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This is VAERS ID 993202

History of Changes from the VAERS Wayback Machine

First Appeared on 5/28/2021

VAERS ID: 993202
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:2021-01-14
Onset:2021-01-15
Submitted:0000-00-00
Entered:2021-02-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / OT

Administered by: Other      Purchased by: ??
Symptoms: Aneurysm, Subarachnoid haemorrhage

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-01-16
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: KLOTRIPTYL [AMITRIPTYLINE HYDROCHLORIDE;CHLORDIAZEPOXIDE]; DESOGESTREL RATIOPHARM
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Headache
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': FIPFIZER INC2021082918

Write-up: Aneurysm; Subarachnoid haemorrhage; This is a spontaneous report downloaded from the Regulatory Authority-WEB [Regulatory Authority number FI-FIMEA-20210183] from a non contactable physician. A 50-year-old female patient received bnt162b2 (COMIRNATY), intramuscular, on 14Jan2021, at single dose, for COVID-19 immunisation. Medical history included headache. Concomitant medication included amitriptyline hydrochloride, chlordiazepoxide (KLOTRIPTYL) for headache, desogestrel (DESOGESTREL RATIOPHARM) for contraception. The patient experienced aneurysm and subarachnoid haemorrhage both on 15Jan2020 with fatal outcome on 16Jan2021. It was not reported if an autopsy was performed. It was likely that the vaccine was not related with the event. No follow-up attempts are possible; information about lot/batch number cannot be obtained.; Reported Cause(s) of Death: Aneurysm; Subarachnoid haemorrhage

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