Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Feeling abnormal, Headache, Lacrimation increased, Magnetic resonance imaging
Clinical narrative: Water in eyes; It feels like a vise squeezing the base of his neck; Blurred vision; Severe headache on the right side of the back of his head down into his brain stem with all 3 doses/ extreme headaches with all 3 doses; Back trouble after all 3 doses; Prostate problems of aching in the rectum area after the 2nd dose & booster dose; This spontaneous case was reported by a consumer and describes the occurrence of BACK PAIN (Back trouble after all 3 doses), PROCTALGIA (Prostate problems of aching in the rectum area after the 2nd dose & booster dose), LACRIMATION INCREASED (Water in eyes), FEELING ABNORMAL (It feels like a vise squeezing the base of his neck) and VISION BLURRED (Blurred vision) in a 76-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 008B21A and 022M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included Back discomfort, Prostate infection (when he was 35), Bladder infection (when he was 35) and Rectal pain (when he was 35).   On 26-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 30-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient experienced BACK PAIN (Back trouble after all 3 doses), PROCTALGIA (Prostate problems of aching in the rectum area after the 2nd dose & booster dose), LACRIMATION INCREASED (Water in eyes), FEELING ABNORMAL (It feels like a vise squeezing the base of his neck), VISION BLURRED (Blurred vision) and HEADACHE (Severe headache on the right side of the back of his head down into his brain stem with all 3 doses/ extreme headaches with all 3 doses). At the time of the report, BACK PAIN (Back trouble after all 3 doses), PROCTALGIA (Prostate problems of aching in the rectum area after the 2nd dose & booster dose), LACRIMATION INCREASED (Water in eyes), FEELING ABNORMAL (It feels like a vise squeezing the base of his neck), VISION BLURRED (Blurred vision) and HEADACHE (Severe headache on the right side of the back of his head down into his brain stem with all 3 doses/ extreme headaches with all 3 doses) had resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In December 2020, Prostatic specific antigen: 6 (abnormal) PSA was 6. In April 2021, X-ray: abnormal (abnormal) Something on his x-ray on the right side of his back. In 2021, Magnetic resonance imaging: abnormal (abnormal) Bone spurs on right hand side & a little something on prostate.. In 2021, Prostatic specific antigen: 4.5 (abnormal) 4.5 when he saw his urologist in August or September of 2021..         He had the same prostate trouble when he was 35 but has not had it since.  About 2 or 3 weeks after the 2nd dose he began having the back and prostate trouble.  Treatment information includes sitting in hot water helps the rectum aching.  No concomitant medications were reported.   This case was linked to MOD-2021-416057, MOD-2021-035354 (Patient Link).