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From the 11/19/2021 release of VAERS data:

This is VAERS ID 1776398

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Case Details

VAERS ID: 1776398 (history)  
Form: Version 2.0  
Age: 88.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-03-04
Onset:2021-09-06
   Days after vaccination:186
Submitted: 0000-00-00
Entered: 2021-10-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 007M20A / 1 UN / UN
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 007M20A / 2 UN / UN

Administered by: Private       Purchased by: ?
Symptoms: Alveolar lung disease, Asthenia, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Cough, Dyspnoea, Fatigue, Palpitations, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Interstitial lung disease (narrow), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Infective pneumonia (narrow), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 8 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Aspirin cholecalciferol Cyanocobalamin Docusate sodium Furosemide Polyethylene glycol Metoprolol succinate
Current Illness: None
Preexisting Conditions: She has a past medical history of Carotid stenosis, right (10/27/2016), HFrEF (heart failure with reduced ejection fraction) (9/10/2020), HTN (hypertension) (9/10/2020), Hypothyroidism, Kidney stones, Malignant neoplasm of ovary (10/27/2016), Osteoporosis, Paroxysmal atrial fibrillation with RVR (9/10/2020), Transient cerebral ischemia (11/10/2016), and Unspecified osteoarthritis, unspecified site.
Allergies: Doxycycline
Diagnostic Lab Data: COVID PCR positive on 09/06/2021
CDC Split Type:

Write-up: Pt is a 89 y.o. female with ovarian cancer and HFrEF, HTN, and atrial fibrillation who presents with significant weakness after being diagnosed with COVID on 9/1. She came in today because as she states it she "didn''t think she was going to make it". This is a lady that at baseline does aerobics for 50 minutes three times per week. She lives alone and due to her weakness and fatigue felt like she could fall. She has not fallen and denies feeling light headed, she just feels weak. Respiratory: Positive for cough and shortness of breath. Cardiovascular: Positive for palpitations. Negative for chest pain. COVID-19 pneumonia - on 2L this morning, saturating 98% - CXR 9/6 with bibasilar airspace disease - She has had 2 doses of moderna vaccine Plan: - hold off lasix today, seems euvolemic, likely can get off oxygen - wean off oxygen - remdesivir, dexamethasone On discharge: COVID-19 pneumonia - was requiring 2L oxygen, successfully weaned down - ambulatory pulse ox was 97% on room air - She has had 2 doses of moderna vaccine - s/p 5 days of remdesivir and 7 days of dexamethasone - to continue 3 more days of dexamethasone at rehab - not received antibiotic Discharge Disposition/Condition Condition: Stable (s/sx potential problems absent or manageable)


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