Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Fatigue, Headache, Presyncope
Clinical narrative: Fourth shot made patient weak; Fourth shot felt light headed almost passed out; Fourth shot felt light headed almost passed out; Fourth shot gave patient a headache; Fourth shot made patient vomit; Today patient feels better but tired; This spontaneous case was reported by a consumer and describes the occurrence of ASTHENIA (Fourth shot made patient weak), PRESYNCOPE (Fourth shot felt light headed almost passed out), DIZZINESS (Fourth shot felt light headed almost passed out), FATIGUE (Today patient feels better but tired) and HEADACHE (Fourth shot gave patient a headache) in a 76-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 002M21A, 052E21A, 031M20A and 038K20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient does not have any allergies, did not test positive for COVID-19 and did not receive any other vaccine within 1 month prior to Moderna. The patient had 3 heart stents and lung emphysema prior to vaccination and did not register any change to illness status post vaccination.  Concurrent medical conditions included Emphysema pulmonary (Lung Emphysema prior to vaccination.). Concomitant products included ATORVASTATIN for Cholesterol, THEOPHYLLINE for Lung disorder NOS, METOPROLOL, DILTIAZEM, TIOTROPIUM BROMIDE MONOHYDRATE (SPIRIVA) and FLUTICASONE PROPIONATE, SALMETEROL XINAFOATE (ADVAIR) for an unknown indication.   On 02-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 02-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 17-Aug-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 03-Apr-2022, received fourth dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 05-Apr-2022,  after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced FATIGUE (Today patient feels better but tired). On an unknown date, the patient experienced ASTHENIA (Fourth shot made patient weak), PRESYNCOPE (Fourth shot felt light headed almost passed out), DIZZINESS (Fourth shot felt light headed almost passed out), HEADACHE (Fourth shot gave patient a headache) and VOMITING (Fourth shot made patient vomit). At the time of the report, ASTHENIA (Fourth shot made patient weak), DIZZINESS (Fourth shot felt light headed almost passed out), HEADACHE (Fourth shot gave patient a headache) and VOMITING (Fourth shot made patient vomit) was resolving, PRESYNCOPE (Fourth shot felt light headed almost passed out) outcome was unknown and FATIGUE (Today patient feels better but tired) had not resolved.            The patient confirmed that the patient did not seek medical care post vaccination. The patient did not experience a similar event in the past.  On 05-Apr-2022 it was reported that the patient felt better but tired after receiving the 2nd booster shot on the 03-Apr-2022. No treatment was taken by the patient.   This case was linked to MOD-2022-533315, MOD-2022-533310, MOD-2022-533304 (Patient Link).