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From the 7/23/2021 release of VAERS data:

This is VAERS ID 1333901



Case Details

VAERS ID: 1333901 (history)  
Form: Version 2.0  
Age: 81.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-04-29
Onset:2021-05-04
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0612 / 2 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Abdominal distension, Angiogram pulmonary abnormal, Arteriosclerosis coronary artery, Atelectasis, Atrial fibrillation, Back pain, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Chest discomfort, Chills, Computerised tomogram abdomen abnormal, Computerised tomogram pelvis abnormal, Cough, Diarrhoea, Diverticulum, Dyspnoea, Fatigue, Fibrin D dimer increased, Fibrosis, Hepatic steatosis, Hiatus hernia, Lung infiltration, Lung opacity, Malaise, Mitral valve calcification, Oesophageal stenosis, Oesophagitis, Pain, Palpitations, Platelet count decreased, Pyrexia, SARS-CoV-2 test positive, Scan with contrast abnormal, Spleen disorder, Thrombocytopenia, Wheezing
SMQs:, Hepatic failure, fibrosis and cirrhosis and other liver damage-related conditions (narrow), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Asthma/bronchospasm (broad), Haematopoietic thrombocytopenia (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), Supraventricular tachyarrhythmias (narrow), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Malignancy related therapeutic and diagnostic procedures (narrow), Gastrointestinal obstruction (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific inflammation (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Other ischaemic heart disease (narrow), Hypersensitivity (broad), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow), Infective pneumonia (narrow), 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, 12 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: albuterol 2.5 mg /3 mL (0.083 %) nebulizer solution amLODIPine (NORVASC) 2.5 mg tablet apixaban (ELIQUIS) 5 mg tablet calcitonin, salmon, (MIACALCIN) 200 unit/actuation nasal spray calcium carbonate-vitamin D3 (CALTRATE 600 PLUS D) 600 mg (
Current Illness:
Preexisting Conditions: Respiratory Asthma without status asthmaticus Allergic rhinitis Pneumonia due to COVID-19 virus Circulatory Essential hypertension Paroxysmal atrial fibrillation Atrial fibrillation with RVR Digestive Gastroesophageal reflux disease Esophageal stricture Genitourinary Stage 3 chronic kidney disease Musculoskeletal Generalized osteoarthritis Osteochondropathy Degeneration of intervertebral disc Endocrine/Metabolic Hyperlipidemia Hematologic Macrocytic anemia Thrombocytopenia Immune Systemic lupus erythematosus Sjogren''s syndrome Other Insomnia
Allergies: Meloxicam PenicillinsHives / Urticaria TramadolNausea and Vomiting Duloxetine Gabapentin Omeprazole Statins-hmg-coa Reductase Inhibitors
Diagnostic Lab Data: 05/05/21 0450 COVID-19 (SARS CoV-2,RNA Molecular Amplification) Collected: 05/04/21 1110 | Final result | Specimen: Swab from Nares COVID-19 SARS-CoV-2 Overall Result DetectedCritical Procedure Component Value Ref Range Date/Time X-ray chest 1 view, Portable [3282535447] Resulted: 05/14/21 1306 Order Status: Completed Updated: 05/14/21 1306 Narrative: XR CHEST 1 VW PORT IMPRESSION: There are bilateral patchy interstitial and airspace opacities as well as small bibasilar effusions for which developing pneumonia is suspected. END OF IMPRESSION: INDICATION: High fever rule out bacterial pneumonia in the setting of COVID-19. 81 years TECHNIQUE: AP chest COMPARISON: 5/10/2021 FINDINGS: The heart is normal in size. There are bilateral interstitial and patchy airspace opacities. There is a blunted configuration of the costophrenic angles bilaterally. There is no pneumothorax. This report was created using Voice Recognition software. Thank you for allowing us to participate in the care of your patient. Fluoroscopy esophagram complete [3281995185] Resulted: 05/10/21 1643 Order Status: Completed Updated: 05/10/21 1644 Narrative: FL ESOPHAGRAM COMPLETE IMPRESSION: Study limited due to patient''s inability to swallow appropriate amount of effervescent and barium. Within this limitation, there is suggestion of stricturing in the distal esophagus. END OF IMPRESSION: INDICATION: Abnormal CT. 81 female TECHNIQUE: A PA image of the chest was obtained for preliminary purposes. Barium products and effervescent agent were administered to the patient. Fluoroscopy and plain film evaluation were performed. FLUOROSCOPY TIME: 1.9 minutes COMPARISON: 4/3/2013 FINDINGS: Study limited by patient''s mobility. There was passage of barium into the esophagus. However there is some narrowing of the esophagus distally near the gastroesophageal junction. There is moderate tertiary wave contractions distally. This report was created using Voice Recognition software. Thank you for allowing us to participate in the care of your patient. X-ray chest 1 view [3282317380] Resulted: 05/10/21 1146 Order Status: Completed Updated: 05/10/21 1146 Narrative: XR CHEST 1 VW PORT IMPRESSION: 1. Small focal area of increased density in the left costophrenic angle likely representing scarring, volume loss or infectious consolidation such as pneumonia. 