Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Hypokinesia, Lung infiltration, Pyrexia, Suspected COVID-19, Vaccination site erythema
Clinical narrative: long lasting cough, asthmatic; headache; chills; Was bedridden for 2-3 days; felt like her body couldn't move to get back to bed; Felt so weak; infiltrates in her lungs; redness and enlargement inches below the injection site; enlargement inches below the injection site. Take up the bulk of the top of her arm at the injection site.; Fever; This spontaneous case was reported by a patient and describes the occurrence of BEDRIDDEN (Was bedridden for 2-3 days), HYPOKINESIA (felt like her body couldn't move to get back to bed), ASTHENIA (Felt so weak), LUNG INFILTRATION (infiltrates in her lungs) and SUSPECTED COVID-19 (long lasting cough, asthmatic) in a 70-year-old female patient who received mRNA-1273.815 (SPIKEVAX 2023-2024) (batch no. 8058492) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included COVID-19. Previously administered products included for Product used for unknown indication: Shingles and Flu shot. Past adverse reactions to the above products included No adverse effect with Shingles; and Sickness with Flu shot. Concurrent medical conditions included Diabetic, Disorder thyroid, Autoimmune deficiency syndrome, Drug allergy (Lipitor) and Tachycardia.    On 06-Oct-2023, the patient received fifth dose of mRNA-1273.815 (SPIKEVAX 2023-2024) (unknown route) 1 dosage form. In 2023, the patient experienced LUNG INFILTRATION (infiltrates in her lungs), VACCINATION SITE ERYTHEMA (redness and enlargement inches below the injection site) and VACCINATION SITE SWELLING (enlargement inches below the injection site. Take up the bulk of the top of her arm at the injection site.). On 06-Oct-2023,  after starting mRNA-1273.815 (SPIKEVAX 2023-2024), the patient experienced BEDRIDDEN (Was bedridden for 2-3 days), HYPOKINESIA (felt like her body couldn't move to get back to bed), ASTHENIA (Felt so weak), HEADACHE (headache) and CHILLS (chills). In 2024, the patient experienced SUSPECTED COVID-19 (long lasting cough, asthmatic). On an unknown date, the patient experienced PYREXIA (Fever). In 2023, VACCINATION SITE ERYTHEMA (redness and enlargement inches below the injection site) and VACCINATION SITE SWELLING (enlargement inches below the injection site. Take up the bulk of the top of her arm at the injection site.) had resolved. At the time of the report, BEDRIDDEN (Was bedridden for 2-3 days), ASTHENIA (Felt so weak), HEADACHE (headache), CHILLS (chills) and PYREXIA (Fever) had resolved and HYPOKINESIA (felt like her body couldn't move to get back to bed), LUNG INFILTRATION (infiltrates in her lungs) and SUSPECTED COVID-19 (long lasting cough, asthmatic) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Body temperature: 104 F.         No concomitant medication was reported.  Patient thought to herself, let her just lay there on the floor. Patient's kids found her and tried to get her to come to. Patient was stuck on the floor; her kids were disabled adults and couldn't help her get up. Patient couldn't get up on her own - has two bad knees - and couldn't roll over. Stayed there for a while and then got back into bed. Had lost her husband and couldn't call EMS, with two adult disabled children who were 43 years old. Patient wanted the coverage of the vaccine though. Many years ago, when they came out with the first shingles shot, patient got it and felt like she was hit by a truck. Her husband got it as well. When she was of age, she tired the senior citizen flu shot, was so sick. Her doctor told never to take it again. Then patient got the regular strength flu shot. Patient didn't think her reactions were specific to Moderna. Thought it would be the same if she were switch to Pfizer, knew that Moderna was a bit stronger but didn't want to switch because recommendation was to stick with one brand, from patient's understanding. The reaction started a few days later. It took weeks for the reaction to go away, redness and enlargement inches below the injection site. Took up the bulk of the top of her arm at the injection site. Each time she took she was worse and worse. Patient had infiltrates in her lungs. Had a temp of 104 F for 10 days. Never thought she was going to survive it. Might also have had a touch of COVID in the beginning of the summer (2024). Had a long-lasting cough, asthmatic. Patient couldn't even take a COVID test because she has exposed blood vessels in her nose, and she might hemorrhage. No treatment information was reported.   This case was linked to MOD-2024-773985 (Patient Link).