VAERS ID: 1000775

AGE: 99| SEX: F|STATE: NJ (United States)

Description

on 1/26/21 Found laying on Bathroom Floor in Bedroom Apt. Complaint of Right Shoulder paiN bleeding (unknown origin) then discovered origin HANd/FiNgers. (Head on Floor towARds WALL) SeNT TO ER 1/26/21, Admitted 1/26/21 Diagnosis: AoRtic STENOSIS

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

Arthralgia, Haemorrhage, Aortic stenosis

Vaccines

VAX DATE: 01-25-2021| ONSET DATE: 01-26-2021| DAYS TO ONSET: 1
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH EZ3247 IM AR

RECVDATE:02-03-2021
RPT_DATE:
CAGE_YR:99
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:Y
ER_VISIT:
HOSPITAL:Y
HOSPDAYS:5
X_STAY:U
DISABLE:U
RECOVD:Y
LAB_DATA:
V_ADMINBY:OTH
OTHER_MEDS:Amlodipine besylate; aspirin; atorvastatin calcium; metoprolol succinate ER; acetaminophen; furosemide; trazodone hydrochloride; hyoscyamine sulfate; lorazepam; prochlorperazine maleate; morphine sulfate; bacitracin
CUR_ILL:Bilateral lower Extremities Edema; bacterial infection, unspecified
HISTORY:Rheumatic aortic steno; essential (primary) hyper; malignant neoplasm of; localized edema; unspecified dementia w; unspecified glaucoma; unspecified osteoart; bacterial infection, un; non-pressure chroni; dysphagia, unspecified; non-ST elevation (NSTEM
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:02-03-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:Y
ALLERGIES:No Known Allergies per chart
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.