VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 11/12/2021
** VAERS DATABASE Last updated: November 12, 2021**
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Manufacturers

Total Manufacturer
199,106MODERNA
36,710JANSSEN
5,381PFIZER\BIONTECH
2,555GLAXOSMITHKLINE BIOLOGICALS
1,469UNKNOWN MANUFACTURER
897MERCK & CO. INC.
627SEQIRUS, INC.
112DYNAVAX TECHNOLOGIES CORPORATION
91SANOFI PASTEUR
75NOVARTIS VACCINES AND DIAGNOSTICS
40EMERGENT BIOSOLUTIONS
14PAXVAX
12TEVA PHARMACEUTICALS
12PROTEIN SCIENCES CORPORATION
9PFIZER\WYETH
4BERNA BIOTECH, LTD.
4SMITHKLINE BEECHAM
3INTERCELL AG
1MEDIMMUNE VACCINES, INC.
1CSL LIMITED

COVID19 Lot Number

VAX LOT Total
2S9CL7,949
7,473
2,547
1,506
1,187
1,051
1,049
s0294561,043
866
IMM209861
816
UT7065MA766
657
579
U62828AA563
557
538
U6737AA516
515
S034636506
4F472471
458
P100253275449
444
276563436
429
418
4BH32414
MENVEO404
PP9L5362
UJ446AA337
319
306
290
271
49TM3270
R1B252M253
4F472179
933622147
C5763AA144
CW3116134
3Y7NL126
UNK114
113
ARBA141A105
104
103
96
300057A90
79
1F4EB73
R1B743M62
56
UJ090AA55
51
UH894AB46
45
UNK44
UNK42
42
EJ168638
Unknown36
35
34
32
32
26
el128424
24
A115A22
22
EN620222
21
UNK20
20
19
Z127A19
19
17
JEV18K95E15
12
111798PI12
10
A739088
No batch number8
3333324181078
6
6
TAR356
5
5
U6935AA5
UNK5
4
unknown4
3
2
55RB72
2
2
2
2
2
U7124AA2
JEV18A68E2
2
ABYB05BA1
1
1
1
1
AMVA436A1
1
1
TJ3521
A130A; VIS give1
1
U7140BB1
1
1
SP UP016AA1
1
1808P08802/ESV01
037K20A300,947
EL1284288,578
57,766
1,432

Incidents per State

State Total
82,750
CA62,821
FL38,209
TX36,512
NY34,921
PA23,646
IN23,622
IL20,597
MI19,590
OH19,426
NJ18,413
NC16,769
GA15,932
WA15,351
VA15,234
MA14,876
AZ14,206
MN12,940
MD12,656
CO11,908
WI11,425
MO10,240
TN9,685
OR8,768
KY8,437
CT8,300
SC6,700
OK6,293
AL5,692
LA5,025
IA4,825
KS4,821
UT4,637
NV4,374
NM3,967
AR3,807
ME3,161
NH3,096
NE2,918
MS2,859
ID2,785
WV2,469
HI2,459
PR2,417
MT2,414
RI2,076
DE1,868
AK1,830
VT1,734
DC1,715
ND1,388
SD1,269
WY866
GU118
VI69
AS47
MP29
MH8
XB6
FM4
QM3
XV2
XL1

ID: 1662761
Sex: M
Age: 51
State: OR

Vax Date: 06/15/2021
Onset Date: 06/22/2021
Rec V Date: 09/01/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data: none reported

Allergies: hx of rxn to Morphine, not anaphylactic.

Symptom List: Dysphagia, Epiglottitis

Symptoms: Patient received first dose of Moderna COVID-19 vaccine on 6/15/21. Approximately one week later, he began experiencing an itching sensation throughout his back. He received his 2nd dose on 7/20/21 as scheduled. As of a phone check-in on 7/28/21, the itching had not resolved. The patient had COVID-19 in December 2020 reported on 7/28/21: "I had it when I had COVID, and then about a week after I got the first shot, it came back.". The patient reports that the sensation is similar to what he experienced when he had the COVID-19 infection. He reports that he has seen one doctor at the Health Center regarding this side effect. Following are quotes from the patient during a phone call check-in on 7/28/21: "I feel like my skin is like really dried because when I touch it, it's painful." "It started like maybe 2 weeks after I started to get COVID, and then it started to go away and was gone by March or April [2021]." As of 7/28/21, he reports that it "has not gotten worse and it has not gotten better."

Other Meds: none reported

Current Illness: None reported. Patient reported COVID-19 illness in 12/2020.

ID: 1662762
Sex: M
Age: 37
State: CA

Vax Date: 09/01/2021
Onset Date: 09/01/2021
Rec V Date: 09/01/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data: N/A

Allergies: unknown

Symptom List: Anxiety, Dyspnoea

Symptoms: Complaint of dizziness and appeared pale. Pt was in observation area outdoors. Mask removed; ammonia inhalant waved under nose. BP taken while reading 97/58. Pt was laid down on cot with legs elevated. Pt reported feeling better and dizziness resolved. Pt stated that the only thing he consumed was a milkshake. Pt was given water, juice and crackers. Pt also reported history of fainting after a blood draw. Second BP was 112/78. Nursing staff counselled pt. to eat breakfast and drink plenty of fluids prior to 2nd COVID vaccine. Pt remained in observation area for 30 minutes. Pt?s color returned and reported feeling well and was observed to ambulate with steady gait to his car.

Other Meds: unknown

Current Illness: unknown

ID: 1662763
Sex: F
Age: 44
State: CA

Vax Date: 07/07/2021
Onset Date: 07/09/2021
Rec V Date: 09/01/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data: MRI - 07/14/2021; X-ray - 07/14/2021.

Allergies: None.

Symptom List: Chest discomfort, Dysphagia, Pain in extremity, Visual impairment

Symptoms: I started having an adverse effect around 01:00PM on 07/09/2021 I had a burning sensation on the back of my right thigh. I tried to stand up and almost fell. The nurse told me to go to the ER. They gave me a shot of morphine first and after 30 minutes they gave me a Dilaudid shot. They diagnosed me with piriform syndrome. That Monday my primary care told me he wanted me to come in and do an MRI. He informed me I would receive an epidural shot in my back after the results of my MRI. I was diagnosed with a herniated disk. I had a large protrusion between my T and 21 disc. At this time I am unable to stand for long periods and am on crutches. I was given an epidural and was told to give it a few weeks. They put me on prednisone and Vicodin. After almost three weeks, I got my second shot. My doctor put me on a new medication called meloxicam 15mg. I was still unable to walk and by this time I was having issues with my bowels. They couldn't get me in for surgery because of backlog for COVID. I talked with the neurosurgeon due to the backlog for COVID he was unable to schedule for my herniated disk surgery and it would be 4-5 months before I can get it. He informed me that since the epidurals didn't work I would need surgery. I can stand for about 5 minutes and that is about it. I am still on crutches and a walker. I need help getting in and out of the shower by my daughter. There was numbness in my right leg and foot but also pain and numbness in just my right foot.

