Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pleurisy
Clinical narrative: she took her blood pressure and from then on it has been consistently low after the shot.; Prediabetic; heartburn; diagnosis of pleurisy; She rated the pain from 5 to 9; inflammation; she saw a small aura on her right eye; Migraine like headache; This spontaneous case was reported by a patient and describes the occurrence of AURA (she saw a small aura on her right eye), MIGRAINE (Migraine like headache ), DYSPEPSIA (heartburn), PAIN (She rated the pain from 5 to 9) and INFLAMMATION (inflammation) in a 67-year-old female patient who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (batch no. 066H22A) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below.     Previously administered products included for Product used for unknown indication: PFIZER BIONTECH COVID-19 VACCINE (Fourth Dose Intramuscular Lot no:FP4D4) on 31-Mar-2022, PFIZER BIONTECH COVID-19 VACCINE (Fourth Dose Intramuscular Lot no: FP4D4) on 31-Mar-2022, PFIZER BIONTECH COVID-19 VACCINE (Fifth Dose Intramuscular Lot no:GH9694) on 07-Sep-2022 and PFIZER BIONTECH COVID-19 VACCINE (Fifth Dose Intramuscular Lot no:GH9694) on 07-Sep-2022. Past adverse reactions to the above products included Pain in arm with PFIZER BIONTECH COVID-19 VACCINE and PFIZER BIONTECH COVID-19 VACCINE; and Tiredness with PFIZER BIONTECH COVID-19 VACCINE and PFIZER BIONTECH COVID-19 VACCINE. Concurrent medical conditions included Hypothyroidism, Heartburn and Non-smoker. Concomitant products included FAMOTIDINE (PEPCID AC) for Heartburn, LEVOTHYROXINE for Hypothyroidism.    On 05-May-2023, the patient received sixth dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (Intramuscular use) 1 dosage form. On 15-May-2023, the patient experienced AURA (she saw a small aura on her right eye), MIGRAINE (Migraine like headache ), PAIN (She rated the pain from 5 to 9) and INFLAMMATION (inflammation). On 11-Aug-2023 at 3:12 AM, the patient experienced DYSPEPSIA (heartburn). In August 2023, the patient experienced PLEURISY (diagnosis of pleurisy). On an unknown date, the patient experienced HYPOTENSION (she took her blood pressure and from then on it has been consistently low after the shot.) and GLUCOSE TOLERANCE IMPAIRED (Prediabetic). The patient was treated with MORPHINE at a dose of 6 milligram; HYDROCODONE BITARTRATE, PARACETAMOL (NORCO) (oral use) for Pain and Fever, at an unspecified dose and frequency; IBUPROFEN for Inflammation and Fever, at an unspecified dose and frequency; MISOPROSTOL at an unspecified dose and frequency and OMEPRAZOLE MAGNESIUM (PRILOSEC [OMEPRAZOLE MAGNESIUM]) in August 2023 for Heartburn, at an unspecified dose and frequency. At the time of the report, AURA (she saw a small aura on her right eye), MIGRAINE (Migraine like headache ), DYSPEPSIA (heartburn), PAIN (She rated the pain from 5 to 9) and INFLAMMATION (inflammation) had not resolved, HYPOTENSION (she took her blood pressure and from then on it has been consistently low after the shot.) and GLUCOSE TOLERANCE IMPAIRED (Prediabetic) outcome was unknown and PLEURISY (diagnosis of pleurisy) was resolving.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Angiogram: Migraine with no tumors or anything abstract. On an unknown date, Blood pressure measurement: 85/55 and 55/37. On an unknown date, Glycosylated haemoglobin: raised to 5.7.         It was reported that additional laboratory/diagnostic tests were done included CT Angio, they tested twice for heart attack, did blood tests and X-rays however, the outcomes/results of the tests were not provided.   Pre vaccination reasonably normal BP before the shot was (95/65). No asthma and allergies. It was reported that, the pleurisy was pretty much gone at the time of the call. Also, her HbA1C has been raised to 5.7 and that was prediabetic level. She was advised to stop smoking (she cannot as she never did) and drinking (she never did). She was also advised to lose weight, but she is a body builder and she thought she was even underweight. She did not have fever, chills or sniffles. It was only after the 6th dose when she got the unusual side effects that she mentioned.  Patient took 5 antacids but went to the emergency room.   This case was linked to US-MODERNATX, INC.-MOD-2023-738504 (E2B Linked Report).; Sender's Comments:  US-MODERNATX, INC.-MOD-2023-738504:Same patient, monovalent moderna vaccine