VAERS ID: 2331428

AGE: 60| SEX: F|STATE: MD

Description

Patient arrived to the ED with complaints of altered mental status. She was found to have a CVA and was admitted for further management. She was discharged home 3 days later with home healthcare.

Symptoms

Cerebrovascular accident, Mental status changes

Vaccines

VAX DATE: 02-04-2022| ONSET DATE: 05-30-2022| DAYS TO ONSET: 115
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 2 COVID19 PFIZER\BIONTECH 330368D IM RA

RECVDATE:06-24-2022
RPT_DATE:
CAGE_YR:60
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:U
HOSPITAL:Y
HOSPDAYS:3
X_STAY:U
DISABLE:U
RECOVD:U
LAB_DATA:
V_ADMINBY:PVT
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:2
TODAYS_DATE:06-24-2022
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:Y
ALLERGIES:
V_FUNDBY:

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