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This is VAERS ID 1696941

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History of Changes from the VAERS Wayback Machine

First Appeared on 9/17/2021

VAERS ID: 1696941
VAERS Form:2
Age:95.0
Sex:Female
Location:Illinois
Vaccinated:2021-04-08
Onset:2021-08-07
Submitted:0000-00-00
Entered:2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Asthenia, Chest X-ray abnormal, Infection, Interstitial lung disease, Pulmonary oedema, Pyrexia, Somnolence

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 11     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Furosemide, levothyroxine, lovastatin, metoprolol succinate, nitro PRN, omeprazole, miralax, raloxifene
Current Illness:
Preexisting Conditions: Barrett''s esophagus, hypertension , IBS, shingles, hypothyroid
Allergies: Dexfenfluramine
Diagnostic Lab Data: 8/7/21 Chest xray: Bilateral increased interstitial markings of uncertain etiology. Atypical infection and pulmonary edema are considerations. 8/13/21 Chest xray: same as 8/7/21
CDC 'Split Type':

Write-up: Came to ER with fever, generalized weakness starting on 8/7/2021. Temp of 101.9, Saturating 90s on 2L NC. Patient was drowsy and alert and oriented x 1. Received azithromycin and ceftriaxone. Admitted to the hospital. Through stay was treated with supplemental oxygen, Decadron, azithromycin, ceftriaxone.Over the course of hospitalization patient was successfully weaned off the oxygen. Had no noted fever spikes. Was breathing on room air. Finished antibiotics and steroids. Patient was taken of isolation precautions before discharge based on institutional protocols. discharged to SNF on 8/18/21

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