Report #2899816

Received Jun 11, 2026

Life-threateningHospitalizedER / ED visit

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Overview

Sex: Male
Age: 42 yrs
State: MI
Recovered: Not recovered
Vaccinated: Apr 15, 2021
Onset: Jun 19, 2023
Days to onset: 795
Hospital days: 3

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	1	EW0164	IM / LA
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	2	EW0172	IM / LA

Symptoms (1)

Cerebrovascular accident

Symptom narrative

Had a Cerebrovascular Accident on 6/19/2021, not fully recovered as of 6/11/2026

Current illness

N/A

Medical history

Gout

Other medications

Metformin 1500mg Oral 1xday; Febuxostat 80mg 1xday