이상반응 보고

VAERS ID	2063691
성별	여성
나이
주 코드	FR
제약회사	PFIZER\BIONTECH
로트 번호	ACB4692
예방접종 횟수
접종일
발병일	2021-12-31
상태	사망

증상

• 죽음(Death)

이환 중 질병

Cardiac insufficiency; Coronary heart disease

지병

기타 의료

이전 예방접종

알레르기

임상 검사

증상 상세

Unknown cause of death; This is a spontaneous report received from a non-contactable reporter(s) (Physician) from the Regulatory Authority .
Regulatory number: DE-PEI-202200011396 (PEI).
A 94 year-old female patient received bnt162b2 (COMIRNATY) (Lot number: ACB4692) as dose number unknown, single for covid-19 immunisation.
Relevant medical history included: "Cardiac insufficiency" (ongoing); "Coronary heart disease" (ongoing).
The patient's concomitant medications were not reported.
The following information was reported: DEATH (death) with onset 31Dec2021, outcome "fatal", described as "Unknown cause of death".
The patient date of death was 31Dec2021.
The reported cause of death was "Unknown cause of death".
It was not reported if an autopsy was performed.
Result of assessment for event /PEI / D.
Unclassifiable No follow-up attempts are possible.
No further information is expected.
; Reported Cause(s) of Death: Unknown cause of death