VAERS ID: 1464404

AGE: 56| SEX: F|STATE: CT (United States)

Description

She had a brain aneurysm. We question if this was related to the covid 19 vaccine

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Symptoms

Intracranial aneurysm, Death

Vaccines

VAX DATE: 03-16-2021| ONSET DATE: 03-20-2021| DAYS TO ONSET: 4
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (MODERNA)) 1 COVID19 MODERNA 044921A IM LA

RECVDATE:07-12-2021
RPT_DATE:
CAGE_YR:56
CAGE_MO:
DIED:Y
DATEDIED:05-08-2021
L_THREAT:Y
ER_VISIT:
HOSPITAL:Y
HOSPDAYS:50
X_STAY:U
DISABLE:Y
RECOVD:N
LAB_DATA:she died may 8,2021
V_ADMINBY:PVT
OTHER_MEDS:none
CUR_ILL:none
HISTORY:HTN
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:07-12-2021
BIRTH_DEFECT:U
OFC_VISIT:Y
ER_ED_VISIT:Y
ALLERGIES:none
V_FUNDBY:

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