Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Lacrimation increased, Pain in extremity, Product dose omission issue, Treatment noncompliance, Vertigo
Clinical narrative: More than 35 days after the first dose without receiving the second dose; Sore arm - left arm; Eyelids full of water; His vision is still getting worse; not be receiving the second dose; Headache/very intense waves of headache; Felt very hyped; a little bit of vertigo but not too bad, they weren't consistent/were intermittent; have no energy/ He still feels he doesn't have the energy he used to; Was super amped out - wide awake,could not sleep; Blurred vision/ vision was very much impaired; This spontaneous case was reported by a consumer and describes the occurrence of PRODUCT DOSE OMISSION ISSUE (More than 35 days after the first dose without receiving the second dose), PAIN IN EXTREMITY (Sore arm - left arm), VISION BLURRED (Blurred vision/ vision was very much impaired), LACRIMATION INCREASED (Eyelids full of water) and INSOMNIA (Was super amped out - wide awake,could not sleep) in a 63-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 004M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     No Medical History information was reported.    On 31-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 31-Jan-2021, the patient experienced VISION BLURRED (Blurred vision/ vision was very much impaired), INSOMNIA (Was super amped out - wide awake,could not sleep), FEELING ABNORMAL (Felt very hyped), VERTIGO (a little bit of vertigo but not too bad, they weren't consistent/were intermittent), ASTHENIA (have no energy/ He still feels he doesn't have the energy he used to) and HEADACHE (Headache/very intense waves of headache). On an unknown date, the patient experienced PRODUCT DOSE OMISSION ISSUE (More than 35 days after the first dose without receiving the second dose), PAIN IN EXTREMITY (Sore arm - left arm), LACRIMATION INCREASED (Eyelids full of water), CONDITION AGGRAVATED (His vision is still getting worse) and TREATMENT NONCOMPLIANCE (not be receiving the second dose). The patient was treated with IBUPROFEN (ADVILMED) at a dose of 1 dosage form. On 14-Feb-2021, VERTIGO (a little bit of vertigo but not too bad, they weren't consistent/were intermittent) had resolved. At the time of the report, PRODUCT DOSE OMISSION ISSUE (More than 35 days after the first dose without receiving the second dose) had resolved and PAIN IN EXTREMITY (Sore arm - left arm), VISION BLURRED (Blurred vision/ vision was very much impaired), LACRIMATION INCREASED (Eyelids full of water), INSOMNIA (Was super amped out - wide awake,could not sleep), CONDITION AGGRAVATED (His vision is still getting worse), FEELING ABNORMAL (Felt very hyped), ASTHENIA (have no energy/ He still feels he doesn't have the energy he used to), TREATMENT NONCOMPLIANCE (not be receiving the second dose) and HEADACHE (Headache/very intense waves of headache) outcome was unknown.        The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.       No concomitant medication details was provided.  Per report, the patient  will not be receiving the second dose of the vaccine  following his adverse reactions. The patient also experienced mild intermittent vertigo, and very intense waves of headache.   This case was linked to MOD-2021-035367 (Patient Link).   Most recent FOLLOW-UP information incorporated above includes: On 03-May-2021: Follow-up document received On 13-Jul-2021: Follow-up case received including treatment medications and new events.