2. No other significant interval change. END OF IMPRESSION: INDICATION: fever. TECHNIQUE: Portable view(s) of the chest are provided. COMPARISON: 9/4/2019 FINDINGS: The lungs are adequately inflated. Increased density is noted in the left costophrenic angle. This may represent scarring, volume loss or infectious consolidation such as pneumonia. No pneumothorax seen. The cardiac silhouette, pulmonary vasculature and bony thorax are without significant interval change. This report was created using Voice Recognition software. Thank you for allowing us to participate in the care of your patient. CT angiogram chest pulmonary embolism with and without contrast [3281802645] (Abnormal) Resulted: 05/06/21 0216 Order Status: Completed Updated: 05/06/21 0216 Narrative: PROCEDURE INFORMATION: Exam: CTA Chest Without And With Contrast Exam date and time: 5/6/2021 1:01 AM Age: 81 years old Clinical indication: Cough; Additional info: Shortness of breath with covid TECHNIQUE: Imaging protocol: Computed tomographic angiography of the chest without and with contrast. 3D rendering (Not supervised by radiologist): MIP and/or 3D reconstructed images were created by the technologist. Radiation optimization: All CT scans at this facility use at least one of these dose optimization techniques: automated exposure control; mA and/or kV adjustment per patient size (includes targeted exams where dose is matched to clinical indication); or iterative reconstruction. Contrast material: OMNI 350; Contrast volume: 75 ml; Contrast route: INTRAVENOUS (IV); COMPARISON: DX RAD RIBS LT 9/4/2019 11:59 AM FINDINGS: Pulmonary arteries: Normal. No pulmonary emboli. Aorta: Atherosclerosis. No aortic aneurysm. No aortic dissection. Lungs: There are mild alveolar infiltrates identified bilaterally in the perihilar and lower lobe regions in a pattern which is nonspecific but suggests a pneumonia which may be viral. Pleural spaces: Unremarkable. No pneumothorax. No pleural effusion. Heart: Vascular calcifications including coronary artery calcifications. Mediastinal space: Wall thickening of the thoracic esophagus is noted with some filling defect proximally correlate for esophagitis with debris. The oral contrast may be helpful as indicated clinically. Lymph nodes: Unremarkable. No enlarged lymph nodes. Bones/joints: Degenerative change in the spine. Soft tissues: Unremarkable. IMPRESSION: 1. There are mild alveolar infiltrates identified bilaterally in the perihilar and lower lobe regions in a pattern which is nonspecific but suggests a pneumonia which may be viral. 2. Wall thickening of the thoracic esophagus is noted with some filling defect proximally correlate for esophagitis with debris. Oral contrast may be helpful as indicated clinically. 3.Vascular calcifications including coronary artery calcifications. CT abdomen pelvis with contrast [3281802646] (Abnormal) Resulted: 05/06/21 0213 Order Status: Completed Updated: 05/06/21 0213 Narrative: PROCEDURE INFORMATION: Exam: CT Abdomen And Pelvis With Contrast Exam date and time: 5/6/2021 1:01 AM Age: 81 years old Clinical indication: Abdominal pain; Generalized TECHNIQUE: Imaging protocol: Computed tomography of the abdomen and pelvis with contrast. Radiation optimization: All CT scans at this facility use at least one of these dose optimization techniques: automated exposure control; mA and/or kV adjustment per patient size (includes targeted exams where dose is matched to clinical indication); or iterative reconstruction. Contrast material: OMNI 350; Contrast volume: 75 ml; Contrast route: INTRAVENOUS (IV); COMPARISON: CT ABD PEL WWO 2/13/2015 2:22 PM FINDINGS: Lungs: Atelectasis or fibrosis is noted in the bases. Heart: Mitral annular calcifications Mediastinal space: Small hiatal hernia Liver: fatty liver Gallbladder and bile ducts: cholecystectomy The bile ducts are prominent which are probably reflective of the cholecystectomy reservoir effect. Pancreas: Normal. No ductal dilation. Spleen: Known numerous lesions have developed in the spleen which are indeterminate. Correlate for infection or neoplasm. Adrenal glands: Normal. No mass. Kidneys and ureters: Normal. No hydronephrosis. Stomach and bowel: There is colonic diverticulosis identified which appears to be most prominent in the sigmoid. A few air-fluid levels in the colon with liquid stool and equivocal enhancement correlate for any sign of colitis particularly transverse colonic segments. In addition, some of the small bowel in the deep pelvis is somewhat thick-walled. Possible enterocolitis. Appendix: No evidence of appendicitis. Intraperitoneal space: Trace fluid in the pelvis. Vasculature: Unremarkable. No abdominal aortic aneurysm. Lymph nodes: Unremarkable. No enlarged lymph nodes. Urinary bladder: Diffuse urinary bladder wall thickening is noted correlate for lack of distention or cystitis. Reproductive: Unremarkable as visualized. Bones/joints: Degenerative change in the spine. Soft tissues: Unremarkable. IMPRESSION: 1. Diffuse urinary bladder wall thickening is noted correlate for lack of distention or cystitis. 2. A few air-fluid levels in the colon with liquid stool and equivocal enhancement correlate for any sign of colitis particularly transverse colonic segments. In addition, some of the small bowel in the deep pelvis is somewhat thick-walled. Possible enterocolitis. 3. Known numerous lesions have developed in the spleen which are indeterminate. Correlate for infection or neoplasm.
CDC Split Type:

