Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Immunisation reaction, Pyrexia
Clinical narrative: Got Covid-19 infection; heart problem; lot of cough; I have got something else too. I don't know what it is.; develop temperature out of the blue. The highest has been up to 105.; This spontaneous case was reported by a patient and describes the occurrence of COVID-19 (Got Covid-19 infection), CARDIAC DISORDER (heart problem), COUGH (lot of cough), IMMUNISATION REACTION (I have got something else too. I don't know what it is.) and PYREXIA (develop temperature out of the blue. The highest has been up to 105.) in an 83-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 032F21A, 027L20A and 039K20A) for COVID-19 prophylaxis.     Concurrent medical conditions included COPD, Lung cancer, Arthritis, Psoriasis, Hypertension, Prostate infection and Anginal pain. Concomitant products included PRASUGREL for Anticoagulant therapy, ACETAMINOPHEN for Arthritis, METOPROLOL for Blood pressure, TAMSULOSIN for Prostate infection, HYDROCORTISONE and SELENIUM SULFIDE for Psoriasis, ALBUTEROL SULFATE;IPRATROPIUM BROMIDE, ALCLOMETASONE DIPROPIONATE, IRON, ISOSORBIDE, GLYCERYL TRINITRATE (NITROQUICK), OMEPRAZOLE, EZETIMIBE, VITAMIN D3, PRAVASTATIN SODIUM (PRAVASTATIN NA), UBIDECARENONE (COQ-10) and PROBIOTICS NOS for an unknown indication.   On 05-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 02-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 06-Aug-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient experienced COVID-19 (Got Covid-19 infection), CARDIAC DISORDER (heart problem), COUGH (lot of cough), IMMUNISATION REACTION (I have got something else too. I don't know what it is.) and PYREXIA (develop temperature out of the blue. The highest has been up to 105.). The patient was treated with NIRMATRELVIR, RITONAVIR (PAXLOVID) (oral) for COVID-19 treatment, at a dose of 300 milligram three times a day; AZITHROMYCIN at a dose of 250 milligram, gave 6 pills, I take 2 the first day and 1 a day for 4 days and Surgery (Quadruple Bypass and 4 stents.) for Cardiac disorder. At the time of the report, COVID-19 (Got Covid-19 infection), CARDIAC DISORDER (heart problem), COUGH (lot of cough), IMMUNISATION REACTION (I have got something else too. I don't know what it is.) and PYREXIA (develop temperature out of the blue. The highest has been up to 105.) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Body temperature: develop temperature out of the blue. The highest has been up to 105.. On an unknown date, Chest X-ray: found some kind of  smoky looking stuff.         It was reported that ethnicity was reported as Caucasian.  It was reported that after taking paxlovid patient had terrible case of diarrhea, it was almost like dysentery, stools were really dark.  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.