이상반응 보고

VAERS ID 2529603
성별 남성
나이 80세
주 코드
제약회사 PFIZER\BIONTECH
로트 번호 EN6200
예방접종 횟수 2
접종일 2021-02-26
발병일 2021-03-11
상태 사망
증상
  • 호흡곤란(Dyspnoea)
  • 실신(Malaise)
  • 약물이상반응(Adverse drug reaction)
  • 죽음(Death)
  • 심폐정지(Cardio-respiratory arrest)

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증상 상세

Narrative: Patient was not previously Covid positive and did not have any predisposing factors(PMH, allergies, etc.
) for experiencing an adverse drug event.
The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death.
Patient was admitted to Hospital and coded twice before passing away on 3/11/21.
Daughter reports that patient began not feeling well and having difficulty breath shortly after receiving his second Pfizer COVID-19 vaccine on 2/26/21.
Death occurred at outside facility and suspected cause of death not apparent.
Patient was 78 and PMH included chronic hypoxemic respiratory failure, HTN, T2DM, COPD.