VAERS ID: 1669818

AGE: 47| SEX: F|STATE: FR (Unknown)

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

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Symptoms

Hypertension

Vaccines

VAX DATE: | ONSET DATE: 08-11-2021| DAYS TO ONSET:
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (JANSSEN)) 0 COVID19 JANSSEN B#21210502#205 Unknown Unknown

RECVDATE:09-03-2021
RPT_DATE:
CAGE_YR:
CAGE_MO:
DIED:Y
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:
V_ADMINBY:OTH
OTHER_MEDS:
CUR_ILL:
HISTORY:Comments: Unknown
PRIOR_VAX:
SPLTTYPE:PHJNJFOC20210904362
FORM_VERS:
TODAYS_DATE:09-03-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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