이상반응 보고
| VAERS ID | 1514198 |
|---|---|
| 성별 | 여성 |
| 나이 | 71세 |
| 주 코드 | FR |
| 제약회사 | PFIZER\BIONTECH |
| 로트 번호 | FDS996 |
| 예방접종 횟수 | |
| 접종일 | 2021-06-25 |
| 발병일 | 2021-07-08 |
| 상태 | 사망 |
증상
- 발열(Pyrexia)
- 옆구리 통증(Flank pain)
- 소변 구리(Urine copper)
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임상 검사
증상 상세
Fever; Flank pain; Urine copper; This is a spontaneous report from a contactable other healthcare professional.
This is a report received from the Regulatory Authority.
Regulatory authority report number PH-PHFDA-300091368.
A 71-year-old female patient received bnt162b2 (COMIRNATY), intramuscular on 25Jun2021 (at age of 71-year-old, Batch/Lot Number: FDS996) as single dose for covid-19 immunisation.
The patient medical history was not reported.
The patient's concomitant medications were not reported.
The patient experienced fever (death) on 08Jul2021, flank pain (death) on 08Jul2021, urine copper (death) on 08Jul2021.
The patient died on an unspecified date.
It was not reported if an autopsy was performed.
No follow-up attempts are possible.
No further information is expected.
; Reported Cause(s) of Death: Fever; Flank pain; Urine copper