VAERS ID: 2041984

AGE: | SEX: F|STATE:

Description

after receiving a dose of the Moderna vaccine (not booster), her implants became infected; This spontaneous case was reported by a consumer and describes the occurrence of DEVICE RELATED INFECTION (after receiving a dose of the Moderna vaccine (not booster), her implants became infected) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. Concurrent medical conditions included Breast implant user (had breast implants). On an unknown date, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced DEVICE RELATED INFECTION (after receiving a dose of the Moderna vaccine (not booster), her implants became infected) (seriousness criterion medically significant). The patient was treated with Surgery (One implant need to be removed) for Device related infection. At the time of the report, DEVICE RELATED INFECTION (after receiving a dose of the Moderna vaccine (not booster), her implants became infected) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant medications were not provided by the reporter. Company comment: This case concerns a female patient with no relevant medical history who experienced serious unexpected event of device related infection, reported as breast implant infection, that occurred after the dose of the mRNA-1273 . The rechallenge was not applicable due to unspecified number of doses administered. The benefit-risk relationship of mRNA-1273 is not affected by this report.; Sender's Comments: This case concerns a female patient with no relevant medical history who experienced serious unexpected event of device related infection, reported as breast implant infection, that occurred after the dose of the mRNA-1273 . The rechallenge was not applicable due to unspecified number of doses administered. The benefit-risk relationship of mRNA-1273 is not affected by this report.

Symptoms

Device related infection

Vaccines

VAX DATE: | ONSET DATE: | DAYS TO ONSET:
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (MODERNA)) Unknown COVID19 MODERNA OT Unknown

RECVDATE:01-18-2022
RPT_DATE:
CAGE_YR:
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:U
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:U
LAB_DATA:
V_ADMINBY:
OTHER_MEDS:
CUR_ILL:Breast implant user (had breast implants)
HISTORY:
PRIOR_VAX:
SPLTTYPE:USMODERNATX, INC.MOD20224
FORM_VERS:2
TODAYS_DATE:01-17-2022
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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