Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Headache, Hypertension, Malaise
Clinical narrative: on the 13Dec2023, caller felt dizziness and 14Dec2023 blood pressure was high 178/110; on the 13Dec2023, caller felt dizziness and 14Dec2023 blood pressure was high 178/110; Caller had tiredness, dizziness, headache, not feeling themselves and fatigue; Caller had tiredness, dizziness, headache, not feeling themselves and fatigue; Caller had tiredness, dizziness, headache, not feeling themselves and fatigue; This spontaneous case was reported by a physician and describes the occurrence of HYPERTENSION (on the 13Dec2023, caller felt dizziness and 14Dec2023 blood pressure was high 178/110), DIZZINESS (on the 13Dec2023, caller felt dizziness and 14Dec2023 blood pressure was high 178/110), FATIGUE (Caller had tiredness, dizziness, headache, not feeling themselves and fatigue), HEADACHE (Caller had tiredness, dizziness, headache, not feeling themselves and fatigue) and MALAISE (Caller had tiredness, dizziness, headache, not feeling themselves and fatigue) in a 52-year-old female patient who received mRNA-1273.815 (SPIKEVAX 2023-2024) for COVID-19 prophylaxis.     The patient's past medical history included Borderline hypertension on 15-Jun-2017 and High cholesterol. Concomitant products included ATORVASTATIN and HYDROCHLOROTHIAZIDE, LOSARTAN POTASSIUM (LOSARTAN HCTZ) for an unknown indication.    On 08-Dec-2023, the patient received sixth dose of mRNA-1273.815 (SPIKEVAX 2023-2024) (unknown route) 1 dosage form. On 13-Dec-2023,  after starting mRNA-1273.815 (SPIKEVAX 2023-2024), the patient experienced DIZZINESS (on the 13Dec2023, caller felt dizziness and 14Dec2023 blood pressure was high 178/110). On 14-Dec-2023, the patient experienced HYPERTENSION (on the 13Dec2023, caller felt dizziness and 14Dec2023 blood pressure was high 178/110). In December 2023, the patient experienced FATIGUE (Caller had tiredness, dizziness, headache, not feeling themselves and fatigue), HEADACHE (Caller had tiredness, dizziness, headache, not feeling themselves and fatigue) and MALAISE (Caller had tiredness, dizziness, headache, not feeling themselves and fatigue). The patient was treated with AMLODIPINE in December 2023 at an unspecified dose and frequency. At the time of the report, HYPERTENSION (on the 13Dec2023, caller felt dizziness and 14Dec2023 blood pressure was high 178/110), DIZZINESS (on the 13Dec2023, caller felt dizziness and 14Dec2023 blood pressure was high 178/110), FATIGUE (Caller had tiredness, dizziness, headache, not feeling themselves and fatigue), HEADACHE (Caller had tiredness, dizziness, headache, not feeling themselves and fatigue) and MALAISE (Caller had tiredness, dizziness, headache, not feeling themselves and fatigue) had not resolved.        For mRNA-1273.815 (SPIKEVAX 2023-2024) (Unknown), the reporter did not provide any causality assessments.   Patient previous COVID-19 vaccination doses was 1st dose: 30Dec2020 011J20A ,2nd dose: 27Jan2021 029L20A, 3rd one: 27Oct2021 022C21A, 4th one: 06May2022 002M21A, Bivalent: 10Dec2022 042H22A. Patient took Spikevax vaccine on 08Dec2023 around 10:0AM and then at 10:30 AM they had their physical appointment, and their blood pressure was 129/92. Then he added another high blood pressure medication, and they were taking it but on the 13Dec2023, caller felt dizziness and 14Dec2023 blood pressure was high 178/110. Caller went to the ER and the blood pressure was 186/96. Caller says it has never been this high. Caller had tiredness, dizziness, headache, not feeling themselves and fatigue. Caller says it was high until Saturday 16Dec2023 but then 17Dec2023 and today 18Dec2023 it is okay. They added Amlodipine. In about 2017 caller was previous diagnosed with borderline high blood pressure and all these years (2023) it has never been like this.