Age: 76.0
Sex: F
Vaccine: UNK
Symptoms: Chills, Dyspnoea, Headache, Hyperhidrosis, Impaired driving ability
Clinical narrative: headache; fever; nauseous; chills; still feeling sweaty; feeling too shaky to drive; shortness of breath; This spontaneous case was reported by a patient and describes the occurrence of HYPERHIDROSIS (still feeling sweaty), NERVOUSNESS (feeling too shaky to drive), DYSPNOEA (shortness of breath), HEADACHE (headache) and NAUSEA (nauseous) in a 76-year-old female patient who received mRNA-1273.815 (SPIKEVAX 2023-2024 PFS) (batch no. 205E23A) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below.     No previous heart conditions.  Previously administered products included for Product used for unknown indication: Flu in September 2023 and RSV in September 2023. Past adverse reactions to the above products included No adverse event with Flu; and No adverse reaction with RSV. Concurrent medical conditions included Rheumatoid arthritis. Concomitant products included TOFACITINIB CITRATE (XELJANZ) for Rheumatoid arthritis, SERTRALINE for an unknown indication.    On 29-Sep-2023, the patient received sixth dose of mRNA-1273.815 (SPIKEVAX 2023-2024 PFS) (unknown route) 1 dosage form. In 2023, the patient experienced HYPERHIDROSIS (still feeling sweaty), NERVOUSNESS (feeling too shaky to drive), DYSPNOEA (shortness of breath), NAUSEA (nauseous) and CHILLS (chills). On 30-Sep-2023, after starting mRNA-1273.815 (SPIKEVAX 2023-2024 PFS), the patient experienced HEADACHE (headache) and PYREXIA (fever). The patient was treated with PARACETAMOL (TYLENOL) for Fever, at an unspecified dose and frequency. At the time of the report, HYPERHIDROSIS (still feeling sweaty) had not resolved, NERVOUSNESS (feeling too shaky to drive), DYSPNOEA (shortness of breath), HEADACHE (headache), NAUSEA (nauseous) and CHILLS (chills) outcome was unknown and PYREXIA (fever) was resolving.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 30-Sep-2023, Body temperature: fever of 100 and something. On 09-Oct-2023, Body temperature: At morning it was 100.4 and after taking Tylenol and it was 99.3.     For mRNA-1273.815 (SPIKEVAX 2023-2024 PFS) (Unknown), the reporter did not provide any causality assessments.   On 03-Mar-2021, patient received dose 1 of Moderna. On 31-Mar-2021, patient received dose 2 of Moderna. On 09-Nov-2021, patient received dose 3 of Moderna. On 12-Apr-2022, patient received dose 4 of Pfizer. On 11-Nov-2022, patient received dose 5 of Moderna.  The day after receiving the Spikevax vaccine, patient woke up with a headache and fever of 100 and something. Patient had no reaction to the previous ones. A few days later, she was nauseous after waking up and still had a fever. Every day she wakes up in the morning with an elevated fever. On 09-Oct-2023, it was 100.4, after taking Tylenol it was 99.3. After taking Tylenol it goes down during the day, but she still was feeling sweaty. She was initially concerned about having a fever in the middle of the night because she had chills. Fever was going down. Patient was feeling too shaky to drive and also seems to have shortness of breath. She was hardly ever nauseous but read that it could be a side effect and thought it could something she ate.