Adverse Event Reporting
| VAERS ID | 1299105 |
|---|---|
| Gender | Male |
| Age | |
| StateCode | CT |
| Pharmaceutical Company | PFIZER\BIONTECH |
| Lot Number | |
| Number of vaccinations | 1 |
| Vaccinated | 2021-04-04 |
| Onset | 2021-04-10 |
| Condition | Hospitalized Permanent Disability |
Symptoms
- Cerebrovascular accident
- Cognitive disorder
- Dementia
Current Illness
Preexisting Conditions
Medical History/Concurrent Conditions: COVID-19 (Prior vaccination)
Other Medications
Previous Vaccinations
Allergies
Laboratory Data
Write-up
Stroke; Dementia; Lost most of cognitive abilities; This is a spontaneous report from a contactable consumer.
An 83-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot Number and Expiration Date were not reported), via an unspecified route of administration, on 04Apr2021, at a single dose, for COVID-19 immunization.
The patient's medical history included COVID-19 (prior vaccination).
The patient's concomitant medications were not reported.
On 10Apr2021, the patient experienced adverse events (AEs) including stroke, dementia, and lost most of cognitive abilities.
The AEs resulted in doctor or other healthcare professional office or clinic visit, hospitalization from Apr2021, and disability or permanent damage.
The outcome of the events was unknown.
Information about lot number and expiration date for the suspect product will be requested in follow-up attempts.