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From the 9/17/2021 release of VAERS data:

Found 91 cases where Vaccine is COVID19 and Manufacturer is PFIZER/BIONTECH and Symptom is Brain contusion or Brain damage or Brain injury



Case Details

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VAERS ID: 960435 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Texas  
Vaccinated:2020-12-18
Onset:2020-12-30
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 2021-01-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1685 / 1 - / OT

Administered by: Private       Purchased by: ?
Symptoms: Amnesia, Brain injury, Brain operation, Cerebral haemorrhage, Confusional state
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Haemorrhagic central nervous system vascular conditions (narrow), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hypoglycaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 16 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021034990

Write-up: Internal brain bleeding 10 days after 1st dose covid vaccine; Brain damage; confused; suffering memory loss; This is a spontaneous report from a contactable Physician (patient). This 39-year-old female patient received the 1st dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) intramuscular on 18Dec2020 14:30 at single dose (lot number: EJ1685) for covid-19 immunisation. Medical history and concomitant medications were unknown. The patient experienced internal brain bleeding and brain damage on 30Dec2020 07:30 after 1st dose covid vaccine. Brain surgery received on 29Dec2020. Events were still recovering. Patient was confused and suffering memory loss on 30Dec2020 07:30. Events resulted in Doctor or other healthcare professional office/clinic visit, Emergency room/department or urgent care, Hospitalization, Prolongation of existing hospitalization (vaccine received during existing hospitalization), Life threatening illness (immediate risk of death from the event), disability or permanent damage. Days for hospitalization was 16. The patient received treatment for events as brain surgery due to internal brain bleeding. The patient was not pregnant. The patient had no COVID prior vaccination, no COVID tested post vaccination. Outcome of the events was recovering.; Sender''s Comments: The reported internal brain bleeding and brain damage with confused and memory loss more likely represented intercurrent disease, and less likely causally related to 1st dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE). The case will be reassessed should additional information become available. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.


VAERS ID: 1002541 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-02-02
Onset:2021-02-02
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-02-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL9261 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Back pain, Brain contusion, Cold sweat, Dizziness, Fatigue, Neck pain
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Accidents and injuries (narrow), Vestibular disorders (broad), Arthritis (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: post covid vaccine symptoms included, fatigue, lightheadedness, cold sweats, brain fog, severe neck and back aches.


VAERS ID: 1052203 (history)  
Form: Version 2.0  
Age: 77.0  
Sex: Female  
Location: New York  
Vaccinated:2021-02-23
Onset:2021-02-24
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-02-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 AR / IM

Administered by: Other       Purchased by: ?
Symptoms: Aspartate aminotransferase increased, Blood lactic acid, Brain death, Brain injury, Cardiac arrest, Hypoxia, Ischaemic hepatitis, Resuscitation, Unresponsive to stimuli
SMQs:, Torsade de pointes/QT prolongation (broad), Liver related investigations, signs and symptoms (narrow), Hepatitis, non-infectious (narrow), Anaphylactic reaction (broad), Asthma/bronchospasm (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hypotonic-hyporesponsive episode (broad), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Infective pneumonia (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: warfarin, losartan, lisinopril, metoprolol, hydrochlorothiazide
Current Illness:
Preexisting Conditions: breast cancer
Allergies: blueberries
Diagnostic Lab Data: lactic acid 12.3 AST 1297 shock liver from cardiac arrest
CDC Split Type:

Write-up: the patient had hypoxemia the evening of the shot, and then was found unresponsive the next morning, in cardiac arrest at home. Temperature on arrival to ED was 91 degrees. found to have severe anoxic brain injury after 60+ minutes of CPR. may already be brain dead.


