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VAERS ID	2168417
성별	여성
나이
주 코드	FR
제약회사	PFIZER\BIONTECH
로트 번호	FE6208
예방접종 횟수	3
접종일	2021-09-21
발병일	2021-10-21
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: 20211021; Test Name: COVID-19 PCR test; Test Result: Positive ; Comments: Variant PCR-based: B.
1.
617.
2, Variant Sequenced: n501y-positive: no information

증상 상세

Vaccination failure; SARS-CoV-2 infection; This is a spontaneous report received from a contactable reporter(s) (Physician) from the regulatory authority.
Regulatory number: AT-BASGAGES-2022-027650.
A 75 year-old female patient received bnt162b2 (COMIRNATY), intramuscular, administration date 21Sep2021 (Lot number: FE6208) as dose 3 (booster), single, intramuscular, administration date 23Mar2021 (Lot number: ET3620) as dose 2, single and intramuscular, administration date 02Mar2021 (Lot number: EP2166) 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) with onset 21Oct2021, outcome "fatal", described as "Vaccination failure"; COVID-19 (death) with onset 21Oct2021, outcome "fatal", described as "SARS-CoV-2 infection".
The patient underwent the following laboratory tests and procedures: sars-cov-2 test: (21Oct2021) positive, notes: Variant PCR-based: B.
1.
617.
2, Variant Sequenced: n501y-positive: no information.
The patient date of death was unknown.
The reported cause of death was vaccination failure, covid-19.
It was not reported if an autopsy was performed.
Follow-up attempts are completed.
No further information is expected.
; Reported Cause(s) of Death: Vaccination failure; SARS-CoV-2 infection