이상반응 보고

VAERS ID	2100413
성별	남성
나이
주 코드	FR
제약회사	PFIZER\BIONTECH
로트 번호	ACB8491
예방접종 횟수	1
접종일	2022-01-14
발병일	2022-01-17
상태	입원 사망

증상

• 가슴 통증(Chest pain)
• 신체 검사(Physical examination)

이환 중 질병

지병

기타 의료

이전 예방접종

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임상 검사

Test Name: urgent cardiological check-up; Result Unstructured Data: Test Result:unknown

증상 상세

persistent chest pain; This is a spontaneous report received from a contactable reporter(s) (Physician) from the Regulatory Authority-WEB.
Regulatory number: IT-MINISAL02-836351.
A 54 year-old male patient received bnt162b2 (COMIRNATY), intramuscular, administered in deltoid right, administration date 14Jan2022 11:10 (Lot number: ACB8491) as dose 1, single for covid-19 immunisation.
The patient's relevant medical history and concomitant medications were not reported.
The following information was reported: CHEST PAIN (death, hospitalization) with onset 17Jan2022, outcome "fatal", described as "persistent chest pain".
The patient was hospitalized for chest pain (start date: 17Jan2022, discharge date: 18Jan2022, hospitalization duration: 1 day(s)).
The event "persistent chest pain" was evaluated at the physician office visit and emergency room visit.
The patient underwent the following laboratory tests and procedures: physical examination: unknown.
The patient date of death was unknown.
The reported cause of death was "unknown cause of death".
It was not reported if an autopsy was performed.
No follow-up attempts are possible.
No further information is expected.
; Reported Cause(s) of Death: unknown cause of death