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: 1761834
Sex: M
Age: 76
State: VA

Vax Date: 09/14/2021
Onset Date: 09/01/2021
Rec V Date: 10/05/2021
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

Allergies: None

Symptom List: Dysphagia, Epiglottitis

Symptoms: I had very sore upper right arm below the shoulder and above the elbow. It seems like I had a lump there. I saw a doctor and I have not had any tests done yet. I have a sonogram scheduled for next Monday. I am seeing an orthopedist tomorrow. I have taken Aleve a couple of times. It is a constant pain. I am also going to physical therapy for that pain. We are also looking to see if it is a tumor.

Other Meds: None

Current Illness: None

ID: 1761835
Sex: F
Age: 53
State: CA

Vax Date: 10/01/2021
Onset Date: 10/04/2021
Rec V Date: 10/05/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List: Anxiety, Dyspnoea

Symptoms: Painful lump on left collarbone. Soreness under left arm.

Other Meds: benazapril, zolpidem, mirtzapine, vitamins

Current Illness: No

ID: 1761836
Sex: F
Age: 76
State: NJ

Vax Date: 09/20/2021
Onset Date: 09/20/2021
Rec V Date: 10/05/2021
Hospital:

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:

Allergies:

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

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1761837
Sex: F
Age: 79
State: TN

Vax Date: 10/01/2021
Onset Date: 10/01/2021
Rec V Date: 10/05/2021
Hospital:

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

Lab Data: NA

Allergies: NKDA

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: "Overwhelming sensation of dizziness, feeling off balance, and feeling feverish" since date of vaccine

Other Meds: Synthroid, Losartan, and Primirone , Restasis Eye Drops

Current Illness: NA

ID: 1761838
Sex: F
Age: 80
State: MI

Vax Date: 02/25/2021
Onset Date: 10/04/2021
Rec V Date: 10/05/2021
Hospital: Y

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

Lab Data: rapid test

Allergies: NKA

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

Symptoms: COVID positive

Other Meds: Alendronate na Aspirin,

Current Illness: HTN, arthritis, hip replacement, hyperlipidemia

ID: 1761839
Sex: F
Age: 12
State: CA

Vax Date: 10/05/2021
Onset Date: 10/05/2021
Rec V Date: 10/05/2021
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:

Allergies: None

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

Symptoms: Patient is 12 years old and was given the Moderna vaccine instead of the Pfizer vaccine by the nurse, patient is not having any adverse reaction at this time.

Other Meds: None known

Current Illness: None

ID: 1761840
Sex: F
Age: 45
State: AZ

Vax Date: 09/11/2021
Onset Date: 09/12/2021
Rec V Date: 10/05/2021
Hospital:

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

Lab Data: none, lip treatments and fluids.

Allergies: na

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: severe dry mouth and lip swelling, inner lip gum issues. it was starting to clear up then i went for the second shot and it started all over again. i mentioned the reaction to the tech at when i went for my second dose. I went thru my food history, healthcare supplies, nothing changed but the shot. Ive never had a flu shot and never had the flu. I literally slept next to mr covid and nothing. the shot tech said Wow, then checked his phone. so no, i didnt follow up, just sucking it up.

Other Meds: na

Current Illness: na

ID: 1761841
Sex: F
Age: 52
State: KY

Vax Date: 03/10/2021
Onset Date: 09/29/2021
Rec V Date: 10/05/2021
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: Pharyngeal swelling

Symptoms: Covid positive contact unknonw

Other Meds:

Current Illness:

ID: 1761842
Sex: M
Age: 57
State: OR

Vax Date: 05/28/2021
Onset Date: 06/01/2021
Rec V Date: 10/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Tinnitus 24/7

Other Meds: Levothyroxin Hydrochlorothiazide Upa

Current Illness:

Date Died: 09/01/2021

ID: 1761843
Sex: M
Age: 96
State: MN

Vax Date: 04/07/2021
Onset Date: 09/01/2021
Rec V Date: 10/05/2021
Hospital:

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

Lab Data:

Allergies: Cephalexin

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Patient passed away on 09/01/2021.

Other Meds: Morphine

Current Illness:

ID: 1761844
Sex: F
Age: 44
State: WA

Vax Date: 09/01/2021
Onset Date: 09/07/2021
Rec V Date: 10/05/2021
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: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: . Local reaction to COVID-19 vaccine 2. Migraine without aura and without status migrainosus, not intractable PLAN Imitrex/Benadryl/Phenergan in the emergency department. Supportive care regarding the vaccine reaction. Discharge Instructions There is no blood clot in the arm. This is a local reaction of the vaccine. It should get better with time. You can use Tylenol safely to the extent that you tolerate it. COURSE & MEDICAL DECISION MAKING 10: 53. Imitrex 6 subcu. Benadryl 50 mg IM. Phenergan 25 mg IM. CHIEF COMPLAINT Chief Complaint Patient presents with ? Arm Swelling is a 44 y.o. female who presents to the ED with swelling and pain in the right arm since receiving a Pfizer Covid vaccine in the right deltoid 1 week ago. The pain has been severe. No fevers or chills. The patient also has a recurrent migraine consistent with previous migraines and requests her usual cocktail for this.

