VAERS 2646853
MODERNA · COVID19 (COVID19 (MODERNA BIVALENT)) · Charge 7164B
- Staat
- WI
- Alter
- 71,0
- Geschlecht
- F
- Eingang
- 19.06.2023
- Impfdatum
- 27.10.2022
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- 3
- Route/Site
- OT / -
Symptomtext
also being treated for dialysis; Vaccination adverse reaction; This spontaneous case was reported by a patient and describes the occurrence of RENAL DISORDER (also being treated for dialysis) and IMMUNISATION REACTION (Vaccination adverse reaction) in a 71-year-old female patient who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (batch no. 7164B) for COVID-19 prophylaxis. The patient's past medical history included Bypass surgery in August 2022. On 27-Oct-2022, the patient received third dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) 1 dosage form. On an unknown date, the patient experienced RENAL DISORDER (also being treated for dialysis) and IMMUNISATION REACTION (Vaccination adverse reaction). At the time of the report, RENAL DISORDER (also being treated for dialysis) was resolving and IMMUNISATION REACTION (Vaccination adverse reaction) outcome was unknown. For mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (Unknown), the reporter did not provide any causality assessments. Concomitant medication details not reported by the reporter. Patient received any other vaccines in the 4 weeks prior to COVID-19 vaccine was unknown. Patient was being treated with dialysis.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Immunisation reaction
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Medical History/Concurrent Conditions: Bypass surgery
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -