Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus congestion
Clinical narrative: She has COPD and she was told that she has having COPD "in exasperation"; her problem with breathing; she feels that her chest is tight and heavy; She went to see her doctor and was told that her lungs "were not moving any air"; It's like having a flu - she has body aches, bad headache that lasted for 2-3 days, slight fever (100 degrees), chills, congestion in the sinuses (which she normally has); It's like having a flu - she has body aches, bad headache that lasted for 2-3 days, slight fever (100 degrees), chills, congestion in the sinuses (which she normally has); It's like having a flu - she has body aches, bad headache that lasted for 2-3 days, slight fever (100 degrees), chills, congestion in the sinuses (which she normally has); she had been very sick; It's like having a flu - she has body aches, bad headache that lasted for 2-3 days, slight fever (100 degrees), chills, congestion in the sinuses (which she normally has); It's like having a flu - she has body aches, bad headache that lasted for 2-3 days, slight fever (100 degrees), chills, congestion in the sinuses (which she normally has); This spontaneous case was reported by a patient and describes the occurrence of PAIN (It's like having a flu - she has body aches, bad headache that lasted for 2-3 days, slight fever (100 degrees), chills, congestion in the sinuses (which she normally has)), SINUS CONGESTION (It's like having a flu - she has body aches, bad headache that lasted for 2-3 days, slight fever (100 degrees), chills, congestion in the sinuses (which she normally has)), CHRONIC OBSTRUCTIVE PULMONARY DISEASE (She has COPD and she was told that she has having COPD "in exasperation"), ILLNESS (she had been very sick) and LUNG DISORDER (She went to see her doctor and was told that her lungs "were not moving any air") in a 62-year-old female patient who received mRNA-1273.815 (SPIKEVAX 2023-2024) (batch no. ASKU) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below.     Question:Describe relevant medical history/conditions, allergy, concomitant diseases and risk factor.Answer:COPD, high blood pressure (before the vaccine), previous heart attack (before the vaccine), lung cancer 2x (2019, 2021 not sure if after the 1st dose) and was radiated and osteoporosis (just diagnosed a few months ago).  The patient's past medical history included Heart attack (b), Lung cancer (2019, 2021 not sure if after the first dose and was radiated.) and Radiation therapy. Concurrent medical conditions included COPD, Blood pressure high (Before the vaccine) and Osteoporosis (diagnosed a few months ago). Concomitant products included PREDNISONE for an unknown indication.    On 29-Oct-2023, the patient received sixth dose of mRNA-1273.815 (SPIKEVAX 2023-2024) (unknown route) 1 dosage form. On 30-Oct-2023, the patient experienced PAIN (It's like having a flu - she has body aches, bad headache that lasted for 2-3 days, slight fever (100 degrees), chills, congestion in the sinuses (which she normally has)), SINUS CONGESTION (It's like having a flu - she has body aches, bad headache that lasted for 2-3 days, slight fever (100 degrees), chills, congestion in the sinuses (which she normally has)), ILLNESS (she had been very sick), PYREXIA (It's like having a flu - she has body aches, bad headache that lasted for 2-3 days, slight fever (100 degrees), chills, congestion in the sinuses (which she normally has)), CHILLS (It's like having a flu - she has body aches, bad headache that lasted for 2-3 days, slight fever (100 degrees), chills, congestion in the sinuses (which she normally has)) and HEADACHE (It's like having a flu - she has body aches, bad headache that lasted for 2-3 days, slight fever (100 degrees), chills, congestion in the sinuses (which she normally has)). On 02-Nov-2023, the patient experienced LUNG DISORDER (She went to see her doctor and was told that her lungs "were not moving any air"). On an unknown date, the patient experienced CHRONIC OBSTRUCTIVE PULMONARY DISEASE (She has COPD and she was told that she has having COPD "in exasperation"). an unknown date, the patient experienced DYSPNOEA (her problem with breathing) and CHEST DISCOMFORT (she feels that her chest is tight and heavy). At the time of the report, PAIN (It's like having a flu - she has body aches, bad headache that lasted for 2-3 days, slight fever (100 degrees), chills, congestion in the sinuses (which she normally has)) and HEADACHE (It's like having a flu - she has body aches, bad headache that lasted for 2-3 days, slight fever (100 degrees), chills, congestion in the sinuses (which she normally has)) had resolved, SINUS CONGESTION (It's like having a flu - she has body aches, bad headache that lasted for 2-3 days, slight fever (100 degrees), chills, congestion in the sinuses (which she normally has)), CHRONIC OBSTRUCTIVE PULMONARY DISEASE (She has COPD and she was told that she has having COPD "in exasperation"), DYSPNOEA (her problem with breathing), CHEST DISCOMFORT (she feels that her chest is tight and heavy), PYREXIA (It's like having a flu - she has body aches, bad headache that lasted for 2-3 days, slight fever (100 degrees), chills, congestion in the sinuses (which she normally has)) and CHILLS (It's like having a flu - she has body aches, bad headache that lasted for 2-3 days, slight fever (100 degrees), chills, congestion in the sinuses (which she normally has)) outcome was unknown and ILLNESS (she had been very sick) and LUNG DISORDER (She went to see her doctor and was told that her lungs "were not moving any air") was resolving.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Body temperature: 100 degrees.     For mRNA-1273.815 (SPIKEVAX 2023-2024) (Unknown), the reporter did not provide any causality assessments.   The patient was treated with antibiotics.  The patient's vaccination details were as follows: 1st dose - 09Jan2021, lot number 025J20-2A 2nd dose - 11Feb2021. lot number 012M20A 3rd dose - 15Oct2021, lot number 039D21A 4th dose - 04Apr2022, lot number 0661221A (?) 5th dose - 17Nov2022, lot number 062F22A.  The patient had no coughing.   This case was linked to MOD-2023-748628, MOD-2023-748631 (Patient Link).