Other Meds:

Current Illness:

ID: 1761845
Sex: M
Age: 76
State: NJ

Vax Date: 09/20/2021
Onset Date: 09/20/2021
Rec V Date: 10/05/2021
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:

Symptom List: Rash, Urticaria

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1761846
Sex: M
Age: 79
State: FL

Vax Date: 10/02/2021
Onset Date: 10/03/2021
Rec V Date: 10/05/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Brain fog, confusion, dizzines, light fever, ear pain. Probably acelerated heart beat as my father described, nausea.

Other Meds: Amlodipine-Benazepril Atorvastatin

Current Illness: Covid-19

ID: 1761847
Sex: F
Age: 34
State: CA

Vax Date: 10/01/2021
Onset Date: 10/01/2021
Rec V Date: 10/05/2021
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:

Allergies: Stated had an allergic reaction of wheezing, SOB, hives to an "allergy shot" against dust mites, trees and grasses about 2 months ago.

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

Symptoms: At 12:39 pm (while under post vaccination observation), staff asked the observer if her neck was red as it was itching. No erythema noted in the neck. Denied difficulty of breathing or swallowing. Remained verbally responsive, with no other symptoms noted.

Other Meds: Allegra OTC, Singulair, Albuterol inhaler PRN

Current Illness:

ID: 1761848
Sex: M
Age: 71
State: OH

Vax Date: 02/03/2021
Onset Date: 10/04/2021
Rec V Date: 10/05/2021
Hospital:

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

Lab Data: PCR collected on 10-4-2021, resulted positive.

Allergies:

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

Symptoms: cough, nasal congestion, drainage

Other Meds:

Current Illness:

ID: 1761849
Sex: F
Age: 66
State: NJ

Vax Date: 09/20/2021
Onset Date: 09/20/2021
Rec V Date: 10/05/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1761850
Sex: M
Age: 59
State: CA

Vax Date: 10/05/2021
Onset Date: 10/05/2021
Rec V Date: 10/05/2021
Hospital:

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

Lab Data: N/A

Allergies: NKA

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

Symptoms: Patient was sitting in Post vaccination clinic and asked if we could take his blood pressure because He has tinnitus and the ringing in his ear is a bit louder. Patient reports his normal blood pressure is 135/85. RN took blood pressure 142/86, HR 72, rr 18. Pt reports he had a banana for breakfast. Pt stated he was okay and just wanted to go back to work. Signed understanding that he should call his doctor or go to the ER if symptoms get worse. Left at approximately 10:55

Other Meds: None reported

Current Illness: None

ID: 1761851
Sex: F
Age: 61
State: ID

Vax Date: 03/21/2021
Onset Date: 03/21/2021
Rec V Date: 10/05/2021
Hospital:

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

Lab Data: Sent Neurology referral

Allergies: NKDA

Symptom List: Ear pain, Hypoaesthesia

Symptoms: She received her Johnson and Johnson vaccination last April in her left arm. She waited the required 15 minutes without complication. However, upon driving home, approximately 30 minutes after her vaccine she developed left arm and facial numbness and felt as if her tongue was swelling. She monitored her symptoms at home, no further complications or symptoms developed but since that time she has had the numbness in her face and arm. Alert & oriented. Gait WNL. Strength, circulation and sensation intact right arm, B/L LE. Intact strength 5/5 and circulation to left upper arm. Full ROM of left shoulder, elbow, wrist and fingers when compared to right. Full sensation to left arm from elbow to fingertips. Numbness and mild - moderate loss of sensation from left shoulder to elbow. Numbness and decreased sensation to left face, isolated to left cheek, not extending beyond the boarder of the chin, nose, lips or eyes. ,Alert & oriented.

Other Meds: Citalopram Hydrobromide 20mg lisinopril-hydrochlorothiazide 20/25 mg omeprazole 40mg restasis emulsion simvastatin 40mg turmeric 1000

Current Illness: none

Date Died: 09/20/2021

ID: 1761852
Sex: F
Age: 75
State: MN

Vax Date: 01/13/2021
Onset Date: 09/20/2021
Rec V Date: 10/05/2021
Hospital:

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

Lab Data:

Allergies: Aspirin, Lactose, Prednisone

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Patient passed away on 09/20/2021.

