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From the 9/10/2021 release of VAERS data:

This is VAERS ID 1404410



Case Details

VAERS ID: 1404410 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated:0000-00-00
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: COVID-19, Heavy menstrual bleeding, SARS-CoV-2 test
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Suspected COVID-19
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210601; Test Name: COVID-19 virus test; Test Result: Positive ; Result Unstructured Data: POSITIVE
CDC Split Type: GBMODERNATX, INC.MOD20212

Write-up: Heavy periods; SARS-CoV-2 infection; This regulatory authority case was reported by a consumer and describes the occurrence of COVID-19 (SARS-CoV-2 infection) and HEAVY MENSTRUAL BLEEDING (Heavy periods) in a female patient of an unknown age who received mRNA-1273 (Moderna CoviD-19 Vaccine) for COVID-19 vaccination. The patient''s past medical history included Suspected COVID-19 since 31-May-2021. On an unknown date, the patient received first dose of mRNA-1273 (Moderna CoviD-19 Vaccine) (Intramuscular) 1 dosage form. On 01-Jun-2021, the patient experienced COVID-19 (SARS-CoV-2 infection) (seriousness criterion medically significant). On an unknown date, the patient experienced HEAVY MENSTRUAL BLEEDING (Heavy periods) (seriousness criterion medically significant). At the time of the report, COVID-19 (SARS-CoV-2 infection) and HEAVY MENSTRUAL BLEEDING (Heavy periods) had not resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 01-Jun-2021, SARS-CoV-2 test: positive (Positive) POSITIVE. The action taken with mRNA-1273 (Moderna CoviD-19 Vaccine) (Intramuscular) was unknown. No concomitant drugs were reported. No treatment information was reported. Causality for the event COVID-19 is not applicable. Very limited information regarding the event Heavy menstrual bleeding has been provided at this time. No further information is expected in this regulatory report case.; Sender''s Comments: Causality for the event COVID-19 is not applicable. Very limited information regarding the event Heavy menstrual bleeding has been provided at this time. No further information is expected in this regulatory report case.


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