이상반응 보고
| VAERS ID | 1213115 |
|---|---|
| 성별 | 남성 |
| 나이 | 77세 |
| 주 코드 | NY |
| 제약회사 | MODERNA |
| 로트 번호 | 036B21A |
| 예방접종 횟수 | 2 |
| 접종일 | 2021-04-10 |
| 발병일 | 2021-04-10 |
| 상태 | 사망 |
증상
- 죽음(Death)
- 심장 마비(Cardiac arrest)
이환 중 질병
None
지병
E78.5 Other and unspecified hyperlipidemia R31.0 Gross hematuria K21.9 Esophageal reflux N40.0 Enlarged prostate without lower urinary tract symptoms I25.118 Atherosclerotic heart disease of native coronary artery with other forms of angina pectoris K62.5 Hemorrhage of anus and rectum N40.0 Benign prostatic hyperplasia without lower urinary tract symptoms D64.9 Anemia I10 HTN (hypertension) R41.82 Altered mental status, unspecified altered mental status type I25.10 CAD (coronary artery disease) F03.90 Dementia C18.9 Colon adenocarcinoma K21.9 Gastroesophageal reflux disease, esophagitis presence not specified E11.59 Type 2 diabetes mellitus with cardiac complication E11.69 Hyperlipidemia associated with type 2 diabetes mellitus E55.9 Vitamin D deficiency Stg III Colon cancer s/p sigmoidectomy, chemo CAD s/p PCI 2016. Diabetes. Benign Hypertension. Hypokalemia. BPH/kidney stones 10/2016 (SB Uro) s/p ?TURP.
기타 의료
Ferrous Sulfate 325 (65 Fe) MG Tablet 1 tablet Orally BID-TID Vitamin C 500 mg Tablet 1 tablet Orally Once a day Ozempic 0.5mg , Notes: rx'd by endo Metformin HCl 500 mg Tablet 2 TABS Orally twice a day Metoprolol Succinate ER
이전 예방접종
알레르기
Bactrim: itching
임상 검사
None
증상 상세
cardiac arrest at approximately 4:35pm, patient expired.