Zurueck zur Suche

Reporte zur Charge 037C21A, 024C21

Verknuepft ueber VAERS_ID mit VAERSDATA, Vax und Symptoms

1Reporte angezeigt
0Todesfaelle
0Hospitalisiert
0Lebensbedrohlich
0Bleibende Schaeden
CA 1

VAERS 1863652

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 037C21A, 024C21

gering
Staat
CA
Alter
41,0
Geschlecht
F
Eingang
12.11.2021
Impfdatum
28.10.2021
Beginn
28.10.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Product administration error

Symptomtext

RN drew 0.4ml from bottom of one vial (037C21A) and 0.1ml from another adjacent vial (likely 024C21A) into a single syringe; This spontaneous case was reported by a health care professional and describes the occurrence of PRODUCT ADMINISTRATION ERROR (RN drew 0.4ml from bottom of one vial (037C21A) and 0.1ml from another adjacent vial (likely 024C21A) into a single syringe) in a 41-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 037C21A, 024C21A) for COVID-19 vaccination. No Medical History information was reported. On 28-Oct-2021 at 3:00 PM, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 28-Oct-2021, the patient experienced PRODUCT ADMINISTRATION ERROR (RN drew 0.4ml from bottom of one vial (037C21A) and 0.1ml from another adjacent vial (likely 024C21A) into a single syringe). On 28-Oct-2021, PRODUCT ADMINISTRATION ERROR (RN drew 0.4ml from bottom of one vial (037C21A) and 0.1ml from another adjacent vial (likely 024C21A) into a single syringe) had resolved. Not Provided For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Concomitant medication information was provided. No treatment information was provided.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Product administration error
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-