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This is VAERS ID 1473614

History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1473614
VAERS Form:2
Age:18.0
Sex:Female
Location:Foreign
Vaccinated:2021-07-01
Onset:2021-07-01
Submitted:0000-00-00
Entered:2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 3002615 / 1 - / OT

Administered by: Unknown      Purchased by: ??
Symptoms: Diarrhoea, Fatigue, Headache, Migraine, Migraine with aura, Nausea, Rash erythematous, Vomiting, Peripheral swelling, SARS-CoV-2 test

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? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: FEXOFENADINE HYDROCHLORIDE; IBUPROFEN; PARACETAMOL; PENICILLIN
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Lactation decreased
Allergies:
Diagnostic Lab Data: Test Name: COVID-19 virus test; Test Result: Negative ; Result Unstructured Data: No - Negative COVID-19 test
CDC 'Split Type': GBMODERNATX, INC.MOD20212

Write-up: Red rash; Headache; Vomiting; Nausea; Diarrhea; Migraine aura; Migraine; Swelling arm; Tiredness; This regulatory authority case was reported by a consumer and describes the occurrence of MIGRAINE WITH AURA (Migraine aura), MIGRAINE (Migraine), PERIPHERAL SWELLING (Swelling arm), RASH ERYTHEMATOUS (Red rash), DIARRHOEA (Diarrhea), HEADACHE (Headache), VOMITING (Vomiting), NAUSEA (Nausea) and FATIGUE (Tiredness) in an 18-year-old female patient who received mRNA-1273 (Moderna CoviD-19 Vaccine) (batch no. 3002615) for COVID-19 vaccination. The patient''s past medical history included Lactation decreased. Concomitant products included FEXOFENADINE HYDROCHLORIDE from June 2018 to an unknown date for Hay fever, PARACETAMOL for Migraine, IBUPROFEN for Period pains, PENICILLIN from 18-May-2021 to 27-Jun-2021 for Tonsillitis and Acute kidney infection. On 01-Jul-2021, the patient received first dose of mRNA-1273 (Moderna CoviD-19 Vaccine) (unknown route) 1 dosage form. On 01-Jul-2021, the patient experienced FATIGUE (Tiredness) (seriousness criterion hospitalization). On 02-Jul-2021, the patient experienced PERIPHERAL SWELLING (Swelling arm) (seriousness criterion hospitalization). On 04-Jul-2021, the patient experienced MIGRAINE WITH AURA (Migraine aura) (seriousness criterion hospitalization), MIGRAINE (Migraine) (seriousness criterion hospitalization), DIARRHOEA (Diarrhea) (seriousness criterion hospitalization) and NAUSEA (Nausea) (seriousness criterion hospitalization). On 05-Jul-2021, the patient experienced RASH ERYTHEMATOUS (Red rash) (seriousness criterion hospitalization), HEADACHE (Headache) (seriousness criterion hospitalization) and VOMITING (Vomiting) (seriousness criterion hospitalization). The patient was hospitalized from 07-May-2021 to 07-May-2021 due to DIARRHOEA, FATIGUE, HEADACHE, MIGRAINE, MIGRAINE WITH AURA, NAUSEA, PERIPHERAL SWELLING, RASH ERYTHEMATOUS and VOMITING. On 04-Jul-2021, MIGRAINE WITH AURA (Migraine aura) and PERIPHERAL SWELLING (Swelling arm) had resolved. On 05-Jul-2021, RASH ERYTHEMATOUS (Red rash), DIARRHOEA (Diarrhea), VOMITING (Vomiting) and NAUSEA (Nausea) had resolved. On 07-Jul-2021, FATIGUE (Tiredness) had resolved. At the time of the report, MIGRAINE (Migraine) and HEADACHE (Headache) was resolving. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, SARS-CoV-2 test: negative (Negative) No - Negative COVID-19 test. The action taken with mRNA-1273 (Moderna CoviD-19 Vaccine) (Unknown) was unknown. Laboratory details was mentioned as blood taken for tests. Treatment information was mentioned as patient was given intravenous anti sickness to stop vomiting and was discharged around 9:30am the same day. 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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