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VAERS ID	2299488
성별	남성
나이	77세
주 코드	FR
제약회사	JANSSEN
로트 번호	ACB0542
예방접종 횟수	1
접종일
발병일	2022-05-07
상태	입원 사망

증상

• 무력증(Asthenia)

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임상 검사

증상 상세

BODY WEAKNESS; This spontaneous report received from a health care professional by a Regulatory Authority (PHIFDA, PH-PHFDA-300146851) on 26-MAY-2022, concerned a 77 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: ACB0542 and expiry: Unknown) dose was not reported, 1 total administered on 27-JAN-2022 for an unspecified indication.
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 07-MAY-2022, the patient experienced body weakness, and was hospitalized (date unspecified).
It was reported that the patient had vaccination site pain (date unspecified).
On an unspecified date, the patient died from body weakness.
It was unknown if an autopsy was performed.
The number of days hospitalization was not reported.
The action taken with covid-19 vaccine ad26.
cov2.
s was not applicable.
The patient died from body weakness on an unspecified date.
This report was serious (Death, and Hospitalization Caused / Prolonged).
; Sender's Comments: V0: 20220553541-COVID-19 VACCINE AD26.
COV2.
S-body weakness.
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: BODY WEAKNESS