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From the 1/21/2022 release of VAERS data:

Found 1,049,249 cases where Vaccine is COVID19 and Patient Did Not Die

Government Disclaimer on use of this data



Case Details (Reverse Sorted by Onset Date)

This is page 152 out of 10,493

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VAERS ID: 1995836 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-02-23
Onset:2021-12-25
   Days after vaccination:305
Submitted: 0000-00-00
Entered: 2021-12-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 031L20A / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Vaccine breakthrough infection
SMQs:, Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: suspect COVID breakthrough


VAERS ID: 1995885 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Male  
Location: California  
Vaccinated:2021-12-16
Onset:2021-12-25
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-12-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 033H21A / 3 RA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Rash, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Atorvastatin - Atenolol - Lisinopril - Rainbow light Men''s multivitamin - Aspirin
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Visual inspection
CDC Split Type:

Write-up: Skin rash - Hives All over the body - Doctor prescribed - Zyrtec twice daily and use of Triamcinolone ointment to the area where redness or itching is observed.


VAERS ID: 1995888 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Alabama  
Vaccinated:2021-11-01
Onset:2021-12-25
   Days after vaccination:54
Submitted: 0000-00-00
Entered: 2021-12-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 032B21A / 1 RA / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 006C21A / 2 LA / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 065F21A / 3 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Menstruation irregular
SMQs:, Fertility disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lamictal Camila Metformin Meloxicam Synthroid Omeprazole
Current Illness: N/A
Preexisting Conditions: PCOS Bipolar II PTSD Anxiety
Allergies: NKA
Diagnostic Lab Data: none
CDC Split Type:

Write-up: I would just like to report that each time I took a covid shot, I started my period about 2-3 weeks after. the reason this is weird to me is because I am possibly infertile, I have PCOS. I do not ovulate, I have not had a period since 2017. Yet in 2021, I started my period after each injection. so this is not necessarily an adverse event, but I believe it could possibly be a side effect that should be reported. it seems too much of a coincidence that the only periods I''ve had since 2017 were in 2021 and each one after my vaccine.


VAERS ID: 1995915 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-11-02
Onset:2021-12-25
   Days after vaccination:53
Submitted: 0000-00-00
Entered: 2021-12-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 077C21B / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Suspected COVID-19, Vaccine breakthrough infection
SMQs:, Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: suspected COVID breakthrough


VAERS ID: 1995977 (history)  
Form: Version 2.0  
Age: 81.0  
Sex: Female  
Location: West Virginia  
Vaccinated:2021-05-03
Onset:2021-12-25
   Days after vaccination:236
Submitted: 0000-00-00
Entered: 2021-12-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Asthenia, COVID-19, Dyspnoea, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient came to ED with shortness of breath and weakness and admitted to hospital positive with Covid.


VAERS ID: 1996065 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-12-15
Onset:2021-12-25
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-12-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 045J21A / 3 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Body temperature decreased, Chills, Feeling cold, Insomnia, Loss of personal independence in daily activities, Pruritus, Rash, Rash pruritic, SARS-CoV-2 test negative, Tachycardia, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin D3 Vitamin C
Current Illness: none
Preexisting Conditions:
Allergies: none
Diagnostic Lab Data: Covid test on 12/27/21 - nrgative
CDC Split Type:

Write-up: VERY itchy hives and rashes of all sizes and shapes all over the body. It started on the chest and scalp, then began to appear in different spots. Today is the day 6 after the onset of the symptoms and day 16 after the booster. Covid test on 12/27/21 (done in clinic) was negative. Prescribed hydroxyzine HCL pills, benadryl and claritin doesn''t help. It''s a constant struggle and torture. I perform my daily activity or can''t sleep. I can''t take a "normal" shower - it provokes more hive. I get periodical shivering and feel like I''m freezing. Thu the body T is low. Tachycardia.


VAERS ID: 1996768 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Unknown  
Vaccinated:2021-04-06
Onset:2021-12-25
   Days after vaccination:263
Submitted: 0000-00-00
Entered: 2021-12-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 0U2A21A / 1 - / OT

Administered by: Pharmacy       Purchased by: ?
Symptoms: SARS-CoV-2 test, SARS-CoV-2 test positive
SMQs:, Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20211225; Test Name: COVID-19 antigen test; Result Unstructured Data: Positive
CDC Split Type: USJNJFOC20211266320

Write-up: COVID 19 TEST POSITIVE; This spontaneous report received from a patient concerned a 44 year old male. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 0U2A21A expiry: UNKNOWN) dose was not reported, administered on 06-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 25-DEC-2021, the patient experienced covid 19 test positive. Laboratory data included: COVID-19 antigen test (NR: not provided) Positive. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of covid 19 test positive was not reported. This report was non-serious.


VAERS ID: 1996960 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-12-25
Submitted: 0000-00-00
Entered: 2022-01-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (UNKNOWN)) / UNKNOWN MANUFACTURER - / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Malaise, SARS-CoV-2 test
SMQs:, COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Abdominal pain (some abnormal pain associated with reproductive tract as well (not sure if that diagnosed).); Chronic pain (some chronic pain from injuries and some being still diagnosed for reason,); Multiple injuries (some chronic pain from injuries and some being still diagnosed for reason); Reproductive tract disorder NOS (some abnormal pain associated with reproductive tract as well (not sure if that diagnosed).)
Allergies:
Diagnostic Lab Data: Test Date: 20211225; Test Name: SARS-CoV-2 test; Test Result: Negative
CDC Split Type: USPFIZER INC202101863434

Write-up: did not feel 100% on 12/25 but had tested negative for covid; This is a spontaneous report from a contactable reporter (consumer or other non hcp). A 24-year-old female patient (not pregnant) received bnt162b2 (COVID-19 VACCINE - MANUFACTURER UNKNOWN), administration date an unknown date in 2021 (Lot number: unknown) as dose 2, single for COVID-19 immunisation. Relevant medical history included: "Chronic pain" (unspecified if ongoing), notes: some chronic pain from injuries and some being still diagnosed for reason,; "Abdominal pain" (unspecified if ongoing), notes: some abnormal pain associated with reproductive tract as well (not sure if that diagnosed); "Multiple injuries" (unspecified if ongoing), notes: some chronic pain from injuries and some being still diagnosed for reason and "Reproductive tract disorder NOS" (unspecified if ongoing), notes: some abnormal pain associated with reproductive tract as well (not sure if that diagnosed). It was unsure whether the patient received any medications in two weeks of vaccination. Vaccination history included: Covid-19 vaccine (DOSE 1, SINGLE; MANUFACTURER UNKNOWN, Lot number: Unknown Route of administration: Unspecified), for COVID-19 immunisation. The following information was reported: MALAISE (non-serious) with onset 25Dec2021, outcome "unknown", described as "did not feel 100% on 12/25 but had tested negative for covid". Relevant laboratory tests and procedures are available in the appropriate section. Additional information: It was unsure whether the patient had any known allergies. It was unknown whether, the patient receive any other vaccines within four weeks prior to the COVID vaccine. It was reported that the patient was vaccinated (probably fully by at least Jul2021 as the patient had to work in person so she probably was able to receive it earlier than some others) as of this summer, but the reporter was not sure the amount of doses had currently received or which vaccine or exact dates. Since the vaccination, the patient had been tested for COVID-19 and the result was negative. The lot number for BNT162b2 was not provided and will be requested during follow-up.


VAERS ID: 1997684 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-12-17
Onset:2021-12-25
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2022-01-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 3 RA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Erythema, Pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None that I am aware of
Allergies: None that I am aware of
Diagnostic Lab Data:
CDC Split Type:

Write-up: Week after vaccination broke out in itchy red hives all over body. Taking Benadryl and steroids for 6 days and symptoms have not improved. Hives come and go throughout the day and are worst at night.


VAERS ID: 1998016 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-05-01
Onset:2021-12-25
   Days after vaccination:238
Submitted: 0000-00-00
Entered: 2022-01-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 - / -
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 - / -

Administered by: Public       Purchased by: ?
Symptoms: Cough, Diarrhoea, Nasal congestion, Pyrexia, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: not known
Current Illness: not known
Preexisting Conditions: Cardiovascular disease
Allergies: not known
Diagnostic Lab Data: PCR + for Covid12/27
CDC Split Type:

Write-up: Client received Moderna vaccines for Covid x 2 May 2021. Symptoms started 12/25/2021 - nasal congestion, cough, diarrhea, fever.


VAERS ID: 1998429 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: New York  
Vaccinated:0000-00-00
Onset:2021-12-25
Submitted: 0000-00-00
Entered: 2022-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / 1 - / -

Administered by: Other       Purchased by: ?
Symptoms: SARS-CoV-2 test, Suspected COVID-19, Vaccination failure
SMQs:, Lack of efficacy/effect (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Alcohol use (occasionally); Drug allergy (Flagyl, Codeine, Cepacol); Smoker (Occasionally); Thyroid disorder (takes Thyroid medications)
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Date: 20211226; Test Name: COVID-19 rapid POC test; Result Unstructured Data: Positive
CDC Split Type: USJNJFOC20211266733

Write-up: SUSPECTED CLINICAL VACCINATION FAILURE; SUSPECTED COVID19 INFECTION; This spontaneous report received from a patient concerned a 61 year old African American female of unspecified ethnicity. The patient''s height, and weight were not reported. The patient''s concurrent conditions included: thyroid issues and was taking thyroid medications, occasional alcohol user, and occasional smoker. The patient had drug allergy to Codeine, Cepacol, Flagyl. The patient received covid-19 vaccine ad26.cov2.s (dose number in series 1) (suspension for injection, route of admin not reported, batch number: 1805018, and expiry: 23-AUG-2021) dose was not reported, 1 total administered on 27-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 25-DEC-2021 the patient had symptoms from morning. The symptoms were not severe. The patient had headache, chills, low grade fever and fatigue (suspected covid-19 infection, suspected clinical vaccination failure) (Dose number in series 1). The patient still had fatigue at the time of reporting but other symptoms had resolved (dose number in series 1). The patient had rapid Covid-19 antigen test and results came back positive on 26-DEC-2021. The patient had self treated herself at home. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from suspected covid19 infection, and the outcome of suspected clinical vaccination failure was not reported. This report was serious (Other Medically Important Condition). This case was associated with a product quality complaint, and reference number requested.; Sender''s Comments: V0- 20211266733-Covid-19 vaccine ad26.CoV-2.s- Suspected clinical vaccination failure. This event is considered not related. The event has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There are other factors more likely to be associated with the event than the drug. Specifically: SPECIAL SITUATIONS


VAERS ID: 1998478 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: D.C.  
Vaccinated:2021-04-24
Onset:2021-12-25
   Days after vaccination:245
Submitted: 0000-00-00
Entered: 2022-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 009C21A / 1 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Psoriasis, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20214

Write-up: breaking in hives; felt like psoriasis; This spontaneous case was reported by a consumer and describes the occurrence of URTICARIA (breaking in hives) and PSORIASIS (felt like psoriasis) in a 26-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 068h21a, 022c21a and 009c21a) for COVID-19 vaccination. No Medical History information was reported. On 24-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intravenous) 1 dosage form. On 22-May-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 20-Dec-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 25-Dec-2021, the patient experienced URTICARIA (breaking in hives) and PSORIASIS (felt like psoriasis). At the time of the report, URTICARIA (breaking in hives) and PSORIASIS (felt like psoriasis) had not resolved. Concomitant information was not provided. Treatment information was not provided.


VAERS ID: 1998910 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-09-02
Onset:2021-12-25
   Days after vaccination:114
Submitted: 0000-00-00
Entered: 2022-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0183 / 3 UN / UN

Administered by: Private       Purchased by: ?
Symptoms: Angiogram abnormal, Atypical pneumonia, Blood culture negative, COVID-19, Cardiomegaly, Chest pain, Chills, Cough, Diarrhoea, Dyspnoea, Fatigue, Haemoptysis, Hypophagia, Inflammatory marker increased, Influenza A virus test negative, Influenza B virus test, Lung opacity, Nausea, Pneumonia, Pulmonary hilar enlargement, Pyrexia, Respiratory syncytial virus test negative, Respiratory tract congestion, SARS-CoV-2 test positive, Scan with contrast abnormal, Tachycardia, Vomiting
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Interstitial lung disease (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Pseudomembranous colitis (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), Dehydration (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: acetaminophen (TYLENOL) 500 MG tablet amLODIPine (NORVASC) 10 MG tablet aspirin 81 MG chewable tablet dexamethasone (DECADRON) 6 MG tablet dilTIAZem (CARDIZEM CD) 240 MG 24 hr capsule ergocalciferol (VITAMIN D2) 1.25 MG (50000 UT) capsule e
Current Illness: Ovarian cyst and abnormal uterine bleeding 8/12/21
Preexisting Conditions: Circulatory Antibody mediated rejection of transplanted heart (HCC) Essential hypertension Digestive Vitamin D deficiency, unspecified Hematologic Other iron deficiency anemia Genitourinary CKD (chronic kidney disease) stage 2, GFR 60-89 ml/min Complex cyst of right ovary Endocrine/Metabolic Steroid-induced hyperglycemia Hypokalemia Immune Immunosuppressed status (HCC) Other History of CVA (cerebrovascular accident) Heart transplant recipient (HCC) Aftercare following organ transplant History of migraine headaches Muscle cramps Major depressive disorder, single episode, moderate (HCC) Generalized anxiety disorder with panic attacks
Allergies: Lisinopril-Swelling Nickel
Diagnostic Lab Data: CT ANGIO THORAX WITH IV CONTRAST Resulted: 12/25/21 2344 Order Status: Completed Updated: 12/25/21 2346 Narrative: EXAMINATION: CT Angiography of the Thorax EXAM DATE: 12/25/2021 11:24 PM TECHNIQUE: Standard protocol CT angiogram images were obtained through the chest following the administration of intravenous contrast. Coronal and sagittal MIP 3-D reformations were performed. CONTRAST: 80 mL of Isovue-370. QPP DOCUMENTATION: At least one of the following dose reduction techniques was utilized: Iterative reconstruction, and/or Automatic Exposure Control, and/or mA/kV adjustment based on body size. INDICATION: PE suspected, high prob, hx of heart transplant, hemoptysis, sharp chest pain, short of breath, fever, chills, diarrhea/vomiting x last 4 days. Evaluate for pulmonary embolism and for pneumonia. The patient is COVID 19 positive. COMPARISON: CT thorax, abdomen and pelvis performed October 13, 2020, CTA thorax performed October 11, 2020. ENCOUNTER: Not applicable. ____________________ FINDINGS: Base of Neck & Axillae: There is no lymph node enlargement. Mediastinum & Hila: There are no enlarged mediastinal lymph nodes. Mild bilateral hilar nodal prominence is nonspecific but is likely reactive. Cardiovascular: The heart is mildly enlarged. There is no pericardial effusion. There is no evidence of right heart strain. The thoracic aorta enhances normally with no aneurysm, dissection or intramural hematoma. There has been a sternotomy, per history for heart transplant. Pulmonary Arteries: The pulmonary arteries are well-opacified. There is no evidence of pulmonary embolism. The main pulmonary artery has normal caliber. Lungs & Airways: The trachea and the central bronchi are widely patent. There is no bronchial wall thickening. There are scattered small airspace opacities throughout both lungs, the changes worse on the left, particularly involving the left lower lobe. The appearance suggests an atypical infection. While nonspecific, evolving COVID 19 pneumonia could have this appearance. Pleural Space: There is no pleural effusion. There is no pneumothorax. Upper Abdomen: Included portions of the upper abdomen are unremarkable. Chest Wall & Musculoskeletal: No significant abnormality. ____________________ Impression: 1. No evidence of pulmonary embolism. 2. There are scattered airspace opacities throughout both lungs, the changes worse on the left. The appearance suggests an atypical pneumonia. The appearance is nonspecific. Evolving COVID 19 pneumonia could have this appearance. 3. No pleural effusion. No pneumothorax. Peripheral Blood Culture Collected: 12/25/21 2037 Order Status: Completed Specimen: Blood, Venous Updated: 12/30/21 2202 Cult Blood Peripheral No bacteria or yeast isolated Peripheral Blood Culture Collected: 12/25/21 2045 Order Status: Completed Specimen: Blood, Venous Updated: 12/30/21 2202 Cult Blood Peripheral No bacteria or yeast isolated Collected: 12/25/21 2045 Order Status: Completed Specimen: Swabbed Collection from Nasopharynx Updated: 12/25/21 2147 COVID-19 PCR Detected Abnormal Influenza A PCR Not Detected Not Detected Influenza B PCR Not Detected Not Detected RSV PCR Not Detected Not Detected
CDC Split Type:

Write-up: PATIENT WAS HOSPITALIZED AND DISCHARGED AFTER 3 DAYS. 12/25-12/28/21. The patient is a 25 y.o. female with past medical history of OHT 10/28/20, HTN, HLD, CKD II, migraines, anxiety and depression; she presents with 10 day history of multiple infectious symptoms including cough, congestion, N/V/D, chills, fatigue and fever as noted in ROS with significantly decreased oral intake the last 2 days. She was noted to be tachycardic and febrile on examination. Patient tested positive for COVID-19 on PCR. She was admitted and given monoclonal antibody therapy (while in observation) and then decadron. She remained inpatient until she was able to stay off o2 for 24 hours. Symptoms improved and inflammatory markers down-trending. Discharged in stable condition.


VAERS ID: 1999115 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-12-21
Onset:2021-12-25
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2022-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 RA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Inflammation, Lethargy, Mood altered, Tinnitus
SMQs:, Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Depression (excl suicide and self injury) (broad), Hearing impairment (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin D3, Super B Complex
Current Illness: Seasonal allergies
Preexisting Conditions: IBS, anemia
Allergies: Penicillin, sulfa
Diagnostic Lab Data: Visited general practitioner and ENT. Said hearing is perfect and the tinnitus is an inflammatory response.
CDC Split Type:

Write-up: Tinnitus began four days after shot was administered; is still ongoing although not as bad as it was at first. Having mood disturbances and general lethargy as well.


