Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pain in extremity, Palpitations, Paranasal sinus discomfort, Productive cough, Pyrexia
Clinical narrative: heart arrhythmia, racing heart began - pulse range from 44 to 170 sitting still/chest pain/pressure/Completely incapacitated, trouble breathing; sore arm; chest congestion; awaken in cold sweat with chills; Excessive mucus production (yellow/gray) coughing up from chest; sore throat; sinus pressure; crackle in lungs and voice; ringing ears; can't eat; can't sleep; I'm still sick; He has COPD so his chest congestion is actually worse; chest congestion is actually worse; body aches; Had a fever of over 100.2 (normal temp is 97.2) but likely went higher during sleep; cold sweat with chills; headache; This spontaneous case was reported by a patient family member or friend and describes the occurrence of ARRHYTHMIA (heart arrhythmia, racing heart began - pulse range from 44 to 170 sitting still/chest pain/pressure/Completely incapacitated, trouble breathing) in a male patient of an unknown age who received mRNA-1273.712 (SPIKEVAX 2024-2025 PFS) (batch no. 3043335) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below.     Concurrent medical conditions included COPD.    On 21-Oct-2024, the patient received dose of mRNA-1273.712 (SPIKEVAX 2024-2025 PFS) (unknown route) 1 dosage form. On an unknown date, the patient experienced ARRHYTHMIA (heart arrhythmia, racing heart began - pulse range from 44 to 170 sitting still/chest pain/pressure/Completely incapacitated, trouble breathing) (seriousness criterion medically significant), PAIN IN EXTREMITY (sore arm), RESPIRATORY TRACT CONGESTION (chest congestion), COLD SWEAT (awaken in cold sweat with chills), COUGH (Excessive mucus production (yellow/gray) coughing up from chest), OROPHARYNGEAL PAIN (sore throat), PARANASAL SINUS DISCOMFORT (sinus pressure), RALES (crackle in lungs and voice), TINNITUS (ringing ears), FEEDING DISORDER (can't eat), INSOMNIA (can't sleep), ILLNESS (I'm still sick), CHRONIC OBSTRUCTIVE PULMONARY DISEASE (He has COPD so his chest congestion is actually worse), CONDITION AGGRAVATED (chest congestion is actually worse), MYALGIA (body aches), PYREXIA (Had a fever of over 100.2 (normal temp is 97.2) but likely went higher during sleep), CHILLS (cold sweat with chills) and HEADACHE (headache). At the time of the report, ARRHYTHMIA (heart arrhythmia, racing heart began - pulse range from 44 to 170 sitting still/chest pain/pressure/Completely incapacitated, trouble breathing), PAIN IN EXTREMITY (sore arm), RESPIRATORY TRACT CONGESTION (chest congestion), COLD SWEAT (awaken in cold sweat with chills), COUGH (Excessive mucus production (yellow/gray) coughing up from chest), OROPHARYNGEAL PAIN (sore throat), PARANASAL SINUS DISCOMFORT (sinus pressure), RALES (crackle in lungs and voice), TINNITUS (ringing ears), FEEDING DISORDER (can't eat), INSOMNIA (can't sleep), ILLNESS (I'm still sick), CHRONIC OBSTRUCTIVE PULMONARY DISEASE (He has COPD so his chest congestion is actually worse), CONDITION AGGRAVATED (chest congestion is actually worse), MYALGIA (body aches), PYREXIA (Had a fever of over 100.2 (normal temp is 97.2) but likely went higher during sleep), CHILLS (cold sweat with chills) and HEADACHE (headache) outcome was unknown. Not Provided    DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Body temperature: fever of over 100.2 (normal temp is 97.2) but likely went higher during sleep. On an unknown date, Heart rate: pulse range from 44 to 170 sitting still. On an unknown date, SARS-CoV-2 test: Negative.     The action taken with mRNA-1273.712 (SPIKEVAX 2024-2025 PFS) (Unknown) was unknown.   For mRNA-1273.712 (SPIKEVAX 2024-2025 PFS) (Unknown), the reporter did not provide any causality assessments.   No concomitant medication was reported.  It was reported that reporter husband (patient) also had the shot the same day, and he got similar severe side effects. It was unknown if the patient experienced any additional symptoms/events.  No treatment information was reported.   This case was linked to US-MODERNATX, INC.-MOD-2024-776434 (E2B Linked Report).; Reporter's Comments: Concurrent chronic obstructive pulmonary disease remains as a confounder for the event COPD exacerbation. The benefit-risk relationship of product is not affected by this report.; Sender's Comments:  US-MODERNATX, INC.-MOD-2024-776434:Same reporter but different patient (Husband Case)