이상반응 보고

VAERS ID 921572
성별 남성
나이 87세
주 코드 WI
제약회사 MODERNA
로트 번호
예방접종 횟수 1
접종일 2020-12-29
발병일 2020-12-30
상태 사망
증상
  • 오한(Chills)
  • 통증(Pain)
  • 자극에 무반응(Unresponsive to stimuli)
  • 떨어지다(Fall)
  • 산소포화도 감소(Oxygen saturation decreased)
  • 죽음(Death)
  • 고관절 골절(Hip fracture)

이환 중 질병

Heart Failure

지병

Chronic Kidney Disease, Atherosclerotic Heart Disease

기타 의료

Fluticasone, Lasix, Omeprazole, Sucarafate, Ropinrole HCl

이전 예방접종

알레르기

Lisinopril, Losartan

임상 검사

증상 상세

Resident had body aches, a low O2 sat and had chills starting on 12/30/20.
He had stated that they had slightly improved.
On 1/1/21 he sustained a fall with a diagnosis of a displaced hip fracture.
On 1/2/21 during the NOC shift his O2 sat dropped again.
He later went unresponsive and passed away.