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From the 10/15/2021 release of VAERS data:

Found 29,365 cases where Vaccine targets COVID-19 (COVID19) and Manufacturer is MODERNA and Serious



Case Details

This is page 5 out of 2,937

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VAERS ID: 915480 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2020-12-29
Onset:2020-12-30
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2020-12-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 026L20A / 1 - / IM

Administered by: Senior Living       Purchased by: ?
Symptoms: Chest X-ray normal, Chills, Injection site erythema, Injection site induration, Laboratory test normal, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (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? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Vitamin D3 4,000 units daily, famotidine 20 mg daily, ferrous sulfate 325 mg daily, gabapentin 400 mg BID, levothyroxine 100 mcg daily, melatonin 9 mg at hs, metoprolol tartrate 12.5 mg BID, nortriptyline 10 mg at HS, Norvasc 10 mg daily, S
Current Illness: Had a uti 12/8/2020 finished abx on 12/10/2020; prior to admitting had COVID with multiple complications spent along time in the hospital recovering.
Preexisting Conditions: Type 2 diabetes, morbid obesity, hypertension, sleep apnea, anemia, GERD, chronic pain
Allergies: Benzalkonium, lisinopril, Percocet, Adhesive Tape
Diagnostic Lab Data: Sent to ER admitted to hospital under observation. Per Hospital notes "There does not appear to be a cellulitis or abscess at this time. Labs and chest x-ray in the ED did not reveal any origin to where her fevers may be coming from".
CDC Split Type:

Write-up: Developed sudden onset of shaking chills and fevers as high as 103.0. She has developed a small circular 5 x 5 area of erythema and firmness at the injection site of her left upper arm.


VAERS ID: 915880 (history)  
Form: Version 2.0  
Age: 99.0  
Sex: Male  
Location: Montana  
Vaccinated:2020-12-30
Onset:2020-12-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 037K20A / 1 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Death
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2020-12-31
   Days after onset: 1
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Refused anything PO for about one week prior to death.
Current Illness: Refused food for one week prior to death.
Preexisting Conditions:
Allergies: No known allergies.
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient died within 12 hours of receiving the vaccine.


VAERS ID: 915956 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2020-12-24
Onset:2020-12-25
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2020-12-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011J20A / UNK LA / IM

Administered by: Work       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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions:
Allergies: nkda
Diagnostic Lab Data: COVID PCR + 12/27/2020
CDC Split Type:

Write-up: Patient received dose 1 of COVID vaccine 12/24. He developed symptoms consistent with COVID infection on 12/25. He was seen in the emergency room at Hospital on 12/27,was diagnosed as COVID positive, and was discharged to home. He returned to the emergency room on 12/29 and was admitted to the hospital for treatment related to COVID infection. He is currently admitted to Hospital.


VAERS ID: 916065 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Washington  
Vaccinated:2020-12-27
Onset:2020-12-28
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2020-12-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 037K20A / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Exposure during pregnancy, Foetal monitoring, Hydrops foetalis, Premature labour
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Foetal 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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Zofran 2weeks prior, Multivatamins
Current Illness: none
Preexisting Conditions:
Allergies: Sulfa, Vicodin, Neosporin
Diagnostic Lab Data:
CDC Split Type:

Write-up: EDD - 4/1/2021 - Contractions at 26 w 3 days sent to L&D to be monitored on 12/28/20. Covid-19 Sars Vaccine given 1st dose 12/27/20. Patient was diagnosed with Fetal Hydrops. Patient Hospitalized 12/28/20 - current MFM consulting in hospital & outpatient


VAERS ID: 916473 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Arizona  
Vaccinated:2020-12-31
Onset:2020-12-31
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 037K20A / 1 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Cardiac assistance device user, Dyspnoea, Headache, Loss of consciousness, Seizure, Unresponsive to stimuli
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Convulsions (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: COPD, depression, pace-maker, diabetes, obesity, osteoarthritis, plantar fasciitis, localized edema, moderate persistent asthma, sleep apnea, and ovarian cyst.
Allergies: Penicillin and Blueberries
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient complained of a headache, then patient was losing consciousness and gasp for air. EpiPen was utilized due to being unresponsive then began to seizing. Patient started to flatline and an AED was used while a paramedic came. Patient was put on her side then facility gave something for seizures. Lastly, ,ambulance took her to the hospital.


