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VAERS ID: 1000389

AGE: UNK| SEX: F|State: FR

Description

Stroke; bleed to brain; This is a spontaneous report from a contactable consumer. This is a report received from the HA. Regulatory authority report number GB-MHRA-WEBCOVID-202101282143521990, Safety Report Unique Identifier GB-MHRA-ADR 24663909. An 85-year-old female patient received BNT162B2, via an unspecified route of administration on 12Jan2021 at single dose for COVID-19 immunisation. Medical history included 5 years previous had urinary tract infection which led to discitis, followed by severe osteoporosis and blood clot. Patient had not had symptoms associated with COVID-19 and not had a COVID-19 test. Patient was not enrolled in clinical trial. Concomitant medication included amlodipine. The patient experienced stroke, and bleed to brain on 16Jan2021. Patient had vaccine on the 12Jan2021 and was prior to this very fit and well. Then patient died suddenly and unexpectedly with no prior illness in the proceeding days. Post mortum stated bleed to brain. Patient had not tested positive for COVID-19 since having the vaccine. Post mortum: No signs of anaphylaxis. Outcome of the events was fatal. The patient died on 16Jan2021. It was not reported if an autopsy was performed. No follow-up attempts possible; information regarding batch/lot cannot be obtained; No further information expected.; Reported Cause(s) of Death: stroke; bleed to brain

Symptoms

Cerebral haemorrhage, Cerebrovascular accident

Vaccines

VAX DATE: 11 January 2021 | ONSET DATE: 15 January 2021 | DAYS TO ONSET: 4
Vaccine TypeManufacturerVaccine NameDoseRouteSiteLot
  • COVID19
  • PFIZERBIONTECH
  • COVID19 (COVID19 (PFIZER-BIONTECH))
  • UNK

RECVDATE:
03 February 2021
CAGE_YR:
CAGE_MO:
RPT_DATE:
DIED:
Y
DATEDIED:
15 January 2021
L_THREAT:
ER_VISIT:
HOSPITAL:
HOSPDAYS:
X_STAY:
DISABLE:
RECOVD:
N
LAB_DATA:
V_ADMINBY:
OTH
OTHER_MEDS:
AMLODIPINE
CUR_ILL:
HISTORY:
Medical History/Concurrent Conditions: Haemorrhage; Intervertebral discitis; Osteoporosis; Urinary tract infection; Comments: 5 years previous had urinary tract infection which led to discitis, followed by severe osteoporosis and blood clot. Patient has not had symptoms associated with COVID-19 Not had a COVID-19 test Patient is not enrolled in clinical trial
PRIOR_VAX:
SPLTTYPE:
GBPFIZER INC2021091590
FORM_VERS:
2
TODAYS_DATE:
01 February 2021
BIRTH_DEFECT:
OFC_VISIT:
ER_ED_VISIT:
ALLERGIES:
V_FUNDBY:
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