이상반응 보고

VAERS ID	2013169
성별	남성
나이
주 코드	FR
제약회사	PFIZER\BIONTECH
로트 번호
예방접종 횟수	1
접종일
발병일	2021-12-11
상태	사망

증상

• 아나필락시성 쇼크(Anaphylactic shock)

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임상 검사

증상 상세

Anaphylactic shock; This is a spontaneous report received from a contactable reporter (Consumer or other non HCP) from a regulatory authority Regulatory number: IT-MINISAL02-822984.
A 44-year-old male patient received bnt162b2 (COMIRNATY), administered in arm left (Lot number: Unknown) as dose 1, single for COVID-19 immunization.
The patient's relevant medical history and concomitant medications were not reported.
The following information was reported: ANAPHYLACTIC SHOCK (death) with onset 11Dec2021, outcome "fatal", described as "Anaphylactic shock".
The patient date of death was unknown.
The reported cause of death was anaphylactic shock.
It was not reported if an autopsy was performed.
Impact on quality of life (10/10).
The lot number for bnt162b2 was not provided and will be requested during follow up.
; Reported Cause(s) of Death: Anaphylactic shock