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Report #2875885

Received Dec 1, 2025

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Overview

Sex
Female
Age
66 yrs
State
CA
Recovered
Not recovered
Vaccinated
Oct 24, 2022
Onset
Jan 1, 2024
Days to onset
434
Hospital days
—

Vaccines (6)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (PFIZER-BIONTECH))PFIZER\BIONTECH1EN6203—
COVID19COVID19 (COVID19 (PFIZER-BIONTECH))PFIZER\BIONTECH2EN6207—
COVID19COVID19 (COVID19 (PFIZER-BIONTECH))PFIZER\BIONTECH3EW0191—
COVID19COVID19 (COVID19 (PFIZER-BIONTECH))PFIZER\BIONTECH4FP7150—
COVID19-2COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT))PFIZER\BIONTECH5UNK—
FLUA4INFLUENZA (SEASONAL) (FLUAD QUADRIVALENT)SEQIRUS, INC.UNKUNK—

Symptoms (5)

Anal incontinenceCerebrovascular accidentDeathImpaired driving abilityUrinary incontinence

Symptom narrative

66 year old female. DOSE1-02/26/21 Lt#EN6203 DOSE2-03/19/21 Lt#EN6207 DOSE3-09/28/21 Lt#EW0191 DOSE4-08/04/22 Lt#FP7150. DOSE#5-10/24/22 Lt# UNK. Recipient of C19 Bivalent & Flu Shot on DOSE#5 date. At the onset of 2024 She lost bladder-bowel control. She had to wear diapers until she died. She was unable to drive and meet family in nearby cities. Prior she was in good health could garden herself, drive to city and back home, around city she carried out tasks like refurbishing relatives headstones at a cemetery. Last known alive on 5/16/25 found In bathroom dead by first responders after welfare check within 48 hours. Fatal stroke COD as per coroner. Doses 1-3 took place at medical facility, Dose 4 site is "medical facility" ? DOSE 5 listed as medical facility. Recipient of Pneumonia Vaccine around 07/15/2018. Unknown if Pneumonia Vaccine was received in 2023. Frequently wore masks and avoided social activates one-year prior to death.

Current illness

loss of bladder-bowel control, unable to drive long distances

Medical history

Kidney removed 2007, obesity, mental health, screened for diabetic neuropathy prior to death

Other medications

Citalopram hydrobromide aka MX32 pill

Lab data

Coroners report available