National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1464489

History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1464489
VAERS Form:2
Age:88.0
Sex:Female
Location:Pennsylvania
Vaccinated:2021-03-31
Onset:2021-07-03
Submitted:0000-00-00
Entered:2021-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8733 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Activated partial thromboplastin time, Blood culture, Blood lactic acid, Chest X-ray, Cough, Differential white blood cell count, Dyspnoea, Electrocardiogram, Fatigue, Full blood count, International normalised ratio, Prothrombin time, Pyrexia, Urine analysis, Metabolic function test, 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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: citalopram (CeleXA) 10 mg tablet doxycycline (VIBRAMYCIN) 100 mg capsule hydroCHLOROthiazide (HYDRODIURIL) 25 mg tablet lovastatin (MEVACOR) 10 mg tablet nystatin-triamcinolone (MYCOLOG II) cream predniSONE (DELTASONE) 5 mg tablet promethaz
Current Illness:
Preexisting Conditions:
Allergies: Aspirin
Diagnostic Lab Data: Updated Procedure 07/10/21 1713 POCT COVID-19 PCR Collected: 07/10/21 1713 | Final result | Specimen: Swab from Nares POC COVID-19 PCR DetectedAbnormal Lot # 1000266367 Point of Care COVID-19 PCR Testing Method Cepheid Lot Expiration Date 5.15.2022 Patient Care Timeline (7/11/2021 00:00 to 7/12/2021 16:48:05) 7/12/2021 Event Details User 15:12 Patient arrived in ED 15:12:23 Emergency encounter created 15:12:53 Patient (adult) arrived in ED 15:12:53 Arrival Complaint weakness 15:26:16 Patient roomed in ED To room AA334 , RN 15:31:22 Orders Placed Sepsis Communication: Patient undergoing SIRS/sepsis screening ; Vital signs Q30M - While in ED , DO 15:31:23 Lab Ordered URINALYSIS, CULTURE IF INDICATED, BLOOD CULTURE, PROTIME-INR, APTT, CBC AND DIFFERENTIAL, LACTIC ACID, PLASMA, COMPREHENSIVE METABOLIC PANEL , DO 15:31:23 XR Ordered XR CHEST 2 VW , DO 15:31:23 Imaging Exam Ordered , DO 15:31:23 ECG Ordered ECG 12-LEAD: HOSPITAL OR TEST FACILITY , DO 15:31:23 Orders Placed Vital signs Q2H x 2, then Q4H x 48H, then per unit policy - Perform additional vital signs PRN if concern for deterioration, For non-ICU admissions ; Notify provider: Specify: For further fluid orders after bolus fluids completed ; Notify provider: Temperature less than: 96; Systolic blood pressure less than: 90; MAP less than: 65; SpO2 less than: 90; Specify: Or lactate level greater than 4 mmol/L following fluid resuscitation - notify attending provider., Notify for temper... ; Strict intake and output ; Comprehensive metabolic panel - Repeat STAT ; Lactic acid - STAT ; CBC and differential - Repeat STAT ; APTT - Repeat STAT ; Protime-INR - Repeat STAT ; Blood culture ; Urinalysis, Culture if Indicated - Urine, Clean Catch ; Chest X-Ray, 2 Views, PA and Lateral ; ECG 12-lead: HOSPITAL or TEST FACILITY Once Chest pain , DO 15:31:28 Orders Completed Sepsis Communication: Patient undergoing SIRS/sepsis screening , DO 15:31:29 Lab Ordered URINALYSIS CULTURE IF INDICATED, CHEMICAL DIPSTICK , DO 15:31:29 Lab Ordered CBC WITH AUTO DIFFERENTIAL , DO 15:35:15 XR Ordered XR CHEST 1 VW 15:35:15 Imaging Exam Ordered 15:35:15 Orders Discontinued Chest X-Ray, 2 Views, PA and Lateral (07/12/21 1531) 15:35:15 Orders Modified Order Modified - X-ray chest 1 view, Portable (Comment: Modified from Chest X-Ray, 2 Views, PA and Lateral) , DO 15:36:53 Assign Resident DO assigned as Resident , MD 15:36:59 Assign Physician , MD 15:38 Vitals Assessment , RN 15:38 Vitals Assessment , RN 15:38 Vitals Reassessment Vitals Timer Restart Vitals Timer: Yes Restart Vitals Timer: Yes , RN 15:38 Other Flowsheet Documentation Vitals Resp: 20 Other flowsheet entries BP: 121/50Abnormal Temperature: 36.9 ?C (98.4 ?F) Temp Source: Oral Heart Rate: 68 SpO2: 84 %Abnormal Weight: 84.5 kg (186 lb 4.6 oz) Weight Method: Bed Scale Change in Weight (%): 0.00 S/F Ratio: 400 Oxygen Therapy: None (Room air) , RN 15:38:28 Assign Attending , DO assigned as Attending, DO 15:38:28 Assign