이상반응 보고
| VAERS ID | 1290766 |
|---|---|
| 성별 | 남성 |
| 나이 | |
| 주 코드 | |
| 제약회사 | MODERNA |
| 로트 번호 | |
| 예방접종 횟수 | 1 |
| 접종일 | |
| 발병일 | 2021-04-26 |
| 상태 | 사망 |
증상
- 피로(Fatigue)
- 다한증(Hyperhidrosis)
- 호흡곤란(Dyspnoea)
- 의식 소실(Loss of consciousness)
- 복통(Abdominal pain)
- 예방 접종 합병증(Vaccination complication)
- 죽음(Death)
이환 중 질병
지병
Medical History/Concurrent Conditions: No adverse event
기타 의료
이전 예방접종
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임상 검사
증상 상세
Passed out; Abdominal pain; Trouble breathing; Sweats; Didn't feel well; Fatigue; death; This spontaneous case was reported by a consumer and describes the occurrence of DEATH (death) and LOSS OF CONSCIOUSNESS (Passed out) 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 No adverse event.
On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form.
On an unknown date, the patient experienced LOSS OF CONSCIOUSNESS (Passed out) (seriousness criterion medically significant), ABDOMINAL PAIN (Abdominal pain), DYSPNOEA (Trouble breathing), HYPERHIDROSIS (Sweats), VACCINATION COMPLICATION (Didn't feel well) and FATIGUE (Fatigue).
The patient died on 26-Apr-2021.
The reported cause of death was Passed out.
It is unknown if an autopsy was performed.
At the time of death, LOSS OF CONSCIOUSNESS (Passed out), ABDOMINAL PAIN (Abdominal pain), DYSPNOEA (Trouble breathing), HYPERHIDROSIS (Sweats), VACCINATION COMPLICATION (Didn't feel well) and FATIGUE (Fatigue) outcome was unknown.
No treatment information provided by the reporter and no history of concomitant medication was reported Regarding the events of loss of consciousness, malaise, abdominal pain, dyspnea, hyperhidrosis and fatigue, based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.
However regarding the event of death, Very limited information regarding this event has been provided at this time.
Further information has been requested; Sender's Comments: Regarding the events of loss of consciousness, malaise, abdominal pain, dyspnea, hyperhidrosis and fatigue, based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.
However regarding the event of death, Very limited information regarding this event has been provided at this time.
Further information has been requested; Reported Cause(s) of Death: passed out