Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Fatigue, Feeling hot, Headache, Insomnia
Clinical narrative: By 11pm, she was starting to fill up with lots of mucus, which was frightening to her/extreme amounts of mucus building in her throat, chest, and nose for the next 10 days.; Sore throat; She could not stop squeezing/sneezing from all the mucus in her lungs; Body ache; The mucus turned into a headache; Fatigue is unbearable; She was so sick she could not go anywhere; She has no appetite; Insomnia; Get extremely hot and then it'll go away; This spontaneous case was reported by a patient and describes the occurrence of OROPHARYNGEAL PAIN (Sore throat), RHINORRHOEA (By 11pm, she was starting to fill up with lots of mucus, which was frightening to her/extreme amounts of mucus building in her throat, chest, and nose for the next 10 days.), DECREASED APPETITE (She has no appetite), INSOMNIA (Insomnia) and FEELING HOT (Get extremely hot and then it'll go away) in a 71-year-old female patient who received mRNA-1273.712 (SPIKEVAX 2024-2025 PFS) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below.     No Medical History information was reported.    On 15-Nov-2024 at 11:00 AM, the patient received dose of mRNA-1273.712 (SPIKEVAX 2024-2025 PFS) (Intramuscular use) .5 milliliter. In 2024, the patient experienced DECREASED APPETITE (She has no appetite), INSOMNIA (Insomnia), FEELING HOT (Get extremely hot and then it'll go away), MALAISE (She was so sick she could not go anywhere) and FATIGUE (Fatigue is unbearable). In November 2024, the patient experienced SNEEZING (She could not stop squeezing/sneezing from all the mucus in her lungs), PAIN (Body ache) and HEADACHE (The mucus turned into a headache). On 15-Nov-2024 at 9:00 PM,  after starting mRNA-1273.712 (SPIKEVAX 2024-2025 PFS), the patient experienced OROPHARYNGEAL PAIN (Sore throat). On 15-Nov-2024 at 11:00 PM, the patient experienced RHINORRHOEA (By 11pm, she was starting to fill up with lots of mucus, which was frightening to her/extreme amounts of mucus building in her throat, chest, and nose for the next 10 days.). At the time of the report, OROPHARYNGEAL PAIN (Sore throat), RHINORRHOEA (By 11pm, she was starting to fill up with lots of mucus, which was frightening to her/extreme amounts of mucus building in her throat, chest, and nose for the next 10 days.), DECREASED APPETITE (She has no appetite), INSOMNIA (Insomnia), SNEEZING (She could not stop squeezing/sneezing from all the mucus in her lungs), PAIN (Body ache), MALAISE (She was so sick she could not go anywhere), HEADACHE (The mucus turned into a headache) and FATIGUE (Fatigue is unbearable) had not resolved and FEELING HOT (Get extremely hot and then it'll go away) outcome was unknown.        For mRNA-1273.712 (SPIKEVAX 2024-2025 PFS) (Intramuscular use), the reporter did not provide any causality assessments.   Concomitant medication was not provided. Patient stated that by 9pm she started having a sore throat (she had not had one since she was 6 years old) and by 11pm, she was starting to fill up with lots of mucus, which had frightened her. The mucus turned into a headache, a body ache, and there were extreme amounts of mucus building in her throat, chest, and nose for the next 10 days. She stated she woke her husband up because she could not stop squeezing/sneezing from all the mucus in her lungs. At the end of those 10 days, she spoke to a physician online who just told her it should wear off, but it did not. Two weeks later, she went to see another doctor because she was so sick and could not go anywhere.  She stated that if she did not know how to do the Neti, she would have been in the hospital. She did the Neti 3 times a day to get the stuff out of her body. She then said things had decreased as far as mucus and stuff, but the fatigue was unbearable. She also said that out of nowhere she would get extremely hot and then it would go away. She had no appetite and the most incredible case of insomnia. She had never had it before, and it was terrible. She said nothing had been the same since then. She was very healthy, works out 3 times a week, she has a bow flex, an elliptical and did yoga and it all had been circumvented by the vaccine. Treatment information was not reported.