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This is VAERS ID 1333603

History of Changes from the VAERS Wayback Machine

First Appeared on 5/28/2021

VAERS ID: 1333603
VAERS Form:2
Age:61.0
Sex:Female
Location:Unknown
Vaccinated:2021-03-18
Onset:2021-05-04
Submitted:0000-00-00
Entered:2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER2613 / 2 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Asthenia, Diarrhoea, Pyrexia, Tachypnoea, COVID-19, SARS-CoV-2 test positive

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Ascorbic acid, aspirin 81 mg, carbamazepine, carvedilol, cefepime injection, escitalopram, ferrous sulfate, isosorbide mononitrate, megestrol, pantoprazole, pregabalin, sucralfate, tamoxifen, torsemide.
Current Illness:
Preexisting Conditions: Malnutrition, chronic anemia, pancreatic adenoma, GERD, neuropathy, stage IV CKD, CHF, HTN, cancer hx below.
Allergies: NKA
Diagnostic Lab Data: Novel coronavirus PCR- SARS-COV-2 detected (5/4/2021)
CDC 'Split Type':

Write-up: Pt is a 61 yo female with recurrent granulosa cell tumor (s/p secondary debulking/whipple in 2019), stage II colon cancer, and stage IA cancer s/p radiation on tamoxifen/megage, with history of short gut on chronic TPN. On admission (5/4) she presented with weakness, diarrhea, and fever. Pt was tachypnic to 40s, 1L NC with O2 sat $g 90% on admission. RR improved and she was eventually weaned to room air. The COVID PCR on admission resulted positive. She is s/p full Pfizer vaccination: first dose on 2/25 and second dose on 3/18. Pt remained stable on room air for the rest of her stay and received remdesivir for 5 total days.

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