VAERS 2457189
PFIZER\BIONTECH · COVID19 (COVID19 (PFIZER-BIONTECH)) · Charge F2590
- Staat
- CA
- Alter
- 41,0
- Geschlecht
- M
- Eingang
- 24.09.2022
- Impfdatum
- 31.03.2021
- Beginn
- 23.10.2021
- Tage bis Beginn
- 206,0
- Dosis
- 3
- Route/Site
- OT / -
Symptomtext
Hives for 4 months; headache; Blurry vision; Double vision; dark area off the right side peripherally; This spontaneous case was reported by a patient and describes the occurrence of VISION BLURRED (Blurry vision), DIPLOPIA (Double vision), SKIN DISCOLOURATION (dark area off the right side peripherally), URTICARIA (Hives for 4 months) and HEADACHE (headache) in a 41-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 004C21A and 028A21A) for COVID-19 prophylaxis. Co-suspect product included non-company product TOZINAMERAN (PFIZER BIONTECH COVID-19 VACCINE) for an unknown indication. Concomitant products included MODAFINIL for an unknown indication. On 31-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 29-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient received third dose of TOZINAMERAN (PFIZER BIONTECH COVID-19 VACCINE) (unknown route) 1 dosage form. On 23-Oct-2021, the patient experienced VISION BLURRED (Blurry vision), DIPLOPIA (Double vision), SKIN DISCOLOURATION (dark area off the right side peripherally) and HEADACHE (headache). On an unknown date, the patient experienced URTICARIA (Hives for 4 months). At the time of the report, VISION BLURRED (Blurry vision), DIPLOPIA (Double vision), SKIN DISCOLOURATION (dark area off the right side peripherally), URTICARIA (Hives for 4 months) and HEADACHE (headache) had not resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No treatment medication provided This case was identified as part of a retrospective clean-up activity where certain emails received in the Moderna mailbox were missed to be booked-in
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Headache
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- MODAFINIL
- Allergien
- -
- Vorherige Impfungen
- -