이상반응 보고

VAERS ID 1662917
성별 남성
나이
주 코드 FR
제약회사 JANSSEN
로트 번호
예방접종 횟수
접종일
발병일 2021-08-05
상태
증상
  • 코로나 바이러스 감염증 -19 : 코로나 19(COVID-19)
  • 예방접종 실패(Vaccination failure)

이환 중 질병

지병

기타 의료

이전 예방접종

알레르기

임상 검사

증상 상세

SARS-CoV-2 infection; Vaccination failure; This spontaneous report received from a physician by a Regulatory authority (EVHUMAN Vaccines, AT-BASGAGES-2021-042569) on 31-AUG-2021 and concerned a 19 year old male of unspecified race and ethnic origin.
The patient's height, and weight were not reported.
No past medical history or concurrent conditions were reported.
The patient received covid-19 vaccine ad26.
cov2.
s (suspension for injection, route of admin not reported, batch number: XD985 expiry: unknown) dose was not reported, 1 total administered on 26-JUN-2021 for prophylactic vaccination.
No concomitant medications were reported.
On 05-AUG-2021, the patient experienced sars-cov-2 infection and vaccination failure.
The action taken with covid-19 vaccine ad26.
cov2.
s was not applicable.
The outcome of the sars-cov-2 infection and vaccination failure was not reported.
This report was serious (Other Medically Important Condition).
This report was associated with product quality complaint.