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

This is VAERS ID 1404430



Case Details

VAERS ID: 1404430 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Foreign  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 3002332 / 1 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Limb discomfort, Monoparesis, Pain, Pain in extremity, Paresis, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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:
Preexisting Conditions: Medical History/Concurrent Conditions: Lactation decreased
Allergies:
Diagnostic Lab Data:
CDC Split Type: GBMODERNATX, INC.MOD20212

Write-up: Paresis; Pain; Hives; Painful arm; Heaviness in arm; Left arm paresis; This regulatory authority case was reported by a consumer and describes the occurrence of PARESIS (Paresis), PAIN (Pain), PAIN IN EXTREMITY (Painful arm), LIMB DISCOMFORT (Heaviness in arm), MONOPARESIS (Left arm paresis) and URTICARIA (Hives) in a 39-year-old female patient who received mRNA-1273 (Moderna CoviD-19 Vaccine) (batch no. 3002332) for COVID-19 vaccination. The patient''s past medical history included Lactation decreased. On 04-Jun-2021, the patient received first dose of mRNA-1273 (Moderna CoviD-19 Vaccine) (unknown route) 1 dosage form. On 04-Jun-2021, the patient experienced PAIN IN EXTREMITY (Painful arm) (seriousness criterion medically significant) and LIMB DISCOMFORT (Heaviness in arm) (seriousness criterion medically significant). 04-Jun-2021, the patient experienced MONOPARESIS (Left arm paresis) (seriousness criterion medically significant). On 07-Jun-2021, the patient experienced URTICARIA (Hives) (seriousness criterion medically significant). On an unknown date, the patient experienced PARESIS (Paresis) (seriousness criterion medically significant) and PAIN (Pain) (seriousness criterion medically significant). On 07-Jun-2021, MONOPARESIS (Left arm paresis) had resolved. At the time of the report, PARESIS (Paresis) and PAIN (Pain) had resolved, PAIN IN EXTREMITY (Painful arm) and LIMB DISCOMFORT (Heaviness in arm) was resolving and URTICARIA (Hives) had not resolved. The action taken with mRNA-1273 (Moderna CoviD-19 Vaccine) (Unknown) was unknown. Concomitant medications were not provided. The patient had sore arm then felt really heavy and painful to move even with painkillers it was started about 4 hours after injection. The patient right arm became very floppy for 2.5 days and to used his right arm to move left one. The patient was awake at night. The patient was unable to drive due to pain and arm not responding properly. The patient had hives on left thumb, spreading to the back of hands and up forearm. Settled after a few hours,12 hours later had the same thing but on right hand and forearm. The patient had not tested positive for COVID-19 since having the vaccine. Treatment medication included painkillers. Company Comment: 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.; 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.


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