VAERS ID: 1999119 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Male  
Location: Oregon  
Vaccinated:2021-12-16
Onset:2021-12-25
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2022-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Blood bicarbonate, Blood bilirubin increased, Chest X-ray normal, Chest pain, Electrocardiogram abnormal, Fibrin D dimer normal, Full blood count normal, Liver function test normal, Metabolic function test, Presyncope, Protein total increased, Troponin normal
SMQs:, Liver related investigations, signs and symptoms (narrow), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Biliary system related investigations, signs and symptoms (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Hx of ventricular septal defect repaired at age 10mo. Ongoing cardiac murmur. Otherwise healthy at time of vaccination.
Preexisting Conditions: Hx of ventricular septal defect repaired at age 10mo. Ongoing cardiac murmur.
Allergies: None
Diagnostic Lab Data: EKG abnormal but no baseline avail - pt w/Hx of abnormal EKG''s. Neg troponin, neg D-dimer, neg CXR. tBili, total protein, bicarb all a little elevated, otherwise normal BMP + LFT''s, CBC.
CDC Split Type:

Write-up: Chest pain at rest starting about a week after vaccination -$g presyncope on an airplane 11-12 days after vaccination


VAERS ID: 1999147 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Male  
Location: D.C.  
Vaccinated:2021-11-17
Onset:2021-12-25
   Days after vaccination:38
Submitted: 0000-00-00
Entered: 2022-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 034F21A / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Diarrhoea, Nausea, Troponin increased, Vomiting
SMQs:, Acute pancreatitis (broad), Myocardial infarction (narrow), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Migraines, high cholesterol
Allergies: None
Diagnostic Lab Data: troponin level elevated for three tests on 12/29/2021, medication to deal with vomiting (Reglan)
CDC Split Type:

Write-up: Intractable vomiting, nauseous, diarrhea all for 6 days, elevated troponin level


VAERS ID: 1999357 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-10-12
Onset:2021-12-25
   Days after vaccination:74
Submitted: 0000-00-00
Entered: 2022-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FE3590 / 3 UN / UN

Administered by: Private       Purchased by: ?
Symptoms: Angiogram pulmonary abnormal, Anion gap, Asthenia, Blood bicarbonate increased, Blood chloride normal, Blood creatinine normal, Blood glucose normal, Blood potassium normal, Blood sodium normal, Blood urea increased, COVID-19, Cardiomegaly, Chest X-ray abnormal, Cholelithiasis, Cough, Dyspnoea, Glomerular filtration rate normal, Haematocrit normal, Haemoglobin normal, Lung disorder, Lung opacity, Magnetic resonance imaging head normal, Mean cell volume normal, Neutrophil count, Platelet count normal, Pneumonia, Red blood cell count normal, Scan with contrast normal, White blood cell count normal
SMQs:, Acute renal failure (broad), Cardiac failure (broad), Anaphylactic reaction (broad), Interstitial lung disease (narrow), Retroperitoneal fibrosis (broad), Acute central respiratory depression (broad), Gallbladder related disorders (narrow), Gallstone related disorders (narrow), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Chronic kidney disease (broad), Tumour lysis syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 9 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: cholecalciferol (VITAMIN D3) 25 MCG (1000 UT) capsule escitalopram (LEXAPRO) 20 MG tablet montelukast (SINGULAIR) 10 MG tablet pantoprazole (PROTONIX) 40 MG tablet pravastatin (PRAVACHOL) 40 MG tablet predniSONE (DELTASONE) 20 MG tablet tiZ
Current Illness:
Preexisting Conditions: Hospital Multiple sclerosis Acute respiratory failure with hypoxia Non-Hospital SVT (supraventricular tachycardia) Acute pain of right shoulder Allergic rhinitis Ataxia Bilateral optic neuritis Chronic low back pain Foot-drop Hyperlipidemia Hypotension Impacted cerumen of both ears Internuclear ophthalmoplegia Sacroiliac joint pain Secondary progressive multiple sclerosis Urinary incontinence Vitamin D deficiency
Allergies: Dimethyl Fumarate- Rash Seasonal Allergies, Unspecified- Sneezing Teriflunomide - Diarrhea
Diagnostic Lab Data: Lab Results Component Value Date GLUCOSE 97 01/01/2022 SODIUM 143 01/01/2022 POTASSIUM 3.9 01/01/2022 CHLORIDE 101 01/01/2022 HCO3 30 (H) 01/01/2022 ANIONGAP 12 01/01/2022 BUN 30 (H) 01/01/2022 CREATININE 0.53 01/01/2022 EGFR $g60 01/01/2022 Lab Results Component Value Date WBC 7.14 01/01/2022 RBC 5.02 01/01/2022 HGB 13.1 01/01/2022 HCT 41.9 01/01/2022 MCV 83.5 01/01/2022 PLATELET 233 01/01/2022 NEUTABSOLU 5.11 12/31/2021 MRI Brain w/wo contrast 12/26/2021 Impression: No acute intracranial abnormality. Specifically, no evidence of active demyelination or new lesion with respect to the 3/23/2021 examination. CTA Thorax 12/27/2021 Impression: 1. No evidence of acute pulmonary embolus. 2. Mild cardiomegaly. 3. Pulmonary trunk appears distended measuring up to 35 mm. This is nonspecific but can be seen in the setting of pulmonary hypertension. 4. Patchy bilateral groundglass opacities as can be seen in the setting of Covid infection. 5. Cholelithiasis. CXR 12/28/2021 Impression: 1. There is diffuse patchy opacification of both lungs. This is not significantly changed from prior imaging. 2. No pneumothorax or sizable pleural effusion is seen. 3. The mediastinal contour and the cardiac silhouette are stable. 4. No suspicious osseous lesion is seen.
CDC Split Type:

Write-up: Patient currently hospitalized (9) days. HOSPITAL COURSE: Patient is a 58-year-old female with a history of primary progressive MS who presented with increasing generalized weakness, worse from her baseline (at baseline, right lower extremity worse than left lower extremity) and dyspnea/cough. In ER she was noted to have COVID-19 along with chest x-ray showing patchy bilateral airspace disease. She has received her COVID vaccination and her booster in October. She was admitted and started on decadron. She was seen by neurology who recommended MRI brain to rule out acute demyelinating lesions. MRI brain without acute changes compared to prior. Neurology felt weakness represented a pseudo flare in the setting of acute COVID infection. Oxygen needs began to increase. CT angio thorax showing no PE. The patient was transitioned to IV solumedrol, started on IV lasix and ppx antibiotics for CAP. The patient slowly started to show improvement and oxygen was weaned down to 2L at and rest and 4L with activity. Pulm rehab evaluated the patient for home oxygen. PT/OT evaluated the patient and recommended IRC, but did not get insurance authorization and SAR was recommended instead. After further discussion with the patient she is declining SAR and prefers to discharge home. She will be sent home with a prednisone taper and HHC will be arranged.


VAERS ID: 1999463 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Female  
Location: Missouri  
Vaccinated:2021-12-21
Onset:2021-12-25
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2022-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 3 UN / UN

Administered by: Unknown       Purchased by: ?
Symptoms: AST/ALT ratio abnormal, Acute respiratory failure, Alanine aminotransferase increased, Anion gap, Anticoagulant therapy, Aspartate aminotransferase normal, Asthenia, Bacterial infection, Basophil count decreased, Basophil percentage decreased, Bilirubin conjugated normal, Bilirubin urine, Bladder catheterisation, Bladder scan, Blood albumin decreased, Blood alkaline phosphatase normal, Blood bilirubin decreased, Blood calcium decreased, Blood chloride normal, Blood creatine phosphokinase MB, Blood creatine phosphokinase increased, Blood creatinine normal, Blood glucose normal, Blood lactic acid, Blood magnesium normal, Blood osmolarity, Blood potassium normal, Blood sodium normal, Blood urea nitrogen/creatinine ratio increased, Blood urea normal, Blood urine absent, Blood urine present, Bronchial wall thickening, C-reactive protein increased, COVID-19, COVID-19 pneumonia, Carbon dioxide normal, Cardiomegaly, Cerebral atrophy, Chest X-ray abnormal, Computerised tomogram head abnormal, Culture urine, Deep vein thrombosis, Dyspnoea, Dysuria, Eosinophil count normal, Eosinophil percentage, Factor V deficiency, Fall, Fibrin D dimer, Glomerular filtration rate normal, Glucose urine absent, Haematocrit normal, Haemoglobin decreased, Hemiparesis, Hypokalaemia, Immature granulocyte count, Lung disorder, Lymphocyte count normal, Lymphocyte percentage decreased, Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal, Mean cell volume normal, Mean platelet volume normal, Mental status changes, Mobility decreased, Monocyte count normal, Monocyte percentage, Neutrophil count increased, Neutrophil percentage increased, Nitrite urine absent, Pain in extremity, Platelet count normal, Procalcitonin, Prohormone brain natriuretic peptide increased, Protein total normal, Protein urine absent, Prothrombin time shortened, Red blood cell count normal, Red blood cell nucleated morphology, Red cell distribution width, Red cell distribution width normal, Rhabdomyolysis, SARS-CoV-2 test positive, Serum ferritin increased, Specific gravity urine normal, Synovial cyst, Ultrasound Doppler abnormal, Urine analysis, Urine ketone body absent, Urine leukocyte esterase, Urobilinogen urine decreased, Ventricular enlargement, White blood cell count increased, pH urine normal
SMQs:, Rhabdomyolysis/myopathy (narrow), Acute renal failure (broad), Cardiac failure (broad), Liver related investigations, signs and symptoms (narrow), Anaphylactic reaction (broad), Haematopoietic erythropenia (broad), Haematopoietic leukopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (narrow), Neuroleptic malignant syndrome (broad), Myocardial infarction (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Dementia (broad), Congenital, familial and genetic disorders (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Parkinson-like events (broad), Thrombophlebitis (broad), Acute central respiratory depression (narrow), Biliary system related investigations, signs and symptoms (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Cardiomyopathy (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (narrow), Chronic kidney disease (broad), Hypersensitivity (broad), Tumour lysis syndrome (broad), Respiratory failure (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), Dehydration (broad), Hypokalaemia (narrow), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 8 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Huntington''s
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Date of Admission Admit Date: Dec-25-2021 Date of Discharge Date of discharge Jan-02-2022 Allergies CODEINE PHOSPHATE - Not Specified MORPHINE SULFATE (PF) - Not Specified fentaNYL - Not Specified Ativan - Not Specified Sulfa Antibiotics - Not Specified Buprenex - Not Specified Procedure(s) Performed None Lab Results Jan-02-2022 0904 Point Of Care GLUSTX 142 Jan-02-2022 0532 Hematology WBC 11.5RBC 4.73HGB 14.0HCT 41.0MCV 86.7MCH 29.6MCHC 34.1RDW 12.7RDWSD 39.7PLT 371MPV 9.3AUTONEU% 71.1AUTOLYM% 16.4AUTOMON% 6.3AUTOEOS% 1.7AUTOBAS% 0.4AUTONEU# 8.2AUTOLYM# 1.9AUTOMON# 0.7AUTOBAS# 0.1AUTOEOS# 0.2NRBC% 0.0NRBC 0.0HGB/HCT 2.9IG# 0.47IG% 4.1 Jan-02-2022 0532 Chemistry GLUCOSE 80BUN 13CREAT 0.5MDRD GFR 123NA 138K 3.8CL 103CALCIUM 8.7CO2 27.0OSMO 274.8ANION GP 11.8BUN/CRE 26.0 Jan-01-2022 2140 Urinalysis Department SPECGRAV 1.020U-PH 7.5LEUCOCYT NegativeNITRITES NegativePROTEIN NegativeGLUCOSE NegativeKETONES NegativeUROBILIN 4.0BILRUBIN NegativeBLOOD NegativeCOLOR Lt. YellowCLARITY ClearCULTURE NCULTIND <10 WBCWBC NoneRBC 0-2SQUAM EP NoneBACTERIA NoneMUCUS None Dec-30-2021 0535 Hematology WBC 9.5RBC 4.70HGB 14.0HCT 40.4MCV 86.0MCH 29.8MCHC 34.7RDW 12.1RDWSD 38.5PLT 319MPV 9.4AUTONEU% 67.9AUTOLYM% 17.1AUTOMON% 8.5AUTOEOS% 0.1AUTOBAS% 0.8AUTONEU# 6.5AUTOLYM# 1.6AUTOMON# 0.8AUTOBAS# 0.1AUTOEOS# 0.0SCAN DIF YNRBC% 0.0NRBC 0.0HGB/HCT 2.9IG# 0.53IG% 5.6 Dec-30-2021 0535 Chemistry GLUCOSE 112BUN 14CREAT 0.7MDRD GFR 84NA 137K 3.5CL 101CALCIUM 8.7ALK PHOS 84CO2 31.4AST 33ALT 59AST/ALT 0.6TL PROT 6.7ALBUMIN 2.8TBILI 0.6DBILI 0.1OSMO 275.0ANION GP 8.1BUN/CRE 20.0 Dec-29-2021 0702 Chemistry CRP 2.30 Dec-29-2021 0702 Serology PROCALC <0.05 Dec-28-2021 0530 Hematology WBC 7.5RBC 4.34HGB 13.1HCT 38.6MCV 88.9MCH 30.2MCHC 33.9RDW 12.5RDWSD 41.0PLT 216MPV 10.0AUTONEU% 79.0AUTOLYM% 13.1AUTOMON% 6.6AUTOEOS% 0.0AUTOBAS% 0.1AUTONEU# 5.9AUTOLYM# 1.0AUTOMON# 0.5AUTOBAS# 0.0AUTOEOS# 0.0SCAN DIF YNRBC% 0.0NRBC 0.0HGB/HCT 2.9IG# 0.09IG% 1.2 Dec-28-2021 0530 Chemistry GLUCOSE 118BUN 15CREAT 0.6MDRD GFR 100NA 138K 4.2CL 105CALCIUM 8.8ALK PHOS 76CO2 23.7AST 66ALT 46AST/ALT 1.4TL PROT 6.5ALBUMIN 2.4TBILI 0.6DBILI 0.1OSMO 277.6ANION GP 13.5BUN/CRE 25.0CPK 692 Dec-27-2021 0525 Chemistry CRP 11.70 Dec-27-2021 0525 Serology PROCALC 0.08 Dec-26-2021 0525 Coagulation D-DIMER 1.32 Dec-26-2021 0450 Chemistry MAGNESIU 1.9FERRITIN 744 Dec-26-2021 0450 Serology PROCALC 0.10 Dec-25-2021 2025 Urinalysis Department SPECGRAV 1.025U-PH 6.0LEUCOCYT NegativeNITRITES NegativePROTEIN TraceGLUCOSE NegativeKETONES 15UROBILIN 0.2BILRUBIN NegativeBLOOD Trace-IntactCOLOR AmberCLARITY ClearCULTURE NCULTIND Not Indicated Dec-25-2021 2000 Microbiology C BLD No aerobic or anaerobic growth after 5 nights. Dec-25-2021 2000 Hematology WBC 6.5RBC 4.48HGB 13.4HCT 40.2MCV 89.7MCH 29.9MCHC 33.3RDW 12.8RDWSD 42.2PLT 133MPV 9.5AUTONEU% 81.7AUTOLYM% 12.7AUTOMON% 4.9AUTOEOS% 0.0AUTOBAS% 0.2AUTONEU# 5.3AUTOLYM# 0.8AUTOMON# 0.3AUTOBAS# 0.0AUTOEOS# 0.0NRBC% 0.0NRBC 0.0HGB/HCT 3.0IG# 0.03IG% 0.5 Dec-25-2021 2000 Chemistry GLUCOSE 120BUN 15CREAT 0.7MDRD GFR 84NA 142K 3.8CL 102CALCIUM 8.7ALK PHOS 97CO2 28.7AST 172ALT 56AST/ALT 3.1TL PROT 7.3ALBUMIN 3.3TBILI 0.8OSMO 285.1ANION GP 15.1BUN/CRE 21.4CPK 5065TROPI <0.017LACTATE 1.50CK-MB 12.0PROBNP 144 Dec-25-2021 1935 Serology COVID Pos Imaging Results Chest x-ray performed 12/25/21 Findings: Patchy bilateral airspace disease. No pleural effusion. No pneumothoax. Mild cardiomegaly. No acute fracture. Impression: Bilateral airspace disease. CT head/brain performed 12/26/21 Findings: Mucosal thickening present with maxiallary sinuses. Mild mucosal thickened present with ethmoid sinuses. Mastoid air cells are clear. No calvarial fracutre atherosclerotic vascular calcifications. No evidence for mass or mass effect. No intracranial hemorrhage or abnormal extra-axial fluid collection. No CT evidence of acute infact. The lateral and 3rd ventricles are enlarged out of proportion with the degree of mild to moderate global cerebral volume loss. The 4th ventricle is normal in caliber. Basilar cisterns are patent. Posterior fossa is unremarkable. Impression: 1. No acute intracranial findings. Specifically, no evidence of intracranial hemorrhage. 2. Enlargement of the lateral and 3rd ventricles out of proportion with the degree of mild to moderate cerebral volume loss. No obstructing lession identified. This can be seen with normal pressure hydrocephalus. Vascular lower extremity doppler performed 12/29/21 Impression: Right posterior tibial vein is noncompressible with absent of flow. Good flow through rest of the right leg venous system. No DVT in the left leg. An anechooic nonpulsatile structure in the medial popliteal fossa measuring 3.3 x 4.4 cm is seen. Functional Status* Impaired mobility Mental Status* Impaired Cognition Social History tobacco use Unknown If Ever Smoked marital status Married Health Concerns Pneumonia Hypoxia Acute respiratory failure COVID-19 Vital Signs Jan-02-2022 1152 T 98.5 HR 80 RR 20 BP 135 / 77 O2Sat 95 Jan-02-2022 1151 T 98.5 HR 80 RR 20 BP 135 / 77 O2Sat 95 PHYSICAL EXAM Constitutional: Patient is a 66 year old female, who is pleasant, and cooperative during exam. In no acute distress. Cardiovascular: Heart rate and rhythm is regular. No murmurs or clicks noted. Radial, dorsalis pedis, and posterior tibial arteries are 2+ bilaterally. No peripheral edema noted. Respiratory: Lungs are clear to auscultation bilaterally. No wheezes or rales noted. No accessory muscle use. She is currently on room air GI: Normoactive bowel sounds. Abdomen is soft, non-tender to palpation. No guarding or rebound tenderness. Psych: Patient is alert and oriented. Mood and affect is appropriate. Hospital Course Patient is a 66 year old female, who presented to the emergency room on 12/26 due to shortness of breath. She was also having some increased weakness while at home. She had also fallen and her caregiver was unable to help her get up. She was found to be COVID positive and requiring supplemental oxygen, as well as having rhabdomyolysis and admitted to the hospital. She was started on remdesivir and dexamethasone for her COVID pneumonia and was started on IV fluids for her rhabdomyolysis. Her oxygen requirments remained low during her hospitalization though they did elevate during the middle of her stay. She began to develop acute leg pain as well, and lower extremity doppler was performed, finding a right sided DVT. She was started on Eliquis for treatment of the DVT. The few days prior to admission, it was noted that her oxygen saturation had been steadily increasing from 2L to 4L. She was monitored closely for an additional couple days to ensure that this did not progress further. On the day prior to discharge, her oxygen saturations remained stable and actually improved, and her foley catheter was removed as she did not have one at baseline. That night, she was having some difficulties with urination, and bladder scan was done showing 800cc of residual urine. Foley catheter was placed again. On day of discharge, she was placed on room air and had no desaturations and maintained her oxygen saturation in the 90%s. She was discharged home into the care of her husband. Condition at Discharge Stable Discharge Medications ACETAMINOPHEN 650 MG ORALLY EVERY 4 HOURS AS NEEDED for FEVER OR MILD PAIN 1-3 ON PS APIXABAN 10 MG ORALLY TWICE DAILY (ePrescribed by DO RESIDENT on Jan-02-2022 1023) ARIPiprazole Oral Tablet 2 MG 2 MG ORALLY ONCE A DAY ASPIRIN LOW DOSE 81 MG ORALLY ONCE A DAY levothyroxine 100 mcg tab 100 MCG ORALLY EVERY MORNING Memantine HCl Oral Tablet 10 MG 10 MG ORALLY TWICE DAILY metFORMIN HCl ER (MOD) Oral Tablet Extended Release 24 Hour 500 MG 1000 MG ORALLY WITH EVENING MEAL Omeprazole Oral Capsule Delayed Release 20 MG 20 MG ORALLY DAILY AT 0700 POLYETHYLENE GLYCOL 17 GM ORALLY ONCE A DAY Terbinafine HCl Oral Tablet 250 MG 250 MG ORALLY ONCE A DAY Discharge Disposition Discharge to home with home health Plan Assessments - Acute hypoxic respiratory failure, secondary to COVID-19 Pneumonia - COVID-19 Pneumonia, secondary to Sars-CoV-2, unlikely due to secondary bacterial infection - Acute rhabdomyolysis, unknown time down, CPK 5065 on admission, improved to 1913 on 12/27 - Right lower extremity DVT, started on Eliquis - Left popliteal baker''s cyst - Unilateral weakness, Right upper and lower extremities - Possible normal pressure hydrocephalus with bilateral third ventricle enlargement, per CT 12/26/2021 - Possible history of recent stroke with residual weakness. - Factor V deficiency - Acute Hypokalemia, K 3.3 on admission, resolved Plan: Patient will be discharged today. She is doing well and is no longer requiring supplemental oxygen. She and her family are eager for her to return home. She will be discharged home with a foley catheter. She did not have one at home prior. After pulling foley catheter yesterday, overnight it was noted that she had 800cc in her bladder that she was unable to urinate out, and she was catheterized. Would recommend that she see urology for further discussion. She will be sent home with home health and will be seen by skilled nursing, physical therapy, and occupational therapy, in hopes of building back up her strength. Due to the DVT that was found on ultrasound during her hospitalization, she has been started on Eliquis, 10mg twice daily. On the 6th, she will need to stop taking 10mg twice daily, and begin taking 5mg twice daily of the Eliquis. She should also see her primary care provider for a hospital followup.