VAERS ID: 916497 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2020-12-27
Onset:2020-12-28
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2020-12-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 026L2OA / 1 - / SYR

Administered by: Private       Purchased by: ?
Symptoms: C-reactive protein increased, Catheterisation cardiac normal, Chest discomfort, Chills, Coronary artery disease, Echocardiogram abnormal, Ejection fraction decreased, Haematocrit normal, Haemoglobin normal, Hypokinesia, Left ventricular end-diastolic pressure increased, Myalgia, Nausea, Red blood cell sedimentation rate increased, Stress cardiomyopathy, Troponin increased, Ventricular hypokinesia, White blood cell count normal
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (narrow), Anaphylactic reaction (broad), Acute pancreatitis (broad), Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (narrow), Eosinophilic pneumonia (broad), Other ischaemic heart disease (narrow), Hypotonic-hyporesponsive episode (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? Yes
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: Vitamin D3, omega-3, Vitamin A/C, psyllium
Current Illness: none
Preexisting Conditions: History of Renal Cell Carcinoma s/p nephrectomy, Hyperlipidemia, osteopenia, sinus bradycardia, cervical radiculopathy
Allergies: None
Diagnostic Lab Data: TTE 12/30: EF 35%. Regional variation with normal contraction at the base and hypokinesis of the mid and distal segments with perhaps some sparing of the apex. Pattern is consistent with Takotsubo cardiomyopathy. Cardiac Catheterization 12/30: Mild Coronary Disease in LAD. Otherwise minimal CAD. Mildly elevated left sided filling pressure. ESR: 24 CRP <5 WBC 6.46, H/H 13.7/39.7
CDC Split Type:

Write-up: Patient started having myalgia, chills, nausea on the next day of the vaccination. on 2nd day (12/29) patient had chest pressure which made her present to Hospital ED. She had troponin elevation to 1.14. Cardiac Catheterization was done which was negative. On Trans Thoracic Echocardiogram, patient was found to have hypokinesis of the mid and distal segment with some sparing of apex proving Takotsubo (stress induced) cardiomyopathy. Patient did not have any underlying emotional or physical stress going on in her life or family. Till now extensive infectious as well as inflammatory work up is done to rule out any secondary causes of cardiomyopathy which till date have remained negative. As a diagnosis of exclusion, her presentation seems to be COVID-19 vaccine induced Takotsubo Cardiomyopathy


VAERS ID: 916508 (history)  
Form: Version 2.0  
Age: 81.0  
Sex: Male  
Location: Arizona  
Vaccinated:2020-12-29
Onset:2020-12-29
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 026L20A / 1 UN / IM

Administered by: Private       Purchased by: ?
Symptoms: Acute kidney injury, Blood creatinine increased, Blood glucose increased, Blood potassium decreased, C-reactive protein increased, COVID-19 pneumonia, Chest X-ray abnormal, Cough, Decreased appetite, Hyperglycaemia, Hypokalaemia, Hypoxia, Intensive care, Malaise, Pneumonia, SARS-CoV-2 test positive, Troponin increased
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), Anaphylactic reaction (broad), Asthma/bronchospasm (broad), Hyperglycaemia/new onset diabetes mellitus (narrow), Myocardial infarction (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), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Chronic kidney disease (broad), Tumour lysis syndrome (broad), Respiratory failure (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? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: escitalopram 10mg QD lisinopril 10mg QD trazodone 100mg QHS atorvastatin 20mg HS bupropion XL 150mg QD empagliflozin 10mg QD insulin 70/30 kwikpen 22units QAM, 20units QPM
Current Illness: COVID + pneumonia (this was undiagnosed at the time of vaccination b/c he had no symptoms upon vaccination prescreening)
Preexisting Conditions: Hypertension Benign prostatic hyperplasia Depression Uncontrolled diabetes mellitus Hyperlipidemia Latent tuberculosis
Allergies: Benzoin tincture
Diagnostic Lab Data: Pt is an 81 year old male with pmedhx of uncontrolled DM2, HTN, depression, BPH, HLD, insomnia, hx of EtOH w/d seizure. Pt states he called EMS because he had not had an appetite for 3 days and had not been eating much. EMS noted pt''s SpO2 was 62% on RA, increased to 90s after several min on 15L NRB. Pt denied shortness of breath at any point, denied sweats/chills, HA, vomiting/diarrhea. He did states he had a cough in addition to loss of appetite. CXR with finding of BL PNA, Abbott COVID + in ER. CRP 31.4. Pt was also noted to be hyperglycemic with glucose 408, trop elevated 0.12 but without chest pain, AKI creat 1.4 with baseline 0.9, and hypokalemic with K 3.0. Pt admitted to ICU for COVID related hypoxia. Notably, pt was vaccinated for COVID 19 with 1st Moderna vaccine today in am. Pt states he told screeners he felt well because he did not have shortness of breath or body aches. As of 12/31/2020, patient is still hospitalized in ICU.
CDC Split Type:

