Your Health. Your Family. Your Choice.
Administered by: Unknown Purchased by: ?
Life Threatening? Yes
Write-up: Sudden death unexplained; This regulatory authority case was reported by a physician and describes the occurrence of SUDDEN DEATH (Sudden death unexplained) in a 77-year-old male patient who received mRNA-1273 (COVID 19 Vaccine Moderna) (batch no. 3000493) for COVID-19 vaccination. The patient''s past medical history included Ulcer peptic, Depression, COPD (Gold IV), Smoker, Reflux esophagitis (Grade 3) and Dyspnoea on effort. Concurrent medical conditions included Cachexia. Concomitant products included ESOMEPRAZOLE, NICOTINAMIDE (NICOBION), BECLOMETASONE DIPROPIONATE, FORMOTEROL FUMARATE, GLYCOPYRRONIUM BROMIDE (TRIMBOW), BROMAZEPAM (LEXOMIL 6 mg, double-scored tablet), CONCENTRAT DE CHOLECALCIFEROL, FORME PULVERULENTE, CALCIUM (CARBONATE DE), CARBONATE DE CALCIUM (OROCAL), VENLAFAXINE, PYRIDOXINE HYDROCHLORIDE, THIAMINE HYDROCHLORIDE (VITAMINE B1 B6 BAYER) and SALBUTAMOL (SULFATE DE), SULFATE DE SALBUTAMOL (VENTOLINE) for an unknown indication. On 10-Mar-2021, the patient received first dose of mRNA-1273 (COVID 19 Vaccine Moderna) (Intramuscular) 1 dosage form. The patient died on 11-Mar-2021. The reported cause of death was Sudden death unexplained. It is unknown if an autopsy was performed. For mRNA-1273 (COVID 19 Vaccine Moderna) (Intramuscular), the reporter did not provide any causality assessments. No treatment information was provided . This case was received from a regulatory authority (FR-AFSSAPS-NY20210563). Reporter did not allow further contact; Sender''s Comments: Very limited information regarding this event has been provided at this time. Patient''s advanced age along with underlying conditions may have been contributory for the occurrence of the death. No further follow-up information is expected.; Reported Cause(s) of Death: Sudden death unexplained
Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166