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VAERS ID 2003046
성별 여성
나이
주 코드 FR
제약회사 PFIZER\BIONTECH
로트 번호 EM0477
예방접종 횟수 2
접종일 2021-02-02
발병일 2021-02-03
상태 입원 사망
증상
  • 메스꺼움(Nausea)
  • 구토(Vomiting)
  • 틈새 탈장(Hiatus hernia)
  • 내시경 상부 위장관(Endoscopy upper gastrointestinal tract)

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임상 검사

Test Name: Gastroscopy; Result Unstructured Data: Test Result:unknown results

증상 상세

vomiting E2; Nausea; large hiatal hernia torsion; This is a spontaneous report received from a contactable reporter(s) (Physician) from the WEB.
Regulatory number: BE-FAMHP-DHH-N2021-77209 A 89 year-old female patient received bnt162b2 (COMIRNATY), administration date 02Feb2021 (Lot number: EM0477) as dose 2, single for covid-19 immunisation.
The patient's relevant medical history and concomitant medications were not reported.
Vaccination history included: Covid-19 vaccine (MANUFACTURER UNKNOWN, dose 1, single), for covid-19 immunisation.
The following information was reported: VOMITING (death, hospitalization) with onset 03Feb2021, outcome "fatal", described as "vomiting E2"; NAUSEA (death, hospitalization) with onset 03Feb2021, outcome "fatal", described as "Nausea"; HIATUS HERNIA (death, hospitalization) with onset 03Feb2021, outcome "fatal", described as "large hiatal hernia torsion".
The patient underwent the following laboratory tests and procedures: endoscopy upper gastrointestinal tract: unknown results.
Therapeutic measures were not taken as a result of vomiting, nausea, hiatus hernia.
The patient date of death was unknown.
The reported cause of death was vomiting, nausea, hiatus hernia.
Reporter Comment: Treatment: None.
Evolution of the ADR: Death.
Situations : Other: E2 vomiting patient with large hiatal hernia torsion on vomiting.
Examinations: Gastroscopy No follow-up attempts are possible.
No further information is expected.
; Reported Cause(s) of Death: Nausea; large hiatal hernia torsion; vomiting E2