reported that a friend of her drove her home from the hospital, and her brother was monitoring her condition. No medicinal treatments were administered at the hospital for the patient.   On 05 Mar 2021, Patient took advil to treat the headache and brain fog that has developed. Patient reported that the symptoms headache, brain fog, racing heart, heart palpitations, fluctuating blood pressure, mild flushing, exhaustion, and fever were continuing. As treatment for events no medicinal treatments were administered at the hospital. Patient reported that she had taken ibuprofen to treat a headache and brain fog.  Action taken with mRNA-1273 in response to the events was unknown.   The outcome of events, panic, rapid pulse, pounding heart, total body flushing, shaking, a sensation of hot and cold, lightheadedness, and feelings of passing out, nausea, extremity tingling, and arm numbness was unknown and  headache, brain fog, racing heart, heart palpitations, fluctuating blood pressure, mild flushing, exhaustion, and fever were not recovered.; Reporter'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.