VAERS ID: 1884622

AGE: 82| SEX: F|STATE: FL (United States)

Description

I'm having pain in the balls of my eyes; I'm having burning in the balls of my eyes; I'm losing my hearing; The rash was also under my breasts; The rash was on my ear cartilage, too. It was red, swollen; The rash was on my ear cartilage, too. It was red, swollen; Blisters on both sides of my tongue. It was worse on left side; The outside of my vaginal area had inflammation & was burning; The outside of my vaginal area had inflammation & was burning; This spontaneous case was reported by a consumer and describes the occurrence of ERYTHEMA (The rash was on my ear cartilage, too. It was red, swollen), EAR SWELLING (The rash was on my ear cartilage, too. It was red, swollen), TONGUE BLISTERING (Blisters on both sides of my tongue. It was worse on left side), VULVOVAGINAL INFLAMMATION (The outside of my vaginal area had inflammation & was burning) and VULVOVAGINAL BURNING SENSATION (The outside of my vaginal area had inflammation & was burning) in an 82-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 023M20A and 030L21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Dry eyes, Penicillin allergy, Drug allergy (Sulfa Allergy), Drug allergy (Codeine allergy), Latex allergy, Allergy to antibiotic (Tetracycline allergy) and Allergy to NSAIDs (Celecoxib allergy). On 25-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 22-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 22-Feb-2021, the patient experienced ERYTHEMA (The rash was on my ear cartilage, too. It was red, swollen), EAR SWELLING (The rash was on my ear cartilage, too. It was red, swollen), TONGUE BLISTERING (Blisters on both sides of my tongue. It was worse on left side), VULVOVAGINAL INFLAMMATION (The outside of my vaginal area had inflammation & was burning), VULVOVAGINAL BURNING SENSATION (The outside of my vaginal area had inflammation & was burning) and RASH (The rash was also under my breasts). On 12-Nov-2021, the patient experienced EYE PAIN (I'm having pain in the balls of my eyes), EYE IRRITATION (I'm having burning in the balls of my eyes) and HYPOACUSIS (I'm losing my hearing). The patient was treated with NYSTATIN (topical) for Vaginal inflammation and Vaginal burning sensation, at an unspecified dose and frequency and PREDNISONE (ophthalmic) for Dry eyes, at an unspecified dose and frequency. At the time of the report, ERYTHEMA (The rash was on my ear cartilage, too. It was red, swollen), EAR SWELLING (The rash was on my ear cartilage, too. It was red, swollen) and RASH (The rash was also under my breasts) had not resolved and TONGUE BLISTERING (Blisters on both sides of my tongue. It was worse on left side), VULVOVAGINAL INFLAMMATION (The outside of my vaginal area had inflammation & was burning), VULVOVAGINAL BURNING SENSATION (The outside of my vaginal area had inflammation & was burning), EYE PAIN (I'm having pain in the balls of my eyes), EYE IRRITATION (I'm having burning in the balls of my eyes) and HYPOACUSIS (I'm losing my hearing) outcome was unknown. No Concomitant medication were reported. On 16July2021 & 12April2021 Patient saw her gynecologist. She got Nystatin topical powder. It helps. Nothing else works. On 18Nov2021 Patient has an appointment with her Ophthalmologist.It was reported that patient lost her hearing, she doesn't know when it started happening and she is going to have a hearing test. This case was linked to MOD-2021-385946 (Patient Link).

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Symptoms

Rash, Eye pain, Erythema, Eye irritation, Hypoacusis, Tongue blistering, Vulvovaginal burning sensation, Ear swelling, Vulvovaginal inflammation

Vaccines

VAX DATE: 01-25-2021| ONSET DATE: 02-22-2021| DAYS TO ONSET: 28
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (MODERNA)) 1 COVID19 MODERNA 030L21A OT LA

RECVDATE:11-19-2021
RPT_DATE:
CAGE_YR:82
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:
V_ADMINBY:
OTHER_MEDS:
CUR_ILL:Allergy to antibiotic (Tetracycline allergy); Allergy to NSAIDs (Celecoxib allergy); Drug allergy (Sulfa Allergy); Drug allergy (Codeine allergy); Dry eyes; Latex allergy; Penicillin allergy.
HISTORY:
PRIOR_VAX:
SPLTTYPE:USMODERNATX, INC.MOD20213
FORM_VERS:
TODAYS_DATE:11-19-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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