Write-up: Pt received 1st dose of Moderna vaccine in am at COVID vaccination clinic. On presentation to clinic he stated he was feeling well. Pt was brought to ER in pm with hypoxic, requiring 15L supplemental O2. Per pt''s family, pt was not feeling well for the last couple of days but didn''t think it was related to COVID. Abbott COVID + in ER. Possible vaccine reaction, though seems unlikely.


VAERS ID: 916538 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Washington  
Vaccinated:2020-12-28
Onset:2020-12-28
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20-2A / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Base excess, Basophil count decreased, Basophil percentage decreased, Blood bicarbonate normal, Blood calcium normal, Blood chloride normal, Blood creatinine normal, Blood glucose normal, Blood pH increased, Blood potassium decreased, Blood sodium normal, Blood urea normal, Carbon dioxide decreased, Chest X-ray normal, Dysphagia, Dyspnoea, Electrocardiogram T wave abnormal, Electrocardiogram abnormal, Eosinophil count decreased, Eosinophil percentage decreased, Granulocyte count, Granulocyte percentage, Haematocrit normal, Haemoglobin normal, Hyperhidrosis, Injection site erythema, Lymphocyte count increased, Lymphocyte percentage decreased, Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal, Mean cell volume normal, Mean platelet volume normal, Monocyte count normal, Monocyte percentage decreased, Muscle rigidity, Neutrophil count increased, Neutrophil percentage increased, Opisthotonus, PCO2 decreased, PO2 decreased, Pharyngeal swelling, Platelet count normal, Rash macular, Rash pruritic, Red blood cell count normal, Red blood cell nucleated morphology, Red cell distribution width normal, Sensory disturbance, Skin warm, Tachypnoea, Tremor, Troponin I normal, White blood cell count increased
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Asthma/bronchospasm (broad), Haematopoietic leukopenia (narrow), Lactic acidosis (broad), Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dystonia (narrow), Parkinson-like events (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Other ischaemic heart disease (broad), Hypersensitivity (narrow), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Infective pneumonia (broad), Hypokalaemia (narrow)

Life Threatening? Yes
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: iron 65 mg BID, super B-complex once daily, flax seed oil 1,000 mg daily, vitamin C 500 mg BID, vitamin D3 2,000 IU daily, Zyrtec 10 mg daily for nasal congestion seasonal allergies acyclovir, buspirone, Wellbutrin, hydroxyzine 10 mg prn a
Current Illness: Did have nasal congestion in November briefly and then again in early December. Did get covid tests each time which were negative. Was feeling fine at the time of her vaccine.
Preexisting Conditions: anxiety, hx of depression, hx of herpes, takes acyclovir for suppression, hx of cholecystectomy
Allergies: none, did develop seasonal nasal congestion this year.
Diagnostic Lab Data: pH Venous 7.33 - 7.43 7.43 pCO2 Venous 39 - 54 mm/Hg 35Low pO2 Venous 25 - 43 mm/Hg 39 HCO3 Venous 24 - 28 mmol/L 22Low BE Venous -3.0 - 3.0 mmol/L -1.2 O2 Sat Ven (Cal) 60 - 85 % 77 Device Room Air Ref Range & Units 12/29/20 3:22 PM Troponin I <=0.03 ng/mL <0.02 Comment: 0.03 ng/mL or less: No detectable cardiac injury 0.04 to 0.49 ng/mL: Possible Cardiac muscle injury 0.50 ng/mL or greater: Myocardial infarction Serial testing is highly recommended with a Troponin of 0.04 ng/mL or greater. Sodium 136 - 145 mmol/L 140 Potassium 3.6 - 5.0 mmol/L 3.4Low Chloride 98 - 107 mmol/L 106 Carbon Dioxide 22 - 28 mmol/L 22 BUN 6 - 20 mg/dL 12 Creatinine 0.60 - 1.10 mg/dL 0.67 Glucose 74 - 100 mg/dL 134High Calcium 8.6 - 10.3 mg/dL 9.3 WBC 4.00 - 10.00 x10''3/uL 15.78High RBC 3.85 - 5.20 x10''6/uL 4.43 Hemoglobin 11.5 - 16.0 gm/dL 13.7 Hematocrit 34.7 - 46.0 % 40.8 MCV 80.0 - 97.0 fL 92.1 MCH 26.0 - 34.0 pg 30.9 MCHC 32.0 - 36.0 gm/dL 33.6 RDW 11.5 - 15.0 % 12.0 Platelet Count 140 - 440 x10''3/uL 345 MPV 6.5 - 12.4 fL 9.1 Auto % Neut 37.0 - 80.0 % 91.7High Auto % Lymph 16.0 - 51.0 % 6.1Low Auto % Mono 0.0 - 12.0 % 1.7 Auto % Eos 0.0 - 8.0 % 0.0 Auto % Baso 0.0 - 3.0 % 0.1 Auto % Imm Gran 0.0 - 1.0 % 0.4 Comment: Immature granulocytes are composed of metamyelocytes, myelocytes, and promyelocytes; bands and blasts are not included. Auto % NRBC 0.0 - 0.2 /100 WBC 0.0 Auto ABS Neut 1.50 - 8.00 x10''3/uL 14.46High Auto ABS Lymph 0.80 - 4.00 x10''3/uL 0.97 Auto ABS Mono 0.00 - 1.20 x10''3/uL 0.27 Auto ABS Eos 0.00 - 0.30 x10''3/uL 0.00 Auto ABS Baso 0.00 - 0.30 x10''3/uL 0.02 Auto ABS Imm Gran 0.00 - 0.10 x10''3/uL 0.06 Auto ABS NRBC 0.00 - 0.01 x10''3/uL 0.00 VENT RATE 94 BPM ATRIAL RATE 94 BPM PR INTERVAL 140 ms QRS DURATION 82 ms QT INTERVAL 368 ms QTC 460 ms P AXIS 62 degrees R AXIS 34 degrees T AXIS 11 degrees Result Narrative Normal sinus rhythm T wave abnormality, consider anterior ischemia Abnormal ECG No previous ECGs available normal cxr
CDC Split Type:

