Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebral disorder, Inappropriate schedule of product administration, Nasal dryness
Clinical narrative: COVID shots affect her brain a little; She has a dry nose; First dose given on 12Mar2021 and Second dose given on 21Apr2021; This spontaneous case was reported by a consumer and describes the occurrence of CEREBRAL DISORDER (COVID shots affect her brain a little), NASAL DRYNESS (She has a dry nose) and INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (First dose given on 12Mar2021 and Second dose given on 21Apr2021 ) in a 63-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 048A21A, 009C21A and 021- 837) for COVID-19 prophylaxis.    Co-suspect product included non-company product SOMATROPIN (GENOTROPIN) for Growth hormone deficiency.    The patient's past medical history included Rhinoplasty. Concurrent medical conditions included Hypothyroidism (pituitary doesn't work).   On 12-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 21-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 03-Dec-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient started SOMATROPIN (GENOTROPIN) (unknown route) at an unspecified dose once a day. On 21-Apr-2021, the patient experienced INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (First dose given on 12Mar2021 and Second dose given on 21Apr2021 ). On an unknown date, the patient experienced CEREBRAL DISORDER (COVID shots affect her brain a little) and NASAL DRYNESS (She has a dry nose). At the time of the report, CEREBRAL DISORDER (COVID shots affect her brain a little), NASAL DRYNESS (She has a dry nose) and INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (First dose given on 12Mar2021 and Second dose given on 21Apr2021 ) outcome was unknown.            No concomitant medications were reported. Patient broke the cartridge inside the pen when trying to get it out. It was giving her trouble and not working correctly. Patient nerves were still not right. Patient dropped the pen. Transfer agent advised patient not to use the pen, so patient had missed doses. Patient has been staying home because of Covid even though she had three vaccines. Patient doesn't go anywhere and it was winter time. Patient was on pain medicine and twisted it too tight. it was not working right. It was plastic and the cases always break. When her doses changes she had to get new pens and the nurse shows her how to use it. Patient was not around a lot of people. Patient stated that after the surgery she was on pain medication and that was when she broke the cartridge in the pen. That was at the end of October when she broke the cartridge. She had trouble getting it out to even use the device. Patient had to keep turning it to get it to work, not every time but sometimes. Genotropin Pen 12 dose was 1.2 which is six clicks. Injection once at night. It last for 10 days. She gets 3 boxes which was for 30 days. It took patient a while to fill the box. Some got wasted because she couldn't get it to work right. Patient also has a Tetanus vaccine. No treatment medications were reported. This case was identified as part of a retrospective clean-up activity where certain emails received in the Moderna mailbox were missed to be booked-in.