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

This is VAERS ID 1367840



Case Details

VAERS ID: 1367840 (history)  
Form: Version 2.0  
Age: 87.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-02-20
Onset:2021-04-17
   Days after vaccination:56
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL8982 / 1 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EM9801 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blindness, Cerebrovascular accident, Death, Hyponatraemia
SMQs:, Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Hyponatraemia/SIADH (narrow), Glaucoma (broad), Optic nerve disorders (broad), Retinal disorders (broad), Chronic kidney disease (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-05-25
   Days after onset: 38
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: death vision loss Acute cerebrovascular accident acute hyponatremia


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1367840

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