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From the 1/14/2022 release of VAERS data:

This is VAERS ID 1296650

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Case Details

VAERS ID: 1296650 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Female  
Location: Kansas  
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: ?
Symptoms: Blood thyroid stimulating hormone normal, C-reactive protein normal, Chest X-ray normal, Chest pain, Cough, Dyspnoea, Endotracheal intubation, Full blood count normal, Heart rate decreased, Laryngoscopy, Metabolic function test normal, Red blood cell sedimentation rate normal, Respiratory tract congestion, SARS-CoV-2 antibody test positive, Spinal X-ray normal, Stridor, Thyroxine free normal, Vocal cord dysfunction
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Hypersensitivity (broad), Respiratory failure (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? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: intermittent singulair use, not taking medications day of vaccination
Current Illness: Congestion at time of vaccination
Preexisting Conditions: Situational anxiety Allergic rhinitis
Allergies: NKA
Diagnostic Lab Data: 4/21/21 CXR, CBC, CMP, CRP, ESR, TSH, Ft4, covid antibodies. 4/29/21 CXR, neck/soft tissue xray 4/30/21 direct laryngoscopy
CDC Split Type:

Write-up: Patient was seen at the urgent care clinic on 4/19/2021 having congestion for a couple of days as well as cough, news throat the head and troubles breathing was noted to have normal oxygen saturation and was given an albuterol inhaler and told that she had a virus. She followed up in the PCP office on 4/21/2021 with worsening troubles breathing and was given Decadron in the office, 4days of prednisone, CXR and labwork. CXR showed possible reactive airway disease and was to do steroid and continue out albuterol every 4 hours. Had negative/normal lab work and positive Covid antibodies. History of Covid 10/2020. Felt almost completely back to normal by Sunday, her last day of steroids. On Monday had worsening of her breathing throughout the day, increased troubles breathing again after softball that night. Albuterol did seem to help up. Called the office as she woke up Tuesday morning with worsening and would started on Flovent. With no improvement return to PCP office on 4/29/2020 with marked inspiratory stridor. Was admitted to the hospital for work-up of return of stridor. Had a normal chest x-ray and neck/soft tissue x-ray. With continued troubles breathing and chest pains with decreased heart rate was elected to go to Hospital where she could have further work-up. When the ARNP came helicopter, was concerned about her airway and she intubated to fly to hospital. Was dx there with Sudden Acute Onset of Vocal Cord Dysfunction and is continuing with therapies.

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