Other Meds: Ativan, Dilaudid, Neurontin, Zofran, Tylenol

Current Illness:

ID: 1761853
Sex: M
Age: 78
State: NJ

Vax Date: 09/20/2021
Onset Date: 09/20/2021
Rec V Date: 10/05/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1761854
Sex: F
Age: 64
State: DE

Vax Date: 10/01/2021
Onset Date: 10/01/2021
Rec V Date: 10/05/2021
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: none

Allergies: macrolide antibiotics, e-mycin, chloroprep, Levoquin, ethrane

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

Symptoms: 10/1/21 Pain at injection site within an hour after administration R Deltoid going into back of neck and shoulders. 10/1/21 About 4 hrs post injection - fatigue, body feeling heavy and feeling like need to lie in bed, headache. 10/2/21 Next day the symptoms continued with some pain in eyes and burning in eyes, eyes feeling heavy, felt fuzzy in head. 10/3/21 They following day, all symptoms gone. I had no reaction after 1st and 2nd Pfizer vaccine other than arm pain at injection site.

Other Meds: metoprolol 25 mg night before Cymbalta 80 mg Vit D3 2000 IU Vitamin B Complex

Current Illness: none

ID: 1761855
Sex: F
Age: 44
State: MD

Vax Date: 10/05/2021
Onset Date: 10/05/2021
Rec V Date: 10/05/2021
Hospital:

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

Lab Data: Unknown

Allergies: unknown

Symptom List: Unevaluable event

Symptoms: Unknown

Other Meds: unknown

Current Illness: unknown

ID: 1761856
Sex: F
Age: 68
State: NJ

Vax Date: 09/20/2021
Onset Date: 09/20/2021
Rec V Date: 10/05/2021
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:

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

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1761857
Sex: F
Age: 71
State: OR

Vax Date: 10/02/2021
Onset Date: 10/03/2021
Rec V Date: 10/05/2021
Hospital:

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

Lab Data: no

Allergies: no

Symptom List: Injection site pain, Pain

Symptoms: I noticed around 01:00 pm or so, I told my daughter at three that I couldn't go to lunch with her. I was sure I had a fever. That continued until early evening yesterday. I couldn't walk upstairs. Both of my feet hurt me so bad. This time, the insteps on both of my feet were hurting It was just killing me. The toe - the right big toe was swollen. Very swollen. The left foot and toe - pain only; no swelling on it. I can't even touch it (right big toe) without pain. I can't get up or eaten anything except go to bathroom. But I do feel a little better today. I am still having swollenness on the right big toe. I have an appt at Urgent Care today.

Other Meds: Dilantin - take 4 a day; take 6 - K tabs a day; I take 1 Hydrochlorothiazide water pill a day; I take 2 Vit D pills a day; 1 Women's vitamin; I take 2 Omeprazole; I take 6 grams of Methylprednisolone a day; I take arthritis pain pill - Xel

Current Illness: no

Date Died: 09/01/2021

ID: 1761858
Sex: F
Age: 81
State: GA

Vax Date: 01/28/2021
Onset Date: 09/01/2021
Rec V Date: 10/05/2021
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: Patient fully vaccinated and died due to Covid related causes.

Other Meds:

Current Illness:

ID: 1761859
Sex: F
Age: 73
State: MI

Vax Date: 05/06/2021
Onset Date: 09/26/2021
Rec V Date: 10/05/2021
Hospital: Y

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

Lab Data:

