Adverse Event Reporting
| VAERS ID | 1165586 |
|---|---|
| Gender | Female |
| Age | |
| StateCode | NJ |
| Pharmaceutical Company | MODERNA |
| Lot Number | 004M20A |
| Number of vaccinations | 1 |
| Vaccinated | 2021-02-10 |
| Onset | 2021-03-01 |
| Condition | Permanent Disability |
Symptoms
- Pyrexia
- Chills
- Asthenia
- Malaise
- Cough
- Disorientation
- Seizure
- Disorganised speech
Current Illness
Preexisting Conditions
Medical History/Concurrent Conditions: No adverse event (No reported medical history)
Other Medications
ZOVIRAX [ACICLOVIR]
Previous Vaccinations
Allergies
Laboratory Data
Write-up
disorientation; couldn't properly respond/was speaking gibberish; weakness; cough; now she's dealing with fluctuating fever/running a slight temperature; Chills; was physically shaking, like a convulsion; doesn't feel she's completely okay; A spontaneous report was received from a consumer, who was the husband of a 72-year-old female patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced extreme chills, was physically shaking, like a convulsion (seizure), disorientation, couldn't properly respond/was speaking gibberish (disorganized speech), weakness (asthenia), fluctuating fever/running a slight temperature (pyrexia), cough, and doesn't feel she's completely okay (malaise).
The patient's medical history was not provided by the reporter.
Concomitant medications included acyclovir.
On 12 MAR 2021, the patient received their second of two planned doses of mRNA-1273 intramuscularly for prophylaxis of COVID-19 infection.
On the same day, the patient had extreme chills and was physically shaking, like a convulsion where her husband had to hold her up.
On 12 Mar 2021, she experienced disorientation, she couldn't properly respond/was speaking gibberish, and had weakness.
The husband called 911 and a stroke was ruled out.
At the time of the report, the patient was dealing with a fluctuating fever/was running a slight temperature and a cough.
The husband didn't feel she was completely ok.
Treatment for the events included Gatorade and paracetamol.
The reporter considered the events of disorientation and couldn't properly respond/was speaking gibberish to be disabling.
Action taken with mRNA-1273 in response to the events was unknown except for stroke it was resolved.
The outcome of the events of chills, was physically shaking, like a convulsion, disorientation, couldn't properly respond/was speaking gibberish, and weakness were unknown.
The events of fluctuating fever/running a slight temperature, cough, and doesn't feel she's completely okay were considered not resolved at the time of this report.