이상반응 보고
| VAERS ID | 1071117 |
|---|---|
| 성별 | 알 수 없음 |
| 나이 | |
| 주 코드 | |
| 제약회사 | MODERNA |
| 로트 번호 | |
| 예방접종 횟수 | 1 |
| 접종일 | 2021-01-31 |
| 발병일 | 2021-02-07 |
| 상태 | 사망 |
증상
- 요로 감염(Urinary tract infection)
- 소변 분석(Urine analysis)
- 출혈(Haemorrhage)
- 국제 표준화 비율(International normalised ratio)
- 죽음(Death)
이환 중 질병
Anticoagulant therapy (Long term history of anticoagulation therapy.)
지병
기타 의료
ANTICOAGULATION
이전 예방접종
알레르기
임상 검사
Test Date: 20210210; Test Name: INR; Test Date: 20210210; Test Name: urine analysis; Result Unstructured Data: diagnosed with a UTI
증상 상세
Passed away; UTI; Abnormal bleeding; A spontaneous report was received from a healthcare professional concerning a patient who received the Moderna COVID-19 Vaccine (mRNA-1273) and experienced abnormal bleeding, UTI, and passed away.
The patient's medical history included a long term history of anticoagulation therapy.
Concomitant product use included anticoagulation therapy.
On 31Jan2021 prior to the onset of the events the patient recieved their first dose of mRNA-1273 (Lot number:not reported) intramuscularly for prophylaxis of COVID-19 infection.
On 07Feb2021, the patient complained of abnormal bleeding.
Patient was seen at clinic on 10Feb2021 and was diagnosed with a UTI and given antibiotics.
An INR was also completed that day due to patient having a long term history of anticoagulation therapy.
Results of that showed the INR to be 12.
Prior to vaccination, patient's INR was normal and no changes to medications and diet were made after vaccination and prior to complaint starting.
On 12Feb2021 the patient passed away.
Action taken with mRNA-1273 in response to the events was not applicable.
The patient died on 12Feb2021.
The cause of death was unknown.
Plans for an autopsy were not provided.
; Reporter's Comments: This case concerns an 82 year old male patient, with history of long term anticoagulation therapy (unknown indication), who experienced a fatal event of death and abnormal hemorrhage, 13 days after receiving second dose of mRNA- 1273 (Lot# Unknown).
Very limited information regarding this event has been provided at this time.
Further information has been requested.
; Reported Cause(s) of Death: unknown cause of death