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This is VAERS ID 1404337

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1404337
VAERS Form:2
Age:29.0
Sex:Female
Location:Foreign
Vaccinated:2021-05-30
Onset:2021-06-01
Submitted:0000-00-00
Entered:2021-06-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 - / OT

Administered by: Unknown      Purchased by: ??
Symptoms: Dizziness

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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Immunodeficiency (Taking other treatments or medicines, known to lower the immune response); Lactation decreased; Comments: Patient has not had symptoms associated with COVID-19, Not had a COVID-19 test, Patient is not enrolled in clinical trial, Patient is not pregnant, Patient is not currently breastfeeding
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': GBMODERNATX, INC.MOD20212

Write-up: Dizziness; This regulatory authority case was reported by a consumer and describes the occurrence of DIZZINESS (Dizziness) in a 29-year-old female patient who received mRNA-1273 (Moderna CoviD-19 Vaccine) for COVID-19 vaccination. Patient has not had symptoms associated with COVID-19, Not had a COVID-19 test, Patient is not enrolled in clinical trial, Patient is not pregnant, Patient is not currently breastfeeding. The patient''s past medical history included Lactation decreased and Immunodeficiency (Taking other treatments or medicines, known to lower the immune response). Previously administered products included for an unreported indication: CONCERTA (Concerta 18mg). On 30-May-2021, the patient received first dose of mRNA-1273 (Moderna CoviD-19 Vaccine) (unknown route) 1 dosage form. On 01-Jun-2021, the patient experienced DIZZINESS (Dizziness). At the time of the report, DIZZINESS (Dizziness) was resolving. The action taken with mRNA-1273 (Moderna CoviD-19 Vaccine) (Unknown) was unknown. Patient has not tested positive for COVID-19 since having the vaccine. No relevant concomitant medications were reported. No treatment information was provided.; Sender''s Comments: Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.

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