Adverse Event Reporting
| VAERS ID | 949555 |
|---|---|
| Gender | Male |
| Age | 71 |
| StateCode | NY |
| Pharmaceutical Company | PFIZER\BIONTECH |
| Lot Number | EL0142 |
| Number of vaccinations | 1 |
| Vaccinated | 2021-01-13 |
| Onset | 2021-01-14 |
| Condition | Hospitalized Permanent Disability |
Symptoms
- Gait disturbance
- Ataxia
- Magnetic resonance imaging brain abnormal
- Scan with contrast abnormal
- Computerised tomogram head abnormal
- Computerised tomogram neck
- Thrombosis
- Ischaemic stroke
- Cerebral infarction
Current Illness
No
Preexisting Conditions
hyperlipidemia. Overweigh, osteoarthritis
Other Medications
Baby Aspirin, Advil PM , vitamin D, atorvastatin 20 mg
Previous Vaccinations
Allergies
NO
Laboratory Data
Ct scan of head and neck with contrast demonstrated small clots in right vertebral artery.
MRI of brain demonstrated an acute ischemic stroke in the right PCA territory.
Write-up
Received Pfizer vaccine, first dose on Wed.
01/13/21 between 12 and 1 P.
M.
Thurs.
01/14/21 in the afternoon he began to note that he had difficultly walking.
Went to bed when he woke up at 5:48 A.
M.
he reported he had ataxia.
Patient reported having to walk in tiny steps to stay upright.
He went to the emergency room.
Had CT scan of head and found blood clots.
MRI performed.
Stroke found in right PCA territory, but no loss in strength in left lower extremity.
Sensation and vision intact.
Strength in all four extremities is 5 out of 5.