Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram, Electrocardiogram, Feeling abnormal, Generalised anxiety disorder
Clinical narrative: Emergency room diagnosed the patient with anxiety/diagnosed with generalized anxiety; panic disorder; felt like there was something wrong/if she thinks about Covid-19 that she is on the crazy train; This spontaneous case was reported by a consumer and describes the occurrence of GENERALISED ANXIETY DISORDER (Emergency room diagnosed the patient with anxiety/diagnosed with generalized anxiety), PANIC DISORDER (panic disorder) and FEELING ABNORMAL (felt like there was something wrong/if she thinks about Covid-19 that she is on the crazy train) in a 53-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 045B21A) for COVID-19 vaccination.     The patient's past medical history included Suspected COVID-19 (No positive test at that time. Patient thinks she had a COVID-19 infection, however  not sure.) in February 2020 and COVID-19 (No hospitalization and no treatment received due to COVID-19) in September 2020. Concomitant products included LOSARTAN, METOPROLOL SUCCINATE, VITAMIN C [ASCORBIC ACID], VITAMIN D [VITAMIN D NOS], AMLODIPINE and ALPRAZOLAM for an unknown indication.    On 17-May-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced GENERALISED ANXIETY DISORDER (Emergency room diagnosed the patient with anxiety/diagnosed with generalized anxiety), PANIC DISORDER (panic disorder) and FEELING ABNORMAL (felt like there was something wrong/if she thinks about Covid-19 that she is on the crazy train). The patient was treated with LOSARTAN at an unspecified dose and frequency; AMLODIPINE at an unspecified dose and frequency and METOPROLOL SUCCINATE at an unspecified dose and frequency. At the time of the report, GENERALISED ANXIETY DISORDER (Emergency room diagnosed the patient with anxiety/diagnosed with generalized anxiety) and PANIC DISORDER (panic disorder) had not resolved and FEELING ABNORMAL (felt like there was something wrong/if she thinks about Covid-19 that she is on the crazy train) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In September 2020, SARS-CoV-2 test: positive (Positive) Positive. On an unknown date, Blood test: normal (normal) Test had returned normal.. On an unknown date, Computerised tomogram: normal (normal) Test had returned normal.. On an unknown date, Electrocardiogram: abnormal (abnormal) Abnormal for fast heart rate. On an unknown date, Heart rate: increased (High) Fast heart rate.     The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown.   For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   Concomitant medications reported also included Cinnamon for an unknown indication.  It was reported that there was no history of myocarditis/pericarditis and no hospitalization due to myocarditis or pericarditis. Patient had received the vaccine in her left arm shoulder deltoid muscle. Patient experienced no adverse events until 20-May-2021. Patient experienced fast heart beat with high blood pressure on 20-May-2021 and the rapid heart rate continued to get worse each day until the patient went to the hospital on 06-Jun-2021. The hospital told the patient that the events were due to anxiety and referred the patient to her Primary Care Physician. It was also reported that the patient was not admitted to the hospital. On 09-Jun-2021 and 30-Jun-2021 the patient had returned to the Emergency room with rapid heart rate and increased blood pressure and the emergency room diagnosed the patient with anxiety. It was reported that the patient was not diagnosed with myocarditis or pericarditis. Other symptoms reported included chest discomfort and palpitation which started on 20-May-2021 and was ongoing at the time of report.   Patient experienced normal anxiety before receiving the Moderna COVID-19 vaccine, however patient stated that it was nothing like the event experienced by the patient after vaccination. It was reported that the patient has not received second Moderna Covid-19 vaccine.