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This is VAERS ID 1328940

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History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1328940
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:2021-04-01
Onset:2021-05-01
Submitted:0000-00-00
Entered:2021-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH UNKNOWN / 1 - / -

Administered by: Other      Purchased by: ??
Symptoms: Activated partial thromboplastin time, Blood glucose, C-reactive protein, Cerebral haemorrhage, Computerised tomogram, International normalised ratio, Intraventricular haemorrhage, PCO2, Platelet count, PO2, White blood cell count

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-05-01
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? No
Previous Vaccinations:
Other Medications: WARAN
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Artificial cardiac pacemaker user; Atrioventricular block third degree; Chronic obstructive pulmonary disease; Chronic pulmonary embolism; Lobar pneumonia (Previous lobar pneumonia with septic image, chronic pulmonary embolism.); Oxygen therapy; Smoker
Allergies:
Diagnostic Lab Data: Test Date: 202105; Test Name: activated partial thromboplastin time; Result Unstructured Data: Test Result:63; Test Date: 202105; Test Name: Blood Glucose; Result Unstructured Data: Test Result:18.6; Test Date: 202105; Test Name: computerized tomography; Result Unstructured Data: Test Result:intraparenchymal hemorrhage; Comments: CT (computerized tomography) brain showed Large intraparenchymal hemorrhage about 50x45x 35 cm large frontal left involving basal, medial parts and operculum frontale with moderate ambient edema, ventricular rupture of the hemorrhage (blood in lateral ventricles, third ventricle, aqueduct and fourth ventricle). In the left frontal lobe can be sensed about 11 mm large round area with a little calcification, unclear genesis. The bleeding causes mass effect against the adjacent parenchyma and compresses and deviates the left lateral ventricle frontal horn and 3rd ventricle to the right side. Transfalcint pinching, narrow conditions in the left mesencephalic cistern hippocampal area. Right-sided lateral ventricle and left lateral ventricular temporal horn dilation - hydrocephalus development.; Test Date: 202105; Test Name: C-Reactive Protein; Result Unstructured Data: Test Result:44; Test Date: 202105; Test Name: PK/INR (International Normalized Ratio); Result Unstructured Data: Test Result:3,2; Test Date: 202105; Test Name: pCO2; Result Unstructured Data: Test Result:18.6; Test Date: 202105; Test Name: thrombocytes; Result Unstructured Data: Test Result:480; Test Date: 202105; Test Name: pO2; Result Unstructured Data: Test Result:6.0; Test Date: 202105; Test Name: leukocytes; Result Unstructured Data: Test Result:20.6
CDC 'Split Type': SEPFIZER INC2021539445

Write-up: superficial intracerebral hemorrhage in the cerebrum; intraventricular hemorrhage; This is a spontaneous report from a contactable physician downloaded from the Regulatory Authority-WEB SE-MPA-2021-037328. A 58-year-old female patient received first dose of bnt162b2 (COMIRNATY), via an unspecified route of administration on Apr2021 (Batch/Lot Number: Unknown) as single dose for covid-19 immunisation. Medical history included pneumonia from an unknown date and unknown if ongoing Previous lobar pneumonia with septic image, chronic pulmonary embolism , atrioventricular block complete from an unknown date and unknown if ongoing , pulmonary embolism from 2014 to an unknown date , tobacco user from an unknown date and unknown if ongoing, cardiac assistance device user from an unknown date and unknown if ongoing, oxygen therapy from an unknown date and unknown if ongoing, chronic obstructive pulmonary disease from an unknown date and unknown if ongoing. Concomitant medications included warfarin sodium (WARAN) taken for an unspecified indication, start and stop date were not reported. The patient experienced superficial intracerebral hemorrhage in the cerebrum (death) on May2021, intraventricular hemorrhage (death) on May2021. The patient underwent lab tests and procedures which included activated partial thromboplastin time: 63 on May2021, blood glucose: 18.6 on May2021, computerised tomogram: intraparenchymal hemorrhage on May2021 CT (computerized tomography) brain showed Large intraparenchymal hemorrhage about 50x45x 35 cm large frontal left involving basal, medial parts and operculum frontale with moderate ambient edema, ventricular rupture of the hemorrhage (blood in lateral ventricles, third ventricle, aqueduct and fourth ventricle). In the left frontal lobe can be sensed about 11 mm large round area with a little calcification, unclear genesis. The bleeding causes mass effect against the adjacent parenchyma and compresses and deviates the left lateral ventricle frontal horn and 3rd ventricle to the right side. Transfalcint pinching, narrow conditions in the left mesencephalic cistern hippocampal area. Right-sided lateral ventricle and left lateral ventricular temporal horn dilation - hydrocephalus development , c-reactive protein: 44 on May2021, international normalised ratio: 3,2 on May2021, pco2: 18.6 on May2021, platelet count: 480 on May2021, po2: 6.0 on May2021, white blood cell count: 20.6 on May2021. Therapeutic measures were taken as a result of superficial intracerebral hemorrhage in the cerebrum, intraventricular hemorrhage. The patient died on May2021. It was not reported if an autopsy was performed. The clinical course was reported as follows: Report from a physician regarding a 58-year-old female. Medical history included chronic obstructive pulmonary disease and oxygen therapy, atrioventricular block third degree. She has been a smoker and she was a cardiac assistance device user. Previous lobar pneumonia with septic image, chronic pulmonary embolism. Reported suspect vaccine was Comirnaty (covid-19 vaccines), 1:st dose. Reported suspect adverse events were superficial intracerebral hemorrhage in the cerebrum and intraventricular hemorrhage. The woman arrived at the hospital 6 days after receiving dose 1 of Comirnaty, during the day she had been alert and had talked to a relative, but suddenly she had strange breathing, was not contactable, an ambulance was called on. At arrival PK/INR (International Normalized Ratio) 3,2; APTT (activated partial thromboplastin time) 63. Routine tests without remark except leukocytes 20,6; TPK (thrombocytes 480; C-Reactive Protein 44; Blood Glucose 18,6. pO2 6,0; pCO2 18,6. CT (computerized tomography) brain showed Large intraparenchymal hemorrhage about 50x45x 35 cm large frontal left involving basal, medial parts and operculum frontale with moderate ambient edema, ventricular rupture of the hemorrhage (blood in lateral ventricles, third ventricle, aqueduct and fourth ventricle). In the left frontal lobe can be sensed about 11 mm large round area with a little calcification, unclear genesis. The bleeding causes mass effect against the adjacent parenchyma and compresses and deviates the left lateral ventricle frontal horn and 3rd ventricle to the right side. Transfalcint pinching, narrow conditions in the left mesencephalic cistern hippocampal area. Right-sided lateral ventricle and left lateral ventricular temporal horn dilation - hydrocephalus development. The woman received treatment with Konaktion, but it was assessed that there was nothing more to do, the woman was admitted to the stroke ward, for palliative care but died the same day. Assessment was massive intracerebral haemorrhage with ventricular breakthrough based on CT image and clinical course, one can possibly speculate in the underlying aneurysm. Waran (warfarin) may have contributed to a serious process. Probably not related to the given Comirnaty dose 1 week earlier. Outcome: Fatal. Report assessed as serious, death. Concomitant medications were Waran. Comirnaty LOT number: UNKNOWN. No follow-up attempts are possible, information on batch number cannot be obtained.; Reported Cause(s) of Death: intraventricular hemorrhage; Intracerebral haemorrhage

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