VAERS ID: 1884650

AGE: 65| SEX: F|STATE: IL (United States)

Description

sinus infection; really bad cold; right side of the face was swollen; COVID arm,/oval shaped in the arm; This spontaneous case was reported by a consumer and describes the occurrence of SINUSITIS (sinus infection), NASOPHARYNGITIS (really bad cold), SWELLING FACE (right side of the face was swollen) and VACCINATION SITE REACTION (COVID arm,/oval shaped in the arm) in a 66-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 027A21A and 031L20A) for COVID-19 vaccination. No Medical History information was reported. On 11-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 11-Mar-2021, 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 experienced SINUSITIS (sinus infection), NASOPHARYNGITIS (really bad cold), SWELLING FACE (right side of the face was swollen) and VACCINATION SITE REACTION (COVID arm,/oval shaped in the arm). The patient was treated with AMOXICILLIN for Sinus infection, at an unspecified dose and frequency. At the time of the report, SINUSITIS (sinus infection), NASOPHARYNGITIS (really bad cold), SWELLING FACE (right side of the face was swollen) and VACCINATION SITE REACTION (COVID arm,/oval shaped in the arm) outcome was unknown. No Concomitant use were reported She went to an oral surgeon and was advised to continue with the antibiotics. This case was linked to MOD-2021-386034 (Patient Link).

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Symptoms

Sinusitis, Swelling face, Nasopharyngitis, Vaccination site reaction

Vaccines

VAX DATE: 02-11-2021| ONSET DATE: | DAYS TO ONSET:
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (MODERNA)) 1 COVID19 MODERNA 031L20A OT RA

RECVDATE:11-19-2021
RPT_DATE:
CAGE_YR:65
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:U
LAB_DATA:
V_ADMINBY:
OTHER_MEDS:
CUR_ILL:
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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