Other Meds: Lisinopril.

Current Illness: None.

ID: 1662765
Sex: F
Age: 79
State: OH

Vax Date: 02/18/2021
Onset Date: 08/27/2021
Rec V Date: 09/01/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: unknown
Dose Series: UNK
Vax Route:
Vax Site:

Lab Data: Positive COVID-19 PCR on 8/30/21

Allergies: Clindamycin/lincomycin

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Patient vaccinated in Jan/Feb and in August 2021, patient started to develop episodes of dizziness possibly being othostatic hypotension. This was accompanied by tachycardia, with HR noted to be 120 during urgent care visit and an appt was scheduled with her PCP. Toward the end of the month, around 8/27/21, patient developed upper respiratory symptoms manifesting as cough, tiredness, and shortness of breath. Arrived to walk in clinic for COVID screening and found Positive PCR result from test 8/30/21. Patient was referred for monoclonal antibody therapy leading to infusion on 9/1/21 of REGEN-COV. This is reported on 9/1/21 and no future information is known at this time.

Other Meds: Simvastatin, no others known

Current Illness: None known

ID: 1662766
Sex: F
Age: 49
State: OR

Vax Date: 06/15/2021
Onset Date: 06/15/2021
Rec V Date: 09/01/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data: None. Vital signs taken at the time of reaction. See notes above.

Allergies: Hx of rxn to IV Morphine, caused difficult breathing,

Symptom List: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: 3:40pm: Patient reported tingling throughout the left side of her body, including her face and arm. Patient teary. No visible swelling in face or arm. Assisted patient to supine position w/ elevated feet. 3:45pm: VS taken. BP 110/58. Pulse 76 bpm. RR 12 breaths/min. (no temp or Sp02 taken). No visible changes or swelling in face or arm. Patient still teary. 3:50pm: Patient reported mild pain in left side of face w/ continued tingling in left arm and left face. 3:56pm: Assisted patient to sitting position. Repeated BP: 115/56. Still no visible changes or swelling to face or arm. Offered apple juice, patient drank a little. 4:15pm: Patient reported diminished hearing in left ear and some vision changes.

Other Meds: None reported.

Current Illness: None reported. Patient reported being hospitalized due to

ID: 1662767
Sex: F
Age: 51
State: MA

Vax Date: 08/24/2021
Onset Date: 08/24/2021
Rec V Date: 09/01/2021
Hospital:

Vax Type: FLUC4
Manufacturer: SEQIRUS, INC.
Vax Name: INFLUENZA (SEASONAL) (FLUCELVAX QUADRIVALENT)
Lot: 276563
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data: blood work 8/27, blood work 8/29, EKG 8/29, chest CT 8/29. spinal MRI 9/2 and will be having upcoming brain MRI

Allergies: Comanzine, mango

Symptom List: Chills, Confusional state, Eye inflammation, Headache, Laboratory test

Symptoms: 102.8 fever, blurry vision, trouble walking, bladder and vaginal spasms night of shot , severe back pain started day 3 to current day 7 very high blood pressure day 1-day 5. still experiencing side effects a week later

Other Meds: Ocrevus Immunosuppressant, Vitamin D and C

Current Illness: Multiple Sclerosis, Idiopathic thrombocytopenic purpura (in remission) Eosinophilic esophagitis

ID: 1662768
Sex: F
Age: 42
State: AL

Vax Date: 08/08/2021
Onset Date: 08/08/2021
Rec V Date: 09/01/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data: Blood work - waiting on results.

Allergies: Penicillin, various antibiotics

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Injection site swollen, headache, left eye pain, bad migraine, arm pain, can't straighten arm, enlarged left breast, cold elbow and shortness of breath.

Other Meds:

Current Illness:

ID: 1662769
Sex: M
Age: 2
State: OK

Vax Date: 08/30/2021
Onset Date: 08/31/2021
Rec V Date: 09/01/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: UNK
Vax Route: IM
Vax Site: LA

Lab Data: NONE

Allergies: NKA

Symptom List: Pharyngeal swelling

Symptoms: REDNESS AND SWELLING TO LEFT UPPER ARM ,WARM TO TOUCH MOM APPLIED COOL COMPRESS

Other Meds: NONE

Current Illness: NONE

ID: 1662770
Sex: F
Age: 64
State:

Vax Date: 03/01/2021
Onset Date: 03/02/2021
Rec V Date: 09/01/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data: none

Allergies: Codeine; Sulfa drug; Ibuprofen; Ciplire; Levoqine

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Crazy headaches a lot of body aches and pain all over the body and fatigue nausea a lil bit of diarrhea and it lasted a day and half. Around the vaccination site was very swollen and super achy and it went away after couple of weeks.

Other Meds: Multivitamin; Probiotic; Cranberry Gummies and Tylenol as needed; Lyperozoyal and Anti Thyroid; Flonase daily and inhale steroid

Current Illness: COVID

ID: 1662771
Sex: M
Age: 60
State: CA

Vax Date: 05/04/2021
Onset Date: 05/04/2021
Rec V Date: 09/01/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data: Dr. ordered occupational therapy.

Allergies: none

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Great pain and over weeks loss of range of motion in left shoulder. Both the first shot and the second were given at the tip of my shoulder. I had to take my shirt off to give the persons giving the shots the access they wanted. When I asked why so high up the arm both ladies told me this was "per CDC guidelines" like it was a rehearsed response. My doctor and everyone I talked to said the shots should have been in the muscle lower down the arm from the shoulder. Savon has bad information as to how to correctly give the shot.

Other Meds: none

Current Illness: none

ID: 1662772
Sex: M
Age: 58
State: CO

Vax Date: 08/02/2021
Onset Date: 08/04/2021
Rec V Date: 09/01/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data: none

Allergies: IV contrast dye

Symptom List: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: pt received 1st dose of Pfizer vaccine on 8/2/2021 in his left arm. 2 days after his injection he began having tingling in the contralateral arm (right): from inside his elbow into his fingertips, intense headache and GI issues (pebble like stools to formed to loose). these symptoms have persisted with new symptom of increased salivation, headache is lessening. was supposed to get 2nd vaccine on 8/23/2021 but has not gotten it yet fearing if these symptoms were from the 1st things would get worse. no prior issues with any prior vaccine.

