VAERS ID: 1235683

AGE: | SEX: M|STATE: WA (United States)

Description

discharge of blood from penis; heart wanted to race or skip a beat/experienced arrhythmia and rapid heart beating; felt fatigued and felt like he was ready to go to sleep; This spontaneous case was reported by a consumer and describes the occurrence of PENILE HAEMORRHAGE (discharge of blood from penis) and ARRHYTHMIA (heart wanted to race or skip a beat/experienced arrhythmia and rapid heart beating) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 010A21A and 024M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Arrhythmia and Cardiac ablation. On 09-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 09-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 10-Mar-2021, the patient experienced PENILE HAEMORRHAGE (discharge of blood from penis) (seriousness criterion medically significant), ARRHYTHMIA (heart wanted to race or skip a beat/experienced arrhythmia and rapid heart beating) (seriousness criterion medically significant) and FATIGUE (felt fatigued and felt like he was ready to go to sleep). On 12-Mar-2021, FATIGUE (felt fatigued and felt like he was ready to go to sleep) had resolved. At the time of the report, PENILE HAEMORRHAGE (discharge of blood from penis) outcome was unknown and ARRHYTHMIA (heart wanted to race or skip a beat/experienced arrhythmia and rapid heart beating) had resolved. Action taken with mRNA-1273 in response to the event was not applicable. Concomitant product use was not provided by the reporter. No treatment information was provided.; Sender's Comments: based on the current available information and the temporal association between the product use and the start date of the events a causal relationship cannot be excluded.

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Symptoms

Arrhythmia, Fatigue, Penile haemorrhage

Vaccines

VAX DATE: 02-09-2021| ONSET DATE: 03-10-2021| DAYS TO ONSET: 29
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (MODERNA)) 1 COVID19 MODERNA 024M20A OT LA

RECVDATE:04-21-2021
RPT_DATE:
CAGE_YR:
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:U
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:Y
LAB_DATA:
V_ADMINBY:
OTHER_MEDS:
CUR_ILL:
HISTORY:Medical History/Concurrent Conditions: Arrhythmia; Cardiac ablation
PRIOR_VAX:
SPLTTYPE:USMODERNATX, INC.MOD20210
FORM_VERS:2
TODAYS_DATE:04-20-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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