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VAERS Report 2156629

Case Report Section

Détails du rapport Vaer

Âge: 40 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
2021-12-29
Date d’apparition
2
Nombre de jours (date d’apparition – date de vaccination)
2
Description de l’événement indésirable

serious pins and needles and constant pain in left arm and left leg; serious pins and needles and constant pain in left arm and left leg; this case was received via the ra (reference number: gb-mhra-adr 26611833) 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 paraesthesia (serious pins and needles and constant pain in left arm and left leg) and pain in extremity (serious pins and needles and constant pain in left arm and left leg) in a 40-year-old male patient who received mrna-1273 (moderna covid-19 vaccine) for covid-19 vaccination. no medical history information was reported. on 29-dec-2021, the patient received dose of mrna-1273 (moderna covid-19 vaccine) (unknown route) 1 dosage form. on 31-dec-2021, the patient experienced paraesthesia (serious pins and needles and constant pain in left arm and left leg) (seriousness criterion medically significant) and pain in extremity (serious pins and needles and constant pain in left arm and left leg) (seriousness criterion medically significant). at the time of the report, paraesthesia (serious pins and needles and constant pain in left arm and left leg) and pain in extremity (serious pins and needles and constant pain in left arm and left leg) had not resolved. no concomitant medication information was mentioned by reporter no treatment medication information was mentioned by reporter. serious pins and needles and constant pain in left arm and left leg reaction do you think this reaction occurred as a result of a mistake made in the administration of the vaccine.: yes company comment : this regulatory authority case concerns a 40 -year-old, male patient with no medical history reported, who experienced the unexpected serious events of paraesthesia, pain in extremity (seriousness criterion medically significant) which occurred 2 days after a dose of (dose number not specified) .the benefit-risk relationship of mrna-1273 is not affected by this report. the event were assessed as serious as per regulatory authority�s report .; sender's comments: this regulatory authority case concerns a 40 -year-old, male patient with no medical history reported, who experienced the unexpected serious events of paraesthesia, pain in extremity (seriousness criterion medically significant) which occurred 2 days after a dose of (dose number not specified) .the benefit-risk relationship of mrna-1273 is not affected by this report. the event were assessed as serious as per regulatory authority�s report

Données de laboratoire
na
Liste des symptômes
paraesthesia pain in extremity
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