Other Meds: Active Outpatient Medications Status ========================================================================= 1) ATORVASTATIN CALCIUM 40MG TAB TAKE ONE-HALF TABLET BY ACTIVE MOUTH AT BEDTIME TO LOWER CHOL

Current Illness: none

ID: 1662773
Sex: F
Age: 14
State: VA

Vax Date: 07/14/2020
Onset Date: 08/02/2020
Rec V Date: 09/01/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies: none reported

Symptom List: Rash, Urticaria

Symptoms: Ongoing rash since a couple weeks post vaccination

Other Meds: none reported

Current Illness: none reported

ID: 1662775
Sex: F
Age: 59
State: CA

Vax Date: 07/29/2021
Onset Date: 07/31/2021
Rec V Date: 09/01/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None.

Symptom List: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: Sore arm, fatigue, chest pain, shortness of breath, took Tylenol.

Other Meds: None.

Current Illness:

ID: 1662776
Sex: F
Age: 87
State: NY

Vax Date: 04/01/2021
Onset Date: 04/10/2021
Rec V Date: 09/01/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data: Full Blood work results: RPR 1:1 REACTIVE HIGH Sedimentation Rate-Westergren 76 HIGH Biopsy for blistering disease- full immunofluorescence study-NEGATIVE

Allergies: Bananas milk-lactose intolerant

Symptom List: Dyspnoea, Fatigue, Feeling abnormal, Head discomfort, Headache

Symptoms: RASH ALL OVER BODY, BACK, LEGS, ARMS ETC. LOT # 1st 029A21A Lot #2 dose 045A21A

Other Meds: Inhaler-Symbicort diabetes pills- metformin blood thinner Eliquis 5mg allergy pill due to outbreak- levocetirizine 5 mg. as of 7/5/21;

Current Illness: none

ID: 1662777
Sex: M
Age: 68
State: FL

Vax Date: 03/03/2021
Onset Date: 07/30/2021
Rec V Date: 09/01/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data: I went to Medical center Urgent care and they diagnosed it as "Bronchitis" that was on Aug. 02, Gave me Azithromycin 250 MG & Tessalon Perles 100 MG. (Did not help) I saw ARNP

Allergies: N/A

Symptom List: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: ?Moderna COVID?19 Vaccine ?I have have a dry cough with clear phlegm. It started shortly after I received the vaccine. I have never had this problem in the past.

Other Meds: Lisinopril HCTZ20-25, Rosuvastatin 40 MG

Current Illness: None

ID: 1662778
Sex: M
Age: 72
State: WI

Vax Date: 03/31/2021
Onset Date: 08/26/2021
Rec V Date: 09/01/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data: Contains critical data CORONAVIRUS (COVID 19) PCR - Asymptomatic, No Close Contact Exposure, or Screening Only Status: Final result Specimen Information: NASOPHARYNGEAL SWAB 0 Result Notes Ref Range & Units 8/26/21 2104 CORONAVIRUS SARS COV 2 PCR (RESP) POSITIVE Panic

Allergies:

Symptom List: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: Admission Date: 8/26/2021 Pending issues/labs/tests: CBC, BMP and INR in 2 days. Admission Diagnoses: Anemia [D64.9] Anemia of chronic disease [D63.8] Renal dysfunction [N28.9] Discharge Diagnoses/Hospital course: Patient is a 72-year-old male who was hospitalized for anemia the anemia is progressive decline I will continue to follo On 8/26/2021 4:53 PM. The patient hemoglobin did trend down on 2 days prior to discharge however the patient's hemoglobin has remained stable on the day of discharge compared to yesterday. The patient is very anxious to be discharged home. Patient will have to quarantine 11 days from 8/26- (September 7 is the day that quarantine ends.) ASSESSMENT/PLAN: Acute issues: Acute on chronic anemia most likely anemia of chronic disease/end-stage renal disease POA -status post 1 packed red blood cell unit. Hemoglobin is trending down today did discuss possibility of being discharged tomorrow. Chronic kidney disease stage V POA -nephrology consulted I do not see any urgent need for dialysis at this time but appreciate assistance. Asymptomatic Covid positive -patient is not on oxygen he was satting 100% on 2 L and was subsequently weaned off. DVT prophylaxis - none Other medical issues: Chronic systolic heart failure, permanent atrial fibrillation, hypertension, COPD, hyperlipidemia and protein calorie malnutrition

Other Meds:

Current Illness:

ID: 1662779
Sex: F
Age: 73
State: TN

Vax Date: 04/02/2021
Onset Date: 08/30/2021
Rec V Date: 09/01/2021
Hospital: Y

Vax Type: DTAPHEPBIP
Manufacturer: GLAXOSMITHKLINE BIOLOGICALS
Vax Name: DTAP + HEPB + IPV (PEDIARIX)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data: 8/30/2021 chest x ray mild cardiomegaly, multifocal pneumonia, small bilateral pleural effusions.

Allergies: Albuterol

Symptom List: SARS-CoV-2 antibody test, SARS-CoV-2 test negative

Symptoms: Ongoing hospitalization for hypoxic respiratory failure, pneumonia due to COVI-19 virus, blood sugars controlled in setting of steroids, VAPOtherm/BiPap, baricitinib, HTN on nitro drip,

Other Meds: Unknown

Current Illness: Unknown

ID: 1662780
Sex: M
Age: 86
State: MI

Vax Date: 04/07/2021
Onset Date: 08/20/2021
Rec V Date: 09/01/2021
Hospital: Y

Vax Type: HIBV
Manufacturer: MERCK & CO. INC.
Vax Name: HIB (PEDVAXHIB)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies: Sulfa Drugs Rash; Amoxicillin-pot Clavulanate Rash; Augmentin [Penicillin] Rash; Cipro [Ciprofloxacin] Rash; Quinazolines Unknown; Trimethoprim

