| Days after vaccination:||1
|Vaccination / Manufacturer
||Lot / Dose
||Site / Route|
|COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA
||039K20-2A / 1
||LA / IM
Administered by: Other Purchased by: ?
Symptoms: Mental status changes,
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Other Medications: Tylenol, Atorvastatin, Bisacodyl, Calcium Acetate, Clopidogrel Bisulfate, diphenhydramine, Docusate, Levothyroxine, Midodrine, Morphine Sulfate, Oxycodone, Omeprazole, Pregabalin, Salicyic Acid gel, Senna, Simethicone, Vitamin B, Vitamin D,
Current Illness: Polyneuropathy, Sleep Apnea, Reflux, End Stage Renal disease, Anemia, Thrombocytopenia, Hypothyroidism, Type 2 Diabetes, Hyperlipidemia, Retinopathy, Hypotension, Cellulitis, Peripheral Vascular Disease, Acquired absence of kidney, Dependence on renal dialysis, Acquired absence of leg below knee. Recent mrsa infected wound, finished vancomycin on 12/18
Preexisting Conditions: See above.
Diagnostic Lab Data: Started on Vancomycin in case it''s related to infected wound which is a reoccurring problem with this individual. Also started on Phenergan.
CDC Split Type:
Write-up: Fever 101.8, vomiting, mental status change