이상반응 보고
| VAERS ID | 2179568 |
|---|---|
| 성별 | 여성 |
| 나이 | |
| 주 코드 | FR |
| 제약회사 | PFIZER\BIONTECH |
| 로트 번호 | FG4509 |
| 예방접종 횟수 | 3 |
| 접종일 | 2021-10-08 |
| 발병일 | 2021-11-06 |
| 상태 | 사망 |
증상
- SARS-CoV-2 테스트(SARS-CoV-2 test)
- 코로나 바이러스 감염증 -19 : 코로나 19(COVID-19)
- 예방접종 실패(Vaccination failure)
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임상 검사
Test Date: 20211106; Test Name: COVID-19 PCR test; Test Result: Positive ; Comments: Variant PCR-based: B.
1.
617.
2.
Variant Sequenced: n501y-positive: no information
증상 상세
Vaccination failure; SARS-CoV-2 infection; This is a spontaneous report received from a contactable reporter(s) (Physician) from the Regulatory Authority-WEB.
Regulatory number: AT-BASGAGES-2022-028194.
A 98 year-old female patient received bnt162b2 (COMIRNATY), intramuscular, administration date 08Oct2021 (Lot number: FG4509) as dose 3 (booster), single, intramuscular, administration date 15Feb2021 (Lot number: EJ6790) as dose 2, single and intramuscular, administration date 18Jan2021 (Lot number: EL1491) as dose 1, single for covid-19 immunisation.
The patient's relevant medical history and concomitant medications were not reported.
The following information was reported: VACCINATION FAILURE (death) with onset 06Nov2021, outcome "fatal", described as "Vaccination failure"; COVID-19 (death) with onset 06Nov2021, outcome "fatal", described as "SARS-CoV-2 infection".
The patient underwent the following laboratory tests and procedures: sars-cov-2 test: (06Nov2021) positive, notes: Variant PCR-based: B.
1.
617.
2.
Variant Sequenced: n501y-positive: no information.
The patient date of death was unknown.
The reported cause of death was vaccination failure, covid-19.
It was unknown if an autopsy was performed.
No follow-up attempts are possible.
No further information is expected.
; Reported Cause(s) of Death: SARS-CoV-2 infection; Vaccination failure