Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Neurological symptom, Presyncope, Vitamin D
Clinical narrative: Overwhelming weakness; Blood pressure was elevated to 160/100 bpm; Brain fog; Thought was going to pass out, thought she was going to die; Pre-syncope episode; Systolic blood pressure of 180; Rigors in her chest; Neuro effects; A spontaneous report was received from a nurse who was also a 48-years-old, female patient who received Moderna's COVID-19 Vaccine (mRNA-1273) and who experienced brain fog, pre-syncope episode, systolic blood pressure of 180, rigors in her chest, neuro effects, blood pressure was elevated to 160/100 bpm, overwhelming weakness and thought was going to pass out, thought she was going to die.  The patient's medical history was not provided. Concomitant product use was not provided by the reporter.   On 31 Dec 2021, approximately 9 days prior to the onset of the symptoms, the patient received their first of two planned doses of mRNA-1273 (Batch number: 026L20A) intramuscularly in the left deltoid for prophylaxis of COVID-19 infection.  The patient had some brain fog off and on after receiving vaccine. About the 8th day on 08 Jan 2021, had a pre-syncope episode with systolic blood pressure of 180, thought patient was going to pass out and had rigors in patient's chest. Patient's husband called emergency medical service and went to the hospital where patient works, patient was evaluated in emergency room. The next day, patient rested at home. The following day, on 10 Jan 2021, patient went to work but couldn't think due to brain fog and neuro effects. After work, went back down to the emergency. Patient was admitted to the hospital and kept overnight. Consulted the neurologist. Neurologist stated it sounded like it was side effects from the immune response to the vaccine. Discharged the 11 Jan 2021 with no treatment besides follow-up with primary care doctor. Patient followed up with patient's primary care (cannot remember what date). The patient reported experiencing more pre-syncope episodes at home and at work. Patient's blood pressure was elevated to 160/100 bpm. Most recently had a syncope episode on 21 Jan 2021 where patient reported overwhelming weakness and had to sit down because patient "thought patient was going to die". After, made an appointment with the cardiologist. Had more test done. After taking medications patient felt a little bit better but had in head where doesn't feel right, feels little pings in head. Patient stated that patient missed forty hours of work because didn't feel so could work.  Relevant laboratory tests included computed tomography scan of chest and brain, an Magnetic resonance imaging of the brain was performed results unspecified. Did bloodwork which showed her vitamin D level was low.  Treatment for the event included fluids unspecified, vitamin D supplement for vitamin d deficiency, Toprol 25mg once a day to stop the pre-syncope episode and lisinopril 5mg once a day for blood pressure  Action taken with mRNA-1273 in response to the events was not provided.  The outcome of the events was unknown.; Reporter's Comments: Very limited information regarding the events has been provided at this time.  Further information has been requested.