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VAERS ID 2013493
성별 남성
나이
주 코드 FR
제약회사 PFIZER\BIONTECH
로트 번호
예방접종 횟수 3
접종일 2021-12-09
발병일 2021-12-09
상태 사망
증상
  • 관절통(Arthralgia)
  • 피로(Fatigue)
  • 떨림(Tremor)
  • 주변 냉기(Peripheral coldness)
  • 면제(Immunisation)
  • 죽음(Death)

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임상 검사

증상 상세

natural death; Pain in the joints; reported having cold hands; after a short walk, he began to tremble enormously; Fatigue; Booster; This is a spontaneous report received from a contactable reporter (Consumer or other non HCP) from the Regulatory Authority.
Regulatory number: NL-LRB-00736413 (Agency).
A 92 year-old male patient received bnt162b2 (COMIRNATY) Strength- 0.
3ml, administration date 09Dec2021 (Lot number: Unknown) 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), administration date: 04Feb2021, for COVID-19 immunisation, reaction(s): "No adverse reaction"; Comirnaty (2nd dose), administration date: 11Mar2021, for COVID-19 immunisation, reaction(s): "No adverse reaction".
The following information was reported: IMMUNISATION (death) with onset 09Dec2021, outcome "fatal", described as "Booster"; DEATH (death) with onset 23Dec2021, outcome "fatal", described as "natural death"; ARTHRALGIA (non-serious) with onset 10Dec2021, outcome "unknown", described as "Pain in the joints"; PERIPHERAL COLDNESS (non-serious) with onset 10Dec2021, outcome "unknown", described as "reported having cold hands"; TREMOR (non-serious) with onset 10Dec2021, outcome "unknown", described as "after a short walk, he began to tremble enormously"; FATIGUE (non-serious) with onset 10Dec2021, outcome "unknown", described as "Fatigue".
The patient date of death was 23Dec2021.
the reporter said that my father(the patient) was in a nursing home they do not know exactly when the side effects started but it was almost immediately after receiving the booster.
The reported cause of death was "according to the doctor a natural death".
It was not reported if an autopsy was performed.
Reporter Comment: Summary: BioNTech/Pfizer vaccine (Comirnaty) Comirnaty 1st dose ADRs: no side effects Date: 04Feb2021 Comirnaty 2nd dose ADRs: no side effects Date: 11Mar2021 Additional information ADR.
Citizen service number available: yes Previous COVID-19 infection: No diagnostic procedures: no No follow-up attempts are possible; information about lot/batch number cannot be obtained.
No further information is expected.
; Reporter's Comments: Summary: BioNTech/Pfizer vaccine (Comirnaty) Comirnaty 1st dose ADRs: no side effects Date: 04Feb2021 Comirnaty 2nd dose ADRs: no side effects Date: 11Mar2021 Additional information ADR.
Citizen service number available: yes Previous COVID-19 infection: No diagnostic procedures: no; Reported Cause(s) of Death: according to the doctor a natural death