VAERS 1616190
MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 5047B21A
- Staat
- CA
- Alter
- 47,0
- Geschlecht
- F
- Eingang
- 22.08.2021
- Impfdatum
- 15.04.2021
- Beginn
- 13.05.2021
- Tage bis Beginn
- 28,0
- Dosis
- 1
- Route/Site
- OT / -
Symptomtext
received 2 different brands of vaccine (1st - Moderna, 2nd - Pfizer); This spontaneous case was reported by an other health care professional and describes the occurrence of INTERCHANGE OF VACCINE PRODUCTS (received 2 different brands of vaccine (1st - Moderna, 2nd - Pfizer)) in a 47-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 5047B21A) for COVID-19 vaccination. Co-suspect product included non-company product BNT162B2 for COVID-19 vaccination. No Medical History information was reported. On 15-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 13-May-2021, the patient started BNT162B2 (unknown route) at an unspecified dose. On 13-May-2021, the patient experienced INTERCHANGE OF VACCINE PRODUCTS (received 2 different brands of vaccine (1st - Moderna, 2nd - Pfizer)). On 13-May-2021, INTERCHANGE OF VACCINE PRODUCTS (received 2 different brands of vaccine (1st - Moderna, 2nd - Pfizer)) had resolved. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant and treatment medications were reported. HCP called in to report that they have administered a Pfizer dose to a patient who was supposed to be getting the 2nd dose of the Moderna vaccine.on 13-May-2021.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Interchange of vaccine products
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -