이상반응 보고

VAERS ID	913805
성별	알 수 없음
나이	60세
주 코드	OR
제약회사	MODERNA
로트 번호	025J202A
예방접종 횟수	1
접종일	2020-12-28
발병일	2020-12-28
상태

증상

• 호흡곤란(Dyspnoea)
• 발진(Rash)

이환 중 질병

Unknown, not listed on the patient screening and consent form

지병

Unknown, not listed on the patient screening and consent form

기타 의료

Unknown, not listed on the patient screening and consent form

이전 예방접종

알레르기

Unknown, not listed on the patient screening and consent form

임상 검사

Unknown

증상 상세

Reports staff member hours after receiving the vaccine developing rash and shortness of breath.
Directed the staff member (who had received the vaccine ) to ER by supervising program nurse manager.