VAERS ID: 1999469 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: South Carolina  
Vaccinated:2021-12-21
Onset:2021-12-25
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2022-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -
FLU4: INFLUENZA (SEASONAL) (FLUZONE QUADRIVALENT) / SANOFI PASTEUR - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Ovulation disorder
SMQs:, Fertility disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Prenatal vitamin, Zyrtec
Current Illness: None
Preexisting Conditions: None
Allergies: Bactrim and peaches
Diagnostic Lab Data: Daily LH recordings from 12/24/2021-1/2/2022 showing spike on 1/1/2022.
CDC Split Type:

Write-up: I have been tracking my ovulation to try to get pregnant for the past 9 months. My ovulation has come on day 14, 15 or 16 of my cycle. This time my ovulation came on day 22. I initially believed I had perhaps missed it but got a clear positive on day 22.


VAERS ID: 1999565 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-12-17
Onset:2021-12-25
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2022-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 060H21A / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Incorrect route of product administration, Pain
SMQs:, Drug abuse and dependence (broad), Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
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: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: After seven days from vaccination (and currently as of now) mild pain upper left arm still exists when raising arm at and above shoulder height. The vaccinator told me to raise t-short sleeve as high as possible, I complied. The vaccinator entered shot very high on arm; I believe she entered shot too high on arm. I?m also not sure she washed her hands after she vaccinated a different person before me because vaccinator picked up coins prev person dropped on the floor and vaccinator afterward went inside pharmacy employee doorway, returning- at front counter I didn?t see any indication she washed hands. She did place new gloves on when she vaccinated me.


VAERS ID: 1999721 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-12-13
Onset:2021-12-25
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 2022-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 058H21A / 3 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Mechanical urticaria, Pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: n/a
Current Illness: n/a
Preexisting Conditions: n/a
Allergies: n/a
Diagnostic Lab Data:
CDC Split Type:

Write-up: dermatographia started appearing - skin would become itchy with raise welts when lightly irritated by touch, clothing, etc


VAERS ID: 1999850 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-05-02
Onset:2021-12-25
   Days after vaccination:237
Submitted: 0000-00-00
Entered: 2022-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Chills, Cough, Inappropriate schedule of product administration, Myalgia, Nasal congestion, SARS-CoV-2 test positive
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Medication errors (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: not known
Current Illness: not known
Preexisting Conditions: not known
Allergies: not known
Diagnostic Lab Data: PCR + for Covid 12/28/2021
CDC Split Type:

Write-up: Client vaccinated with Pfizer vaccines on May 2 and June 2, 2021. Not boosted. Symptoms started on 12/28/2021 - chills, nasal congestion, cough, myalgia.


VAERS ID: 2000468 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-12-21
Onset:2021-12-25
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2022-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 30155BA / 3 RA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Heavy menstrual bleeding, Thrombosis
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Wellbutrin
Current Illness:
Preexisting Conditions:
Allergies: Iodinated contrast media
Diagnostic Lab Data:
CDC Split Type:

Write-up: Heavy menstrual bleeding with clotting ongoing (began 12/25/21)


VAERS ID: 2001113 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-12-15
Onset:2021-12-25
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2022-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 045J21A / 3 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Mechanical urticaria, Pruritus, Swelling, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: dermatographia on arms (not itchy) age:36 Moderna covid vaccine #2 on 3/17/2021
Other Medications: amitriptyline rizatriptan gummy vitamins
Current Illness:
Preexisting Conditions: Migraine headaches
Allergies: none
Diagnostic Lab Data: A call was placed to teladocs on 12/26/21
CDC Split Type:

Write-up: Severely itchy hives covering my entire body. Started with an itchy scalp, and now includes my entire body. dermatographia is also covering my body. The spots show up in different spots every time, and they itch intensely, lasting about 30 mins if I do not scratch the hives. When the hives are scratched they last longer and swelling occurs.


VAERS ID: 2001220 (history)  
Form: Version 2.0  
Age: 5.0  
Sex: Female  
Location: Nebraska  
Vaccinated:2021-11-01
Onset:2021-12-25
   Days after vaccination:54
Submitted: 0000-00-00
Entered: 2022-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH UNKNOWN / 1 UN / IM

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain, Cough, Fibrin D dimer increased, Hepatic enzyme increased, Hypotension, Illness, Mental disorder, Multisystem inflammatory syndrome in children, Myalgia, N-terminal prohormone brain natriuretic peptide increased, Periorbital oedema, Rash, Shock, Thrombocytopenia, Troponin increased
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Liver related investigations, signs and symptoms (narrow), Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (narrow), Haematopoietic thrombocytopenia (narrow), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Myocardial infarction (narrow), Retroperitoneal fibrosis (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Hypovolaemic shock conditions (narrow), Toxic-septic shock conditions (narrow), Anaphylactic/anaphylactoid shock conditions (narrow), Hypoglycaemic and neurogenic shock conditions (narrow), Dementia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Periorbital and eyelid disorders (narrow), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad), Hypokalaemia (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (narrow), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Troponin 0.029 ng/ml, NT-proBNP 2190 pg/ml, d-dimer 10689 ng/ml,
CDC Split Type:

Write-up: Patient received second shot of COVID vaccine on 12/9/2021. Patient experienced COVID-like illness on 11/25/2021. Patient experienced onset of MIS-C on 12/25/2021. Patient experienced shock, hypotension, elevated troponin, elevated NT-proBNP, cough, elevated d-dimers, thrombocytopenia, abdominal pain, elevated liver enzymes, rash, altered mental state, myalgia, and periorbital edema.


VAERS ID: 2001283 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-03-30
Onset:2021-12-25
   Days after vaccination:270
Submitted: 0000-00-00
Entered: 2022-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 012A21A / 1 RA / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 017B21A / 2 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: COVID-19, SARS-CoV-2 test positive
SMQs:, Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Tested Positive for Covid


VAERS ID: 2001399 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-04-15
Onset:2021-12-25
   Days after vaccination:254
Submitted: 0000-00-00
Entered: 2022-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA UNKNOWN / 2 AR / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA UNKNOWN / 1 AR / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Asthenia, Brain natriuretic peptide increased, C-reactive protein increased, COVID-19, COVID-19 pneumonia, Cardiac failure, Cardiac failure congestive, Chest X-ray abnormal, Chills, Dyspnoea, Electrocardiogram, Fall, Fatigue, Hypoxia, Inappropriate schedule of product administration, Interstitial lung disease, Lung infiltration, Malaise, Mitral valve stenosis, Multiple sclerosis, Myalgia, Nasal congestion, Oropharyngeal pain, Pneumonia, Procalcitonin increased, Productive cough, Pyrexia, SARS-CoV-2 test positive, Swallow study, Upper respiratory tract infection
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (narrow), Anaphylactic reaction (broad), Asthma/bronchospasm (broad), Interstitial lung disease (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Accidents and injuries (narrow), Optic nerve disorders (broad), Cardiomyopathy (broad), Demyelination (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Respiratory failure (broad), Tendinopathies and ligament disorders (broad), Medication errors (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), Sepsis (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (narrow), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: insulin detemir (LEVEMIR FLEXTOUCH) 100 UNIT/ML pen-injector acetaminophen (TYLENOL) 500 MG tablet albuterol (PROVENTIL) (2.5 MG/3ML) 0.083% nebulization albuterol HFA (PROAIR HFA) 108 (90 Base) MCG/ACT inhaler amiodarone (PACERONE) 200 MG
Current Illness: Cardiovascular office visit 11.26.21 - severe mitral valve stenosis. Current Assessment & Plan EKG today demonstrates sinus rhythm HR 57 bpm. Remains in sinus with amiodarone use. In the setting of severe MS I favor aggressive HR control and so at this time recommend dual AV nodal blockade. However, patient complaining of ongoing fatigue since hospitalization. She is weak and falling at home. She states this happened previously when she was on higher doses of lopressor. I explained I am not entirely sure her weakness/fatigue is explained by medications and may be deconditioning with recent hospital stay (although patient evaluated by PT in hospital and did not feel she needed home PT). We will trial reducing lopressor back down to 25 mg BID. If patient''s symptoms improve then will keep therapies as ordered. If symptoms do not improve she needs to be evaluated by her PCP and consideration for ongoing PT work needs to be considered.
Preexisting Conditions: Status post stroke Long term current use of anticoagulant Essential hypertension COPD (chronic obstructive pulmonary disease) (HCC) Hyperlipidemia A-fib (HCC) Coronary artery disease Tricuspid regurgitation Stenosis of carotid artery, unspecified laterality Elevated liver enzymes Moya moya disease Pharyngeal dysphagia Right sided weakness Type 2 diabetes mellitus with chronic kidney disease, without long-term current use of insulin, unspecified CKD stage(HCC) Iron deficiency anemia secondary to inadequate dietary iron intake Allergies Environmental allergies GI bleed At risk for falls Cerebral infarction (HCC) Hyponatremia Acute on chronic diastolic heart failure (HCC) Severe mitral valve stenosis Falls
Allergies: BandaidsRash LatexRash Silver SulfadiazineHives Triple Antibiotic OintRash
Diagnostic Lab Data:
CDC Split Type:

Write-up: Hospitalized (12.25.21); COVID positive (12.25.21); fully vaccinated Admission Date: 12/25/2021 Discharge Date: 12/29/2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hypoxia Pneumonia of both lungs due to infectious organism, unspecified part of lung Congestive heart failure, unspecified HF chronicity, unspecified heart failure type (HCC) COVID-19 virus infection Pneumonia due to COVID-19 virus HOSPITAL COURSE: Patient is a 64 y.o. female, PMH of Afib on coumadin, Ashtma, COPD, Severe MS, CAD, CVA, DM-2, Moya moya disease, Pharyngeal dysphagia who presented to a local hospital with SOB. Patient received her Moderna COVID-19 immunizations in March- April of this year. Onset of symptoms 4 days ago of upper respiratory infection type with nasal congestion, a sore throat, initially a nonproductive cough that is become more productive over the past day. She has had increasing shortness of breath with the cough with generalized weakness with fevers, chills, malaise myalgias. On arrival she was hypoxic. CXR noted patchy infiltrates greater on the left consistent with COVID pneumonia. There is increased interstitial markings consistent with the elevated BNP in congestive heart failure. Procal mildly elevated at 0.27. CRP at 186.6. Patient has h/o CVA with pharyngeal dysphagia. Concern for superimposed bacterial infection. Started on ABx in addition to decadron. Admitted for further care. Patient required 3 L of oxygen to keep her sats above 90%. Unasyn was continued for possible aspiration pneumonia given her pharyngeal dysphagia. HCF was consulted and evaluated for swallow dysfunction. Patient was continued on dexamethasone and remdesivir. Patient had improvement in her symptoms. However she was unable to be weaned off of supplemental oxygen. She was evaluated by respiratory therapy and was found to require 2 L of oxygen to keep her sats above 90% both at rest and on ambulation. Patient agreed to go home on supplemental oxygen until she could be weaned of a new feature. Patient was evaluated by PT OT and was recommended home with home health. She was discharged home in stable condition on supplemental oxygen.


VAERS ID: 2001536 (history)  
Form: Version 2.0  
Age: 79.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-05-26
Onset:2021-12-25
   Days after vaccination:213
Submitted: 0000-00-00
Entered: 2022-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0164 / 2 - / -

Administered by: Private       Purchased by: ?
Symptoms: Asthenia, Mental status changes
SMQs:, Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: admitted through the ED with symptoms of weakness and AMS


VAERS ID: 2001794 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-09-15
Onset:2021-12-25
   Days after vaccination:101
Submitted: 0000-00-00
Entered: 2022-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0175 / 2 UN / UN

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Cough, Dyspnoea, Lung opacity, Respiratory symptom, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Interstitial lung disease (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 31 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: unknown
Current Illness: unknown
Preexisting Conditions: unknown
Allergies: unknown
Diagnostic Lab Data: No Covid test result in facility. External test - no date available 12/4/21: Bilateral pulmonary opacities have somewhat worsened in the interval from yesterday''s exam.
CDC Split Type:

Write-up: Event occurred after 2nd vaccine. 12/03/2021: Patient is a 70-year-old male who comes to the emergency department today for shortness of breath. He states that he began to have mild upper respiratory symptoms 8 days ago on Thanksgiving and on Tuesday he tested positive for Covid. ( 11/30/2021). He has some mild cough but denies any chest pain. He also has not been having any vomiting abdominal pain diarrhea or dysuria.


VAERS ID: 2001846 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-02-10
Onset:2021-12-25
   Days after vaccination:318
Submitted: 0000-00-00
Entered: 2022-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 013M20A / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, SARS-CoV-2 test positive
SMQs:, Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Covid positive contact unknown


VAERS ID: 2001858 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-08-26
Onset:2021-12-25
   Days after vaccination:121
Submitted: 0000-00-00
Entered: 2022-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 059E21A / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Exposure to SARS-CoV-2, SARS-CoV-2 test positive
SMQs:, Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Covid positive through family contact


VAERS ID: 2001919 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Male  
Location: Kentucky  
Vaccinated:2021-10-11
Onset:2021-12-25
   Days after vaccination:75
Submitted: 0000-00-00
Entered: 2022-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA8899 / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Exposure to SARS-CoV-2, SARS-CoV-2 test positive
SMQs:, Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Covid positive through family contact


VAERS ID: 2002080 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-12-16
Onset:2021-12-25
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2022-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH UNKNOWN / 3 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, Catheterisation cardiac, Chest pain, Dizziness, Echocardiogram, Electrocardiogram, Hyperhidrosis, Magnetic resonance imaging heart, Nausea, Oropharyngeal pain, Pain in jaw
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Osteonecrosis (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Fluoxetine ;Rosuvastatin 3xweek, low dose aspirin, vitamin D, Calcium, probiotic, biotin, vitamin C
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: EKG, blood tests December 25 - 29; 2021 duration of hospital stay Catheterization December 26, 2021 Echocardiogram December 27; 2021 Cardiac MRI December 28; 2021
CDC Split Type:

Write-up: Lightheaded, nausea, chest, throat, jaw pain, sweating.


VAERS ID: 2002111 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-06-03
Onset:2021-12-25
   Days after vaccination:205
Submitted: 0000-00-00
Entered: 2022-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 005C21A / 2 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Angiogram cerebral, Cardiac telemetry, Echocardiogram, Embolic stroke, Laboratory test normal, Magnetic resonance imaging head, Perfusion brain scan, Thromboembolectomy
SMQs:, Ischaemic central nervous system vascular conditions (narrow), Embolic and thrombotic events, arterial (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 10 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: CTA/CTP brain 12/22/21 left M2 branch embolectomy 12/22/21. MRI brain 12/23/21. Transesophageal echocardiogram. telemetry monitoring
CDC Split Type:

Write-up: pt. had an unprovoked embolic stroke on 12/22/21. no causative factor found despite extensive workup. Pt. also had influenza vaccine 11/2021.


VAERS ID: 2002706 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-12-21
Onset:2021-12-25
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2022-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 3 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Inflammation, Pruritus, Skin warm, Swelling, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
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: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None.
CDC Split Type:

Write-up: Hives and inflammation all over the body. The hives move locations of the body. Right now it''s in both of my arms and they are swollen and inflamed and hot. I am itchy! This happened after I took the Moderna booster shot. I have never had allergies and never broke out into hives like this. This is different. This is scary.


