이상반응 보고

VAERS ID	2167532
성별	여성
나이	80세
주 코드	FR
제약회사	PFIZER\BIONTECH
로트 번호
예방접종 횟수	3
접종일	2021-11-01
발병일	2021-11-01
상태	사망

증상

• 실신(Malaise)
• 심장 마비(Cardiac arrest)

이환 중 질병

Cardiac failure; Hypertension

지병

Medical History/Concurrent Conditions: Pneumonia; Pyelonephritis

기타 의료

이전 예방접종

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임상 검사

증상 상세

General feeling of illness; Cardiac arrest; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from the Regulatory Authority.
Regulatory number: SE-MPA-2022-009627 (Agency).
Other Case identifier(s): SE-VISMA-1644699923775 (Agency).
A 80 year-old female patient received bnt162b2 (COMIRNATY), administration date Nov2021 (Lot number: Unknown) at the age of 80 years as dose 3 (booster), single for covid-19 immunisation.
Relevant medical history included: "Hypertension" (ongoing); "Cardiac failure" (ongoing); "Pyelonephritis" (not ongoing); "Pneumonia" (not ongoing).
The patient's concomitant medications were not reported.
Vaccination history included: Comirnaty (DOSE 1, SINGLE, batch/lot# unknown), administration date: 09Mar2021, for COVID-19 immunization; Comirnaty (DOSE 2, SINGLE, batch/lot# unknown), administration date: 22Apr2021, for COVID-19 immunization, reaction(s): "Inappropriate schedule of vaccine administered".
The following information was reported: MALAISE (death) with onset Nov2021, outcome "fatal", described as "General feeling of illness"; CARDIAC ARREST (death) with onset Nov2021, outcome "fatal", described as "Cardiac arrest".
The patient date of death was unknown.
The reported cause of death was cardiac arrest.
Clinical course: Reported suspected adverse event was general malaise that started the same day as vaccination and cardiac arrest the day after the vaccination.
No follow-up attempts are possible; information about lot/batch number cannot be obtained.
No further information is expected.
; Sender's Comments: Linked Report(s) : SE-PFIZER INC-202200330913 same patient, different dose; Reported Cause(s) of Death: Cardiac arrest