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VAERS ID 2168416
성별 여성
나이
주 코드 FR
제약회사 PFIZER\BIONTECH
로트 번호 FF2832
예방접종 횟수 3
접종일 2021-10-07
발병일 2021-10-20
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: 20211020; Test Name: COVID-19 PCR test; Test Result: Positive ; Comments: Variant PCR-based: Variant Sequenced: B.
1.
617.
2 n501y-positive: No Information

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-WEB.
Regulatory number: AT-BASGAGES-2022-027627.
A 92 year-old female patient received bnt162b2 (COMIRNATY), intramuscular, administration date 07Oct2021 (Lot number: FF2832) as dose 3 (booster), single, intramuscular, administration date 16Feb2021 (Lot number: EJ6790, Expiration Date: May2021) as dose 2, single and intramuscular, administration date 19Jan2021 (Lot number: EJ6796, Expiration Date: Apr2021) 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 20Oct2021, outcome "fatal" and all described as "SARS-CoV-2 infection".
The patient underwent the following laboratory tests and procedures: sars-cov-2 test: (20Oct2021) positive, notes: Variant PCR-based: Variant Sequenced: B.
1.
617.
2; n501y-positive: No Information.
The patient date of death was unknown.
The reported cause of death was covid-19.
It was not reported if an autopsy was performed.
No follow-up attempts are possible.
No further information is expected.
; Reported Cause(s) of Death: SARS-CoV-2 infection