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VAERS Report 2156660

Case Report Section

Détails du rapport Vaer

Âge: 77 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

nose bleeds; hypertension; this case was received via regulatory authority (reference number: gb-mhra-adr 26649614) 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 epistaxis (nose bleeds) and hypertension (hypertension) in a 77-year-old female patient who received mrna-1273 (moderna covid-19 vaccine) for adverse drug reaction nos. 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 an unknown date, the patient experienced epistaxis (nose bleeds) (seriousness criterion medically significant) and hypertension (hypertension) (seriousness criterion medically significant). at the time of the report, epistaxis (nose bleeds) and hypertension (hypertension) had not resolved. the action taken with mrna-1273 (moderna covid-19 vaccine) (unknown) was unknown. concomitant medications were not reported . patient had been taken by ambulance twice for uncontrollable nose bleeds, patient was finally diagnosed with high blood pressure, this had all started since having her vaccines. patient felt pressured to take vaccines. treatment information was not provided. company comment this is a regulatory case concerning a 77-year-old female patient with no medical history reported, who experienced the serious, due to medically significant, unexpected events of epistaxis and hypertension which occurred on an unknown date. the patient received a dose of mrna-1273 on an unknown date. the events were conservatively assessed as related with the product administration since the temporal association cannot be assessed at this time due to lack of information on onset date of the events and vaccination date. the benefit-risk relationship of mrna-1273 vaccine is not affected by this report.; sender's comments: this is a regulatory case concerning a 77-year-old female patient with no medical history reported, who experienced the serious, due to medically significant, unexpected events of epistaxis and hypertension which occurred on an unknown date. the patient received a dose of mrna-1273 on an unknown date. the events were conservatively assessed as related with the product administration since the temporal association cannot be assessed at this time due to lack of information on onset date of the events and vaccination date. the benefit-risk relationship of mrna-1273 vaccine is not affected by this report

Données de laboratoire
na
Liste des symptômes
hypertension epistaxis
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