Adverse Event Reporting
| VAERS ID | 1003132 |
|---|---|
| Gender | Female |
| Age | 93 |
| StateCode | NE |
| Pharmaceutical Company | PFIZER\BIONTECH |
| Lot Number | EL33025/21 |
| Number of vaccinations | 1 |
| Vaccinated | 2021-01-20 |
| Onset | 2021-01-22 |
| Condition | Hospitalized Permanent Disability |
Symptoms
- Confusional state
- Dysarthria
- Facial paralysis
- Hemiparesis
- Cerebrovascular accident
Current Illness
COVID positive antibody lab on 1/11/2021. Tested COVID negative at that same time.
Preexisting Conditions
Asthma, Arthritis, Mitral Valve Clip, Kidney Disease, SIADH
Other Medications
Clopidogrel , Demeclocycline, Mg, Protonix, Advair Diskus, Tylenol, Vit D, Acidophillus, Eye gtts, ear gtts, (list not all inclusive)
Previous Vaccinations
Allergies
Sensitive to latex
Laboratory Data
see Hospital records
Write-up
Stroke within 48 hours of shot on 1/22/2021.
L sided weakness, facial droop, slurred speech, confusion, .
to this writing (2/4/2021), symptoms persist.