Your Health. Your Family. Your Choice.
|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA||030A21A / 2||RA / IM|
Administered by: Other Purchased by: ??
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Other Medications: Ativan and Morphine- per Hospice orders
Current Illness: Patient had been admitted to Hospice prior to her first dose of the vaccine. She had been decompensating for many months prior.
Preexisting Conditions: COPD, Emphysema, hypertension, seizure disorder, anemia, schizoaffective disorder, bordeline personality disorder,
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Had multiple hospitalizations for COPD prior to COVID-19 infection in December 2020. Had been admitted to Hospice for further decompensation after COVID diagnosis. Limited oral intake and hospice began using morphine and Ativan. Was on comfort medications only prior to 1/26/2021
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