Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination site erythema, Vaccination site pain, Vaccination site swelling
Clinical narrative: injection site reaction; feeling strange; panic disorder; decreased range in motion in my left arm/shoulder; cough; Hoarseness; injection site reaction with redness; injection site reaction with significant swelling; injection site swelling incredibly painful; Lightheaded / Weird Reaction, felt intermittently lighthead; Tachycardia/Heart Rate 200 BPM; Blood Pressure 200/110mmHg/ intermittent High Blood Pressure; Increased Photosensitivity; Tremor; Anxiety; More sensitive to salt and sugar; This spontaneous case was reported by a patient and describes the occurrence of DIZZINESS (Lightheaded / Weird Reaction, felt intermittently lighthead), TACHYCARDIA (Tachycardia/Heart Rate 200 BPM), HYPERTENSION (Blood Pressure 200/110mmHg/ intermittent High Blood Pressure), PHOTOSENSITIVITY REACTION (Increased Photosensitivity) and TREMOR (Tremor) in a 63-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 042L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included Tremor, Panic disorder and Hypersensitivity reaction. Previously administered products included for an unreported indication: MMR (Other reactions include Full Body Rash and Severe Headache) on 21-Apr-1984. Past adverse reactions to the above products included Encephalitis with MMR. Concurrent medical conditions included Anxiety, Blood pressure high, Hyperlipidemia, Drug allergy (Sulfa) and Allergy to antibiotic (Keflex). Concomitant products included GEMFIBROZIL (LOPID) and MONASCUS PURPUREUS (RED YEAST RICE) for Hyperlipidemia, AMLODIPINE and LISINOPRIL for Hypertension, VITAMIN C [ASCORBIC ACID], COLECALCIFEROL (VITAMIN D [COLECALCIFEROL]), TOCOPHEROL (VITAMIN E [TOCOPHEROL]) and KRILL OIL for Vitamin supplementation.    On 18-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 18-Jan-2021, the patient experienced DIZZINESS (Lightheaded / Weird Reaction, felt intermittently lighthead), TACHYCARDIA (Tachycardia/Heart Rate 200 BPM), HYPERTENSION (Blood Pressure 200/110mmHg/ intermittent High Blood Pressure), PHOTOSENSITIVITY REACTION (Increased Photosensitivity), TREMOR (Tremor), ANXIETY (Anxiety) and FOOD INTOLERANCE (More sensitive to salt and sugar). On an unknown date, the patient experienced INJECTION SITE REACTION (injection site reaction), FEELING ABNORMAL (feeling strange), PANIC DISORDER (panic disorder), MOBILITY DECREASED (decreased range in motion in my left arm/shoulder), COUGH (cough), DYSPHONIA (Hoarseness), VACCINATION SITE ERYTHEMA (injection site reaction with redness), VACCINATION SITE SWELLING (injection site reaction with significant swelling) and VACCINATION SITE PAIN (injection site swelling incredibly painful). The patient was treated with ALPRAZOLAM (XANAX) ongoing since an unknown date for Adverse reaction, at a dose of 1 dosage form and SERTRALINE HYDROCHLORIDE (ZOLOFT) for Adverse reaction, at a dose of 1 dosage form. At the time of the report, DIZZINESS (Lightheaded / Weird Reaction, felt intermittently lighthead), TACHYCARDIA (Tachycardia/Heart Rate 200 BPM), HYPERTENSION (Blood Pressure 200/110mmHg/ intermittent High Blood Pressure), PHOTOSENSITIVITY REACTION (Increased Photosensitivity), TREMOR (Tremor), ANXIETY (Anxiety), FOOD INTOLERANCE (More sensitive to salt and sugar), INJECTION SITE REACTION (injection site reaction), FEELING ABNORMAL (feeling strange), PANIC DISORDER (panic disorder), MOBILITY DECREASED (decreased range in motion in my left arm/shoulder), COUGH (cough), DYSPHONIA (Hoarseness), VACCINATION SITE ERYTHEMA (injection site reaction with redness), VACCINATION SITE SWELLING (injection site reaction with significant swelling) and VACCINATION SITE PAIN (injection site swelling incredibly painful) outcome was unknown. Not Provided    DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 18-Jan-2021, Blood pressure measurement: 200/110 mmHg (High) 200/100 mmHg. On 18-Jan-2021, Heart rate: 200 heart beats per minute (High) 200 heart beats per minute.     The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.       Patient stated that they spoke to Moderna by phone directly and patient adviced against receiving second dose.   Most recent FOLLOW-UP information incorporated above includes: On 23-Jul-2021: Follow up information received contains significant information. Updated patient demographics, Added Patient medical history Drug allergy Sulfa, kaflex. Added Events, Added Concomitant Amlodipine, lisinopril, Vitamin C, Vitamin D, Vitamin D. Added treatment medications Xanax, Zoloft.