VAERS ID: 1388042

AGE: 17| SEX: F|STATE: MA

Description

Patient had massive acute intracranial hemorrhage. Was found down in bathroom. In ED CT scan showed large intraventricular hemorrhage, EVD placed, patient progressed to massive brain swelling and infarctions, decompressive craniectomy, unable to control intracranial pressure, parents agreed to DNR status and patient is not expected to survive.

Symptoms

Brain oedema, Cerebral infarction, Computerised tomogram head abnormal, Decompressive craniectomy, Haemorrhage intracranial, Intracranial pressure increased, Intraventricular haemorrhage, Ventricular drainage

Vaccines

VAX DATE: 05-23-2021| ONSET DATE: 06-07-2021| DAYS TO ONSET: 15
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 2 COVID19 PFIZER\BIONTECH EW0168 IM Unknown

RECVDATE:06-10-2021
RPT_DATE:
CAGE_YR:17
CAGE_MO:
DIED:Y
DATEDIED:
L_THREAT:Y
ER_VISIT:U
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:CT scans 6/7 and 6/8
V_ADMINBY:PVT
OTHER_MEDS:None
CUR_ILL:Headache started around 3 weeks prior to event that delayed dose of second vaccine. Headache was very severe and she saw PCP for it twice and it lasted a week. It then resolved and she got her second vaccine.
HISTORY:None except obesity with BMI 39
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:2
TODAYS_DATE:06-10-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:None
V_FUNDBY:

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