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This is VAERS ID 949555

History of Changes from the VAERS Wayback Machine

First Appeared on 1/22/2021

VAERS ID: 949555
VAERS Form:2
Age:71.0
Sex:Male
Location:New York
Vaccinated:2021-01-13
Onset:2021-01-14
Submitted:0000-00-00
Entered:2021-01-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL0142 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Ataxia, Cerebral infarction, Gait disturbance, Thrombosis, Ischaemic stroke, Scan with contrast abnormal, Computerised tomogram head abnormal, Computerised tomogram neck, Magnetic resonance imaging brain abnormal

Life Threatening? No
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: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Baby Aspirin, Advil PM , vitamin D, atorvastatin 20 mg
Current Illness: No
Preexisting Conditions: hyperlipidemia. Overweigh, osteoarthritis
Allergies: NO
Diagnostic Lab Data: Ct scan of head and neck with contrast demonstrated small clots in right vertebral artery. MRI of brain demonstrated an acute ischemic stroke in the right PCA territory.
CDC 'Split Type':

Write-up: Received Pfizer vaccine, first dose on Wed. 01/13/21 between 12 and 1 P.M. Thurs. 01/14/21 in the afternoon he began to note that he had difficultly walking. Went to bed when he woke up at 5:48 A.M. he reported he had ataxia. Patient reported having to walk in tiny steps to stay upright. He went to the emergency room. Had CT scan of head and found blood clots. MRI performed. Stroke found in right PCA territory, but no loss in strength in left lower extremity. Sensation and vision intact. Strength in all four extremities is 5 out of 5.


Changed on 5/7/2021

VAERS ID: 949555 Before After
VAERS Form:2
Age:71.0
Sex:Male
Location:New York
Vaccinated:2021-01-13
Onset:2021-01-14
Submitted:0000-00-00
Entered:2021-01-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL0142 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Ataxia, Cerebral infarction, Gait disturbance, Thrombosis, Ischaemic stroke, Scan with contrast abnormal, Computerised tomogram head abnormal, Computerised tomogram neck, Magnetic resonance imaging brain abnormal

Life Threatening? No
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: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Baby Aspirin, Advil PM , vitamin D, atorvastatin 20 mg
Current Illness: No
Preexisting Conditions: hyperlipidemia. Overweigh, osteoarthritis
Allergies: NO NO
Diagnostic Lab Data: Ct scan of head and neck with contrast demonstrated small clots in right vertebral artery. MRI of brain demonstrated an acute ischemic stroke in the right PCA territory.
CDC 'Split Type':

Write-up: Received Pfizer vaccine, first dose on Wed. 01/13/21 between 12 and 1 P.M. Thurs. 01/14/21 in the afternoon he began to note that he had difficultly walking. Went to bed when he woke up at 5:48 A.M. he reported he had ataxia. Patient reported having to walk in tiny steps to stay upright. He went to the emergency room. Had CT scan of head and found blood clots. MRI performed. Stroke found in right PCA territory, but no loss in strength in left lower extremity. Sensation and vision intact. Strength in all four extremities is 5 out of 5.


Changed on 5/14/2021

VAERS ID: 949555 Before After
VAERS Form:2
Age:71.0
Sex:Male
Location:New York
Vaccinated:2021-01-13
Onset:2021-01-14
Submitted:0000-00-00
Entered:2021-01-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL0142 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Ataxia, Cerebral infarction, Gait disturbance, Thrombosis, Ischaemic stroke, Scan with contrast abnormal, Computerised tomogram head abnormal, Computerised tomogram neck, Magnetic resonance imaging brain abnormal

Life Threatening? No
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: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Baby Aspirin, Advil PM , vitamin D, atorvastatin 20 mg
Current Illness: No
Preexisting Conditions: hyperlipidemia. Overweigh, osteoarthritis
Allergies: NO NO
Diagnostic Lab Data: Ct scan of head and neck with contrast demonstrated small clots in right vertebral artery. MRI of brain demonstrated an acute ischemic stroke in the right PCA territory.
CDC 'Split Type':

Write-up: Received Pfizer vaccine, first dose on Wed. 01/13/21 between 12 and 1 P.M. Thurs. 01/14/21 in the afternoon he began to note that he had difficultly walking. Went to bed when he woke up at 5:48 A.M. he reported he had ataxia. Patient reported having to walk in tiny steps to stay upright. He went to the emergency room. Had CT scan of head and found blood clots. MRI performed. Stroke found in right PCA territory, but no loss in strength in left lower extremity. Sensation and vision intact. Strength in all four extremities is 5 out of 5.

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