Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac function test, Chest pain, Electrocardiogram, Myalgia, Neuralgia
Clinical narrative: Recently had a chest pain; Muscle pain; After their booster develop tinnitus, a ringing in the ears; More recently nerve pain in the arms and legs; This spontaneous case was reported by a physician and describes the occurrence of TINNITUS (After their booster develop tinnitus, a ringing in the ears), NEURALGIA (More recently nerve pain in the arms and legs), CHEST PAIN (Recently had a chest pain) and MYALGIA (Muscle pain) in a 38-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 013H21B, 010M20A and 012L20A) for COVID-19 vaccination.     Patient never had COVID test or diagnosis. There was no history of Myocarditis/pericarditis.  Concurrent medical conditions included Drug allergy (Topiramate allergy).   On 08-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 05-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 01-Jan-2022, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. In January 2022, the patient experienced TINNITUS (After their booster develop tinnitus, a ringing in the ears), NEURALGIA (More recently nerve pain in the arms and legs) and MYALGIA (Muscle pain). On 06-May-2022,  after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced CHEST PAIN (Recently had a chest pain). At the time of the report, TINNITUS (After their booster develop tinnitus, a ringing in the ears), NEURALGIA (More recently nerve pain in the arms and legs), CHEST PAIN (Recently had a chest pain) and MYALGIA (Muscle pain) had not resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Cardiac function test: normal (normal) abnormal- no. On an unknown date, Electrocardiogram: normal (normal) ECG show no voltage and abnormal (abnormal) abnormal. On an unknown date, Troponin: normal (normal) normal value.     For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   No concomitant medications information was reported. Hx relating to mentioned AE and both Acute and Chronic illnesses at the time of vaccination. No other vaccines given within 1 month prior to Moderna COVID-19 vaccine. AE caused the patient to seek medical care. It was reported that symptoms were worsened.  There was no diagnosis of myocarditis or pericarditis. Patient did not experience dyspnea/shortness of breath/pain with breathing. Patient did not experience palpitations/pericardial rub. Patient did not experience syncope. There was no myocardial edema/cardiomyopathy/pericardial effusion/infective pericardial effusion/pericardial effusion malignant. The patient had not experienced a similar event in the past. It was reported that the symptoms had worsened and had not resolved. There was no cause determined for the reported adverse events MRI of the heart was not performed.  No treatment medications were provided.