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

This is VAERS ID 1380069

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Case Details

VAERS ID: 1380069 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated:2021-02-21
Onset:2021-02-27
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP2163 / 2 LA / OT

Administered by: Other       Purchased by: ?
Symptoms: Chest X-ray, Computerised tomogram head, Facial paresis, Hemianopia homonymous, Hemiparesis, Ischaemic stroke, SARS-CoV-2 test
SMQs:, Ischaemic central nervous system vascular conditions (narrow), Embolic and thrombotic events, arterial (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Optic nerve disorders (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (narrow), Immune-mediated/autoimmune disorders (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-03-25
   Days after onset: 25
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: MIRZATEN; ZYLLT; NEO FERRO FOLGAMMA; ATORVASTATIN TEVA; CLEXANE; RIVOTRIL; KVENTIAX; KVENTIAX; PANTOPRAZOL 1A PHARMA; LATANOPROST PFIZER; MEMORIL [PIRACETAM]
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Abdominal aortic aneurysm; Alcohol dependence syndrome; Atherosclerosis; Carotid artery occlusion; Hyperlipidaemia; Hypertension; Mental deterioration; Percutaneous coronary intervention; Thrombosis
Allergies:
Diagnostic Lab Data: Test Date: 20210227; Test Name: Chest X-ray; Result Unstructured Data: Test Result:unspecified infiltrations; Test Date: 20210227; Test Name: Brain CT; Result Unstructured Data: Test Result:hemorrhage excluded; Comments: only known carotid artery occlusion was seen on the left side; Test Date: 20210228; Test Name: Brain CT; Result Unstructured Data: Test Result:extensive ischemic lesion; Comments: at the area of middle cerebral artery right side; Test Date: 20210308; Test Name: COVID-19 PCR test; Test Result: Negative ; Test Date: 20210308; Test Name: COVID-19 PCR test; Test Result: Negative
CDC Split Type: HUPFIZER INC2021628076

Write-up: Ischemic stroke; left sided central facial paresis; homonym hemianopia; hemiparesis; This is a spontaneous report from a contactable physician downloaded from the Regulatory Authority-WEB HU-OGYI-343121. A 68-years-old female patient received BNT162B2 (COMIRNATY), dose 2 intramuscular, administered in Arm Left on 21Feb2021 (Batch/Lot Number: EP2163) as 0.3 mL, single for covid-19 immunisation. Medical history included hypertension from an unknown date and unknown if ongoing, mental impairment from an unknown date and unknown if ongoing, thrombosis from Aug2020 to an unknown date, arteriosclerosis from an unknown date and unknown if ongoing, percutaneous coronary intervention from 2007 to an unknown date, alcoholism from an unknown date and unknown if ongoing, carotid artery occlusion from 2016 to an unknown date, aortic aneurysm from Aug2020 to an unknown date, hyperlipidaemia from an unknown date and unknown if ongoing. The patient received BNT162B2 (COMIRNATY), dose 1, on 31Jan2021 (Batch/Lot Number: EJ6134) for covid-19 immunisation. Concomitant medications included mirtazapine (MIRZATEN) taken for an unspecified indication, start and stop date were not reported; clopidogrel bisulfate (ZYLLT) taken for an unspecified indication, start and stop date were not reported; ferrous sulfate, folic acid (NEO FERRO FOLGAMMA) taken for an unspecified indication, start and stop date were not reported; atorvastatin calcium (ATORVASTATIN TEVA) taken for an unspecified indication, start and stop date were not reported; enoxaparin sodium (CLEXANE) taken for an unspecified indication, start and stop date were not reported; clonazepam (RIVOTRIL) taken for an unspecified indication, start and stop date were not reported; quetiapine fumarate (KVENTIAX) taken for an unspecified indication, start and stop date were not reported; quetiapine fumarate (KVENTIAX) taken for an unspecified indication, start and stop date were not reported; pantoprazole sodium sesquihydrate (PANTOPRAZOL 1A PHARMA) taken for an unspecified indication, start and stop date were not reported; latanoprost (LATANOPROST PFIZER) taken for an unspecified indication, start and stop date were not reported; piracetam (MEMORIL [PIRACETAM]) taken for an unspecified indication, start and stop date were not reported. On 27Feb2021 the patient experienced right hemispheric symptoms. Hemorrhage was excluded on brain CT, only known carotid artery occlusion was seen on the left side. Chest X-ray showed unspecified infiltrations, antibiotic therapy was started. On 28Feb2021, brain CT showed extensive ischemic lesion on the right side of the middle cerebral artery. The patient received clopidogrel, LMWH and fluids. On 03Mar2021, the patient''s roommate tested positive for COVID-19, the patient was seperated. On 08Mar2021, after two negative COVID-19 PCR tests, the patient was taken back to neurology, her condition improved and she was discharged on 16Mar2021 with homonym hemianopia, left sided central facial paresis and hemiparesis. On 25Mar2021 at 16:30, the patient died due to the ischemic stroke. Autopsy was not done. Outcome of the other events at the time of death was unknown. Reporters comment: Ischemic stroke occurred 6 days after, and the patient died 32 days after Comirnaty vaccination. Autopsy was not done. The causal relationship between the event and Comirnaty is considered unlikely. The case is serious due to fatal outcome.; Sender''s Comments: Based on the current available information, the event Ischemic stroke is most likely related to an intercurrent or underlying condition which is not related to the suspected drug. Medical history of hypertension, arteriosclerosis, alcoholism , aortic aneurysm, and hyperlipidaemia may provide explanations for the event.; Reported Cause(s) of Death: ischemic stroke


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