Détails du rapport Vaer
Âge: 45 ans
Genre: Female
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
-
accelerated hair loss; this case was received via a regulatory authority (reference number: gb-mhra-adr 26613987) 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 alopecia (accelerated hair loss) in a 45-year-old female patient who received mrna-1273 (moderna covid-19 vaccine) for covid-19 immunisation. no medical history information was reported. on an unknown date, the patient received dose of mrna-1273 (moderna covid-19 vaccine) (unknown route) 1 dosage form. on 30-apr-2021, the patient experienced alopecia (accelerated hair loss) (seriousness criterion medically significant). at the time of the report, alopecia (accelerated hair loss) had not resolved. patient's lmp was 16-feb-2022. no concomitant medications was reported. no treatment medication was provided. patient noticed her hair became thinner and thinner. she lost approx 1/3 of her previously thick hair. medicine was obtained in a medical facility. this reaction was occurred as a result of a mistake made in the administration of the vaccine. company comment: this is a regulatory authority case concerning a 45-year-old female patient, with no medical history reported, who experienced the unexpected and serious (medically significant) event of alopecia. the event occurred on a date after a dose of mrna-1273 vaccine. patient reports that she noticed her hair became thinner and thinner, and that she lost approximately 1/3 of her previously thick hair. at the time of the report, the event had not resolved. the benefit-risk relationship of mrna-1273 vaccine is not affected by this report.; sender's comments: this is a regulatory authority case concerning a 45-year-old female patient, with no medical history reported, who experienced the unexpected and serious (medically significant) event of alopecia. the event occurred on a date after a dose of mrna-1273 vaccine. patient reports that she noticed her hair became thinner and thinner, and that she lost approximately 1/3 of her previously thick hair. at the time of the report, the event had not resolved. the benefit-risk relationship of mrna-1273 vaccine is not affected by this report
- Données de laboratoire
-
na
- Liste des symptômes
-
alopecia
- 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