Adverse Event Reporting
| VAERS ID | 2013945 |
|---|---|
| Gender | Female |
| Age | |
| StateCode | FR |
| Pharmaceutical Company | PFIZER\BIONTECH |
| Lot Number | EX0893 |
| Number of vaccinations | 2 |
| Vaccinated | 2021-05-01 |
| Onset | 2021-10-11 |
| Condition | Died |
Symptoms
- SARS-CoV-2 test
- COVID-19
- Vaccination failure
Current Illness
Preexisting Conditions
Other Medications
Previous Vaccinations
Allergies
Laboratory Data
Test Date: 20211011; Test Name: COVID-19 PCR test; Test Result: Positive ; Comments: Variant PCR-based: B.
1.
617.
2.
n501y-positive: No.
Write-up
SARS-CoV-2 infection; SARS-CoV-2 infection; This is a spontaneous report received from a contactable reporter(s) (Physician) from a regulatory authority.
Regulatory number: AT-BASGAGES-2021-066850.
A 72 year-old female patient (unknown if pregnant) received bnt162b2 (COMIRNATY), intramuscular, administration date 10Apr2021 (Lot number: EW2246) as dose 1, single and intramuscular, administration date 01May2021 (Lot number: EX0893) as dose 2, single for covid-19 immunisation.
The patient's relevant medical history and concomitant medications were not reported.
The following information was reported: VACCINATION FAILURE (death, medically significant), COVID-19 (death, medically significant) all with onset 11Oct2021, outcome "fatal" and all described as "SARS-CoV-2 infection".
The patient underwent the following laboratory tests and procedures: sars-cov-2 test: (11Oct2021) positive, notes: Variant PCR-based: B.
1.
617.
2.
n501y-positive: No.
The patient date of death was 2021.
The reported cause of death was covid-19, vaccination failure.
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: SARS-CoV-2 infection; SARS-CoV-2 infection