Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Dysgeusia, Inappropriate schedule of product administration, Interchange of vaccine products, SARS-CoV-2 test, Sleep disorder
Clinical narrative: COVID-19 vaccination with Moderna and Janssen vaccines; Extremely bitter taste in the back of mouth on tongue/similar to bitter grapefruit; It woke me up several times throughout the night; First dose was administered on 11-Mar-2021, and second dose was taken on 20-Apr-2021; This spontaneous case was reported by a patient and describes the occurrence of DYSGEUSIA (Extremely bitter taste in the back of mouth on tongue/similar to bitter grapefruit), SLEEP DISORDER (It woke me up several times throughout the night), INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (First dose was administered on 11-Mar-2021, and second dose was taken on 20-Apr-2021) and INTERCHANGE OF VACCINE PRODUCTS (COVID-19 vaccination with Moderna and Janssen vaccines) in a 27-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 046B21A and 038A21A) for COVID-19 vaccination.     Previously administered products included for Drug use for unknown indication: Janseen (Batch/Lot No: 20J14-03) in December 2021. Past adverse reactions to the above products included No adverse event with Janseen. Concurrent medical conditions included Depression. Concomitant products included DULOXETINE from July 2020 to an unknown date and AMLODIPINE from March 2022 to an unknown date for an unknown indication.   On 11-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 20-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 20-Apr-2021, the patient experienced INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (First dose was administered on 11-Mar-2021, and second dose was taken on 20-Apr-2021). On 18-May-2022, the patient experienced DYSGEUSIA (Extremely bitter taste in the back of mouth on tongue/similar to bitter grapefruit) and SLEEP DISORDER (It woke me up several times throughout the night). On an unknown date, the patient experienced INTERCHANGE OF VACCINE PRODUCTS (COVID-19 vaccination with Moderna and Janssen vaccines). The patient was treated with DEXTROMETHORPHAN HYDROBROMIDE, PARACETAMOL, PSEUDOEPHEDRINE HYDROCHLORIDE (ALKA SELTZER PLUS AND FLU) on 18-May-2022 at an unspecified dose and frequency. At the time of the report, DYSGEUSIA (Extremely bitter taste in the back of mouth on tongue/similar to bitter grapefruit) and SLEEP DISORDER (It woke me up several times throughout the night) had not resolved, INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (First dose was administered on 11-Mar-2021, and second dose was taken on 20-Apr-2021) outcome was unknown and INTERCHANGE OF VACCINE PRODUCTS (COVID-19 vaccination with Moderna and Janssen vaccines) had resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, SARS-CoV-2 test: positive (Positive) Positive.         The patient had no drug allergy.  The patient had taken unspecified Pfizer drug on 18-May-2022 for the COVID-19 treatment with batch number as GA1188.