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VAERS ID	2167371
성별	남성
나이	74세
주 코드	FR
제약회사	PFIZER\BIONTECH
로트 번호	PCB0002
예방접종 횟수	3
접종일	2021-12-03
발병일
상태	사망

증상

• 죽음(Death)
• 오프 라벨 사용(Off label use)
• 백신 제품의 교환(Interchange of vaccine products)

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임상 검사

증상 상세

Unknown cause of death; Patient received vaccination with Sinovac for dose 1 and 2; Patient received vaccination with Sinovac for dose 1 and 2; This is a spontaneous report received from a contactable reporter(s) (Other HCP) from Regulatory Authority.
Regulatory number: PH-PHFDA-300136524 (RA).
A 74 year-old male patient received bnt162b2 (COMIRNATY), intramuscular, administration date 03Dec2021 (Lot number: PCB0002) at the age of 74 years as dose 3 (booster), single for covid-19 immunisation.
The patient's relevant medical history and concomitant medications were not reported.
Vaccination history included: Sinovac (dose number: 1, lot number: L202103010), administration date: 28Apr2021; Sinovac (dose number: 2, lot number: J202103011), administration date: 28May2021.
The following information was reported: DEATH (death), outcome "fatal", described as "Unknown cause of death"; OFF LABEL USE (death), INTERCHANGE OF VACCINE PRODUCTS (death), outcome "unknown" and all described as "Patient received vaccination with Sinovac for dose 1 and 2".
The patient date of death was unknown.
The reported cause of death was "Death".
No follow-up attempts are possible.
No further information is expected.
; Reported Cause(s) of Death: Death