Adverse Event Reporting
| VAERS ID | 2032555 |
|---|---|
| Gender | Female |
| Age | |
| StateCode | FR |
| Pharmaceutical Company | PFIZER\BIONTECH |
| Lot Number | FD4555 |
| Number of vaccinations | 2 |
| Vaccinated | 2021-06-25 |
| Onset | 2021-11-12 |
| Condition | Died |
Symptoms
- SARS-CoV-2 test
- COVID-19
- Vaccination failure
Current Illness
Preexisting Conditions
Other Medications
Previous Vaccinations
Allergies
Laboratory Data
Test Date: 20211112; Test Name: COVID-19 PCR test; Test Result: Positive ; Comments: Variant PCR-based: No information Variant sequenced: No information n501y-positive: Unknown
Write-up
Vaccination failure; SARS-CoV-2 infection; This is a spontaneous report received from a contactable reporter(s) (Physician) from a regulatory authority.
Regulatory number: AT-BASGAGES-2021-075674.
A 43 year-old female patient received BNT162b2 (COMIRNATY), intramuscular, administration date 25Jun2021 (Lot number: FD4555) as dose 2, single and intramuscular, administration date 21May2021 (Lot number: FA4598) as dose 1, 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) with onset 12Nov2021, outcome "fatal", described as "Vaccination failure"; COVID-19 (death) with onset 12Nov2021, outcome "fatal", described as "SARS-CoV-2 infection".
The patient underwent the following laboratory tests and procedures: sars-cov-2 test: (12Nov2021) positive, notes: Variant PCR-based: No information Variant sequenced: No information n501y-positive: Unknown.
The patient date of death was 12Nov2021.
The reported cause of death was vaccination failure, covid-19.
No follow-up attempts are possible.
No further information is expected.
; Reported Cause(s) of Death: Vaccination failure; SARS-CoV-2 infection