National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1337198

History of Changes from the VAERS Wayback Machine

First Appeared on 5/28/2021

VAERS ID: 1337198
VAERS Form:2
Age:30.0
Sex:Male
Location:Kentucky
Vaccinated:2021-04-01
Onset:2021-05-07
Submitted:0000-00-00
Entered:2021-05-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: Cerebral haemorrhage, Death, Haematochezia, Blood urine present, Haemoptysis, Petechiae, Unresponsive to stimuli, Mental status changes, Cerebral mass effect, Immunoglobulin therapy, Immune thrombocytopenia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-05-11
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: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Tamsulosin, hydrocodone-APAP, ibuprofen , ondansetron .
Current Illness: Left sided renal stone and mild hydronephrosis week prior to admission for ITP. (went to ED on 4/30). No other PMH prior to this.
Preexisting Conditions: None.
Allergies: NKA
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient presented to ED after receiving covid vaccination the month prior, with hemoptysis, petechiae, blood in stool and urine, and platelets . Prior to this, patient presented to the ED on 4/30 with kidney stone, no other significant PMH and prescribed medications mentioned on prior page. Suspected ITP, patient received IVIG x 3 days and prednisone x 4 days while admitted. On morning of 5/11, patient had AMS, became unresponsive and was evaluated for stroke. Patient had large intra-axial hemorrhage with significant midline shift, transferred to the Hospital and died the same day.

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1337198&WAYBACKHISTORY=ON

Government Disclaimer on use of this data


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