Symptom List: Ear pain, Hypoaesthesia

Symptoms: DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hypoxia [R09.02] Acute hypoxemic respiratory failure due to COVID-19 (HCC) [U07.1, J96.01] COVID-19 [U07.1] Encephalopathy due to COVID-19 virus [U07.1, G93.49] HOSPITAL COURSE: COVID-19 virus detected; Assessment & Plan Fully vaccinated patient Exposed to COVID + person on 8/20/21; Symptoms developed 8/21/21 including sore throat, cough; COVID + on 8/23/21; CXR negative for acute infiltrate; Transient hypoxia with standing to 87% and nml at rest; Will admit for observation and evaluate other etiologies of transient hypoxia (bacterial infection, bronchitis, CHF exacerbation, DVT/PE) In the interim, treat for COVID 19 including monoclonal antibody infusion, add remdesivir, decadron IV, and other meds for symptom relief. Home oxygen evaluation in am. 08/24/2021 Suspect component of COVID induced acute encephalopathy, metabolic type, additional precipitating factors include hypoxia resulting from acute respiratory failure, steroid use, underlying dementia; Diabetes mellitus with neuropathy (HCC); Assessment & Plan; A1C of 6.2 indicates good outpatient control; Continue statin. Will monitor diascans with basal bolus coverage as patient is on IV steroids. Aortic stenosis; Assessment & Plan Moderate to severe AS - avoid overdiuresis; Continue afterload reduction; Chronic kidney disease, stage 3; Assessment & Plan; Stable renal function at this time. Will monitor daily labs with COVID positivity; Atrial fibrillation (HCC) Assessment & Plan; Rate control with Metoprolol XL and anticoagulate with Eliquis; Monitor telemetry; Maintain K > 4, Mg > 2 and appropriate oxygenation; Benign essential hypertension Assessment & Plan; Continue home medications and titrate prn; BPH (benign prostatic hyperplasia) Assessment & Plan; Continue home meds and monitor for urinary retention. Chronic combined systolic and diastolic congestive heart failure (HCC)Assessment & Plan; Appears euvolemic at this time. Patient unable to tell me his dry weight due to underlying dementia. Will monitor daily weights and I/O's and continue home CHF regimen. Sleep apnea; Assessment & Plan; Monitor for nocturnal hypoxia and try to speak with wife about if patient is on CPAP. Stasis edema of both lower extremities; Assessment & Plan; Continue support hose and elevation while sitting. D dimer and check venous dopplers if elevated; Obesity; Assessment & Plan; With associated comorbid illnesses + RF for COVID pneumonia with DM,CHF. Hypoxia; Assessment & Plan; 87% on RA w/ transfer Will titrate Fi02 to maintain Sa02 > 88% Prone as needed. Likely not COVID 19 pneumonia with negative CXR in vaccinated individual, but will continue to monitor and treat for this and explore other etiologies. (This assessment was present on admission, however on a subsequent CXR and based on subsequent clinical evaluation COVID Pneumonia was demonstrated) Code status is full until I can reach his wife. Late onset Alzheimer's disease without behavioral disturbance (HCC) Assessment & Plan; Continue home meds, avoid sensory and sleep deprivation and anticholinergic medications. Update 08/25/2021; The patient was admit to the hospital with COVID infection, early signs of pneumonia on the chest x-ray, given steroids, DVT prophylaxis, aerosols, improved, remained on room air, will be discharged home with self quarantine for a total of 14 days from the onset of symptoms. Confusional episodes during the hospitalization related to a combination of factors including dementia, steroid medication, being in an unfamiliar environment/hospital delirium, COVID encephalopathy. The patient will do better at home, his son was also hospitalized at the same time, son was released therefore the patient can be released as well since son is the caregiver. Prescription for short course of prednisone for 5 days, a Z-Pak, Mucinex, recommendation for over-the-counter vitamin-C, zinc, vitamin-D. Avoidance of situations that may promote falling.

Other Meds: acetaminophen (TYLENOL) 500 MG tablet; allopurinol (ZYLOPRIM) 100 MG tablet; apixaban (ELIQUIS) 2.5 MG tablet; atorvastatin (LIPITOR) 10 MG tablet; azithromycin (ZITHROMAX Z-PAK) 250 MG tablet; benzonatate (TESSALON) 100 MG capsule; clobeta

Current Illness: NA (Dementia); COVID-19 positive

Date Died: 08/20/2021

ID: 1662781
Sex: M
Age: 83
State: NY

Vax Date: 02/28/2021
Onset Date: 03/28/2021
Rec V Date: 09/01/2021
Hospital: Y

Vax Type: PNC13
Manufacturer: PFIZER\WYETH
Vax Name: PNEUMO (PREVNAR13)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: 83-year-old obese male with a past medical history of CKD 3, CAD s/p CABG, diabetes, hypothyroidism, GERD, hypertension with chronic shoulder pain who was on the floor and was not able to get up. He yelled at a neighbor who came and EMS was called. He adamantly denies that he fell. He initially said that he lays on the floor because it is more comfortable but then later retracted this. He says it is part of his routine. He had difficulty expressing himself of the reason why he lays on the floor. He said he "could not find the words". In the ED, CT of the head showed no acute intracranial abnormality. Chest x-ray showed blunting including left costophrenic angle possible pleural effusion. Patient had increased

Other Meds:

Current Illness:

ID: 1662783
Sex: F
Age: 55
State: CA

Vax Date: 03/30/2021
Onset Date: 03/31/2021
Rec V Date: 09/01/2021
Hospital:

Vax Type: RV1
Manufacturer: GLAXOSMITHKLINE BIOLOGICALS
Vax Name: ROTAVIRUS (ROTARIX)
Lot:
Dose Series: 1
Vax Route: PO
Vax Site: MO

Lab Data: There are no tests avail. I did see 3 doctors though.

Allergies: sulfa medication

Symptom List: Blood pressure increased, Chest discomfort, Heart rate increased

Symptoms: I have had a sour taste in my mouth since receiving vaccine and I lost some sense of taste. Everything I eat leaves a sour taste in my mouth that doesn't go away. Its horrible. ALSO my fingernails stopped growing (or very ver slowly) and my systemic lymphedema is inflamed and more painful. This happened since the first vaccine. I also get sharp random pains in my body. its been months since my vaccine and none of these horrible side effects/symptoms have improved.

Other Meds: Synthroid: 100 mg day Cytomel: 15 mg day HCT: 50 mg day Metformin 1000 mg 2x day

Current Illness: I want to report since the vaccine I have had problems with taste and a chronic sour taste in my mouth that hasnt gone away or diminished. Its horrific and I am a gourmet. Also my fingers nails stopped growing, right side is worse than left ad I have seen 3 doctors that cant explain it. Also I have more lymphatic pain then I have had in years.

