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VAERS ID	2002570
성별	여성
나이
주 코드	FR
제약회사	JANSSEN
로트 번호
예방접종 횟수	1
접종일	2021-05-25
발병일	2021-11-11
상태	사망

증상

• SARS-CoV-2 테스트(SARS-CoV-2 test)
• 코로나 바이러스 감염증 -19 : 코로나 19(COVID-19)
• 예방접종 실패(Vaccination failure)

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이전 예방접종

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임상 검사

Test Date: 20211111; Test Name: COVID-19 PCR test; Result Unstructured Data: Positive

증상 상세

SARS-COV-2 INFECTION; VACCINATION FAILURE; This spontaneous report received from a physician via a Regulatory Authority (EVHUMAN Vaccines, AT-BASGAGES-2021-075663) on 03-JAN-2022 and concerned an 85 year old female of unknown race and ethnicity.
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, intramuscular, batch number was not reported, expiry: unknown) dose was not reported, 1 total, administered on 25-MAY-2021 for an unspecified indication (Dose number in series 1).
No concomitant medications were reported.
On 11-NOV-2021, the patient had sars-cov-2 (severe acute respiratory syndrome coronavirus 2) infection, and vaccination failure.
Laboratory data included: COVID-19 PCR (polymerase chain reaction) test (NR: not provided) Positive.
On an unspecified date, the patient died from unknown cause of death.
It was unspecified if an autopsy was performed.
The action taken with covid-19 vaccine ad26.
cov2.
s was not applicable.
The patient died of sars-cov-2 infection and vaccination failure on an unspecified date.
This report was serious (Death).
This case was associated with product quality complaint.
; Reported Cause(s) of Death: UNKNOWN CAUSE OF DEATH