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VAERS Report 2157041

Case Report Section

Détails du rapport Vaer

Âge: 42 ans

Genre: Male

Région : Outside US

Patient décédé?
Non
Renseignements sur les vaccins

Nom: COVID19 (COVID19 (MODERNA))

Type : Coronavirus 2019 vaccine

Fabricant: MODERNA

Lot: unknown


Date de réception du rapport
2022-03-04
Date à laquelle le formulaire est complèté
Date de vaccination
Date d’apparition
0
Nombre de jours (date d’apparition – date de vaccination)
0
Description de l’événement indésirable

exhaustion; lymph nodes cervical swollen; this case was received via regulatory authority (reference number: gr-greof-20217507) on 01-mar-2022 and was forwarded to moderna on 01-mar-2022. this regulatory authority case was reported by a consumer and describes the occurrence of lymphadenopathy (lymph nodes cervical swollen) in a 42-year-old male patient who received mrna-1273 (spikevax) for covid-19 vaccination. the occurrence of additional non-serious events is detailed below. no medical history information was reported. on an unknown date, the patient received dose of mrna-1273 (spikevax) (intramuscular) 1 dosage form. on 01-sep-2021, the patient experienced fatigue (exhaustion) and lymphadenopathy (lymph nodes cervical swollen) (seriousness criterion disability). at the time of the report, fatigue (exhaustion) and lymphadenopathy (lymph nodes cervical swollen) had not resolved. the action taken with mrna-1273 (spikevax) (intramuscular) was unknown. no concomitant drug details were reported. no treatment details were reported. company comment: this regulatory case concerns a 42-year-old, male patient with no medical history reported, who experienced the unexpected, serious (seriousness criteria disability) event of lymphadenopathy an unknown duration after the unknown dose of mrna-1273. no relevant lab data or details regarding clinical course and treatment received were reported. at the time of report, outcome of the event was not resolved. the benefit-risk relationship of mrna-1273 vaccine is not affected by this report. event seriousness assessed as per regulatory authority reporting, however there was no information in the source document supporting that the events resulted in a persistent or permanent incapacity.; sender's comments: this regulatory case concerns a 42-year-old, male patient with no medical history reported, who experienced the unexpected, serious (seriousness criteria disability) event of lymphadenopathy an unknown duration after the unknown dose of mrna-1273. no relevant lab data or details regarding clinical course and treatment received were reported. at the time of report, outcome of the event was not resolved. the benefit-risk relationship of mrna-1273 vaccine is not affected by this report. event seriousness assessed as per regulatory authority reporting, however there was no information in the source document supporting that the events resulted in a persistent or permanent incapacity

Données de laboratoire
na
Liste des symptômes
fatigue lymphadenopathy
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?
Oui
Allergies:
na
Maladie actuelle
na