VAERS ID: 1054826 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Michigan  
Vaccinated:1921-01-25
Onset:2021-02-22
   Days after vaccination:36553
Submitted: 0000-00-00
Entered: 2021-02-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3248 / 2 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Brain injury, Foetal exposure during pregnancy, Premature baby, Premature delivery, Premature labour, Ultrasound skull
SMQs:, Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Neonatal disorders (narrow)

Life Threatening? No
Birth Defect? Yes
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Pre natal vit, Zofran, pepcid
Current Illness: Depression, bipolar, anxiety, panic attacks, migraines, asthma, gestational diabetes
Preexisting Conditions: Depression, bipolar, anxiety, panic attacks, migraines, asthma
Allergies: NKA
Diagnostic Lab Data: Crainial ultrasound 2-22-21
CDC Split Type:

Write-up: Premature infant born at hospital after premature labor was found to have injured brain tissue (PVL) on cranial ultrasound after delivery. Timing of the injury coincides with maternal clinical illness after second Covid vaccine, about two weeks prior to delivery. The mother and father asked me whether the Covid vaccine could have contributed to the brain injury. I reassured them that the Covid vaccine is felt to be safe during pregnancy, but that I would report the concern.


VAERS ID: 1056850 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Male  
Location: New York  
Vaccinated:2021-02-05
Onset:2021-02-10
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-02-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN53181 / UNK AR / IM

Administered by: Other       Purchased by: ?
Symptoms: Body temperature increased, Brain contusion, Chest X-ray normal, Computerised tomogram, Encephalitis, Fall, Full blood count normal, Gait disturbance, Haemoptysis, Haemorrhage, Herpes simplex encephalitis, Loss of consciousness, Lumbar puncture, Metabolic function test normal, Seizure
SMQs:, Torsade de pointes/QT prolongation (broad), Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Convulsions (narrow), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (narrow), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Infective pneumonia (broad), Opportunistic infections (narrow), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Depkote, Zyprexa, Ativan, Prozac, Topamax, amlodipine, ASA
Current Illness: None
Preexisting Conditions: Mild intellectual disability, impulse contorl disorder, chronic self-excoriation, nephrolithiasis,
Allergies: no known allergies
Diagnostic Lab Data: CT scan, Lumbar Puncture
CDC Split Type:

Write-up: At about 2am on 2/10/21, Patient got up from bed and fell down a flight of stairs. He was initially bleeding and unconscious and was brought by EMS to the hospital. Upon arrival at the hospital he had a temperature of 40 C. He was found to have 2 small left temporal hemmorhagic contusions on CT scan. He had a seizure during the hospitalization. He was initially treated for HSV encephalitis but it is not clear if that was confirmed. The hospital team may not have known of the recent vaccination. He improved during the hospitalization, but remained with a very unsteady gait. He could not return to the group home. He was transferred to a rehab facility to receive PT on 02/16/2021. He remains at rehab. Prior to the fall, on the 3rd day after vaccination, on 2/8/21 at about 10 am, the patient coughed and had a small blood on the inside of his face mask while at his day program. He was seen by his PCP and had no abnormal findings. He had a CBC, BMP and CXR and all were unremarkable.


VAERS ID: 1059421 (history)  
Form: Version 2.0  
Age: 91.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-02-10
Onset:2021-02-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-02-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL9264 / 2 AR / IM

Administered by: Senior Living       Purchased by: ?
Symptoms: Brain injury, Cerebrovascular accident, Death, Hypoaesthesia, Magnetic resonance imaging abnormal, Magnetic resonance imaging brain abnormal, Malaise, Surgery, Thrombectomy, Thrombosis
SMQs:, Peripheral neuropathy (broad), Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad), Guillain-Barre syndrome (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-02-26
   Days after onset: 15
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Not Known
Current Illness: None
Preexisting Conditions: Arthritis - Macular Degeneration
Allergies: None Known
Diagnostic Lab Data: Clot removal surgery was conducted on March 19th, 2021. Subsequent MRI revealed stroke damage on both left and right side of the brain.
CDC Split Type:

Write-up: After the second vaccine dose she reported not feeling well with unspecified symptoms for a few days. On February 18th, 2021 she visited her doctor with numbness in her hand. They thought it may be carpal tunnel and sent her home. The morning or March 18th , 2021 she had a severe stroke and was transferred to Hospital and then to other hospital. She was in the hospital until Tuesday March 23rd when she was transferred back to her home for hospice care. She died on March 26th, 2021.


