Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Brain oedema, Confusional state, Craniocerebral injury, Epistaxis, Fall
Clinical narrative: trouble picking things up and raising his legs; Could talk but not rational; Fell on cement floor; Bleeding from nose; Confused; Brain Swelling; Multiple skull fractures; Passed out; Brain trauma; This spontaneous case was reported by a consumer and describes the occurrence of CRANIOCEREBRAL INJURY (Brain trauma), BRAIN OEDEMA (Brain Swelling), SKULL FRACTURE (Multiple skull fractures), LOSS OF CONSCIOUSNESS (Passed out), FALL (Fell on cement floor), EPISTAXIS (Bleeding from nose), CONFUSIONAL STATE (Confused), MOVEMENT DISORDER (trouble picking things up and raising his legs) and SPEECH DISORDER (Could talk but not rational) in a 30-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination.     No Medical History information was reported.    On 04-May-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 04-May-2021, the patient experienced CRANIOCEREBRAL INJURY (Brain trauma) (seriousness criteria hospitalization, disability, medically significant and life threatening), LOSS OF CONSCIOUSNESS (Passed out) (seriousness criteria hospitalization, disability and medically significant), FALL (Fell on cement floor) (seriousness criteria hospitalization and medically significant), EPISTAXIS (Bleeding from nose) (seriousness criterion hospitalization) and SPEECH DISORDER (Could talk but not rational) (seriousness criteria hospitalization and disability). In May 2021, the patient experienced CONFUSIONAL STATE (Confused) (seriousness criteria hospitalization and disability). On an unknown date, the patient experienced BRAIN OEDEMA (Brain Swelling) (seriousness criteria hospitalization, disability, medically significant and life threatening), SKULL FRACTURE (Multiple skull fractures) (seriousness criteria hospitalization, disability, medically significant and life threatening) and MOVEMENT DISORDER (trouble picking things up and raising his legs) (seriousness criteria hospitalization and disability). The patient was hospitalized from 04-May-2021 to 20-May-2021 due to BRAIN OEDEMA, CRANIOCEREBRAL INJURY, LOSS OF CONSCIOUSNESS and SKULL FRACTURE. The patient was treated with Surgery (On 07-May-2021, right part of skull was removed surgically to control brain swelling.) for Brain oedema; Surgery (On 08-May-2021 surgery was performed to remove multiple skull fractures.) for Skull fracture; Rehabilitation therapy for Confusional state; Rehabilitation therapy for Movement disorder and Rehabilitation therapy for Speech disorder. At the time of the report, CRANIOCEREBRAL INJURY (Brain trauma), BRAIN OEDEMA (Brain Swelling), SKULL FRACTURE (Multiple skull fractures), CONFUSIONAL STATE (Confused) and SPEECH DISORDER (Could talk but not rational) was resolving, LOSS OF CONSCIOUSNESS (Passed out) had resolved, FALL (Fell on cement floor) and EPISTAXIS (Bleeding from nose) outcome was unknown and MOVEMENT DISORDER (trouble picking things up and raising his legs) had not resolved.        The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.       On 26May21 patient moved to a rehabilitation facility where he still remains 9Jun21.  He  awoke on 17May21 but was still confused. He is now making good progress and can now walk and talk but needed therapy to relearn these.  He  will need out patient therapy when they release him.  He still requires surgery to replace bone flap and has to wear a helmet. The goal is that he will be normal in 6 months but he is still having trouble picking things up and raising his legs.   No concomitant medications provided. No treatment information provided.  Limited information regarding the events has been provided at this time and a causal relationship cannot be excluded.  It is unclear what caused the LOC and fall that appears to have resulted in the skull and brain injuries and resulting symtoms; Sender's Comments: Limited information regarding the events has been provided at this time and a causal relationship cannot be excluded.  It is unclear what caused the LOC and fall that appears to have resulted in the skull and brain injuries and resulting symtoms