Age: 72.0
Sex: F
Vaccine: UNK
Symptoms: Asthenia, Dizziness, Fall, Headache, Malaise
Clinical narrative: fell off the couch; no mental acuity/. I feel like I can't think right/don't have the clarity of mind; dizziness; headaches; weakness; I get really really sick; can hardly move; This spontaneous case was reported by a patient and describes the occurrence of ASTHENIA (weakness), ILLNESS (I get really really sick), MOBILITY DECREASED (can hardly move), FALL (fell off the couch) and MEMORY IMPAIRMENT (no mental acuity/. I feel like I can't think right/don't have the clarity of mind) in a 72-year-old female patient who received mRNA-1273.815 (SPIKEVAX 2023-2024 PFS) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below.     Patient did not receive any other vaccines in the 4 weeks prior to COVID-19 vaccine.  Previously administered products included for Product used for unknown indication: Pfizer (EN6026) on 08-Mar-2021, Pfizer (ER8727) on 29-Mar-2021, Pfizer (FE3592) on 04-Oct-2021, pfizer (FK9729) on 24-May-2022 and Pfizer bivalent (GJ9697) on 13-Oct-2022. Past adverse reactions to the above products included No adverse event with Pfizer, Pfizer, Pfizer, Pfizer bivalent and pfizer.    On 18-Oct-2023, the patient received sixth dose of mRNA-1273.815 (SPIKEVAX 2023-2024 PFS) (unknown route) .5 milliliter. On 18-Oct-2023, the patient experienced ASTHENIA (weakness), ILLNESS (I get really really sick), MOBILITY DECREASED (can hardly move), MEMORY IMPAIRMENT (no mental acuity/. I feel like I can't think right/don't have the clarity of mind), DIZZINESS (dizziness) and HEADACHE (headaches). On 19-Oct-2023, the patient experienced FALL (fell off the couch). The patient was treated with CAFFEINE, PARACETAMOL (EXCEDRIN [CAFFEINE;PARACETAMOL]) at an unspecified dose and frequency. In October 2023, HEADACHE (headaches) had resolved. At the time of the report, ASTHENIA (weakness) and MEMORY IMPAIRMENT (no mental acuity/. I feel like I can't think right/don't have the clarity of mind) had not resolved and ILLNESS (I get really really sick), MOBILITY DECREASED (can hardly move), FALL (fell off the couch) and DIZZINESS (dizziness) was resolving.            No concomitant medication was reported. It was reported that every time patient gets one she get really really sick, she gets severe headaches, she can hardly move; dizziness and weakness, don't know day and time, and can't register date and time, can't remember what she did, she can't think. On 19-Oct-2023 fell off the couch, she had to have her husband assist me to get up; she had to use the bathroom and just laid there. All her symptoms started the evening that she gets her shot. Patient lose all track time, she had no mental acuity, and had weakness. She never getting the vaccine again. Patient reports that symptoms have diminished a bit, but she doesn't have the clarity of mind that that she normally has. They last 2 days of being out of it, headaches that last 2 days. She felt like she can't think right. At the time of reporting, patient had weakness and trouble thinking and will be staying in bed. While collecting case number, patient stated, she doesn't remember what a hyphen looks like.