Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumonia, Upper respiratory tract infection
Clinical narrative: Body aches; Pneumonia; Upper respiratory infection; Migraine; Pain at the back of her head; headache / pain at back of head; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of PNEUMONIA (Pneumonia) in a 71-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 045321A and 007B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     No medical history was provided by the reporter.  Concomitant products included DULOXETINE HYDROCHLORIDE (CYMBALTA), LETROZOLE, CALCIUM CARBONATE, COLECALCIFEROL (CALTRATE WITH VITAMIN D) and ATORVASTATIN for an unknown indication.   On 19-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 16-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 16-Apr-2021, the patient experienced HEADACHE (headache / pain at back of head). On 23-May-2021, the patient experienced UPPER RESPIRATORY TRACT INFECTION (Upper respiratory infection), MIGRAINE (Migraine) and PAIN (Pain at the back of her head). On 24-May-2021, the patient experienced PNEUMONIA (Pneumonia) (seriousness criterion medically significant). On an unknown date, the patient experienced MYALGIA (Body aches). The patient was treated with BENZONATATE (TESSALON PERLE) at an unspecified dose and frequency; GUAIFENESIN (MUCINEX) at an unspecified dose and frequency and SALBUTAMOL (ALBUTEROL HFA) at an unspecified dose and frequency. At the time of the report, PNEUMONIA (Pneumonia), UPPER RESPIRATORY TRACT INFECTION (Upper respiratory infection), MIGRAINE (Migraine) and PAIN (Pain at the back of her head) outcome was unknown and HEADACHE (headache / pain at back of head) and MYALGIA (Body aches) had not resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 24-May-2021, Chest X-ray: abnormal (abnormal) Diagnosed with pneumonia.. On 02-Jun-2021, Chest X-ray: abnormal (abnormal) Received another chest x-ray and was told patient wasn't getting better..     For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.   Concomitant medication include centrum silver.  On the day of her second dose, the patient began experiencing a headache. A couple days later, she felt sick and recovered. Around 23 May 2021, she began feeling sick again and went to urgent care. She was diagnosed with an upper respiratory infection. She had a headache, pain at the back of her head. She received a shot for migraine and given steroids.  On 24 May 2021, the patient went back to Urgent Care for a chest x-ray. She was diagnosed with  pneumonia. Antibiotics were added. On 28 May 2021, the patient went for a recheck and given additional medication for cough.  On 2 Jun 2021, she received another chest x-ray and was told  she wasn't getting better. A new antibiotic, new steroid,  and new inhaler were prescribed.  Currently she is coughing, very tired, breaks out in sweat, body aches, slight headache, winded, and has discolored mucus. Treatment for the events included antibiotics, steroids and injection to treat migraine. Very limited information regarding this events has been provided at this time. No further information is expected at  this time. Further information has been requested.; Sender's Comments: Very limited information regarding this events has been provided at this time. No further information is expected at  this time. Further information has been requested.