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This is VAERS ID 1456642

History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1456642
VAERS Form:2
Age:25.0
Sex:Female
Location:Unknown
Vaccinated:2021-06-25
Onset:2021-06-25
Submitted:0000-00-00
Entered:2021-07-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 036B21A / 1 RA / OT

Administered by: Unknown      Purchased by: ??
Symptoms: Seizure, Tremor

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': USMODERNATX, INC.MOD20212

Write-up: still has shakes on and off; Had a seizure/basically started seizing and couldn''t stop/by the time when she arrived at the hospital, she was still convulsing but could talk/duration of seizures to be 1 or 1.5 hours long/still has shakes on and off; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of SEIZURE (Had a seizure/basically started seizing and couldn''t stop/by the time when she arrived at the hospital, she was still convulsing but could talk/duration of seizures to be 1 or 1.5 hours long/still has shakes on and off) in a 25-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 036B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 25-Jun-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 25-Jun-2021, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced SEIZURE (Had a seizure/basically started seizing and couldn''t stop/by the time when she arrived at the hospital, she was still convulsing but could talk/duration of seizures to be 1 or 1.5 hours long/still has shakes on and off) (seriousness criterion medically significant). On an unknown date, the patient experienced TREMOR (still has shakes on and off). At the time of the report, SEIZURE (Had a seizure/basically started seizing and couldn''t stop/by the time when she arrived at the hospital, she was still convulsing but could talk/duration of seizures to be 1 or 1.5 hours long/still has shakes on and off) was resolving and TREMOR (still has shakes on and off) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No relevant concomitant medications were provided. Patient was treated with IV medication in emergency room that helped her stop the seizures. She was discharged from the emergency room once she stopped having tremors. She still had shakes on and off and saw her primary care provider who had referred her to a neurologist. 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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