VAERS ID: 2002927 (history)  
Form: Version 2.0  
Age: 74.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-04-07
Onset:2021-12-25
   Days after vaccination:262
Submitted: 0000-00-00
Entered: 2022-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0162 / 2 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Anticoagulant therapy, Atelectasis, Blood creatinine normal, Blood potassium normal, Brain natriuretic peptide decreased, C-reactive protein normal, COVID-19, COVID-19 pneumonia, Cardiac failure acute, Cardiac failure congestive, Chest X-ray abnormal, Chest discomfort, Chronic left ventricular failure, Condition aggravated, Cough, Decreased appetite, Dyslipidaemia, Dyspnoea, Echocardiogram abnormal, Ejection fraction decreased, Exposure to SARS-CoV-2, Fatigue, Fibrin D dimer increased, Glomerular filtration rate normal, Hyperlipidaemia, Ischaemic cardiomyopathy, Lung disorder, Malaise, Myocardial injury, Oedema peripheral, Orthopnoea, Quality of life decreased, SARS-CoV-2 test positive, Troponin increased, Ultrasound Doppler normal
SMQs:, Cardiac failure (narrow), Anaphylactic reaction (broad), Angioedema (broad), Dyslipidaemia (narrow), Haemorrhage laboratory terms (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Myocardial infarction (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (narrow), Other ischaemic heart disease (narrow), Lipodystrophy (broad), Respiratory failure (broad), Infective pneumonia (narrow), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: acetaminophen (TYLENOL) 500 MG tablet aspirin 81 MG tablet atorvastatin (LIPITOR) 80 MG tablet carvedilol (COREG) 12.5 MG tablet docusate (COLACE) 100 MG capsule furosemide (LASIX) 20 MG tablet isosorbide mononitrate CR (IMDUR) 60 MG 24 hr
Current Illness: NA
Preexisting Conditions: Peripheral vascular disease with claudication s/p lower ext stent Benign prostatic hyperplasia with urinary obstruction Coronary artery disease (Cabg x 5 in 2009) Hypercholesterolemia Acute on chronic systolic heart failure (HCC) Stenosis of carotid artery Emphysema (HCC) Biventricular ICD (implantable cardioverter-defibrillator) in place Chronic osteoarthritis Benign essential HTN Renal artery stenosis (HCC) History of smoking greater than 50 pack years Chronic hyponatremia Anemia, unspecified type Personal history of other malignant neoplasm of bronchus and lung Shortness of breath
Allergies: Chantix [Varenicline]Hallucinations LisinoprilCough
Diagnostic Lab Data:
CDC Split Type:

Write-up: Hospitalized (12.25.21); COVID-19 positive (12.25.21); fully vaccinated Admission Date: 12/25/2021 Discharge Date: Dec 28, 2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Shortness of breath [R06.02] Acute on chronic congestive heart failure, unspecified heart failure type (HCC) [I50.9] Pneumonia due to COVID-19 virus [U07.1, J12.82] HOSPITAL COURSE: Patient is a 74 yo man who was admitted to Hospital 12/25/21 with chest heaviness, increasing chronic LE edema, shortness of breath and orthopnea, all progressively worse over 3 weeks. Symptoms were severe enough over the 10 days PTA to affect his quality of life whereby he felt he would be better off dead. He had been vaccinated against Covid x2 with booster due several weeks prior but felt unwell so did not get this. He has chronic systolic heart failure, ICM EF 25% with ICD. He has a remarkable deranged lipid management concern (hyperlipidemia/dyslipidemia) that had led to CAD w/ 5v CABG 2009, PAD w/ left LE stent, renal artery stenosis w/ bilateral stents 2012, left subclavian artery stenosis and bilateral carotid artery occlusions. Additionally, he carries dx of hypertension, pulmonary hypertension, hx of lung cancer w/ left lower lobectomy 2018, hx of 15 pack year tobacco with COPD not on oxygen (may use tiotropium INH but this was not clarified), and BPH. ER staff gave him a dose of Lasix with impressive volume out and immediate improvement if not resolution of his chest heaviness and shortness of breath. An acute exacerbation of chronic systolic heart failure was diagnosed. His renal function was excellent w/ creatinine 0.7, eGFR $g60, with Lasix continued and chronic edema of bilateral lower extremities improved over his brief stay whereby they were smaller than they had been in a long time per his report. BNP was 22K but CXR was without clear support for either vascular congestion nor Covid PNA, former not an uncommon finding attributed to lymphatic management of excess fluid, despite respiratory symptom and chronic 3rd spacing. BNP decreased to 11K by discharge. Cardiology helped guide his care. Echo revealed ejection fraction 25%, lower by 10% from prior review. Valsartan was stopped and Entresto started. He discharged with a script sent to the pharmacy at hospital, informed the 1st month would be free. This was done after he questioned if a delay in picking up scripts at his preferred pharmacy, for 2-3 days would be OK. Advised it was not so for convenience, a 30 day supply of all his meds were sent to the pharmacy including furosemide 20 daily (new) and potassium chloride 20 daily (new, due to a consistent potassium level of 3.5 while here) with emphasis on his picking these up before his wife collected him at the door. In an attempt to avoid his ever being out of med, refills of all 3 meds were e-scribed to his preferred pharmacy. Coreg was continued without change. He understood not to continue valsartan, that this was a component of his new Entresto. Heart failure recommendations and rule of 2s was placed in his chart by his Cardiology team. Standing weights at admission and discharge were 73.3 (accuracy of a first measure from a bed scale, 78.3, was in question and the first standing wt was likely collected after his first dose Lasix) and 72.3 respectively. Troponins slightly elevated but flat; 57, 55 so ACS was not considered a diagnosis on presentation, rather, was thought to be a reflection of myocardial injury related to CHF and Covid infection. Additional symptoms since 12/17/21 included fatigue, mild cough and poor appetite. His wife tested positive for Covid several weeks prior. Our patient tested negative for Covid 12/16/21, likely around the same time his wife tested positive. He was positive on admission 12/25/21 but symptoms were subtle, distinguished from shortness of breath, chest heaviness and orthopnea rapidly relieved with Lasix, helped make the distinction between these concurrent conditions. Chest x-ray revealed some atelectasis and/or airspace disease at his right lung base. D-dimer was consistently and significantly elevated, 4K-5K. Doppler ultrasound lower extremity was negative for VTE. He never required oxygen nor had fever, tachycardia, nor chest pain to suggest PE. CRP was <3 further supporting lack of evidence for robust inflammatory response related to a Covid infection. Lovenox 40 SQ daily was administered throughout his stay. He had no indication for Decadron or remdesivir given no O2 in use, and he was not a monoclonal antibody candidate given sx onset was $g7 days PTA. Medications at discharge: ASA 81 d Atorvastatin 80 d Coreg 12.5 BID Imdur 60 BID Entresto 24-26 BID (new) Lasix 20 d (new) KCl 20 d (new) Flomax Tiotropium INH (unclear if in use regularly) Cardiology arranged a BMP 1/3/22 A 2 gm sodium restricted diet was instituted but curiously, no a 2 liter fluid restriction. He enjoys potato chips when home but eats only a few at a time. Fluid restriction of 2L daily was advised at discharge. He was full code He discharged home 12/28/21 feeling much better that at presentation, in good condition, but he understands his heart is not well and the gravity of such a diagnosis.


VAERS ID: 2005177 (history)  
Form: Version 2.0  
Age: 10.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-12-21
Onset:2021-12-25
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2022-01-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Burning sensation, Inflammation, Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Multi vitamin w probiotic
Current Illness: None
Preexisting Conditions: None
Allergies: Penicillin
Diagnostic Lab Data: Pediatrician advises to follow up allergist in 2 weeks
CDC Split Type:

Write-up: Severe rashes/inflamed all over stomach, chest, back and face . Itchy and burning sensation this lasted for 72hrs needed to take aveeno bath to sooth itching. Spoke w with pediatrician started on Benadryl, then Allegra and then Zyrtec helped the most with a chewable tablet of Pepcid


VAERS ID: 2005500 (history)  
Form: Version 2.0  
Age: 81.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-12-23
Onset:2021-12-25
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2022-01-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FL3197 / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Atrial fibrillation, Balance disorder, Computerised tomogram, Fatigue, Gait inability, Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Supraventricular tachyarrhythmias (narrow), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Vestibular disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Multivitamin, Saline Spray, Flonase, Turmeric, Fish Oil, Potassium Chloride, Olmesartan, Montelukast, Prednisone, Eliquis,
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Mold allergy,
Diagnostic Lab Data: CT Scan scheduled for 1/6/2022
CDC Split Type: vsafe

Write-up: On the 25th, I woke up completely exhausted. On 12/26/2021 I woke up and I was very shaky and weak, no headache, it felt like I could not walk. I asked my doctor if this could be a reaction, and they stated it may. On 12/27/2021 I went to the doctor and saw that when I was walking I was extremely wobbly. Found that I was in A-Fib. Currently I still feel fatigued, and have low strength in my legs.


VAERS ID: 2005508 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-11-18
Onset:2021-12-25
   Days after vaccination:37
Submitted: 0000-00-00
Entered: 2022-01-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 213D21A / 2 - / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Acute respiratory failure, Alanine aminotransferase increased, Anion gap, Anticoagulant therapy, Aspartate aminotransferase normal, Atrial fibrillation, Blood albumin decreased, Blood alkaline phosphatase normal, Blood bicarbonate increased, Blood bilirubin normal, Blood calcium normal, Blood chloride decreased, Blood creatinine increased, Blood glucose increased, Blood lactic acid decreased, Blood pH decreased, Blood potassium increased, Blood sodium normal, Blood urea increased, Brain natriuretic peptide increased, COVID-19, Chest X-ray abnormal, Chronic left ventricular failure, Chronic obstructive pulmonary disease, Condition aggravated, Cough, Diarrhoea, Dyspnoea, Fatigue, Full blood count abnormal, Glomerular filtration rate decreased, Haematocrit decreased, Haemoglobin decreased, Hypercapnia, Hypervolaemia, Leukocytosis, Lung opacity, Mean cell haemoglobin concentration decreased, Mean cell haemoglobin decreased, Mean cell volume normal, Mean platelet volume increased, Metabolic function test abnormal, Nucleated red cells, Oedema, PCO2 increased, Pain, Platelet count normal, Positive airway pressure therapy, Procalcitonin increased, Pulmonary congestion, Rash erythematous, Red blood cell count normal, Red cell distribution width increased, Respiratory acidosis, Respiratory failure, SARS-CoV-2 test positive, Scar, Skin disorder, Tachycardia, Troponin, Ultrasound Doppler, Urine analysis normal, Wheezing, White blood cell count increased, Wound haemorrhage
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (broad), Cardiac failure (narrow), Liver related investigations, signs and symptoms (narrow), Anaphylactic reaction (narrow), Angioedema (broad), Asthma/bronchospasm (broad), Haematopoietic erythropenia (broad), Haematopoietic leukopenia (broad), Lactic acidosis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (broad), Hyperglycaemia/new onset diabetes mellitus (narrow), Interstitial lung disease (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), Retroperitoneal fibrosis (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Pseudomembranous colitis (broad), Acute central respiratory depression (narrow), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Chronic kidney disease (broad), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Tumour lysis syndrome (narrow), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Dehydration (broad), Hypokalaemia (broad), Sepsis (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 11 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: ACTOS 45 MG tablettake 45 mg by mouth Daily. for diabetes ASPIR-TRIN 325 MG TBEC take by mouth. cholestramine (QUESTRAN LIGHT) 4 GM/DOSE powder take 4 g by mouth Daily. 1 packet or scoop with 1st meal of the day. colesevelam (WELCHOL) 6
Current Illness:
Preexisting Conditions: COPD, chronic pain disorder, oxygen dependent, diabetes type II, hypertension, Hypothyroid, morbid obesity
Allergies: bactrim - Trimethoprim - "can''t breathe"
Diagnostic Lab Data: Comprehensive Metabolic Panel (CMP) (Abnormal) Collected: 01/05/22 0545 Order Status: Completed Specimen: Blood, Venous Updated: 01/05/22 0621 Sodium Level 138 134 - 146 mmol/L Potassium Level 5.2 High 3.4 - 5.0 mmol/L Chloride 95 Low 98 - 112 mmol/L HCO3 36 High 21 - 29 mmol/L Anion Gap 7 Low 9 - 18 mmol/L Glucose Level 299 High 70 - 99 mg/dL Blood Urea Nitrogen 45 High 8 - 20 mg/dL Creatinine 1.52 High 0.50 - 1.10 mg/dL MDRD eGFR 35 Low $g=60 mL/min/1.73 m2 CG eCrCl 31 mL/min/1.73 m2 Calcium Level Total 9.0 8.6 - 10.4 mg/dL Protein Total 6.2 6.0 - 8.0 g/dL Albumin Level 2.5 Low 3.5 - 5.0 g/dL Bilirubin Total 0.5 0.2 - 1.0 mg/dL Alkaline Phosphatase 89 35 - 104 IU/L Alanine Aminotransferase 39 10 - 40 IU/L Aspartate Aminotransferase 20 10 - 40 IU/L Complete Blood Count without Differential (Abnormal) Collected: 01/05/22 0545 Order Status: Completed Specimen: Blood, Venous Updated: 01/05/22 0610 White Blood Cell 17.98 High 4.00 - 10.80 x10*3/uL Red Blood Cell 4.45 4.20 - 5.40 x10*6/uL Hemoglobin 11.1 Low 12.0 - 16.0 g/dL Hematocrit 36.8 Low 37.0 - 47.0 % Mean Cell Volume 82.7 80.0 - 100.0 fL Mean Cell Hemoglobin 24.9 Low 27.0 - 33.0 pg NRBC Absolute Count 0.00 0.00 - 0.01 x10*3/uL NRBC Automated 0.0 0.0 - 0.1 %WBC Mean Cell Hemoglobin Concentration 30.2 Low 32.0 - 37.0 g/dL Red Cell Diameter Width 17.0 High 11.0 - 16.0 % Platelet 257 140 - 400 x10*3/uL Mean Platelet Volume 12.6 High 7.4 - 11 fL USV Arterial Physio ABI With Doppler Lower Extremity Resulted: 01/03/22 2041 Order Status: Completed Updated: 01/03/22 2043 Narrative: Examination: Complete Bilateral Noninvasive Physiologic Studies of the Lower Extremity Arteries, 3 or More Levels. EXAM DATE: 1/3/2022 8:19 PM TECHNIQUE: Ankle-brachial indices and multilevel continuous-wave Doppler assessment of the lower extremity arteries was performed. INDICATION: right heel wound COMPARISON: None. Prior Exam Right ABI: There are no known prior examinations. Prior Exam Left ABI: There are no known prior examinations. ____________________ FINDINGS: The peak systolic pressure in the right and left arm measures 143 mmHg, respectively. _____
CDC Split Type:

