Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Blood test, Computerised tomogram, Fatigue, Immunology test
Clinical narrative: 4 small lung nodules; fever for a day; felt tired/tiredness persisted; weakness; This spontaneous case was reported by a consumer and describes the occurrence of ASTHENIA (weakness), PULMONARY MASS (4 small lung nodules), PYREXIA (fever for a day) and FATIGUE (felt tired/tiredness persisted) in a 78-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 032M20A and 015M20A) for COVID-19 vaccination.     Previously administered products included for Product used for unknown indication: Flu Vaccine (Took flu vaccine sometime in Oct or Nov2021). Past adverse reactions to the above products included No adverse reaction with Flu Vaccine. Concurrent medical conditions included Chronic arthritis, Hypertension and High cholesterol. Concomitant products included ATENOLOL, AMLODIPINE and ROSUVASTATIN CALCIUM (CRESTOR) for an unknown indication.   On 06-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 09-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. In March 2021, the patient experienced ASTHENIA (weakness), PYREXIA (fever for a day) and FATIGUE (felt tired/tiredness persisted). In May 2021, the patient experienced PULMONARY MASS (4 small lung nodules). In March 2021, PYREXIA (fever for a day) had resolved. At the time of the report, ASTHENIA (weakness) outcome was unknown and PULMONARY MASS (4 small lung nodules) and FATIGUE (felt tired/tiredness persisted) had not resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In May 2021, Computerised tomogram: 4 small lung nodules possible problem in the aorta and they found 4 small lung nodules.. On an unknown date, Blood test: results not reported Results not reported. On an unknown date, Immunology test: 495 level at the last test was 495.     For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   The patient reported that she did not have a medical history of Covid-19 infection.  The patient stated that she was asymptomatic (pulmonary-wise) and was not having any kind of respiratory illness for the past 5 years. For this reason, she was referred to a pulmonologist by her internist and she would have a CT Scan every 5 months. The patient's son was a radiologist and she was afraid that the nodules might migrate to other organs. The patient was not saying that the nodules was from the vaccine but they just want to know if there had been reports of indeterminate lung nodules such as from people who had received the Moderna vaccine. Patient mentioned that she read an article that some patient who had gotten the Pfizer vaccine had interstitial lung disease hence, she was wondering if Moderna had something similar. Patient stated not to get the booster dose because of the lung nodule.  Patient height was reported as  5' 2 2/1"-3".  No treatment information was reported.   This case was linked to MOD-2022-517797, MOD-2022-517950 (Patient Link).