Adverse Event Reporting
| VAERS ID | 975246 |
|---|---|
| Gender | Male |
| Age | 84 |
| StateCode | FL |
| Pharmaceutical Company | PFIZER\BIONTECH |
| Lot Number | EL3246 |
| Number of vaccinations | 1 |
| Vaccinated | 2021-01-07 |
| Onset | 2021-01-19 |
| Condition | Hospitalized Life Threatening Permanent Disability |
Symptoms
- Cerebral haemorrhage
Current Illness
Preexisting Conditions
CKD, DM, hyperlipidemia, afib
Other Medications
Gabapentin, tamulosin, atorvastatin, isosorbide, KCl, shingrix (4/23/20), twinrx (4/23/20), synthroid, omeprazole, eliquis
Previous Vaccinations
Allergies
NKMA
Laboratory Data
Write-up
~2 weeks after 1st dose, patient suffered cerebral hemorrhage.
Was also on Eliquis.
Received KCentra.