VAERS ID: |
914473 (history) |
Form: |
Version 2.0 |
Age: |
83.0 |
Sex: |
Female |
Location: |
Missouri |
Vaccinated: | 2020-12-28 |
Onset: | 2020-12-29 |
Days after vaccination: | 1 |
Submitted: |
0000-00-00 |
Entered: |
2020-12-30 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
025J20A / 1 |
RA / IM |
Administered by: Senior Living Purchased by: ? Symptoms: Asthenia,
Chest X-ray,
Cognitive disorder,
Computerised tomogram head,
Decreased appetite,
Depressed level of consciousness,
Facial paralysis,
Fatigue,
Hypertension,
Laboratory test,
Livedo reticularis,
Mental status changes,
Pyrexia,
Rash,
Rash macular,
Speech disorder,
Tremor SMQs:, Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Parkinson-like events (broad), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypertension (narrow), Cardiomyopathy (broad), Hearing impairment (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Other Medications: Eliquis, carbidopa-levidopa, Cardizem, Comtan, gabapentin, metoprolol, omeprazole, potassium citrate Current Illness: COVID-19 positive Preexisting Conditions: hypertension, hypokalemia, malignant neoplasm, tremor, Allergies: Cipro, Levaquin, topiramate Diagnostic Lab Data: Lab, Chest x-ray, Head CT, IVF CDC Split Type:
Write-up: Weakness, fatigue, decreased appetite, upper extremity shaking, sternal red blotchy rash, decreased mental status, non-verbal, decreased level of conscious, mottling, left side facial droop, hypertensive, fever, unable to follow commands |
VAERS ID: |
914474 (history) |
Form: |
Version 2.0 |
Age: |
64.0 |
Sex: |
Female |
Location: |
New Jersey |
Vaccinated: | 2020-12-29 |
Onset: | 2020-12-29 |
Days after vaccination: | 0 |
Submitted: |
0000-00-00 |
Entered: |
2020-12-30 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK9231 / UNK |
LA / IM |
Administered by: Private Purchased by: ? Symptoms: Abdominal pain,
Dyspnoea,
Headache,
Oropharyngeal pain,
Peripheral swelling,
Pruritus,
Rash SMQs:, Cardiac failure (broad), Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (broad), Retroperitoneal fibrosis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
Extended hospital stay? No Previous Vaccinations: Other Medications: Acetaminophen 650 Q8, Vit C, lactobacillus 20 billions daily, metaxalone 800 mg 3 times daily Current Illness: Asthma Preexisting Conditions: Asthma Allergies: Benzonatate, iodine, guaifaresin Diagnostic Lab Data: Benadryl 50 mg then 50 IV Q8 hours, epinephrine, Pepcid, CDC Split Type:
Write-up: headache 15 minutes after receiving vaccine, 3 to 4 hours later broke out in rash on upper extremities, ABD pain, itchy, and arm swelling, throat hurts. SOB |
VAERS ID: |
914521 (history) |
Form: |
Version 2.0 |
Age: |
39.0 |
Sex: |
Female |
Location: |
Idaho |
Vaccinated: | 2020-12-28 |
Onset: | 2020-12-29 |
Days after vaccination: | 1 |
Submitted: |
0000-00-00 |
Entered: |
2020-12-30 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
025J20-2A / 1 |
LA / IM |
Administered by: Private Purchased by: ? Symptoms: Abdominal pain,
Amphetamines positive,
Anterograde amnesia,
Antidepressant drug level,
Atelectasis,
Back pain,
Bacterial test positive,
Barbiturates positive,
Blood culture,
Blood lactic acid normal,
Blood urine present,
Chills,
Cholelithiasis,
Chromaturia,
Coma scale abnormal,
Computerised tomogram abdomen normal,
Computerised tomogram head normal,
Computerised tomogram pelvis,
Computerised tomogram thorax normal,
Condition aggravated,
Cough,
Culture urine,
Drug screen,
Dysarthria,
Dysuria,
Eye movement disorder,
Flank pain,
Gaze palsy,
Glucose urine absent,
Headache,
Hypertonia,
Hypopnoea,
Incoherent,
Influenza A virus test negative,
Influenza B virus test,
Influenza virus test negative,
Intervertebral disc degeneration,
Lethargy,
Leukocytosis,
Mental status changes,
Migraine,
Moaning,
Myalgia,
Nasal congestion,
Nasal septum deviation,
Nausea,
Nitrite urine absent,
Opiates negative,
Oropharyngeal pain,
Paranasal cyst,
Pelvic pain,
Protein urine absent,
Pyrexia,
Red blood cells urine negative,
SARS-CoV-2 test positive,
Scan with contrast normal,
Seizure,
Sinus disorder,
Specific gravity urine normal,
Unresponsive to stimuli,
Urine abnormality,
Urine analysis,
Urine bilirubin decreased,
Urine ketone body present,
Urine leukocyte esterase,
Urobilinogen urine,
Vomiting,
White blood cells urine negative,
