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VAERS Report 2156895

Case Report Section

Détails du rapport Vaer

Âge: 33 ans

Genre: Female

Région : Outside US

Patient décédé?
Renseignements sur les vaccins


Type : Coronavirus 2019 vaccine

Fabricant: MODERNA

Lot: 3005889

Date de réception du rapport
Date à laquelle le formulaire est complèté
Date de vaccination
Date d’apparition
Nombre de jours (date d’apparition – date de vaccination)
Description de l’événement indésirable

tiredness; fever; red rash; this case was received via the regulatory authority ra (reference number: gb-mhra-adr 26646054) on 27-feb-2022 and was forwarded to moderna on 27-feb-2022. this regulatory authority case was reported by a consumer and describes the occurrence of fatigue (tiredness), pyrexia (fever) and rash erythematous (red rash) in a 33-year-old female patient who received mrna-1273 (moderna covid-19 vaccine) (batch no. 3005889) for an unknown indication. no medical history information was reported. on 07-jan-2022, the patient received third dose of mrna-1273 (moderna covid-19 vaccine) (unknown route) 1 dosage form. on 08-jan-2022, the patient experienced pyrexia (fever) (seriousness criterion medically significant) and rash erythematous (red rash) (seriousness criterion medically significant). on an unknown date, the patient experienced fatigue (tiredness) (seriousness criterion medically significant). on 09-jan-2022, pyrexia (fever) had resolved. on 11-jan-2022, rash erythematous (red rash) had resolved. at the time of the report, fatigue (tiredness) was resolving. diagnostic results (normal ranges are provided in parenthesis if available): on an unknown date, sars-cov-2 test: no - negative covid-19 test (negative) no - negative covid-19 test. the action taken with mrna-1273 (moderna covid-19 vaccine) (unknown) was unknown. no concomitant medications were reported. immediately following the vaccination patient felt the usual tiredness and sore arm. approximately 30 hours after vaccination, the tiredness was severe and patient was started to feel very head-achey and overheated whilst also being shivery. temperature reading was over 38. patient took paracetamol and ibuprofen to deal with this which seemed to help. approx. 36 hours after vaccination the skin on patient lower torso appeared blotchy, by the morning her entire abdomen, chest and neck were covered in a red rash. it was also beginning to spread up her back and down the tops of her legs and pelvic area. rash was not raised or itchy but bright red. this took approximately 3 days to disappear completely. patient has not tested positive for covid-19 since having the vaccine. patient has not had symptoms associated with covid-19. patient is not pregnant, patient is not currently breastfeeding. patient is not enrolled in clinical trial. patient report did not relate to possible inflammation of the heart (myocarditis or pericarditis)

Données de laboratoire
test name: covid-19 virus test; test result: negative ; result unstructured data: no - negative covid-19 test
Liste des symptômes
fatigue rash erythematous pyrexia sars-cov-2 test
Patient décédé?
Date de décès
Anomalie congénitale
Vaccin administré par :
Vaccin acheté par :
Visite d’un patient à l’urgence?
Patient hospitalisé?
Séjour à l’hôpital
Nombre de jours à l’hôpital
Non spécifié
Invalidité permanente?
Maladie actuelle