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From the 11/19/2021 release of VAERS data:

This is VAERS ID 1315568

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Case Details

VAERS ID: 1315568 (history)  
Form: Version 2.0  
Age: 98.0  
Sex: Male  
Location: Foreign  
Vaccinated:2021-03-19
Onset:2021-03-22
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-05-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH UNKNOWN / 2 - / -

Administered by: Other       Purchased by: ?
Symptoms: Cerebral infarction, Fall, Head discomfort, Monoparesis, Scan brain
SMQs:, Ischaemic central nervous system vascular conditions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Accidents and injuries (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-03-30
   Days after onset: 8
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210326; Test Name: Brain scan; Result Unstructured Data: Test Result:showed cerebral infarction
CDC Split Type: NLPFIZER INC2021512468

Write-up: Cerebral infarction on March 26 (scan); preceded by small infarction on 22 march; on 22 March, limb disintegration (frequent falls) and very strange feeling in the head; frequent falls; on 22 March, limb disintegration (frequent falls) and very strange feeling in the head; This is a spontaneous report from a contactable consumer downloaded from the Medicines Agency (MA) -WEB, regulatory authority number NL-LRB-00528554. A 98-year-old male patient received bnt162b2 (Pfizer vaccine) at the age of 98 years, dose 2 via an unspecified route of administration on 19Mar2021 (Lot Number: Unknown) as single for COVID-19 immunisation. The patient''s medical history was not reported. Concomitant medication includes non-specified anticoagulant and non-specified stomach medications. The patient previously received 1st dose of bnt162b2 (Pfizer vaccine) on 12Feb2021 for covid-19 immunisation with no adverse reaction. The patient experienced cerebral infarction on March 26 (scan), preceded by small infarction on March 22. The patient also had limb disintegration (frequent falls) and very strange feeling in the head. The patient underwent lab tests and procedures which included brain scan: showed cerebral infarction on 26Mar2021. The patient died on 30Mar2021 due to cerebral infarction. It was unknown if an autopsy was performed. It was also reported as follows: cerebral infarction (death) and cerebral infarct with limb paresis and head discomfort following administration of COVID-19 vaccine Pfizer. The patient had a small cerebral infarction with limb paresis (patient has fallen multiple times) and a weird feeling in his head 3 days after vaccination. Seven days after vaccination he had another cerebral infarct which was confirmed on a brain scan. Outcome of non-fatal events was unknown. No follow-up attempts are possible; information on the lot number cannot be obtained. No further information is expected.; Reported Cause(s) of Death: Cerebral infarction on March 26 (scan)


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