pH urine normal SMQs:, Torsade de pointes/QT prolongation (broad), Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (narrow), Hyperglycaemia/new onset diabetes mellitus (narrow), Neuroleptic malignant syndrome (narrow), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Convulsions (narrow), Parkinson-like events (narrow), Drug abuse and dependence (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (narrow), Psychosis and psychotic disorders (broad), Gallbladder related disorders (narrow), Gallstone related disorders (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Ocular motility disorders (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Proteinuria (broad), Respiratory failure (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow), Hypoglycaemia (broad), Infective pneumonia (broad), Hypokalaemia (broad), Opportunistic infections (broad), COVID-19 (narrow), Sexual dysfunction (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
Extended hospital stay? No Previous Vaccinations: Other Medications: none on file Current Illness: COVID- 19 diagnosis 12/11/2020 asymptomatic Preexisting Conditions: DIAGNOSIS 1. COVID-19 virus infection ? 2. Urinary tract infection with hematuria, site unspecified ? ? Microscopic hematuria. 3. Seizure (HCC) ? 4. Nonintractable headache, unspecified chronicity pattern, unspecified headache type ? 5. Cough ? 6. Neutrophilic leukocytosis ? 7. Amphetamine or stimulant drug abuse (HCC) ? 8. Intracranial aneurysm ? ? Reportedly identified on MRI/MRA of brain in 2020. Unknown location, size, and characteristics. ? HX: seizures Allergies: NKDA Diagnostic Lab Data: Results as of 12/30/2020 14:32 12/30/2020 00:23 Color Urine: Yellow Clarity Urine: Slightly Cloudy (A) Specific Gravity: 1.010 Glucose Urine: Negative Bilirubin Urine: Negative Ketones Urine: 5 mg/dL Blood Urine: Moderate (2+) (A) pH Urine: 6.5 Protein Urine: Negative Nitrite: Negative Leukocyte Esterase Urine: Negative Urobilinogen: < 2 mg/dL WBC Urine: Negative RBC Urine: 0-2 /hpf Squamous Epithelial: Occ (0-10) /lpf Bacteria: Many ($g50) /hpf (A) 12/30/2020 00:26 Amphetamines: Positive (A) Barbiturates: Positive (A) Benzodiazepine: Negative Buprenorphine: Negative Cocaine: Negative Marijuana (THC): Negative Methadone: Negative Methamphetamines: Negative Opiates: Negative Oxycodone: Negative Phencyclidine: Negative Tricyclics Antidepressant TCA: Negative Propoxyphene: Negative 12/30/2020 00:36 Influenza B: Not Detected Influenza A: Not Detected SARS-CoV-2: Detected (A) 12/30/2020 00:58 CULTURE, BLOOD: Rpt pending 12/30/2020 01:04 CULTURE, BLOOD: Rpt pending ?Procedure: CT HEAD WITHOUT CONTRAST ?Date of Service: 12/29/2020 CT OF THE HEAD WITHOUT IV CONTRAST: ? INDICATION: Altered level of consciousness. ? COMPARISON: No prior exams are available for comparison. ? FINDINGS: No acute intracranial hemorrhage, mass effect, or obvious infarcts. ?Normal ventricular size. ?Rightward nasal septal deviation. ?Mildly prominent mucous retention cyst in the left maxillary sinus. ?Mild additional scattered paranasal sinus disease. ? The preliminary report was reviewed without significant discrepancy. ? IMPRESSION: No acute intracranial abnormalities. ?Scattered paranasal sinus disease, as discussed above. ? If clinical concern persists, MRI could be considered for further evaluation. ? ?Procedure: CT CHEST ABDOMEN PELVIS WITH CONTRAST ?Date of Service: 12/29/2020 CT OF THE CHEST, ABDOMEN, AND PELVIS WITH IV CONTRAST. ?ADDITIONAL MIP REFORMATTED IMAGES WERE REVIEWED. ? INDICATION: Leukocytosis, diffuse pain. ? COMPARISON: No prior exams are available for comparison. ? FINDINGS: CHEST: Shallow inspiration. ?Mild bibasilar dependent atelectasis. ?No focal consolidation, pleural effusion, or pneumothorax. ?Normal heart size. ?No definite pathologic lymphadenopathy. ?Benign-appearing bone island in T12 on the right. ?Mild degenerative change of the spine. ? ABDOMEN/PELVIS: Large probable noncalcified gallstone in the gallbladder neck measuring up to 1.9 x 3.0 cm with mildly prominent sludge throughout the remainder of the gallbladder lumen. ?No significant surrounding inflammatory change is identified at this time. ?Correlation with ultrasound is recommended for further evaluation. ? Liver, spleen, pancreas, adrenal glands, and kidneys appear grossly unremarkable. ?No hydronephrosis. ?No evidence for bowel obstruction or appendicitis. ?No definite pathologic lymphadenopathy. ?Degenerative changes of the spine. ? The preliminary report was reviewed with discrepancy as the large probable noncalcified stone and sludge in the gallbladder lumen was not mentioned on the preliminary interpretation. ? IMPRESSION: 1. ?Large probable noncalcified gallstone in the gallbladder neck with mildly prominent sludge, as discussed above. ?Correlation with ultrasound is recommended for further evaluation. 2. ?Additional nonacute/chronic findings, as detailed above. ? CDC Split Type:
