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VAERS ID	2297585
성별	남성
나이
주 코드	FR
제약회사	JANSSEN
로트 번호
예방접종 횟수	1
접종일
발병일	2021-12-04
상태	입원

증상

• 폐 색전증(Pulmonary embolism)

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임상 검사

증상 상세

PULMONARY EMBOLISM; This spontaneous report received from a consumer by a Regulatory Authority (PL-URPL-DML-MLP.
4401.
2.
9430.
2021) on 26-MAY-2022, concerned a 26 year old male of an unspecified race and ethnicity.
The patient's weight was 64 kilograms, and height was 195 centimeters.
No past medical history or concurrent conditions were reported.
The patient received covid-19 vaccine ad26.
cov2.
s (suspension for injection, subcutaneous, batch number: Unknown and expiry: Unknown) dose, start therapy date were not reported, 1 total administered for covid-19 immunisation.
The batch number was not reported.
The Company is unable to perform follow-up to request batch/lot numbers.
No concomitant medications were reported.
On 04-DEC-2021, the patient experienced pulmonary embolism, and was hospitalized (date unspecified).
The number of days of hospitalization was not reported and it was unsure the patient discharged from the hospital.
The action taken with covid-19 vaccine ad26.
cov2.
s was not applicable.
The patient had not recovered from pulmonary embolism.
This report was serious (Hospitalization Caused / Prolonged, and Other Medically Important Condition).