VAERS ID: 1000933

AGE: 90| SEX: F|STATE: TX (United States)

Description

Pfizer-BioNTech COVID- 19 Vaccine EUA Patient experienced change in speech and jerky movements on way home from COVID-19 vaccine. Presented to ED. Patient diagnosed with Acute CVA (cerebrovascular accident). Patient discharged on 1/31/2021.

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Symptoms

Speech disorder, Cerebrovascular accident, Dyskinesia

Vaccines

VAX DATE: 01-29-2021| ONSET DATE: 01-29-2021| DAYS TO ONSET: 0
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH EL9265 IM RA
VACCINE NOT SPECIFIED (NO BRAND NAME) 2 UNK Unknown Unknown Unknown

RECVDATE:02-04-2021
RPT_DATE:
CAGE_YR:90
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:Y
HOSPDAYS:3
X_STAY:U
DISABLE:U
RECOVD:U
LAB_DATA:
V_ADMINBY:PVT
OTHER_MEDS:Cetirizine 10 mg, Cholecalciferol 25 mcg, Multivitamin, cont. Nadolol 40 mg, Fish Oil 1000 mg, Simvastatin 40 mg
CUR_ILL:
HISTORY:Hypertension, High cholesterol
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:02-04-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:Penicillins (Wheezing), Aspirin (Shortness of breath)
V_FUNDBY:

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