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Reporte zur Charge 037N21A

Verknuepft ueber VAERS_ID mit VAERSDATA, Vax und Symptoms

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0Todesfaelle
0Hospitalisiert
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0Bleibende Schaeden

VAERS 2562873

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 037N21A

gering
Staat
-
Alter
82,0
Geschlecht
F
Eingang
19.01.2023
Impfdatum
23.03.2021
Beginn
15.05.2021
Tage bis Beginn
53,0
Dosis
1
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Inappropriate schedule of product administration No adverse event

Symptomtext

No adverse event; Dose 1 on 23-Mar-2021 and Dose 2 on 15-May-2021 (53 days gap); This spontaneous case was reported by a pharmacist and describes the occurrence of INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Dose 1 on 23-Mar-2021 and Dose 2 on 15-May-2021 (53 days gap)) and NO ADVERSE EVENT (No adverse event) in an 82-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 033H21A, 031B21A and 037N21A) for COVID-19 prophylaxis. No Medical History information was reported. On 23-Mar-2021 at 9:24 AM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) .5 milliliter. On 15-May-2021 at 9:09 AM, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to .5 milliliter. On 25-Jan-2022 at 1:02 PM, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to .25 milliliter. On 15-May-2021, the patient experienced INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Dose 1 on 23-Mar-2021 and Dose 2 on 15-May-2021 (53 days gap)). On an unknown date, the patient experienced NO ADVERSE EVENT (No adverse event). At the time of the report, INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Dose 1 on 23-Mar-2021 and Dose 2 on 15-May-2021 (53 days gap)) and NO ADVERSE EVENT (No adverse event) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter considered NO ADVERSE EVENT (No adverse event) to be not related. No further causality assessment was provided for INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Dose 1 on 23-Mar-2021 and Dose 2 on 15-May-2021 (53 days gap)). No concomitant medication were reported. No treatment medication were reported. This case was linked to MOD-2022-693247 (Patient Link).

Weitere VAERSDATA-Felder
Praegender Schweregrund
Inappropriate schedule of product administration
Hospital-Tage
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Labordaten
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Aktuelle Erkrankungen
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Vorgeschichte
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Andere Medikamente
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Allergien
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Vorherige Impfungen
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