VAERS ID: 1545621

AGE: 93| SEX: M|STATE: CT (United States)

Description

The day after the vaccination, 02/18/2021, He was having headaches and confusion and it got worse over the weekend. On 02/21/2021 he went to the ER and was told he had bleeding in his brain. They stopped Coumadin and the bleeding stopped. He was in the hospital in town for less than a week and was transferred to Nursing and Rehab . On 03/12/2021- he had a major stroke and he went back to the hospital and came home for hospice, and died on 03/20/2021.

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Symptoms

Headache, Confusional state, Cerebral haemorrhage, Cerebrovascular accident, Condition aggravated, Laboratory test, Death

Vaccines

VAX DATE: 02-17-2021| ONSET DATE: 02-18-2021| DAYS TO ONSET: 1
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (MODERNA)) 1 COVID19 MODERNA SYR AR

RECVDATE:08-11-2021
RPT_DATE:
CAGE_YR:93
CAGE_MO:
DIED:Y
DATEDIED:03-20-2021
L_THREAT:U
ER_VISIT:
HOSPITAL:Y
HOSPDAYS:4
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:Per his daughter he had lots of labs and medical test done.
V_ADMINBY:OTH
OTHER_MEDS:Coumadin also known as Warfarin- anticoagulant - the doctor was concerned about this medication with possible adverse events with the vaccine
CUR_ILL:no
HISTORY:He had a stroke about 3 or 4 years previously and still had residual effects from the stroke, including aphasia.
PRIOR_VAX:
SPLTTYPE:vsafe
FORM_VERS:
TODAYS_DATE:08-11-2021
BIRTH_DEFECT:U
OFC_VISIT:Y
ER_ED_VISIT:Y
ALLERGIES:no
V_FUNDBY:

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