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VAERS Report 2095723

Case Report Section

Détails du rapport Vaer

Âge: 47 ans

Genre: Male

Région : Ohio

Patient décédé?
Non
Renseignements sur les vaccins

Nom: COVID19 (COVID19 (MODERNA))

Type : Coronavirus 2019 vaccine

Fabricant: MODERNA

Lot: 028k21a


Date de réception du rapport
2022-02-08
Date à laquelle le formulaire est complèté
Date de vaccination
2022-01-14
Date d’apparition
10
Nombre de jours (date d’apparition – date de vaccination)
10
Description de l’événement indésirable

urticaria rash on 1/24/22 in armpit region 10 days after vaccination. 11-12 days after vaccination urticaria spread to waist. patient began benadryl twice daily. 13 days after vaccination urticaria became severe with enlarged bumpy welts on waist and covering all of groin area, arms, upper thighs, and right palm. patient went to pcp who prescribed zyrtec (x1 daily), pepcid (x2 daily), and pregnisone course (patient declined). patient began prescription course of prescribed antihistamines and was advised to continue benadryl as needed. 14 days after vaccination the anti-histamines provided minor relief from symptoms. urticaria spread to forehead, eyelids (puffy), and neck. 15 days after vaccination patient experienced tightness in throat and neck. patient continues to experience flare ups all over randomly which subside quickly. as of today 2/8, the urticaria continues. patient is only taking zyrtec x1 daily

Données de laboratoire
na
Liste des symptômes
urticaria throat tightness muscle tightness
Patient décédé?
Non
Date de décès
N/A
Anomalie congénitale
false
Vaccin administré par :
Pharmacy or store
Vaccin acheté par :
Inconnu
Visite d’un patient à l’urgence?
Non
Patient hospitalisé?
Non
Séjour à l’hôpital
Non
Nombre de jours à l’hôpital
Non spécifié
Invalidité permanente?
Non
Allergies:
latex, soy
Maladie actuelle
na