ID: 1662784
Sex: F
Age: 22
State: MI

Vax Date: 04/23/2021
Onset Date: 04/30/2021
Rec V Date: 09/01/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data: no

Allergies: no

Symptom List: Injection site erythema, Injection site pruritus, Injection site swelling, Lymph node pain, Lymphadenopathy

Symptoms: I noticed that my skin on my hands got really itchy and in time it developed into blisters. I went to Dermatologist: diagnosed with eczema (Dyshidrotic) - she prescribed a steroid cream. So far it has cleared up - it has flared up at random times a few times but it has gotten better. I am still using the cream - she tells me to use it twice a week to prevent it. But it still flares up every once in a while. Note: I got the second vaccine of Moderna on May 26th.

Other Meds: Birth Control; Multi-Vitamin; Protein Supplements

Current Illness: no

ID: 1662785
Sex: M
Age: 74
State: MI

Vax Date: 02/01/2021
Onset Date: 07/27/2021
Rec V Date: 09/01/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data: COVID positive test on 07/27/21.

Allergies: None

Symptom List: Unevaluable event

Symptoms: Admitted for COVID symptoms and CHF symptoms, placed on Bipap. Required ICU level care. Discharged with oxygen and recommendation for long term care assistance.

Other Meds: Eliquis, aspirin, cardizem, novolog, lantus, mirabegron, ditropan, ramelteon, crestor, viagra

Current Illness: None noted

ID: 1662786
Sex: M
Age: 52
State: FL

Vax Date: 08/24/2021
Onset Date: 08/25/2021
Rec V Date: 09/01/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: No known allergies

Symptom List: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: Patient received the third dose of Moderna (as well as Flucelvax Quadrivalent/flu vaccine). Patient stated next day when he went to work he had a slight fever. Later in the day, he felt lightheaded and experienced vertigo. Co-workers called paramedic: BP was high. Patient kept overnight for having low potassium and magnesium levels.

Other Meds: None

Current Illness: None

ID: 1662787
Sex: M
Age: 25
State: CA

Vax Date: 08/31/2021
Onset Date: 09/01/2021
Rec V Date: 09/01/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data: None

Allergies: None

Symptom List: Injection site pain, Pain

Symptoms: Tingling in arms, legs, lips and neck. Skin is very irritable. Difficulty breathing at full capacity Elevated heart rate, (+/-10 BPM) Overall muscle soreness and stiffness

Other Meds: Men?s health multivitamins

Current Illness: None

ID: 1662788
Sex: F
Age: 43
State: TX

Vax Date: 06/07/2021
Onset Date: 06/08/2021
Rec V Date: 09/01/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: Large basketball-size red, hot area near injection site. Shape was not perfectly round but with odd shifting edges and the area moved over several days to the underside of arm closer to armpit. Not really painful but very hot and slightly raised like a welt/hive. Skin was slightly stretched and then began to itch.

Other Meds:

Current Illness:

ID: 1662789
Sex: F
Age: 16
State: NY

Vax Date: 08/31/2021
Onset Date: 09/01/2021
Rec V Date: 09/01/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data: Ekg, waiting on Doctors to see us

Allergies: None

Symptom List: Arthralgia, Chills, Headache, Mobility decreased, Myalgia

Symptoms: Chest pains, shortness of breath, lightheaded.

Other Meds: None

Current Illness: None

ID: 1662790
Sex: F
Age: 98
State: KY

Vax Date: 02/07/2021
Onset Date: 08/20/2021
Rec V Date: 09/01/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Bactrim, Catapres, Norvasc, Tekturna, Keflex, Diovan, Codeine, Tramadol

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Patient given COVID vaccine in 2/2021 now hospitalized with + Covid test 8/2021

Other Meds: unknown

Current Illness: Unknown

ID: 1662791
Sex: F
Age: 69
State: OR

Vax Date: 02/25/2021
Onset Date: 03/05/2021
Rec V Date: 09/01/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: UNK
Vax Route: IM
Vax Site: RA

Lab Data: Did an X-ray, did not see arthritis

Allergies: Bee sting (hives); crab; and eggs (gastrointestinal); reacted to flu shot once (rash); sulfa antibiotics (break out in rash)

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Several weeks after second dose, experienced joint pain that kept increasing. Hip and back of left buttocks were center of joint pain, pain with left elbow. All on the left side of the body. Given melaxothan for inflammation, but did not help much. Did 2 months of PT, 11-12 sessions of PT, only experienced very short term relief. Saw an orthopedic surgeon, did a steroid shot to left hip. Icing and using heat, stretching, exercises from PT. Pain is still lingering, nothing has seemed to make a difference. Was previously a very active person, exercised with pilates, aerobic walk, line dancing. (3 hours of exercise, 3 times a week). Now have trouble walking one half a mile.

Other Meds: Levothyroxine (thyroid); Vitamin D 1000 mg; Vitamin C; Arid 2 (vitamin for eyes)

Current Illness: N/A

ID: 1662792
Sex: F
Age: 71
State: OH

Vax Date: 08/20/2021
Onset Date: 08/21/2021
Rec V Date: 09/01/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Headache, Heart rate increased, Injection site erythema, Injection site pain, Injection site swelling

Symptoms: Patient said she developed PAC (premature atrial contractions) a day after the shot and discovered this after an EKG.

Other Meds:

Current Illness:

ID: 1662793
Sex: F
Age: 35
State: MD

Vax Date: 08/24/2021
Onset Date: 08/30/2021
Rec V Date: 09/01/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data: N/A

Allergies: N/A

Symptom List: Nausea

Symptoms: Began having hives covering my face. On monday 8/29 they started at around 3pm on my eyebrows and jawline and by 5pm my face was fully covered in Hives. On tuesday 8/30 I had small areas of hives come and go throughout the day, then at 3pm hives began developing as they did on monday until my face was fully covered. On Wed 9/1, I hadn't experienced any hive until 3pm. Then they began developing like the two days prior, all at around 3pm. I did not develop hives anywhere else then on my face.

Other Meds: Birth Control

Current Illness: N/A

ID: 1662794
Sex: F
Age: 27
State: OH

Vax Date: 08/23/2021
Onset Date: 08/24/2021
Rec V Date: 09/01/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: Chronic nerve pain in entire left arm resulting in pain, numbness, muscle weakness

Other Meds:

Current Illness:

ID: 1662795
Sex: F
Age: 49
State: NY

Vax Date: 09/01/2021
Onset Date: 09/01/2021
Rec V Date: 09/01/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data: None

Allergies: Patient denies

Symptom List: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Second shot was administered at 1ml and should have been 0.5 ml. No symptoms noted at this time.

