VAERS ID: 1708016

AGE: 45| SEX: M|STATE: FR (Unknown)

Description

Subarachnoid hemorrhage due to a ruptured aneurysm; Subarachnoid hemorrhage due to a ruptured aneurysm; This case was received via company (Reference number: 2021TJP088181) on 09-Sep-2021 and was forwarded to Moderna on 09-Sep-2021. This case, initially reported to the regulatory authority by a (physician), was received via the regulatory authority (Ref, v21126334). On 01-Jul-2021, the patient received the 1st dose of this vaccine. On an unknown date, body temperature before vaccination: 36.4 degrees Celsius. On 30-Jul-2021, the patient received the 2nd dose of this vaccine. On 03-Aug-2021, around 12:40, the patient was urgently transferred to hospital due to sudden disturbed consciousness. The patient's level of consciousness on arrival was JSC3-100 and GCS E1V1M4. Head CT showed acute hydrocephalus and subarachnoid hemorrhage. After immediate cerebral ventricular drainage, cerebral angiography revealed bilateral vertebral artery dissecting aneurysms. It was considered to be subarachnoid hemorrhage caused by a ruptured aneurysm, and the patient was hospitalized. Because the left side was largely dominant, the vertebral artery was occluded through an emergency craniotomy to prevent rebleeding, but rupture recurred on the same day, causing clinical brainstem dysfunction. On 20-Aug-2021, the patient was confirmed dead. Autopsy was performed on the same day, and the results were pending. The outcome of subarachnoid hemorrhage due to a ruptured aneurysm was reported as fatal. Follow-up investigation will be made. Company Comment: The events developed after the administration of COVID-19 vaccine mRNA (mRNA 1273) and there is temporal relationship.; Reporter's Comments: The patient's cause of death was brainstem injury due to ruptured vertebral artery dissection and is most likely to be due to hypertension and arteriosclerosis. Although the causal relationship with this vaccine is thought to be low, it would be best to make a final decision based on the results of the autopsy. Other factors may include hypertension and arteriosclerosis. Although the events developed after the administration of COVID-19 vaccine mRNA (mRNA 1273), it is also considered that the events are due to effects from concomitant disease or the patient's predisposing factors, etc.; Sender's Comments: This case concerns a 45 year old male patient, who experienced unexpected serious events of subarachnoid hemorrhage and vertebral artery dissection (both fatal). The serious events occurred 3 days after the second dose of mRNA-1273 vaccine. The events were considered possibly related to mRNA-1273 vaccine per the reporter's assessment. Autopsy was performed and the results were pending. The benefit-risk relationship of the vaccine is not affected by this report.; Reported Cause(s) of Death: Subarachnoid haemorrhage; Vertebral artery dissection

Open in Wayback Machine
(If this is a foreign report without a description you will be able to read the description in the Wayback Machine on Medalerts if the report became public for the first time before November 18, 2022.)

Symptoms

Subarachnoid haemorrhage, Vertebral artery dissection

Vaccines

VAX DATE: 07-01-2021| ONSET DATE: 08-03-2021| DAYS TO ONSET: 33
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (MODERNA)) 2 COVID19 MODERNA 3002618 OT Unknown

RECVDATE:09-17-2021
RPT_DATE:
CAGE_YR:
CAGE_MO:
DIED:Y
DATEDIED:08-20-2021
L_THREAT:Y
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:
V_ADMINBY:
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:JPMODERNATX, INC.MOD20213
FORM_VERS:
TODAYS_DATE:09-17-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

Questions? Comments? Bugs?
[email protected]
Due to the high volume of inquiries, please be patient with response times.

AND PLEASE read the FAQ first.

OpenVAERS is a private organization that posts publicly available CDC/FDA data of injuries reported post-vaccination. Reports are not proof of causality.