Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Productive cough
Clinical narrative: felt like he was going to die; He had extreme terrible phlegm, he was coughing and hacking; still weak as a kitten; He had extreme terrible phlegm, he was coughing and hacking; he could not get his breath.; his "vertical whole was not doing great - he got dizzy and could not stand up; He also had diarrhea; he slept with his shoulder hurting; This spontaneous case was reported by a patient and describes the occurrence of ANXIETY (felt like he was going to die), PRODUCTIVE COUGH (He had extreme terrible phlegm, he was coughing and hacking), ASTHENIA (still weak as a kitten), COUGH (He had extreme terrible phlegm, he was coughing and hacking) and DYSPNOEA (he could not get his breath.) in a 70-year-old male patient who received mRNA-1273.815 (SPIKEVAX 2023-2024 PFS) (batch no. 3030336) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below.     Question:Describe relevant medical history/conditions, allergy, concomitant diseases and risk factor.Answer:diabetic high blood pressure asthma overweight.  Previously administered products included for COVID-19 prophylaxis: Moderna (Dose 1 lot number 033K20A) on 01-Feb-2021, Moderna (Dose 2 lot number 012A21A) on 02-Mar-2021, Moderna (Dose 3 lot number 012F21A) on 25-Oct-2021 and Moderna (Dose 4 lot number 001M21A) on 13-Apr-2022; for Drug use for unknown indication: RSV (RSV one month before the Covid-19). Past adverse reactions to the above products included No adverse event with Moderna, Moderna, Moderna, Moderna and RSV. Concurrent medical conditions included Diabetic, Blood pressure high, Asthma, Overweight and Ex-smoker (smoke pot 30 years ago).    In December 2023, the patient received fifth dose of mRNA-1273.815 (SPIKEVAX 2023-2024 PFS) (unknown route) 1 dosage form. In December 2023, the patient experienced ANXIETY (felt like he was going to die), PRODUCTIVE COUGH (He had extreme terrible phlegm, he was coughing and hacking), ASTHENIA (still weak as a kitten), COUGH (He had extreme terrible phlegm, he was coughing and hacking), DYSPNOEA (he could not get his breath.), DIZZINESS (his "vertical whole was not doing great - he got dizzy and could not stand up), DIARRHOEA (He also had diarrhea) and ARTHRALGIA (he slept with his shoulder hurting). The patient was treated with GUAIFENESIN (MUCINEX) in December 2023 for Cough, at an unspecified dose and frequency. At the time of the report, ANXIETY (felt like he was going to die), PRODUCTIVE COUGH (He had extreme terrible phlegm, he was coughing and hacking), ASTHENIA (still weak as a kitten), COUGH (He had extreme terrible phlegm, he was coughing and hacking), DYSPNOEA (he could not get his breath.), DIZZINESS (his "vertical whole was not doing great - he got dizzy and could not stand up), DIARRHOEA (He also had diarrhea) and ARTHRALGIA (he slept with his shoulder hurting) was resolving.        For mRNA-1273.815 (SPIKEVAX 2023-2024 PFS) (Unknown), the reporter did not provide any causality assessments.   Concomitant medication was not reported.  The patient took the vaccine either on 07 or 08-Dec-2023 and slept with his shoulder hurting. The next day when he woke up he felt like he was going to die. The patient had extreme terrible phlegm, was coughing, and hacking and could not get his breath. He produced a lot of phlegm. The patient also had diarrhea and his "vertical whole was not doing great - he got dizzy and could not stand up. At the time of report the patient was able to eat but was weak as a kitten.