이상반응 보고
| VAERS ID | 936043 |
|---|---|
| 성별 | 여성 |
| 나이 | 98세 |
| 주 코드 | CA |
| 제약회사 | MODERNA |
| 로트 번호 | 037K20A |
| 예방접종 횟수 | 1 |
| 접종일 | 2021-01-04 |
| 발병일 | 2021-01-05 |
| 상태 | 사망 |
증상
- 자극에 무반응(Unresponsive to stimuli)
이환 중 질병
S82.001D Unspecified fracture of right patella, subsequent encounter for closed fracture with routine healing(Primary, Admission), M62.81 Muscle weakness (generalized), R29.3 Abnormal posture, M19.90 Unspecified osteoarthritis, unspecified site, E11.9 Type 2 diabetes mellitus without complications, Z86.73 Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits, E03.9 Hypothyroidism, unspecified, E78.5 Hyperlipidemia, unspecified, F03.90 Unspecified dementia
지병
S82.001D Unspecified fracture of right patella, subsequent encounter for closed fracture with routine healing(Primary, Admission), M62.81 Muscle weakness (generalized), R29.3 Abnormal posture, M19.90 Unspecified osteoarthritis, unspecified site, E11.9 Type 2 diabetes mellitus without complications, Z86.73 Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits, E03.9 Hypothyroidism, unspecified, E78.5 Hyperlipidemia, unspecified, F03.90 Unspecified dementia
기타 의료
atorvastatin,senna,MultiVitamin,Metamucil,metformin,Levothyroxine
이전 예방접종
알레르기
PENICILLINS
임상 검사
증상 상세
RESIDENT 1ST DOSE OF MODERNA VACCINE ADMINISTERED ON 01/04/2021 AT 8:30PM, RESIDENT FOUND UNRESPONSIVE ON 01/05/2021.