이상반응 보고

VAERS ID	1945138
성별	남성
나이	86세
주 코드	FR
제약회사	PFIZER\BIONTECH
로트 번호	30891TB
예방접종 횟수	3
접종일	2021-11-19
발병일	2021-11-22
상태	사망

증상

• 급사(Sudden death)

이환 중 질병

지병

기타 의료

이전 예방접종

알레르기

임상 검사

증상 상세

Sudden death unexplained; This is a spontaneous report from a non-contactable physician from the regulatory authority.
Regulatory number: DE-PEI-202100230301.
An 86-year-old male patient received bnt162b2 (COMIRNATY), administration date 19Nov2021 (Lot number: 30891TB) at the age of 86 years as dose 3 (booster), single for covid-19 immunisation.
The patient's relevant medical history and concomitant medications were not reported.
Vaccination history included: Comirnaty (1st dose), for COVID-19 immunisation; Comirnaty (2nd dose), for COVID-19 immunisation.
On 22Nov2021, the patient experienced sudden death unexplained.
The patient date of death was 22Nov2021.
The reported cause of death was sudden death.
It was not reported if an autopsy was performed.
The patient's outcome was fatal.
This report was serious - death.
Result of assessment (source: PEI) unclassifiable No follow-up attempts are possible.
No further information is expected.
; Reported Cause(s) of Death: Sudden death unexplained