Page breadcrumb nav

VAERS Report 2156652

Case Report Section

Détails du rapport Vaer

Âge: 32 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
2021-04-01
Date d’apparition
61
Nombre de jours (date d’apparition – date de vaccination)
61
Description de l’événement indésirable

maternal exposure during pregnancy; peeling tongue; this case was received via the regulatory authority ra (reference number: gb-mhra-adr 26640292) on 24-feb-2022 and was forwarded to moderna on 24-feb-2022. this regulatory authority prospective pregnancy case was reported by an other health care professional and describes the occurrence of maternal exposure during pregnancy (maternal exposure during pregnancy) and tongue exfoliation (peeling tongue) in a 32-year-old female patient who received mrna-1273 (moderna covid-19 vaccine) for adverse drug reaction nos. concurrent medical conditions included pregnancy (estimated due date: 20220519). concomitant products included folic acid for an unknown indication. in april 2021, the patient received dose of mrna-1273 (moderna covid-19 vaccine) (unknown route) 1 dosage form. the patient's last menstrual period was on an unknown date and the estimated date of delivery was 19-may-2022. in june 2021, the patient experienced tongue exfoliation (peeling tongue) (seriousness criteria disability and medically significant). on an unknown date, the patient experienced maternal exposure during pregnancy (maternal exposure during pregnancy) (seriousness criteria disability and medically significant). at the time of the report, maternal exposure during pregnancy (maternal exposure during pregnancy) outcome was unknown and tongue exfoliation (peeling tongue) had not resolved. the action taken with mrna-1273 (moderna covid-19 vaccine) (unknown) was unknown. for mrna-1273 (moderna covid-19 vaccine) (unknown), the reporter did not provide any causality assessments. since vaccine last year, patient's tongue had peeled at least once a month. patient have shrimp allergies but did not eat shrimp and it only happened since vaccine. it was numb and uncomfortable. it lasts about a week. it comes and goes. the medicine was obtained in arm (side not specified). patient was not currently breastfeeding. folic acid was administered. reason: 10080739 treatment information was not reported by the reporter. company comment: this regulatory case concerns a 32-year-old, female patient with no medical history reported, who experienced the vaccine exposure during pregnancy and the unexpected, serious (disability and medically significant) event of tongue exfoliation. the patient received an unspecified dose of the moderna mrna-1273 vaccine on an unspecified date in apr2021. the age of gestation during vaccination was not provided. the event tongue exfoliation occurred on an unspecified date in jun2021. the patient's tongue had peeled at least once a month since the vaccination. treatment information was not provided. the event had not resolved at the time of the report. the benefit-risk relationship of the moderna mrna-1273 vaccine is not affected by this report.; sender's comments: this regulatory case concerns a 32-year-old, female patient with no medical history reported, who experienced the vaccine exposure during pregnancy and the unexpected, serious (disability and medically significant) event of tongue exfoliation. the patient received an unspecified dose of the moderna mrna-1273 vaccine on an unspecified date in apr2021. the age of gestation during vaccination was not provided. the event tongue exfoliation occurred on an unspecified date in jun2021. the patient's tongue had peeled at least once a month since the vaccination. treatment information was not provided. the event had not resolved at the time of the report. the benefit-risk relationship of the moderna mrna-1273 vaccine is not affected by this report

Données de laboratoire
na
Liste des symptômes
maternal exposure during pregnancy tongue exfoliation
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?
Oui
Allergies:
na
Maladie actuelle
pregnancy (estimated due date: 20220519)