이상반응 보고

VAERS ID	2063702
성별	여성
나이	103세
주 코드	FR
제약회사	PFIZER\BIONTECH
로트 번호	ACB4694
예방접종 횟수
접종일	2021-12-08
발병일	2021-12-23
상태	입원 중증 사망

증상

• 면제(Immunisation)
• 섬망 상태(Delirium)

이환 중 질병

지병

Medical History/Concurrent Conditions: Spinal disorder NOS

기타 의료

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임상 검사

증상 상세

booster; Delirium; This is a spontaneous report received from a non-contactable reporter(s) (Physician) from the Regulatory Authority.
Regulatory number: DE-PEI-202200038722.
A 103 year-old female patient received bnt162b2 (COMIRNATY), administration date 08Dec2021 (Lot number: ACB4694) at the age of 103 years as dose number unknown (booster), single for covid-19 immunisation.
Relevant medical history included: "Spinal disorder NOS" (unspecified if ongoing).
The patient's concomitant medications were not reported.
Vaccination history included: Covid-19 vaccine (dose 1, manufacturer unknown), for Covid-19 immunisation; Covid-19 vaccine (dose 2, manufacturer unknown), for Covid-19 immunisation.
The following information was reported: IMMUNISATION (death, hospitalization, life threatening) with onset 23Dec2021, outcome "fatal", described as "booster"; DELIRIUM (death, hospitalization, life threatening) with onset 23Dec2021, outcome "fatal", described as "Delirium".
The patient date of death was unknown.
The reported cause of death was delirium.
The autopsy was performed, and results were not provided.
No follow-up attempts are possible.
No further information is expected.
; Reported Cause(s) of Death: delirium