Age: 77.0
Sex: M
Vaccine: COVID19-2
Symptoms: Fatigue, Flatulence, Headache, Myalgia, Nausea
Clinical narrative: This spontaneous case was reported by a consumer and describes the occurrence of HEADACHE (Slight Headache), CHILLS (chills), VACCINATION SITE PAIN (Pain on the left shoulder injection site), MYALGIA (Muscle pain/ achy/ Muscle Pain in the other shoulder and back) and CONSTIPATION (constipation) in a 77-year-old male patient who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (batch no. 017H22A) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included Lung cancer. Previously administered products included for Product used for unknown indication: PFIZER BIONTECH COVID-19 VACCINE on 27-Jun-2022 and PFIZER BIONTECH COVID-19 VACCINE. Past adverse reactions to the above products included No adverse event with PFIZER BIONTECH COVID-19 VACCINE and PFIZER BIONTECH COVID-19 VACCINE. Concomitant products included PLANTAGO OVATA (METAMUCIL CITRON) for an unknown indication.    On 15-Dec-2022, the patient received dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) 1 dosage form. On an unknown date, the patient experienced HEADACHE (Slight Headache), CHILLS (chills), VACCINATION SITE PAIN (Pain on the left shoulder injection site), MYALGIA (Muscle pain/ achy/ Muscle Pain in the other shoulder and back), CONSTIPATION (constipation), FLATULENCE (gas/ Gas pain/ whole middle section of his body gets gas pain), NAUSEA (nausea), ABDOMINAL PAIN UPPER (painful stomach), FATIGUE (Tired) and CHEST DISCOMFORT (funny feeling in the left chest/ when he breath deeply he feels tightness in his ches). At the time of the report, HEADACHE (Slight Headache), CHILLS (chills), VACCINATION SITE PAIN (Pain on the left shoulder injection site), MYALGIA (Muscle pain/ achy/ Muscle Pain in the other shoulder and back), CONSTIPATION (constipation), FLATULENCE (gas/ Gas pain/ whole middle section of his body gets gas pain), NAUSEA (nausea) and ABDOMINAL PAIN UPPER (painful stomach) had not resolved and FATIGUE (Tired) and CHEST DISCOMFORT (funny feeling in the left chest/ when he breath deeply he feels tightness in his ches) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 23-Dec-2022, Chest X-ray normal: Chest X-Ray which was Normal. He had a little elevation of left diaphragm but that is normal because 11 years ago he had early stage lung cancer and half of his lung was removed..     The action taken with mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (Unknown) was unknown.   For mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (Unknown), the reporter did not provide any causality assessments.   77-year-old patient was calling to report that he received a Bivalent Moderna COVID-19 vaccine on 15DEC2022 . Patient received 4 Pfizer vaccines previously. Last Pfizer Monovalent booster was on 27JUN2022. After the Moderna COVID-19 Bivalent dose on 15DEC2022, he had all the side effects listed: Slight Headache, Tired, Achy, Chills, Pain on the left shoulder injection site, Muscle Pain in the other shoulder and back. After a few days he started having painful stomach. On 22DEC2022he had a funny feeling in the left chest. He visited medical doctor on 23DEC2022. The doctor did a Chest X-Ray which was Normal. He had a little elevation of left diaphragm but that is normal because 11 years ago he had early stage lung cancer and half of his lung was removed. The doctor gave him Metamucil. Now when he breath deeply he feels tightness in his chest. His blood pressure has always been normal and it is still normal. Today, 23DEC2022, He still has constipation and Gas. The whole middle section of his body gets gas pain. Sometimes has Nausea. MH: half of lung missing 11 years ago due to long Cancer. Shot #5: Moderna COVID-19 Bivalent Booster on 15DEC2022 (Lot# 017H22A & Exp. Date: unknown).  No treatment medication was reported.