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

This is VAERS ID 932623



Case Details

VAERS ID: 932623 (history)  
Form: Version 2.0  
Age: 78.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-01-09
Onset:2021-01-10
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL1283 / 2 UN / IM

Administered by: Private       Purchased by: ?
Symptoms: Angiogram, Basilar artery occlusion, Computerised tomogram, Ischaemic stroke
SMQs:, Ischaemic central nervous system vascular conditions (narrow), Embolic and thrombotic events, arterial (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: amlodipine, atorvastatin, esomeprazole, metoprolol, omega-3, ticagrelor, cyanocobalamin
Current Illness:
Preexisting Conditions: Hypertension, hyperlipidemia, coronary artery disease (s/p angioplasty)
Allergies: aspirin
Diagnostic Lab Data: CT/CTA
CDC Split Type:

Write-up: Acute ischemic stroke, basilar occlusion


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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=932623

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