Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Constipation, Dyspnoea, Electromyogram, Feeling abnormal, Insomnia
Clinical narrative: All become a blur to her as she has not had any sleep; neuralgia pains; she was very constipated; pain as taking her breath away; she felt rotten; throwing up; This spontaneous case was reported by a patient and describes the occurrence of INSOMNIA (All become a blur to her as she has not had any sleep), NEURALGIA (neuralgia pains), CONSTIPATION (she was very constipated), DYSPNOEA (pain as taking her breath away) and FEELING ABNORMAL (she felt rotten) in a 71-year-old female patient who received mRNA-1273.712 (SPIKEVAX 2024-2025 PFS) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included Discomfort in joints (had joint issues for over 4-5 years. Started in left wrist, went up the arm and down the right arm), Open heart surgery (3 years ago) and Bypass surgery. Concurrent medical conditions included Arthritis.    In November 2024, the patient received third dose of mRNA-1273.712 (SPIKEVAX 2024-2025 PFS) (unknown route) 1 dosage form. In November 2024, the patient experienced INSOMNIA (All become a blur to her as she has not had any sleep), NEURALGIA (neuralgia pains), CONSTIPATION (she was very constipated), DYSPNOEA (pain as taking her breath away), FEELING ABNORMAL (she felt rotten) and VOMITING (throwing up). In November 2024, VOMITING (throwing up) had resolved. At the time of the report, INSOMNIA (All become a blur to her as she has not had any sleep), NEURALGIA (neuralgia pains), CONSTIPATION (she was very constipated), DYSPNOEA (pain as taking her breath away) and FEELING ABNORMAL (she felt rotten) had not resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Electromyogram: Could not found anything wrong.     For mRNA-1273.712 (SPIKEVAX 2024-2025 PFS) (Unknown), the reporter did not provide any causality assessments.   No concomitant medication was reported. Patient did not receive any other vaccines in the 4 weeks prior to COVID-19 vaccine. It was reported that she was not sure of the vaccination date as it became a blur to the patient and she did not have any sleep, went home, and went to bed. In the next morning, she woke up and the pain had started. She stated that the only way she could refer to it as neuralgia pains. She stated that what her eldest sister referred to that type of pain as but she was now deceased. The patient's sister did not experience this after any COVID vaccine. Patient explained the pain as taking her breath away and that it was like somebody had thrown a dart through her head starting from behind her right ear, it entered her right ear and did not necessarily come out of her left ear. It lasted 2 or 3 seconds but the aftershock wore her out. She felt like going to lay down somewhere until it went away but it did not go away. She stated that yesterday she was very constipated and went to fix herself a drink in the kitchen and started throwing up. She threw up 4 times, and then it went away. She never had felt nauseous and did not even feel it coming on. She went to take a shower after thinking it would help her as she felt rotten, but she was getting the pains in the shower and stated there was nobody to help her. She stated she had not taken any medication as she was afraid of taking something. She said she got 2 new medications that she was going to start this week, but she was afraid of starting them. The first medication was Priolint and second one was Mounjaro. She said she went back to the pharmacy and they gave her a pamphlet on side effects and that if her symptoms get worse, she could go to the emergency room.   This case was linked to US-MODERNATX, INC.-MOD-2024-777268 (E2B Linked Report).   Most recent FOLLOW-UP information incorporated above includes: On 15-Nov-2024: Live non-significant follow-up received; reporter details updated.; Sender's Comments:  US-MODERNATX, INC.-MOD-2024-777268:Reporter's sister case