이상반응 보고

VAERS ID	2259505
성별	남성
나이	69세
주 코드	FR
제약회사	JANSSEN
로트 번호	ACB7542
예방접종 횟수	1
접종일
발병일	2022-04-15
상태	사망

증상

• 호흡곤란(Dyspnoea)
• 기침(Cough)

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임상 검사

증상 상세

2 DAYS OF DIFFICULTY OF BREATHING WITH COUGH; 2 DAYS OF DIFFICULTY OF BREATHING WITH COUGH; This spontaneous report received from a health care professional by a Regulatory Authority (RA, PH-PHFDA-300144329) concerned a 69 year old male of an unspecified 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: ACB7542 and expiry: Unknown) dose was not reported, 1 total administered on 27-JAN-2022 for an unspecified indication.
Age at time of vaccination 69 years old.
No concomitant medications were reported.
On 15-APR-2022, the patient experienced difficulty of breathing with cough (2 days of difficulty of breathing with cough).
On an unspecified date, the patient died from difficulty of breathing with cough.
It was unspecified if an autopsy was performed.
The action taken with covid-19 vaccine ad26.
cov2.
s was not applicable.
This report was serious (Death).
; Sender's Comments: V0.
20220455249-covid-19 vaccine ad26.
cov2.
s -2 days of difficulty of breathing with cough.
The event(s) 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(s).
Therefore, this event(s) is considered unassessable.
; Reported Cause(s) of Death: 2 DAYS OF DIFFICULTY OF BREATHING WITH COUGH; 2 DAYS OF DIFFICULTY OF BREATHING WITH COUGH