Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Blood thyroid stimulating hormone, Chest scan, Fibrin D dimer, Full blood count, Hypertension
Clinical narrative: really high blood pressure; beats per minute have been around157-166; my heart is going to leave my chest; My heart beat stay constant at 177; This spontaneous case was reported by a consumer and describes the occurrence of HYPERTENSION (really high blood pressure), TACHYCARDIA (beats per minute have been around157-166), PALPITATIONS (my heart is going to leave my chest) and TACHYCARDIA (My heart beat stay constant at 177) in a 41-year-old female adult exposed to mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 039K20A) , while the parent received the product for COVID-19 vaccination.    MEDICAL HISTORY (Parent): Unknown.     MEDICAL HISTORY (Patient): Concurrent medical conditions included Asthma since 2000. Concomitant product exposures included TOPIRAMATE (TOPAMAX) for Migraine, ALBUTEROL [SALBUTAMOL], VITAMIN C [ASCORBIC ACID], MAGNESIUM and PROBIOTICS NOS for an unknown indication.    On 24-Jan-2021 at 5:30 PM, the parent received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. Last menstrual period and estimated date of delivery were not provided. On 25-Jan-2021, the adult was diagnosed with HYPERTENSION (really high blood pressure), TACHYCARDIA (beats per minute have been around157-166), PALPITATIONS (my heart is going to leave my chest) and TACHYCARDIA (My heart beat stay constant at 177). The Adult was exposed to mRNA-1273 (Moderna COVID-19 Vaccine) during pregnancy.  On 26-Jan-2021, HYPERTENSION (really high blood pressure), TACHYCARDIA (beats per minute have been around157-166), PALPITATIONS (my heart is going to leave my chest) and TACHYCARDIA (My heart beat stay constant at 177) had resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 25-Jan-2021, Blood thyroid stimulating hormone (0.27-4.20): 3.23 (normal) 3.23mcu/ml. On 25-Jan-2021, Chest scan: pectus exacavatum (Inconclusive) No acute intrathoracic identified. pectus exacavatum. On 25-Jan-2021, Fibrin D dimer (0.00-1.12): 0.23 (normal) 0.23 mg/L FEU. On 25-Jan-2021, Full blood count: abnormal (abnormal) Test                                   Ref Range                               Value WBC x 10*3                                                                      12.6 (H)                                         4.0 - 11.0 K/uL RBC x 10%                                                                        4.93                                                3.80 - 5.20 M/uL HGB                                                                                   15.9 (H)                                         11.7-15.Sg/dL HCT                                                                                   48.2 (H)                                         35.1-46.5% MCV                                                                                  98                                                  81-99fL MCH                                                                                 32                                                   26 - 34 pg MCHC                                                                               33                                                   31 - 36 g/dL RDW                                                                                 12.9                                               10.0-15.5% Platelet                                                                             321                                                140 - 440 K/uL MPV                                                                                  9.3                                                  9.0 - 13.0 fl Segmented Neutrophils             40 - 75 %                     63                                                                  Lymphocytes                                                                    28                                                       20 - 45 % Monocytes                                                                       8                                                        3 - 12 % Eosinophil                                                                         1                                                      0 - 6 % Basophils                                                                             1                                                        0 - 2 % Absolute Neutrophils         1.8 - 7.7 K/uL                        7.9 (H)                                                            Absolute Lymphocytes        1.0 - 4.8 K/uL                        3.5                                                                   Absolute Monocyte Count~0.1 - 1.0 K/uL                     1.0 Absolute Eosinophil~0.0 - 0.5 K/uL                     0.1 Absolute Basophil Count~0.0 - 0.2 K/uL                     0.1. On 25-Jan-2021, Metabolic function test: normal (normal) Result~Value~Ref Range Potassium~3.7~3.5 - 5,5 mmol/L Sodium~140~133 - 145 mmol/L. Chloride~108~98 - 110 m noi/L Glucose~81~70 - 99 mg/dL Calcium~9.2~8.4 - 10.5 mg/dL Albumin~4.2~3.5 - 5.0 g/dL SGPT (ALT)~12~5 - 40 U/L SGOT (AST)~16~10 - 37 U/L Bilirubin Total~0.1 (L)~0.2 - 1.2 mg/dL Alkaline Phosphatase~73~25 - 115 U/L BUN~17~6 - 22 mg/dL CO2~21~20 - 32 mmol/L Creatinine~0.8~0.5 - 1.2 mg/dL eGFR African American~>60.0~>60.0 eGFR Non   African American~>60.0~>60.0 Globulin~3.2~2.0 - 4.0 g/dL A/G Ratio~1.3~1.1 -  2.6 ratio Total Protein~7.4~6.4 - 8.3 g/dL Anion Gap~11.3~3.0 - 15.0 mmol/L. On 25-Jan-2021, Pregnancy test urine: negative (Negative) Negative. On 25-Jan-2021, Troponin (0-19 ng/L): 12 ng/L (normal) 12ng/l. On 25-Jan-2021, Urine analysis: 140 (normal) Result                                                                            Value    Ref Range                                           Urine Color                                                                      Yellow             Straw, Light Yellow, Yellow, Dark                                 Urine Clarity                                                                     Clear             Clear, Slightly Cloudy                                  Urine pH                                                                           5.5              5.0 -  8.0 pH                                    Urine Protein Screen                                                       Negative                 Negative, Trace mg/dL                                  Urine Glucose                                                                  Negative             Negative, Trace mg/dL                            Urine Ketones                                                                  Negative             Negative, NOT TESTED, Color   I                                                                                                                  nterference, Mucoid Interference mg/dl                            Urine Occult Blood                                                         Negative                 NegativeNegative Urine Specific Gravity                                                     1.020                    1.005 -  1.030                          Urine Nitrite                                                                     Negative            Negative                             Urine Leukocyte Esterase                                               Negative               Negative                           Urine Bilirubin                                                                  Negative             Negative                           Urine Urobilinogen                                                         0.2                      <2.0 mg/dL                             Urine RBC                                                                         Negative          Negative, 0-2 /hpf                             Urine WBC                                                                       Negative               0 - 2 /hpf. On 25-Jan-2021, White blood cell count (4.0-11.0): 12.6 (High) 12.6 K/UL.     The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.       Patient went to Emergency room for worsening adverse event where he was given IV and heart beat came down and was discharge.   Most recent FOLLOW-UP information incorporated above includes: On 14-Jun-2021: Reporter provided outcome of AE's and lab work pertaining to ER visit