Adverse Event Reporting

VAERS ID 994003
Gender Male
Age 84
StateCode OK
Pharmaceutical Company UNKNOWN MANUFACTURER
Lot Number
Number of vaccinations
Vaccinated 2021-02-01
Onset 2021-02-02
Condition Hospitalized Permanent Disability
Symptoms
  • Dysarthria
  • Facial asymmetry
  • Neurological symptom
  • Angiogram cerebral normal
  • Arteriogram carotid normal

Current Illness

Preexisting Conditions

Other Medications

Previous Vaccinations

Allergies

Laboratory Data

CTA head/neck negative for large vessel occlusion.

Write-up

Stroke like symptoms consisting of facial asymmetry & slurred speech.
Patient sent to stroke facility w/ Neurology services.