이상반응 보고
VAERS ID | 1661966 |
---|---|
성별 | 남성 |
나이 | 26세 |
주 코드 | FR |
제약회사 | JANSSEN |
로트 번호 | |
예방접종 횟수 | |
접종일 | |
발병일 | 2021-08-07 |
상태 | 회복 |
증상
- 졸도(Syncope)
이환 중 질병
지병
기타 의료
이전 예방접종
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임상 검사
증상 상세
Syncope; This spontaneous report received from a health care professional via Regulatory authority (EVHUMAN Vaccines, PT-INFARMED-F202108-1051) was received on 31-AUG-2021 and concerned a 26 year old male of unspecified ethnic origin and race.
The patient's weight was not reported and height was 170 centimeters.
No past medical history or concurrent conditions were reported.
The patient received covid-19 vaccine ad26.
cov2.
s (suspension for injection, intramuscular, batch number: XE423 and expiry: unknown) 6 ml, .
5 ml, 1 total administered on 07-AUG-2021 for covid-19 immunisation.
No concomitant medications were reported.
On 07-AUG-2021, the patient experienced syncope.
The action taken with covid-19 vaccine ad26.
cov2.
s was not applicable.
The patient recovered from syncope on 07-AUG-2021.
This report was serious (Other Medically Important Condition).