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VAERS Report 2157208

Case Report Section

Détails du rapport Vaer

Âge: 52 ans

Genre: Female

Région : Outside US

Patient décédé?
Non
Renseignements sur les vaccins

Nom: COVID19 (COVID19 (MODERNA))

Type : Coronavirus 2019 vaccine

Fabricant: MODERNA

Lot: 3002622sc5/12


Date de réception du rapport
2022-03-04
Date à laquelle le formulaire est complèté
Date de vaccination
2021-07-20
Date d’apparition
0
Nombre de jours (date d’apparition – date de vaccination)
0
Description de l’événement indésirable

anticovid vaccination carried out on 20/07/2021. hyperpyrexia in the evening, at night it reached 39.6 c, at night i had convulsions. communicated to the doctor the day after which he tells me (continued); anticovid vaccination carried out on 20/07/2021. hyperpyrexia in the evening, at night it reached 39.6 c, at night i had convulsions. communicated to the doctor the day after which he tells me (continued); anticovid vaccination carried out on 20/07/2021. hyperpyrexia in the evening, at night it reached 39.6 c, at night i had convulsions. communicated to the doctor the day after which he tells me (continued); anticovid vaccination carried out on 20/07/2021. hyperpyrexia in the evening, at night it reached 39.6 c, at night i had convulsions. communicated to the doctor the day after which he tells me (continued); anticovid vaccination carried out on 20/07/2021. hyperpyrexia in the evening, at night it reached 39.6 c, at night i had convulsions. communicated to the doctor the day after which he tells me (continued); anticovid vaccination carried out on 20/07/2021. hyperpyrexia in the evening, at night it reached 39.6 c, at night i had convulsions. communicated to the doctor the day after which he tells me (continued); anticovid vaccination carried out on 20/07/2021. hyperpyrexia in the evening, at night it reached 39.6 c, at night i had convulsions. communicated to the doctor the day after which he tells me (continued); anticovid vaccination carried out on 20/07/2021. hyperpyrexia in the evening, at night it reached 39.6 c, at night i had convulsions. communicated to the doctor the day after which he tells me (continued); this case was received (reference number: it-minisal02-840480) 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 vaccination site oedema (anticovid vaccination carried out on 20/07/2021. hyperpyrexia in the evening, at night it reached 39.6 c, at night i had convulsions. communicated to the doctor the day after which he tells me (continued)), insomnia (anticovid vaccination carried out on 20/07/2021. hyperpyrexia in the evening, at night it reached 39.6 c, at night i had convulsions. communicated to the doctor the day after which he tells me (continued)), hyperpyrexia (anticovid vaccination carried out on 20/07/2021. hyperpyrexia in the evening, at night it reached 39.6 c, at night i had convulsions. communicated to the doctor the day after which he tells me (continued)), palpitations (anticovid vaccination carried out on 20/07/2021. hyperpyrexia in the evening, at night it reached 39.6 c, at night i had convulsions. communicated to the doctor the day after which he tells me (continued)), pain in extremity (anticovid vaccination carried out on 20/07/2021. hyperpyrexia in the evening, at night it reached 39.6 c, at night i had convulsions. communicated to the doctor the day after which he tells me (continued)), seizure (anticovid vaccination carried out on 20/07/2021. hyperpyrexia in the evening, at night it reached 39.6 c, at night i had convulsions. communicated to the doctor the day after which he tells me (continued)), eye irritation (anticovid vaccination carried out on 20/07/2021. hyperpyrexia in the evening, at night it reached 39.6 c, at night i had convulsions. communicated to the doctor the day after which he tells me (continued)) and fatigue (anticovid vaccination carried out on 20/07/2021. hyperpyrexia in the evening, at night it reached 39.6 c, at night i had convulsions. communicated to the doctor the day after which he tells me (continued)) in a 52-year-old female patient who received mrna-1273 (spikevax) (batch no. 3002622 sc 5/12/21) for covid-19 vaccination. no medical history information was reported. on 20-jul-2021, the patient received dose of mrna-1273 (spikevax) (intramuscular) 1 dosage form. on 20-jul-2021, the patient experienced vaccination site oedema (anticovid vaccination carried out on 20/07/2021. hyperpyrexia in the evening, at night it reached 39.6 c, at night i had convulsions. communicated to the doctor the day after which he tells me (continued)) (seriousness criterion medically significant), insomnia (anticovid vaccination carried out on 20/07/2021. hyperpyrexia in the evening, at night it reached 39.6 c, at night i had convulsions. communicated to the doctor the day after which he tells me (continued)) (seriousness criterion medically significant), hyperpyrexia (anticovid vaccination carried out on 20/07/2021. hyperpyrexia in the evening, at night it reached 39.6 c, at night i