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VAERS ID 2531872
성별 남성
나이 88세
주 코드
제약회사 PFIZER\BIONTECH
로트 번호 EN6203
예방접종 횟수 1
접종일 2021-02-27
발병일 2021-03-30
상태 사망
증상
  • 호흡곤란(Dyspnoea)
  • 통증(Pain)
  • 상태가 악화됨(Condition aggravated)
  • 혈전증(Thrombosis)
  • 죽음(Death)
  • Hypophagia(Hypophagia)
  • 심부전 울혈(Cardiac failure congestive)
  • 전반적인 신체 건강 악화(General physical health deterioration)
  • 유제품 불내증(Dairy intolerance)

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Narrative: Patient was not previously COVID-19 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.
Note on 3/2/21 shows concern from patient's family that his health is declining as he was not eating, he was in pain, and short of breath despite being on 2L oxygen.
His contributing comorbidities include CHF, CKD, COPD, CAD, anemia, AAA, HTN, HLD.
On 3/9/21 he was admitted for a CHF exacerbation.
They found a blood clot in his arm during his hospital course and his status never improved.
On 3/24/21 they discharged him home on hospice, and he passed away on 3/30/21.