이상반응 보고
| VAERS ID | 1571330 |
|---|---|
| 성별 | 남성 |
| 나이 | 22세 |
| 주 코드 | FR |
| 제약회사 | MODERNA |
| 로트 번호 | Y0D2C |
| 예방접종 횟수 | |
| 접종일 | 2021-07-29 |
| 발병일 | 2021-07-31 |
| 상태 |
증상
- 호흡곤란(Dyspnoea)
- 두근거림(Palpitations)
- 실신(Malaise)
- 심낭염(Pericarditis)
이환 중 질병
지병
Comments: No medical history was reported.
기타 의료
EMTRICITABINE
이전 예방접종
알레르기
임상 검사
증상 상세
short of breath; palpitations; generally unwell; Pericarditis; This regulatory authority case was reported by an other health care professional and describes the occurrence of PERICARDITIS (Pericarditis) in a 22-year-old male patient who received mRNA-1273 (Moderna CoviD-19 Vaccine) (batch no.
Y0D2C) for COVID-19 vaccination.
The occurrence of additional non-serious events is detailed below.
No medical history was reported.
Concomitant products included EMTRICITABINE for Prophylaxis against AIDS.
On 29-Jul-2021, the patient received dose of mRNA-1273 (Moderna CoviD-19 Vaccine) (unknown route) 1 dosage form.
On 31-Jul-2021, the patient experienced PERICARDITIS (Pericarditis) (seriousness criterion medically significant).
On an unknown date, the patient experienced DYSPNOEA (short of breath), PALPITATIONS (palpitations) and MALAISE (generally unwell).
At the time of the report, PERICARDITIS (Pericarditis) had not resolved and DYSPNOEA (short of breath), PALPITATIONS (palpitations) and MALAISE (generally unwell) had resolved.
The action taken with mRNA-1273 (Moderna CoviD-19 Vaccine) (Unknown) was unknown.
For mRNA-1273 (Moderna CoviD-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.
Treatment medications were not reported.
Patient has not tested positive for COVID-19 since having the vaccine Patient is not enrolled in clinical trial 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.