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VAERS ID: 1388042

AGE: 17| SEX: F|State: MA

Description

Patient had massive acute intracranial hemorrhage. Was found down in bathroom. In ED CT scan showed large intraventricular hemorrhage, EVD placed, patient progressed to massive brain swelling and infarctions, decompressive craniectomy, unable to control intracranial pressure, parents agreed to DNR status and patient is not expected to survive.

Symptoms

Brain oedema, Intracranial pressure increased, Cerebral infarction, Intraventricular haemorrhage, Computerised tomogram head abnormal, Ventricular drainage, Decompressive craniectomy, Haemorrhage intracranial

Vaccines

VAX DATE: 22 May 2021 | ONSET DATE: 06 June 2021 | DAYS TO ONSET: 15
Vaccine TypeManufacturerVaccine NameDoseRouteSiteLot
  • COVID19
  • PFIZERBIONTECH
  • COVID19 (COVID19 (PFIZER-BIONTECH))
  • 2
  • IM
  • UN
  • EW0168

RECVDATE:09 June 2021
CAGE_YR:17
CAGE_MO:
RPT_DATE:
DIED:Y
DATEDIED:
L_THREAT:Y
ER_VISIT:
HOSPITAL:
HOSPDAYS:
X_STAY:
DISABLE:
RECOVD:N
LAB_DATA:CT scans 6/7 and 6/8
V_ADMINBY:PVT
OTHER_MEDS:None
CUR_ILL:Headache started around 3 weeks prior to event that delayed dose of second vaccine. Headache was very severe and she saw PCP for it twice and it lasted a week. It then resolved and she got her second vaccine.
HISTORY:None except obesity with BMI 39
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:2
TODAYS_DATE:09 June 2021
BIRTH_DEFECT:
OFC_VISIT:
ER_ED_VISIT:
ALLERGIES:None
V_FUNDBY:
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