Adverse Event Reporting
| VAERS ID | 2562754 |
|---|---|
| Gender | Female |
| Age | |
| StateCode | FR |
| Pharmaceutical Company | PFIZER\BIONTECH |
| Lot Number | |
| Number of vaccinations | 4 |
| Vaccinated | 2022-10-30 |
| Onset | 2022-10-01 |
| Condition | Died |
Symptoms
- Syncope
- Coma
Current Illness
Preexisting Conditions
Other Medications
Previous Vaccinations
Allergies
Laboratory Data
Write-up
Coma; Syncope; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from Regulatory Authority.
Regulatory number: AEFI-A-079545.
A 70-year-old female patient received BNT162b2 multivalent nos (COMIRNATY MULTIVALENT NOS), on 30Oct2022 as dose 4 (booster), single (Batch/Lot number: unknown) for covid-19 immunisation.
The patient's relevant medical history and concomitant medications were not reported.
Vaccination history included: Covid-19 vaccine (Dose 3; Manufacturer Unknown), for COVID-19 immunisation; Covid-19 vaccine (Dose 2; Manufacturer Unknown), for COVID-19 immunisation; Covid-19 vaccine (Dose 1; Manufacturer Unknown), for COVID-19 immunisation.
The following information was reported: COMA (death, medically significant) with onset Oct2022, outcome "fatal"; SYNCOPE (death, medically significant) with onset Oct2022, outcome "fatal".
The patient date of death was Nov2022.
Reported cause of death: "Coma", "Syncope".
Clinical course: Reporters description of AEFI included within an hour of being given the Covid booster reporter' mum went into a coma.
Died 4x days later.
Reportedly, died- unrelated to Med (presented as reported).
The reporter considered "coma" and "syncope" not related to BNT162b2 multivalent nos.
The information on the batch/lot number for BNT162b2 multivalent nos has been requested and will be submitted if and when received.
; Reported Cause(s) of Death: Coma; Syncope