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This is VAERS ID 938118

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History of Changes from the VAERS Wayback Machine

First Appeared on 1/15/2021

VAERS ID: 938118
VAERS Form:2
Age:51.0
Sex:Female
Location:Michigan
Vaccinated:2021-01-05
Onset:2021-01-08
Submitted:0000-00-00
Entered:2021-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK9231 / 1 - / IM

Administered by: Public      Purchased by: ??
Symptoms: Aneurysm, Arteriogram carotid, Cerebellar haemorrhage, Cerebrovascular accident, Chest X-ray, Angiogram cerebral, Computerised tomogram thorax, Computerised tomogram abdomen, Computerised tomogram head, Abdominal X-ray, Computerised tomogram pelvis, Computerised tomogram spine

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:2021-01-10
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: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: multivitamin; vitamin D
Current Illness: none mentioned
Preexisting Conditions: no significant past medical history
Allergies: latex
Diagnostic Lab Data: CT brain head; CT cervical spine; chest xray; CT chest, abdomen, pelvis; abdominal xray; CT angiogram neck & brain
CDC 'Split Type':

Write-up: on 1/8/2021 17:30 patient taken to ER, cerebellar hemorrhage, stroke, aneurysm


Changed on 5/7/2021

VAERS ID: 938118 Before After
VAERS Form:2
Age:51.0
Sex:Female
Location:Michigan
Vaccinated:2021-01-05
Onset:2021-01-08
Submitted:0000-00-00
Entered:2021-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK9231 / 1 - / IM

Administered by: Public      Purchased by: ??
Symptoms: Aneurysm, Arteriogram carotid, Cerebellar haemorrhage, Cerebrovascular accident, Chest X-ray, Angiogram cerebral, Computerised tomogram thorax, Computerised tomogram abdomen, Computerised tomogram head, Abdominal X-ray, Computerised tomogram pelvis, Computerised tomogram spine

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:2021-01-10
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: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: multivitamin; vitamin D
Current Illness: none mentioned
Preexisting Conditions: no significant past medical history
Allergies: latex latex
Diagnostic Lab Data: CT brain head; CT cervical spine; chest xray; CT chest, abdomen, pelvis; abdominal xray; CT angiogram neck & brain
CDC 'Split Type':

Write-up: on 1/8/2021 17:30 patient taken to ER, cerebellar hemorrhage, stroke, aneurysm


Changed on 5/14/2021

VAERS ID: 938118 Before After
VAERS Form:2
Age:51.0
Sex:Female
Location:Michigan
Vaccinated:2021-01-05
Onset:2021-01-08
Submitted:0000-00-00
Entered:2021-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK9231 / 1 - / IM

Administered by: Public      Purchased by: ??
Symptoms: Aneurysm, Arteriogram carotid, Cerebellar haemorrhage, Cerebrovascular accident, Chest X-ray, Angiogram cerebral, Computerised tomogram thorax, Computerised tomogram abdomen, Computerised tomogram head, Abdominal X-ray, Computerised tomogram pelvis, Computerised tomogram spine

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:2021-01-10
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: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: multivitamin; vitamin D
Current Illness: none mentioned
Preexisting Conditions: no significant past medical history
Allergies: latex latex
Diagnostic Lab Data: CT brain head; CT cervical spine; chest xray; CT chest, abdomen, pelvis; abdominal xray; CT angiogram neck & brain
CDC 'Split Type':

Write-up: on 1/8/2021 17:30 patient taken to ER, cerebellar hemorrhage, stroke, aneurysm

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