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VAERS Report 2115861

Case Report Section

Détails du rapport Vaer

Âge: 54 ans

Genre: Female

Région : Outside US

Patient décédé?
Non
Renseignements sur les vaccins

Nom: COVID19 (COVID19 (MODERNA))

Type : Coronavirus 2019 vaccine

Fabricant: MODERNA

Lot: 3005241


Date de réception du rapport
2022-02-16
Date à laquelle le formulaire est complèté
Date de vaccination
2021-12-01
Date d’apparition
0
Nombre de jours (date d’apparition – date de vaccination)
0
Description de l’événement indésirable

fatigue; herpes in the mouth and lips continues to date; movement disorders in fingers, forearm, thumb joint hardly to move; fingers fall asleep, forearm has lasted to date since 1. 12.2021; this case was received via regulatory authority. this regulatory authority case was reported by a consumer and describes the occurrence of movement disorder (movement disorders in fingers, forearm, thumb joint hardly to move), paraesthesia (fingers fall asleep, forearm has lasted to date since 1. 12.2021) and herpes simplex (herpes in the mouth and lips continues to date) in a 54-year-old female patient who received mrna-1273 (spikevax) (batch no. 3005241) for covid-19 vaccination. the occurrence of additional non-serious events is detailed below. no medical history information was reported. on 01-dec-2021, the patient received first dose of mrna-1273 (spikevax) (unknown route) 1 dosage form. on 01-dec-2021, the patient experienced movement disorder (movement disorders in fingers, forearm, thumb joint hardly to move) (seriousness criterion medically significant), paraesthesia (fingers fall asleep, forearm has lasted to date since 1. 12.2021) (seriousness criterion medically significant) and herpes simplex (herpes in the mouth and lips continues to date) (seriousness criterion medically significant). on 02-dec-2021, the patient experienced fatigue (fatigue). at the time of the report, movement disorder (movement disorders in fingers, forearm, thumb joint hardly to move), paraesthesia (fingers fall asleep, forearm has lasted to date since 1. 12.2021), fatigue (fatigue) and herpes simplex (herpes in the mouth and lips continues to date) had not resolved. no concomitant medication was reported. no treatment medication was reported. company comment: this is a regulatory case concerning a 54-year-old female patient with no reported medical history, who experienced the serious per medically significant criterion unexpected events of movement disorder, paraesthesia, herpes simplex and non-serious expected event of fatigue. the events occurred within 1-2 days after the first dose of mrna-1273 vaccine administration. the treatment information was not available, and the events were not resolved at the time of this report. the events were assessed as related to the product administration per temporal association. the rechallenge was not applicable since the events occurred after the first dose and ongoing. the benefit-risk relationship of mrna-1273 vaccine is not affected by this report.; sender's comments: this is a regulatory case concerning a 54-year-old female patient with no reported medical history, who experienced the serious per medically significant criterion unexpected events of movement disorder, paraesthesia, herpes simplex and non-serious expected event of fatigue. the events occurred within 1-2 days after the first dose of mrna-1273 vaccine administration. the treatment information was not available, and the events were not resolved at the time of this report. the events were assessed as related to the product administration per temporal association. the rechallenge was not applicable since the events occurred after the first dose and ongoing. the benefit-risk relationship of mrna-1273 vaccine is not affected by this report

Données de laboratoire
na
Liste des symptômes
paraesthesia fatigue herpes simplex movement disorder
Patient décédé?
Non
Date de décès
N/A
Anomalie congénitale
false
Vaccin administré par :
Unknown
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:
na
Maladie actuelle
na