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From the 10/15/2021 release of VAERS data:

This is VAERS ID 932145



Case Details

VAERS ID: 932145 (history)  
Form: Version 2.0  
Age: 96.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-01-08
Onset:2021-01-08
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3248 / 1 AR / IM

Administered by: Private       Purchased by: ?
Symptoms: Angiogram cerebral, Aphasia, Arteriogram carotid, Cerebral artery occlusion, Computerised tomogram head, Facial paresis, Hypotonia, Ischaemic stroke, Monoparesis, NIH stroke scale abnormal
SMQs:, Peripheral neuropathy (broad), Ischaemic central nervous system vascular conditions (narrow), Dementia (broad), 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 encephalopathy/delirium (broad), Noninfectious meningitis (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Immune-mediated/autoimmune disorders (broad)

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, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Hypertension, hypothyroidism
Preexisting Conditions: Hypertension, hypothyroidism
Allergies: None
Diagnostic Lab Data: Complete stroke workup with noncontrast CT head and CT angiogram of the head and neck.
CDC Split Type:

Write-up: Patient came into the emergency department on 1/8/21 with an acute ischemic stroke with complete occlusion of her left MCA. She had acute and complete flaccid paresis of her right face, arm, and leg, complete aphasia, and neglect of the right side of her body. NIHSS of 27. Onset of deficit was between 6:30pm-7:10pm. She recieved her 1st COVID-19 vaccine dose that morning at 10:31am.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=932145

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