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VAERS ID 2285685
성별 여성
나이 82세
주 코드 FR
제약회사 PFIZER\BIONTECH
로트 번호 ACB7737
예방접종 횟수 4
접종일 2022-05-09
발병일 2022-05-10
상태 사망
증상
  • 급사(Sudden death)

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증상 상세

Sudden death unexplained; This is a spontaneous report received from a non-contactable reporter(s) (Physician) from the RA-WEB.
Regulatory number: DE-PEI-202200110771.
An 82-year-old female patient received BNT162b2 (COMIRNATY), on 09May2022 as dose 4 (booster), 0.
3 ml single (Lot number: ACB7737) at the age of 82 years for covid-19 immunisation.
The patient's relevant medical history and concomitant medications were not reported.
Vaccination history included: Comirnaty (Dose number unknown, dosage 0.
3 mL), for Covid-19 immunisation; Covid-19 vaccine (Dose number unknown), for Covid-19 immunisation.
The following information was reported: SUDDEN DEATH (death, medically significant) with onset 10May2022, outcome "fatal", described as "Sudden death unexplained".
The patient date of death was 10May2022.
The reported cause of death was unknown.
It was not reported if an autopsy was performed.
Clinical course: Assessment of Relatedness of drug to reaction/event was D.
Unclassifiable.
No follow-up attempts are possible.
No further information is expected.
; Reported Cause(s) of Death: Unknown cause of death