VAERS ID: 1104384 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-02-13
Onset:2021-02-16
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Brain injury, Cardio-respiratory arrest, Coma, Computerised tomogram head abnormal, Death, Endotracheal intubation, Headache, Hypothermia, Intensive care, Laboratory test, Magnetic resonance imaging head abnormal, Nervous system disorder, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Angioedema (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (broad), Cardiomyopathy (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hypotonic-hyporesponsive episode (broad), Arthritis (broad), Respiratory failure (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-02-28
   Days after onset: 12
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 12 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Lisinopril 20 mg
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: From February 16, day of the event and admission to the hospital, until February 28 (date of death) was subjected to multiple investigations and laboratory tests including CT scan of the brain and MRI. The neurologist concluded that only the brainstem remained intact and that the cerebral cortex had suffered irreparable damage.
CDC Split Type:

Write-up: Being in the Mall, accompanied by her cousin, felt a severe headache and pain in both shoulders followed immediately by fainting, cardio-respiratory arrest that required call 911 for emergency transfer to Hospital. She was intubated in the emergency room treated by the doctors, Cardiologist and Intensive care where she was subjected to hypothermia and other treatments due to the serious neurological damage that she presented. No other organ seemed compromised. Never came out of the coma, passing away on February 26, 2021.


VAERS ID: 1124195 (history)  
Form: Version 2.0  
Age: 86.0  
Sex: Female  
Location: Nebraska  
Vaccinated:2021-03-17
Onset:2021-03-17
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-03-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal pain, Abdominal pain upper, Brain injury, Cardiac arrest, Death, Diarrhoea, Fatigue, Headache, Myalgia, Nausea
SMQs:, Torsade de pointes/QT prolongation (broad), Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Pseudomembranous colitis (broad), Acute central respiratory depression (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Noninfectious diarrhoea (narrow), Respiratory failure (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-03-22
   Days after onset: 5
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: acetaminophen albuterol: 2 puff, INHALATION, QID, PRN (for wheezing) albuterol: 2.5 mg = 3 mL, NEBULIZED, Q6H, PRN (for wheezing) atorvastatin: 1 TAB, By Mouth, QHS calcium-vitamin D: 1 TAB, BY MOUTH, DAILY docusate: 100 mg = 1 CAP, BY
Current Illness: Past medical history of atrial fibrillation on chronic anticoagulation on warfarin, COPD on 2 L O2, pulmonary hypertension, cor pulmonale, hypertension and GERD. She was recently admitted at Medicine from 2/13?2/22 after initially presenting to ER with right-sided chest pain after mechanical fall she suffered on 2/7. She was found to have multiple right-sided rib fractures (#5?9). A chest tube was placed in the ER for right-sided hemothorax, went to IR on 2/14 for coil embolization of the right ninth intercostal artery. She developed right chest wall hematoma. On 2/17 she underwent ORIF of ribs #4 through 9 with plates placed on #5 through 6. She did require intermittent diuresis. Oxygen requirements were stable on discharge on 2 L which is her baseline. Echocardiogram 2/15 showed EF 65% with severe pulmonary hypertension and grade 3 diastolic dysfunction. She was discharged from SNF to home on 3/16 with family/caregiver support with planned transition to assisted living. She presented to the ER via EMS from home on 3/19 with right upper quadrant pain, nausea, and diarrhea. Symptom onset occurred after 1st Pfizer COVID-19 vaccination on 3/17. Patient is an 86-year-old female with past medical history of atrial fibrillation on chronic anticoagulation on warfarin, COPD on 2 L O2, pulmonary hypertension, cor pulmonale, hypertension and GERD. She was recently admitted at Facility from 2/13?2/22 after initially presenting to ER with right-sided chest pain after mechanical fall she suffered on 2/7. She was found to have multiple right-sided rib fractures (#5?9). A chest tube was placed in the ER for right-sided hemothorax, went to IR on 2/14 for coil embolization of the right ninth intercostal artery. She developed right chest wall hematoma. On 2/17 she underwent ORIF of ribs #4 through 9 with plates placed on #5 through 6. She did require intermittent diuresis however was discharged to SNF on her home torsemide dose. Oxygen requirements were stable on discharge on 2 L which is her baseline. Echocardiogram 2/15 showed EF 65% with severe pulmonary hypertension and grade 3 diastolic dysfunction. She was discharged from SNF to home on 3/16 with family/caregiver support with planned transition to ALF. She presented to the ER via EMS from home on 3/19 with right upper quadrant pain, nausea, and diarrhea. Symptom onset occurred after 1st Pfizer COVID-19 vaccination on 3/17. While in the ER she had cardiac arrest x2.
Preexisting Conditions: Bronchial-Asthma-COPD overlap syndrome Chronic atrial fibrillation Chronic cor pulmonale Chronic hypoxemic respiratory failure Chronic UTI (urinary tract infection) GERD (gastroesophageal reflux disease) Glaucoma History of herpes zoster Hypercholesterolemia Hypertension Lumbar radiculopathy Mild mitral regurgitation Osteoporosis Spinal stenosis
Allergies: Opana (Migraine) Avelox (Rash) Cymbalta (Fatigue) Demerol (Nausea) HYDROcodone (Anxiety) Keflex (Rash) Nubain (Hives) Ultracet (Vomiting, Lightheadedness) Zonegran (Unknown) codeine (Chest tightness) penicillins (Shortness of breath)
Diagnostic Lab Data:
CDC Split Type:

