VAERS ID: 2041988

AGE: | SEX: F|STATE:

Description

She has been informed of similar adverse effects with other implant recipients (implants became infected); This spontaneous case was reported by a consumer and describes the occurrence of DEVICE RELATED INFECTION (She has been informed of similar adverse effects with other implant recipients (implants became infected)) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for an unknown indication. The patient's past medical history included Breast prosthesis implantation. On an unknown date, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced DEVICE RELATED INFECTION (She has been informed of similar adverse effects with other implant recipients (implants became infected)) (seriousness criterion medically significant). At the time of the report, DEVICE RELATED INFECTION (She has been informed of similar adverse effects with other implant recipients (implants became infected)) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant product use was not provided by the reporter. Treatment information was not provided. Company comment: This case concerns a female patient with no reported medical history who experienced serious unexpected event of device related infection, reported as breast implant became infected, that occurred after the 2nd dose of the mRNA-1273 . The rechallenge was not applicable due to occurrence after the 2nd dose. The benefit-risk relationship of mRNA-1273 is not affected by this report.; Sender's Comments: This case concerns a female patient with no reported medical history who experienced serious unexpected event of device related infection, reported as breast implant became infected, that occurred after the 2nd dose of the mRNA-1273 . The rechallenge was not applicable due to occurrence after the 2nd dose. 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)) 2 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:
HISTORY:Medical History/Concurrent Conditions: Breast prosthesis implantation
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:

Questions? Comments? Bugs?
[email protected]
Due to the high volume of inquiries, please be patient with response times.

AND PLEASE read the FAQ first.

OpenVAERS is a private organization that posts publicly available CDC/FDA data of injuries reported post-vaccination. Reports are not proof of causality.