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This is VAERS ID 1211394

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1211394
VAERS Form:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other      Purchased by: ??
Symptoms: Cerebrovascular accident

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-03-01
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:
Diagnostic Lab Data:
CDC 'Split Type': FRPFIZER INC2021384790

Write-up: stroke; This is a spontaneous repot from a contactable HCP via medical information team. A 97-year-old male patient received his second dose of bnt162b2 (COMIRNATY; Batch/Lot number not reported), via an unspecified route of administration on 17Feb2021 as single dose for covid-19 immunisation. The patient took the first dose of bnt162b2 on 27Jan2021. The patient''s concomitant medications were not reported. The patient died of a stroke in early Mar2021. It was not reported if an autopsy was performed. Information on the lot/batch number has been requested.; Sender''s Comments: Based on the information currently available, the event stroke most likely represents an intercurrent medical condition and is unrelated to Bnt162b2 vaccine. Case will be re-assessed upon the additional information provided. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to regulatory authorities, Ethics Committees, and Investigators, as appropriate.; Reported Cause(s) of Death: stroke

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