National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1754988

Government Disclaimer on use of this data

History of Changes from the VAERS Wayback Machine

First Appeared on 10/15/2021

VAERS ID: 1754988
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:2021-09-02
Onset:2021-09-10
Submitted:0000-00-00
Entered:2021-10-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA NOT KNOWN / 1 - / OT

Administered by: Unknown      Purchased by: ??
Symptoms: Dysmenorrhoea, Muscle spasms

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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': GBMODERNATX, INC.MOD20213

Write-up: Sore cramps; Painful periods; This case was received via RA (Reference number: GB-MHRA-ADR 25949565) on 24-Sep-2021 and was forwarded to Moderna on 24-Sep-2021. This regulatory authority case was reported by a consumer and describes the occurrence of DYSMENORRHOEA (Painful periods) and MUSCLE SPASMS (Sore cramps) in a female patient of an unknown age who received mRNA-1273 (Moderna CoviD-19 Vaccine) (batch no. Not known) for COVID-19 vaccination. No Medical History information was reported. On 02-Sep-2021, the patient received first dose of mRNA-1273 (Moderna CoviD-19 Vaccine) (unknown route) 1 dosage form. On 10-Sep-2021, the patient experienced DYSMENORRHOEA (Painful periods) (seriousness criterion medically significant). On an unknown date, the patient experienced MUSCLE SPASMS (Sore cramps) (seriousness criterion medically significant). At the time of the report, DYSMENORRHOEA (Painful periods) had not resolved and MUSCLE SPASMS (Sore cramps) had resolved. The action taken with mRNA-1273 (Moderna CoviD-19 Vaccine) (Unknown) was unknown. The concomitant medications were not reported. The treatment information was not provided. Company comment: This case concerns a female patient of unknown age with no relevant medical history, who experienced the serious unexpected events of Dysmenorrhoea and Muscle spasms. The events occurred around 9 days after first dose of Spikevax. The rechallenge was unknown as there''s no information available about the second dose. The benefit-risk relationship of Spikevax is not affected by this report.; Sender''s Comments: This case concerns a female patient of unknown age with no relevant medical history, who experienced the serious unexpected events of Dysmenorrhoea and Muscle spasms. The events occurred around 9 days after first dose of Spikevax. The rechallenge was unknown as there''s no information available about the second dose. The benefit-risk relationship of Spikevax is not affected by this report.

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1754988&WAYBACKHISTORY=ON


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166