Allergies: Penicillin G Hives Cellcept [Mycophenolate]GI Upset Dust

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

Symptoms: 9/26/21: admitted for progressive fatigue, SOB and COVID. Empiric ABX 9/27/21: O2 sats stable on 3 liters, home dose. Diarrhea, check CDiff. Leukopenia, ID consult. PT/OT. BRB per rectum, Hgb slightly down. GI consult ABX stopped 9/28/21 - No changes, dyspnea with exertion and coughing, one loose stool that was dark today. Stable on 3 iters O2. Monoclonal ab given. HGB stable 9/29/21 - Feels a lot better today 9/30/21 -stable for dischargeg HOSPITAL COURSE: New Today: - Stable for discharge. Care plan upon discharge > S/P MAB 9/28/21, baseline O2 requirements 2 liters at rest/4 liters activity. Doing pulmonary clearance exercises, cough improved, CXR improved - get CT thorax today for new baseline > Immune suppression - keep AZA off until WBC improved and COVID symptoms improved. Continue Prednisone 40 mg x 5 days (to complete 10 day course) then back to 5 mg. Tacrolimus dose reduced to 2 mg bid, goal 4-6 > Beta blocker on hold - keep off as HR 55-65 > Had BRB per rectum, improved by discharge, GI would like pateint on PPI BID and setting up outpatient colonoscopy > CKD improved with improved oral intake > HOLD fosamax as CRCL is to low, re-evaluate with endocrine as outpatient > Resume home dose of eliquis > Leukopenia - improved, will monitor > PT evaluated and stable for home > Labs and telemedicine appt next week, clinic appt when out of quarentine ----------------------------------------------------------- Progressive weakness/Fatigue/Dyspnea COVID 19+ - 9/26/21 admit to the inpatient transplant service for further evaluation and IV antibiotics - administer 1 L NS fluid bolus for hypotension, re-evaluate and repeat bolus as needed - blood cultures, sputum cultures, repeat film array, strepotoccus and legionealla urine antigen ordered - start ceftriaxone and azithromycin 500 mg PO daily until above results are available - COVID + - ID consult (9/27/21), D/C ABX, not candidate for Remdesivir, looking into MAB - 9/28/21 MAB given - Completed 5 days of dexamethosone, then 5 days prednisone 20 mg - BLE US neg AKI - Fluid bolus BRB per Rectum - hold ASA and Apixaban - GI consult - hgb stable, rec PPI bid and outpatient colonoscopy S/p left single lung transplant (2012) complicated by previous A3 rejection (2013), now with CLAD, grade 2 - continue current immunosuppressive and prophylactic regimen, O2 dependent -------------- other medical problems ----------------------------- Left Single Lung Transplant (9/1312) - Lung function (Best FEV1 2.26),(Best FEF 25-75 2.39) - HRCT (5/7/19): Chronic GGO LUL and lingula, slightly increased from (10/17/18) could be 2/2 scarring or sequela of prior infection. No significant air trapping. Dilated main PA consistent with pHTN. Cholelithiasis. - HRCT ( 7/1/20) - Stable - DSA (5/22/19): DPI is potential DSA Admission 12/25/20 - 12/28/20: fall with multiple rib fxs Hx ACR - TBBX (5/10/13): A3 BO, cleared (2/28/17): A0 BX - TBBx (11/2018): A0 B0 C0 BOS Grade: 2 - Not on azithromycin 2/2 allergic reaction -- > Restarted (FD 10/16/18) - records states she is on it and she denies significant hives or other reactions. Discontinued from allergy list. - Graft function: Has BOS grade 2. Peak PFTs are FEV1 2.26 and FEF25/75 2.39. - 12/2020: PFTs: FEV1 2.01, FVC 1.34, FEF25-75 0.74 - 7/2021 BOS Grade: 2 - continue Symbicort, azithromycin, and statin for BOS Chronic hypoxemic respiratory failure Moderate obstructive lung disease, Moderate diffusion impairment Likely due to BOS - Overnight oximetry (11/2018) study done, showing multiple episodes of hypoxemia. - Sleep referral; (12/6/18): 2L O2 via NC ordered for nightime. - Hypoxia with activity (5/29/19:): qualifies for 2L oxygen with activity. - 10/8/20: Using up to 4L O2 with activity since 6MWT in July. Cough: - ENT referral (10/28/19) - VFSS (12/2/19): oral phase WNL, mild pharygeal dysphagia. No aspiration. Rec: General solids, compensatory strategies and GERD precautions Rhinitis- Zyrtec 10mg qd (FD 4/15/19) for nasal drainage - Fluticasone 1 spray each nostril bid Left LLL Nodule - CT (10/17/18): resolution of nodule/opacies LLL. Persistent GGO LLL > LUL, unchanged 12/2017. No air trapping - CT (5/20/19): Increase in ground glass and tree in bud opacities - CT 6/30/20: Stable. - CT (8/27/21): no mention in report. Right lower lobe lung nodule: - 12/25/21: CT thorax done after fall and admission - There is a 14 mm ovoid density within the inferior lateral right lower lobe (series 4 image 52). This may represent a transient inflammatory process, however, developing pulmonary mass is not excluded (native lung) - repeat CT: 8/27/21: Interval decrease in size of previously noted pulmonary nodule, now measuring 1.1 cm. - repeat CT in 6 months (~4/2022) Immunosuppression - MMF allergy, 2/2 MMF induced colitis, do not trial - AZA 150mg - Tacro (Goal 4 - 6) renal - Prednisone 5 mg ABX Prophylaxis - PJP: Bactrim MWF - CMV status (D+/R+): no prophy at present. CMV PCR and BAL negative (11/14/18) - Ampho B NEB q daily (PTA): life long 2/2 home environment Mycobacterium gordonae on BAL from (8/2018). BAL (11/14/18): negative, no fungal elements Parainfluenza/Infectious Pneumonia (8/2018) - S/P levaquin and pred x 5 days after broad spectrum abx Rhinovirus tracheobronchitis (9/2021) Cardiology: - Cardiology (7/31/19): lexiscan stress test normal. Recommend continue medical therapy. Next appt (4/14/19) - ECG (5/29/19): NSR - ECHO (6/6/19): EF 58%. LV and RV normal. LA moderately dilated. No AS, trace MR - Lexiscan (8/6/19): normal - NT pro BNP (6/11/19): 416 - 4/23/20: Based on symptoms of shortness of breath, orthopnea, and edema will lncrease lasix to 40 mg daily and monitor response. She has monthly labs for her transplant meds so her renal function can closely be monitored. BMP with scheduled labs tomorrow and then will need BMP in one month--Activity as tolerated, We recommended following a heart healthy, low fat, low cholesterol diet. - Lasix stopped due AKI - 10/8/20: Message sent asking about updating ECHO--10/27/20: Plan for echocardiogram with bubble study due to dyspnea and hypoxia per pulmonology. Plan lexiscan nuclear stress test due to dyspnea and coronary artery disease risk factors. ECHO 10/30/20. - Stress test:11/20/20: The stress test was symptom negative. Significant EKG changes are not noticed during stress test. Myocardial perfusion imaging is normal. Normal left ventricular systolic function with left ventricular ejection fraction at 86 % and normal left ventricular wall motion . Tissue attenuation is absent HTN/Tachycardia - ASA 81 mg - Metoprolol 12.5 mg bid (FD 6/20/19) - held at admit H/O AFib. S/P Ablation - Apixaban Hx DVT/PE - Life long antiocagulation. Currently Apixaban - VQ scan (5/2019): negative for PE Venous Insufficiency BLE/Edema - Vein Clinic (9/20/19): vein insufficiency in right greater saphenous V. and left small saphenous V. Compression stockings 20-30 mmHg at least 8 hrs/day. Walk for 30" 5x/wk. - Furosemide 20mg qd (FD 6/20/19): much improved - 4/23/20: Cardiology appt: Based on symptoms of shortness of breath, orthopnea, and edema will lncrease lasix to 40 mg daily and monitor response - Lasix causing AKI, stopped (and wasn't helping LE edema) Dyslipidemia - Pravastatin 40 mg qhs - Omega 3 1,000 units 2 tabs q lungh Renal CKD - Stable continue to monitor avoid nephrotoxins. Hematologic Chronic Anemia - FeSO4 325 mg q lunch - 10/8/20: hgb dropping over the last year. Plan iron labs and referral to Dr's office. - 4/19/21: Office visit with hematology: Asymptomatic with stable hgb, if trending down, proceed with BM biopsy to r/o MDS. Follow labs q3months, f/u 6 months. Gastrointestinal GERD - Esophagram (11/12/18): reflux to proximal esophagus - pH probe/man (12/18/19): 100% incomplete bolus clearance, no significant status. Normal pressures. DeMeester 41.5, GERD to proximal esophagus. Rec: anti-reflux surgery, will schedule after winter. - Message (4/15/

