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VAERS ID	1276582
성별	알 수 없음
나이
주 코드	NJ
제약회사	JANSSEN
로트 번호
예방접종 횟수
접종일
발병일
상태	사망

증상

• 죽음(Death)

이환 중 질병

지병

Comments: unknown cause of death.

기타 의료

이전 예방접종

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임상 검사

증상 상세

DEATH; This spontaneous report received from a consumer concerned a patient of unspecified age and sex.
The patient's height, and weight were not reported.
The patient's pre-existing medical conditions included unknown cause of death.
The patient received covid-19 vaccine ad26.
cov2.
s (suspension for injection, route of admin not reported, batch number: Unknown) dose, start therapy date were not reported for 1 total administered for prophylactic vaccination.
The batch number was not reported and has been requested.
No concomitant medications were reported.
On an unspecified date, the patient received the Janssen COVID-19 vaccine and then died 15 days later.
The action taken with covid-19 vaccine ad26.
cov2.
s was not applicable.
This report was serious (Death).
.
; Sender's Comments: V0-20210456256- COVID-19 VACCINE AD26.
COV2.
s.
adverse effect .
This event is considered unassessable.
The event has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility.
There is no information on any other factors potentially associated with the event.
; Reported Cause(s) of Death: UNKNOWN CAUSE OF DEATH