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

This is VAERS ID 1715281

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Case Details

VAERS ID: 1715281 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Male  
Location: Tennessee  
Vaccinated:2021-09-10
Onset:2021-09-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Cerebrovascular accident, Magnetic resonance imaging head abnormal
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)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: atorvastatin, aspirin, melatonin, aripiprazole, lisinopril, zolpidem, metformin, allopurinol, tamsulosin, venlafaxine, omeprazole
Current Illness:
Preexisting Conditions: diabetes, morbid obesity, diabetic nephropathy, fatty liver, insomnia, hypertensive chronic kidney disease, depression major recurrent, gerd, gout
Allergies:
Diagnostic Lab Data: MRI 9/11/2021
CDC Split Type:

Write-up: Left MCA territory stroke


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