VAERS ID: 1582987

AGE: 25| SEX: M|STATE: FL

Description

Young, healthy 25 year old male. Very physically active, no health issues. Suddenly had horrible headache at 2am. Threw up, went to take a shower, girlfriend found him 10-20 min later purple in the shower. Called EMS. Heart & lungs brought back with defibrillator & ventilator. CT scan showed massive brain hemorrhage. No brain activity. Pronounced dead Tuesday Aug 3rd. Doctors concluded ruptured AVM due to amount of blood in brain. Does vaccine cause inflammation that could have caused early rupture?

Symptoms

Arteriovenous malformation, Cardioversion, Cerebral haemorrhage, Computerised tomogram head abnormal, Cyanosis, Death, Headache, Mechanical ventilation, Vomiting

Vaccines

VAX DATE: 07-21-2021| ONSET DATE: 08-01-2021| DAYS TO ONSET: 11
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (MODERNA)) 1 COVID19 MODERNA 040C21A IM AR

RECVDATE:08-18-2021
RPT_DATE:
CAGE_YR:25
CAGE_MO:
DIED:Y
DATEDIED:08-03-2021
L_THREAT:U
ER_VISIT:U
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:CT Scan showing brain hemorrhage
V_ADMINBY:PHM
OTHER_MEDS:No
CUR_ILL:Common cold, recovered.
HISTORY:No
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:2
TODAYS_DATE:08-18-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:No
V_FUNDBY:

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