had convulsions. communicated to the doctor the day after which he tells me (continued)) (seriousness criterion medically significant), palpitations (anticovid vaccination carried out on 20/07/2021. hyperpyrexia in the evening, at night it reached 39.6 c, at night i had convulsions. communicated to the doctor the day after which he tells me (continued)) (seriousness criterion medically significant), pain in extremity (anticovid vaccination carried out on 20/07/2021. hyperpyrexia in the evening, at night it reached 39.6 c, at night i had convulsions. communicated to the doctor the day after which he tells me (continued)) (seriousness criterion medically significant), seizure (anticovid vaccination carried out on 20/07/2021. hyperpyrexia in the evening, at night it reached 39.6 c, at night i had convulsions. communicated to the doctor the day after which he tells me (continued)) (seriousness criterion medically significant), eye irritation (anticovid vaccination carried out on 20/07/2021. hyperpyrexia in the evening, at night it reached 39.6 c, at night i had convulsions. communicated to the doctor the day after which he tells me (continued)) (seriousness criterion medically significant) and fatigue (anticovid vaccination carried out on 20/07/2021. hyperpyrexia in the evening, at night it reached 39.6 c, at night i had convulsions. communicated to the doctor the day after which he tells me (continued)) (seriousness criterion medically significant). at the time of the report, vaccination site oedema (anticovid vaccination carried out on 20/07/2021. hyperpyrexia in the evening, at night it reached 39.6 c, at night i had convulsions. communicated to the doctor the day after which he tells me (continued)), insomnia (anticovid vaccination carried out on 20/07/2021. hyperpyrexia in the evening, at night it reached 39.6 c, at night i had convulsions. communicated to the doctor the day after which he tells me (continued)), hyperpyrexia (anticovid vaccination carried out on 20/07/2021. hyperpyrexia in the evening, at night it reached 39.6 c, at night i had convulsions. communicated to the doctor the day after which he tells me (continued)), palpitations (anticovid vaccination carried out on 20/07/2021. hyperpyrexia in the evening, at night it reached 39.6 c, at night i had convulsions. communicated to the doctor the day after which he tells me (continued)), pain in extremity (anticovid vaccination carried out on 20/07/2021. hyperpyrexia in the evening, at night it reached 39.6 c, at night i had convulsions. communicated to the doctor the day after which he tells me (continued)), seizure (anticovid vaccination carried out on 20/07/2021. hyperpyrexia in the evening, at night it reached 39.6 c, at night i had convulsions. communicated to the doctor the day after which he tells me (continued)), eye irritation (anticovid vaccination carried out on 20/07/2021. hyperpyrexia in the evening, at night it reached 39.6 c, at night i had convulsions. communicated to the doctor the day after which he tells me (continued)) and fatigue (anticovid vaccination carried out on 20/07/2021. hyperpyrexia in the evening, at night it reached 39.6 c, at night i had convulsions. communicated to the doctor the day after which he tells me (continued)) had not resolved. the action taken with mrna-1273 (spikevax) (intramuscular) was unknown. no concomitant medications were reported modern vaccine n dose (2) taken on 20/07/2031 at 9:11 am batch 3003655 expiry 31/12/2021, im left arm. no treatment medications were reported. company comment: this is a regulatory case concerning a 52-years-old female patient with no significant clinical history who experienced the unexpected events of seizure (aesi), vaccination site oedema, insomnia, hyperpyrexia, palpitations, pain in extremity, eye irritation and fatigue 1 days after a dose of rna-1273. the benefit-risk relationship of mrna-1273 vaccine is not affected by this report. terms and onset were captured as provided. the case was assessed as serious by the regulatory authority�s report due to ime; reporter's comments: adr received by e-mail to the cesena pv manager on 5/2/22 from , with only the description of the adr, without a completed form. modern vaccine n. dose (2) taken on 20/07/2031 at 9:11 am batch 3003655 expiry 31/12/2021, im left arm.; sender's comments: company comment: this is a regulatory case concerning a 52-years-old female patient with no significant clinical history who experienced the unexpected events of seizure (aesi), vaccination site oedema, insomnia, hyperpyrexia, palpitations, pain in extremity, eye irritation and fatigue 1 days after a dose of rna-1273. the benefit-risk relationship of mrna-1273 vaccine is not affected by this report. terms and onset were captured as provided. the case was assessed as serious by the regulatory authority�s report due to ime

Données de laboratoire
na
Liste des symptômes
fatigue pain in extremity insomnia palpitations eye irritation seizure vaccination site oedema hyperpyrexia
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