이상반응 보고

VAERS ID 2295957
성별 알 수 없음
나이
주 코드 FR
제약회사 JANSSEN
로트 번호
예방접종 횟수 1
접종일 2021-10-01
발병일 2021-10-01
상태 사망
증상
  • 인플루엔자(Influenza)
  • 비출혈(Epistaxis)
  • 죽음(Death)
  • 임신 중 태아 노출(Foetal exposure during pregnancy)

이환 중 질병

지병

Comments: Patient's mother was pregnant at the time of vaccination.

기타 의료

이전 예방접종

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임상 검사

증상 상세

FLU; DEATH; BLOOD FROM NOSE; DRUG EXPOSURE IN UTERO; This spontaneous pregnancy report received from a physician concerned a 6 week old infant of an unspecified sex, race and ethnicity.
The patient's height, and weight were not reported.
The patient's medical history included: patient's mother was pregnant at the time of vaccination.
The patient's parent received covid-19 vaccine ad26.
cov2.
s (suspension for injection, transplacental, batch number was not reported, expiry: unknown) dose was not reported, 1 total administered on OCT-2021 for prophylactic vaccination (drug exposure in utero).
The batch number was not reported and has been requested.
No concomitant medications were reported.
On an unspecified date, the patient experienced flu, and recovered.
Patient was fed at 23:00 hours and at 04:00 hours patient found dead with blood from nose on 02-MAY-2022.
Cause of death was not reported.
An autopsy was not performed.
The action taken with covid-19 vaccine ad26.
cov2.
s was not applicable.
The patient recovered from drug exposure in utero, and flu on 02-MAY-2022, and had not recovered from blood from nose.
This report was serious (Death, and Other Medically Important Condition).
This parent/child case is linked to 20220533415.
; Sender's Comments: V0:20220535475-covid-19 vaccine ad26.
cov2.
s- Death, Blood from nose.
The event(s) has an unknown/unclear 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.
20220535475-covid-19 vaccine ad26.
cov2.
s-Drug exposure in utero.
The event(s) 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(s) than the drug.
Specifically: SPECIAL SITUATIONS.
Therefore, this event(s) is considered not related.
; Reported Cause(s) of Death: UNKNOWN CAUSE OF DEATH