이상반응 보고

VAERS ID 2168833
성별 여성
나이
주 코드 FR
제약회사 PFIZER\BIONTECH
로트 번호 30025TB
예방접종 횟수 3
접종일 2021-12-22
발병일
상태 사망
증상
  • 뇌출혈(Cerebral haemorrhage)

이환 중 질병

Alcohol addiction; Arterial hypertension; Depression; Parkinson's disease

지병

기타 의료

이전 예방접종

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임상 검사

증상 상세

Recurrent cerebral hemorrhage, mass hemorrhage, lethal death; This is a spontaneous report received from a non-contactable reporter (Consumer) from the Regulatory Authority-WEB.
Regulatory number: DE-PEI-CADR2022277619.
Other Case identifier: DE-CADRPEI-2022277619, DE-PEI-202200079918.
A 69-year-old female patient received bnt162b2 (COMIRNATY; reported strength: 0.
3 mL), administration date 22Dec2021 (Lot number: 30025TB) as dose 3 (booster), single for covid-19 immunisation.
Relevant medical history included: "Parkinson's disease" (ongoing); "Arterial hypertension" (ongoing); "Alcohol addiction" (ongoing); "Depression" (ongoing).
The patient's concomitant medications were not reported.
Vaccination history included: Comirnaty (Dose 2; unknown lot number), administration date: 21Jul2021, for covid-19 immunization, reaction: "patient received second dose on 21Jul2021 but received the first dose on Apr2021"; Comirnaty (Dose 1; unknown lot number), administration date: Apr2021, for covid-19 immunization, reaction: "Cerebral haemorrhage".
On an unspecified date, the patient experienced recurrent cerebral hemorrhage, mass hemorrhage, lethal death (death, medically significant) with outcome of fatal.
The patient date of death was 08Jan2022.
The reported cause of death was cerebral haemorrhage.
It was not reported if an autopsy was performed.
No follow-up attempts are possible.
No further information is expected.
; Sender's Comments: Linked Report(s) : DE-PFIZER INC-202200386929 same reporter/patient/drug/events, different timeline/dose;DE-PFIZER INC-202200386930 same reporter/patient/drug, different events/dose; Reported Cause(s) of Death: Cerebral haemorrhage