이상반응 보고

VAERS ID	1315733
성별	남성
나이	57세
주 코드
제약회사	JANSSEN
로트 번호	206A21A
예방접종 횟수
접종일
발병일	2021-04-01
상태	사망

증상

• 죽음(Death)

이환 중 질병

지병

Comments: Unknown

기타 의료

이전 예방접종

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임상 검사

증상 상세

DIED; This spontaneous report received from company representative (via social media) concerned a 57 year old male.
The patient's weight, height, and medical history were not reported.
The patient received covid-19 vaccine ad26.
cov2.
s (suspension for injection, route of admin not reported, batch number: 206A21A, and expiry: UNKNOWN) dose was not reported, 1 total, administered on 12-APR-2021 for prophylactic vaccination.
No concomitant medications were reported.
In APR-2021 (7 days after vaccination), the patient died due to unknown cause.
It was unknown if an autopsy was performed.
The action taken with covid-19 vaccine ad26.
cov2.
s was not applicable.
This report was serious (Death).
; Sender's Comments: v0;20210518573-covid-19 vaccine ad26.
cov2-Died due to unknown cause.
This event is considered unassessable.
The event 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.
; Reported Cause(s) of Death: UNKNOWN CAUSE OF DEATH