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This is VAERS ID 992082

History of Changes from the VAERS Wayback Machine

First Appeared on 2/4/2021

VAERS ID: 992082
VAERS Form:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Senior Living      Purchased by: ??
Symptoms: Culture urine negative, Death, Full blood count normal, Hemiparesis, Mobility decreased, General physical health deterioration, Metabolic function test, Metabolic function test normal

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-01-28
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Rocephin, depakote sprinkles, metoprolol, trazodone, famotidine, certevite, mylanta, vit D, zocor, keppra, aspirin, tylenol, tricor.
Current Illness: None
Preexisting Conditions: Supraventricular Tachycardia, cerebral palsey, epilepsy,
Allergies: NKA
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Resident was noted on 1/25 with an increased functional decline as she would not feed herself with utensils, but would eat finger foods if placed in her hand. She was started on Rocephin IM for possible infections. Labs had been obtained on 1/21/21, unremarkable for CBC and CMP. 75,000 colony count on urine. On 1/26/21 she was noted with right sided weakness and further decline. She was sent to Hospital for further evaluation. We were notified that she expired on 1/28/2021. Resident had been noted with a decline in function about 2 weeks earlier when she would not stand or transfer any longer. She was still responsive, taking meds, and feeding herself until 1/26/21. Further information on admitting diagnoses and progress notes from hospital have not been available to date.

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