Write-up: Hospitalized (12.25.21 - still admitted currently); COVID-19 positive (12.24.21); fully vaccinated PLUS Booster - J& J H&P: Attestation signed by, MD at 12/25/2021 2:18 PM I have seen and examined patient independently. Discussed with house staff. I agree with the subjective and physical exam findings and assessment and plan. Patient feels much better this am. CPAP will be changed to BiPaP this am. Agree with steroids, lasix,antibiotics and remdesivir for now. - MD, Attending Physician, Im/hospitalist. Expand All Collapse All Hide copied text Hover for details CHIEF COMPLAINT: Acute respiratory failure with hypoxemia Assessment/Plan ASSESSMENT / PLAN: Patient is a 60 y.o. female with a past medical history of morbid obesity, OSA, COPD on 2L continuous and 4L at night, chronic diastolic heart failure, insulin-dependent T2DM, CKD3, Afib/flutter on Eliquis, and hypothyroidism who is admitted for acute respiratory with hypoxia and hypercarbia secondary to likely mixed COPD and diastolic heart failure exacerbations in the setting of COVID-19 infection. Acute respiratory failure with hypoxia and hypercarbia COPD exacerbation Chronic diastolic HF exacerbation COVID-19 infection Patient symptomatic with main symptom of shortness of breath starting 12/20, developed mild viral symptoms, and tested positive in ED 12/24. CXR not consistent with pure COVID-19 pneumonia. Likely COVID-19 triggered COPD and chronic diastolic heart failure exacerbations, as evidenced by fluid overload and expiratory wheezing on examination, as well as edema and pulmonary vascular congestion on CXR. Cannot rule out bacterial superinfection as well given opaque L middle lung finding on CXR, leukocytosis to 15 at OSH, and procalcitonin elevated at 0.98. Last echo in September EF 60-65%, no RWMA. Plan: o COVID-19 infection: ? Solumedrol 40 mg q8h ? Remdesivir ? Home Eliquis for anticoagulation o COPD exacerbation: ? Duonebs q4h scheduled ? Trend VBGs q6h for hypercarbia o Chronic diastolic heart failure exacerbation: ? Given lasix 40 mg IV (prescribed torsemide 20 mg daily outpatient) ? Continue home lisinopril ? Started imdur 10 mg, consider adding hydralazine prn for SBP $g180 ? Echo o Bacterial superinfection? ? Sputum cx ? CAP coverage with Azithro/Rocephin ? S pneumo, legionella urine Ag Paroxysmal atrial fibrillation/atrial flutter Currently in sinus rhythm. Plan: - Continue home amiodarone, diltiazem, eliquis Hypothyroidism Plan: - Continue home levothyroxine Type 2 DM, insulin-dependent Last A1c 6.7% two months ago. Home regimen: tresiba 30 units bid + lispro with meals/bedtime. Plan: - Lantus 10, LDC Essentials: Code Status: FULL DVT prophylaxis: Lovenox Diet: NPO Dispo: Continue inpatient care for respiratory failure This assessment and plan was discussed with an attending physician, Dr. For further information see attending attestation. MD PGY-1, Neurology Available on database Subjective HISTORY OF PRESENT ILLNESS: Patient is a 60 y.o. female with a past medical history significant for morbid obesity, OSA, COPD on 2L continuous and 4L at night, insulin-dependent T2DM, CKD3, Afib/flutter, and hypothyroidism who presented to OSH with 4-5 days of shortness of breath, fatigue, body aches, and dry cough. She denied fevers, abdominal pain, nausea, dizziness, lightheadedness, syncope, chest pain, or chest pressure. She endorsed diarrhea for 2 days. OSH workup notable for respiratory acidosis 7.19 with pCO2 81, which corrected after BiPAP to pH 7.31 with pCO2 64, bicarb 29. Cr 1.4 (baseline 1.5), Troponin 0.04-$g2, BNP 315, Lactic acid 2.3, leukocytosis 15 with left shift, UA without signs of infection. CXR once transferred to facility showed congested pulmonary vasculature and perihilar haziness consistent with CHF or edema, as well as left midlung opacity which could be atelectasis versus pneumonia. VBG on arrival to facility showed pH 7.32, pCO2 68.8. Patient Active Problem List Diagnosis ? Acute respiratory failure ? Acute respiratory failure with hypoxemia OBJECTIVE: BP (!) 182/78 | Pulse 96 | Temp 36.4 ?C (Oral) | Resp 26 | Ht 1.575 m | Wt (!) 140 kg | SpO2 100% | BMI 56.45 kg/m? FIO2 (%): 36 % Physical Exam Constitutional: Appearance: She is obese. She is ill-appearing. She is not diaphoretic. HENT: Head: Atraumatic. Nose: No congestion. Mouth/Throat: Mouth: Mucous membranes are dry. Eyes: Extraocular Movements: Extraocular movements intact. Conjunctiva/sclera: Conjunctivae normal. Pupils: Pupils are equal, round, and reactive to light. Cardiovascular: Rate and Rhythm: Regular rhythm. Tachycardia present. Pulses: Normal pulses. Heart sounds: Normal heart sounds. No murmur heard. Pulmonary: Effort: No respiratory distress. Breath sounds: Wheezing (expiratory) present. Chest: Chest wall: No tenderness. Abdominal: Palpations: Abdomen is soft. Tenderness: There is no abdominal tenderness. Musculoskeletal: Right lower leg: Edema present. Left lower leg: Edema present. Comments: 3+ pitting edema bilaterally, chronic venous stasis changes and scarring to skin of bilateral shins. Skin: General: Skin is dry. Capillary Refill: Capillary refill takes 2 to 3 seconds. Coloration: Skin is not jaundiced. Findings: Rash (redness, odor, and skin breakdown between pannus folds) present. Neurological: Mental Status: She is alert and oriented to person, place, and time. 1/4/22 Progress note: Attestation signed by, MD at 1/4/2022 4:40 PM I have personally interviewed and examined the patient on 1/4/2022. Management was discussed with the resident I agree with the documented findings and plan of care in his note. Brief exam: General- no acute distress Head- Normocephalic and atraumatic Cardiac- regular rate and rhythm, no murmurs Respiratory- clear to auscultation bilaterally Abd- soft and not tender, not distended Skin- no rash Neuro- alert and oriented, no new focal deficits Psych- cooperative, appropriate Brief history and medical decision making: Patient is a 60 yo woman with hx of morbid obesity, OSA, COPD on 2L, Chronic HFpEF, DM2, Afib/flutter on Eliquis presented with acute on chronic hypercarbic and hypoxic resp failure from acute exacerbation of COPD caused by COVID-19 infection and acute on chronic diastolic heart failure. Will d/c home BIPAP. Completed remdesivir and empiric CAP coverage, 5 days. Prednisone taper thru 1/13. Diuresed well. Chronic right heel wound which was seen by Wound Care. PT/OT recommending SAR. Admit Date: 12/25/2021 Chief Complaint Acute respiratory failure with hypoxemia secondary to COVID-19 Assessment/Plan Patient is a 60 y.o. female with a past medical history of morbid obesity, OSA, COPD on 2L continuous and 4L at night, chronic diastolic heart failure, insulin-dependent T2DM, CKD3, Afib/flutter on Eliquis, and hypothyroidism who is admitted for acute respiratory with hypoxia and hypercarbia secondary to COPD and possible diastolic heart failure exacerbations in the setting of COVID-19 infection. Acute on chronic respiratory failure with hypoxia and hypercarbia COPD exacerbation Chronic diastolic HF exacerbation COVID-19 infection Patient symptomatic with main symptom of shortness of breath starting 12/20, developed mild viral symptoms, and tested positive in Allegan ED 12/24. CXR not consistent with pure COVID-19 pneumonia. Likely COVID-19 triggered COPD and chronic diastolic heart failure exacerbations, as evidenced by fluid overload and expiratory wheezing on examination, as well as edema and pulmonary vascular congestion on CXR. Cannot rule out bacterial superinfection as well given opaque L middle lung finding on CXR, leukocytosis to 15 at OSH, and procalcitonin elevated at 0.98. Echo 12/25 EF 60% no rwma Plan: o COVID-19 infection: ? Prednisone 30mg, will taper 10mg every 3 days. Ends 1/13 ? Home Eliquis for anticoagulation o COPD exacerbation: Duonebs q4h scheduled ? BiPAP nightly. Pulm Rehab c/s, will coordinate going home with BiPAP. o Chronic diastolic heart failure exacerbation: ? Lasix 40 once PO daily due to BUN/Cr increasing over the course of hospitalization. ? Continue home lisinopril ? Echo EF 62% Right Heel pressure ulcer Previously known pressure wound on right heel. Was covered with SCDs. Granulation tissue intact with small area of open, weaping wound. Patient complains of pain on wound. Plan: - wound consult, hydrocolloid to be changed every 3 days. Paroxysmal atrial fibrillation/atrial flutter Currently in sinus rhythm. 1 episode Afib RVR 12/26 <1 hour self converted to NSR Plan: - Continue home amiodarone, diltiazem, eliquis, propanolol Hypothyroidism Plan: - Continue home levothyroxine Type 2 DM, insulin-dependent Last A1c 6.7% two months ago. Home regimen: tresiba 30 units bid + lispro with meals/bedtime. Actos on med rec. Hyperglycemia without oral intake due to steroids. Plan: -Goal glycemic control 100-180s -Steroid taper will help -Lantus 30 units daily -HDC Diet: Diabetic DVT Prophylaxis: eliquis Code Status: full Disposition: medically stable for discharge. She is awaiting insurance auth for accepting SAR. This patient was discussed with my attending physician, Dr. Please refer to their attestation for any additional information and changes to the plan outlined above. MD PGY-1 Subjective: No acute events overnight. She states that she is doing well today with no complaints or concerns. States that her breathing is improving today and swelling around the same. States that her heel is not very painful today. Review of Systems Constitutional: Negative for chills and fever. HENT: Negative for congestion. Eyes: Negative for blurred vision. Respiratory: Negative for cough. Cardiovascular: Negative for chest pain and palpitations. Gastrointestinal: Negative for abdominal pain, nausea and vomiting. Genitourinary: Negative for dysuria. Skin: Negative for rash. Neurological: Negative for dizziness. Objective: BP 117/75 | Pulse 64 | Temp 36.9 ?C (Oral) | Resp 20 | Ht 1.575 m | Wt 129.5 kg | SpO2 100% | BMI 52.22 kg/m? Physical Exam Vitals reviewed. Constitutional: General: She is not in acute distress. Appearance: She is obese. She is not diaphoretic. HENT: Head: Normocephalic and atraumatic. Nose: Nose normal. Mouth/Throat: Mouth: Mucous membranes are moist. Pharynx: Oropharynx is clear. No oropharyngeal exudate. Eyes: Conjunctiva/sclera: Conjunctivae normal. Pupils: Pupils are equal, round, and reactive to light. Neck: Vascular: No JVD. Cardiovascular: Rate and Rhythm: Normal rate and regular rhythm. Heart sounds: Normal heart sounds. No murmur heard. No friction rub. No gallop. Pulmonary: Effort: Pulmonary effort is normal. No respiratory distress. Breath sounds: Rales present. No wheezing. Abdominal: General: Bowel sounds are normal. There is no distension. Palpations: Abdomen is soft. Tenderness: There is no abdominal tenderness. Comments: Anasarca present Musculoskeletal: Cervical back: Normal range of motion. Right lower leg: Edema (improving) present. Left lower leg: Edema (improving) present. Skin: General: Skin is warm and dry. Findings: No erythema or rash. Comments: Venous stasis changes lower extremities. Neurological: General: No focal deficit present. Mental Status: She is alert and oriented to person, place, and time. Psychiatric: Mood and Affect: Mood and affect norma


VAERS ID: 2005525 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-08-23
Onset:2021-12-25
   Days after vaccination:124
Submitted: 0000-00-00
Entered: 2022-01-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 006C21A / 3 RA / IM

Administered by: Work       Purchased by: ?
Symptoms: Acute kidney injury, Acute respiratory failure, Anticoagulant therapy, Asthenia, Bacteraemia, Blood creatinine increased, Blood lactic acid, COVID-19, COVID-19 pneumonia, Cardio-respiratory arrest, Chest X-ray abnormal, Cholelithiasis, Chronic kidney disease, Computerised tomogram abdomen abnormal, Cough, Decreased appetite, Deep vein thrombosis, Dyspnoea, Endotracheal intubation, Escherichia bacteraemia, Faeces discoloured, Full blood count, Glomerular filtration rate decreased, Haemoglobin decreased, Hypotension, Hypoxia, Influenza virus test negative, Intensive care, Leukocytosis, Lung infiltration, Mechanical ventilation, Nephritis, Packed red blood cell transfusion, Pleural effusion, Positive airway pressure therapy, Procalcitonin increased, Pulse absent, Pyelonephritis, Pyrexia, Renal disorder, Renal impairment, Respiratory distress, Respiratory symptom, Respiratory tract congestion, SARS-CoV-2 test positive, Sepsis, Shock, Shock haemorrhagic, Sputum culture, Syncope, Tachycardia, Ultrasound Doppler abnormal, Upper gastrointestinal haemorrhage, Urinary tract infection, Urine analysis normal
SMQs:, Torsade de pointes/QT prolongation (broad), Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), Anaphylactic reaction (narrow), Angioedema (broad), Asthma/bronchospasm (broad), Haematopoietic erythropenia (broad), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (broad), Interstitial lung disease (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (narrow), Toxic-septic shock conditions (narrow), Anaphylactic/anaphylactoid shock conditions (narrow), Hypoglycaemic and neurogenic shock conditions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Gastrointestinal haemorrhage (narrow), Thrombophlebitis (broad), Acute central respiratory depression (narrow), Gallbladder related disorders (narrow), Gallstone related disorders (narrow), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypotonic-hyporesponsive episode (broad), Chronic kidney disease (narrow), Hypersensitivity (narrow), Myelodysplastic syndrome (broad), Noninfectious diarrhoea (broad), Tumour lysis syndrome (broad), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow), Hypoglycaemia (broad), Infective pneumonia (narrow), Dehydration (broad), Hypokalaemia (broad), Sepsis (narrow), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 11 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Accu-Chek FastClix Lancets aspirin 81 MG chewable tablet atorvastatin (LIPITOR) 40 MG tablet Belatacept (NULOJIX IV) blood glucose test strips calcium citrate-vitamin D (CITRACAL) 315-250 MG-UNIT tablet carvedilol (COREG) 25 MG tablet chole
Current Illness: Hospital admission on 12/16/2021-12/21/2021 BRIEF OVERVIEW: Admission Date: 12/16/2021 Discharge Date: Dec 21, 2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Sepsis Severe sepsis HOSPITAL COURSE: Patient is a 73 year old female with pertinent past medical history for polycystic kidney disease requiring renal transplantation on immunosuppression, insulin-dependent type 2 diabetes, hypertension, gastroesophageal reflux disease who presented for evaluation of shortness of breath was found to be hypoxic, bacteremic, secondary to pyelonephritis. On arrival in the emergency department the patient was febrile, hypotensive, tachycardic, with acute kidney injury on chronic kidney disease with a creatinine of 4.01. Procalcitonin was also elevated, patient had slight leukocytosis. Testing for COVID-19 and influenza were negative. CXR was unremarkable. CT abdomen pelvis showed perinephric fat stranding involving the pelvic kidney with hilar nephritis. No evidence of obstructive uropathy. Patient also had trace pleural effusions, cholelithiasis without evidence of cholecystitis. Nephrology was consulted who made recommendations to hold diuretics if possible, unfortunately the patient did develop some respiratory distress requiring BiPAP in Lasix 40 mg IV with significant improvement. She was placed on antimicrobial therapy for bacteremia and pyelonephritis the patient slowly started to improve. She completed 6d of IV antibiotics and was discharged into the care of her son for an additional 8 days of oral antibiotics (Cipro) based on susceptibilities. Her kidney function improved and was back to baseline on day of discharge. She was instructed to complete her antibiotic course and follow-up with her primary care doctor and nephrologist regarding her hospitalization. She was discharged in stable condition.
Preexisting Conditions: Type 2 diabetes mellitus with diabetic polyneuropathy, nephropathy, with long-term current use of insulin Pneumonia due to COVID-19 virus Shock - Resolved GI bleed Acute respiratory failure with hypoxia Status post kidney transplant Acute renal failure Anemia due to chronic kidney disease Dyslipidemia Essential hypertension History of renal transplant Immunosuppression Iron (Fe) deficiency anemia Hyperlipidemia Hypomagnesemia Incisional hernia of anterior abdominal wall without obstruction or gangrene Osteopenia Peripheral neuropathy Renal osteodystrophy Chronic bilateral thoracic back pain Compression fracture of body of thoracic vertebra Edema Deceased-donor kidney transplant Chronic diarrhea Chronic kidney disease, stage IV (severe) Osteoarthrosis Polycystic kidney disease, autosomal dominant Renal mass of unknown nature Hyperparathyroidism Postmenopausal bleeding Hypotension, unspecified hypotension type Acute cystitis with hematuria E coli bacteremia
Allergies: NKA
Diagnostic Lab Data:
CDC Split Type:

Write-up: Hospitalized 12/25/2021-still currently admitted; COVID-19 positive 12/25/2021; fully vaccinated plus booster HISTORY OF PRESENT ILLNESS: This is a very pleasant 73-year-old woman with history of polycystic kidney disease status post renal transplant, insulin-dependent diabetes. She she was recently hospitalized 1 week ago for E coli bacteremia secondary to pyelonephritis. The symptoms resolved, she was discharged home on 12/21. On 12/22 she developed upper respiratory symptoms, cough congestion. Today she developed fever and weakness. She had poor appetite for several days. She presented to the ER with a fever of 39.6, heart rate 113, blood pressure 110/54, 88% on room air. She is stable on 2 L of oxygen. Chest x-ray showed bilateral infiltrates. Lactic acid is normal. Urinalysis shows resolution of her prior urinary tract infection. ASSESSMENT/PLAN: a 73 y.o. female with: COVID 19 pneumonia Hypoxemia - discharged from hospital 12/21, developed respiratory symptoms on 12/22. - increase steroid to decadron 6mg daily - remdesivir not recommended with eGFR 18 - continuous pulse ox - check sputum culture to evaluate for possible bacterial superinfection 12/31/2021 notes: #Hemorrhagic shock #Suspected upper GI bleed Overnight, patient noted to have syncopal episode with code blue being called for loss of pulses for 7 seconds. Patient''s hemoglobin 6.4 with dark red bowel movements. Concern for upper GI bleed.Our team spoke with GI who believes the patient is too unstable for the endo suite and would need to be stabilized or be in the ICU before being able to intervene. Hemorrhagic shock remained despite fluid and blood resuscitation. Reached out to MICU regarding need for vasopressor support. -Start peripheral Levophed for pressure support -Discontinue Heparin gtt -Start protonix gtt -Patient given IVF -Given 2u PRBC -Held anti-hypertensives -CBC q6h -GI consulted -Patient will be transferred to MICU service for continued vasopressor support #Acute hypoxic respiratory failure #Pneumonia secondary to COVID-19 Currently on 4L NC, with respiratory symptoms starting 12/22. COVID+ test on 12/25. Pulm rehab found patient to require 3L at rest and 6L with exertion. -Increased steroids to IV Solumedrol at 40mg BID -Albuterol inhaler q4h -Repeat CXR -Continue oxygen support -Wean O2 as able, pulse ox 01/05/2022 notes: Intubated 12/31 in setting of COVID-19 pneumonia, shock due to GI bleed, requirement for EGD Current respiratory support: Device (Oxygen Therapy): ventilator GI prophylaxis: PPI infusion DVT prophylaxis: subcutaneous heparin Plan: SBT, assess for extubation / continue PSV as tolerated * Pneumonia due to COVID-19 virus COVID+ test on 12/25. Assessment & Plan NO proning or paralysis Treatment No Remdesivir due to AKI on CKD Steroids (chronic prednisone 5 mg daily, held) Dexamethasone 6 mg daily 12/26 - 12/31 Methylprednisolone 40 mg IV Q12h 12/31 - Antibiotics None Anticoagulation 12/30 doppler with left peroneal DVT Heparin gtt 12/30 - 12/31, discontinued due to hemodynamically significant GI bleed Current SCD''s


VAERS ID: 2005579 (history)  
Form: Version 2.0  
Age: 85.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-07-25
Onset:2021-12-25
   Days after vaccination:153
Submitted: 0000-00-00
Entered: 2022-01-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0182 / 1 AR / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0183 / 2 AR / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Blood creatinine increased, Blood sodium decreased, Brain natriuretic peptide increased, COVID-19, COVID-19 pneumonia, Cardiac failure acute, Cardiac failure congestive, Chest X-ray abnormal, Condition aggravated, Dyspnoea, Echocardiogram abnormal, Haemoglobin decreased, Left ventricular hypertrophy, Leukopenia, Mitral valve stenosis, Pulmonary congestion, Pulmonary oedema, SARS-CoV-2 test positive
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (broad), Cardiac failure (narrow), Anaphylactic reaction (broad), Haematopoietic erythropenia (broad), Haematopoietic leukopenia (narrow), Haemorrhage laboratory terms (broad), Systemic lupus erythematosus (broad), Retroperitoneal fibrosis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Hyponatraemia/SIADH (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Chronic kidney disease (broad), Tumour lysis syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: amLODIPine (NORVASC) 5 MG tablet atorvastatin (LIPITOR) 40 MG tablet azelastine (ASTELIN) 0.1 % nasal spray Blood Glucose Monitoring Suppl MISC carvedilol (COREG) 25 MG tablet cholecalciferol (VITAMIN D3) 25 MCG (1000 UT) tablet clopidogrel
Current Illness:
Preexisting Conditions: Pleural effusion on right Renovascular hypertension Chronic diastolic heart failure Mitral regurgitation Aortic stenosis CAD, multiple vessel Bilateral carotid artery stenosis Renal artery stenosis CHF exacerbation Acute on chronic diastolic (congestive) heart failure Coronary artery disease with stable angina pectoris Status post transcatheter aortic valve replacement (TAVR) using bioprosthesis Essential hypertension Heartburn Gastroesophageal reflux disease without esophagitis Iron deficiency anemia due to chronic blood loss Claudication of both lower extremities Other chest pain Type 2 diabetes mellitus with stage 3b chronic kidney disease Stage 3 chronic kidney disease Mixed hyperlipidemia associated with type 2 diabetes mellitus
Allergies: NKA
Diagnostic Lab Data:
CDC Split Type:

Write-up: Hospitalized 12/25/2021; COVID-19 positive 12/25/2021; fully vaccinated Discharge Provider: MD Primary Care Provider: DO Admission Date: 12/25/2021 Discharge Date: Dec 29, 2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Pulmonary edema cardiac cause Acute on chronic congestive heart failure, unspecified heart failure type Pneumonia due to COVID-19 virus HOSPITAL COURSE: 85 year female with a history of chronic diastolic heart failure, aortic valve replacement, hypertension, who presented gradually increasing shortness of breath for a few days prior to admission. In the emergency department, Sodium was 130, hemoglobin was 9.5 and BNP was 1821. Chest x-ray shows finding concerning for pulmonary vascular congestion. COVID-19 PCR was positive. Patient was not found to be hypoxic She was given a dose of 40 mg IV Lasix in the emergency department. Echocardiogram was obtained and showed any was seen%, mild LVH, LV normal in size, no WMA, status post TAVR, mild-to-moderate mitral stenosis. She was seen by cardiology and they felt that patient had mild CHF exacerbation and also felt that COVID 19 pneumonia could also be playing a role in her symptoms. She was placed on Remdesivir and continued on IV lasix. She had improvement in her shortness of breath. Cardiology recommended that IV diuretics were discontinued and she be placed back on her home dose of torsemide especially as she was found to have increasing creatinine. She was also found to have leukopenia of unclear etiology but was afebrile. Patient continued improvement that she has been weaned off oxygen. Pulmonary rehab assess for home oxygen need and patient found to be not needing any. PTOT evaluation completed and recommended home health with assist. Patient then discharged to home stable.


