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

This is VAERS ID 1378707

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Case Details

VAERS ID: 1378707 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated:2021-05-05
Onset:2021-05-16
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EY7015 / 1 - / OT

Administered by: Other       Purchased by: ?
Symptoms: Blood count, Cerebral haemorrhage, Coagulation test, Computerised tomogram head
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhagic central nervous system vascular conditions (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-05-16
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Gilbert''s syndrome
Allergies:
Diagnostic Lab Data: Test Date: 20210516; Test Name: blood count; Result Unstructured Data: Test Result:normal; Comments: Normal platelets; Test Date: 20210516; Test Name: coagulation; Result Unstructured Data: Test Result:normal; Test Date: 20210516; Test Name: Head CT; Result Unstructured Data: Test Result:left frontoparietal intraparenchymal hematoma with; Comments: left frontoparietal intraparenchymal hematoma with significant mass effect associated with a 9 mm midline deviation and signs of incipient uncal herniation.
CDC Split Type: ESPFIZER INC2021590828

Write-up: Cerebral hemorrhage; This is a spontaneous report from a contactable physician downloaded from the Agency Regulatory Authority-WEB and received via Regulatory Authority ES-AEMPS-870825. A 75-years-old female patient received first dose of bnt162b2 (COMIRNATY) intramuscular on 05May2021 (Lot Number: EY7015) as 0.3ml single for covid-19 immunisation. Medical history included Gilbert''s disease, did not have high blood pressure, dyslipidemia, or diabetes mellitus. No data on cognitive impairment. The patient''s concomitant medications were not reported. She did not receive regular treatment. On 16May2021, patient woke up at 7:00 a.m., reporting weakness in the left arm and language disorder. Clinical progression. She was admitted to a hospital. Analytical: normal blood count and coagulation. Normal platelets. Head CT: left frontoparietal intraparenchymal hematoma with significant mass effect associated with a 9 mm midline deviation and signs of incipient uncal herniation. The Neurology Service dismisses intervention. At 10:45 a.m. neurological deterioration. Scan: GCS M2V1E1. respiratory stridor, with bilateral decerebrate responses to painful stimuli, without eye opening or sound emission. Very unreactive middle pupils. Palliative sedation was decided. She passes away at 4:30 PM on 16May2021. Clinical judgment: Spontaneous left frontoparietal intraparenchymal hemorrhage (cerebral hemorrhage). The patient died on 16May2021. It was not reported if an autopsy was performed. CAUSATION ASSESSMENT (SEFV algorithm): chronology compatible with the vaccine, there is no description in the technical data sheet. a causal relationship with the vaccine cannot be ruled out or confirmed. No follow-up attempts possible. No further information expected.; Reported Cause(s) of Death: Cerebral hemorrhage


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