Received Sep 26, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (MODERNA)) | MODERNA | 3 | — | IM |
internal hemorrhage; Patient had Covid about 2 years after his first 2 vaccines/was just a bad cold; extreme dizzy spells; cardiologist diagnosed Pericarditis; fever of 101 degree Fahrenheit to 103 degree Fahrenheit.; This spontaneous case was reported by a consumer and describes the occurrence of INTERNAL HAEMORRHAGE (internal hemorrhage) and PERICARDITIS (cardiologist diagnosed Pericarditis) in a 69-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. In March 2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular use) 1 dosage form. In April 2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular use) dosage was changed to 1 dosage form. In 2022, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular use) dosage was changed to 1 dosage form. In April 2021, the patient experienced PERICARDITIS (cardiologist diagnosed Pericarditis) (seriousness criterion medically significant). In 2023, the patient experienced COVID-19 (Patient had Covid about 2 years after his first 2 vaccines/was just a bad cold). On an unknown date, the patient experienced INTERNAL HAEMORRHAGE (internal hemorrhage) (seriousness criterion medically significant). In April 2021, the patient experienced DIZZINESS (extreme dizzy spells) and PYREXIA (fever of 101 degree Fahrenheit to 103 degree Fahrenheit.). In 2025, PERICARDITIS (cardiologist diagnosed Pericarditis) had resolved. At the time of the report, INTERNAL HAEMORRHAGE (internal hemorrhage), COVID-19 (Patient had Covid about 2 years after his first 2 vaccines/was just a bad cold), DIZZINESS (extreme dizzy spells) and PYREXIA (fever of 101 degree Fahrenheit to 103 degree Fahrenheit.) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In April 2021, Body temperature: 101F to 103F fever. On an unknown date, Weight: Patient had lost like 10 pounds/normal weight was 157 and it went down to 147 because patient did not eat anything for a month. and normal weight was 157. No concomitant medications were reported. Patient's current age reported as 73 years. After the second shot, patient had a severe reaction such as fever, of 101 degree Fahrenheit to 103 degree Fahrenheit. Patient was bedridden for a day. About 4 days afterwards, patient went out for a jog and got extreme dizzy spells running. Patient was a runner, and had been running whole life, and something like that never happened. It kept happening over the next 4 to 6 weeks whenever patient went out for a jog. Patient normally ran 5 miles. At a physical routine, physician referred him to the cardiologist. The cardiologist diagnosed pericarditis. It was reported that the first 1.5 to 2 years were very bad. Patient was never hospitalized. Patient had pericarditis, fluid around the heart, internal bleeding, and really felt bad for quite some time. Most of the worst symptoms when patient tried to play pickleball was getting extremely, extremely dizzy. Patient underwent tests at the hospital and the cardiologist and regular doctor, both agreed that these effects were from the COVID shot. They could prove it to almost 99 percent. Patient also reported having Covid about 2 years after his first 2 vaccines but was never tested for it. Patient played pickleball during COVID. Patient had a bad cold. Patient had survived that phase, but he had lost like 10 pounds. The patient's normal weight was 157. It went down to 147 because he did not eat anything for a month. Patient never got tested for COVID because patient did not believe those tests and did not believe any of the things that doctors were telling about this COVID stuff. Cardiac related signs and symptoms were reported as dizziness, and patient could not even had the strength to go up and down the stairs. The symptoms started from Apr-2021, 4 days after administration of the second Covid vaccine. The symptoms resolved approximately 6 months ago from the point of reporting. Reporter did not allow further contact; Reporter's Comments: The benefit-risk relationship of mRNA-1273 is not affected by this report.
Test Date: 202104; Test Name: Body temperature; Result Unstructured Data: 101F to 103F fever; Test Name: Weight; Result Unstructured Data: Patient had lost like 10 pounds/normal weight was 157 and it went down to 147 because patient did not eat anything for a month.; Test Name: Weight; Result Unstructured Data: normal weight was 157