이상반응 보고

VAERS ID 2177026
성별 남성
나이 21세
주 코드 WI
제약회사 PFIZER\BIONTECH
로트 번호 EN5318
예방접종 횟수 2
접종일 2021-02-18
발병일 2021-02-25
상태 사망
증상
  • SARS-CoV-2 테스트(SARS-CoV-2 test)
  • 죽음(Death)

이환 중 질병

지병

Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None

기타 의료

이전 예방접종

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임상 검사

Test Name: Nasal Swab; Test Result: Negative

증상 상세

My son died within days after the second dose of the vaccine / autopsy remarks No known cause was found; This is a spontaneous report received from contactable reporter (consumer or other non-HCP).
The reporter is the parent.
A 21-year-old male patient received the second dose of bnt162b2 (BNT162B2) via an unspecified route of administration, administered in the left arm, on 18Feb2021 (batch/lot number: EN5318), at the age of 21 years old, as DOSE 2, SINGLE for COVID-19 immunization.
The patient had no relevant medical history.
Patient had no known allergies.
Prior to vaccination, the patient was not diagnosed with COVID-19.
Concomitant medications were not reported.
Vaccination history included: Bnt162b2 (first dose, via an unspecified route of administration, administered in the left arm (batch/lot number: E13259) as DOSE 1, SINGLE), administration date: 28Jan2021, for COVID-19 immunization.
The patient did receive any other vaccines within 4 weeks prior to the COVID vaccine.
following information was reported: DEATH (death) with onset 25Feb2021, outcome "fatal" described as "My son died within days after the second dose of the vaccine / autopsy remarks No known cause was found.
" The patient underwent the following laboratory tests and procedures: Nasal swab (SARS-CoV-2 test): negative.
The patient's date of death was 25Feb2021.
The autopsy revealed "no known cause was found" (death).
; Autopsy-determined Cause(s) of Death: No known cause was found