이상반응 보고
VAERS ID | 2166584 |
---|---|
성별 | 남성 |
나이 | |
주 코드 | FR |
제약회사 | PFIZER\BIONTECH |
로트 번호 | |
예방접종 횟수 | |
접종일 | |
발병일 | |
상태 | 사망 |
증상
- 부정맥(Arrhythmia)
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증상 상세
Arrhythmia; This is a spontaneous report received from a non-contactable reporter(s) (Consumer or other non HCP) from the Agency Agency-WEB.
Regulatory number: DE-PEI-CADR2022278291.
Other Case identifier(s): DE-CADRPEI-2022278291, DE-PEI-202200080790.
A 19 year-old male patient received bnt162b2 (COMIRNATY) (Lot number: Unknown) as dose number unknown, 0.
3 ml single for covid-19 immunisation.
The patient's relevant medical history and concomitant medications were not reported.
The following information was reported: ARRHYTHMIA (death, medically significant), outcome "fatal", described as "Arrhythmia".
The patient date of death was unknown.
The reported cause of death was arrhythmia.
It was not reported if an autopsy was performed.
Relatedness of Comirnaty to Arrhythmia assessed by Agency as D.
Unclassifiable.
Date of death: NOT ASKED No follow-up attempts are possible; information about lot/batch number cannot be obtained.
No further information is expected.
; Reported Cause(s) of Death: Arrhythmia