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VAERS Report 2156633

Case Report Section

Détails du rapport Vaer

Âge: 28 ans

Genre: Male

Région : Outside US

Patient décédé?
Non
Renseignements sur les vaccins

Nom: COVID19 (COVID19 (MODERNA))

Type : Coronavirus 2019 vaccine

Fabricant: MODERNA

Lot: 3004668


Date de réception du rapport
2022-03-04
Date à laquelle le formulaire est complèté
Date de vaccination
2021-10-29
Date d’apparition
81
Nombre de jours (date d’apparition – date de vaccination)
81
Description de l’événement indésirable

back pain; chest pain; pericarditis; this case was received via the regulatory authority ra (reference number: gb-mhra-adr 26615359) on 24-feb-2022 and was forwarded to moderna on 24-feb-2022. this regulatory authority case was reported by a consumer and describes the occurrence of pericarditis (pericarditis), back pain (back pain) and chest pain (chest pain) in a 28-year-old male patient who received mrna-1273 (moderna covid-19 vaccine) (batch no. 3004668) for covid-19 immunisation. no medical history information was reported. on 29-oct-2021, the patient received dose of mrna-1273 (moderna covid-19 vaccine) (unknown route) 1 dosage form. on 18-jan-2022, after starting mrna-1273 (moderna covid-19 vaccine), the patient experienced pericarditis (pericarditis) (seriousness criteria hospitalization and medically significant). on an unknown date, the patient experienced back pain (back pain) (seriousness criteria hospitalization and medically significant) and chest pain (chest pain) (seriousness criteria hospitalization and medically significant). at the time of the report, pericarditis (pericarditis) had not resolved and back pain (back pain) and chest pain (chest pain) outcome was unknown. no concomitant medications reported. it was reported that one evening patient started feeling back pain which within the space of a few hours moved to chest. patient couldn't lie down or breath in without sharp chest pain. patient called ems and was advised to go to the hospital. patient was diagnosed with pericarditis. it had been 1 months since patient first felt these symptoms and still getting regular flare ups. patient was reported that didn't think this reaction occurred as a result of a mistake made in the administration of the vaccine. patient had been prescribed colchicine once daily for 3 months, and ibuprofen when pain was especially uncomfortable. patient was prescribed ibuprofen 3 times daily for 2 weeks but taking at times when pain was too much. patient obtain the medicine from vaccination walk in centre. re-challenge was reported was unknown. this is a regulatory case concerning a 28-year-old male patient with no medical history, who experienced the unexpected serious events of back pain, chest pain, and expected serious adverse event of special interest, pericarditis. the events were medically significant and led to the hospitalization of the patient as reported by the regulatory authority. the event pericarditis occurred 2 months and 21 days after receiving an unspecified dose of mrna-1273 vaccine while the rest of the events occurred on an unknown interval. as reported, the patient was prescribed with colchicine and ibuprofen, no other clinical or treatment details were given. it was reported that the outcome of the events was unknown. the benefit-risk relationship of mrna-1273 vaccine is not affected by this report.; sender's comments: this is a regulatory case concerning a 28-year-old male patient with no medical history, who experienced the unexpected serious events of back pain, chest pain, and expected serious adverse event of special interest, pericarditis. the events were medically significant and led to the hospitalization of the patient as reported by the regulatory authority. the event pericarditis occurred 2 months and 21 days after receiving an unspecified dose of mrna-1273 vaccine while the rest of the events occurred on an unknown interval. as reported, the patient was prescribed with colchicine and ibuprofen, no other clinical or treatment details were given. it was reported that the outcome of the events was unknown. the benefit-risk relationship of mrna-1273 vaccine is not affected by this report

Données de laboratoire
na
Liste des symptômes
back pain chest pain pericarditis
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?
Oui
Séjour à l’hôpital
Non
Nombre de jours à l’hôpital
Non spécifié
Invalidité permanente?
Non
Allergies:
na
Maladie actuelle
na