Physician , DO 15:39:18 Height/Weight , RN 15:39:18 Temperature Reassessment Temperature Reassessed , RN 15:39:18 PMH NOT REVIEWED , RN 15:45 Collect APTT - Repeat STAT Completed APTT - Repeat STAT - Type: Blood ; Source: Blood, Venous , RN 15:45 Collect Blood culture Completed Type: Blood ; Source: Blood, Venous Blood culture ; Blood culture , RN 15:45 Collect CBC auto differential - Once Completed CBC auto differential - Once - Type: Blood ; Source: Blood, Venous , RN 15:45 Collect Comprehensive metabolic panel - Repeat STAT Completed Comprehensive metabolic panel - Repeat STAT - Type: Blood ; Source: Blood, Venous , RN 15:45 Collect Lactic acid - STAT Completed Lactic acid - STAT - Type: Blood ; Source: Blood, Venous , RN 15:45 Collect Protime-INR - Repeat STAT Completed Protime-INR - Repeat STAT - Type: Blood ; Source: Blood, Venous , RN 15:45:21 Print Label for APTT - Repeat STAT Completed APTT - Repeat STAT - Type: Blood ; Source: Blood, Venous , RN 15:45:21 Print Label for Blood culture Completed Blood culture - Type: Blood ; Source: Blood, Venous ,RN 15:45:21 Print Label for CBC auto differential - Once Completed CBC auto differential - Once - Type: Blood ; Source: Blood, Venous , RN 15:45:21 Print Label for Comprehensive metabolic panel - Repeat STAT Completed Comprehensive metabolic panel - Repeat STAT - Type: Blood ; Source: Blood, Venous , RN 15:45:21 Print Label for Lactic acid - STAT Completed Lactic acid - STAT - Type: Blood ; Source: Blood, Venous , RN 15:45:21 Print Label for Protime-INR - Repeat STAT Completed Protime-INR - Repeat STAT - Type: Blood ; Source: Blood, Venous , RN 15:45:29 Specimens Collected Comprehensive metabolic panel - Repeat STAT - ID: 21YH-193C3060 Type: Blood , RN 15:45:35 Specimens Collected Lactic acid - STAT - ID: 21YH-193C3059 Type: Blood , RN 15:45:36 Specimens Collected APTT - Repeat STAT - ID: 21YH-193G0483 Type: Blood Protime-INR - Repeat STAT - ID: 21YH-193G0483 Type: Blood CBC auto differential - Once - ID: 21YH-193H1164 Type: Blood , RN 15:45:37 Specimens Collected Blood culture - ID: 21YH-193M0431 Type: Blood , RN 15:45:44 Print Label for Blood culture Completed Blood culture - Type: Blood ; Source: Blood, Venous , RN 15:45:48 Specimens Collected Blood culture - ID: 21YH-193M0433 Type: Blood , RN 15:47 Peripheral IV 07/12/21 1547 20 G Right Antecubital Placed Placement Date/Time: 07/12/21 1547 Size (Gauge): 20 G Orientation: Right Location: Antecubital Site Prep: Chlorhexidine , RN 15:47:34 Orders Acknowledged New - Sepsis Communication: Patient undergoing SIRS/sepsis screening ; Vital signs Q30M - While in ED ; Vital signs Q2H x 2, then Q4H x 48H, then per unit policy - Perform additional vital signs PRN if concern for deterioration, For non-ICU admissions ; Notify provider: Specify: For further fluid orders after bolus fluids completed ; Notify provider: Temperature less than: 96; Systolic blood pressure less than: 90; MAP less than: 65; SpO2 less than: 90; Specify: Or lactate level greater than 4 mmol/L following fluid resuscitation - notify attending provider., Notify for temper... ; Strict intake and output ; Comprehensive metabolic panel - Repeat STAT ; Lactic acid - STAT ; CBC and differential - Repeat STAT ; APTT - Repeat STAT ; Protime-INR - Repeat STAT ; Blood culture ; Urinalysis, Culture if Indicated - Urine, Clean Catch ; Chest X-Ray, 2 Views, PA and Lateral ; ECG 12-lead: HOSPITAL or TEST FACILITY Once Chest pain ; Modified - X-ray chest 1 view, Portable (Comment: Modified from Chest X-Ray, 2 Views, PA and Lateral) , RN 15:47:45 Peripheral IV 07/12/21 1547 20 G Right Antecubital Assessment IV Assessment: Within Defined Limits Infiltration Score: 0 Phlebitis Score: 0 Site Assessment: Clean; Dry; Intact Dressing Status: Dry; Intact; Clean Line Status: Blood return noted; Flushed Dressing Type: Transparent , RN
CDC 'Split Type':

Write-up: COUGH, FEVER, FATIGUE, SHORTNESS OF BREATHE

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1464489&WAYBACKHISTORY=ON


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