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VAERS ID	2589823
성별	여성
나이	81세
주 코드	FR
제약회사	PFIZER\BIONTECH
로트 번호	GJ2675
예방접종 횟수	5
접종일	2023-01-09
발병일	2023-01-09
상태	사망

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임상 검사

Test Date: 20230109; Test Name: body temperature; Result Unstructured Data: Test Result:36.
6 Centigrade; Comments: before vaccination; Test Date: 20230109; Test Name: CT; Result Unstructured Data: Test Result:remarkable endobronchial fluid collection; Comments: it was diagnosed that the patient had died due to near-drowning

증상 상세

asystole; jaw stiffness; in a state of near-drowning; Cardio-respiratory arrest; This is a spontaneous report received from a contactable reporter(s) (Physician) from Regulatory Authority.
Regulatory number: v2210003912.
An 81-year and 5-month-old female patient received BNT162b2, BNT162b2 omi ba.
4-5 (COMIRNATY RTU FOR BA.
4-5), on 09Jan2023 as dose 5 (booster), single (Lot number: GJ2675, Expiration Date: 31Jan2024) at the age of 81 years for covid-19 immunisation.
The patient's relevant medical history and concomitant medications were not reported.
There were no points to be considered on the vaccine screening questionnaire (primary diseases, allergies, vaccinations, and illnesses within the last one month, medications the patient was taking, past adverse effect history, growth status).
Vaccination history included: Covid-19 vaccine (dose 1, MANUFACTURER UNKNOWN), for COVID-19 immunisation; Covid-19 vaccine (dose 2, MANUFACTURER UNKNOWN), for COVID-19 immunisation; Covid-19 vaccine (dose 3, MANUFACTURER UNKNOWN), for COVID-19 immunisation; Covid-19 vaccine (dose 4, MANUFACTURER UNKNOWN), for COVID-19 immunisation.
On 09Jan2023 at around 18:50, the patient experienced events.
Symptoms are unknown since the patient was already in a state of cardio-respiratory arrest when she was emergently transported.
The course of the event was as follows: During the daytime on 09Jan2023, the patient received the vaccination.
Around 17:00 on the same day, the patient's family confirmed that she was alive.
After that (time unknown), it seemed that the patient had taken a bath by herself.
At around 18:50, when the patient's family went to the bathroom, they found her in a state of near-drowning.
At 19:05, when an emergency squad arrived, asystole and jaw stiffness appeared.
At 19:42, when the patient was transported to hospital as well, she was in a stated of asystole.
Cardiopulmonary resuscitation (reported as CPR) was performed, but no response.
Postmortem rigidity already started, and it was estimated that several hours had passed since the onset of cardio-respiratory arrest.
At 20:01, the patient was confirmed dead.
Computerised tomogram(reported as CT) found remarkable endobronchial fluid collection, and it was diagnosed that the patient had died due to near-drowning.
The patient underwent the following laboratory tests and procedures: Body temperature: (09Jan2023) 36.
6 Centigrade, notes: before vaccination; Computerised tomogram: (09Jan2023) remarkable endobronchial fluid collection, notes: it was diagnosed that the patient had died due to near-drowning.
Therapeutic measures were taken as a result of cardio-respiratory arrest, cardiac arrest.
The patient date of death was 09Jan2023.
Reported cause of death: "Cardio-respiratory arrest", "in a state of near-drowning", "asystole".
It was not reported if an autopsy was performed.
The reporting physician classified the event as serious (death) and assessed that the causality between the event and BNT162b2 as unassessable.
There was no other possible cause of the event such as any other diseases.
The reporting physician commented as follows: It seemed that some time had passed since death, and blood collection could not be performed due to difficulty in performing arterial puncture.
Whether or not adverse drug reaction(s) occurred due to the vaccine is unknown.
It was considered that the patient had had a risk of accidental near-drowning any time since she had been elderly.
; Reported Cause(s) of Death: in a state of near-drowning; Cardio-respiratory arrest; asystole