이상반응 보고

VAERS ID	2166587
성별	여성
나이
주 코드	FR
제약회사	PFIZER\BIONTECH
로트 번호
예방접종 횟수	2
접종일	2021-12-30
발병일	2022-01-13
상태	사망

증상

• 무력증(Asthenia)
• 죽음(Death)

이환 중 질병

지병

Medical History/Concurrent Conditions: COVID-19 (at 93 years without symptoms)

기타 의료

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임상 검사

증상 상세

Mother had Corona at 93 years without symptoms.
After one year she was vaccinated twice.
After the second vaccination she became weaker day by day and died 14 days later; Mother had Corona at 93 years without symptoms.
After one year she was vaccinated twice.
After the second vaccination she became weaker day by day and died 14 days later.
; This is a spontaneous report received from a non-contactable Consumer from the regulatory authority-WEB.
Regulatory number: DE-PEI-CADR2022280136.
Other Case identifiers: DE-CADRPEI-2022280136 (Webportal), DE-PEI-202200083150.
A 95-year-old female patient received BNT162B2 (COMIRNATY), administration date 30Dec2021 (Batch/Lot number: unknown) as dose 2, 0.
3 mL single for COVID-19 immunisation.
Relevant medical history included: "Corona" (unspecified if ongoing), notes: at 93 years without symptoms.
The patient was very old but healthy.
The patient did not have allergies.
The patient's concomitant medications were not reported.
Vaccination history included: COVID-19 vaccine (dose 1, manufacturer unknown), for COVID-19 immunisation.
The following information was reported: DEATH (death) with onset 13Jan2022, outcome "fatal", described as "Mother had Corona at 93 years without symptoms.
After one year she was vaccinated twice.
After the second vaccination she became weaker day by day and died 14 days later.
"; ASTHENIA (non-serious), outcome "unknown", described as "Mother had Corona at 93 years without symptoms.
After one year she was vaccinated twice.
After the second vaccination she became weaker day by day and died 14 days later".
The cause of death was unknown.
It was not reported if an autopsy was performed.
Relatedness of drug to reactions/events:: Source of assessment: regulatory authority Result of Assessment: D.
Unclassifiable No follow-up attempts are possible; information about lot/batch number cannot be obtained.
No further information is expected.
; Reported Cause(s) of Death: Mother had Corona at 93 years without symptoms.
After one year she was vaccinated twice.
After the second vaccination she became weaker day by day and died 14 days later.