이상반응 보고

VAERS ID	2166586
성별	알 수 없음
나이
주 코드	FR
제약회사	PFIZER\BIONTECH
로트 번호
예방접종 횟수
접종일	2022-01-05
발병일
상태	사망

증상

• 죽음(Death)

이환 중 질병

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) (Consumer or other non HCP) from the Agency Agency-WEB.
Regulatory number: DE-PEI-CADR2022278638.
Other Case identifier(s): DE-CADRPEI-2022278638, DE-PEI-202200081323.
A 44 year-old patient received bnt162b2 (COMIRNATY, strength: 0.
3ML), administration date 05Jan2022 (Batch/Lot number: unknown) as dose number unknown, single for covid-19 immunisation.
The patient's relevant medical history and concomitant medications were not reported.
The following information was reported: DEATH (death), outcome "fatal", described as "Unknown cause of death".
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.
Relatedness of drug to event per Agency was D.
Unclassifiable.
Health Authority Comment: Case not valid (pending clarification).
No follow-up attempts are possible; information about lot/batch number cannot be obtained.
No further information is expected.
; Reported Cause(s) of Death: Unknown cause of death