Age: 62.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dysphonia, Fatigue, Influenza like illness, Myalgia, Oropharyngeal pain
Clinical narrative: Covid-19 infection; patient woke up with pink eye in both eyes /eyes were sticky /conjunctivitis; Irritated throat; Flu like reaction; She is at about 80% of her energy level; patient says that she still has a hoarse voice /raspy voice irritated; Patient had a cough/tickly cough; patient had arm soreness / body aches; Fatigue; fever of 102 degrees Fever for 3 days and mild discomfort.; Sore throat; This spontaneous case was reported by a patient and describes the occurrence of COVID-19 (Covid-19 infection), CONJUNCTIVITIS (patient woke up with pink eye in both eyes /eyes were sticky /conjunctivitis), OROPHARYNGEAL PAIN (Sore throat), THROAT IRRITATION (Irritated throat) and INFLUENZA LIKE ILLNESS (Flu like reaction) in a 62-year-old female patient who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (batch no. 048F21A) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included Lyme disease, Exposure to mold (The patient was taking an antifungal for the mold exposure that she had in January and February. Years ago the patient was exposed to mold several times due to two silent water leaks.) in January 2023 and Long COVID-19. Previously administered products included for Product used for unknown indication: PFIZER BIONTECH COVID-19 VACCINE (Dose 2) and PFIZER BIONTECH COVID-19 VACCINE (Dose 1). Past adverse reactions to the above products included No adverse event with PFIZER BIONTECH COVID-19 VACCINE and PFIZER BIONTECH COVID-19 VACCINE.    On 08-Dec-2022, the patient received fifth dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) 1 dosage form. On 04-Apr-2023, the patient experienced THROAT IRRITATION (Irritated throat), INFLUENZA LIKE ILLNESS (Flu like reaction), ASTHENIA (She is at about 80% of her energy level), DYSPHONIA (patient says that she still has a hoarse voice /raspy voice irritated), COUGH (Patient had a cough/tickly cough), MYALGIA (patient had arm soreness / body aches), FATIGUE (Fatigue) and PYREXIA (fever of 102 degrees Fever for 3 days and mild discomfort.). On 09-Apr-2023, the patient experienced CONJUNCTIVITIS (patient woke up with pink eye in both eyes /eyes were sticky /conjunctivitis). In April 2023, the patient experienced OROPHARYNGEAL PAIN (Sore throat). On an unknown date, the patient experienced COVID-19 (Covid-19 infection). The patient was treated with MOXIFLOXACIN from 29-Apr-2023 to 05-May-2023 for Sticky eyes, at an unspecified dose and frequency; DOXYCYCLINE from 17-Apr-2023 to 21-Apr-2023 at a dose of UNK UNK, bid and HERBAL EXTRACT NOS, HOMEOPATHICS NOS (SIMILASAN) for Conjunctivitis, at an unspecified dose and frequency. On 14-Apr-2023, CONJUNCTIVITIS (patient woke up with pink eye in both eyes /eyes were sticky /conjunctivitis) had resolved. At the time of the report, COVID-19 (Covid-19 infection) outcome was unknown, OROPHARYNGEAL PAIN (Sore throat) had resolved and THROAT IRRITATION (Irritated throat), INFLUENZA LIKE ILLNESS (Flu like reaction), ASTHENIA (She is at about 80% of her energy level), DYSPHONIA (patient says that she still has a hoarse voice /raspy voice irritated), COUGH (Patient had a cough/tickly cough), MYALGIA (patient had arm soreness / body aches), FATIGUE (Fatigue) and PYREXIA (fever of 102 degrees Fever for 3 days and mild discomfort.) was resolving.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 03-Apr-2023, SARS-CoV-2 test: (Negative) Binex nasal swab. On 04-Apr-2023, Body temperature: 102 degree Celsius. On 04-Apr-2023, SARS-CoV-2 test: (Negative) Binex nasal swab. On 05-Apr-2023, SARS-CoV-2 test: (Negative) Binex nasal swab. On 26-Apr-2023, SARS-CoV-2 test: Negative. On an unknown date, Protein total: (Positive) 12443 u/ml.     For mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (Unknown), the reporter did not provide any causality assessments.   Concomitant medications were not reported.  It was unknown if patient had received any other vaccines in the 4 weeks prior to COVID-19 vaccine.  It was reported that the intensity of the arm soreness, 2 to 3 days of flu like reaction and body aches and fever was less severe than after the first two Moderna Booster doses. With each successive booster dose the patients side effects of achy sore arm, low grade fever and body aches were getting milder. Patient's eyes were still sticky on or around April 24 or 25, 2023. The patient went to urgent care on April 17, 2023 due to persistent cough. The patient had a low-grade fever at Urgent care with clear lungs. Patient reported that the cough feels like swallowed something wrong. The patient feels like does not have enough air when coughs to cough something out that she feels is in her throat. Patient feels like she needs to cough something out, but nothing comes out. Some mucus comes out occasionally but not down where the tickle was. The patient had postnasal drip from April 2, 2023 and continues. The patient feels like her symptoms are resolving.  On April 26, 2023, the patient had a serum blood test through Lab testing site for a Sars-Cov-2 Antibody profile.  The patient was taking an antifungal for the mold exposure that had in January and February. Patient was taking Voriconazole 100mg twice daily, that was now discontinued.  The patient was not on any other medication.   This case was linked to MOD-2023-723690 (Patient Link).