이상반응 보고

VAERS ID	2010962
성별	여성
나이	89세
주 코드	FR
제약회사	PFIZER\BIONTECH
로트 번호	ACB4694
예방접종 횟수
접종일	2021-12-18
발병일	2021-12-19
상태	사망

증상

• 떨어지다(Fall)
• 졸도(Syncope)
• 죽음(Death)

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임상 검사

증상 상세

Found dead (cause undetermined); Syncope; Fall; This is a spontaneous report received from a non-contactable reporter(s) (Physician) from the Regulatory Authority-WEB.
Regulatory number: DE-PEI-202100284183.
A 89 year-old female patient received bnt162b2 (COMIRNATY), administration date 18Dec2021 (Lot number: ACB4694) at the age of 89 years as dose number unknown, single for covid-19 immunisation.
The patient's relevant medical history and concomitant medications were not reported.
The following information was reported: SYNCOPE (death) with onset 19Dec2021, outcome "fatal", described as "Syncope"; DEATH (death) with onset 20Dec2021, outcome "fatal", described as "Found dead (cause undetermined)"; FALL (death) with onset 19Dec2021, outcome "fatal", described as "Fall".
The patient date of death was 20Dec2021.
The reported cause of death was "Unknown cause of death".
It was not reported if an autopsy was performed.
Additional information: Relatedness of Comirnaty to event: ALL REPORTED EVENTS.
Source of assessment: Regulatory Authority.
Result of Assessment: D.
Unclassifiable.
; Reported Cause(s) of Death: Unknown cause of death