Other Meds: Unknown

Current Illness: Unknown

ID: 1662796
Sex: M
Age: 53
State: CT

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 09/01/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data: Chest X-ray

Allergies:

Symptom List: Chills, Dizziness, Nausea, Pain, Tachycardia

Symptoms: I experienced cough, irregular heartbeat and chest pains.

Other Meds: Doxycycline

Current Illness:

ID: 1662797
Sex: F
Age: 80
State: MO

Vax Date: 03/24/2021
Onset Date: 08/20/2021
Rec V Date: 09/01/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: unknown

Symptom List: Tremor

Symptoms: hospitalized on 8/20 with slurring of speech. also developed congestion, headache, fatigue, chills. NO ICU stay. Home on room air

Other Meds: unknown

Current Illness: unknown

ID: 1662798
Sex: F
Age: 52
State: CA

Vax Date: 08/31/2021
Onset Date: 08/31/2021
Rec V Date: 09/01/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data: I was given IV Solumedrol, Bendadryl and Pepcid

Allergies: none

Symptom List: Erythema, Pruritus

Symptoms: On my way home, I started feeling like the left corner of my lips was getting swollen and burning a small bit and turning red. Then I noticed a weird sensation in my throat and as time passed I had a harder time swallowing. I had my husband drive me to the hospitals ER

Other Meds: none

Current Illness: I have Chronic Lyphocytic Leukemia, currently under observation

ID: 1662799
Sex: F
Age: 43
State: MI

Vax Date: 08/31/2021
Onset Date: 08/31/2021
Rec V Date: 09/01/2021
Hospital:

Vax Type: UNK
Manufacturer: UNKNOWN MANUFACTURER
Vax Name: VACCINE NOT SPECIFIED (NO BRAND NAME)
Lot:
Dose Series: UNK
Vax Route: SYR
Vax Site: UN

Lab Data: None

Allergies: NKDA

Symptom List: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Myalgia

Symptoms: Covid vaccine was given on 8-31-21 that had been drawn up and stored in refrigerator on 8-30-21 which made it over the 6 hour time frame of administration.

Other Meds: adipex tramadol

Current Illness: None

ID: 1662800
Sex: F
Age: 16
State: TX

Vax Date: 08/29/2021
Onset Date: 08/30/2021
Rec V Date: 09/01/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: The patient received her second dose on Sunday and her symptoms started around 11:30 AM on Monday. She reported stabbing cramps, she felt like she was going to pass out, and reported tingling in her fingers. She went home from school and tried to lay down. She also took ibuprofen and the cramping went away.

Other Meds:

Current Illness:

ID: 1662801
Sex: F
Age: 52
State: MA

Vax Date: 03/01/2021
Onset Date: 06/04/2021
Rec V Date: 09/01/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data: Covid test (negative) June 8, 2021 chest xray (clear)- June 11, 2021

Allergies: Codeine -> nausea, vomiting Omeprazole (OTC generic) -> systemic rash Bupropion -> systemic rash Pneumovax 12/07 -> extreme swelling/pain of arm/shoulder, fever Flu shot *w/preservative-- > systemic rash 9/2016 Molds- weeds/cats/fumes/airborne particulates -> asthma

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: sought medical care for severe cough, SOB- thought it was asthma but it didn't improve with asthma meds. Also had sinus congestion and cold symptoms covid test negative chest xray (clear) treated with prednisone & zpac and asthma meds Took about a month to shake the

Other Meds: synthroid, T-3, torsemide, buspar, theophylline, Symbicort, xopenex, prevacid, potassium, vit d, B12, B1, linzess, aspirin, Mg, trazodone, estradiol patch, calcium

Current Illness: asthma maintenance

ID: 1662802
Sex: F
Age: 43
State: NV

Vax Date: 07/01/2021
Onset Date: 07/24/2021
Rec V Date: 09/01/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data: none at this time

Allergies: Motrin, polyethylene glycol, duloxetine, doxycycline

Symptom List: Injection site erythema, Injection site pain, Injection site swelling

Symptoms: fever over 100 for 3 days, dizziness from 7/24/21 to present- meclizine

Other Meds: Ajovy 225 mg once a month, amlodipine 5.0 mg once a day , aspirin 81 mg once a day, Lamictal 200mg twice a day

Current Illness:

ID: 1662803
Sex: M
Age: 74
State: MI

Vax Date: 03/29/2021
Onset Date: 07/27/2021
Rec V Date: 09/01/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data: COVID positive test on 07/27/2021

Allergies: None

Symptom List: Chills, Feeling cold, Feeling hot, Myalgia, Pain

Symptoms: Fully vaccinated patient admitted through ED for shortness of breath and productive cough, hypoxis 87%. COVID positive with history of COVID vaccine. Sent with home O2, previously not on oxygen.

Other Meds: Amlodipine, Aspirin, Lipitor, Plavix, Amaryl, levothyrozine, claritin, lopressor, prilosec, senna, flomax

Current Illness:

ID: 1662804
Sex: F
Age: 66
State: MO

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 09/01/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data: No

Allergies: white potatoes; beef; pork

Symptom List: Pain in extremity

Symptoms: After coming home from the vaccine, I had no issues for 6-8 hours. I then started feeling extremely weak tired and thirsty. I checked my temperature, and I was actually running a temperature. To me, it felt like I needed fluids. It felt like my body needed more fluids to process the vaccine. I started drinking a lot more. I was basically on a liquid diet, soups, fluids etc. After about 3 days, I was fine. I did develop a sinus infection after but that is normal for me. I have allergies so that is something I was going to deal with regardless of the vaccine. My asthma and allergies were also on peak for that time of year. Last week, I had a sore throat and honestly thought I had COVID. My doctor looked at me and said I had no symptoms of COVID at all. My throat was so swollen in the front. After tests were done, it all came back normal. My thyroid is still swollen, and I concerns me, but I am not sure what the reason for this is. I do not know if it is from the vaccine at all but nothing else has changed nor have I done anything different since. This is the only thing that concerns me.

