National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1440816

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1440816
VAERS Form:2
Age:74.0
Sex:Female
Location:Missouri
Vaccinated:2021-03-24
Onset:2021-06-29
Submitted:0000-00-00
Entered:2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 031L20A / 2 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Back injury, Chest X-ray abnormal, Dyspnoea, Fall, Fibrin D dimer, Hypoxia, Malaise, Serum ferritin increased, COVID-19, SARS-CoV-2 test positive, SARS-CoV-2 test negative, COVID-19 pneumonia

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)? Yes
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Asthma, COPD, DM, HTN, HLD, hypothyroidism
Allergies:
Diagnostic Lab Data: 6/29/21: SARS-CoV-2 PCR: Positive CXR (6/28/21): Reported as consistent with COVID-19 in notes D-dimer(6/29/21): 1.64 mcg/mL Ferritin 6/29/21: 402 ng/mL
CDC 'Split Type':

Write-up: Presented to ED with 2 weeks of SOB, not feeling well. Had fallen 2 weeks prior to admission and landed on her back. Was hypoxic on admission and required 10 L of supplemental oxygen to maintain saturations $g 90%. Was transferred to this facility for further care. SARS-CoV-2 test was positive at OSH (PCR + but antigen test negative) and PCR test + here. CXR suspicious for multifocal PNA consistent with COVID-19. Currently admitted.

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1440816&WAYBACKHISTORY=ON


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166