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This is VAERS ID 1011317

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History of Changes from the VAERS Wayback Machine

First Appeared on 2/18/2021

VAERS ID: 1011317
VAERS Form:2
Age:83.0
Sex:Female
Location:North Carolina
Vaccinated:2021-01-25
Onset:2021-02-05
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: Cerebrovascular accident, Computerised tomogram, Dizziness, Electrocardiogram, Feeling abnormal, Gait disturbance, Hypertension, Hypoaesthesia, Ultrasound scan, Mobility decreased, Ischaemic stroke, Blood test, Grip strength decreased, Magnetic resonance imaging abnormal

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 2     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.


Changed on 5/7/2021

VAERS ID: 1011317 Before After
VAERS Form:2
Age:83.0
Sex:Female
Location:North Carolina
Vaccinated:2021-01-25
Onset:2021-02-05
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: Cerebrovascular accident, Computerised tomogram, Dizziness, Electrocardiogram, Feeling abnormal, Gait disturbance, Hypertension, Hypoaesthesia, Ultrasound scan, Mobility decreased, Ischaemic stroke, Blood test, Grip strength decreased, Magnetic resonance imaging abnormal

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 2     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 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.


Changed on 5/21/2021

VAERS ID: 1011317 Before After
VAERS Form:2
Age:83.0
Sex:Female
Location:North Carolina
Vaccinated:2021-01-25
Onset:2021-02-05
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: Cerebrovascular accident, Computerised tomogram, Dizziness, Electrocardiogram, Feeling abnormal, Gait disturbance, Hypertension, Hypoaesthesia, Ultrasound scan, Mobility decreased, Ischaemic stroke, Blood test, Grip strength decreased, Magnetic resonance imaging abnormal

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 2     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 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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