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From the 10/15/2021 release of VAERS data:

This is VAERS ID 1225903



Case Details

VAERS ID: 1225903 (history)  
Form: Version 2.0  
Age: 78.0  
Sex: Female  
Location: Utah  
Vaccinated:2021-02-01
Onset:2021-02-04
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 AR / SYR

Administered by: Public       Purchased by: ?
Symptoms: Cerebellar haemorrhage, Death, Haemorrhagic stroke
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 2021-02-20
   Days after onset: 16
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Feb. 20, 2021 Approx. 12;30 am yelled at my dad to get help. Ambulance showed up and took her to the local hospital which then she was transferred to a bigger hospital and diagnosed to have a catastrophic stroke. Brain bleed in the cerebellum area of the head.
CDC Split Type:

Write-up: Brain Bleed - Hemorrhaging Stroke


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