This is VAERS ID 909031

Administered by: Private       Purchased by: ?
Symptoms: Blood bilirubin increased, Blood creatinine increased, Blood lactic acid decreased, C-reactive protein increased, Confusional state, Hypotension, Platelet count decreased, SARS-CoV-2 test negative, Sepsis, White blood cell count increased
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (broad), Liver related investigations, signs and symptoms (narrow), Anaphylactic reaction (broad), Acute pancreatitis (broad), Haematopoietic thrombocytopenia (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Biliary system related investigations, signs and symptoms (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Chronic kidney disease (broad), Tumour lysis syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad), Hypokalaemia (broad), Sepsis (narrow), Opportunistic infections (broad), COVID-19 (broad)

Life Threatening? Yes
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: Levothyroxine, vitamin D, Naproxen, Namenda, Aricept
Current Illness: UTI
Preexisting Conditions: Dementia
Allergies: None
Diagnostic Lab Data: Lactic acid 2.2 Creat 1.2 CRP 8.32 T. Bili 1.1 WBC 13.3 Sars Cov2 negative (rapid Abbott) PLT 115
CDC Split Type:

Write-up: Patient presented with signs and symptoms of sepsis, developing over 12 to 24 hours 6 days after vaccination. was hypotensive and confused (beyond baseline)