VAERS ID: 2005971 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-01-06
Onset:2021-12-25
   Days after vaccination:353
Submitted: 0000-00-00
Entered: 2022-01-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1686 / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Asthenia, COVID-19, Chest X-ray normal, Fall, Haematocrit decreased, Haemoglobin increased, Laboratory test, Limb injury, SARS-CoV-2 test positive
SMQs:, Haematopoietic erythropenia (broad), Haemorrhage laboratory terms (broad), Guillain-Barre syndrome (broad), Accidents and injuries (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Amiodarone, apixaban, atorvastatin, calcium with vitamin D, ferrous sulfate, levothyroxine, magnesium oxide, pantoprazole, tacrolimus, and tylenol PRN
Current Illness:
Preexisting Conditions: Past Medical History Positives Diagnosis Date ? Cholecystitis ? CKD (chronic kidney disease) ? Clostridium difficile infection Recurrent ? COVID-19 virus infection November 2020 ? Diabetes mellitus (HCC) ? Hypertension ? Liver cirrhosis secondary to NASH (nonalcoholic steatohepatitis) (HCC) ? MDS (myelodysplastic syndrome) (HCC) ? Pancytopenia (HCC) ? Portal venous hypertension (HCC) ? Thrombocytopenia (HCC) Iron deficiency
Allergies:
Diagnostic Lab Data: 12/27/21 COVID19: negative 12/27/21 Chest xray: negative
CDC Split Type:

Write-up: Presented to ER on 12/27/21. presents to the emergency room for generalized weakness and fall x2 yesterday. Patient states that her husband is having COVID like symptoms at home with loss of taste or smell. She decided that she needed to come to the hospital after she had her 2nd fall. She states she just injured her right foot in the fall. Upon arriving into the emergency room her initial workup revealed a temperature of 99.5?, a pulse of 77, respirations of 20, blood pressure 132/81, she is oxygenating on room air 98%. She had a normal chest x-ray. Patient tested positive for COVID. Received pfizer on 01/06/21, 01/27/21, and 09/01/21. Hemoglobin hematocrit of 11.4 and 34.4. Reacting of 1.8. Hospitalist was called for admission in this patient with generalized weakness and being COVID positive. Appears patient will need skilled nursing facility placement. Was on room air the whole time. Discharged on 12/31/21


VAERS ID: 2005998 (history)  
Form: Version 2.0  
Age: 81.0  
Sex: Male  
Location: Kentucky  
Vaccinated:2021-10-27
Onset:2021-12-25
   Days after vaccination:59
Submitted: 0000-00-00
Entered: 2022-01-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, SARS-CoV-2 test positive
SMQs:, Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Covid positive contact unknown


VAERS ID: 2006054 (history)  
Form: Version 2.0  
Age: 9.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-12-03
Onset:2021-12-25
   Days after vaccination:22
Submitted: 0000-00-00
Entered: 2022-01-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FL0007 / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, SARS-CoV-2 test positive
SMQs:, Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No
Current Illness: No
Preexisting Conditions: No
Allergies: No
Diagnostic Lab Data: COVID.
CDC Split Type: vsafe

Write-up: Tested positive for COVID after being fully vaccinated. With running nose and cough.


VAERS ID: 2006300 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-05-01
Onset:2021-12-25
   Days after vaccination:238
Submitted: 0000-00-00
Entered: 2022-01-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA ER8729 / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, SARS-CoV-2 test positive
SMQs:, Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: COVID-19 positive contact unknown.


VAERS ID: 2010184 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-12-22
Onset:2021-12-25
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2022-01-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FE3594 / 1 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Abdominal pain, Back pain, Perineal pain, Pollakiuria, Urticaria
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Synthroid q am vitafusion calcium q day Baby Aspirin q am Lisinopril 10 mg q am Rosuvastatin 10 mg q pm Ensure q am
Current Illness: Heart murmer
Preexisting Conditions: HBP, High cholesterol, low thyroid
Allergies: Seasonal allergies Animal allergies Corn chocolate
Diagnostic Lab Data: None
CDC Split Type: 21014

Write-up: began frequent urination, urticaria, mild burning in peri area began on 12/24/2021, and still is experiencing it - began drinking cranberry juice to relieve symptoms - did not visit medical provider , lower back pain, lower abdominal cramps began on 12/25/2021 and lasted for week


VAERS ID: 2010251 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-12-14
Onset:2021-12-25
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2022-01-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FE3594 / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, SARS-CoV-2 test positive
SMQs:, Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Covid positive through household member


VAERS ID: 2010637 (history)  
Form: Version 2.0  
Age: 90.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-02-15
Onset:2021-12-25
   Days after vaccination:313
Submitted: 0000-00-00
Entered: 2022-01-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6201 / 2 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Atelectasis, COVID-19, Cardiomegaly, Chest X-ray abnormal, Confusional state, Hilar lymphadenopathy, Hypoacusis, Hypoxia, Lung opacity, Lymphadenopathy mediastinal, Neurodegenerative disorder, Pleural effusion, Pleural thickening, Pulmonary imaging procedure abnormal, Pulmonary mass, Respiratory distress, SARS-CoV-2 test positive
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Asthma/bronchospasm (broad), Interstitial lung disease (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hearing impairment (narrow), Hypersensitivity (broad), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: apixaban (ELIQUIS) 2.5 mg, Oral, TWICE DAILY ? furosemide (LASIX) 40 mg, Oral, DAILY ? latanoprost (XALATAN) 0.005 % OPHTH Solution 1 Drop, EVERY NIGHT AT BEDTIME ? levothyroxine (SYNTHROID, LEVOTHROID) 50 mcg, Oral, BEFORE BREAKFAST, 2 ta
Current Illness: ? AAA (abdominal aortic aneurysm) ? Arthritis ? AVM (arteriovenous malformation) ? Cardiomyopathy, nonischemic EF 30% ? Carotid artery disease ? Chronic a-fib s/p AV node ablation ? Colitis ? CVA (cerebrovascular accident) ? Dementia ? Depression ? Falls ? GERD (gastroesophageal reflux disease) ? Glaucoma ? Hearing loss ? Hiatal hernia ? HTN ? Hyperlipidemia ? Hypothyroidism ? Mitral valve regurgitation s/p repair with annuloplasty ring
Preexisting Conditions:
Allergies: Codeine Nausea and/or vomiting
Diagnostic Lab Data: IMPRESSION: 1. No evidence for pulmonary embolism. 2. Circumferential lobulated thickening involving the right pleura and oblique fissure with multiple pleural based nodules along the horizontal fissure concerning for primary malignancy such as mesothelioma, metastasis felt to be less likely. 3. Small to moderate right-sided pleural effusion with associated passive atelectasis of the right lower lobe. 4. Right hilar and mediastinal lymphadenopathy, secondary to #2. 5. Cardiomegaly. CHEST 1 VIEW AP/PA Result Date: 12/24/2021 IMPRESSION: 1. Patchy airspace opacities in the right lung and small right pleural effusion 2. Postsurgical changes
CDC Split Type:

Write-up: This is a 91y.o. female with PMH of AAA, AVM, Caridomyopathy, CHFrEF 30%, Carotid artery disease, Chronic A-Fib s/p ablation, Colitis, CVA, Dementia, Depression, GERD, Glaucoma, hearing loss, HTN, HLD, hypothyrodism, hiatal hernia, mitral valve regurgitation s/p repair presenting to the ED for hypoxia respiratory distress. Patient was diagnosed with COVID on Tuesday. Patient was seen and evaluated in the ED. Patient is hard of hearing but AOx3-4. States she is feeling well. Denies fever, chills, nausea, vomiting, diarrhea, sob or chest pain. Seen and examined in the ER setting. Confused. Advanced age with degenerative brain syndrome. No increased work of breathing. Suspect she was not boostered She is a resident of a group home. Found with hypoxia, 85% at the facility. + Covid 12/24/2021


VAERS ID: 2010872 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Male  
Location: Missouri  
Vaccinated:2021-12-21
Onset:2021-12-25
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2022-01-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FH8028 / 3 - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Headache, Injection site pain, Pain in extremity, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: I was taking my regular prscriptions.
Current Illness: None.
Preexisting Conditions: I have hypertension and insomnia.
Allergies: I am allergic to codeine and walnut nuts. I have seasonal allergies as well.
Diagnostic Lab Data: None.
CDC Split Type: vsafe

Write-up: After the vaccine my arm was a little sore at the injection site. 24 hours later I had a slight headache. Over the couple next days my arm was hurting more. I am taking medication for the swelling because it is still there.


VAERS ID: 2013722 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Female  
Location: Connecticut  
Vaccinated:2021-12-09
Onset:2021-12-25
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2022-01-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA EITHER 031H21A / 3 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Lymph node pain, Lymphadenopathy, Rash, Rash papular, Skin warm, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: No tests were done as doctor stated he has seen this adverse effect from the booster vaccine in a handful of his patients.
CDC Split Type:

Write-up: It first started with a swollen lymph node under my left armpit for about a week with a lot of pain. About two weeks after I started getting hive like rashes Al over my body that have yet to go away. Very uncomfortable, hot, raised streaks that show up al over my body in random places about 10+ times a day.


VAERS ID: 2014369 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Male  
Location: Colorado  
Vaccinated:2021-12-12
Onset:2021-12-25
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2022-01-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 032H21A / 3 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Erythema, Mechanical urticaria, Pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Dermatographia and welts, itchiness, redness on various parts of body, especially back of head/neck, hands, wrists


VAERS ID: 2014690 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-12-24
Onset:2021-12-25
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2022-01-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 33030BD / 3 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Loss of consciousness, Nausea, Retching, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: peanut allergy
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient developed chills, nausea and was dry heaving, which resulted in a syncopal episode with LOC for 10-15 seconds.


VAERS ID: 2014740 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-05-27
Onset:2021-12-25
   Days after vaccination:212
Submitted: 0000-00-00
Entered: 2022-01-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 022B21A / 2 UN / UN

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Headache, Respiratory tract congestion, SARS-CoV-2 test positive
SMQs:, Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: congestion, headache + COVID test


VAERS ID: 2014934 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Female  
Location: Nebraska  
Vaccinated:2021-10-01
Onset:2021-12-25
   Days after vaccination:85
Submitted: 0000-00-00
Entered: 2022-01-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FF8841 / 3 - / SYR

Administered by: Private       Purchased by: ?
Symptoms: Angiogram, Blood creatinine, Blood glucose, Blood magnesium, Electrocardiogram, Hemiparesis, Metabolic function test, Protein total, Speech disorder, Urine analysis
SMQs:, Dementia (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: insulin pump as need 30 t0 40mg a day; Atenolol 25mg/daily; Plavix 75mg/daily; Atorvastatin 40mg; Levothyroxine 75microgram; Valsartan 160mg/twice daily; Baby Aspirin 81mg/daily; Cosopt eye drops - in each eye every 12hours; Zioptan one dro
Current Illness: none
Preexisting Conditions: Diabetes type one with multiple complications; low vision -both eyes; proliferative; endometrium; hypoglycemia unawareness; autonomic neuropathy; Stage 2 chronic kidney disease; Diabetic Diahrrea; diabetic neuropathy; Gastroparesis
Allergies: Reglan; Bactrim; Droperidol; Erythromycin; Tetracycline; Any drugs that may cause a side effect to the central nervous system; Sulfur products; Amoxicillin; Pseudoephedrine; Restasis; Clarithromycin
Diagnostic Lab Data: CTNGO head; CTNGO head without contrast; CTNGO neck; CDC; protein creatinine racial urine; UA with reflex; microscopic; urinalysis test manual only; comprehensive metabolic panel; Magnesium test; ECG; Glucose test
CDC Split Type: vsafe

Write-up: she lost her ability to speak coherently; Right side weakness which resolved in about 10mins


VAERS ID: 2015349 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-12-16
Onset:2021-12-25
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2022-01-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 3 RA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Allergy test negative, Angioedema, Mechanical urticaria, Oropharyngeal pain, Rash, Swelling, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Asthma
Allergies:
Diagnostic Lab Data: Steroid injection at urgent care night of 12/26/21 with oral prednisone prescribed. Went to emergency room night of 12/27/21 due to flare in hives and swelling and throat pain. Given medrol dose pack. Went to pcp for allergist referral on 12/30/21 Dermatographia dx from allergist on 1/6/22 after food allergies were ruled out.
CDC Split Type:

Write-up: Developed hives and rash over entire body, hours later had angioedema of the hands and feet. Symptoms lasted over a week, angioedema was only resolved after steroids and antihistamines. Dermatographia developed after hives and swelling were managed.


VAERS ID: 2017474 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-05-07
Onset:2021-12-25
   Days after vaccination:232
Submitted: 0000-00-00
Entered: 2022-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 - / OT

Administered by: Other       Purchased by: ?
Symptoms: SARS-CoV-2 test, Suspected COVID-19, Vaccination failure
SMQs:, Lack of efficacy/effect (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20211226; Test Name: SARS-CoV-2 test; Result Unstructured Data: Negative; Test Date: 20211230; Test Name: SARS-CoV-2 rapid diagnostic test; Result Unstructured Data: Positive
CDC Split Type: USJNJFOC20211265944

Write-up: SUSPECTED CLINICAL VACCINATION FAILURE; SUSPECTED COVID-19 INFECTION; This spontaneous report received from a patient concerned a 33 year old male. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26. cov2.s for (Janssen, Dose number in series 1) (suspension for injection, route of admin was not reported, batch number: 206A21A, expiry unknown) dose was not reported, 1 total, administered on 07-MAY-2021 in left arm for prophylactic vaccination. No concomitant medications were reported. The patient was fully COVID vaccinated with Janssen vaccine. On 25-DEC-2021, the patient''s symptoms started which were cough, fever, runny nose, congestion nasal and sneezing. On 26-DEC-2021, the patient took a COVID test and was COVID negative. On 30-DEC-2021, the patient was tested COVID positive using the JNJ supplied home rapid antigen test (coded as suspected COVID-19 infection and suspected clinical vaccination failure) (Dose number in series 1). The patient''s partner tested positive on same day also and had same symptoms as patient. The patient received covid-19 vaccine ad26.cov2.s (Janssen, Dose number in series 2) (suspension for injection, route of admin was not reported, batch number: 211A21A, expiry: 14-DEC-2021) dose was not reported, 1 total, administered on 13-DEC-2021 in left arm for prophylactic vaccination. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the suspected clinical vaccination failure and suspected COVID-19 infection was not reported. This report was serious (Other Medically Important Condition). This report was associated with product quality complaint. This case, from the same reporter is linked to 20211266272.; Sender''s Comments: V0: 20211265944-covid-19 vaccine ad26.cov2.s- Suspected clinical vaccination failure. This event(s) is considered not related. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There are other factors more likely to be associated with the event(s) than the drug. Specifically: SPECIAL SITUATIONS


VAERS ID: 2017495 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Female  
Location: Arkansas  
Vaccinated:2021-12-16
Onset:2021-12-25
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2022-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 2 - / OT

Administered by: Military       Purchased by: ?
Symptoms: Thrombosis, Ultrasound scan
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: VALACICLOVIR; SERTRALINE; POTASSIUM; HYDROCHLOROTHIAZIDE;LISINOPRIL; MELOXICAM; MONTELUKAST; SYMBICORT; ALBUTEROL [SALBUTAMOL]
Current Illness: Abstains from alcohol; Anxiety (Sertraline 100mg anxiety); Asthma; Blood pressure high; Herpes NOS; Nervous system disorder; Non-smoker; Penicillin allergy (Montelukast 10mg for allergy)
Preexisting Conditions: Medical History/Concurrent Conditions: Pain; Comments: The patient had no drug abuse or illicit drug usage.
Allergies:
Diagnostic Lab Data: Test Date: 20211227; Test Name: Diagnostic ultrasound; Result Unstructured Data: Blood clot
CDC Split Type: USJNJFOC20220100209

Write-up: BLOOD CLOTS; This spontaneous report received from a patient concerned a 65 year old female. The patient''s weight was 212 pounds, and height was 65 inches. The patient''s concurrent conditions included: high blood pressure, nerve problems, asthma, herpes, anxiety, penicillin allergy, pain, non alcohol user, and non smoker. The patient had no drug abuse or illicit drug usage. The patient was previously treated with acetylsalicylic acid (Aspirin) for drug used for unknown indication and experienced allergy. The patient previously received covid-19 vaccine ad26. cov2. s (Janssen, Dose number series in 1) (suspension for injection, route of admin, and batch number were not reported) dose was not reported, 1 total, administrated on an unspecified date in JUN-2021 (6 months before booster dose) for prophylactic vaccination. It was unknown if patient had adverse event for covid-19 vaccine ad26. cov2. s. (Dose number in series 1) The patient received covid-19 vaccine ad26.cov2.s (Janssen, Dose number in series 2) (suspension for injection, route of admin, and batch number were not reported) dose was not reported, 1 total, administered on 16-DEC-2021 into left arm for prophylactic vaccination. The batch number was not reported and has been requested. Concomitant medications included montelukast for allergy, budesonide/formoterol fumarate for asthma, salbutamol for asthma, hydrochlorothiazide/lisinopril for drug used for unknown indication, potassium for drug used for unknown indication, valaciclovir for herpes, sertraline for nerve problems, and anxiety, and meloxicam for pain. On 25-DEC-2021, the patient noticed her legs were swollen from groin down to her ankle. On 27-DEC-2021, the patient went to doctor and was sent to hospital and had done ultrasound and found blood clot and was sent to emergency room at same hospital for treatment and was discharged on same day from emergency room, and was put on Eliquis (apixaban) twice daily and was advised that it may take 3 months for her blood clots to recover, and she was advised to elevate her legs, patient stated she started to feel better. (Dose number in series 2) The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from blood clots. This report was serious (Hospitalization Caused/Prolonged).; Sender''s Comments: V0:20220100209-COVID-19 VACCINE AD26.COV2.S-Blood clots. This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).


