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This is VAERS ID 1388042

History of Changes from the VAERS Wayback Machine

First Appeared on 6/11/2021

VAERS ID: 1388042
VAERS Form:2
Age:17.0
Sex:Female
Location:Massachusetts
Vaccinated:2021-05-23
Onset:2021-06-07
Submitted:0000-00-00
Entered:2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0168 / 2 UN / IM

Administered by: Private      Purchased by: ??
Symptoms: Cerebral infarction, Haemorrhage intracranial, Intracranial pressure increased, Intraventricular haemorrhage, Brain oedema, Ventricular drainage, Computerised tomogram head abnormal, Decompressive craniectomy

Life Threatening? Yes
Birth Defect? No
Died? No
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? No
Previous Vaccinations:
Other Medications: None
Current Illness: Headache started around 3 weeks prior to event that delayed dose of second vaccine. Headache was very severe and she saw PCP for it twice and it lasted a week. It then resolved and she got her second vaccine.
Preexisting Conditions: None except obesity with BMI 39
Allergies: None
Diagnostic Lab Data: CT scans 6/7 and 6/8
CDC 'Split Type':

Write-up: Patient had massive acute intracranial hemorrhage. Was found down in bathroom. In ED CT scan showed large intraventricular hemorrhage, EVD placed, patient progressed to massive brain swelling and infarctions, decompressive craniectomy, unable to control intracranial pressure, parents agreed to DNR status and patient is not expected to survive.


Changed on 6/25/2021

VAERS ID: 1388042 Before After
VAERS Form:2
Age:17.0
Sex:Female
Location:Massachusetts
Vaccinated:2021-05-23
Onset:2021-06-07
Submitted:0000-00-00
Entered:2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0168 / 2 UN / IM

Administered by: Private      Purchased by: ??
Symptoms: Cerebral infarction, Haemorrhage intracranial, Intracranial pressure increased, Intraventricular haemorrhage, Brain oedema, Ventricular drainage, Computerised tomogram head abnormal, Decompressive craniectomy

Life Threatening? Yes
Birth Defect? No
Died? No Yes
   Date died:0000-00-00
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? No
Previous Vaccinations:
Other Medications: None
Current Illness: Headache started around 3 weeks prior to event that delayed dose of second vaccine. Headache was very severe and she saw PCP for it twice and it lasted a week. It then resolved and she got her second vaccine.
Preexisting Conditions: None except obesity with BMI 39
Allergies: None
Diagnostic Lab Data: CT scans 6/7 and 6/8
CDC 'Split Type':

Write-up: Patient had massive acute intracranial hemorrhage. Was found down in bathroom. In ED CT scan showed large intraventricular hemorrhage, EVD placed, patient progressed to massive brain swelling and infarctions, decompressive craniectomy, unable to control intracranial pressure, parents agreed to DNR status and patient is not expected to survive.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1388042&WAYBACKHISTORY=ON


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