VAERS ID: 1665547

AGE: 79| SEX: F|STATE: NY (United States)

Description

I was weak all over/I didn't want to get out of bed; Malaise; Headache; This case was received via United Kingdom MHRA (Reference number: MOD21-131145) on 16-Aug-2021 and was forwarded to Moderna on 16-Aug-2021. This spontaneous case was reported by a consumer and describes the occurrence of ASTHENIA (I was weak all over/I didn't want to get out of bed), MALAISE (Malaise) and HEADACHE (Headache) in a 79-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 013L20A and 013L20A) for COVID-19 vaccination. The patient's past medical history included Arm discomfort (a metal rod in the left humorous), Knee replacement (Both knees replaced) and Hip replacement (Left hip replacement). Concurrent medical conditions included Arthritis (Severe arthritis), Scoliosis and Stenosis. On 13-Feb-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 15-Feb-2021, the patient experienced ASTHENIA (I was weak all over/I didn't want to get out of bed), MALAISE (Malaise) and HEADACHE (Headache). At the time of the report, ASTHENIA (I was weak all over/I didn't want to get out of bed), MALAISE (Malaise) and HEADACHE (Headache) had resolved. No concomitant medication was reported by reporter. No treatment medication was reported by reporter. The events lasted for 4 to 5 hours, came and went away for the patient. Reporter did not allow further contact

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Symptoms

Headache, Malaise, Asthenia

Vaccines

VAX DATE: 02-13-2021| ONSET DATE: 02-15-2021| DAYS TO ONSET: 2
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (MODERNA)) 1 COVID19 MODERNA 013L20A OT RA

RECVDATE:09-02-2021
RPT_DATE:
CAGE_YR:79
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:Y
LAB_DATA:
V_ADMINBY:
OTHER_MEDS:
CUR_ILL:Arthritis (Severe arthritis); Scoliosis; Stenosis
HISTORY:Medical History/Concurrent Conditions: Arm discomfort (a metal rod in the left humorous); Hip replacement (Left hip replacement); Knee replacement (Both knees replaced)
PRIOR_VAX:
SPLTTYPE:USMODERNATX, INC.MOD20212
FORM_VERS:
TODAYS_DATE:09-01-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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