Adverse Event Reporting
| VAERS ID | 1514198 |
|---|---|
| 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
- Flank pain
- Urine copper
Current Illness
Preexisting Conditions
Other Medications
Previous Vaccinations
Allergies
Laboratory Data
Write-up
Fever; Flank pain; Urine copper; This is a spontaneous report from a contactable other healthcare professional.
This is a report received from the Regulatory Authority.
Regulatory authority report number PH-PHFDA-300091368.
A 71-year-old female patient received bnt162b2 (COMIRNATY), intramuscular on 25Jun2021 (at age of 71-year-old, Batch/Lot Number: FDS996) as single dose for covid-19 immunisation.
The patient medical history was not reported.
The patient's concomitant medications were not reported.
The patient experienced fever (death) on 08Jul2021, flank pain (death) on 08Jul2021, urine copper (death) on 08Jul2021.
The patient died on an unspecified date.
It was not reported if an autopsy was performed.
No follow-up attempts are possible.
No further information is expected.
; Reported Cause(s) of Death: Fever; Flank pain; Urine copper