Sex: M
Vaccine: COVID19
Symptoms: Asthma, Body temperature, COVID-19, Chest discomfort, Dehydration
Clinical narrative: Passed away; Asthma attack; Tightness in chest; Couldn't breathe; Felt like a panic attack; Resting HR was 145 bpm; Shortness of breath/ winded going up and down stairs; Fever of 100.2 F; Headache came in waves; Extremelynumb mouth and tongue; Felt very dehydrated; Body aches and pains; A spontaneous report was received from a consumer, concerning himself, a 33 years old male patient who received Moderna's Covid-19 Vaccine (mRNA-1273) and experienced extremely numb mouth and tongue, felt very dehydrated, body aches and pains, asthma attack, tightness in chest, couldn't breathe, felt like a panic attack, resting heart rate was 145 bpm, shortness of breath/ winded going up and down stairs, passed away, headache came in waves, fever of 100.2 f.  The patient's medical history reported included asthma in child. Concomitant medications were not reported.   On 06 Jan 2021 at 11:50 AM, the patient received their first dose of two planned doses of mRNA-1273 (Batch number: unknown) intramuscularly in the left upper arm for prophylaxis of COVID-19 infection.   On 06 Jan 2021 (Wednesday), in less than 12 hours after vaccination, patient had an extremely numb tongue and mouth, felt very dehydrated with body aches and pains and also headache that came in waves. On 07 Jan 2020, he had what he would call an asthma attack (he had asthma as a child). He had tightness in his chest and felt he couldn't breathe while he was trying to fix his pants belt prior to going to work. It felt almost like a panic attack and then passed before going to work. The event passed away was assessed as serious based on EMA IME list. He also had shortness of breath throughout (when he went up and down stairs), he was winded. When he went to the doctor on 07 Jan 2021, his resting HR was 145bpm (his normal HR was 80bpm). Hence, his physician tested him for COVID-19 by both RAPID and standard testing and both showed negative. The evening of 07 Jan 2021, he had a fever of 100.2 F which subsided overnight. Treatment for the event includes paracetamol and diphenhydramine.  Action taken with mRNA-1273 in response to the events were not reported.  The outcome of events asthma attack, tightness in chest, couldn't breathe, felt like a panic attack, felt like a panic attack and passed away, was resolved on 07 Jan 2021. The outcome of event fever of 100.2 F was resolved on 08 Jan 2021. The outcome of events extremely numb mouth and tongue, felt very dehydrated, body aches and pains, resting heart rate was 145 bpm, shortness of breath/ winded going up and down stairs, headache came in waves was resolved on 10 Jan 2021.; Reporter's Comments: This case concerns a 33 Y/O M with NS unexpected Loss of consciousness, pain, panic attack, heart rate increased, chest discomfort, asthma attack, dyspnea, hypoesthesia oral, dehydration and NS expected headache, fever.  Event onset was Day 2 after first dose mRNA-1273. Treated with paracetamol and diphenhydramine. Events resolved. Based on current available information and temporal association between use of the product and the start date of the event, a causal relationship cannot be excluded.