이상반응 보고
| VAERS ID | 1284731 |
|---|---|
| 성별 | 남성 |
| 나이 | |
| 주 코드 | NY |
| 제약회사 | MODERNA |
| 로트 번호 | |
| 예방접종 횟수 | 1 |
| 접종일 | |
| 발병일 | |
| 상태 | 사망 |
증상
- 전반적인 신체 건강 악화(General physical health deterioration)
- 제품 복용량 누락 문제(Product dose omission issue)
이환 중 질병
지병
Medical History/Concurrent Conditions: General physical health deterioration (It is reported that patient had history of many medical conditions, unspecified.); Rehabilitation therapy (Patient was in rehabilitation center)
기타 의료
이전 예방접종
알레르기
임상 검사
증상 상세
Died due to his many medical conditions; could not administer second vaccine; This spontaneous case was reported by a pharmacist (subsequently medically confirmed) and describes the occurrence of GENERAL PHYSICAL HEALTH DETERIORATION (Died due to his many medical conditions) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination.
The occurrence of additional non-serious events is detailed below.
The patient's past medical history included Rehabilitation therapy (Patient was in rehabilitation center) and General physical health deterioration (It is reported that patient had history of many medical conditions, unspecified.
).
On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form.
On an unknown date, the patient experienced GENERAL PHYSICAL HEALTH DETERIORATION (Died due to his many medical conditions) (seriousness criterion death) and PRODUCT DOSE OMISSION ISSUE (could not administer second vaccine).
The patient died on an unknown date.
The reported cause of death was medical conditions.
It is unknown if an autopsy was performed.
At the time of death, PRODUCT DOSE OMISSION ISSUE (could not administer second vaccine) had resolved.
For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.
Concomitant product use was not provided by the reporter.
No treatment information was provided.
; Sender's Comments: This is a male patient of unknown age who received mRNA-1273 vaccine (batch no.
unknown) who died on an unknown date after receiving first dose of vaccine.
Patient had history of many medical conditions.
No conmeds were given.
Reporter could not administer second vaccine.
Very limited information has been reported at this time.
No further information is expected.
; Reported Cause(s) of Death: medical conditions