Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Insomnia, Malaise, Pain, Pyrexia
Clinical narrative: Patient was in bed the whole next day; AFib; Patient was very uncomfortable sleeping; every single joint in her body / ankles hurt, her knees hurt, her hips, hurt her neck hurt everything like that hurt; That night I did not feel fine; Patient teeth were clattering so bad that she could not get warm; every single joint in her body / ankles hurt, her knees hurt, her hips, hurt her neck hurt everything like that hurt; Patient had 100 and two degree temperature; This spontaneous case was reported by a patient and describes the occurrence of ATRIAL FIBRILLATION (AFib) in a 69-year-old female patient who received mRNA-1273.712 (SPIKEVAX 2024-2025 PFS) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included TIA (Patient had a mini stroke TIA.) on 25-Apr-2024 and Implantable loop recorder (Patient had no afib since 24-Jul-204 to 10-Sep-2024 for 45 days. it records all her heart activity. she was wearing that because she was having surgery.) on 24-Jul-2024.    On 10-Sep-2024, the patient received fourth dose of mRNA-1273.712 (SPIKEVAX 2024-2025 PFS) (unknown route) 1 dosage form. On 10-Sep-2024, the patient experienced INSOMNIA (Patient was very uncomfortable sleeping), PAIN (every single joint in her body / ankles hurt, her knees hurt, her hips, hurt her neck hurt everything like that hurt), MALAISE (That night I did not feel fine), CHILLS (Patient teeth were clattering so bad that she could not get warm), ARTHRALGIA (every single joint in her body / ankles hurt, her knees hurt, her hips, hurt her neck hurt everything like that hurt) and PYREXIA (Patient had 100 and two degree temperature). On 11-Sep-2024, the patient experienced ATRIAL FIBRILLATION (AFib) (seriousness criterion medically significant) and BEDRIDDEN (Patient was in bed the whole next day). At the time of the report, ATRIAL FIBRILLATION (AFib), INSOMNIA (Patient was very uncomfortable sleeping), PAIN (every single joint in her body / ankles hurt, her knees hurt, her hips, hurt her neck hurt everything like that hurt), ARTHRALGIA (every single joint in her body / ankles hurt, her knees hurt, her hips, hurt her neck hurt everything like that hurt) and PYREXIA (Patient had 100 and two degree temperature) had resolved and BEDRIDDEN (Patient was in bed the whole next day), MALAISE (That night I did not feel fine) and CHILLS (Patient teeth were clattering so bad that she could not get warm) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 10-Sep-2024, Body temperature: 102 degree.         Patient did not received any other vaccines in the 4 weeks prior to COVID-19 vaccine.  Concomitant product use was not provided by the reporter.  Patient got the vaccine on 10-Sep-2024 at about noon. She felt fine that day. That night she did not feel fine. She had 100 and two degree temperature. Her teeth were clattering so bad that she could not get warm. She live by herself and in the middle of the night, she mean, she could not get comfortable. she was very uncomfortable sleeping. You can imagine with the temperature, she got up to go to the bathroom, every single joint in her  body to herself. She said this is a damn bone breaking vaccine. she mean, that's what she said out loud to herself. Her ankles hurt, her knees hurt, her hips, hurt her neck hurt everything like that hurt. She was wearing a loop recorder which records her heart activity. So at midnight, on 11-Sep-2024 at 2:42 AM patient had a AFib. Patient never had it before in her life. So she had AFib on 11-Sep-2024 at 2:30 to 2:32 a.m. She had it again on 9:13. From 1:18 pm to 1:19 PM. She had it again at 1:49 pm to 1:50 pm  and again from 4:54 PM to 4:56 p.m and since she did not had. Patient was in bed the whole next day from just she felt like she had COVID.  Treatment information was not provided.; Reporter's Comments: The benefit-risk relationship of mRNA-1273.712 (SPIKEVAX 2024-2025 PFS) vaccine is not affected by this report.