Other Meds: acetaminophen (TYLENOL) 325 MG tablet albuterol (PROVENTIL) (2.5 MG/3ML) 0.083% nebulization amphotericin B liposomal (AMBISOME) 50 MG inhalation apixaban (ELIQUIS) 5 MG tablet aspirin 81 MG EC tablet azelastine (ASTELIN) 0.1 % nasal spray

Current Illness: Contact with suspected COVID 19 History of lung transplant

ID: 1761860
Sex: F
Age: 44
State: FL

Vax Date: 09/27/2021
Onset Date: 09/27/2021
Rec V Date: 10/05/2021
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: Went to see Cardiologist today and going to wear a heart monitor and do bloodwork.

Allergies: Amoxicillian, Biaxin

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Felt dizzy and drunk and blurry within 10 min of receiving vaccine and developed a burning throat on day 1. Day 2 - dizzy spell, nauseous, and hot. Day 4 - hot flashes, nausea, dizziness, palpitations and fast racing heart developed, blurry vision, panic attack and difficulty breathing. Day 5 - nausea, vision blurred, and heart palpitations, which have continued through the present. Heart jumps and then races fast palpitations throughout whole day.

Other Meds: Synthroid, Hemax

Current Illness: Upper Respiratory Illness - cold

ID: 1761861
Sex: M
Age: 69
State: CA

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 10/05/2021
Hospital:

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

Lab Data: Blood work three times MRI CAT scan EEG Thyroid ultrasound All were normal

Allergies: None

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: ? Fatigue, lethargic ? Sleeping twelve hours at night and napping in the afternoon ? Loss of appetite, unable to eat, stomach discomfort ? Weight loss ? Lightheadedness, shortness of breath, fainting spells ? Disorientation ? Sweats accompanied by violent tremors ? Mental confusion ? Vomiting ? Sudden decline in visual and auditory acuity ? Bad taste in mouth ? Bad breath ? Memory loss ? Always cold ? Salt deficient (at least I crave it) ? Hallucinations in peripheral vision ? June 6, overnight to the 7th, my sleep was constantly disturbed by vivid nightmares

Other Meds: ? Amlodipine 10 Mg ? Losartan HCTZ 12.5 Mg ? Cetrizine Hydr. 10 Mg ? Half an asprin ? B complex with folic acid ? Vitamin D ? Occuvite Cialis and Viagra as needed

Current Illness: None

ID: 1761862
Sex: F
Age: 73
State: OH

Vax Date: 02/23/2021
Onset Date: 10/02/2021
Rec V Date: 10/05/2021
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: PCR collected 10-2-2021, resulted positive

Allergies:

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

Symptoms: unknown

Other Meds:

Current Illness:

ID: 1761863
Sex: U
Age: 16
State: NY

Vax Date: 07/08/2021
Onset Date: 07/08/2021
Rec V Date: 10/05/2021
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: Nausea

Symptoms: Patient received Moderna Vaccine under the age 18. Adverse reaction unknown.

