Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Immunisation reaction, Interchange of vaccine products, Musculoskeletal stiffness, Tension headache
Clinical narrative: Stiff neck; She had reaction with both the Moderna shots; Revaccination with different COVID-19 vaccine; Interchange of vaccine products; Headaches are all in the back of her head; Second Moderna shots which were not pleasant; Splitting headache; Felt really tired; Chills; Felt Iike a funny thing right around her chest, like her heart; This spontaneous case was reported by a patient and describes the occurrence of CHEST DISCOMFORT (Felt Iike a funny thing right around her chest, like her heart), MUSCULOSKELETAL STIFFNESS (Stiff neck), IMMUNISATION REACTION (She had reaction with both the Moderna shots), COVID-19 IMMUNISATION (Revaccination with different COVID-19 vaccine) and INTERCHANGE OF VACCINE PRODUCTS (Interchange of vaccine products) in a 65-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below.    Co-suspect product included non-company product TOZINAMERAN (PFIZER BIONTECH COVID-19 VACCINE) for an unknown indication.    The patient's past medical history included Migraine.   On 16-Nov-2021, the patient received third dose of TOZINAMERAN (PFIZER BIONTECH COVID-19 VACCINE) (unknown route) 1 dosage form. On an unknown date, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 16-Nov-2021, the patient experienced CHEST DISCOMFORT (Felt Iike a funny thing right around her chest, like her heart) and CHILLS (Chills). On 17-Nov-2021, the patient experienced FATIGUE (Felt really tired). On 19-Nov-2021, the patient experienced HEADACHE (Splitting headache). On an unknown date, the patient experienced MUSCULOSKELETAL STIFFNESS (Stiff neck), IMMUNISATION REACTION (She had reaction with both the Moderna shots), COVID-19 IMMUNISATION (Revaccination with different COVID-19 vaccine), INTERCHANGE OF VACCINE PRODUCTS (Interchange of vaccine products), TENSION HEADACHE (Headaches are all in the back of her head) and DISCOMFORT (Second Moderna shots which were not pleasant). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency and RIZATRIPTAN at an unspecified dose and frequency. At the time of the report, CHEST DISCOMFORT (Felt Iike a funny thing right around her chest, like her heart), MUSCULOSKELETAL STIFFNESS (Stiff neck), IMMUNISATION REACTION (She had reaction with both the Moderna shots), COVID-19 IMMUNISATION (Revaccination with different COVID-19 vaccine), INTERCHANGE OF VACCINE PRODUCTS (Interchange of vaccine products), TENSION HEADACHE (Headaches are all in the back of her head), DISCOMFORT (Second Moderna shots which were not pleasant), FATIGUE (Felt really tired), HEADACHE (Splitting headache) and CHILLS (Chills) outcome was unknown.     Patient was on the couch and felt really tired so kept pumping Tylenol. In Oct-2021 patient thinks she might have had a mild case of COVID, even though she was vaccinated. Patient could not get tested to verify if actually had COVID because she was taking care of her ill father. No concomitant medication information was reported.  This case was identified as part of a retrospective clean-up activity where certain emails received in the Moderna mailbox were missed to be booked-in.