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This is VAERS ID 1404410

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1404410
VAERS Form:2
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, SARS-CoV-2 test, Heavy menstrual bleeding

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: 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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