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This is VAERS ID 1730680

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First Appeared on 10/15/2021

VAERS ID: 1730680
VAERS Form:2
Age:37.0
Sex:Male
Location:Foreign
Vaccinated:2021-09-06
Onset:2021-09-06
Submitted:0000-00-00
Entered:2021-09-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / OT

Administered by: Unknown      Purchased by: ??
Symptoms: Blood pressure increased, Blood pressure measurement

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:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210906; Test Name: Blood Pressure; Result Unstructured Data: 230/120
CDC 'Split Type': PHMODERNATX, INC.MOD20213

Write-up: Elevated Blood Pressure 230/120; This regulatory authority case was reported by another health care professional and describes the occurrence of BLOOD PRESSURE INCREASED (Elevated Blood Pressure 230/120) in a 37-year-old male patient who received mRNA-1273 (COVID-19 Vaccine Moderna) (batch no. 3004960) for COVID-19 vaccination. No Medical History information was reported. On 06-Sep-2021, the patient received dose of mRNA-1273 (COVID-19 Vaccine Moderna) (Intramuscular) 1 dosage form. On 06-Sep-2021 at 2:10 PM, the patient experienced BLOOD PRESSURE INCREASED (Elevated Blood Pressure 230/120) (seriousness criterion hospitalization prolonged). The patient was hospitalized on 06-Sep-2021 due to BLOOD PRESSURE INCREASED. At the time of the report, BLOOD PRESSURE INCREASED (Elevated Blood Pressure 230/120) was resolving. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 06-Sep-2021, Blood pressure measurement: 230/120 (High) 230/120. The action taken with mRNA-1273 (COVID-19 Vaccine Moderna) (Intramuscular) was unknown. For mRNA-1273 (COVID-19 Vaccine Moderna) (Intramuscular), the reporter did not provide any causality assessments. No concomitant medications reported. No treatment information reported. Company Comment: This case concerns a 37-year-old male subject with no relevant medical history who experienced the serious event of blood pressure increased. The event occurred approximately 14 hours after the first dose of Spikevax. There was no re-challenge as at the time of the event, as the patient was yet to receive the second dose of the vaccine. Causality was not provided by the reporter. The benefit-risk relationship of the vaccine is not affected by this report.; Sender''s Comments: This case concerns a 37-year-old male subject with no relevant medical history who experienced the serious event of blood pressure increased. The event occurred approximately 14 hours after the first dose of Spikevax. There was no re-challenge as at the time of the event, as the patient was yet to receive the second dose of the vaccine. Causality was not provided by the reporter. The benefit-risk relationship of the vaccine is not affected by this report.

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