Détails du rapport Vaer
Âge: 52 ans
Genre: Male
Région : Outside US
- Patient décédé?
- Non
- Renseignements sur les vaccins
-
Nom: COVID19 (COVID19 (MODERNA))
Type : Coronavirus 2019 vaccine
Fabricant: MODERNA
Lot: 214064
- Date de réception du rapport
- 2022-03-04
- Date à laquelle le formulaire est complèté
- Date de vaccination
- 2022-01-15
- Date d’apparition
- 16
- Nombre de jours (date d’apparition – date de vaccination)
- 16
- Description de l’événement indésirable
-
oppression/weight on the heart shortness paresis slight right eye; oppression/weight on the heart shortness paresis slight right eye; oppression/weight on the heart shortness paresis slight right eye; this case was received via agency (reference number: it-minisal02-840189) on 23-feb-2022 and was forwarded to moderna on 23-feb-2022. this regulatory authority case was reported by a consumer and describes the occurrence of dyspnoea (oppression/weight on the heart shortness paresis slight right eye), ophthalmoplegia (oppression/weight on the heart shortness paresis slight right eye) and cardiac discomfort (oppression/weight on the heart shortness paresis slight right eye) in a 52-year-old male patient who received mrna-1273 (spikevax) (batch no. 214064) for covid-19 vaccination. concurrent conditions included autoimmune hypothyroidism. concomitant products included levothyroxine sodium (eutirox) for an unknown indication. on 15-jan-2022, the patient received dose of mrna-1273 (spikevax) (intramuscular) 1 dosage form. on 31-jan-2022, the patient experienced dyspnoea (oppression/weight on the heart shortness paresis slight right eye) (seriousness criterion hospitalization), ophthalmoplegia (oppression/weight on the heart shortness paresis slight right eye) (seriousness criterion hospitalization) and cardiac discomfort (oppression/weight on the heart shortness paresis slight right eye) (seriousness criterion hospitalization). at the time of the report, dyspnoea (oppression/weight on the heart shortness paresis slight right eye), ophthalmoplegia (oppression/weight on the heart shortness paresis slight right eye) and cardiac discomfort (oppression/weight on the heart shortness paresis slight right eye) had not resolved. the action taken with mrna-1273 (spikevax) (intramuscular) was unknown. no treatment details were reported. company comment : this regulatory authority case concerns a 52 -years-old, male patient with relevant medical history of autoimmune hypothyroidism reported, who experienced unexpected serious events of dyspnoea, ophthalmoplegia, cardiac discomfort (seriousness criterion hospitalization), which occurred 16 days after a dose of (dose number not specified) of mrna-1273 vaccine administration. medical history of autoimmune hypothyroidism remains as confounding. the benefit-risk relationship of mrna-1273 is not affected by this report. the events were assessed as serious as per regulatory authority�s report.; reporter's comments: autoimmune hypothyroidism.; sender's comments: this regulatory authority case concerns a 52 -years-old, male patient with relevant medical history of autoimmune hypothyroidism reported, who experienced unexpected serious events of dyspnoea, ophthalmoplegia, cardiac discomfort (seriousness criterion hospitalization), which occurred 16 days after a dose of (dose number not specified) of mrna-1273 vaccine administration. medical history of autoimmune hypothyroidism remains as confounding. the benefit-risk relationship of mrna-1273 is not affected by this report. the events were assessed as serious as per regulatory authority�s report
- Données de laboratoire
-
na
- Liste des symptômes
-
dyspnoea ophthalmoplegia cardiac discomfort
- 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