Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Musculoskeletal chest pain, Nausea, Neck pain, Oropharyngeal pain
Clinical narrative: I slept whole day, was hardly awake. Once, woke up, I was back to normal; Felt fatigue, tired, nauseated and do not feel like going up to bathroom; Felt fatigue, tired, nauseated and do not feel like going up to bathroom; Felt fatigue, tired, nauseated and do not feel like going up to bathroom; nasty headache; No sore arm, but if touched right on the injection site, it is tender; Pain got more intense; sore throat; fever; chills; little bit dizzy 15 minutes after vaccination; started feeling pain on my left ribs, that travelled across my chest; started feeling pain on my left ribs, that travelled across my chest; Chest felt really tight but it did not affect my breathing; it started to hurt my heart,; feeling really dizzy; eyes started to really hurt; I got achy and sweaty all over my body; I got achy and sweaty all over my body; I can fell every screw in my neck; This spontaneous case was reported by a consumer and describes the occurrence of DIZZINESS (little bit dizzy 15 minutes after vaccination), the first episode of MUSCULOSKELETAL CHEST PAIN (started feeling pain on my left ribs, that travelled across my chest), the second episode of MUSCULOSKELETAL CHEST PAIN (started feeling pain on my left ribs, that travelled across my chest), CHEST DISCOMFORT (Chest felt really tight but it did not affect my breathing) and CHEST PAIN (it started to hurt my heart,) in a 61-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 007B21A and 018B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included Surgery (tendon release surgery) since an unknown date, Laminectomy spinal (back L5 -S1), Neck surgery (posterior fusion c3 to t1 titanium cages screw stenosis degeneration), Cataract operation (left and right replacement) in April 2020, Laser therapy (diabetes retinopathy L 1/20 R 2/20) and Strabismus (to both eyes) on 06-Jul-2020. Previously administered products included for Product used for unknown indication: Shingrix (1st short very sore arm  2nd short arm got red arm was sore fever aches in muscle neural symptoms in arms and legs muscle weakness, fatigue and discomfort in walking). Past adverse reactions to the above products included Fever with Shingrix. Concurrent medical conditions included Environmental allergy (scents, flowers, grasses, some unknown plant allergy, wool, feather. manure.), Latex allergy (latex sensitivity un coocked), Cosmetic allergy (shampoo, lotions. spf over 10 %), Pollen allergy (tree pollen, corn pollen, some tree pollen), Fruit allergy, Drug allergy (sever reactions to Levemir.reaction to preservative in eye drops, dorzolamide, hydrochloride, timolol malate  very sensitive to antihistamines anesthetics, anaesthesia,tramadol,), Alcohol allergy, Smoke sensitivity (smoke tobacoo), Gestational diabetes (diagnosed in 1999 better control with switch from lantus to humillin), Arthritis (right toe joint), Variant angina (spasm variant angina (SPV) only in rapid eye movement stage of sleep), Preglaucoma, unspecified since 2014 and Thyroid disorder NOS (thyroidism). Concomitant products included PRAVASTATIN for Cholesterol, LOSARTAN POTASSIUM for Diabetic renal disease, INSULIN HUMAN INJECTION, ISOPHANE (NOVOLIN N) for Gestational diabetes, METFORMIN HCL for Gestational diabetes mellitus, DILTIAZEM HYDROCHLORIDE (DILTIAZEM [DILTIAZEM HYDROCHLORIDE]) for Supraventricular arrhythmia NOS, LEVOTHYROXINE SODIUM (LEVOTHYROXIN) for an unknown indication.   On 18-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 15-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 18-Mar-2021, the patient experienced DIZZINESS (little bit dizzy 15 minutes after vaccination), the first episode of MUSCULOSKELETAL CHEST PAIN (started feeling pain on my left ribs, that travelled across my chest), the second episode of MUSCULOSKELETAL CHEST PAIN (started feeling pain on my left ribs, that travelled across my chest), CHEST DISCOMFORT (Chest felt really tight but it did not affect my breathing), CHEST PAIN (it started to hurt my heart,), DIZZINESS (feeling really dizzy), HEADACHE (nasty headache), EYE PAIN (eyes started to really hurt), PAIN (I got achy and sweaty all over my body), HYPERHIDROSIS (I got achy and sweaty all over my body), NECK PAIN (I can fell every screw in my neck), PAIN (Pain got more intense), PYREXIA (fever), CHILLS (chills), OROPHARYNGEAL PAIN (sore throat) and INJECTION SITE PAIN (No sore arm, but if touched right on the injection site, it is tender). On 19-Mar-2021, the patient experienced FATIGUE (Felt fatigue, tired, nauseated and do not feel like going up to bathroom), NAUSEA (Felt fatigue, tired, nauseated and do not feel like going up to bathroom) and ASTHENIA (Felt fatigue, tired, nauseated and do not feel like going up to bathroom). On 20-Mar-2021, the patient experienced SOMNOLENCE (I slept whole day, was hardly awake. Once, woke up, I was back to normal). On 18-Mar-2021, DIZZINESS (little bit dizzy 15 minutes after vaccination), the last episode of MUSCULOSKELETAL CHEST PAIN (started feeling pain on my left ribs, that travelled across my chest), CHEST DISCOMFORT (Chest felt really tight but it did not affect my breathing) and CHEST PAIN (it started to hurt my heart,) had resolved. On 19-Mar-2021, DIZZINESS (feeling really dizzy), HEADACHE (nasty headache), PAIN (I got achy and sweaty all over my body), HYPERHIDROSIS (I got achy and sweaty all over my body), NECK PAIN (I can fell every screw in my neck) and PAIN (Pain got more intense) had resolved. On 20-Mar-2021, EYE PAIN (eyes started to really hurt), PYREXIA (fever), CHILLS (chills), OROPHARYNGEAL PAIN (sore throat), FATIGUE (Felt fatigue, tired, nauseated and do not feel like going up to bathroom), NAUSEA (Felt fatigue, tired, nauseated and do not feel like going up to bathroom), ASTHENIA (Felt fatigue, tired, nauseated and do not feel like going up to bathroom) and SOMNOLENCE (I slept whole day, was hardly awake. Once, woke up, I was back to normal) had resolved. At the time of the report, INJECTION SITE PAIN (No sore arm, but if touched right on the injection site, it is tender) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Blood glucose fluctuation: abnormal (abnormal) blood sugar level was different on different dates..         The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) was not applicable.  No treatment medication included.   This case was linked to US-MODERNATX, INC.-MOD-2021-081340 (E2B Linked Report).   Most recent FOLLOW-UP information incorporated above includes: On 21-Apr-2021: Significant follow up received on 21-APR-2021, events updated, concomitant medication added, patient details updated On 24-May-2021: Non significant follow up received, ADR with event details updated; Sender's Comments:  US-MODERNATX, INC.-MOD-2021-081340:1st dose events