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VAERS Report 2156922

Case Report Section

Détails du rapport Vaer

Âge: 70 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
2022-02-25
Date d’apparition
0
Nombre de jours (date d’apparition – date de vaccination)
0
Description de l’événement indésirable

headache fullness; this case was received via the regulatory authority ra (reference number: gb-mhra-adr 26655747) 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 headache (headache fullness) in a 70-year-old male patient who received mrna-1273 (moderna covid-19 vaccine) for an unknown indication. concurrent medical conditions included rheumatoid arthritis (taking regular medicines for rheumatoid arthritis (or other types of arthritis except osteoarthr...). on 25-feb-2022, the patient received dose of mrna-1273 (moderna covid-19 vaccine) (unknown route) 1 dosage form. on 25-feb-2022, the patient experienced headache (headache fullness) (seriousness criterion medically significant). at the time of the report, headache (headache fullness) had not resolved. the action taken with mrna-1273 (moderna covid-19 vaccine) (unknown) was unknown. no concomitant medication was reported. no treatment medication was reported. patient did not had symptoms associated with covid-19 nor had a covid-19 test. dosage text was reported as dose 4c. patient had very bad headache and shiffering flu like symptoms. patient was not tested positive for covid-19 since having the vaccine. patient was not enrolled in clinical trial. the report did not relate to possible inflammation of the heart (myocarditis or pericarditis). company comment: this regulatory authority case concerns a 70-year-old male patient with medical history (rheumatoid arthritis), who experienced the serious unexpected event of headache. the event started occurring approximately within (1 day) after the dose of mrna-1273, moderna covid-19 vaccine. the benefit-risk relationship of mrna-1273, moderna covid-19 vaccine is not affected by this report.; sender's comments: this regulatory authority case concerns a 70-year-old male patient with medical history (rheumatoid arthritis), who experienced the serious unexpected event of headache. the event started occurring approximately within (1 day) after the dose of mrna-1273, moderna covid-19 vaccine. the benefit-risk relationship of mrna-1273, moderna covid-19 vaccine is not affected by this report

Données de laboratoire
na
Liste des symptômes
headache
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
rheumatoid arthritis (taking regular medicines for rheumatoid arthritis (or other types of arthritis except osteoarthr...)