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VAERS ID 1261821
성별 알 수 없음
나이 70세
주 코드 WV
제약회사 PFIZER\BIONTECH
로트 번호 EN6198
예방접종 횟수 2
접종일 2021-02-26
발병일 2021-03-10
상태 입원 사망
증상
  • 현기증(Dizziness)
  • 메스꺼움(Nausea)
  • 출혈(Haemorrhage)
  • 위장 출혈(Gastrointestinal haemorrhage)
  • 심장 마비(Cardiac arrest)
  • 내시경(Endoscopy)
  • 소장 출혈(Small intestinal haemorrhage)

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임상 검사

Test Date: 2021; Test Name: Endoscopy; Result Unstructured Data: Test Result:GI bleed

증상 상세

unknown bleeding; nausea; lightheaded; GI bleed; cardiac arrest; bleed in small intestine; This is a spontaneous report from a contactable consumer (patient's daughter).
A 70-year-old patient of an unspecified gender received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration, administered in Deltoid Right on 26Feb2021 (Batch/Lot Number: EN6198) as SINGLE DOSE for covid-19 immunisation.
Vaccine Administered at Military Facility was no.
Patient received the first dose of vaccine on 05Feb2021 at age of 70 years old for covid-19 immunization and experienced rash on face, loss of blood found to be from small intestine, hemoglobin low, cardiac arrest, going into shock.
The patient medical history and concomitant medications were not reported.
The patient experienced unknown bleeding (death, hospitalization, medically significant) on 10Mar2021, nausea (hospitalization) in 2021 with outcome of unknown, lightheaded (hospitalization) in 2021 with outcome of unknown, gastrointestinal (GI) bleed (medically significant) in 2021 with outcome of unknown, cardiac arrest (medically significant) in 2021 with outcome of unknown, bleed in small intestine (medically significant) in 2021 with outcome of unknown.
Patient went to the hospital on 10Mar2021 with nausea and lightheaded.
Endoscopy found GI bleed in 2021.
Received blood went into cardiac arrest.
Sent to another hospital found bleed in small intestine.
Patient experienced unknown bleeding on 10Mar2021, which required visit to Emergency room/ intensive care unit on 18Mar2021 and received treatment, it resulted in death.
The patient died on 18Mar2021.
An autopsy was not performed.
; Reported Cause(s) of Death: unknown bleeding