Write-up: 15-20 mins after receiving the vaccine she reported she had difficulty swallowing and difficulty breathing and was ?shaking." a PA wrote in her note that when she ran in to help, she found the patient to be tachypneic, diaphoretic, warm with some red blotchy patches on face, chest & neck. Able to speak easily c/o trouble breathing & sensation of throat swelling & extremities feeling abnormal. No stridor. No facial edema noted by that clinician. Administered epi-pen 0.3mg - IV started , Benadryl 50mg IVP and solumedrol 125mg IVP. Patient reports she subsequently arched her back and had rigidity of her arms/legs and tremors. Clinic PA reports that while she was there, pt was never hypotensive. Initially hypertensive after epi as expected with some favorable response after 10-15 min Staff there gave her IM epinephrine, IV Solu-Medrol and 50 mg IV Benadryl. EMS was contacted and transported to the emergency room. She arrived at the ER, was monitored for 2 hours, was started on pepcid and benadryl and discharged from the ER. She had a diffuse itchy rash. The following day she again developed recurrence of throat swelling. Went back to a different ER. Developed dyspnea immediately prior to arrival at ER. There was again given solumedrol and benadryl and pepcid and developed muscle rigidity and arched back for 10 minutes. Symptoms of SOB and dyspnea resolved with epinephrine. Was discharged from the ER with prednisone after being monitored for 5 hours. Is continuing to take prednisone and benadryl. Rash is still present but improving with scheduled benadryl. Has new redness at injection site today. Continues to feel some throat swelling but no tightness today. This information was gathered from talking with pt today for a phone appt and also from her medical chart regarding her vaccination visit and two ER visits.


VAERS ID: 916710 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Female  
Location: Missouri  
Vaccinated:2020-12-29
Onset:2021-01-01
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-01-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Appendicitis, Band neutrophil percentage increased, Surgery, White blood cell count increased
SMQs:, Neuroleptic malignant syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? Yes
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: Synthroid
Current Illness:
Preexisting Conditions: Hypothyroidism
Allergies: NKDA
Diagnostic Lab Data: WBCs 13k, 4% Bands, CT with acute appendicitis- taken to surgery
CDC Split Type:

Write-up: Acute appendicitis, onset morning of 1/1/2021 (Reporting this because Pfizer covid vaccine had 3-4x higher risk of appendicitis, although data not reported for Moderna covid vaccine)


VAERS ID: 916836 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Male  
Location: Maryland  
Vaccinated:2020-12-24
Onset:2020-12-30
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-01-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20A / 1 AR / IM

