National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1632629

History of Changes from the VAERS Wayback Machine

First Appeared on 8/27/2021

VAERS ID: 1632629
VAERS Form:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Acidosis, Acute respiratory failure, Blood pH decreased, Bronchostenosis, Chest X-ray abnormal, Condition aggravated, Death, Diaphragmatic hernia, Dyspnoea, Hiatus hernia, Intensive care, Leukocytosis, Lung consolidation, Malaise, Oxygen saturation decreased, PCO2 increased, Pneumonia, Pulmonary artery stenosis, Pulmonary valve stenosis, Respiratory distress, Respiratory failure, White blood cell count increased, General physical health deterioration, Pulmonary mass, Shift to the left, Computerised tomogram abdomen abnormal, Computerised tomogram thorax abnormal, Bilevel positive airway pressure, Procalcitonin increased, Mechanical ventilation, Endotracheal intubation, N-terminal prohormone brain natriuretic peptide increased, COVID-19, SARS-CoV-2 test positive, COVID-19 pneumonia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-08-20
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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: Coronavirus test: 08/19/2021 = positive
CDC 'Split Type':

Write-up: 74-year-old female presents emergency room complaining of shortness of breath. EMS reported that initial sats were 50% she was placed on a non-rebreather mask. She subsequently was placed on BiPAP in the emergency room and her saturations actually decreased therefore she was placed back on a non-rebreather mask. The patient continued to decline and ultimately required intubation after her initial blood gas revealed her to be extremely acidotic with a pH is 7.19 and pCO2 of 83. Little is known about the patient''s history otherwise I do not know if she has had any fever. I have been told that the patient has been fully vaccinated for COVID. She has had a COVID swab returned as positive tonight. I am unaware of exposures at this time. She has other remarkable findings in the emergency room specifically a leukocytosis of 34,000 with left shift. ProBNP is 11000. Procalcitonin is elevated at 1.18. The patient has a history of incarcerated diaphragmatic hernia in 2014. On chest x-ray tonight it appears that she has stomach in her chest. On the CT it also appears that she has hiatal hernia with part of the stomach in the chest also part of the colon in the chest through her diaphragmatic hernia. Question of bowel obstruction is raised but no definitive answer is given on CT. Patient also has a consolidation of the right upper lobe with possible mass. CT also reveals bilateral findings consistent with COVID. No PE. The patient I believe has a cardiac history and has a history of heart failure with reduced ejection fraction. DISCHARGE: Patient was a 74-year-old patient, who was admitted after arriving via EMS with respiratory distress. Apparently, she had been sick for 2 weeks for shortness of breath. She came to the ER, was emergently intubated with acute hypoxic hypercapnic respiratory failure. The patient has multiple CTs done, one of the chest revealed a central mass with significant narrowing of the right upper lobe and right middle lobe pulmonary arteries, stenosis of the right upper lobe bronchus. I thought she probably had a postobstructive pneumonia. Also, of note, she has some patchy airspace disease, consistent with COVID-19 pneumonia. The patient did test positive for COVID-19. The patient was intubated, placed in ICU. Palliative Care was consulted and after discussion with family, it was decided to remove her from the ventilator given her diagnoses. The patient was extubated and pronounced by Dr. at 05:39 p.m.

New Search

Link To This Search Result:

Government Disclaimer on use of this data

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