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

This is VAERS ID 1019661

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Case Details

VAERS ID: 1019661 (history)  
Form: Version 2.0  
Age: 84.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-02-06
Onset:2021-02-07
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-02-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Cerebrovascular accident, Ischaemic stroke
SMQs:, Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Embolic and thrombotic events, arterial (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 2021-02-01
   Days after onset: 6
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: lipitor 20mg daily, zetia 10mg daily, HCTZ 12.5mg daily prn, lisinopril 20mg daily, vitamin d daily, motrin prn, magnesium oxide 400mg daily, MVI daily, fish oil daily, asa 81mg daily, eye drops (latanoprost, cosopt, prednisolone)
Current Illness: hip replacement, HLD, HTN, atherosclerotic heart disease, cataract surgery
Preexisting Conditions: hip replacement, HLD, HTN, atherosclerotic heart disease, cataract surgery
Allergies: NKA
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient admitted to hospital evening of 2/7/21 with acute ischemic stroke and received tenectaplase. Diagnosis Left MCA stroke. Reporting event given was just over 24 hours after first COVID vaccine dose.


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