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VAERS ID: 1669818

AGE: 47| SEX: F|State: FR

Description

HYPERTENSION URGENCY; This spontaneous report received from a health care professional via a Regulatory Authority [PHIFDA,PH-PHFDA-300102541] concerned a 47 year old female with an unspecified race and ethnic origin. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: B#21210502#205, expiry: UNKNOWN) dose was not reported, 1 total administered on 28-JUL-2021 for prophylactic vaccination. No concomitant medications were reported. On 11-AUG-2021 at 08:10, the patient experienced hypertension urgency. On an unspecified date, the patient died from hypertension urgency. It was unknown if an autopsy was performed. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. This report was serious (Death).; Sender's Comments: V0: 20210904362- COVID-19 VACCINE AD26.COV2.S - Hypertension urgency. This event is considered unassessable. The event 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.; Reported Cause(s) of Death: HYPERTENSION URGENCY

Symptoms

Hypertension

Vaccines

VAX DATE: | ONSET DATE: 11 August 2021 | DAYS TO ONSET:
Vaccine TypeManufacturerVaccine NameDoseRouteSiteLot
  • COVID19
  • JANSSEN
  • COVID19 (COVID19 (JANSSEN))

        RECVDATE:
        03 September 2021
        CAGE_YR:
        CAGE_MO:
        RPT_DATE:
        DIED:
        Y
        DATEDIED:
        L_THREAT:
        ER_VISIT:
        HOSPITAL:
        HOSPDAYS:
        X_STAY:
        DISABLE:
        RECOVD:
        N
        LAB_DATA:
        V_ADMINBY:
        OTH
        OTHER_MEDS:
        CUR_ILL:
        HISTORY:
        Comments: Unknown
        PRIOR_VAX:
        SPLTTYPE:
        PHJNJFOC20210904362
        FORM_VERS:
        2
        TODAYS_DATE:
        03 September 2021
        BIRTH_DEFECT:
        OFC_VISIT:
        ER_ED_VISIT:
        ALLERGIES:
        V_FUNDBY:
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