Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Dry mouth, Dysgeusia, Dysphagia, Feeling hot
Clinical narrative: numbness; diarrhea; Dry mouth; Taste metallic; Swollowing difficult; she felt warm, arm got warm; pins and needlesin arm, opposite arm and crossed into bilateral legs; Nausea; This spontaneous case was reported by a nurse and describes the occurrence of DYSGEUSIA (Taste metallic), DYSPHAGIA (Swollowing difficult), FEELING HOT (she felt warm, arm got warm), PARAESTHESIA (pins and needlesin arm, opposite arm and crossed into bilateral legs) and DRY MOUTH (Dry mouth) in a 49-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 037K20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Concurrent medical conditions included Sulfonamide allergy (Sulfa), Allergy to metals (Nickel), Shellfish allergy, Drug allergy (Nitroglycerin), Hypertension (controlled by medication), Allergy (Surgical glue) and Allergy to chemicals (Nitriles). Concomitant products included CETIRIZINE HYDROCHLORIDE (ZYRTEC [CETIRIZINE HYDROCHLORIDE]) for Allergy, METOPROLOL for Hypertension, FAMOTIDINE (PEPCID AC) and MULTIVITAMINS [VITAMINS NOS] for an unknown indication.    On 30-Dec-2020, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 30-Dec-2020, the patient experienced FEELING HOT (she felt warm, arm got warm), PARAESTHESIA (pins and needlesin arm, opposite arm and crossed into bilateral legs) and NAUSEA (Nausea). On 31-Dec-2020, the patient experienced DYSGEUSIA (Taste metallic), DYSPHAGIA (Swollowing difficult), DRY MOUTH (Dry mouth) and DIARRHOEA (diarrhea). On an unknown date, the patient experienced HYPOAESTHESIA (numbness). The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) at a dose of 50 mg. On 01-Jan-2021, NAUSEA (Nausea) had resolved. At the time of the report, DYSGEUSIA (Taste metallic), DYSPHAGIA (Swollowing difficult), PARAESTHESIA (pins and needlesin arm, opposite arm and crossed into bilateral legs) and DRY MOUTH (Dry mouth) had resolved and FEELING HOT (she felt warm, arm got warm), HYPOAESTHESIA (numbness) and DIARRHOEA (diarrhea) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Platelet count: unknown (High) unknown. On an unknown date, Red blood cell count: unknown (High) unknown. On an unknown date, SARS-CoV-2 test: unknown (Negative) unknown.     The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.   For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.   Most recent FOLLOW-UP information incorporated above includes: On 19-Jan-2021: Reporter details was updated. On 07-Apr-2021: Lab data added. patient details was updated. Medical history was updated. Adverse event outcome was updated.; Reporter's Comments: This case concerns a 49-year-old female with sulfa allergy, who had NS unexpected dysgeusia, dysgeusia, paraesthesia, feeling hot, dry mouth and expected nausea. Event onset the same day as the first dose of mRNA-1273. Treated with diphenydramine.  Based on current available information and temporal association between use of the product and the start date of the event, a causal relationship cannot be excluded.; Sender'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.