VAERS ID: 2017623 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-12-22
Onset:2021-12-25
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2022-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 3 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Contusion, Petechiae
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Accidents and injuries (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20214

Write-up: petechiae on breasts & right arm; bruises on breasts and now right arm; This spontaneous case was reported by a nurse and describes the occurrence of PETECHIAE (petechiae on breasts & right arm) and CONTUSION (bruises on breasts and now right arm) in a 34-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 22-Dec-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 25-Dec-2021, the patient experienced PETECHIAE (petechiae on breasts & right arm) and CONTUSION (bruises on breasts and now right arm). At the time of the report, PETECHIAE (petechiae on breasts & right arm) and CONTUSION (bruises on breasts and now right arm) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medications were reported. It was reported that the patient had notice few bruises and petechiae on her breasts and right arm, it was 3 in the morning and went up to 5 afterwards. Patient was not on any blood thinner medications and did not remember bumping onto anything. No treatment medications were reported. Company comment: This spontaneous case concerns a 34-year-old female patient with no medical history of reported, who experienced the unexpected non serious events of Petechiae (AESI) and Contusion after mRNA- 1273 vaccine. The event occurred approximately 3 days after the booster dose of mRNA- 1273 vaccine. The patient noticed few bruises and petechiae on her breasts and right arm. Very limited information is available regarding clinical course, diagnostic work-up and medical assessment. The benefit-risk relationship of mRNA- 1273 vaccine is not affected by this report.; Sender''s Comments: This spontaneous case concerns a 34-year-old female patient with no medical history of reported, who experienced the unexpected non serious events of Petechiae (AESI) and Contusion after mRNA- 1273 vaccine. The event occurred approximately 3 days after the booster dose of mRNA- 1273 vaccine. The patient noticed few bruises and petechiae on her breasts and right arm. Very limited information is available regarding clinical course, diagnostic work-up and medical assessment. The benefit-risk relationship of mRNA- 1273 vaccine is not affected by this report.


VAERS ID: 2018359 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Alabama  
Vaccinated:2021-12-23
Onset:2021-12-25
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2022-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FJ8757 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Asthenia, Conjunctivitis, Cough, Dyspnoea, Headache, Inappropriate schedule of product administration, Myalgia, Nasal congestion, Nausea, Oropharyngeal pain, Upper respiratory tract congestion
SMQs:, Rhabdomyolysis/myopathy (broad), Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Conjunctival disorders (narrow), Ocular infections (broad), Hypersensitivity (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: coreg, Glimepiride, Januvia, lasix, protonix, crestor, venlafaxine, tricore, docusate, sulindac, ASA, Jardiance, vitamin D, Vitamin C, magnesium, alegra, B2, zinc,
Current Illness: none at time of vac. felt tired and weakness mild short of breath since first vac on Dec 03
Preexisting Conditions: diabetes, hypertension. high cholesterol
Allergies: Lisinopril
Diagnostic Lab Data: none
CDC Split Type:

Write-up: symptoms started 12-24-2021 and got worse each day forward Shortness of breath, cough, tiredness, weakness, sore throat, headache, nausea, muscle aches, joint aches, conjunctivitis, nasal congestion, chest congestion,


VAERS ID: 2018683 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: New Jersey  
Vaccinated:2021-05-01
Onset:2021-12-25
   Days after vaccination:238
Submitted: 0000-00-00
Entered: 2022-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Anxiety, Blood test, COVID-19, Chest pain, Insomnia, Loss of consciousness, Near death experience, Palpitations, SARS-CoV-2 test, Vaccination failure
SMQs:, Torsade de pointes/QT prolongation (broad), Lack of efficacy/effect (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20211226; Test Name: blood test; Result Unstructured Data: Test Result:unknown; Test Date: 20211226; Test Name: covid-19 test; Test Result: Positive
CDC Split Type: USPFIZER INC202101863489

Write-up: Covid-19 positive; Covid-19 positive; passed out; near death experience; sleeplessness for a night; chest pain; anxiety; palpitation; This is a spontaneous report received from a contactable reporter(s) (Other HCP). A patient (no qualifiers provided) received bnt162b2 (BNT162B2), administration date 01May2021 (Batch/Lot number: unknown) as dose 2, single and administration date 10Apr2021 (Batch/Lot number: unknown) as dose 1, single for covid-19 immunisation. The patient''s relevant medical history and concomitant medications were not reported. The following information was reported: VACCINATION FAILURE (medically significant), COVID-19 (medically significant) all with onset 25Dec2021, outcome "recovering" and all described as "Covid-19 positive". The patient underwent the following laboratory tests and procedures: blood test: (26Dec2021) unknown; sars-cov-2 test: (26Dec2021) positive. Clinical information: On the night December 25th, the patient suddenly feel ill. The patient passed out and had a near death experience and was rushed to the ER. Blood samples and nasal swab for Covid-19 testing was collected early hours of 26Dec2021. After some hours, the Doctor came back with a Covid-19 positive test result. Other events that the patient experienced were headache, dizziness, light headedness, loss of appetite, loss of sense of smell, sleeplessness for a night, coughing, chest pain, anxiety, palpitation. The lot number for bnt162b2 was not provided and will be requested during follow up.; Sender''s Comments: The vaccine efficacy varies from one patient to another and can be affected by different factors; however, a contributory role of the suspect vaccine BNT162B2 to the vaccination failure (LOE) cannot be ruled out.Based on the currently available information the possibility of causal association between the events near death experience and passed out and the suspect drug BNT162B2 cannot be ruled out. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to regulatory authorities, Ethics Committees, and Investigators, as appropriate.


VAERS ID: 2018690 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-12-25
Submitted: 0000-00-00
Entered: 2022-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 3 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Drug ineffective, Illness, Immunisation, Suspected COVID-19
SMQs:, Lack of efficacy/effect (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC202101863843

Write-up: booster dose; I have COVID; I have COVID; I''m sick; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient. A male patient received bnt162b2 (BNT162B2) (Batch/Lot number: unknown) as dose 3, (booster) single, (Batch/Lot number: unknown) as dose 2, single and (Batch/Lot number: unknown) as dose 1, single for covid-19 immunisation. The patient''s relevant medical history was not reported. The patient took concomitant medications. The following information was reported: IMMUNISATION (medically significant), outcome "unknown", described as "booster dose"; DRUG INEFFECTIVE (medically significant), SUSPECTED COVID-19 (medically significant) all with onset 25Dec2021, outcome "unknown" and all described as "I have COVID"; ILLNESS (non-serious) with onset 25Dec2021, outcome "unknown", described as "I''m sick". Therapeutic measures were taken as a result of drug ineffective, suspected covid-19, illness. Additional information: Do you have any information of the availability of PAXLOVID?" Response: Responded as per attached SRD. Informed caller: "Paxlovid has not been approved, but has been authorized for emergency use by FDA , for the treatment of mild-to-moderate COVID-19 in adults and pediatric patients (12 years of age and older weighing at least 40 kg) with positive results of direct SARS-CoV-2 viral testing, and who are at high-risk for progression to severe COVID-19, including hospitalization or death. Under the Emergency Use Authorization, Department of Health and Human Services is overseeing the fair and equitable distribution of nirmatrelvir tablets; ritonavir tablets. Individuals should visit their healthcare provider to determine eligibility for treatment. Pfizer Medical Information does not have additional information on product availability". The lot number for bnt162b2 was not provided and will be requested during follow up.


VAERS ID: 2018797 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-12-22
Onset:2021-12-25
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2022-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 078J21A / 3 - / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Joint swelling, Paraesthesia, Peripheral swelling, Swelling
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
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: flu 2 months prior
Preexisting Conditions: none
Allergies: unknown
Diagnostic Lab Data: pending next week
CDC Split Type:

Write-up: swelling in hands and ankles. tingling in hands arms feet. swelling on and off


VAERS ID: 2019162 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Male  
Location: California  
Vaccinated:2021-06-16
Onset:2021-12-25
   Days after vaccination:192
Submitted: 0000-00-00
Entered: 2022-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP6955 / 2 LA / OT

Administered by: Work       Purchased by: ?
Symptoms: COVID-19, SARS-CoV-2 test, Vaccination failure
SMQs:, Lack of efficacy/effect (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None, Comment: known_allergies : No other_medical_history: None.
Allergies:
Diagnostic Lab Data: Test Date: 20211227; Test Name: Abbott BinaxNOW; Test Result: Positive ; Comments: Nasal Swab; Test Date: 20211228; Test Name: PCR; Test Result: Positive ; Comments: Nasal Swab
CDC Split Type: USPFIZER INC202200004248

Write-up: This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). A 14 year-old male patient received bnt162b2 (BNT162B2), intramuscular, administered in arm left, administration date 16Jun2021 (Lot number: EP6955) at the age of 13 years as dose 2, single and intramuscular, administered in arm left, administration date 27May2021 (Lot number: EP6955) as dose 1, single for covid-19 immunisation. The patient had no relevant medical history and no known allergies. Relevant past drug history included name of drug was reported as no and reaction was allergy. There were no concomitant medications. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination the patient was not diagnosed with COVID-19 and since the vaccination the patient has been tested for COVID-19. The following information was reported: VACCINATION FAILURE (medically significant) with onset 27Dec2021, outcome "unknown", described as "Abbott BinaxNOW : Positive / PCR: Positive"; COVID-19 (medically significant) with onset 25Dec2021 18:00, outcome "unknown", described as "Abbott BinaxNOW : Positive / PCR: Positive/ sore throat/Stuffy nose". The patient underwent the following laboratory tests and procedures: sars-cov-2 test: (27Dec2021) positive, notes: Nasal Swab; (28Dec2021) positive, notes: Nasal Swab. Therapeutic measures were not taken as a result of vaccination failure, covid-19. No follow-up attempts are possible. No further information is expected.


VAERS ID: 2019324 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-12-18
Onset:2021-12-25
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2022-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 33030BD / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: unknown
Current Illness: unknown
Preexisting Conditions: unknown
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient has a rash on the back of her neck. She went to her doctor who prescribed a steroid cream which has improved the rash but it is still there. Her doctor ok''d the 2nd dose of the vaccine which she got today and waiting 30 minutes in case of severe reaction.


VAERS ID: 2019360 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-04-09
Onset:2021-12-25
   Days after vaccination:260
Submitted: 0000-00-00
Entered: 2022-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK LA / SYR

Administered by: Military       Purchased by: ?
Symptoms: Bell's palsy, Eyelid function disorder, Hypoaesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Hearing impairment (broad), Periorbital and eyelid disorders (narrow), Ocular motility disorders (narrow), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: N/a
Current Illness: N/A
Preexisting Conditions:
Allergies: N/A
Diagnostic Lab Data:
CDC Split Type:

Write-up: Bells Palsy. numbness in hands and less. no motion in face. eye cant blink. further evaluation is needed.


VAERS ID: 2019659 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-12-23
Onset:2021-12-25
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2022-01-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 032H21A / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Breast pain, Fatigue, Laboratory test normal, Lymph node pain, Lymphadenopathy, Pain in extremity, SARS-CoV-2 test negative
SMQs:, Lipodystrophy (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Gabapentin and duloxtine
Current Illness: The norovirus 12/14-15, 2021
Preexisting Conditions: No
Allergies: Sulfa and azithromycin
Diagnostic Lab Data: Negative Covid tests. Negative for cancer cells in my thyroid.
CDC Split Type:

Write-up: Soreness in arm for 17 days and counting. Feeling even more tired or exhausted. Enlarged and painful lymph nodes on the left of my neck. Feeling of pain in my left breast.


VAERS ID: 2019709 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Male  
Location: Virginia  
Vaccinated:2021-12-22
Onset:2021-12-25
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2022-01-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 051F21A / 2 AR / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: sulfacetamide sodium--hives
Diagnostic Lab Data: none
CDC Split Type:

Write-up: urticaria, widespread


VAERS ID: 2019744 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Male  
Location: New York  
Vaccinated:2021-12-23
Onset:2021-12-25
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2022-01-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Chest pain, Hypoaesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Constant Chest Pain something numbness on the left side down the arm as well


VAERS ID: 2020291 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-02-02
Onset:2021-12-25
   Days after vaccination:326
Submitted: 0000-00-00
Entered: 2022-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 007M20A / 2 LA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Drug ineffective, SARS-CoV-2 test
SMQs:, Lack of efficacy/effect (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20211225; Test Name: COVID Test; Test Result: Positive ; Result Unstructured Data: Positive test evening
CDC Split Type: USMODERNATX, INC.MOD20214

Write-up: Lack of drug effect; Diagnosed with COVID; This spontaneous case was reported by a consumer and describes the occurrence of DRUG INEFFECTIVE (Lack of drug effect) and COVID-19 (Diagnosed with COVID) in a 62-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 020F21A, 007M20A and 030A21A) for COVID-19 vaccination. No Medical History information was reported. On 02-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 03-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 01-Nov-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 25-Dec-2021, the patient experienced DRUG INEFFECTIVE (Lack of drug effect) and COVID-19 (Diagnosed with COVID). At the time of the report, DRUG INEFFECTIVE (Lack of drug effect) and COVID-19 (Diagnosed with COVID) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 25-Dec-2021, SARS-CoV-2 test: positive (Positive) Positive test evening. No concomitant medication reported. No treatment medication details reported. The patient got vaccinated in February and March and then got a booster November first and get breakthrough infections.The patient was confused cause all this just happened. Diagnosed with COVID. On 25-Dec-2021 evening test the positive. This is a spontaneous case concerning a 62-year-old, female patient with no relevant medical history, who experienced the unexpected non-serious event of Drug Ineffective and Covid-19 as an added event. The events occurred approximately 54 days after the third dose of mRNA-1273 COVID 19 Vaccine. The rechallenge was unknown since no information about the first dose was disclosed. The events outcome were reported as unknown. The benefit-risk relationship of mRNA-1273 COVID 19 Vaccine, is not affected by this report.; Sender''s Comments: This is a spontaneous case concerning a 62-year-old, female patient with no relevant medical history, who experienced the unexpected non-serious event of Drug Ineffective and Covid-19 as an added event. The events occurred approximately 54 days after the third dose of mRNA-1273 COVID 19 Vaccine. The rechallenge was unknown since no information about the first dose was disclosed. The events outcome were reported as unknown. The benefit-risk relationship of mRNA-1273 COVID 19 Vaccine, is not affected by this report.


VAERS ID: 2020348 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-12-21
Onset:2021-12-25
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2022-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 017F21A / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Alopecia
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None that I?m aware of
Diagnostic Lab Data:
CDC Split Type:

Write-up: Began losing large amounts of hair a few days after the vaccine. Almost three weeks after the shot and the hair loss has not slowed down. May possibly be getting worse. Have noticeably thinner hair. Enough so that close friends have pointed out that it looks like I?m getting bald spots. Going to see my primary care doctor tomorrow (1/10/2022) to see what they have to say about it. Going to also request a referral to see a dermatologist.


VAERS ID: 2021219 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Male  
Location: Wisconsin  
Vaccinated:2021-03-31
Onset:2021-12-25
   Days after vaccination:269
Submitted: 0000-00-00
Entered: 2022-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 001B21A / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, SARS-CoV-2 test positive
SMQs:, Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: metformin
Current Illness: none
Preexisting Conditions: type 2 diabetes
Allergies: none
Diagnostic Lab Data: covid test positive on 12/30/2021
CDC Split Type:

Write-up: developed covid symptoms on 12/25/2021


VAERS ID: 2021426 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-12-17
Onset:2021-12-25
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2022-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA MODERNA / 3 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, Chest pain, Erythema, SARS-CoV-2 test, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lexapro
Current Illness: Other than seasonal cold in the month prior, no known illness
Preexisting Conditions: None
Allergies: No known
Diagnostic Lab Data: Blood work, COVID-19 test, PCP exam
CDC Split Type:

Write-up: Full body hives, chest pain, red marks continuing to date


VAERS ID: 2021434 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: California  
Vaccinated:2021-12-22
Onset:2021-12-25
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2022-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 030H21B / 3 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, Chest discomfort, Computerised tomogram thorax, Dyspnoea, Electrocardiogram, Fibrin D dimer increased, Painful respiration, Prothrombin level increased
SMQs:, Anaphylactic reaction (broad), Haemorrhage laboratory terms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: VitaminD3, Vitamin B complex, Calcium/Magnesium
Current Illness: None
Preexisting Conditions: Obstructive Sleep Apnea, Obesity
Allergies: None
Diagnostic Lab Data: CT Scan of chest, EKG, blood tests (prothrombine, D Dimer, which had high numbers) these tests were done on 12/26-27.
CDC Split Type:

Write-up: Severe chest pressure, mainly on left side, shortness of breath, pain on inspiration. Was treated with morphine, Norco, and indomethacin (2 weeks) and colchicine (3 months).


VAERS ID: 2022220 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-12-22
Onset:2021-12-25
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2022-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 3 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Acute respiratory failure, COVID-19 pneumonia
SMQs:, Anaphylactic reaction (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Acute central respiratory depression (narrow), Hypersensitivity (broad), Respiratory failure (narrow), Infective pneumonia (narrow), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 16 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: midodrine, rifaximin, sitagliptin
Current Illness: recurrent GI bleeding, decompensated alcoholic cirrhosis, hypotension, persistent leukocytosis, thrombocytopenia, diabetes mellitus, history of alcohol abuse
Preexisting Conditions: recurrent GI bleeding, decompensated alcoholic cirrhosis, hypotension, persistent leukocytosis, thrombocytopenia, diabetes mellitus, history of alcohol abuse
Allergies:
Diagnostic Lab Data: Cycle Threshold: 20
CDC Split Type:

Write-up: Acute respiratory failure with hypoxia due to COVID pneumonia


VAERS ID: 2024063 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-11-22
Onset:2021-12-25
   Days after vaccination:33
Submitted: 0000-00-00
Entered: 2022-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 065F21A / 1 RA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Eye colour change, SARS-CoV-2 test
SMQs:, Glaucoma (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20211225; Test Name: home COVID-19 test; Test Result: Positive ; Result Unstructured Data: Positive
CDC Split Type: USMODERNATX, INC.MOD20214

Write-up: inner corner of the eye is black and blue; COVID-19; This spontaneous case was reported by a consumer and describes the occurrence of EYE COLOUR CHANGE (inner corner of the eye is black and blue) and COVID-19 (COVID-19) in a 34-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 060H21A and 065F21A) for COVID-19 vaccination. No Medical History information was reported. On 22-Nov-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 20-Dec-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 25-Dec-2021, the patient experienced COVID-19 (COVID-19). On 27-Dec-2021, the patient experienced EYE COLOUR CHANGE (inner corner of the eye is black and blue). At the time of the report, EYE COLOUR CHANGE (inner corner of the eye is black and blue) had not resolved and COVID-19 (COVID-19) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 25-Dec-2021, SARS-CoV-2 test: positive (Positive) Positive. No treatment medication provided. Patient states no medical conditions or medications. Patient does not have a health insurance or PCP. Company comment: This spontaneous case concerns a 34-year-old female patient, with no medical history reported, who experienced the non-serious unexpected event AESI of COVID-19. The event COVID-19 occurred five days after the second dose of mRNA-1273. The rechallenge is not applicable since no information about further dosing has been disclosed. A SARS-CoV-2 test: positive was performed. The benefit-risk relationship of the mRNA-1273 is not affected by this report.; Sender''s Comments: This spontaneous case concerns a 34-year-old female patient, with no medical history reported, who experienced the non-serious unexpected event AESI of COVID-19. The event COVID-19 occurred five days after the second dose of mRNA-1273. The rechallenge is not applicable since no information about further dosing has been disclosed. A SARS-CoV-2 test: positive was performed. The benefit-risk relationship of the mRNA-1273 is not affected by this report.


