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This is VAERS ID 1737537

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First Appeared on 10/1/2021

VAERS ID: 1737537
VAERS Form:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 026A21A / 2 - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Arterial catheterisation, Blood creatinine normal, Blood lactate dehydrogenase increased, Blood potassium increased, C-reactive protein normal, Chest X-ray abnormal, Fibrin D dimer increased, Hypotension, Hypoxia, Leukocytosis, Paralysis, Pneumonia, Pulmonary oedema, Respiratory failure, Serum ferritin increased, Ultrasound Doppler normal, Central venous catheterisation, Oesophageal dilation procedure, Antiphospholipid antibodies negative, Procalcitonin, Complication of device insertion, Endotracheal intubation, Distributive shock, Prone position, Inflammatory marker decreased, Liver function test increased, Lung opacity, COVID-19, SARS-CoV-2 test positive, COVID-19 pneumonia, Positive airway pressure therapy

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)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: PMH: Myasthenia gravis, Obesity, GERD, Diverticulosis, DM2, COPD no baseline O2, Depression, cardiomegaly, Fatty liver, OSA, gout, OA, hypothyroidism, carpal tunnel syndrome, CKD1.
Diagnostic Lab Data: COVID-19 PCR+9/13/21
CDC 'Split Type':

Write-up: 9/26: History of Present Illness PT is a 67 yo female transferred from Moberly on 9/26 for worsening AHRF due to COVID PNA. Patient on BiPAP upon arrival, 90% FiO2 (60% FiO2 when she left at Moberly per transfer note). sx onset and diagnosis on 9/11, vaccinated with Moderna x2 in March. went to the ED at Moberly, sent home on 2 L O2. Returned on 9/15 for worsening symptoms, admitted. s/p Dexamethasone, Remdesivir, and a single dose of Tocilizumab there. s/p Rocephin, discontinued due to low inflammatory markers per OSH notes. OSH BLE doppler US negative for clots. No CT done per OSH records. CXR with Patchy bilateral airspace opacities, consistent with known COVID-19 Pneumonia. Superimposed pulmonary edema is within consideration. Remarkable admission labs: CRP wnl. procal 0.11.Ferritin, LDH, D-dimer elevated. Mild LFT elevation. Leukocytosis. LA 3.3 Cr 1.02. Potassium 5.2. Patient had PICC line placed 9/15 due to hard stick. 9/27: Due to persistent hypoxia despite BiPAP, patient was intubated on 9/27. She became hypotensive, believed to be distributive shock. Infectious work-up as noted below, initiated broad spectrum coverage for hospital acquired pneumonia and possible PJP given her underlying immunosuppression. Right sided radial arterial line placed, which was replaced with a right sided femoral arterial line after this line failed. The patient was paralyzed, received additonal INO treatment, received an esophageal balloon, and was proned on 9/27.

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