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This is VAERS ID 1332503

History of Changes from the VAERS Wayback Machine

First Appeared on 5/21/2021

VAERS ID: 1332503
VAERS Form:2
Age:68.0
Sex:Male
Location:Missouri
Vaccinated:2021-05-03
Onset:2021-05-04
Submitted:0000-00-00
Entered:2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 - / OT

Administered by: Unknown      Purchased by: ??
Symptoms: Dyspnoea, Oxygen saturation decreased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: COPD; Emphysema
Preexisting Conditions: Medical History/Concurrent Conditions: COVID-19; Liver transplant
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': USMODERNATX, INC.MOD20211

Write-up: More breathing problems than normal/gasping; Oxygen level down to 80 after 1st dose; This spontaneous case was reported by a consumer and describes the occurrence of DYSPNOEA (More breathing problems than normal/gasping) and OXYGEN SATURATION DECREASED (Oxygen level down to 80 after 1st dose) in a 68-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The patient''s past medical history included COVID-19 in January 2021 and Liver transplant. Concurrent medical conditions included COPD and Emphysema. On 03-May-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 04-May-2021, the patient experienced DYSPNOEA (More breathing problems than normal/gasping) (seriousness criterion hospitalization) and OXYGEN SATURATION DECREASED (Oxygen level down to 80 after 1st dose) (seriousness criterion hospitalization). At the time of the report, DYSPNOEA (More breathing problems than normal/gasping) and OXYGEN SATURATION DECREASED (Oxygen level down to 80 after 1st dose) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant product use was not provided by the reporter. Treatment included oxygen. Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded. The patient''s medical history of COPD and COVID-19 infection are confounders; Sender''s Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded. The patient''s medical history of COPD and COVID-19 infection are confounders

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