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This is VAERS ID 1106039

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1106039
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:2021-02-26
Onset:2021-02-27
Submitted:0000-00-00
Entered:2021-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP9598 / 1 - / -

Administered by: Other      Purchased by: ??
Symptoms: Cerebrovascular accident, Computerised tomogram

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-03-04
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: LASIX [FUROSEMIDE SODIUM]
Current Illness: Cardiac disorder
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210227; Test Name: CT; Result Unstructured Data: Test Result:stroke
CDC 'Split Type': ITPFIZER INC2021272638

Write-up: stroke; This is a spontaneous report downloaded from the Regulatory Authority-WEB: IT-MINISAL02- 692495. A contactable other healthcare professional (patient family member) reported that an 89-year-old female patient received first dose of BNT162B2 (COMIRNATY; Formulation: Solution for injection; Lot number: EP9598) via an unspecified route of administration on 26Feb2021 as a single dose for COVID-19 immunisation. Medical history included ongoing cardiac disorder. Concomitant medication included furosemide sodium (LASIX) and anticoagulant therapy (unspecified). On 27Feb2021, the patient experienced stroke. In the morning following the date of administration of the 1st dose (performed on 26Feb2021) the patient was found in a confessional state and motor alteration (left side of the body), hospitalized in the emergency room with a diagnosis of stroke by CT, subsequent aggravation and death in the afternoon of 04Mar2021. It was not reported if an autopsy was performed. The outcome of the event was reported as fatal. Health Authority Comment: Patient in apparent good health, currently do not have other details (case occurred to family member in another Region).; Reported Cause(s) of Death: stroke

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