有害事象報告詳細

VAERS ID 1462724
性別 男性
年齢
州コード FR
製薬会社 Johnson & Johnson
ロット番号
ワクチン接種回数
接種日
発生日 2021-05-28
状態 入院 回復
症状
  • 倦怠感(Fatigue)
  • 発熱(Pyrexia)
  • 頭痛(Headache)
  • 血栓症(Thrombosis)
  • 胎児の出血(Haemorrhage foetal)

罹患中の病気

持病

その他医療

以前のワクチン接種

アレルギー

臨床検査

症状詳細

FEVER 38.
5 DEGREE CELSIUS HEADACHE HALF DAY AND 10 DAYS TIREDNESS AND LIGHT-HEADED, BUT ESPECIALLY ON THE OCCASION OF DISCHARGE OF FECES BLOOD LOSS WITH CONSIDERABLE CLOTS FOR 4/5 DAYS (I SUFFER FROM HEMORRHOIDS); FEVER 38.
5 DEGREE CELSIUS HEADACHE HALF DAY AND 10 DAYS TIREDNESS AND LIGHT-HEADED, BUT ESPECIALLY ON THE OCCASION OF DISCHARGE OF FECES BLOOD LOSS WITH CONSIDERABLE CLOTS FOR 4/5 DAYS (I SUFFER FROM HEMORRHOIDS); FEVER 38.
5 DEGREE CELSIUS HEADACHE HALF DAY AND 10 DAYS TIREDNESS AND LIGHT-HEADED, BUT ESPECIALLY ON THE OCCASION OF DISCHARGE OF FECES BLOOD LOSS WITH CONSIDERABLE CLOTS FOR 4/5 DAYS (I SUFFER FROM HEMORRHOIDS); FEVER 38.
5 DEGREE CELSIUS HEADACHE HALF DAY AND 10 DAYS TIREDNESS AND LIGHT-HEADED, BUT ESPECIALLY ON THE OCCASION OF DISCHARGE OF FECES BLOOD LOSS WITH CONSIDERABLE CLOTS FOR 4/5 DAYS (I SUFFER FROM HEMORRHOIDS); FEVER 38.
5 DEGREE CELSIUS HEADACHE HALF DAY AND 10 DAYS TIREDNESS AND LIGHT-HEADED, BUT ESPECIALLY ON THE OCCASION OF DISCHARGE OF FECES BLOOD LOSS WITH CONSIDERABLE CLOTS FOR 4/5 DAYS (I SUFFER FROM HEMORRHOIDS); This spontaneous report received from a consumer via a Regulatory Authority [EMEA EVHUMAN NLP, IT-MINISAL02-750408] concerned a 52 year old male of unknown race and ethnicity.
The patient's weight was 82 kilograms, and height was 180 centimeters.
No past medical history or concurrent conditions were reported.
The patient received covid-19 vaccine ad26.
cov2.
s (suspension for injection, intramuscular, batch number: XD975 expiry: UNKNOWN) 0.
5 ml, 1 total, administered on 25-MAY-2021 for covid-19.
No concomitant medications were reported.
On 28-MAY-2021, the patient experienced fever 38.
5 degree celsius headache half day and 10 days tiredness and light-headed, but especially on the occasion of discharge of feces blood loss with considerable clots for 4/5 days (patient suffered from hemorrhoids), and was hospitalized (date unspecified).
The action taken with covid-19 vaccine ad26.
cov2.
s was not reported.
The patient recovered from fever 38.
5 degree celsius headache half day and 10 days tiredness and light-headed, but especially on the occasion of discharge of feces blood loss with considerable clots for 4/5 days (I suffer from hemorrhoids).
This report was serious (Hospitalization Caused / Prolonged).
; Reporter's Comments: no previous or current pathology, no drug therapy - I suffer from hemorrhoids occasionally.
; Sender's Comments: V0: 20210711564-COVID-19 VACCINE AD26.
COV2.
S-Blood Clot, Foetal Blood Loss.
This event(s) is considered unassessable.
The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility.
There is no information on any other factors potentially associated with the event(s).
20210711564-COVID-19 VACCINE AD26.
COV2.
S-Fever, Tiredness, Headache.
This event(s) is labeled per RSI and is therefore considered potentially related.