Write-up: Abdominal pain, nausea, diarrhea, headache, muscle aches, and fatigue1-2 days after vaccination prompting transport via EMS to ER from home. Had cardiac arrest while in the ER x2, subsequent anoxic brain injury and death following removal of ventilator support.


VAERS ID: 1125739 (history)  
Form: Version 2.0  
Age: 81.0  
Sex: Male  
Location: New York  
Vaccinated:2021-03-20
Onset:2021-03-21
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-03-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 UN / -

Administered by: Public       Purchased by: ?
Symptoms: Aggression, Anal incontinence, Blood lactic acid increased, Blood urea nitrogen/creatinine ratio increased, Brain contusion, Cerebral haemorrhage, Computerised tomogram head abnormal, Confusional state, Fall, Loss of consciousness, Rib fracture, Subdural haematoma, Syncope, Urinary incontinence
SMQs:, Torsade de pointes/QT prolongation (broad), Acute renal failure (broad), Lactic acidosis (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Haemorrhagic central nervous system vascular conditions (narrow), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Hostility/aggression (narrow), Cardiomyopathy (broad), Osteoporosis/osteopenia (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Noninfectious diarrhoea (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: amlodipine, atorvastatin, ergocalciferol, irbesartan, metformin, pioglitazone, januvia, aspirin
Current Illness: Chronic illnesses, hypertension, hyperlipidemia, diabetes, but nothing acute
Preexisting Conditions: See above
Allergies: None
Diagnostic Lab Data: Initially had slight elevated Bun/Cr, elevated lactic acid. These normalized after hydration. CT of head as noted above.
CDC Split Type:

Write-up: Patient developed a syncopal episode one day following the vaccine. Without warning, he fell to the ground, losing control of bowel and bladder, although no seizure activity noted at the time. He transiently lost consciousness and then woke up confused and combative. Brought to emergency room and admitted with multiple rib fractures. Initial brain imaging was negative but 24 hours later, noted to have small hemorrhagic brain contusion in left frontal/temporal region and a small subdural hematoma. One day later, there was not noted to be any extension of the hemorrhage/hematoma.


VAERS ID: 1145409 (history)  
Form: Version 2.0  
Age: 87.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-02-19
Onset:2021-03-26
   Days after vaccination:35
Submitted: 0000-00-00
Entered: 2021-03-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3248 / 1 RA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EM9810 / 2 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Brain contusion, Cerebral haemorrhage, Headache, Subarachnoid haemorrhage
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Accidents and injuries (narrow)

Life Threatening? No
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: headache Subarachnoid hemorrhage (CMS/HCC) Focal hemorrhagic contusion of cerebrum (CMS/HCC)


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