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This is VAERS ID 1117431

History of Changes from the VAERS Wayback Machine

First Appeared on 3/26/2021

VAERS ID: 1117431
VAERS Form:2
Age:92.0
Sex:Female
Location:Unknown
Vaccinated:2021-03-10
Onset:2021-03-12
Submitted:0000-00-00
Entered:2021-03-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6204 / 1 RA / IM

Administered by: Senior Living      Purchased by: ??
Symptoms: Cerebrovascular accident, Dysarthria, Gait inability, Hemiparesis, Lethargy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-03-19
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: Carvedilol, eliquis, furosemide, isosorbide, seroquel
Current Illness: None
Preexisting Conditions: Coronary artery disease, cardiac stents, pacemaker, hypertension
Allergies: Sulfa,
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Found in chair lethargic less than 48 hours after her first civid vaccine by facility staff where she lives in an independent living facility. Nursing staff felt she had a stroke with right sided weakness. Slurred speech, weak, unable to walk without two person assistance. Patient was under hospice care so hospitalization was given.


Changed on 5/7/2021

VAERS ID: 1117431 Before After
VAERS Form:2
Age:92.0
Sex:Female
Location:Unknown
Vaccinated:2021-03-10
Onset:2021-03-12
Submitted:0000-00-00
Entered:2021-03-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6204 / 1 RA / IM

Administered by: Senior Living      Purchased by: ??
Symptoms: Cerebrovascular accident, Dysarthria, Gait inability, Hemiparesis, Lethargy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-03-19
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: Carvedilol, eliquis, furosemide, isosorbide, seroquel
Current Illness: None
Preexisting Conditions: Coronary artery disease, cardiac stents, pacemaker, hypertension
Allergies: Sulfa, Sulfa,
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Found in chair lethargic less than 48 hours after her first civid vaccine by facility staff where she lives in an independent living facility. Nursing staff felt she had a stroke with right sided weakness. Slurred speech, weak, unable to walk without two person assistance. Patient was under hospice care so hospitalization was given.


Changed on 5/14/2021

VAERS ID: 1117431 Before After
VAERS Form:2
Age:92.0
Sex:Female
Location:Unknown
Vaccinated:2021-03-10
Onset:2021-03-12
Submitted:0000-00-00
Entered:2021-03-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6204 / 1 RA / IM

Administered by: Senior Living      Purchased by: ??
Symptoms: Cerebrovascular accident, Dysarthria, Gait inability, Hemiparesis, Lethargy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-03-19
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: Carvedilol, eliquis, furosemide, isosorbide, seroquel
Current Illness: None
Preexisting Conditions: Coronary artery disease, cardiac stents, pacemaker, hypertension
Allergies: Sulfa, Sulfa,
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Found in chair lethargic less than 48 hours after her first civid vaccine by facility staff where she lives in an independent living facility. Nursing staff felt she had a stroke with right sided weakness. Slurred speech, weak, unable to walk without two person assistance. Patient was under hospice care so hospitalization was given.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1117431&WAYBACKHISTORY=ON

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