Administered by: Private       Purchased by: ?
Symptoms: Chest X-ray abnormal, Chest discomfort, Computerised tomogram thorax abnormal, Coronary artery disease, Diarrhoea, Discomfort, Echocardiogram normal, Ejection fraction normal, Electrocardiogram Q wave abnormal, Electrocardiogram abnormal, Electrocardiogram change, Epistaxis, Fatigue, Fibrin D dimer normal, Flushing, Full blood count normal, Glucose tolerance impaired, Glycosylated haemoglobin increased, Injection site pain, Lipase normal, Liver function test normal, Lung opacity, Metabolic function test normal, SARS-CoV-2 test negative, SARS-CoV-2 test positive, Sinus tachycardia, Troponin normal, Urine analysis normal
SMQs:, Anaphylactic reaction (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Hyperglycaemia/new onset diabetes mellitus (narrow), Interstitial lung disease (narrow), Myocardial infarction (broad), Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), Pseudomembranous colitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Other ischaemic heart disease (narrow), Lipodystrophy (broad), Hypersensitivity (broad), Noninfectious diarrhoea (narrow), Infective pneumonia (broad), Dehydration (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, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: No current medications
Current Illness: Pt reported frequent urination for several months
Preexisting Conditions: None
Allergies: No known allergies
Diagnostic Lab Data: SARS-CoV-2 RNA - Detected A 12/30/2020 @1825
CDC Split Type:

Write-up: Patient is a 55 year old male with no past medical history who presents with complaint of sudden onset of left-sided nonradiating chest discomfort of sudden onset approximately 1 hour prior to presentation while doing administrative work at rest. He describes the pain as a dull heaviness sensation and approximate 3/10 pain severity. Chest discomfort was associated with a feeling of flushing that was quite transient but chest discomfort was persistent. Patient immediately presented to the ED for further evaluation. He denies experiencing any chest pain upon waking up this morning. Does note that he did have a transient episode of epistaxis on his way to work for which he had to pull over and apply pressure to his nose but this subsequently subsided and he attributed this to dry air as he has experienced epistaxis in the past but with less severity previously. In the ER, vital signs noted for BP 133/76, pulse ranging 91-114, respiratory rate 16-20, 96% on room air. Initial laboratory parameters were completely normal including normal CBC, CMP, LFT, lipase, UA, and normal D-dimer. Initial troponin was negative x1. EKG with sinus tachycardia, heart rate of 115. Noted Q waves inferiorly. No acute ST or T wave changes appreciated. Chest x-ray with mild increased density in the left lower lobe. Given this, patient was tested for rapid Covid which was negative but PCR was positive for COVID. CT of the chest noted for focal subsegmental groundglass infiltrate at the superior segment of the LLL, likely infectious versus inflammatory. Also noted small nonspecific groundglass attenuation with focal septal thickening at the right upper lobe which could be infectious or inflammatory, bibasilar atelectasis. Patient was treated with aspirin 324 mg in the ED. Of note, patient actually just received the COVID-19 vaccination on 12/24/20. He denies any shortness of breath, no cough, denies any nausea or vomiting, denies any change in taste or smell nor change in appetite. Does note 1 single episode of loose stool but otherwise denies any diarrhea. Does report that he had approximate 48 to 72-hour period of fatigue and soreness at the site of the left deltoid injection following the vaccination but otherwise no further symptoms. It is also noted that he does have a positive family history of coronary artery disease as his dad had an MI at the age of 49. Patient has never undergone a cardiac catheterization in the past but does report having a negative stress test at the age of 42. He is being admitted under the hospitalist service for further management Patient was initially admitted under observation for chest pain obs. However patient''s Covid test came back positive and patient also had dynamic EKG changes concerning for possible unstable angina. Patient was treated with aspirin Plavix full-strength Lovenox along with beta-blocker and a cardiology consult. Serial troponins were negative. Echocardiogram revealed normal EF of 55 to 60% with no hemodynamically significant valvular disease. Cardiology felt that patient likely has underlying coronary artery disease have recommended discharge home with aspirin and Plavix with outpatient stress testing given his positive Covid testing. At the time of discharge patient denied any chest pain or shortness of breath. Patient was borderline diabetic with a hemoglobin A1c of 6.1. Patient was discharged home with Metformin along with glucometer, glucose strip, lancets. Given patient''s tachycardia patient''s Metformin 25 mg twice daily was changed to Toprol 25 mg daily. (Please note clarification in comparison to discharge home med list. Toprol XL 25 mg daily was called to pharmacy in place of the metoprolol.)


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