이상반응 보고
| VAERS ID | 2000685 |
|---|---|
| 성별 | 남성 |
| 나이 | 61세 |
| 주 코드 | FR |
| 제약회사 | JANSSEN |
| 로트 번호 | |
| 예방접종 횟수 | 1 |
| 접종일 | |
| 발병일 | 2021-12-15 |
| 상태 | 사망 |
증상
- 코로나 바이러스 감염증 -19 : 코로나 19(COVID-19)
- 예방접종 실패(Vaccination failure)
이환 중 질병
지병
Comments: Unknown
기타 의료
이전 예방접종
알레르기
임상 검사
증상 상세
DYSPNEA; SUSPECTED CLINICAL VACCINATION FAILURE; This spontaneous report received from a health care professional by a Regulatory Authority (PHIFDA, PH-PHFDA-300128540) on 31-DEC-2021 and concerned a 61 year old male of an unspecified race and ethnic origin.
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 administration not reported, batch number: unknown, expiry: unknown) dose was not reported, dose number in series was 1, 1 total administered on 20-JUL-2021 for an unknown indication.
The batch number was not reported.
Per procedure, no follow-up will be requested for this case.
No concomitant medications were reported.
On 15-DEC-2021, the patient experienced dyspnea (coronavirus disease -19), and had suspected clinical vaccination failure.
On an unspecified date, the patient died from dyspnea.
It was unspecified if an autopsy was performed.
The action taken with covid-19 vaccine ad26.
cov2.
s was not applicable.
The outcome of the event dyspnea was fatal, and outcome of the suspected clinical vaccination failure was not reported.
This report was serious (Death, and Other Medically Important Condition).
This report was associated with product quality complaint: 90000209766.
; Sender's Comments: V0- 20211266702 -Covid-19 vaccine ad26.
CoV-2.
s- Dyspnea (COVID 19).
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.
V0- 20211266702-Covid-19 vaccine ad26.
CoV-2.
s- Suspected clinical vaccination failure.
This event is considered not related.
The event has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility.
There are other factors more likely to be associated with the event than the drug.
Specifically: SPECIAL SITUATIONS; Reported Cause(s) of Death: DYSPNEA