Adverse Event Reporting

VAERS ID 2146268
Gender Female
Age 66
StateCode TX
Pharmaceutical Company MODERNA
Lot Number 025L20A
Number of vaccinations 1
Vaccinated 2021-01-07
Onset
Condition
Symptoms
  • Pain in extremity

Current Illness

Blood pressure abnormal (Patient takes Micardis 80/20 but has not taken it for almost 2 months.)

Preexisting Conditions

Other Medications

MICARDIS

Previous Vaccinations

Allergies

Laboratory Data

Write-up

Sore arm; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Sore arm) in a 66-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no.
025L20A) for COVID-19 vaccination.
Concurrent medical conditions included Blood pressure abnormal (Patient takes Micardis 80/20 but has not taken it for almost 2 months.
).
Concomitant products included TELMISARTAN (MICARDIS) for Blood pressure abnormal.
On 07-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form.
On an unknown date, the patient experienced PAIN IN EXTREMITY (Sore arm).
At the time of the report, PAIN IN EXTREMITY (Sore arm) outcome was unknown.
mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosing remained unchanged.
For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.
No treatment medication information provided.
Patient reported no allergies to medications, food and other products.
Patient has never tested positive for COVID-19.
This case was linked to MOD-2022-493510, MOD-2022-493749 (Patient Link).