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VAERS ID 1488679
성별 남성
나이 53세
주 코드 FR
제약회사 PFIZER\BIONTECH
로트 번호 EW2239
예방접종 횟수 2
접종일 2021-04-06
발병일 2021-04-21
상태 사망
증상
  • 급성 좌심실 부전(Acute left ventricular failure)

이환 중 질병

Chronic anxiety; Dementia NOS; Hospitalisation (due to the deterioration of his psychological condition); Personality disorder

지병

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임상 검사

증상 상세

sudden death, acute left ventricular failure; This is a spontaneous report from a contactable physician downloaded from the Agency Regulatory Authority-WEB.
The Regulatory Authority report number is HU-OGYI-456421.
A 53-year-old male patient received BNT162B2 (COMIRNATY) (Batch/Lot Number: EW2239), dose 2, intramuscular, administered in the left arm on 06Apr2021 (at the age of 53-years-old) as dose 2, 0.
3 mL, single for covid-19 immunisation.
Medical history included ongoing personality disorder, hospitalisation from 2014 (due to the deterioration of his psychological condition) and ongoing, ongoing chronic anxiety and dementia from 2014 and ongoing.
The patient's concomitant medications were not reported.
The patient previously received BNT162B2 (COMIRNATY) (lot number: EJ6790), dose 1, intramuscular, administered in the left arm on 02Mar2021 as DOSE 1, 0.
3 mL, SINGLE for COVID-19 immunization with no reported adverse effects.
On 21Apr2021, the patient suddenly died.
The patient's death certificate populated by the pathologist was based on the autopsy results.
Cause of death was reported as acute left ventricular failure.
The patient died on 21Apr2021.
An autopsy was performed and results were acute left ventricular failure.
The causal relationship between the suspect product and the event was considered not related.
The case was considered serious due to fatal outcome.
No follow-up attempts possible.
No further information expected.
; Reported Cause(s) of Death: Acute left ventricular failure