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VAERS Report 2136753

Case Report Section

Détails du rapport Vaer

Âge: 81 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
2022-02-24
Date à laquelle le formulaire est complèté
Date de vaccination
2021-12-18
Date d’apparition
0
Nombre de jours (date d’apparition – date de vaccination)
0
Description de l’événement indésirable

loss of strength right leg; after fall recorded; joint pain; don't feel good; fatigue; muscle pain; this case was received via regulatory agency (reference number: nl-lrb-00779837) on 16-feb-2022 and was forwarded to moderna on 16-feb-2022. this regulatory authority case was reported by a consumer and describes the occurrence of muscular weakness (loss of strength right leg; after fall recorded) in an 81-year-old male patient who received mrna-1273 (spikevax) for covid-19 vaccination. the occurrence of additional non-serious events is detailed below. previously administered products included for product used for unknown indication: biontech/pfizer vaccin (comirnaty) covid-19 vaccin pfizer injvlst 0,3mlcovid-19 vaccin pfizer injvlst on 19-feb-2021, biontech/pfizer vaccin (comirnaty) covid-19 vaccin pfizer injvlst 0 and3mlcovid-19 vaccin pfizer injvlst on 10-apr-2021. past adverse reactions to the above products included no adverse reaction with biontech/pfizer vaccin (comirnaty) covid-19 vaccin pfizer injvlst 0 and3mlcovid-19 vaccin pfizer injvlst; and stiff neck with biontech/pfizer vaccin (comirnaty) covid-19 vaccin pfizer injvlst 0 and3mlcovid-19 vaccin pfizer injvlst. concomitant products included metformin hydrochloride (metformine phr) for an unknown indication. on 18-dec-2021, the patient received dose of mrna-1273 (spikevax) (unknown route) 1 dosage form. on 17-dec-2021, the patient experienced muscular weakness (loss of strength right leg; after fall recorded) (seriousness criterion hospitalization), arthralgia (joint pain), malaise (don't feel good), fatigue (fatigue) and myalgia (muscle pain). at the time of the report, muscular weakness (loss of strength right leg; after fall recorded), arthralgia (joint pain), malaise (don't feel good), fatigue (fatigue) and myalgia (muscle pain) had not resolved. no treatment medication details were provided. company comment:this regulatory case concerns an 81-year-old, male patient with no medical history reported, who experienced the unexpected serious event of muscular weakness (seriousness criterion hospitalization) which occurred on 17-dec-2021 1 day before the third dose of mrna 1273 vaccine. the patient was noted to have received 2 doses biontech/pfizer vaccin (comirnaty) covid-19 vaccin pfizer injvlst 8 months 9 days prior to current vaccination (interchange of vaccine products). patient's elderly age remains as a confounder. the benefit-risk relationship of mrna-1273 vaccine is not affected by this report. event seriousness assessed as per regulatory authority's report.; sender's comments: this regulatory case concerns an 81-year-old, male patient with no medical history reported, who experienced the unexpected serious event of muscular weakness (seriousness criterion hospitalization) which occurred on 17-dec-2021 1 day before the third dose of mrna 1273 vaccine. the patient was noted to have received 2 doses biontech/pfizer vaccin (comirnaty) covid-19 vaccin pfizer injvlst 8 months 9 days prior to current vaccination (interchange of vaccine products). patient's elderly age remains as a confounder. the benefit-risk relationship of mrna-1273 vaccine is not affected by this report. event seriousness assessed as per regulatory authority's report

Données de laboratoire
na
Liste des symptômes
malaise fatigue arthralgia myalgia muscular weakness
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