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VAERS ID 1305027
성별 알 수 없음
나이
주 코드 TX
제약회사 MODERNA
로트 번호
예방접종 횟수 1
접종일
발병일
상태 사망
증상
  • 죽음(Death)

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died after receiving the Moderna Covid-19 vaccine; Based on the current case data, this case has been classified as invalid.
This spontaneous case was reported by a consumer and describes the occurrence of DEATH (died after receiving the Moderna Covid-19 vaccine) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination.
No Medical History information was reported.
On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form.
Death occurred on an unknown date The cause of death was not reported.
It is unknown if an autopsy was performed.
Not Provided Concomitant medications were not reported.
No treatment information was provided.
Action taken with mRNA-1273 in response to the drug was not applicable.
Company comment: This is a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination.
died on an unknown date after the first dose of vaccine.
No Medical History or Concomitant medications were reported.
Very limited information has been reported at this time.
Further information is not expected.
This case was linked to US-MODERNATX, INC.
-MOD-2021-012533, US-MODERNATX, INC.
-MOD-2021-020196, MOD21-10588, MOD21-086364, MOD21-086368 (Linked Report).
; Sender's Comments: This is a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination.
died on an unknown date after the first dose of vaccine.
No Medical History or Concomitant medications were reported.
Very limited information has been reported at this time.
Further information is not expected.
US-MODERNATX, INC.
-MOD-2021-012533: US-MODERNATX, INC.
-MOD-2021-020196: MOD21-10588: MOD21-086364: MOD21-086368:; Reported Cause(s) of Death: Unknown cause of death