Post-Moderna Vaccine Cough: When to Seek Medical Attention? - Family Medicine

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After receiving the Moderna vaccine


Main symptoms: Since receiving the vaccine about three weeks ago, I have been experiencing a dry cough daily, typically occurring every one to two minutes with frequent episodes.
Sometimes, I find myself taking deep breaths and exhaling forcefully, which is more noticeable compared to my previous habit of sighing unconsciously.
Regarding the cough, I visited a clinic earlier and took medication, but it hasn't been effective.
Recently, I also tested negative for COVID-19 in accordance with company policy.
Secondary symptoms: Occasionally, I feel a sensation of tightness in my throat, as if being choked, along with nausea.
In the last two days, my stools have been black in color and foul-smelling, though they are well-formed and elongated.
I would like to ask the doctor if I need to seek medical attention for this, or if I can just ignore it?

Jiang Xiaojie, 20~29 year old female. Ask Date: 2022/05/19

Dr. Ye Qianyu reply Family Medicine


Hello! The symptom of black stools may indicate the possibility of upper gastrointestinal bleeding.
It is recommended that you consult a gastroenterologist.

Reply Date: 2022/05/19

More Info


It sounds like you are experiencing a range of concerning symptoms following your Moderna vaccine, particularly a persistent dry cough, a sensation of tightness in your throat, nausea, and notably, black stools. Let's break down these symptoms and discuss when you should seek medical attention.

Firstly, it's important to note that while some mild side effects can occur after vaccination, such as fatigue, headache, or mild respiratory symptoms, a persistent cough lasting three weeks is not typical and warrants further evaluation. The cough you describe, occurring frequently and accompanied by a sensation of tightness in the throat, could suggest a few possibilities. It might be related to post-vaccination inflammation or an allergic reaction, but it could also indicate an underlying respiratory condition that needs to be addressed.

The presence of black stools is particularly concerning. Black stools can indicate the presence of blood that has been digested, often referred to as "melena." This can be caused by various factors, including gastrointestinal bleeding, which can arise from ulcers, gastritis, or other serious conditions. Given that you also mentioned nausea, this combination of symptoms should not be taken lightly.

In light of these symptoms, I strongly recommend that you seek medical attention as soon as possible. Here are a few steps you should consider:
1. Consult a Healthcare Provider: Make an appointment with your primary care physician or visit an urgent care facility. Be sure to mention all your symptoms, including the cough, throat tightness, nausea, and especially the black stools. This information will help the healthcare provider assess your condition more accurately.

2. Diagnostic Tests: Your healthcare provider may recommend diagnostic tests, such as blood tests, stool tests, or imaging studies (like an abdominal ultrasound or endoscopy) to determine the cause of your symptoms. These tests can help rule out any serious gastrointestinal issues.

3. Monitor Symptoms: Keep track of any changes in your symptoms. If you experience worsening symptoms, such as increased abdominal pain, vomiting, or significant changes in bowel habits, seek emergency care immediately.

4. Avoid Self-Medication: While it may be tempting to take over-the-counter medications for your cough or nausea, it's best to avoid self-medication until you have consulted with a healthcare professional. Some medications can mask symptoms or interact with underlying conditions.

5. Stay Hydrated: Ensure you are drinking plenty of fluids, especially if you are experiencing nausea or changes in your bowel movements. Staying hydrated is crucial for your overall health.

In summary, while some mild side effects can occur after vaccination, the persistence of your cough and the presence of black stools are significant enough to warrant medical evaluation. Do not hesitate to seek care, as early intervention can be crucial in addressing any potential health issues. Your health and well-being are paramount, and it's always better to err on the side of caution when it comes to unusual or concerning symptoms.

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