Your Health. Your Family. Your Choice.
Administered by: Other Purchased by: ?
Life Threatening? No
Write-up: DEATH; This is a spontaneous report from a non-contactable consumer downloaded from the regulatory authority-WEB, regulatory authority number NO-NOMAADVRE-PASRAPP-2021-Uyjy34. A 71-year-old female patient received first dose of bnt162b2 (COMIRNATY), intramuscular, administered in Arm Left on 06Apr2021 13:00 (Lot Number: Unknown) as single dose for covid-19 immunisation. Medical history and concomitant medications were not reported. On 14Apr2021 patient died, cause of death was unknown. It was not reported if an autopsy was performed. The reactions/case was considered to be Serious due to Death. No more information is available regarding this case. Sender Comment: This report was submitted by the daughter (BLINDED) of patient. No follow-up attempts are possible, information about batch number cannot be obtained.; Reported Cause(s) of Death: DEATH
Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166