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From the 10/15/2021 release of VAERS data:

This is VAERS ID 1056333



Case Details

VAERS ID: 1056333 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated:2021-01-09
Onset:2021-01-10
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-02-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL1484 / 1 - / OT

Administered by: Other       Purchased by: ?
Symptoms: Cerebral haemorrhage, Facial paralysis, Monoplegia
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hearing impairment (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-01-15
   Days after onset: 5
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: ITPFIZER INC2021181279

Write-up: Upper limb paralysis and buccal rim deviation + gaze deviation. Death caused by cerebral haemorrhagic spread; Upper limb paralysis and buccal rim deviation + gaze deviation. Death caused by cerebral haemorrhagic spread; Upper limb paralysis and buccal rim deviation + gaze deviation. Death caused by cerebral haemorrhagic spread; This is a spontaneous report from a contactable physician downloaded from the Regulatory Authority- IT-MINISAL02-675199. A 99 years old female patient received 1st dose of bnt162b2 (COMIRNATY, lot EL1484, expiration date 01Apr2021) at 0.3ml single dose on 09Jan2021 intramuscular at left shoulder for COVID-19 immunisation. Medical history and concomitant drugs were not provided. The patient experienced Upper limb paralysis and buccal rim deviation + gaze deviation, spontaneous cerebral haemorrhagic spread occurred the day after the administration of the first dose of vaccine on 10Jan2021. The patient died on 15Jan2021. It was unknown whether autopsy was done. The reporter did not consider the event to be correlated with vaccination. The outcome of the events was fatal. No follow-up attempts possible. No further information expected.; Reporter''s Comments: Spontaneous cerebral haemorrhagic spread occurred the day after the administration of the first dose of vaccine. The reporter does not consider the event to be correlated with vaccination.; Sender''s Comments: Based on event-vaccine chronological association, contributory role of BNT162B2 (COMIRNATY) vaccine to onset of facial paralysis cannot be excluded. Events upper limb paralysis and cerebral haemorrhagic spread are attributed to intercurrent medical conditions and assessed Unrelated to BNT162B2 (COMIRNATY) vaccine.; Reported Cause(s) of Death: Upper limb paralysis and buccal rim deviation + gaze deviation. Death caused by cerebral haemorrhagic spread; Upper limb paralysis and buccal rim deviation + gaze deviation. Death caused by cerebral haemorrhagic spread; Upper limb paralysis and bucca


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