이상반응 보고

VAERS ID 926269
성별 남성
나이 74세
주 코드 MD
제약회사 PFIZER\BIONTECH
로트 번호 EL0140
예방접종 횟수 1
접종일 2021-01-04
발병일 2021-01-05
상태 사망
증상
  • 자극에 무반응(Unresponsive to stimuli)
  • 호흡 정지(Respiratory arrest)
  • 심장율동전환(Cardioversion)
  • 맥박 없음(Pulse absent)
  • 죽음(Death)
  • 소생술(Resuscitation)

이환 중 질병

Fracture of right superior and inferior pubic rami, fracture of the right sacral alla, and fracture of the L3 vertebral body. UNSPECIFIED PROTEIN-CALORIE MALNUTRITION

지병

Abdominal aortic aneurysm CHRONIC OBSTRUCTIVE PULMONARY DISEASE tobacco abuse, EtOH abuse Ambulatory dysfunction, debility, high risk for falls, deconditioning, ambulatory dysfunction/debility/deconditioning/high fall risk/generalized weakness MAJOR DEPRESSIVE DISORDER, RECURRENT, UNSPECIFIED PERSONAL HISTORY OF MALARIA

기타 의료

Acetaminophen Tablet 325 MG, Enulose Solution 10 GM/15ML (Lactulose Encephalopathy), HYDROcodone-Acetaminophen Tablet 5-325 MG, Milk of Magnesia Suspension 400 MG/5ML (Magnesium Hydroxide, Potassium Chloride ER Tablet Extended Release 20 ME

이전 예방접종

알레르기

No Known Allergies

임상 검사

증상 상세

Pt last seen at 1200 by nurse for ID band check.
No visible signs of distress noted.
Pt states "I just want to be left alone".
1230 nurse was called to pt room.
Pt was noted unresponsive, no pulse and respiration noted.
CPR started immediately, at 1239 first shock given.
1245 EMT took over, at 1319 EMT called time of death