이상반응 보고
| VAERS ID | 1479840 |
|---|---|
| 성별 | 남성 |
| 나이 | 95세 |
| 주 코드 | FR |
| 제약회사 | PFIZER\BIONTECH |
| 로트 번호 | EY0573 |
| 예방접종 횟수 | 2 |
| 접종일 | 2021-06-25 |
| 발병일 | 2021-06-01 |
| 상태 | 사망 |
증상
- 죽음(Death)
- 체온(Body temperature)
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임상 검사
Test Date: 20210625; Test Name: Body temperature; Result Unstructured Data: Test Result:36.
3 Centigrade; Comments: before vaccination
증상 상세
Unknown cause of death; This is a spontaneous report from a contactable physician received from the Regulatory authority report number is v21117301.
A 95-years-old (reported as 95-year and 9-month-old) male patient received bnt162b2 (COMIRNATY, Solution for injection, Lot number EY0573, Expiration date 30Sep2021) dose 2 via an unspecified route of administration on 25Jun2021 at 15:30 as DOSE 2, SINGLE for covid-19 immunization .
The patient medical history was not reported.
The patient was receiving unspecified medication(s) within 2 weeks of vaccination (details not provided).
Body temperature before vaccination was 36.
3 degrees centigrade.
Family history was not reported.
Historical Vaccine includes Dose 1 BNT162b2 (COMIRNATY, Lot# and expiration date were not reported).
The patient experienced Unknown Cause of Death on Jun2021 (also reported as on an unspecified date).
The patient underwent lab tests and procedures which included body temperature: 36.
3 centigrade on 25Jun2021 before vaccination.
The patient died on Jun2021.
It was not reported if an autopsy was performed (Autopsy was also reported as Unknown) The outcome of the event was fatal.
The course of the event was as follows: On 25Jun2021, the patient received the second vaccination.
On 27Jun2021 at night, the patient talked with family member.
On 30Jun2021 in the afternoon, the police received a call for service and entered the room of the patient with a keeper, and death was confirmed.
The reporting physician classified the event as serious (death) and assessed that the causality between the event and BNT162b2 as unassessable.
Other possible cause of the event such as any other diseases was not provided.
The reporting physician commented as follows: The patient was super-aged.
It was considered that the patient developed no severe symptoms within 48 after the vaccination.
Causality was unknown.
; Reported Cause(s) of Death: Unknown cause of death