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This is VAERS ID 1045456

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1045456
VAERS Form:2
Age:86.0
Sex:Male
Location:Foreign
Vaccinated:2021-02-06
Onset:2021-02-06
Submitted:0000-00-00
Entered:2021-02-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Other      Purchased by: ??
Symptoms: Cerebral haemorrhage, Computerised tomogram head

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-02-06
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ENALAPRIL MALEATE
Current Illness: Hypertension
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Name: CT scan of the brain; Result Unstructured Data: Test Result:unknown results
CDC 'Split Type': NLPFIZER INC2021158442

Write-up: Cerebral haemorrhage; This is a spontaneous report from a contactable physician downloaded from the Medicines Agency (MA) Regulatory Authority-WEB. The regulatory authority report number is NL-LRB-00441065. Safety Report Unique Identifier is NL-LRB-00442329. An 86-year-old male patient received BNT162B2 (COMIRNATY), via an unspecified route of administration on 06Feb2021 as single dose for covid-19 immunisation. Medical history included ongoing hypertension. Concomitant medication included enalapril maleate (MANUFACTURER UNKNOWN). The patient experienced cerebral haemorrhage on 06Feb2021, which was serious as it lead to death. The event occurred 3 hours after vaccination. The patient underwent lab tests and procedures which included CT scan of the brain with unknown results on an unspecified date. The patient died on 06Feb2021. It was not reported if an autopsy was performed. No follow-up attempts are possible; information about batch/lot number cannot be obtained.; Reporter''s Comments: BioNTech/Pfizer vaccin (Comirnaty) Past drug therapy BioNTech/Pfizer vaccin (Comirnaty): no cerebral haemorrhage Additional information ADR: A few hours after the vaccination, this patient had a brain haemorrhage, which was so great that the patient died from it. There were no more treatment options. BSN available: yes confounding factors confounding factors: hypertension COVID19 Previous COVID-19 infection: No Other diagnostic procedures: CT scan of the brain; Reported Cause(s) of Death: Cerebral haemorrhage

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