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This is VAERS ID 932623

History of Changes from the VAERS Wayback Machine

First Appeared on 1/15/2021

VAERS ID: 932623
VAERS Form:2
Age:78.0
Sex:Male
Location:Illinois
Vaccinated:2021-01-09
Onset:2021-01-10
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: Computerised tomogram, Basilar artery occlusion, Ischaemic stroke, Angiogram

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


Changed on 5/7/2021

VAERS ID: 932623 Before After
VAERS Form:2
Age:78.0
Sex:Male
Location:Illinois
Vaccinated:2021-01-09
Onset:2021-01-10
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: Computerised tomogram, Basilar artery occlusion, Ischaemic stroke, Angiogram

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? 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 aspirin
Diagnostic Lab Data: CT/CTA
CDC 'Split Type':

Write-up: Acute ischemic stroke, basilar occlusion


Changed on 5/14/2021

VAERS ID: 932623 Before After
VAERS Form:2
Age:78.0
Sex:Male
Location:Illinois
Vaccinated:2021-01-09
Onset:2021-01-10
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: Computerised tomogram, Basilar artery occlusion, Ischaemic stroke, Angiogram

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? 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 aspirin
Diagnostic Lab Data: CT/CTA
CDC 'Split Type':

Write-up: Acute ischemic stroke, basilar occlusion

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

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