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This is VAERS ID 1778969

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First Appeared on 10/15/2021

VAERS ID: 1778969
VAERS Form:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 003A21A / 2 - / -

Administered by: Private      Purchased by: ??
Symptoms: Asthenia, Chills, Dyspnoea exertional, Hypoxia, Nasopharyngitis, Pain, Productive cough, Pyrexia, Dysstasia, COVID-19, SARS-CoV-2 test positive

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)? Yes
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Chief Complaint via EMS patient reports increased weakness today after outpatient MAB infusion at LMH, unable to stand on own. COVID+ on Saturday. 38.8 in triage, hx of HTN. + generalized aching, chills. History of Present Illness 88yo woman with h/o HTN, paroxysmal afib, 2015 TIA, OSA, prior DVT, obesity, who had COVID vaccination with Moderna earlier this year. Was in usual state of health until trip to another state, last week. Then 3 days ago tested positive for COVID after feeling like she had a head cold. Received antibody infusion yesterday, and weakness became so profound that she went to her knees. Some DOE and cough that is minimally productive as well with no bloody component. Did not really feel the fever she had on arrival. No GI symptoms. No syncope, rashes, other pain. Was surprised that she was hypoxic on ED arrival.

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