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From the 1/14/2022 release of VAERS data:

This is VAERS ID 1011317

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Case Details

VAERS ID: 1011317 (history)  
Form: Version 2.0  
Age: 83.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-01-25
Onset:2021-02-05
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL9261 / 1 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Blood test, Cerebrovascular accident, Computerised tomogram, Dizziness, Electrocardiogram, Feeling abnormal, Gait disturbance, Grip strength decreased, Hypertension, Hypoaesthesia, Ischaemic stroke, Magnetic resonance imaging abnormal, Mobility decreased, Ultrasound scan
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Dementia (broad), Embolic and thrombotic events, arterial (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Hypertension (narrow), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad), Sexual dysfunction (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Hydrochlorothyazide Escitalopram NP Thyroid Omega 3 Vitamin D Vitamin C w/Zinc Easy Iron
Current Illness: N/A
Preexisting Conditions: Alzheimer''s disease
Allergies: Amlodipine, Ciprofloxacin, Tamoxifen, Levothyroxine, Losartan, Lisinopril, Keflex
Diagnostic Lab Data: CT scan 2/5/21 Ultrasound? 2/5-2/6/21? ECG 2/5/21 MRI 2/6/21 Bloodwork 2/5-2/6/21
CDC Split Type:

Write-up: 12 days after first vaccination: Dizziness; high blood pressure; nearly passed out; right arm numbness; inability to grip or pick up items with fingers; feeling of "lopsidedness"; unsteady on feet, requiring assistance to walk. Primary care physician recommended ER visit where possible stroke was diagnosed. Hospital MRI confirmed: " Left acute arterial ischemic stroke, MCA (Middle cerebral artery)" . Spent 2 days in hospital with high blood pressure, dizziness. Residual right finger numbness upon release.


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