National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1180587

Government Disclaimer on use of this data

History of Changes from the VAERS Wayback Machine

First Appeared on 4/8/2021

VAERS ID: 1180587
VAERS Form:2
Age:71.0
Sex:Female
Location:Texas
Vaccinated:2021-02-24
Onset:2021-03-08
Submitted:0000-00-00
Entered:2021-04-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (UNKNOWN)) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Cerebrovascular accident, Death

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:2021-03-31
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? Yes, days: 10     Extended hospital stay? No
Previous Vaccinations:
Other Medications: See Progress Note dated 1/25/2021
Current Illness: None
Preexisting Conditions: See Progress Note dated 1/25/2021
Allergies: See Progress Note dated 1/25/2021
Diagnostic Lab Data: See Hospital Records
CDC 'Split Type':

Write-up: Acute Hemorrhagic CVA resulting in eventual death.


Changed on 5/7/2021

VAERS ID: 1180587 Before After
VAERS Form:2
Age:71.0
Sex:Female
Location:Texas
Vaccinated:2021-02-24
Onset:2021-03-08
Submitted:0000-00-00
Entered:2021-04-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (UNKNOWN)) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Cerebrovascular accident, Death

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:2021-03-31
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? Yes, days: 10     Extended hospital stay? No
Previous Vaccinations:
Other Medications: See Progress Note dated 1/25/2021
Current Illness: None
Preexisting Conditions: See Progress Note dated 1/25/2021
Allergies: See Progress Note dated 1/25/2021 1/25/2021
Diagnostic Lab Data: See Hospital Records
CDC 'Split Type':

Write-up: Acute Hemorrhagic CVA resulting in eventual death.


Changed on 5/14/2021

VAERS ID: 1180587 Before After
VAERS Form:2
Age:71.0
Sex:Female
Location:Texas
Vaccinated:2021-02-24
Onset:2021-03-08
Submitted:0000-00-00
Entered:2021-04-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (UNKNOWN)) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Cerebrovascular accident, Death

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:2021-03-31
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? Yes, days: 10     Extended hospital stay? No
Previous Vaccinations:
Other Medications: See Progress Note dated 1/25/2021
Current Illness: None
Preexisting Conditions: See Progress Note dated 1/25/2021
Allergies: See Progress Note dated 1/25/2021 1/25/2021
Diagnostic Lab Data: See Hospital Records
CDC 'Split Type':

Write-up: Acute Hemorrhagic CVA resulting in eventual death.

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1180587&WAYBACKHISTORY=ON


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166