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VAERS ID 2086029
성별 남성
나이
주 코드 FR
제약회사 PFIZER\BIONTECH
로트 번호 ACB5317
예방접종 횟수 2
접종일 2021-12-15
발병일 2021-12-16
상태 사망
증상
  • 호흡곤란(Dyspnoea)
  • 심장 마비(Cardiac arrest)

이환 중 질병

지병

Medical History/Concurrent Conditions: Dementia

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이전 예방접종

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임상 검사

증상 상세

cardiac arrest; sudden shortness of breath; This is a spontaneous report received from a non-contactable consumer from the Regulatory Authority-WEB.
Regulatory number: DE-PEI-CADR2022258004.
Other Case identifiers: DE-CADRPEI-2022258004 (Webportal), DE-PEI-202200054131.
An elderly male patient received bnt162b2 (COMIRNATY, strength 0.
3 mL), administration date 15Dec2021 (Lot number: ACB5317) as dose 2, single for covid-19 immunisation.
Relevant medical history included: "dementia" (unspecified if ongoing).
The patient's concomitant medications were not reported.
Vaccination history included: Comirnaty (Dose 1, MANUFACTURER UNKNOWN), for COVID-19 immunisation.
The following information was reported: CARDIAC ARREST (death, medically significant) with onset 16Dec2021, outcome "fatal", described as "cardiac arrest"; DYSPNOEA (death) with onset 16Dec2021, outcome "fatal", described as "sudden shortness of breath".
Therapeutic measures were taken as a result of cardiac arrest, dyspnoea.
The patient date of death was 16Dec2021.
The reported cause of death was cardiac arrest, dyspnoea.
Autopsy performed, result still pending.
Clinical course reported as follows: 1st day after the vaccination sudden shortness of breath, cardiac arrest, resuscitation unsuccessful.
Exitus letalis 1 day after the vaccination, autopsy performed, result still pending.
No follow-up attempts are possible.
No further information is expected.
; Reported Cause(s) of Death: cardiac arrest; sudden shortness of breath