VAERS ID: 1135729

AGE: 80| SEX: F|STATE: MI (United States)

Description

surgery for twisted intestine; issue with their throat, was not being able to swallow; A spontaneous report was received from a Consumer concerning an 80-years-old female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced events Volvulus and Dysphagia. The patient's medical history was not provided. No relevant concomitant medications were e reported. On 13-FEB-2021, prior to the onset of the events, the patient received the first of two planned doses of mRNA-1273 (lot/batch: 015M20A) in the Anatomical location unspecified for prophylaxis of COVID-19 infection. On 27-Feb-2021, the patient experienced the events Volvulus and Swallowing impaired and the patient was hospitalized for 12 days. The patient underwent surgery for twisted intestine. The patient had an issue with their throat that has not been settled and was not being able to swallow. It was not related to the vaccine at all. The patient was discharged on 11-Mar-2021. The second dose was scheduled on 13-Mar-2021. As they could not drive and take their second dose. it will be re-scheduled. Laboratory details were not provided. Treatment details were included sodium chloride 1 gm 3 tablets by mouth three times a day with meals and potassium chloride 2 tablets by mouth everyday for 5 doses. Action taken with mRNA-1273 in response to the events was not reported. The outcome of the events Volvulus and Swallowing impaired was unknown. The reporter did not provide the causality between the events Volvulus and Swallowing impaired and the study drug.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.

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Symptoms

Dysphagia, Volvulus

Vaccines

VAX DATE: 02-13-2021| ONSET DATE: 02-27-2021| DAYS TO ONSET: 14
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (MODERNA)) 1 COVID19 MODERNA 015M20A OT

RECVDATE:03-26-2021
RPT_DATE:
CAGE_YR:80
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:Y
HOSPDAYS:13
X_STAY:U
DISABLE:U
RECOVD:U
LAB_DATA:
V_ADMINBY:
OTHER_MEDS:
CUR_ILL:
HISTORY:Medical History/Concurrent Conditions: Surgery
PRIOR_VAX:
SPLTTYPE:USMODERNATX, INC.MOD20210
FORM_VERS:
TODAYS_DATE:03-23-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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