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This is VAERS ID 1165270

History of Changes from the VAERS Wayback Machine

First Appeared on 6/25/2021

VAERS ID: 1165270
VAERS Form:2
Age:93.0
Sex:Female
Location:Foreign
Vaccinated:2021-02-01
Onset:2021-02-09
Submitted:0000-00-00
Entered:2021-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Name: CCT; Result Unstructured Data: Test Result:Diagnosis of unknown result was confirmed by CCT
CDC 'Split Type': DEPFIZER INC2021342346

Write-up: Apoplexy; This is a spontaneous report from a non-contactable physician downloaded from the Agency Regulatory Authority-WEB Regulatory Authority number DE-PEI-PEI2021003752. A 93-year-old female patient received BNT162b2 (COMIRNATY), dose 1 via an unspecified route of administration, at age 93 years, on 01Feb2021 (Batch/Lot number was not reported) as singled dose for COVID-19 immunisation. The patient''s medical history and concomitant medications were not reported. On 09Feb2021, 8 day(s) after vaccination the patient developed apoplexy, lasting for unknown. Diagnosis of unknown result was confirmed by CCT (cranial computed tomography) on an unspecified date. The patient is dead on an unspecified date. It was not reported if an autopsy was performed. No follow-up attempts are possible. Information about lot/batch number cannot be obtained. No further information is expected.; Reported Cause(s) of Death: Apoplexy

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