Write-up: Office Visit 5/4/2021 screening laboratory testing for COVID-19 virus +1 more Dx Cough ? Diarrhea ? Fatigue Reason for Visit ED to Hosp-Admission Discharged 5/5/2021 - 5/17/2021 (12 days) Last attending Treatment team Pneumonia due to COVID-19 virus Principal problem Hospital Problems POA * (Principal) Pneumonia due to COVID-19 virus Yes Asthma without status asthmaticus Yes Systemic lupus erythematosus (CMS/HCC) Yes Overview Signed 12/1/2020 7:46 AM Note: Document: 08/22/19 - Consults Rheumatology Paroxysmal atrial fibrillation (CMS/HCC) Yes Atrial fibrillation with RVR (CMS/HCC) Yes Esophageal stricture Yes Hospital Course HPI: patient is an 81 y.o. female with pmh of COPD and HTN presented to the ER with complaint of palpitations. She reports since her second covid short on 4/29, she''s been feeling "ill." she states she''s been having diarrhea, chills, fatigue, and cough. In the ER, she was found to be in afib with RVR. She was given a one time dose of cardizem but then spontaneously converted to NSR. She is not hypoxic but admits to increased cough and occasional dyspnea. CTA was done in the ER due to elevated D dimer. Pulm embolism was ruled out, however, she was found to have bilateral infiltrates concerning for viral pna Hospital Course: Please send details from consultation note from hematology gastroenterology 81-year-old Caucasian female she had a history of COPD hypertension she was admitted through the emergency room on May 6 with a chief complaint of palpitation chest discomfort. She was found to have A. fib with RVR with underlying history of paroxysmal atrial fibrillation. Patient was admitted and atrial fibrillation is rate controlled in maintain with increase his Lopressor. ACS is ruled out by cardiac enzyme patient was found to have a COVID-19 pneumonia fortunately patient oxygen saturation remained good continue having mild cough. And initially she was not started any dexamethasone or any antiviral remdesivir. But over the time patient actually having mild wheezing shortness of breath but oxygen saturation remained stable so then dexamethasone was started. Heart rate was pretty controlled with current medication Lopressor anticoagulation did not start since patient was found to have a severe thrombocytopenia. Patient was seen by hematologist recommend to bone marrow biopsy thought that the sudden drop possible from infectious source. So then that point Heparin Olympic Eliquis was not started. Over the time patient platelet count back to normal platelet count 1 75,000 Eliquis started 2 days ago. Since she looked tolerating Eliquis heart rate is well controlled after adding dexamethasone she is underlying history of COPD her wheezing is much improved and she is currently on DuoNeb. In the history of asthma without status asthmaticus patient will be discharged home with continue current medication Decadron for 5 more days started Eliquis 5 mg 2 times daily since she is tolerating and platelet count is normal I recommend to check CBC for platelet count in 5 days. This patient will benefit to see hematologist outpatient although she refused to do a bone marrow biopsy. She is having chronic low back pain and currently on narcotics recommend to follow-up with PCP to change his narcotic medication.. Initially she had a CTA chest done which was normal although D-dimer was mildly elevated negative for pulmonary embolism and a mild infiltration concerning viral pneumonia so bacterial antibiotic was not started. Stable to be discharged home she was having intermittent low-grade fever for almost like 5 to 10 days. The fever is totally gone now. She is clinically stable new medication is adjusting increase Lopressor 50 mg 2 times daily. Eliquis 5 mg p.o. twice daily and she is going to go home with Decadron only for 5 days.. Patient also have underlying history of chronic dysphagia patient was seen by gastroenterology recommend to follow-up outpatient in 2 to 3 weeks Follow-up PCP in 5 days, follow-up with hematology as scheduled


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