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This is VAERS ID 1715281

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History of Changes from the VAERS Wayback Machine

First Appeared on 9/24/2021

VAERS ID: 1715281
VAERS Form:2
Age:63.0
Sex:Male
Location:Tennessee
Vaccinated:2021-09-10
Onset:2021-09-11
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

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     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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