이상반응 보고

VAERS ID	1322563
성별	남성
나이
주 코드	CA
제약회사	JANSSEN
로트 번호
예방접종 횟수
접종일
발병일
상태	사망

증상

• 혈전증(Thrombosis)

이환 중 질병

지병

Comments: Unknown

기타 의료

이전 예방접종

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임상 검사

증상 상세

BLOOD CLOTS; This spontaneous report received from a consumer who reported hearing a news report concerned a male of unspecified age.
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 not reported, expiry not reported frequency one total, dose, therapy start date were not reported administered for prophylactic vaccination.
The batch number was not reported and has been requested.
No concomitant medications were reported.
On an unspecified date, the patient had blood clots.
On an unspecified date in 2021, the patient was died due to blood clots.
it was not reported whether autopsy was performed or not.
The action taken with covid-19 vaccine ad26.
cov2.
s was not applicable.
The patient died due to blood clot on an unspecified date in 2021.
This report was serious (Death).
This case, from the same reporter is linked to 20210523500.
; Sender's Comments: V0.
20210522533-COVID-19 VACCINE AD26.
COV2.
S-Blood clots.
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: BLOOD CLOTS