Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Clumsiness, Fall, Fatigue, Feeling abnormal, Hypotonia
Clinical narrative: he is not sleeping well; He wakes up as if he had a hangover; getting clumsy; he is forgetting things/his mind is not working correctly; he has fallen 4 times in the last month; he cannot walk 100ft that he has to rest; Before he was 179lb and now he is 191lb; no muscle tone; he is tired all the time; This spontaneous case was reported by a consumer and describes the occurrence of POOR QUALITY SLEEP (he is not sleeping well), FEELING ABNORMAL (He wakes up as if he had a hangover), CLUMSINESS (getting clumsy), MEMORY IMPAIRMENT (he is forgetting things/his mind is not working correctly) and FALL (he has fallen 4 times in the last month) in a 74-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included Bypass surgery (had bypass 25 years ago.). Concurrent medical conditions included Cardiac disorder.   In April 2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced POOR QUALITY SLEEP (he is not sleeping well), FEELING ABNORMAL (He wakes up as if he had a hangover), CLUMSINESS (getting clumsy), MEMORY IMPAIRMENT (he is forgetting things/his mind is not working correctly), FALL (he has fallen 4 times in the last month), MOBILITY DECREASED (he cannot walk 100ft that he has to rest), WEIGHT INCREASED (Before he was 179lb and now he is 191lb), HYPOTONIA (no muscle tone) and FATIGUE (he is tired all the time). At the time of the report, POOR QUALITY SLEEP (he is not sleeping well), FEELING ABNORMAL (He wakes up as if he had a hangover), CLUMSINESS (getting clumsy), MEMORY IMPAIRMENT (he is forgetting things/his mind is not working correctly), FALL (he has fallen 4 times in the last month), MOBILITY DECREASED (he cannot walk 100ft that he has to rest), WEIGHT INCREASED (Before he was 179lb and now he is 191lb), HYPOTONIA (no muscle tone) and FATIGUE (he is tired all the time) had not resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In 2021, SARS-CoV-2 test: negative (Negative) Negative, negative (Negative) Negative, negative (Negative) Negative and negative (Negative) Negative.     For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   Cardiac Lab values (ECG, cardiac test, cardiac enzymes): all tests are the same as for the last 10-15 years (stress, ecocardio). Pulmonologist had put him under 2 different breathing treatment (that made him cough) and 2 different steroids (that only gave him fat)  Company comment: This case concerns a 74-year-old, male patient, with no relevant medical history, who experienced the non-serious, unexpected events of memory impairment, poor quality sleep, feeling abnormal, clumsiness, fall, mobility decreased, weight increase, and hypotonia and non-serious expected event of fatigue. The events occurred  on unknown date after second dose of mRNA 1273 vaccine. The patient felt that his mind was not working correctly, he is forgetful, clumsy and has fallen several times. There were no treatment information given. The rechallenge is not applicable as events are still ongoing. The patient's age remains a confounder to events fall, and memory impairment. The benefit-risk relationship of mRNA 1273 vaccine is not affected by this report.   This case was linked to MOD-2021-257920 (Patient Link).; Sender's Comments: This case concerns a 74-year-old, male patient, with no relevant medical history, who experienced the non-serious, unexpected events of memory impairment, poor quality sleep, feeling abnormal, clumsiness, fall, mobility decreased, weight increase, and hypotonia and non-serious expected event of fatigue. The events occurred  on unknown date after second dose of mRNA 1273 vaccine. The patient felt that his mind was not working correctly, he is forgetful, clumsy and has fallen several times. There were no treatment information given. The rechallenge is not applicable as events are still ongoing. The patient's age remains a confounder to events fall, and memory impairment. The benefit-risk relationship of mRNA 1273 vaccine is not affected by this report.