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

This is VAERS ID 1113856



Case Details

VAERS ID: 1113856 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated:2021-02-18
Onset:2021-02-26
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-03-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Other       Purchased by: ?
Symptoms: Computerised tomogram head, Ischaemic cerebral infarction
SMQs:, Ischaemic central nervous system vascular conditions (narrow), Embolic and thrombotic events, arterial (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-02-26
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: XARELTO; LOSARTAN; METOPROLOL; CELLUVISC [CARMELLOSE SODIUM]; SIMVASTATIN; GANFORT; LANOXIN; BRIMONIDINE
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Atrial fibrillation (familiar with atrial fibrillation, adequately anticoagulated with a direct acting oral anticoagulant)
Allergies:
Diagnostic Lab Data: Test Name: CT brain; Result Unstructured Data: Test Result:unknown results
CDC Split Type: NLPFIZER INC2021267081

Write-up: Ischaemic cerebral infarction; This is a spontaneous report from a contactable physician downloaded from the Agency Agency-WEB regulatory authority number NL-LRB-00464815. An 85-year-old female patient received the first dose of BNT162B2 (COMIRNATY, Solution for injection, strength: 0.3 mL), via an unspecified route of administration at an unspecified age on 18Feb2021 (batch/lot number and expiration date unknown) at single dose for COVID-19 immunisation. Medical history included atrial fibrillation, patient was familiar with atrial fibrillation, for which she was adequately anticoagulated with a direct acting oral anticoagulant. The patient did not have previous COVID-19 infection. Concomitant medications included rivaroxaban (XARELTO), losartan, metoprolol, carmellose sodium (CELLUVISC), simvastatin, bimatoprost, timolol maleate (GANFORT), digoxin (LANOXIN), brimonidine. The patient experienced ischaemic cerebral infarction on 26Feb2021. During a walk, she suddenly collapsed, was successfully resuscitated due to an asystole. In the emergency department there was an ischemic cerebrovascular accident of the left hemisphere. Due to the size of the affected area, a palliative policy was instituted and the lady died the same day. In view of the occurrence of embolic processes in a corona infection and the fact that she was apparently treated adequately preventively. The patient underwent lab tests and procedures which included CT brain: unknown results on an unspecified date. The outcome of the event was fatal. The patient died on 26Feb2021. It was unknown if an autopsy was performed. The reporter stated that it''s impossible to say whether this cerebrovascular accident is related to the vaccination 8 days earlier. No follow-up attempts are possible, information about batch/lot number cannot be obtained.; Reported Cause(s) of Death: Ischaemic cerebral infarction


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