이상반응 보고

VAERS ID 1661940
성별 여성
나이 26세
주 코드 FR
제약회사 JANSSEN
로트 번호
예방접종 횟수
접종일
발병일 2021-07-08
상태 입원
증상
  • 두통(Headache)
  • 졸도(Syncope)
  • 머리 부상(Head injury)

이환 중 질병

지병

Comments: history of fainting

기타 의료

이전 예방접종

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임상 검사

증상 상세

Faint; Head injury; Headache; This spontaneous report received from a pharmacist by a Regulatory Authority (EVHUMAN Vaccines, IE-HPRA-2021-078820) was received on 31-AUG-2021 and concerned a 26 year old female.
The patient's height, and weight were not reported.
The patient's pre-existing medical conditions included: history of fainting.
The patient received covid-19 vaccine ad26.
cov2.
s (suspension for injection, route of admin not reported, batch number: XD974 expiry: UNKNOWN) 0.
5 ml, 1 total administered on 08-JUL-2021, for covid-19 immunisation.
No concomitant medications were reported.
On 08-JUL-2021, the patient experienced faint, and was hospitalized (date unspecified).
On 08-JUL-2021, the patient experienced head injury.
On 08-JUL-2021, the patient experienced headache.
The action taken with covid-19 vaccine ad26.
cov2.
s was not applicable.
The outcome of the faint, head injury and headache was not reported.
This report was serious (Hospitalization Caused / Prolonged).