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This is VAERS ID 932145

History of Changes from the VAERS Wayback Machine

First Appeared on 1/15/2021

VAERS ID: 932145
VAERS Form:2
Age:96.0
Sex:Female
Location:North Carolina
Vaccinated:2021-01-08
Onset:2021-01-08
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: Aphasia, Arteriogram carotid, Cerebral artery occlusion, Hypotonia, Monoparesis, Facial paresis, Angiogram cerebral, Computerised tomogram head, Ischaemic stroke, NIH stroke scale 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:     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.


Changed on 5/7/2021

VAERS ID: 932145 Before After
VAERS Form:2
Age:96.0
Sex:Female
Location:North Carolina
Vaccinated:2021-01-08
Onset:2021-01-08
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: Aphasia, Arteriogram carotid, Cerebral artery occlusion, Hypotonia, Monoparesis, Facial paresis, Angiogram cerebral, Computerised tomogram head, Ischaemic stroke, NIH stroke scale 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:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Hypertension, hypothyroidism
Preexisting Conditions: Hypertension, hypothyroidism
Allergies: None 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.


Changed on 5/14/2021

VAERS ID: 932145 Before After
VAERS Form:2
Age:96.0
Sex:Female
Location:North Carolina
Vaccinated:2021-01-08
Onset:2021-01-08
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: Aphasia, Arteriogram carotid, Cerebral artery occlusion, Hypotonia, Monoparesis, Facial paresis, Angiogram cerebral, Computerised tomogram head, Ischaemic stroke, NIH stroke scale 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:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Hypertension, hypothyroidism
Preexisting Conditions: Hypertension, hypothyroidism
Allergies: None 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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