Other Meds:

Current Illness:

Date Died: 10/04/2021

ID: 1761864
Sex: F
Age: 86
State: MA

Vax Date: 10/01/2021
Onset Date: 10/04/2021
Rec V Date: 10/05/2021
Hospital:

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

Lab Data: N/A

Allergies: AMLODIPINE, CELEBREX

Symptom List: Injection site pain

Symptoms: ADMITTED TO FACILITY 9/29/21 AFTER FALLS AT HOME. RECEIVED J&J VACCINE FROM PHARMACY ON 10/1/21. ON 10/4, STAFF PRESENT IN ROOM, RESIDENT BECAME DIAPHORETIC, PALE, AND UNRESPONSIVE. 911 CALLED, RESIDENT EXPIRED MOMENTS LATER.

Other Meds: TYLENOL, XANAX, AMIODORONE, ELIQUIS, LASIX, HYDROCHLORIQUINE, SYNTHROID, MELATONIN, MIDODRINE, PRILOSEC, PLAQUENAL, PREDNISONE, SENNA PLUS, SPIRONOLACTONE, VIT D, prn: DULCOLAX SUPPOSITORY, MIRALAX, MILK OF MAGNESIA, ZOFRAN, ULTRAM

Current Illness: ADMITTED TO FACILITY 9/29/21 AFTER FALLS AT HOME. RECEIVED J&J VACCINE FROM PHARMACY ON 10/1/21. ON 10/4, STAFF PRESENT IN ROOM, RESIDENT BECAME DIAPHORETIC, PALE, AND UNRESPONSIVE. SHE EXPIRED MOMENTS LATER.

ID: 1761865
Sex: F
Age: 71
State: NJ

Vax Date: 09/21/2021
Onset Date: 09/21/2021
Rec V Date: 10/05/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1761866
Sex: F
Age: 71
State: KY

Vax Date: 02/05/2021
Onset Date: 10/01/2021
Rec V Date: 10/05/2021
Hospital: Y

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

Lab Data: Covid-19 positive test on 09/30

Allergies:

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

Symptoms: Positive for COVID-19 infection - fever, myalgias, chills, cough and SOA. Received monoclonal antibody infusion

Other Meds:

Current Illness:

ID: 1761867
Sex: F
Age: 56
State: NC

Vax Date: 10/04/2021
Onset Date: 10/05/2021
Rec V Date: 10/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: Tingling, throat tightness, allergy-like symptoms starting about 1 days after vaccine administration. Very similar to beginnings of anaphylactic reaction. Relieved by diphenhydramine.

Other Meds:

Current Illness:

ID: 1761868
Sex: M
Age: 76
State: NJ

Vax Date: 09/21/2021
Onset Date: 09/21/2021
Rec V Date: 10/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1761869
Sex: M
Age: 68
State: OK

Vax Date: 10/04/2021
Onset Date: 10/04/2021
Rec V Date: 10/05/2021
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: None

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

Symptoms: Patient given COVID-19 vaccine Moderna dose 1 and 2 in past. COVID-19 Pfizer 3rd dose given. Patient denied any adverse affects at this time.

Other Meds: None

Current Illness: None

ID: 1761870
Sex: F
Age: 28
State: KY

Vax Date: 10/05/2021
Onset Date: 10/05/2021
Rec V Date: 10/05/2021
Hospital:

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

Lab Data: None

Allergies: None

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

Symptoms: Gave 0.5ml of flulaval quadrivalent vaccine intramuscularly in left arm. Upon injection, administrator felt a strong resistance from the plunger. Around 1/2 of the vaccine was estimated to have been administered. The dose was re-issued with another flu vaccine in the opposite (right) arm and was successful. Per CDC guidance,

Other Meds: None

Current Illness: None

Date Died: 09/12/2021

ID: 1761871
Sex: M
Age: 78
State: IL

Vax Date: 03/10/2021
Onset Date: 09/02/2021
Rec V Date: 10/05/2021
Hospital:

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

Lab Data: antigen Covid test positive on 9/2

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: pt admitted on 9/2 syncopy and sob, pt placed on cpap in er condition continued to worse, pt intubated pt went into septic shock and expired on 9/12/21

Other Meds:

Current Illness:

ID: 1761872
Sex: F
Age: 55
State: NY

Vax Date: 03/24/2021
Onset Date: 03/28/2021
Rec V Date: 10/05/2021
Hospital:

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

Lab Data: Unsure of exact DATE but went to the ENT around May 2021 for help.

Allergies: Ragweed allergy ONLY

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

Symptoms: Visited an ENT Specialist due to the "ringing" in the ears and was told nothing can be done to help with this issue.

