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VAERS ID	2167370
성별	남성
나이	51세
주 코드	FR
제약회사	PFIZER\BIONTECH
로트 번호
예방접종 횟수	1
접종일
발병일
상태	사망

증상

• 코로나 바이러스 감염증 -19 : 코로나 19(COVID-19)
• 약물 효과 없음(Drug ineffective)

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증상 상세

This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from Regulatory Authority.
Regulatory number: PH-PHFDA-300136447 (RA).
A 51 year-old male patient received bnt162b2 (COMIRNATY), administration date 28Oct2021 (Batch/Lot number: unknown) at the age of 51 years as dose 2, single and (Batch/Lot number: unknown) 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: DRUG INEFFECTIVE (death, medically significant), COVID-19 (death, medically significant), outcome "fatal" and all described as "COVID-19".
The patient date of death was unknown.
The reported cause of death was Covid-19.
No follow-up attempts are possible; information about lot/batch number cannot be obtained.
No further information is expected.
Reported Cause(s) of Death: COVID-19.