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VAERS ID	2168524
성별	남성
나이	42세
주 코드	FR
제약회사	PFIZER\BIONTECH
로트 번호	1F030A
예방접종 횟수	3
접종일	2021-09-27
발병일	2022-02-01
상태	사망

증상

• 갑작스런 심장사(Sudden cardiac death)

이환 중 질병

지병

Medical History/Concurrent Conditions: Arterial hypertension; Schizophrenic psychoses

기타 의료

이전 예방접종

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임상 검사

증상 상세

Sudden cardiac death; This is a spontaneous report received from a non-contactable physician from the Regulatory Authority-WEB.
Regulatory number: DE-PEI-202200077438.
A 42-year-old male patient received BNT162B2 (COMIRNATY, Solution for injection), administration date 27Sep2021 (Lot number: 1F030A) at the age of 42 years as dose 3 (booster), 0.
3 ml single for COVID-19 immunisation.
Relevant medical history included: "Arterial hypertension" (unspecified if ongoing); "Schizophrenic psychoses" (unspecified if ongoing).
The patient's concomitant medications were not reported.
Vaccination history included: Comirnaty (dose 1, 0.
3 ml single, Batch/Lot number: unknown), administration date: 25Feb2021, for COVID-19 vaccination; Comirnaty (dose 2, 0.
3 ml single, Batch/Lot number: unknown), administration date: 18Mar2021, for COVID-19 vaccination.
The following information was reported: On Feb2022, the patient experienced sudden cardiac death, found dead (cause undetermined).
Date of death given as 24Feb2022 (reported on 15Feb2022).
Confirmation of death by the emergency doctor, no known heart diseases, no autopsy arranged.
The reported cause of death was sudden cardiac death.
No autopsy was performed.
The events were assessed via Regulatory Authority as "D.
Unclassifiable.
".
No follow-up attempts are possible.
No further information is expected.
; Reported Cause(s) of Death: Sudden cardiac death