이상반응 보고
| VAERS ID | 1295164 |
|---|---|
| 성별 | 남성 |
| 나이 | 74세 |
| 주 코드 | NJ |
| 제약회사 | MODERNA |
| 로트 번호 | 042B212A |
| 예방접종 횟수 | 2 |
| 접종일 | 2021-04-14 |
| 발병일 | 2021-04-15 |
| 상태 | 입원 중증 사망 |
증상
- 통증(Pain)
- 혼수(Lethargy)
- 죽음(Death)
이환 중 질병
None reported
지병
none reported
기타 의료
이전 예방접종
알레르기
NONE
임상 검사
증상 상세
Patient's wife called today to inform us that her husband passed away on 04/17/2021.
Patient experienced some side effects after receiving both doses of Moderna vaccine such as body ache and feeling of lethargy.
Patient was taken to the hospital around 04/16/2021.
Exact cause of the death is not known as wife did not want to get autopsy done.