Other Meds: Yes, prescriptions

Current Illness: Allergy symptoms

ID: 1662805
Sex: M
Age: 53
State: MN

Vax Date: 04/14/2021
Onset Date: 08/29/2021
Rec V Date: 09/01/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 2
Vax Route:
Vax Site:

Lab Data:

Allergies: none

Symptom List: Abdominal pain upper, Abnormal behaviour, Adverse reaction, Anger, Asthma

Symptoms: fever- 100, headache, congestion, body aches. starting on 8/29/21

Other Meds: Doxycycline; dulera; Montelukast; Ventolin

Current Illness: none

ID: 1662806
Sex: M
Age: 81
State: MI

Vax Date: 04/22/2021
Onset Date: 08/23/2021
Rec V Date: 09/01/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: penicillins - GI upset

Symptom List: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: Hospitalized; COVID-19 positive; fully vaccinated. Brief Overview: Admission Date: 8/23/2021 Discharge Date: 8/26/21 HOSPITAL PROBLEMS 1. Stage IV pressure wound on coccyx, infected 2. Covid 19 infection 3. Stage IV pressure wound on left heel 4. Pressure injury of left elbow, unstageable 5. Parkinson's dementia 6. BPH 7. Atrial fibrillation PRESENTING PROBLEM Chief Complaint Patient presents with ? WOUND PROBLEM wounds to left heel and coccyx tested positive for staph 8/13. Has been on doxycycline with worsening to wounds. Pt also tested positive for COVID today. Has been vaccinated HOSPITAL COURSE Patient is a 81 y.o. male with history of Parkinson's dementia who was recently admitted for rehab after sustaining a fall with left femur and humerus fracture. While there he developed pressure ulcer on his heel, elbow, and coccyx. This started smelling foul and wound culture was growing MRSA. He was started on doxycycline there. His wounds continued to worsen and he presented to hospital. He was admitted and started on Vancomycin. Wound consult was performed with recommendations for wound management including dressings. He was additionally evaluated by therapy with recommendations for SAR. He was tolerating oral intake, VSS, and was felt stable for discharge. He was discharged for therapy and wound care. He was discharged on doxycycline to complete antibiotic course. Of note, patient did test positive for Covid-19 prior to presentation to hospital. He was asymptomatic and did not require any treatments for Covid. He was previously vaccinated. Follow-Up: - Ongoing wound care management - Post-hospitalization follow-up including doxycycline course completion.

Other Meds: ascorbic acid (VITAMIN C) 500 MG tablet carbidopa-levodopa (SINEMET) 25-100 MG per tablet doxycycline (ADOXA) 100 MG tablet flecainide (TAMBOCOR) 50 MG tablet fluticasone (FLONASE) 50 MCG/ACT nasal spray furosemide (LASIX) 20 MG tablet guai

Current Illness: COVID-19 positive, fully vaccinated status post left hip hemiarthroplasty and initiation of nonoperative treatment of a left proximal humerus fracture. pressure sores staph infection

ID: 1662808
Sex: F
Age: 29
State: TX

Vax Date: 09/01/2021
Onset Date: 09/01/2021
Rec V Date: 09/01/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data: Patient was taken to the hospital

Allergies: None

Symptom List: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: Patient received the vaccine at 12:30pm she was going to watch her spouse get the vaccine and after he received it she passed out and tensed up at about 12:35pm. The vaccine was administered by the intern. I was called into the counselling room where I saw the patient on the floor. Intern had used a little smelling salts for the patient. She felt better and wanted to sit up because she wanted a drink. She was clammy and sweaty. Her husband put her in the chair then went to get her some apple juice. when he left she told me she felt nauseous so I gave her the trash can, then her head fell back and she tensed up and passed out so I placed her on the floor and we called 911. Patient came too and we put cold cloths on her again, took her BP which was 115/79 and her pulse was 79. Her blood sugar was 135 and her O2 was 95. When the paramedics got here they took her to the hospital

Other Meds: NA

Current Illness: None

ID: 1662809
Sex: M
Age: 83
State: WI

Vax Date: 03/02/2021
Onset Date: 08/25/2021
Rec V Date: 09/01/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data: Reviewed documentation for positive SARS-CoV-2 PCR

Allergies:

