이상반응 보고

VAERS ID	2297440
성별	여성
나이	73세
주 코드	FR
제약회사	JANSSEN
로트 번호	ACB6894
예방접종 횟수	1
접종일
발병일	2022-02-08
상태	사망

증상

• 뇌혈관 사고(Cerebrovascular accident)

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임상 검사

증상 상세

CVA; This spontaneous report received from a health care professional by a Regulatory Authority (PHIFDA, PH-PHFDA-300146397) concerned a 74 year old female 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: ACB6894, expiry: unknown) dose was not reported, 1 total, administered on 21-JAN-2022 for an unspecified indication.
Age at time of vaccination 73 years old.
No concomitant medications were reported.
On 08-FEB-2022, the patient experienced CVA (cerebrovascular accident) which resulted in death.
It was unknown whether autopsy was done.
The action taken with covid-19 vaccine ad26.
cov2.
s was not applicable.
This report was serious (Death).
; Sender's Comments: V0: 20220543904-covid-19 vaccine ad26.
cov2.
s-CVA.
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: CVA