Adverse Event Reporting
| VAERS ID | 1129676 |
|---|---|
| Gender | Female |
| Age | |
| StateCode | |
| Pharmaceutical Company | MODERNA |
| Lot Number | |
| Number of vaccinations | 1 |
| Vaccinated | |
| Onset | |
| Condition | Hospitalized Permanent Disability |
Symptoms
- Hypoaesthesia
- Gait disturbance
- Vaccination complication
Current Illness
Preexisting Conditions
Medical History/Concurrent Conditions: No adverse event (No reported medical history)
Other Medications
Previous Vaccinations
Allergies
Laboratory Data
Write-up
cannot currently walk without assistance; no sensation from the waist; severe reaction to vaccine; A spontaneous report was received from an unknown (age and race) female consumer who received Moderna's COVID-19 Vaccine (mRNA-1273) and experienced severe vaccination adverse reaction, no sensation from the waist down and cannot currently walk without assistance.
The consumer's medical history was not provided.
No relevant concomitant medications were reported.
On an unknown date the consumer received their first dose of mRNA-1273 (lot# unknown) intramuscularly for prophylaxis of COVID-19 infection.
On an unknown date, the consumer experienced severe vaccination adverse reaction,no sensation from the waist down and cannot currently walk without assistance.
She was hospitalized for three days since the event started.
No information on discharge from the hospital.
No treatment information was provided.
Action taken with mRNA-1273 in response to the events was unknown.
The outcome of the events were unknown.
The assessment for the events was not provided.
; Reporter's Comments: Very limited information regarding these events has been provided at this time.
Further information has been requested.