VAERS ID: 2024599 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: D.C.  
Vaccinated:2021-10-06
Onset:2021-12-25
   Days after vaccination:80
Submitted: 0000-00-00
Entered: 2022-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 3 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Chills, Condition aggravated, Pain in extremity, Pyrexia, SARS-CoV-2 test positive
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Sertraline
Current Illness:
Preexisting Conditions: Depression and anxiety
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: First shot I experienced being lightheaded and I thought I was going to pass out. I stayed for an extra 30 minutes. I felt mild flu like symptoms but still went to work the next night. The second shot my arm hurt much more and I had a low grade fever and chills, same thing with my booster. I still got Covid-19 and was diagnosed positive on 12/28.


VAERS ID: 2025155 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-12-02
Onset:2021-12-25
   Days after vaccination:23
Submitted: 0000-00-00
Entered: 2022-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 024C21A / 3 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Herpes simplex test positive, Magnetic resonance imaging head abnormal, Meningoencephalitis herpetic, Polymerase chain reaction positive
SMQs:, Opportunistic infections (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 10 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: MRI brain showing left medial temporal lobe enhancement and T2/FLAIR signal changes CSF PCR positive for HSV1
CDC Split Type:

Write-up: Herpes encephalitis (HSV1)


VAERS ID: 2025521 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-12-23
Onset:2021-12-25
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2022-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 069F21A / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood electrolytes normal, Chest pain, Electrocardiogram ST segment elevation, Electrocardiogram abnormal, Haemoglobin normal, Influenza like illness, Metabolic function test, Platelet count normal, SARS-CoV-2 test negative, Sinus tachycardia, Troponin, White blood cell count increased
SMQs:, Neuroleptic malignant syndrome (broad), Myocardial infarction (broad), Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 12/26/21 - WBC 11.6, Hgb 15.2, platelets 225. BMP & electrolytes within normal limits. COVID-19 negative. Trop 4.05. EKG sinus tach with diffuse ST elevations.
CDC Split Type:

Write-up: Patient had a Moderna COVID-19 booster on 12/23/21. Patient developed flu-like symptoms the next day. The following day, pt developed on and off chest pain which eventually became constant. In the ER, vital signs normal & stable except tachy ~100, BP 80s/60s


VAERS ID: 2027682 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: New York  
Vaccinated:2021-12-01
Onset:2021-12-25
   Days after vaccination:24
Submitted: 0000-00-00
Entered: 2022-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 032F21A / 3 - / -

Administered by: Private       Purchased by: ?
Symptoms: Deep vein thrombosis, Groin pain
SMQs:, Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Osteonecrosis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: Bee Venom Protein
Diagnostic Lab Data:
CDC Split Type:

Write-up: On 1/6/22 patient was diagnosed with Acute deep vein thrombosis of femeral vein of lower extremity. Patient has had groin pain for 10 days prior.


VAERS ID: 2028165 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: California  
Vaccinated:2021-12-17
Onset:2021-12-25
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2022-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 3 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Erythema, Eye swelling, Hot flush, Influenza like illness, Pain, Peripheral swelling, Pruritus, Skin discolouration, Swelling face, Urticaria
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
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: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: After the booster shot, I felt the typical flu like symptoms for 2 days of chills, hot flashes, and soreness. Then 8 days later on 12/25/21 my scalp started itching. I woke up at 4am covered in red hives and welts and was extremely itchy. From Saturday through Tuesday the hives migrated to different areas reaching everywhere. By Tuesday 12/28/21, My right eye started to see some swelling and a visible bump over my right eyebrow. Wednesday 12/29/21 my hands, and feet started swelling and toes started to turn grey/purple. At this point I went to Urgent Care.


VAERS ID: 2028257 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Male  
Location: California  
Vaccinated:2021-08-04
Onset:2021-12-25
   Days after vaccination:143
Submitted: 0000-00-00
Entered: 2022-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Cough, Myalgia, Oropharyngeal pain
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Cough, sore throat, and muscle ache; no fever or chills.


VAERS ID: 2028275 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Connecticut  
Vaccinated:2021-12-15
Onset:2021-12-25
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2022-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 067H21A / 3 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Burning sensation, Oesophageal disorder, Rash erythematous, Rash pruritic, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Visit to the walk in clinic - prescribed Prednisone, benedryl and hydroxyine. The rash subsided with these. The minute I went off them it came back. I am now on Clairitin.
CDC Split Type:

Write-up: 10 days after my shit I broke out in severe hives. They they turned into one large rash all over my arms, under arms, torso and inner thighs. The rash was very red and burned. That night my esophagus started spasms. I have had an itchy red rash for 3 weeks now and hives every day.


VAERS ID: 2028496 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-11-29
Onset:2021-12-25
   Days after vaccination:26
Submitted: 0000-00-00
Entered: 2022-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test normal, Myalgia, Pain in extremity, Pruritus, Urticaria
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Angioedema (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Zoloft 25mg; Omega-3; Vitamin D; B-Complex
Current Illness: None
Preexisting Conditions: Asthma; anxiety
Allergies: None
Diagnostic Lab Data: Bloodwork is good.
CDC Split Type:

Write-up: Hives/urticaria. Daily itching and outbreaks. Muscle and arm aches.


VAERS ID: 2029019 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-12-23
Onset:2021-12-25
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2022-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 3 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Feeling abnormal, Hypertension, Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Dementia (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Hypertension (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin D
Current Illness: None
Preexisting Conditions: None
Allergies: Amoxicillin
Diagnostic Lab Data: Blood pressure monitoring (home) 12/25 - present Doctors office 1/03/2022 199/100
CDC Split Type:

Write-up: On Dec 25th, I felt strange and decided to take my blood pressure at home. The top number was 190. I made an appointment with a cardiologist, and saw him on Jan 3. Leading up to the visit, my blood pressure was a little better than the 190 reading, but at the doctors office, it reached 199/100. My pulse is normal. I recieved the 1st and second vaccine dose in March and April 2021. In may, my doctor had me monitoring my blood pressure suspecting high blood pressure. There were some high readings, but it improved on its own, and I stopped monitoring until I felt funny on Dec 25th 2 days after receiving the booster. I have started Nebivolol, which is helping. But I am experiencing Tremors, and this is a problem that seems to have started after being vaccinated


VAERS ID: 2029048 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: Hawaii  
Vaccinated:2021-12-24
Onset:2021-12-25
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2022-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Anxiety, Cardiac flutter, Chest discomfort, Chest pain, Dizziness, Dyspnoea, Fatigue, Immediate post-injection reaction
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Tachyarrhythmia terms, nonspecific (narrow), Vestibular disorders (broad), Hypersensitivity (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None whatsoever
Current Illness: None
Preexisting Conditions: Perfectly healthy otherwise
Allergies: None
Diagnostic Lab Data: Non yet. I will visit the urgent care center tomorrow.
CDC Split Type:

Write-up: Immediate chest pain following shot subsiding after 10 min.. following 3 weeks after shot : consistent and very prevalent shortness of breath, feeling of someone sitting on my chest, heart fluttering, anxiety, light-headed ness, irregular chest pain for short intervals, fatigue.


VAERS ID: 2030784 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-12-21
Onset:2021-12-25
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2022-01-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FH8028 / UNK - / SYR

Administered by: Private       Purchased by: ?
Symptoms: Angiogram normal, Myocardial infarction, Troponin increased
SMQs:, Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Losartan
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Troponin value at 4.138, Angiogram Negative for myocardial injury. 12/25/21.
CDC Split Type:

Write-up: Heart attack on 12/25/2021, Admitted to ER at 9:30 AM, Troponin levels high. Angiogram was clear, no narrowing, no blockages, no stent required. No myocardial injury.


VAERS ID: 2032606 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-04-27
Onset:2021-12-25
   Days after vaccination:242
Submitted: 0000-00-00
Entered: 2022-01-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / IM

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Polymerase chain reaction
SMQs:, Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Brezti aeroaphere & albuterol inhalers
Current Illness: COPD
Preexisting Conditions: COPD
Allergies:
Diagnostic Lab Data: 12/25 Cycle Threshold: 19.9
CDC Split Type:

Write-up: Hospitalization from COVID-19 infection


VAERS ID: 2033257 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-12-11
Onset:2021-12-25
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2022-01-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 029H21B / 3 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Mechanical urticaria, Pruritus
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
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: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: Severe itching and Dermotographia beginning 14 days after vaccine. Severe itching for 7 days. Dermotographia is ongoing.


VAERS ID: 2034772 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Puerto Rico  
Vaccinated:2021-12-24
Onset:2021-12-25
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2022-01-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 013H21A / 3 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Axillary pain, Lymphadenopathy
SMQs:, Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Apainful bump in my armpit that lasted about 10 days after the third dose of the vaccine. Today, even though it doesn''t hurt anymore, it''s still a bit swollen. I didn''t receive any medical treatment.


VAERS ID: 2034914 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Male  
Location: Delaware  
Vaccinated:2021-12-20
Onset:2021-12-25
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2022-01-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 3 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: treated with prednisone
CDC Split Type:

Write-up: Rash


VAERS ID: 2035426 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-12-20
Onset:2021-12-25
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2022-01-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 059H21A / 3 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Cough, Fatigue, Influenza virus test negative, Nausea, Pain, Pyrexia, Respiratory syncytial virus test negative, Urticaria
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Lisinopril 5 mg HS
Current Illness: none
Preexisting Conditions: Hypertension
Allergies: none
Diagnostic Lab Data: Negative flu and RSV on 01/01/2022.
CDC Split Type:

Write-up: several days later, started with high fever (104) with body aches and the development of hives on her arms, legs and upper chest as well as fatigue, cough and nausea. Went to the ED on 01/01/2022.


VAERS ID: 2037723 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-12-22
Onset:2021-12-25
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2022-01-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 041J21A / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Pruritus
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none reported
Current Illness: none reported
Preexisting Conditions: none reported
Allergies: NKA
Diagnostic Lab Data: none reported
CDC Split Type:

Write-up: Patient experience redness, swelling, itchiness and soreness in the left arm. This showed up about 3 to 4 days after the injection. She stated this resolved about 2 weeks later.


VAERS ID: 2037958 (history)  
Form: Version 2.0  
Age: 84.0  
Sex: Male  
Location: Kentucky  
Vaccinated:2021-08-27
Onset:2021-12-25
   Days after vaccination:120
Submitted: 0000-00-00
Entered: 2022-01-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 040A21A / 1 RA / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 033B21A / 2 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: COVID-19, SARS-CoV-2 test positive
SMQs:, Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Tested Positive for Covid


VAERS ID: 2037991 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-04-06
Onset:2021-12-25
   Days after vaccination:263
Submitted: 0000-00-00
Entered: 2022-01-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 048A21A / 1 UN / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 036B21A / 2 UN / IM

Administered by: Public       Purchased by: ?
Symptoms: COVID-19, SARS-CoV-2 test positive
SMQs:, Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Tested Positive for Covid


VAERS ID: 2038005 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Male  
Location: Kentucky  
Vaccinated:2021-04-06
Onset:2021-12-25
   Days after vaccination:263
Submitted: 0000-00-00
Entered: 2022-01-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025B21A / 2 UN / IM

Administered by: Public       Purchased by: ?
Symptoms: COVID-19, SARS-CoV-2 test positive
SMQs:, Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Tested Positive for Covid.


VAERS ID: 2038008 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Male  
Location: Kentucky  
Vaccinated:2021-06-28
Onset:2021-12-25
   Days after vaccination:180
Submitted: 0000-00-00
Entered: 2022-01-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204A21A / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: COVID-19, SARS-CoV-2 test positive
SMQs:, Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Tested Positive for Covid.


VAERS ID: 2038068 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-12-13
Onset:2021-12-25
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 2022-01-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 027H21B / 3 LA / -

Administered by: Public       Purchased by: ?
Symptoms: Insomnia, Paraesthesia, Pruritus, Rash, Skin burning sensation, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: Tramadol
Diagnostic Lab Data:
CDC Split Type:

Write-up: On Dec 25 broke out in to hives and itching rashes all over my body. Since then I have been having burning prickly rashes and hives pop at random places on my body. They last for sometime then reappear else where. It?s difficult to get a good night?s sleep. I have been taking Allegra 24 hours but rashes still keep coming. They are more some days and less other days but they have not stopped since 25th and


VAERS ID: 2039261 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: New York  
Vaccinated:2021-12-04
Onset:2021-12-25
   Days after vaccination:21
Submitted: 0000-00-00
Entered: 2022-01-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 060H21A / 3 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Bronchial disorder, Condition aggravated, Cough, Feeling hot, Headache, Influenza like illness, Nasal congestion, Nausea, Pain, Peripheral swelling, Pyrexia, SARS-CoV-2 test negative, Sinus disorder, Upper-airway cough syndrome, Vaccine positive rechallenge
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Tetnus shot when I was small fever and 2nd Moderna - same symptoms as the booster for 24 hrs
Other Medications: none
Current Illness: no
Preexisting Conditions: Hyperthyroid , GURD, Arthritis s , Migraine , Asthma
Allergies: keflex, Sulphur drugs, erythromycin. latex and iodine. Pineapple, mango, papaya, eggplant, shellfish
Diagnostic Lab Data: PCR - 25Dec2021 - negative
CDC Split Type: vsafe

Write-up: I had swollen arm and hot , fever - Booster Covid flu, aches and pains, nausea, headache all for 2 days. 25Dec2021 - I had a stuffy nose, post nasal drip. Took cold medicine and the cough stayed. got tested on 25Dec2021 and was negative, it could be sinus or bronchitis . Got antibiotic . Everything went away except the cough. On New Year, had virtual visit with urgent care. I still wont go away even with asthma treatment.


VAERS ID: 2040469 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Male  
Location: New York  
Vaccinated:2021-12-20
Onset:2021-12-25
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2022-01-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 060HZIA / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dyspnoea, Heart rate increased
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Non
Current Illness: Non
Preexisting Conditions: Non
Allergies: Doctors said food
Diagnostic Lab Data:
CDC Split Type:

Write-up: My heart start giving me hard beating and shorts of breath for about a month now from the next week of vaccination I start have symptoms of my heart want to stop some time and some time working fast like going to get out of my chest I?m healthy I never have problems with my heart


VAERS ID: 2042933 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-04-06
Onset:2021-12-25
   Days after vaccination:263
Submitted: 0000-00-00
Entered: 2022-01-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0158 / 2 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Electrocardiogram, Fatigue, Headache, Myalgia, Pyrexia, SARS-CoV-2 test positive, Troponin normal
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Cholecalciferol (vitamin D) 25 MCG (1000 UT) PO Tab take 1,000 Units by mouth once daily., dilTIAZem CR (DILACOR XR) 180 MG PO CAPSULE SR 24 HR take 1 Capsule by mouth once daily., Disp-90 Capsule, R-3, Normal fexofenadine (ALLEGRA) 18
Current Illness: ? Asthma ? Endometriosis ? Eosinophilic esophagitis ? Osteoporosis ? Paroxysmal atrial fibrillation ? Sleep apnea, obstructive
Preexisting Conditions: ? Asthma ? Endometriosis ? Eosinophilic esophagitis ? Osteoporosis ? Paroxysmal atrial fibrillation ? Sleep apnea, obstructive
Allergies: ? Brimonidine Runny Nose and Short of Breath/Wheezing ? Latanoprost Cough, Runny Nose and Short of Breath/Wheezing ? Sulfa Antibiotics Short of Breath/Wheezing
Diagnostic Lab Data: This is a 65 yo F who presents to our facility with concern of myalgias. Symptoms present and worsening over past few days. Unsure of any sick contacts however pt works in a grocery store as chef. Pt also notes diarrhea which she attributes to eggnog a few days ago. Additionally, pt work up with fever this morning with tmax 100.2. She has not taken anything for symptoms. She is vaccinated for COVID however has not received booster as she had a reaction to second vaccine which was lymphadenopathy. She has no other complaints at this time. On examination, patient nontoxic. Chest and lungs are CTA. Afebrile. Await workup. EKG without significant ST or T wave changes. 1158 Covid-19 Result(!): Detected 1203 Pt covid positive. Admitting to HA at this time. Husband at bedside now states he has also been having symptoms of headache and fatigue. Await remainder of workup. 1600 Troponin negative ?2. Patient able to ambulate without evidence of hypoxia. At this time she is stable for discharge. Advised to follow up with primary care physician after quarantine. Return precautions discussed. Pulse ox provided. All questions answered. Patient agreeable to plan.
CDC Split Type:

Write-up: This is a 65 yo F who presents to our facility with concern of myalgias. Symptoms present and worsening over past few days. Unsure of any sick contacts however pt works in a grocery store as chef. Pt also notes diarrhea which she attributes to eggnog a few days ago. Additionally, pt work up with fever this morning with tmax 100.2. She has not taken anything for symptoms. She is vaccinated for COVID however has not received booster as she had a reaction to second vaccine which was lymphadenopathy. She has no other complaints at this time. On examination, patient nontoxic. Chest and lungs are CTA. Afebrile. Await workup. EKG without significant ST or T wave changes. 1158 Covid-19 Result(!): Detected 1203 Pt covid positive. Admitting to HA at this time. Husband at bedside now states he has also been having symptoms of headache and fatigue. Await remainder of workup. 1600 Troponin negative ?2. Patient able to ambulate without evidence of hypoxia. At this time she is stable for discharge. Advised to follow up with primary care physician after quarantine. Return precautions discussed. Pulse ox provided. All questions answered. Patient agreeable to plan.


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