Your Health. Your Family. Your Choice.
|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA||012L20A / 1||LA / IM|
Administered by: Senior Living Purchased by: ??
Symptoms: Death, Respiratory failure, Acute coronary syndrome, Laboratory test, Endotracheal intubation
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Other Medications: acetaminophen amlodipine calcium carbonate + vitamin D3 Celebrex (PRN) Irbesartan lidocaine patch loratadine polyethylene glycol pravastatin
Current Illness: pneumonia, acute hypoxic respiratory failure
Preexisting Conditions: HTN HLD Osteoarthritis osteoporosis impaired mobility secondary to avascular necrosis or right humeral head, and s/p ankle fusions, bilateral knee replacements Sciatica open angle glaucoma
Allergies: horse chesnut seed extract
Diagnostic Lab Data: Tests/ results were performed in hospital, outside of our setting (nursing home).
CDC 'Split Type':
Write-up: Resident passed away unexpectedly on 01/19/21 after developing acute hypoxic respiratory failure on morning of 01/19/21. She was transferred to hospital via EMS where she was intubated, coded, and ultimately expired with uncertain underlying cause, potentially ACS.
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