이상반응 보고
| VAERS ID | 2168415 |
|---|---|
| 성별 | 남성 |
| 나이 | |
| 주 코드 | FR |
| 제약회사 | PFIZER\BIONTECH |
| 로트 번호 | FG4509 |
| 예방접종 횟수 | 3 |
| 접종일 | 2021-10-08 |
| 발병일 | 2021-10-19 |
| 상태 | 사망 |
증상
- SARS-CoV-2 테스트(SARS-CoV-2 test)
- 코로나 바이러스 감염증 -19 : 코로나 19(COVID-19)
- 예방접종 실패(Vaccination failure)
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임상 검사
Test Date: 20211019; Test Name: COVID-19 PCR test; Test Result: Positive
증상 상세
SARS-CoV-2 infection; SARS-CoV-2 infection; This is a spontaneous report received from a contactable reporter(s) (Physician) from the regulatory authority.
Regulatory number: AT-BASGAGES-2022-027613.
A 83 year-old male patient received bnt162b2 (COMIRNATY), intramuscular, administration date 08Oct2021 (Lot number: FG4509) as dose 3 (booster), single, intramuscular, administration date 02Apr2021 (Lot number: ET7205) as dose 2, single and intramuscular, administration date 12Mar2021 (Lot number: ET1831) 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: VACCINATION FAILURE (death), COVID-19 (death) all with onset 19Oct2021, outcome "fatal" and all described as "SARS-CoV-2 infection".
The patient underwent the following laboratory tests and procedures: sars-cov-2 test: (19Oct2021) positive.
The patient date of death was 19Oct2021.
The reported cause of death was covid-19.
It was not reported if an autopsy was performed.
Variant PCR-based: n.
a.
,Variant Sequenced n.
a.
,n501y-positive: Unknown.
No follow-up attempts are possible.
No further information is expected.
; Reported Cause(s) of Death: SARS-CoV-2 infection