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
알레르기
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