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From the 10/8/2021 release of VAERS data:

This is VAERS ID 1152911



Case Details

VAERS ID: 1152911 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated:2021-03-05
Onset:2021-03-06
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-03-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP2166 / UNK - / OT

Administered by: Other       Purchased by: ?
Symptoms: Ischaemic stroke
SMQs:, Ischaemic central nervous system vascular conditions (narrow), Embolic and thrombotic events, arterial (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-03-14
   Days after onset: 8
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: DONEPEZIL; CARDICOR; ACETYLSALICYLIC ACID; EUTIROX
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Cognitive deterioration; Ischaemic heart disease; Thyroidectomy
Allergies:
Diagnostic Lab Data:
CDC Split Type: ITPFIZER INC2021322984

Write-up: bridging ischaemic stroke; This is a spontaneous report received from a contactable physician downloaded from the Agency Regulatory Authority-WEB. The regulatory authority report number is IT-MINISAL02-701388. An 82-year-old female patient received BNT162B2 (COMIRNATY, solution for injection, batch/lot number: EP2166), intramuscular on 05Mar2021 at 11:41 at 0.3 mL, single for SARS-CoV-2 vaccination. The patient''s medical history included thyroidectomy, ischaemic heart disease, and cognitive deterioration; all from an unknown date and unknown if ongoing. Concomitant medications included donepezil, bisoprolol fumarate (CARDICOR), acetylsalicylic acid, and levothyroxine sodium (EUTIROX); all taken for an unspecified indication, start and stop date were not reported. The patient experienced bridging ischaemic stroke on 06Mar2021, reported as the patient arrived at the emergency department on 06Mar2021 in a sleepy state. She was admitted to the emergency medicine ward on 11Mar2021 for coma in acute cerebral ischaemia. Her family reported that the patient had undergone the Pfizer vaccine on 05Mar2021. The patient died on 14Mar2021 due to the bridging ischaemic stroke. It was not reported if an autopsy was performed. Sender''s comment: Comirnaty vaccine batch EP2166 carried out on 05Mar2021 at 11.41. The report of the referring physician and the vaccination card always sent by the referring physician are attached. Requested additional data on previous pathologies or drugs taken by the patient and awaiting a reply. No follow-up attempts are possible. No further information is expected.; Reported Cause(s) of Death: bridging ischaemic stroke


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