VAERS ID: |
1388042 (history) |
Form: |
Version 2.0 |
Age: |
17.0 |
Sex: |
Female |
Location: |
Massachusetts |
Vaccinated: | 2021-05-23 |
Onset: | 2021-06-07 |
Days after vaccination: | 15 |
Submitted: |
0000-00-00 |
Entered: |
2021-06-10 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EW0168 / 2 |
UN / IM |
Administered by: Private Purchased by: ? Symptoms: Brain oedema,
Cerebral infarction,
Computerised tomogram head abnormal,
Decompressive craniectomy,
Haemorrhage intracranial,
Intracranial pressure increased,
Intraventricular haemorrhage,
Ventricular drainage SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Hyponatraemia/SIADH (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Life Threatening? Yes
Birth Defect? No
Died? Yes
Date died: 0000-00-00
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Other Medications: None Current Illness: Headache started around 3 weeks prior to event that delayed dose of second vaccine. Headache was very severe and she saw PCP for it twice and it lasted a week. It then resolved and she got her second vaccine. Preexisting Conditions: None except obesity with BMI 39 Allergies: None Diagnostic Lab Data: CT scans 6/7 and 6/8 CDC Split Type:
Write-up: Patient had massive acute intracranial hemorrhage. Was found down in bathroom. In ED CT scan showed large intraventricular hemorrhage, EVD placed, patient progressed to massive brain swelling and infarctions, decompressive craniectomy, unable to control intracranial pressure, parents agreed to DNR status and patient is not expected to survive. |