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This is VAERS ID 1259454

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1259454
VAERS Form:2
Age:59.0
Sex:Female
Location:Washington
Vaccinated:2021-03-29
Onset:2021-04-23
Submitted:0000-00-00
Entered:2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: Superior sagittal sinus thrombosis, Venogram abnormal, Angiogram cerebral abnormal, Computerised tomogram head abnormal, Cerebral venous sinus thrombosis, Magnetic resonance imaging head abnormal

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: aneurysm, s/p coiling in 2014
Preexisting Conditions:
Allergies: noone
Diagnostic Lab Data: CTA and MRV 4/24 and 4/25. Large L frontal venous stroke.
CDC 'Split Type':

Write-up: venous sinus thrombosis of the superior sagital sinus, based on imaging likely occurred 1-2 weeks prior to presentation, ~ 1-3 weeks after vaccination no other clear reason for hypercoag state, no prior thromboembolic events, no h/o malignancy or rheumatological disease.


Changed on 5/7/2021

VAERS ID: 1259454 Before After
VAERS Form:2
Age:59.0
Sex:Female
Location:Washington
Vaccinated:2021-03-29
Onset:2021-04-23
Submitted:0000-00-00
Entered:2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: Superior sagittal sinus thrombosis, Venogram abnormal, Angiogram cerebral abnormal, Computerised tomogram head abnormal, Cerebral venous sinus thrombosis, Magnetic resonance imaging head abnormal

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: aneurysm, s/p coiling in 2014
Preexisting Conditions:
Allergies: noone noone
Diagnostic Lab Data: CTA and MRV 4/24 and 4/25. Large L frontal venous stroke.
CDC 'Split Type':

Write-up: venous sinus thrombosis of the superior sagital sinus, based on imaging likely occurred 1-2 weeks prior to presentation, ~ 1-3 weeks after vaccination no other clear reason for hypercoag state, no prior thromboembolic events, no h/o malignancy or rheumatological disease.


Changed on 5/14/2021

VAERS ID: 1259454 Before After
VAERS Form:2
Age:59.0
Sex:Female
Location:Washington
Vaccinated:2021-03-29
Onset:2021-04-23
Submitted:0000-00-00
Entered:2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: Superior sagittal sinus thrombosis, Venogram abnormal, Angiogram cerebral abnormal, Computerised tomogram head abnormal, Cerebral venous sinus thrombosis, Magnetic resonance imaging head abnormal

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: aneurysm, s/p coiling in 2014
Preexisting Conditions:
Allergies: noone noone
Diagnostic Lab Data: CTA and MRV 4/24 and 4/25. Large L frontal venous stroke.
CDC 'Split Type':

Write-up: venous sinus thrombosis of the superior sagital sinus, based on imaging likely occurred 1-2 weeks prior to presentation, ~ 1-3 weeks after vaccination no other clear reason for hypercoag state, no prior thromboembolic events, no h/o malignancy or rheumatological disease.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1259454&WAYBACKHISTORY=ON

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