Other Meds: Methylprednisolone 3mg, Lortabs 10/325, Actemra (1 subQ everyother week) Irbesartan .75mg, Famotidine 20mg, Levothyroxine 88mg, Lipitor 20 mg, Duloxetine HCL 30mg, Ocuvite Adult 50+ 1, Vitamin D3 1000 IU, Calcium 600 mg daily, Diabetes

Current Illness: Rheumatoid Arthritis (see below)

ID: 1761873
Sex: F
Age: 39
State: GA

Vax Date: 09/30/2021
Onset Date: 10/02/2021
Rec V Date: 10/05/2021
Hospital:

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: EKG, blood work, CTA of lungs. The EKG was a little bit abnormal, blood work- dimer was elevated, CTA was normal. echocardiogram- normal

Allergies: None

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

Symptoms: I had a headache like 30 minutes afterwards. I had body aches and fatigue. On Saturday I started having chest pain and trouble breathing. I went to urgent care on Sunday. They did an EKG, blood work, CTA of lungs. The EKG was a little bit abnormal, blood work- dimer was elevated, CTA was normal. They prescribed Ibuprofen and Colchicine. I saw a cardiologist on Wednesday. I still have some chest pain from time to time. My heart rate is a little bit elevated from its baseline. They did an echocardiogram on Wednesday and it was normal.

Other Meds: None

Current Illness: None

ID: 1761875
Sex: M
Age: 76
State: NJ

Vax Date: 09/21/2021
Onset Date: 09/21/2021
Rec V Date: 10/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pain in extremity

Symptoms: Error: Improper Storage (temperature).

Other Meds:

Current Illness:

ID: 1761876
Sex: M
Age: 17
State: NY

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 10/05/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Patient was 17 years old; younger than recommended 18 years old. No immediate symptoms or signs.

Other Meds:

Current Illness:

ID: 1761877
Sex: M
Age: 21
State: TN

Vax Date: 03/03/2021
Onset Date: 03/05/2021
Rec V Date: 10/05/2021
Hospital:

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

Lab Data:

Allergies: Citric Acid penicillin

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

Symptoms: I ran a 102-103 fever for two days, my arm swelled up, became itchy, and red. Im also having problems with my memory.

Other Meds: None

Current Illness: None

ID: 1761878
Sex: F
Age: 35
State: MN

Vax Date: 01/19/2021
Onset Date: 10/02/2021
Rec V Date: 10/05/2021
Hospital:

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

Lab Data: 10/4 SARS/COV-2, NAAT positive

Allergies:

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

Symptoms: Breakthrough COVID

Other Meds:

Current Illness:

ID: 1761879
Sex: F
Age: 65
State: NJ

Vax Date: 09/21/2021
Onset Date: 09/21/2021
Rec V Date: 10/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1761880
Sex: F
Age: 35
State: TX

Vax Date: 09/11/2021
Onset Date: 10/04/2021
Rec V Date: 10/05/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: EC visit and subsequent admission for pain with breathing, cough, vomiting. Diagnosed with sub-segmental pulmonary emboli

Other Meds:

Current Illness:

ID: 1761881
Sex: F
Age: 57
State: IA

Vax Date: 03/31/2021
Onset Date: 08/18/2021
Rec V Date: 10/05/2021
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: Covid test-Positive on 08/18/2021

Allergies: no

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

Symptoms: 08/18/2021 I woke 4:30 in the morning and I got dizzy, my heart was racing. I laid back down till 5:00am for work, my heart rate was still high and my BP was high, slight fever. I went to my dr to get a Covid test and it was positive. So I had a break thru case after both vaccines.08/19/2021 temp kept getting higher and a lot fatigue. On 08/20/2021 I had the infusion for the antibodies.

Other Meds: I am on Humira and Azathioprine. Omeprazole and Vit D3

Current Illness: no

ID: 1761882
Sex: F
Age: 36
State: MT

Vax Date: 10/05/2021
Onset Date: 10/05/2021
Rec V Date: 10/05/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin, Erythromycin Ethylsuccinate, Penicillins

Symptom List: Injection site swelling, Limb discomfort

Symptoms: No adverse outcomes, patient was supposed to receive TDap

Other Meds: Albuterol inhaler, Symbicort, Buspar, Flexiril, Medrol Dospack, Multivitamin, Norethindrone

Current Illness: Patient had a finger laceration that did not require stitches.

