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VAERS Report 2156868

Case Report Section

Vaer Report Details

Age: 70 years old

Gender: Female

State: Outside US

Patient Died?
No
Vaccine information

Name: COVID19 (COVID19 (MODERNA))

Type: Coronavirus 2019 vaccine

Manufacturer: MODERNA

Lot: 000050a


Date report was received
2022-03-04
Date form completed
Date Vaccinated
2022-02-21
Date of Onset
0
Number of days (onset date – vaccination date)
0
Adverse Event Description

palpitations; heart rate; this case was received via the regulatory authority ra (reference number: gb-mhra-adr 26632450) on 23-feb-2022 and was forwarded to moderna on 23-feb-2022. this regulatory authority case was reported by a consumer and describes the occurrence of palpitations (palpitations) and heart rate (heart rate) in a 70-year-old female patient who received mrna-1273 (moderna covid-19 vaccine) (batch no. 000050a) for an unknown indication. the patient's past medical history included adrenal insufficiency (adrenal insufficiency), gallstones (gallstones) and steroid therapy (taking regular steroid treatment (e.g. orally or rectally)). concurrent medical conditions included osteoarthritis (osteoarthritis), fibromyalgia (fibromyalgia), diabetes (low level diabetese), orbital myositis (orbital myositis), sleep apnea (sleep apnea) and bursitis (bursitis). concomitant products included prednisolone from 06-jul-1996 to an unknown date for adrenal insufficiency. on 21-feb-2022, the patient received dose of mrna-1273 (moderna covid-19 vaccine) (unknown route) 1 dosage form. on 21-feb-2022, the patient experienced heart rate (heart rate) (seriousness criterion medically significant). on an unknown date, the patient experienced palpitations (palpitations) (seriousness criterion medically significant). on 21-feb-2022, heart rate (heart rate) had resolved. at the time of the report, palpitations (palpitations) outcome was unknown. the action taken with mrna-1273 (moderna covid-19 vaccine) (unknown) was unknown. patient went to bed the evening she had her fourth covid jab. her heart felt jumping and rapid fluttering and it woke her up. she felt different to anything she had ever experienced before. she knew it was odd. she got up and felt dizzy and if she wasn't really there like drifting. she patted her chest area. she sat on a chair. she continued. she took her pulse and it was 157. it's normally 68-71. she kept still. she thought about ringing ambulance but didn't want to get up. she just sat calmly and eventually after about fifteen mins the pulse came down to 71 and palpitations and strong fluttering went away. patient not tested positive for covid-19 since had the vaccine. patient not had symptoms associated with covid-19. patient not had a covid-19 test. patient was not enrolled in clinical trial. no treatment information was provided by the reporter. the dosage text for suspect spikevax was reported as dose 4c. company comment: this literature case concerns a 70-year-old female with no relevant medical history who experienced the serious (medically significant), unexpected events of palpitations and heart rate (investigation) the day of the fourth dose of mrna-1273. no information is provided about previous doses. treatment and testing were not reported. the outcome is resolved. the risk-benefit relationship of mrna-1273 vaccine is not affected by this report.; sender's comments: this literature case concerns a 70-year-old female with no relevant medical history who experienced the serious (medically significant), unexpected events of palpitations and heart rate (investigation) the day of the fourth dose of mrna-1273. no information is provided about previous doses. treatment and testing were not reported. the outcome is resolved. the risk-benefit relationship of mrna-1273 vaccine is not affected by this report

Lab Data
na
List of symptoms
palpitations heart rate
Patient Died?
No
Date Died
NA
Birth defect
false
Vaccine Administered By:
Unknown
Vaccine Purchased By:
Unknown
Patient visit ER?
No
Patient Hospitalized?
No
Stay in hospital
No
Days in hospital
Unspecified
Permanent disability?
No
Allergies:
na
Current Illness
na