Page breadcrumb nav

VAERS Report 2156899

Case Report Section

Vaer Report Details

Age: 38 years old

Gender: Female

State: Outside US

Patient Died?
No
Vaccine information

Name: COVID19 (COVID19 (MODERNA))

Type: Coronavirus 2019 vaccine

Manufacturer: MODERNA

Lot: 000059a


Date report was received
2022-03-04
Date form completed
Date Vaccinated
2022-02-22
Date of Onset
0
Number of days (onset date – vaccination date)
0
Adverse Event Description

muscle weakness; large arm swelling; armpit pain; sweating increased armpits; this case was received via regulatory authority (reference number: gb-mhra-adr 26647972) 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 peripheral swelling (large arm swelling), axillary pain (armpit pain), hyperhidrosis (sweating increased armpits) and muscular weakness (muscle weakness) in a 38-year-old female patient who received mrna-1273 (moderna covid-19 vaccine) (batch no. 000059a) for an unknown indication. no medical history information was reported. on 22-feb-2022, the patient received third dose of mrna-1273 (moderna covid-19 vaccine) (unknown route) 1 dosage form. on 22-feb-2022, the patient experienced hyperhidrosis (sweating increased armpits) (seriousness criterion medically significant). on 23-feb-2022, the patient experienced peripheral swelling (large arm swelling) (seriousness criterion medically significant) and axillary pain (armpit pain) (seriousness criterion medically significant). on 24-feb-2022, the patient experienced muscular weakness (muscle weakness) (seriousness criterion medically significant). at the time of the report, peripheral swelling (large arm swelling), axillary pain (armpit pain), hyperhidrosis (sweating increased armpits) and muscular weakness (muscle weakness) had not resolved. 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 medication was reported. patient had not had symptoms associated with covid-19. patient was not pregnant. patient was not currently breastfeeding. patient had not tested positive for covid-19 since having the vaccine. patient was not enrolled in clinical trial. the dosage text was reported as dose 3c. no treatment information was reported. company comment: this is a regulatory case concerning a 38-year-old female patient with no relevant medical history reported, who experienced the unexpected, serious (medically significant), events of peripheral swelling, axillary pain, hyperhidrosis and muscular weakness. the events occurred within two days after the first third dose of mrna-1273 vaccine for the indication of covid-19 vaccination. there was no information provided about the first 2 doses. at the time of report outcome of the event was not resolved. further details about the events are not provided. the benefit-risk relationship of mrna-1273 vaccine is not affected by this report. the case was assessed as serious as per regulatory authority report.; sender's comments: this is a regulatory case concerning a 38-year-old female patient with no relevant medical history reported, who experienced the unexpected, serious (medically significant), events of peripheral swelling, axillary pain, hyperhidrosis and muscular weakness. the events occurred within two days after the first third dose of mrna-1273 vaccine for the indication of covid-19 vaccination. there was no information provided about the first 2 doses. at the time of report outcome of the event was not resolved. further details about the events are not provided. the benefit-risk relationship of mrna-1273 vaccine is not affected by this report. the case was assessed as serious as per regulatory authority report

Lab Data
test name: covid-19 virus test; test result: negative ; result unstructured data: no - negative covid-19 test
List of symptoms
hyperhidrosis muscular weakness axillary pain sars-cov-2 test peripheral swelling
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