ID: 1761883
Sex: M
Age: 77
State: MI

Vax Date: 03/09/2021
Onset Date: 09/26/2021
Rec V Date: 10/05/2021
Hospital: Y

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

Lab Data: CHIEF COMPLAINT Chief Complaint Patient presents with ? WEAKNESS = ASSESSMENT/ Plan Active Problems: CAD (coronary artery disease) Dyslipidemia Hypertension Atrial fibrillation and flutter Tobacco use Pneumonia due to COVID-19 virus Acute on chronic respiratory failure with hypoxia Pertinent Results: - CT angiogram thorax: 1. No evidence of acute pulmonary embolism, noting that the subsegmental branches in the lower lobes are suboptimally opacified due to artifact. 2. Right upper lobe-predominant patchy groundglass airspace disease as seen with COVID-19 infection. Volume loss in the lower lobes with small right greater than left pleural effusions. No consolidative lobar pneumonia. 3. Findings suggestive of mild positive fluid balance. Question chronic pulmonary arterial hypertension. Estimated Creatinine Clearance: 89.3 mL/min (by C-G formula based on SCr of 0.67 mg/dL). Acute hypoxic respiratory failure secondary to Severe COVID pneumonia - admit to CC2 bed for close monitoring with ICU on consult - status post IV Decadron 6 mg need E will continue Decadron 6 mg daily for 10 days - remdesivir started in the emergency department will will continue x5 days -stop IV fluids started in emergency department - will give Lasix IV Lasix 40 mg 2 times a day x2 doses for now - continue close monitoring on continuous pulse oximetry - will repeat ABG - intensive care unit consulted appreciate recommendations; spoke with intensive care unit intensivist will cover for Hospital associated bacterial pna with vancomycin/cefepime given air bronchograms on CT per intensive care unit intensivist review of CT - spoke with pharmacy given his inability to tolerate oral intake will hold Eliquis for now and start on Lovenox protocol for COVID-19; transition back to Eliquis when patient is able to tolerate oral - patient is at high risk of clinical deterioration and death due to severe COVID pneumonia requiring high amount of oxygen supplementation - Alabuterol PRN and continue home Spiriva - wean oxygen as tolerated to maintain saturations greater than 92% AFib RVR -titrate Cardizem drip - will add IV metoprolol 5 mg Q 3 as needed to help control heart rate <120 - cardiology consulted appreciate recommendations; spoke with cardiology team they agree with continuing Cardizem and p.r.n. IV metoprolol 5 mg Q 3 as needed to control heart rate as noted above - Eliquis on hold for now as noted above given inability to tolerate oral meds this time will cover with Lovenox per COVID-19 protocol for now transition back to Eliquis when able to tolerate oral meds. Agitation/delirium/disorientation - as discussed with intensive care unit will start on Precedex drip non insulin dependent DM on metformin; last hgbA1c of 5.4 - will cover with on very low dose insulin sliding scale given that he will be on steroids as above for tx of covid HTN HLD CAD - hold prior to admission meds for now given his inability to tolerate oral intake; restart home meds when he is able to tolerate orally intake Diet: N

Allergies: Not on File

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

Symptoms: Patient is a 77 y.o. male that presented to the ED with hypoxia and shortness of breath. ER workup positive for COVID pneumonia and also with AFib RVR. Intensive care unit contacted by ER air in agreement with CC2 level bed and will consult on patient. Currently the patient states that he feels very short of breath and tired. Denies fevers or chills. Resting history provided by daughter at bedside given his inattentiveness and disorientation. She states that over the last few days he has become more fatigued and short of short of breath since discharge from recent hospitalization.

Other Meds: Hospital Medications L1 acetaminophen (TYLENOL) tablet 1,000 mg L1 acetaminophen (TYLENOL) tablet 500 mg albuterol HFA (PROVENTIL HFA, VENTOLIN HFA, PROAIR HFA) 90 mcg inhaler (60 dose canister) apixaban (ELIQUIS) tablet 5 mg aspirin chewab

Current Illness: Admission Date: 9/16/2021 Discharge Date: Sep 22, 2021 Active Hospital Problems Diagnosis Date Noted POA ? Moderate protein-calorie malnutrition 09/17/2021 Unknown Resolved Hospital Problems Diagnosis Date Noted Date Resolved POA ? Rhabdomyolysis 09/16/2021 09/22/2021 Unknown Pre-Existing Active Problems Diagnosis Date Noted POA ? Tobacco use 07/22/2021 Unknown ? Atrial fibrillation and flutter 06/26/2019 Unknown ? CAD (coronary artery disease) 06/05/2014 Unknown ? Dyslipidemia 06/05/2014 Unknown ? Type II or unspecified type diabetes mellitus without mention of complication, not stated as uncontrolled 06/05/2014 Unknown ? Hypertension 06/05/2014 Unknown HOSPITAL COURSE: Patient is a 77-year-old male with a history of hypertension, atrial fibrillation on Eliquis, combined systolic and diastolic heart failure and diabetes who presented after he was found down in his apartment. He had fell in his apartment but was unable to get up and was found on the morning of admission by his apartment manager and it was estimated that he had been down on the floor for about 12 hours. In the emergency department labs were obtained that was significant for CK of 8094 with a normal renal function and mild elevation of AST and ALT. COVID-19 PCR was negative. UA did not reveal any evidence of infection. Troponins were elevated at 32 and 30. Atrial fibrillation was seen on EKG. CT of the head and CT of the cervical spine did not reveal any acute pathology. He was noted to have a small meningioma on head CT which was stable in appearan

ID: 1761884
Sex: F
Age: 66
State: IA

Vax Date: 10/04/2021
Onset Date: 10/04/2021
Rec V Date: 10/05/2021
Hospital:

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

Lab Data: none

Allergies: Peanuts

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

Symptoms: Pt given 4 doses of Covid-19 vaccine

Other Meds: Ativan, MTV, Vit D, Theodur, Desyrel

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am