Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Computerised tomogram, Fall, Head injury, Muscle spasms
Clinical narrative: stroke/thrombosis/left arm is still not working as it should; his left leg has like muscle cramps; fell down; hit his head; This spontaneous case was reported by a patient and describes the occurrence of CEREBROVASCULAR ACCIDENT (stroke/thrombosis/left arm is still not working as it should) in a 64-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included Thrombosis.   In November 2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. In December 2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. In December 2021, the patient experienced CEREBROVASCULAR ACCIDENT (stroke/thrombosis/left arm is still not working as it should) (seriousness criteria hospitalization, medically significant and life threatening), FALL (fell down) and HEAD INJURY (hit his head). On an unknown date, the patient experienced MUSCLE SPASMS (his left leg has like muscle cramps). The patient was treated with AMANTADINE ongoing since an unknown date at a dose of 100 milligram twice a day; ASPIRIN [ACETYLSALICYLIC ACID] ongoing since an unknown date at a dose of 81 milligram, low dose; BACLOFEN ongoing since an unknown date at a dose of 1 dosage form once a day; CYCLOBENZAPRINE ongoing since an unknown date at a dose of 10 milligram; PANTOPRAZOLE ongoing since an unknown date at a dose of 40 milligram; SERTRALINE ongoing since an unknown date at a dose of 50 milligram and RIVAROXABAN (XARELTO) ongoing since an unknown date at an unspecified dose and frequency. In December 2021, FALL (fell down) had resolved. At the time of the report, CEREBROVASCULAR ACCIDENT (stroke/thrombosis/left arm is still not working as it should) and HEAD INJURY (hit his head) outcome was unknown and MUSCLE SPASMS (his left leg has like muscle cramps) had not resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In December 2021, Computerised tomogram: He had thrombosis a bleeding disorder that could cause dead, but doctors noticed it on a CT scan.         The patient did not receive any other vaccines in the 4 weeks prior to COVID-19 vaccine. No concomitant medication was reported. It was reported that, 1 day after 2nd dose he had a stroke during the morning, he was getting up and was going to the bathroom but he fell down and it was strange, it was like he was on ice, he never fell down like that before, he fell down a second time and hit his head and couldn't get back up, someone called an ambulance and he went to ER. He had thrombosis a bleeding disorder that could cause dead, but doctors noticed it on a CT scan and treated him at the hospital and he was transferred to another city in a helicopter to continue being treated on time. Doctors cut him open and dig into his brain to decrease the clot, he got quite a bit medical expense from that. The patient's left arm was still not working as it should and his left leg had like muscle cramps.  The patient needed to use a cane and AFO on his foot. It was devastating, it destroyed his life, he lost his job, his house, a vehicle, his driver's license, and a lot of money paying for rehabilitation.  Company Comment This spontaneous case concerns a 64 year-old male patient with no medical history  reported who experienced the unexpected seriousness criteria medically significant, hospitalization and life threatening events of cerebrovascular accident, muscle spasms; and the unexpected event of head injury the following day after 2nd. dose of mRNA-1273 vaccine. Concomitant medication nor Treatment details were reported. On the hospitalization day, Computerised tomogram showed that he had thrombosis, a bleeding disorder that could cause dead, but doctors noticed it on the CT scan. At the time of the report, the events had not resolved. The benefit-risk relationship of mRNA-1273 vaccine is not affected by this report.   This case was linked to US-MODERNATX, INC.-MOD-2024-755615 (E2B Linked Report).; Sender's Comments:  US-MODERNATX, INC.-MOD-2024-755615:Same Reporter Different Patient