Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood pressure measurement, Heart rate, Hypertension, Oxygen saturation, Pain in extremity
Clinical narrative: fever for "18 hours" on the 7th day after he got the vaccine; little sting in the arm; hypertension/systolic blood pressure went as high as 198 mmHg and his diastolic blood pressure went as high as 95mmHg; This spontaneous case was reported by a patient and describes the occurrence of HYPERTENSION (hypertension/systolic blood pressure went as high as 198 mmHg and his diastolic blood pressure went as high as 95mmHg), PAIN IN EXTREMITY (little sting in the arm) and PYREXIA (fever for "18 hours" on the 7th day after he got the vaccine) in a 76-year-old male patient who received mRNA-1273.712 (SPIKEVAX 2024-2025 PFS) for COVID-19 prophylaxis.    Co-suspect product included non-company product COVID-19 vaccine NRVV Ad26 (JNJ 78436735) (Janssen COVID-19 vaccine) for an unknown indication.    Previously administered products included for Product used for unknown indication: RSV vaccine on 01-Jul-2024; for COVID-19 prophylaxis: moderna and moderna. Past adverse reactions to the above products included No adverse effect with moderna and moderna; and Unexpected therapeutic benefit with RSV vaccine. Concurrent medical conditions included Hypertension. Concomitant products included Lisinopril for Hypertension.   On 01-Oct-2024, the patient received fifth dose of mRNA-1273.712 (SPIKEVAX 2024-2025 PFS) (unknown route) 1 dosage form. On an unknown date, the patient received dose of COVID-19 vaccine NRVV Ad26 (JNJ 78436735) (Janssen COVID-19 vaccine) (unknown route) 1 dosage form. On an unknown date, received dose of COVID-19 vaccine NRVV Ad26 (JNJ 78436735) (Janssen COVID-19 vaccine) (unknown route) dosage was changed to 1 dosage form. On 01-Oct-2024,  after starting mRNA-1273.712 (SPIKEVAX 2024-2025 PFS), the patient experienced PAIN IN EXTREMITY (little sting in the arm). On 07-Oct-2024, the patient experienced PYREXIA (fever for "18 hours" on the 7th day after he got the vaccine). In October 2024, the patient experienced HYPERTENSION (hypertension/systolic blood pressure went as high as 198 mmHg and his diastolic blood pressure went as high as 95mmHg). On 09-Oct-2024, HYPERTENSION (hypertension/systolic blood pressure went as high as 198 mmHg and his diastolic blood pressure went as high as 95mmHg), PAIN IN EXTREMITY (little sting in the arm) and PYREXIA (fever for "18 hours" on the 7th day after he got the vaccine) had resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Blood pressure measurement: systolic blood pressure went as high as 198 mmHg/ diastolic blood pressure went as high as 95mmHg and down to normal on the 9th to 10th day after receiving the vaccine at 130 to 140 mmHg.. On an unknown date, Heart rate: heart rate never exceeded 95bpm to 97bpm. On an unknown date, Oxygen saturation: oxygen levels range from 95 to 97.         The caller stated receiving the vaccine on 01Oct2024 and 7 to 8 days after receiving the vaccine, the caller's systolic blood pressure went as high as 198 mmHg but the caller stated that it could be higher, and his diastolic blood pressure went as high as 95mmHg. The caller added that he only experienced a little sting in the arm and no swelling" on the night of 01Oct2024 and having a fever for 18 hours on the 7th day after he got the vaccine. He added that he had no symptoms of fatigue and was not lethargic. The caller added that his symptoms, pertaining to the high blood pressure, were resolved or down to normal on the 9th to 10th day after receiving the vaccine at 130 to 140 mmHg. He further elaborated that he was normal on 09Oct2024 which was the 3rd day after experiencing the symptoms and described getting back to normal as like struck by lightning. Reporter causality was not reported. Treatment information was not provided.   This case was linked to MOD-2024-775882 (Patient Link).