Adverse Event Reporting

VAERS ID	1514197
Gender	Female
Age	71
StateCode	FR
Pharmaceutical Company	PFIZER\BIONTECH
Lot Number	FDS996
Number of vaccinations
Vaccinated	2021-06-25
Onset	2021-07-08
Condition	Died

Symptoms

• Pyrexia

Current Illness

Preexisting Conditions

Other Medications

Previous Vaccinations

Allergies

Laboratory Data

Write-up

fever; This is a spontaneous report from a contactable other hcp.
This is a report received from the Regulatory Authority.
Regulatory authority report number PH-PHFDA-300091349.
A 71-year-old female patient received bnt162b2 (COMIRNATY) at the age of 71-year-old, intramuscular on 25Jun2021 (Batch/Lot Number: FDS996) as dose number unknown, single for covid-19 immunization.
The patient medical history was not reported.
The patient's concomitant medications were not reported.
The patient experienced fever on 08Jul2021 11:30.
The patient died on an unspecified date.
It was not reported if an autopsy was performed.
The outcome of the event died was fatal.
No follow-up attempts are possible.
No further information is expected.
; Reported Cause(s) of Death: fever