Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Initial insomnia
Clinical narrative: around lunch time it seems like I am zapped, I can never fall asleep but I have to lay down and rest for a while; Extreme tiredness/started getting extremely tired in the afternoon; around lunch time it seems like I am zapped, I can never fall asleep but I have to lay down and rest for a while; This spontaneous case was reported by a patient and describes the occurrence of INITIAL INSOMNIA (around lunch time it seems like I am zapped, I can never fall asleep but I have to lay down and rest for a while), FATIGUE (Extreme tiredness/started getting extremely tired in the afternoon) and FEELING ABNORMAL (around lunch time it seems like I am zapped, I can never fall asleep but I have to lay down and rest for a while) in a 73-year-old male patient who received mRNA-1273.712 (SPIKEVAX 2024-2025 PFS) for COVID-19 prophylaxis.     Previously administered products included for Product used for unknown indication: Pfizer-BioNTech COVID-19 Vaccine (Dose 2) in 2021, Pfizer-BioNTech COVID-19 Vaccine (Dose 1) in 2021, Pfizer-BioNTech COVID-19 Vaccine (Dose 3) in 2022, Pfizer-BioNTech COVID-19 Vaccine (Dose 4) in 2022 and Pfizer-BioNTech COVID-19 Vaccine (Dose 5) in 2023. Past adverse reactions to the above products included No adverse effect with Pfizer-BioNTech COVID-19 Vaccine, Pfizer-BioNTech COVID-19 Vaccine, Pfizer-BioNTech COVID-19 Vaccine, Pfizer-BioNTech COVID-19 Vaccine and Pfizer-BioNTech COVID-19 Vaccine.    In October 2024, the patient received sixth dose of mRNA-1273.712 (SPIKEVAX 2024-2025 PFS) (unknown route) 1 dosage form. On an unknown date, the patient experienced INITIAL INSOMNIA (around lunch time it seems like I am zapped, I can never fall asleep but I have to lay down and rest for a while), FATIGUE (Extreme tiredness/started getting extremely tired in the afternoon) and FEELING ABNORMAL (around lunch time it seems like I am zapped, I can never fall asleep but I have to lay down and rest for a while). At the time of the report, INITIAL INSOMNIA (around lunch time it seems like I am zapped, I can never fall asleep but I have to lay down and rest for a while), FATIGUE (Extreme tiredness/started getting extremely tired in the afternoon) and FEELING ABNORMAL (around lunch time it seems like I am zapped, I can never fall asleep but I have to lay down and rest for a while) outcome was unknown.            Concomitant medication was not provided. Patient took 6 shots of COVID-19 Vaccine, after 6th shot of vaccine and from the last two weeks started experiencing extreme tiredness in the afternoon. Patient was not sure if that was form Pfizer covid 19 vaccine or due to old age. She got up in the mornings and did her normal stuff and around lunch time it seems like she was zapped. She could never fall asleep but had to lay down and rest for a while, it had been going on for couple of weeks. She did not know what was going on and will be visiting her heart doctor.  Initially patient received a couple of vaccines in each year for first two years and then taper off in the last couple of years, she had got only one per year in 2023 and 2024. Treatment information was not reported.