이상반응 보고

VAERS ID	1301965
성별	여성
나이	49세
주 코드	SC
제약회사	JANSSEN
로트 번호
예방접종 횟수
접종일
발병일	2021-04-27
상태	사망

증상

• 죽음(Death)

이환 중 질병

지병

Comments: The patient had no known drug allergies.

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임상 검사

증상 상세

DEATH; This spontaneous report received from a company representative concerned a 49 year old female.
The patient's height, and weight were not reported.
The patient's pre-existing medical conditions included the patient had no known drug allergies.
The patient received covid-19 vaccine ad26.
cov2.
s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, frequency 1 total, administered on MAR-2021 for prophylactic vaccination.
The batch number was not reported and has been requested.
No concomitant medications were reported.
On 27-APR-2021, the patient died from unknown cause of death after 4 weeks of Johnson and Johnson vaccination.
An autopsy was performed on an unspecified date and there was no sign of high blood pressure, heart disease, or diabetes to patient as per report.
The action taken with covid-19 vaccine ad26.
cov2.
s was not applicable.
This report was serious (Death).
; Sender's Comments: V0.
20210505962-covid-19 vaccine ad26.
cov2.
s -Death.
This event(s) is considered unassessable.
The event(s) 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(s).
; Reported Cause(s) of Death: UNKNOWN CAUSE OF DEATH; Autopsy-determined Cause(s) of Death: UNKNOWN CAUSE OF DEATH