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This is VAERS ID 1427624

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History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1427624
VAERS Form:2
Age:
Sex:Male
Location:Foreign
Vaccinated:2021-05-19
Onset:2021-05-22
Submitted:0000-00-00
Entered:2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Other      Purchased by: ??
Symptoms: Cerebrovascular accident, Angiogram, Basilar artery thrombosis

Life Threatening? No
Birth Defect? No
Died? 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:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Arterial hypertension
Allergies:
Diagnostic Lab Data: Test Date: 2021; Test Name: CT angiography; Result Unstructured Data: Test Result:basilar artery and bilateral vertebral artery; Comments: basilar artery and bilateral vertebral artery occlusion
CDC 'Split Type': DEPFIZER INC2021682047

Write-up: Cryptogenic stroke with basilar thrombosis; Cryptogenic stroke with basilar thrombosis; This is a spontaneous report from a non-contactable consumer downloaded from a regulatory authority-WEB [Regulatory authority number DE-PEI-CADR2021087855]. A 55-year-old male patient received bnt162b2 (COMIRNATY), via an unspecified route of administration on 19May2021 (Batch/Lot number was not reported) as DOSE 1, 0.3 mL, single for COVID-19 immunization. Medical history included arterial hypertension (unknown if ongoing). Concomitant medications were not reported. On 22May2021, the patient stroke symptoms with dizziness and unsteady gait. In the course of severe brainstem symptoms the patient had CT angiography which indicated the basilar artery and bilateral vertebral artery occlusion. It was later reported that the patient had cryptogenic stroke with basilar thrombosis with inefficient attempted thrombectomy. No major atherosclerosis was noted. The patient died in 2021 due to cryptogenic stroke with basilar thrombosis. It was unknown if autopsy was performed. The PEI assessed the causal relationship between bnt162b2 (COMIRNATY) Basilar artery thrombosis and Accident cerebrovascular was unclassifiable. Health Authority Comment: Are you or the person concerned known of any allergies? If yes, which? No. Information on risk factors or previous illnesses: Arterial hypertension. From 22May2021 stroke symptoms with dizziness, unsteady gait. In the course of severe brainstem symptoms. In the CT angiography, the basilar artery and bilateral vertebral artery occlusion were demonstrated. Inefficient attempted thrombectomy. No major atherosclerosis. No follow-up attempts are possible. Information on batch/lot number cannot be obtained.; Reported Cause(s) of Death: Cryptogenic stroke with basilar thrombosis; Cryptogenic stroke with basilar thrombosis

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