VAERS ID: 2183424

AGE: 7| SEX: F|STATE: FR (Philippines)

Description

Death; This is a spontaneous report received from a contactable Other HCP from Regulatory Authority. Regulatory number: PH-PHFDA-300137859. A 7-year-old female patient received BNT162B2 (COMIRNATY), intramuscular, administration date 15Feb2022 (Lot number: FR8392) at the age of 7 years as dose number unknown, single for COVID-19 immunisation. The patient's relevant medical history and concomitant medications were not reported. The following information was reported: DEATH (death), outcome "fatal", described as "Death". The date and the cause of death were unknown. 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: Death

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Symptoms

Death

Vaccines

VAX DATE: 02-15-2022| ONSET DATE: | DAYS TO ONSET:
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) Unknown COVID19 PFIZER\BIONTECH FR8392 OT Unknown

RECVDATE:03-17-2022
RPT_DATE:
CAGE_YR:
CAGE_MO:
DIED:Y
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:
V_ADMINBY:OTH
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:PHPFIZER INC202200390654
FORM_VERS:
TODAYS_DATE:03-16-2022
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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