Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Oesophageal discomfort, Oesophageal irritation, Oesophageal pain, Oropharyngeal pain, Speech disorder
Clinical narrative: irritated branch of the vagus nerve on the left side of the esophagus; has itching; pain there; issues with her vocal cords; can't speak properly; felt very sick; her throat was really sore; struggled to eat; really bad chills; was some tired; very nauseous; problems with her voice; chronic cough; Inappropriate schedule of vaccine administered; she had some swollen lypmh nodes, in the clavicle; trouble breathing, as if she had something on her throat; This spontaneous case was reported by a consumer and describes the occurrence of COUGH (chronic cough), OESOPHAGEAL DISCOMFORT (irritated branch of the vagus nerve on the left side of the esophagus), OESOPHAGEAL IRRITATION (has itching), OESOPHAGEAL PAIN (pain there) and VOCAL CORD DISORDER (issues with her vocal cords) in a 69-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 030M20A and 004M20A) 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 LEVOTHYROXINE and MONTELUKAST for an unknown indication.   On 31-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 21-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 31-Jan-2021, the patient experienced INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Inappropriate schedule of vaccine administered). In March 2021, the patient experienced COUGH (chronic cough). In May 2021, the patient experienced DYSPHONIA (problems with her voice). In 2021, the patient experienced LYMPHADENOPATHY (she had some swollen lypmh nodes, in the clavicle). On an unknown date,  after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced OESOPHAGEAL DISCOMFORT (irritated branch of the vagus nerve on the left side of the esophagus), OESOPHAGEAL IRRITATION (has itching), OESOPHAGEAL PAIN (pain there), VOCAL CORD DISORDER (issues with her vocal cords), SPEECH DISORDER (can't speak properly), DYSPNOEA (trouble breathing, as if she had something on her throat), ILLNESS (felt very sick), OROPHARYNGEAL PAIN (her throat was really sore), FEEDING DISORDER (struggled to eat), CHILLS (really bad chills), FATIGUE (was some tired) and NAUSEA (very nauseous). The patient was treated with AMOXICILLIN, CLAVULANIC ACID (AUGMENTIN [AMOXICILLIN;CLAVULANIC ACID]) for Bacterial infection, at an unspecified dose and frequency; ZOLPIDEM TARTRATE (AMBIEN) in May 2021 for Voice disturbance, unspecified, at an unspecified dose and frequency and PANTOPRAZOLE in July 2021 for Adverse event, at an unspecified dose and frequency. On 21-Feb-2021, INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Inappropriate schedule of vaccine administered) had resolved. At the time of the report, COUGH (chronic cough) had not resolved, OESOPHAGEAL DISCOMFORT (irritated branch of the vagus nerve on the left side of the esophagus), OESOPHAGEAL IRRITATION (has itching), OESOPHAGEAL PAIN (pain there), VOCAL CORD DISORDER (issues with her vocal cords), SPEECH DISORDER (can't speak properly), ILLNESS (felt very sick), OROPHARYNGEAL PAIN (her throat was really sore), FEEDING DISORDER (struggled to eat), DYSPHONIA (problems with her voice), LYMPHADENOPATHY (she had some swollen lypmh nodes, in the clavicle), CHILLS (really bad chills), FATIGUE (was some tired) and NAUSEA (very nauseous) outcome was unknown and DYSPNOEA (trouble breathing, as if she had something on her throat) had resolved.        For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   Patient stated that she had Vaccine on the left side. She stated that she did not felt swollen lymph nodes but her doctor mentioned that she had some swollen lymph nodes, in the clavicle and it was not uncomfortable or sore, so she did not notice.  She had trouble breathing on June or early July, she was feeling like she had to cough but she did not have any congestion. she was nervous at the time, because she was in a public place and did not want other people to be afraid.  She was prescribed with Augmentin because they thought it might be bacterial at first and she felt very sick, it made her very nauseous.  She had a CT scan with contrast, and they gave her an infusion, she struggled to eat, she stopped the Augmentin. On April she was on a steroid pack and she was feeling a lot better.  Patient took second dose in 21 days from the first dose of Moderna COVID-19 vaccine which is less than the normal schedule of 25 to 35 days for Moderna.