Symptom List: Vomiting

Symptoms: Reason for admission: This 83-year-old gentleman was transferred to our care from a Hospital because of right lung pneumonia, positive coronavirus assay, and ulceration noted in the distal portion of the patient's aortic arch. History of present illness: Patient is 83 years old, and he lives with his wife and two of their daughters. He has a history of paroxysmal atrial fibrillation. He is chronically on Amiodarone therapy and Apixaban. The patient also has peripheral vascular disease; the patient had bilateral carotid endarterectomies performed in 2018. The patient also has a history of chronic obstructive pulmonary disease. From reading the last note from his pulmonologist the patient's FEV1 was 37% of predicted. The patient also has a history of congestive heart failure. The patient's left ventricular ejection fraction was "at the lower limits of normal" on his last echocardiogram from May, 2020. However, the actual ejection fraction could not be measured because the patient was in atrial fibrillation with a rapid ventricular response. The patient had a nuclear medicine perfusion scan done July, 2020, and this showed that the patient's left ventricular ejection fraction was 46%. No perfusion or reperfusion abnormalities were noted. The patient states that on a normal day that he gets short of breath walking to and from the mailbox. The patient states that it is about 100 yards from his house to the mailbox. The patient can walk to the mailbox at a slow pace. He stops and rests when he gets to the end of the driveway. The patient states that he will usually have to stop and rest about halfway between the mailbox and his house when he is walking back to the house. The patient sleeps on one pillow. He does not have paroxysmal nocturnal dyspnea. The patient states that he has had edema in his feet, ankles, and lower legs for about one year. The patient has not had any chest pain, be it retrosternal or pleuritic, whenever he exerts himself. He is only having dyspnea. The patient states that he mostly went into the emergency department at the Hospital yesterday evening because of worsening shortness of breath. The patient states that he had a cough about a week ago. This cough lasted for about three days, and it was productive of small amounts of white sputum. It was not productive of purulent sputum. The patient states that after the cough resolved on Wednesday or Thursday of last week he has noticed that he is more short of breath with less exertion. The patient's daughter checked the patient's temperature yesterday afternoon, and it was 101 ?F. This constellation of symptoms is what led the patient go to an urgent care facility. The patient was subsequently transferred directly to the emergency department at the Hospital. The patient was tested for coronavirus, and his PCR assay is positive. The patient states that he and his wife both got coronavirus vaccinations in July. The patient was given 6 mg of IV Dexamethasone at the Hospital. The patient also had a CT angiogram of the chest performed. The patient did not have any evidence for pulmonary emboli. However, the patient does have evidence for small right pleural effusion and lung infiltrate primarily in the right lower lobe. There does appear to be some honeycombing in the lateral portion of the right lower lobe. Also noted was an area of ulceration in the distal portion of the patient's aortic arch associated with aortic wall thickening. There is also a possible intramural hematoma present. The patient was going to be admitted to the Hospital, but they did not have a bed available. The patient was subsequently transferred here to treat his pneumonia, his coronavirus infection, and for cardiac surgery consultation because of his aortic arch ulcer. The patient is not having any retrosternal chest pain or pleuritic chest pain. The patient quit smoking cigarettes 6-7 years ago. The patient states that he normally does not have a cough. The cough that he had last week was out of character for him. The patient has been anticoagulated for a number of years because of his history of atrial fibrillation. He is also chronically on Amiodarone therapy Urinalysis is normal except for 1+ albumin being present. Pro-beta-natruretic peptide is 2128. CMP reveals the following: sodium 140, potassium 4.1, chloride 101, bicarbonate 28, BUN 25, creatinine 1.36 (creatinine was 1.55 four months ago), glucose 113, albumin 3.4, calcium 7.8, AST 35, ALT 20, alkaline phosphatase 61, total bilirubin 1.0, total protein 6.0, and ionoized calcium 4.3. CBC reveals a white count of 4.14, hemoglobin 11.3, hematocrit 35.2%, MCV 109.7, and platelet count is 162,000. Hemoglobin level was 13.0 three months ago. Coronavirus assay via PCR is positive. Problems: 1. Right lower lobe pneumonia 2. Positive coronavirus assay 3. Severe chronic obstructive pulmonary disease 4. Aortic arch ulcer 5. Suspected congestive heart failure 6. Peripheral vascular disease 7. Proximal atrial fibrillation 8. Hypothyroidism 9. Glaucoma 10. Chronic renal failure; the patient's creatinine is currently 1.36 11. Anemia Discussion: The patient has been admitted because of his myriad of problems. We will treat his right lower lobe pneumonia with IV Azithromycin and IV Ceftriaxone for community-acquired pneumonia. The patient does not have any infiltrate in his left lung. Most of the infiltrate is present in the patient's right lung on chest x-ray. I suspect this is probably from a community-acquired pneumonia. I do not think the patient has significant coronavirus pneumonia since most of the infiltrate is located in one lobe of the lung. We will send a sputum specimen for Gram stain and culture. We shall send a urine specimen to strive for Streptococcus pneumoniae antigen. Because of the patient's hypoxemia and his positive coronavirus assay, the patient needs to be treated with IV Remdesivir and IV Dexamethasone. We will treat the patient's COPD with the following medications: Tiotropium two puffs daily, Advair 230-21 two puffs twice daily, and Albuterol 2 puffs every 4 hours as needed. With regard to the patient's aortic arch ulcer, we will consult cardiothoracic surgery for their opinion about what, if anything, needs to be done about this. Regarding the patient's probable congestive heart failure, we will get an echocardiogram on this gentleman to determine what his left ventricular ejection fraction is. The patient is in sinus rhythm on his EKG right now. We will continue the patient on Metoprolol XL 75 mg daily to treat his congestive heart failure. We will start the patient on Losartan 25 mg daily because he is hypertensive and because he apparently has a depressed ejection fraction based on the results of his last nuclear medicine stress test in July, 2020. I will stop the patient's diuretic therapy for the time being while we sort things out. With regard to the patient's paroxysmal atrial fibrillation, we will continue the patient on Amiodarone 100 mg daily. We will continue to anticoagulate with Apixaban 5 mg twice daily. We shall continue the patient on his usual dose of Levothyroxine to treat his hypothyroidism. We shall continue the patient on his usual Brimonidine eye drops to treat his glaucoma. The patient's chronic renal failure is stable; hjis creatinine is currently 1.36. With regard to the patient's anemia, his hemoglobin is 11.3. Three months ago, the patient's hemoglobin level was 13.0. The patient's MCV is elevated. The patient just had blood work done earlier this month. The patient's percent transferrin saturation at that time was 45%. Serum iron level was 111, and total iron binding capacity was 244. Ferritin level was 310. Vitamin B12 level was 684, which is within normal limits. Serum folic acid level was 15.0, which is also within normal limits. I am not certain what might be causing the patient's mild anemia. Obviously, the patient is not iron deficient. He also does not have B12 or folic acid deficiency. It is hard to say what might be causing the anemia at this point in time. PATIENT REMAINS H

Other Meds:

Current Illness:

ID: 1662810
Sex: F
Age: 85
State: FL

Vax Date: 05/27/2021
Onset Date: 06/24/2021
Rec V Date: 09/01/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 037K20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data: Covid test-positive. CXR.

Allergies: Iodine, PCN.

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Pt came to ER with abdominal pain, onset 2 weeks prior. Nausea.

Other Meds:

Current Illness:

ID: 1662811
Sex: M
Age: 84
State: MO

Vax Date: 03/31/2021
Onset Date: 04/30/2021
Rec V Date: 09/01/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data: NONE YET

Allergies: HYDROCODONE

Symptom List: Back pain, Cold sweat, Headache, Nausea, Vomiting

Symptoms: On Jan 26 of this year I weighed 158 In a orthopedic office. March 3. COVID Moderna 012421A March 31 COVID Moderna 008821A On April 8 I weighed 156. On July 29 in a orthopedic office I weighed 151. On August 25 In a orthopedic office I weighed 149. Today at home I weighed 147. In all cases I was dressed about the same, jeans, t-shirt, socks and shoes . That's about 11 pounds in 7 months. I am NOT trying to lose weight.

Other Meds: ENAPRIL 15MG, HYDROCHLOROZIDE, 25MG, THYROXINE 90MMG

Current Illness: THYROID LOW TSH

ID: 1662812
Sex: F
Age: 86
State: MI

Vax Date: 01/21/2021
Onset Date: 08/31/2021
Rec V Date: 09/01/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data: COVID swab + 8/31/2021

Allergies: NKDA

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Breakthrough case

Other Meds: unknown

Current Illness: unknown

ID: 1662813
Sex: M
Age: 25
State: MN

Vax Date: 12/23/2020
Onset Date: 08/28/2021
Rec V Date: 09/01/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache

Symptoms: Got Covid-19 infection and subsequent pneumonia diagnosis

Other Meds: albuterol inhaler

Current Illness:

ID: 1662814
Sex: M
Age: 56
State: TN

Vax Date: 01/27/2021
Onset Date: 08/27/2021
Rec V Date: 09/01/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data: 8/28/2021 Chext x ray multifocal pneumonia

Allergies: NKA

Symptom List: Hot flush, Myalgia, Nausea, Tension headache

Symptoms: Hospitalized with COVID pneumonia and hypoxia. Acute right sided DVT.Rocephin and Azithromycin;

Other Meds: Unknown

Current Illness: Unknown

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am