VAERS 2491966
MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 012M20A MTTDT
- Staat
- NY
- Alter
- 83,0
- Geschlecht
- F
- Eingang
- 28.10.2022
- Impfdatum
- 28.01.2021
- Beginn
- 01.10.2022
- Tage bis Beginn
- 611,0
- Dosis
- 1
- Route/Site
- OT / LA
Symptomtext
COVID-19/ loss smell and taste/ have lingering stuff from COVID; This spontaneous case was reported by a patient family member or friend and describes the occurrence of COVID-19 (COVID-19/ loss smell and taste/ have lingering stuff from COVID) in an 83-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 048621A, 088D21A and 012M20A MTTDT) for COVID-19 vaccination. No other vaccines given within 1 month prior to Moderna COVID-19 vaccine. Concurrent medical conditions included Iodine allergy, Shellfish allergy and Bronchiectasis. On 28-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 02-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 02-Nov-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 30-Mar-2022, received fourth dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. In October 2022, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced COVID-19 (COVID-19/ loss smell and taste/ have lingering stuff from COVID). At the time of the report, COVID-19 (COVID-19/ loss smell and taste/ have lingering stuff from COVID) had not resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 07-Oct-2022, SARS-CoV-2 test: Positive. Patient was taking other medication. Patient received first and second booster doses of Moderna COVID-19 Vaccine on 02-Nov-2021 and 30-Mar-2022 respectively. Patient's symptoms began on 05 or 06-Oct-2022. Patient isolated for 5 days as recommended by the CDC. No Hospitalization due to COVID-19. No treatment received. This case was linked to US-MODERNATX, INC.-MOD-2022-662368 (Linked Report).; Sender's Comments: US-MODERNATX, INC.-MOD-2022-662368:Husband case
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- COVID-19
- Hospital-Tage
- -
- Labordaten
- Test Date: 20221007; Test Name: COVID-19 test; Test Result: Positive
- Aktuelle Erkrankungen
- Bronchiectasis; Iodine allergy; Shellfish allergy
- Vorgeschichte
- Comments: No other vaccines given within 1 month prior to Moderna COVID-19 vaccine.
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -