이상반응 보고
| VAERS ID | 950073 |
|---|---|
| 성별 | 남성 |
| 나이 | 63세 |
| 주 코드 | WI |
| 제약회사 | MODERNA |
| 로트 번호 | 025L20A |
| 예방접종 횟수 | 1 |
| 접종일 | 2021-01-15 |
| 발병일 | 2021-01-15 |
| 상태 | 사망 |
증상
- 두통(Headache)
- 떨림(Tremor)
- 체온 상승(Body temperature increased)
- 목 통증(Neck pain)
- 혼수(Lethargy)
- 생명 기능 비정상(Vital functions abnormal)
- 죽음(Death)
- 호흡 비정상(Respiration abnormal)
- 결핵균 복합검사 음성(Mycobacterium tuberculosis complex test negative)
이환 중 질병
Non-Hodgkin Lymphoma, Rhabdomyolysis, Anemia, Acute Kidney Failure, Chronic Embolism and Thrombosis of Lower Extremity
지병
Epilepsy, Hypertension, Atrial Fibrillation, Anxiety
기타 의료
Amlodipine, Aspirin, Atenolol, Chlorthalidone, Dexamethasone, Fluconazole, Multivitamin with Minerals, Probiotic, Acyclovir, Topiramate, Cefpodoxime, levetiracetam, Potassium, Acetaminophen, Aleve, Lisinopril
이전 예방접종
알레르기
Lisinopril, Losartan
임상 검사
Mantoux given 1/12/21 with negative results on 1/14/21
증상 상세
On 1/15/2021 at 1800, resident noted to be lethargic and shaking, stating "I don't care.
" repeatedly.
C/O head and neck pain.
T100.
6.
Given Tylenol with no relief of pain.
Order received for Aleve and administered.
.
Assisted to bed as usual in evening.
Monitored during night shift and noted to be resting comfortably/sleeping.
.
Noted agonal breathing at 4:10 AM 1/16/2021 , T 99.
4, Absence of vital signs at 4:15AM 1/16/21 and death pronounced at 4:40AM 1/16/21.