이상반응 보고

VAERS ID	1284660
성별	알 수 없음
나이
주 코드	FL
제약회사	JANSSEN
로트 번호
예방접종 횟수
접종일
발병일
상태	사망

증상

• 혈전증(Thrombosis)

이환 중 질병

지병

Comments: Unknown

기타 의료

이전 예방접종

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임상 검사

증상 상세

CLOTS; This spontaneous report received from a physician concerned a patient of unspecified age and sex.
The patient's weight, height and medical history were not reported.
The patient received covid-19 vaccine ad26.
cov2.
s (suspension for injection, route of administration not reported, batch number: Unknown) frequency one total, dose, start therapy date were not reported for prophylactic vaccination.
The batch number was not reported and has been requested.
No concomitant medications were reported.
On an unspecified date, the patient died due to clot.
It was unknown if autopsy was performed.
The action taken with covid-19 vaccine ad26.
cov2.
s was not applicable.
The patient died to clots on an unspecified date.
This report was serious (Death).
This case, from the same reporter is linked to 20210457363.
; Sender's Comments: V0: 20210456400-Covid-19 vaccine ad26.
cov2.
s-Death.
This event(s) is considered unassessable.
The event(s) has an unknown/unclear temporal relationship, is unlabeled, and has unknown scientific plausibility.
There is no information on any other factors potentially associated with the event(s).
; Reported Cause(s) of Death: CLOTS