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VAERS Report 2157285

Case Report Section

Vaer Report Details

Age: 34 years old

Gender: Male

State: Outside US

Patient Died?
No
Vaccine information

Name: COVID19 (COVID19 (MODERNA))

Type: Coronavirus 2019 vaccine

Manufacturer: MODERNA

Lot: 000060asc04/0


Date report was received
2022-03-04
Date form completed
Date Vaccinated
2022-02-06
Date of Onset
1
Number of days (onset date – vaccination date)
1
Adverse Event Description

hyperpyrexia throughout the day following vaccination, erythema at the injection site; hyperpyrexia throughout the day following vaccination, erythema at the injection site; this case was received (reference number: it-minisal02-842159) on 28-feb-2022 and was forwarded to moderna on 28-feb-2022. this regulatory authority case was reported by a physician and describes the occurrence of hyperpyrexia (hyperpyrexia throughout the day following vaccination, erythema at the injection site) and injection site joint erythema (hyperpyrexia throughout the day following vaccination, erythema at the injection site) in a 34-year-old male patient who received mrna-1273 (spikevax) (batch no. 000060a sc 04/05/22) for covid-19 vaccination. no medical history information was reported. on 06-feb-2022, the patient received dose of mrna-1273 (spikevax) (intramuscular) .25 milliliter. on 07-feb-2022, the patient experienced hyperpyrexia (hyperpyrexia throughout the day following vaccination, erythema at the injection site) (seriousness criterion medically significant) and injection site joint erythema (hyperpyrexia throughout the day following vaccination, erythema at the injection site) (seriousness criterion medically significant). at the time of the report, hyperpyrexia (hyperpyrexia throughout the day following vaccination, erythema at the injection site) and injection site joint erythema (hyperpyrexia throughout the day following vaccination, erythema at the injection site) was resolving. the action taken with mrna-1273 (spikevax) (intramuscular) was unknown. for mrna-1273 (spikevax) (intramuscular), the reporter did not provide any causality assessments. no concomitant medications were provided. no treatment medications were reported. company comment: this is a regulatory authority case concerning a 34-year-old, male patient with no reported medical history, who experienced the unexpected serious (medically significant according to regulatory authority) events of hyperpyrexia and injection site erythema. the events occurred approximately 1 day after the unknown dose number of mrna-1273 vaccine administration. no reported treatment information. the outcome of the events were resolving from the time of last observation. the benefit-risk relationship of mrna-1273 vaccine is not affected by this report.; reporter's comments: the severity is changed from 'non-serious' to 'severe' as' hyperpyrexia 'occurs, an event present in the ime list.; sender's comments: this is a regulatory authority case concerning a 34-year-old, male patient with no reported medical history, who experienced the unexpected serious (medically significant according to regulatory authority) events of hyperpyrexia and injection site erythema. the events occurred approximately 1 day after the unknown dose number of mrna-1273 vaccine administration. no reported treatment information. the outcome of the events were resolving from the time of last observation. the benefit-risk relationship of mrna-1273 vaccine is not affected by this report

Lab Data
na
List of symptoms
injection site joint erythema hyperpyrexia
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