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This is VAERS ID 1772333

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/15/2021

VAERS ID: 1772333
VAERS Form:2
Age:72.0
Sex:Female
Location:Michigan
Vaccinated:2021-03-15
Onset:2021-10-01
Submitted:0000-00-00
Entered:2021-10-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6200 / 1 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Angiogram pulmonary abnormal, Chest pain, Condition aggravated, Cough, Dyspnoea, Dyspnoea exertional, Hypoxia, Malaise, Bone lesion, Lung opacity, Pulmonary imaging procedure abnormal, COVID-19, COVID-19 pneumonia, Magnetic resonance imaging head abnormal

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)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: amoxicillin (AMOXIL) 500 MG capsule aspirin 325 MG tablet beclomethasone diprop HFA (QVAR REDIHALER) 40 MCG/ACT inhaler cevimeline (EVOXAC) 30 MG capsule Cholecalciferol (VITAMIN D) 2000 UNITS CAPS cycloSPORINE (RESTASIS) 0.05 % ophthalmic
Current Illness: 9.7.21: Office Visit - Other osteoporosis without current pathological fracture (Primary Dx); Hypothyroidism, unspecified type; MGUS (monoclonal gammopathy of unknown significance husband + with COVID
Preexisting Conditions: Narcolepsy with cataplexy Arthralgia Sjogren''s syndrome (HCC) Anemia of chronic disease Depression Fibromyalgia Blepharospasm Gout DVT of deep femoral vein 2005 Osteoporosis Back pain Hypogammaglobulinemia (HCC) Unspecified essential hypertension OSA (obstructive sleep apnea) H/O bilateral breast implants History of bilateral NS mastectomies - 1975 Anxiety Rheumatoid arthritis (HCC) MGUS (monoclonal gammopathy of unknown significance) IgG deficiency (HCC) Avascular necrosis of bone of right hip (HCC) CAD (coronary artery disease) Esophageal candidiasis (HCC) Stage 2 chronic kidney disease Peptic ulcer without hemorrhage or perforation but with obstruction (HCC) Leukopenia Hypercalcemia History of seronegative inflammatory arthritis Generalized osteoarthritis Atrophy of kidney Pneumonia due to COVID-19 virus
Allergies: CompazineAnaphylaxis, Nausea Only, Throat swelling Hylan G-f 20Edema Torecan [Thiethylperazine]Throat swelling LatexHives, Rash Atenolol [Beta Adrenergic Blockers]Other AtorvastatinMyalgia Coreg [Carvedilol]Other Dust Infed [Dextrans]Other IronOther Iron DextranOther MoldNausea Only, Sneezing Polyoxyethylene 40 Sorbitol Septaoleate [Sorbitan] Statins [Hmg-coa-r Inhibitors]Myalgia
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Hospitalized (10.2.21); COVID-19 positive (10.1.21); fully vaccinated Discharge Provider: MD Primary Care Provider: MD Admission Date: 10/2/2021 Discharge Date: Oct 5, 2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Precordial chest pain [R07.2] Hypoxia [R09.02] Pneumonia due to COVID-19 virus [U07.1, J12.82] HOSPITAL COURSE: Patient is a 73-year-old female with history of MGUS, essential hypertension, hypothyroidism, history of prior DVT, no longer on anticoagulation, who presented to the ED with complaints of shortness of breath, cough, and malaise. Patient reported symptoms began on 09/26. Her husband was recently hospitalized for COVID-19 pneumonia and just discharged the day prior. Patient also tested positive for COVID. She is vaccinated. In the ER, CTA showed minimal scattered peripheral ground-glass opacities bilaterally as well as interval development of sclerotic bone lesion in the manubrium. She became mildly hypoxic with ambulation. Patient was admitted to the hospital for further workup and management. Patient was treated with remdesivir and Decadron as well as supportive care for viral illness. Patient was weaned off all oxygen. She is to remain on isolation for 20 days from 9/26/21 per our infection control due to immune compromised status, MRI was performed to further evaluate sclerotic bone lesion which revealed "No marrow replacing process in the manubrium or soft tissue mass. The area of sclerosis seen on the comparison CT is nonspecific but does not have an aggressive appearance". Biopsy deferred due to hypercoaguability after COVID infection. She follows with Hematology in the past. Can be done on routine basis once far removed from Covid infection. Please note MRI in-house done without contrast, unclear reason. If reimaged, would use contrast if no contraindication. Patinet currently ambulatory and not requiring oxygen. Pain controlled on home regimen. Discharged in stable condition.

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