Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Neck pain, Nightmare, Pyrexia, Somnolence
Clinical narrative: I am sick; felt that I was going to vomit; I had an upset stomach; extremely tired; having horrible nightmares every night to the point I wake up in fright 10 times a night./Horrible, bizarre nightmares; severe neck pain/neck pain for 7 days on his left side; Low grade fever; Headache; felt foggy / had trouble focusing/he just didn't feel right; lethargic; Vaccination related malaise; stomach aches/stomach cramps; Diarrhea; couldn't stay awake/the next day he did not wake up until noon/Slept for three days; tiredness to the point I slept almost 3 straight days / only getting out of bed to go to the bathroom and try to eat./ extremely tired/He couldn't believe how tired he was and he even missed work; severe headache; had trouble focusing; This spontaneous case was reported by a consumer and describes the occurrence of LETHARGY (lethargic), VACCINATION COMPLICATION (Vaccination related malaise), ABDOMINAL PAIN UPPER (stomach aches/stomach cramps), DIARRHOEA (Diarrhea) and FEELING ABNORMAL (felt foggy / had trouble focusing/he just didn't feel right) in a 57-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 040D21A and 939902) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Concurrent medical conditions included Penicillin allergy.   On 17-Sep-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 15-Oct-2021 at 5:30 AM, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 15-Oct-2021, the patient experienced ABDOMINAL PAIN UPPER (stomach aches/stomach cramps), DIARRHOEA (Diarrhea), HEADACHE (severe headache) and FATIGUE (tiredness to the point I slept almost 3 straight days / only getting out of bed to go to the bathroom and try to eat./ extremely tired/He couldn't believe how tired he was and he even missed work). 15-Oct-2021, the patient experienced SOMNOLENCE (couldn't stay awake/the next day he did not wake up until noon/Slept for three days). In October 2021, the patient experienced DISTURBANCE IN ATTENTION (had trouble focusing). On 16-Oct-2021, the patient experienced LETHARGY (lethargic), VACCINATION COMPLICATION (Vaccination related malaise) and FEELING ABNORMAL (felt foggy / had trouble focusing/he just didn't feel right). On 09-Nov-2021, the patient experienced PYREXIA (Low grade fever). On 12-Nov-2021, the patient experienced NECK PAIN (severe neck pain/neck pain for 7 days on his left side). On 15-Nov-2021, the patient experienced NIGHTMARE (having horrible nightmares every night to the point I wake up in fright 10 times a night./Horrible, bizarre nightmares). In November 2021, the patient experienced HEADACHE (Headache). On 22-Nov-2021, the patient experienced ABDOMINAL DISCOMFORT (I had an upset stomach) and NAUSEA (felt that I was going to vomit). 22-Nov-2021, the patient experienced FATIGUE (extremely tired). On 26-Nov-2021, the patient experienced ILLNESS (I am sick). The patient was treated with IBUPROFEN in November 2021 for Fever, at an unspecified dose and frequency. In October 2021, HEADACHE (severe headache) had resolved. On 17-Oct-2021, SOMNOLENCE (couldn't stay awake/the next day he did not wake up until noon/Slept for three days) had resolved. On 18-Oct-2021, FATIGUE (tiredness to the point I slept almost 3 straight days / only getting out of bed to go to the bathroom and try to eat./ extremely tired/He couldn't believe how tired he was and he even missed work) had resolved. On 21-Oct-2021, ABDOMINAL PAIN UPPER (stomach aches/stomach cramps) and DIARRHOEA (Diarrhea) had resolved. On 19-Nov-2021, NECK PAIN (severe neck pain/neck pain for 7 days on his left side) had resolved. On 25-Nov-2021, ABDOMINAL DISCOMFORT (I had an upset stomach), NAUSEA (felt that I was going to vomit) and FATIGUE (extremely tired) had resolved. At the time of the report, LETHARGY (lethargic), VACCINATION COMPLICATION (Vaccination related malaise), FEELING ABNORMAL (felt foggy / had trouble focusing/he just didn't feel right), NIGHTMARE (having horrible nightmares every night to the point I wake up in fright 10 times a night./Horrible, bizarre nightmares), ILLNESS (I am sick), PYREXIA (Low grade fever) and HEADACHE (Headache) had not resolved and DISTURBANCE IN ATTENTION (had trouble focusing) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 09-Nov-2021, Body temperature: low grade (High) Low grade fever.         Weight of the patient was given as 175 (no units mentioned). The patient was taking vitamins. The patient got second Moderna shot on October 15th at 5:30 from the vaccination facility. The next day he did not wake up until noon, he usually sleeps for 6 to 7 hours and within 12 hours of the second shot he developed a severe headache and tiredness to the point he slept almost 3 straight days, only getting out of bed to go to the bathroom and try to eat. He even missed work. He stated he just did not feel right. The patient also developed stomach aches and diarrhea. The symptoms slowly went away over the next 7 days. For the following week he could function but felt foggy and had trouble focusing. He stated by the 4th or 5th week after the injection he developed severe neck pain for 7 days on his left side, a headache and low grade fever. The neck pain and headache went away after 8 days but patient still had a fever along with new symptoms. The patient had been running a low grade fever for the past three weeks. The patient tried ibuprofen but fever not recovered. From 22nd November to the 25th November2021, patient became extremely tired, could not stay awake and he had an upset stomach, and felt that he was going to vomit. Patient also had horrible nightmares every night to the point he woke up in fright 10 times a night. The patient still had a low grade fever and a headache and was felt foggy and out of it. When asked if he has consulted with a physician the patient stated that he did not feel as if he was in a financial position to go to a doctor. The patient stated that before taking moderna vaccine he had zero underlying health conditions and felt great. The patient had a lot of energy, was extremely focused and sharp.    This case was linked to MOD-2021-399953 (Patient Link).   Most recent FOLLOW-UP information incorporated above includes: On 26-Nov-2021: Significant follow up contains additional events, patients last name and email address. On 29-Nov-2021: Significant follow up contains patient's demographics and reporting details, additional event and details of 1st dose of vaccine. On 06-Dec-2021: Follow up received on 06-Dec-21 contained significant information Patient height, weight, ethnicity, Medical history, dose 1 and 2 details and event outcomes were updated.