이상반응 보고
| VAERS ID | 2169335 |
|---|---|
| 성별 | 여성 |
| 나이 | |
| 주 코드 | FR |
| 제약회사 | PFIZER\BIONTECH |
| 로트 번호 | BNT162B2 |
| 예방접종 횟수 | 2 |
| 접종일 | 2021-03-17 |
| 발병일 | 2021-04-09 |
| 상태 | 입원 사망 |
증상
- SARS-CoV-2 테스트(SARS-CoV-2 test)
- 의심되는 COVID-19(Suspected COVID-19)
- 예방접종 실패(Vaccination failure)
이환 중 질병
Anxiety; Aortic valve insufficiency; Atherosclerosis; Chronic renal failure; Dizziness; Encephalopathy; Goiter nodular; Hypertension; Insulin-dependent diabetes mellitus; Ischaemic heart disease; LBBB; Left ventricular hypertrophy; Mitral valve insufficiency; Unspecified paranoid state
지병
기타 의료
이전 예방접종
알레르기
임상 검사
Test Date: 20210409; Test Name: COVID-19 antigen test; Test Result: Negative ; Test Date: 20210409; Test Name: COVID-19 PCR test; Result Unstructured Data: Test Result:negative; Test Date: 20210410; Test Name: COVID-19 PCR test; Result Unstructured Data: Test Result:2 postmortem sample: unknown
증상 상세
Vaccination faliure; Suspected Covid-19 infection; This is a spontaneous report received from a contactable reporter(s) (Other HCP) from the RA.
A 85 year-old female patient received bnt162b2 (COMIRNATY), intramuscular, administered in arm left, administration date 17Mar2021 (Lot number: BNT162b2) as dose 2, 0.
3 ml single and intramuscular, administered in arm left, administration date 24Feb2021 (Lot number: EP2166) as dose 1, 0.
3 ml single for covid-19 immunisation.
Relevant medical history included: "Left ventricular hypertrophy" (ongoing); "Goiter nodular" (ongoing); "Insulin-dependent diabetes mellitus" (ongoing); "Atherosclerosis" (ongoing); "Ischaemic heart disease" (ongoing); "Dizziness" (ongoing); "Aortic valve insufficiency" (ongoing); "Chronic renal failure" (ongoing); "Anxiety" (ongoing); "LBBB" (ongoing); "Mitral valve insufficiency" (ongoing); "Encephalopathy" (ongoing); "Unspecified paranoid state" (ongoing); "Hypertension" (ongoing).
The patient's concomitant medications were not reported.
The following information was reported: VACCINATION FAILURE (hospitalization) with onset 09Apr2021, outcome "unknown", described as "Vaccination faliure"; SUSPECTED COVID-19 (hospitalization) with onset 09Apr2021, outcome "unknown", described as "Suspected Covid-19 infection".
The patient was hospitalized for suspected covid-19 (start date: 09Apr2021).
The patient underwent the following laboratory tests and procedures: sars-cov-2 test: (09Apr2021) negative; (09Apr2021) negative; (10Apr2021) 2 postmortem sample: unknown result.
The cardiologist raised the possibility of COVID-19 infection.
On 09Apr2021, the rapid antigen test and 1st PCR test were negative.
The patient died due ischaemic heart disease as indirect cause of death, the underlying cause was reported as general atherosclerosis, additional diseases were reported as chronic renal failure, diabetes and hypertension.
Postmortem, the patient had 2nd PCR test with an unknown result.
No follow-up attempts are possible.
No further information is expected.
; Sender's Comments: Linked Report(s) : HU-PFIZER INC-202200325733 Same patient, different event and suspect dose