Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Blood pressure increased, Decreased appetite, Fatigue, Feeling hot
Clinical narrative: potassium deficiency; shaking; nervousness; rapid heart beat; anxiety; no appetite; felt hot; Sore arm at the injection site; muscle pain; sore muscles; bad fatigue; pulse went down; blood pressure went up; didn't feel well; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of HYPOKALAEMIA (potassium deficiency) in a 67-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 007B21A and 044A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Concurrent medical conditions included Drug allergy (allergy to: tetracyclines). Concomitant products included VERAPAMIL, LOSARTAN, CHLOROTHIAZIDE, DIAZEPAM and DOXAZOSIN for an unknown indication.   On 11-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 08-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 26-Apr-2021, the patient experienced HEART RATE DECREASED (pulse went down), BLOOD PRESSURE INCREASED (blood pressure went up) and MALAISE (didn't feel well). On an unknown date, the patient experienced HYPOKALAEMIA (potassium deficiency) (seriousness criterion medically significant), TREMOR (shaking), NERVOUSNESS (nervousness), TACHYCARDIA (rapid heart beat), ANXIETY (anxiety), DECREASED APPETITE (no appetite), FEELING HOT (felt hot), VACCINATION SITE PAIN (Sore arm at the injection site), MYALGIA (muscle pain; sore muscles) and FATIGUE (bad fatigue). At the time of the report, HYPOKALAEMIA (potassium deficiency), TACHYCARDIA (rapid heart beat), HEART RATE DECREASED (pulse went down), BLOOD PRESSURE INCREASED (blood pressure went up), MALAISE (didn't feel well), DECREASED APPETITE (no appetite), FEELING HOT (felt hot), VACCINATION SITE PAIN (Sore arm at the injection site), MYALGIA (muscle pain; sore muscles) and FATIGUE (bad fatigue) outcome was unknown and TREMOR (shaking), NERVOUSNESS (nervousness) and ANXIETY (anxiety) had not resolved.            The patient received escitalopram 10mg daily, but stopped taking after 4 days as he was feeling depressed. Reporter stated that the patient went to the emergency room  on 26APR2021 due to changes in blood pressure and pulse. "It wasn't because of the vaccine. He had a potassium deficiency."  Based on current available information and the temporal association between product use and the start date of the events a causal relationship cannot be excluded except for  the event of hypokalemia which is unlikely.   Most recent FOLLOW-UP information incorporated above includes: On 27-Apr-2021: Follow-up received on 27apr2021: updated event and possible causality. Reporter does not think the blood pressure and pulse issues related to vaccine; Sender's Comments: Based on current available information and the temporal association between product use and the start date of the events a causal relationship cannot be excluded except for  the event of hypokalemia which is unlikely.