Write-up: Patient presents with ? Altered Mental Status ? Headache ? ? HPI Patient presents to ER by EMS ambulance after family called 911 as patient was incomprehensible with slurred speech and moaning on the phone this evening. On arrival of EMS patient was asleep in bed and reportedly unresponsive other that to localize to pain. EMS transferred patient to ER. On arrival to ER patient had GCS 7. Reportedly patient is locum nurse who works in a Nursing Home and patient reportedly received COVID vaccination 2 days ago and that night reportedly began complaining to family on the phone of headache, nasal congestion, sore throat, cough, fever, chills, nausea, emesis, myalgias, and lethargy. Per the medical record patient has history of seizures, migraines, and sciatica. No other information is known on patient arrival to ER. 1. Peripheral IV right dorsal hand placed by EMS in route to ER. 2. On arrival to ER GCS 7 (E1M5V1) and roving eye movements with episodic lateral conjugate and at times disconjugate gaze concerning for seizure activity. Arms and legs with moderately increased tone but no clonic movements and patient able to localize bilaterally. 3. Ativan 1 mg IVP for seizure, then further 2 mg IVP for persistent seizure. 4. Fosphenytoin 1,000 mg IVPB in ER for loading dose of antiseizure medication. 5. Patient had significant improvement following completion of Ativan 3 mg IVP and GCS improved to 14 (E3M6V5) from GCS of 7 (E1M5V1). 6. Patient able to communicate after improvement as above and reports she has had headache or migraine for past several days as well as dysuria with bilateral CVA pain and has significant pain on percussion of bilateral CVA and moderate pain on palpation of bilateral flanks. No nuchal rigidity or pain with ROM of neck. Additionally, she complains of severe headache and diffuse pain of back and abdomen/pelvis. She reports a history of seizures in the past and reports she had one last month and was treated at a hospital in her home state. She denies antiseizure medications. Additionally, patient reports nonproductive cough, sore throat, nasal congestion, fever, chills, myalgias, lethargy, nausea, and episodic emesis over the past 2 days. She has anterograde amnesia following seizure and does not recall events. 7. Normal saline 1,000 mL IV bolus, then 100 mL/hour in ER. 8. CT of head with and without contrast performed and negative for intracranial hemorrhage, lesions, stroke, or other acute pathology. 9. CT of chest/abdomen/pelvis with IV contrast shows no acute pathology or notable abnormalities. 10. Lactic acid drawn and normal. 11. UA and urine microscopy collected by straight catheterization and culture collected and pending. 12. Blood cultures x 2 collected and pending. 12. Rocephin 2 mg IVPB in ER after blood cultures collected. 13. Vancomycin 20 mg/kg (1,500 mg) IVPB following Rocephin. 14. Dexamethasone 10 mg IVP in ER. 15. Duoneb nebulizer in ER. 16. Called to discuss with patient''s daughter and the family''s preferred contact who is 23 years old. She reports patient had COVID vaccination 2 days ago and beginning that night patient has complained of headache, fever, chills, nonproductive cough, sore throat, nasal congestion, myalgias, and lethargy. Additionally, she reports patient has history of seizures on at least 1 occasion in the past a few months ago but is not on antiseizure medications. She reports patient had MRI and MRA of her brain at that time and reportedly and intracranial aneurysm was identified at that time. 17. Called to request transfer to another facility and spoke with hospitalist who states there is no neurologist there and suggests transfer to larger tertiary care facility with neurology. 18. Called to request transfer and accepted by ER provider. 19. Transfer by ALS ground ambulance with telemetry, pulse oximetry, O2 to keep $g 02%, vitals every 30 minutes, normal saline at 100 mL/hour, Rocephin 2 grams IVPB, vancomycin 20 mg/kg (1,500 mg) IVPB in ER. ? DISPOSITION Patient Stabilized and Transferred Data Unavailable Wed Dec 30, 2020 2:12 AM CST |