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You are viewing patients aged: 88, in state: WI

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VAERS_IDRECVDATESTATEAGE_YRSCAGE_YRCAGE_MOSEXRPT_DATESYMPTOM_TEXTDIEDDATEDIEDL_THREATER_VISITHOSPITALHOSPDAYSX_STAYDISABLERECOVDVAX_DATEONSET_DATENUMDAYSLAB_DATAV_ADMINBYV_FUNDBYOTHER_MEDSCUR_ILLHISTORYPRIOR_VAXSPLTTYPEFORM_VERSTODAYS_DATEBIRTH_DEFECTOFC_VISITER_ED_VISITALLERGIESLink 1Link 2
093268501/10/2021WI88.088MResident received step one of Moderna Vaccine on 01/05/2021 which was within 14 days of receiving PPSV-23 on 12-26-2020 No adverse reactions observed within 48 hours after receiving vaccineY01/05/202101/05/20210SENAspirin 325mg daily, Vitamin D3 (1000u) daily, Sertraline 50mg daily, Tylenol 1G BID, Senakot 8.6/50mg daily, Tamsulosin 0.4mg daily, Lisinopril 20mg daily, Tramadol 25mg daily. Received PPSV-23 on 12-26-2020Left hip pathological fracture on 12-18-2020Hypertension, Renal Insufficiency, hx of prostate cancer, spinal stenosis201/10/2021NKA2021VAERSSYMPTOMS2021VAERSVAX
094485001/14/2021WI88.088Mfatigue, stayed in bed most of day after vaccination and during therapy oxygen sats dropped to 82 % on Room air, needed to start oxygen, HR 101, R 36, mild non productive cough, mild SOB, T 99.5 Oxygen administered at 2 liters from 1/7 at 220 pm til 1/8 Y01/06/202101/07/20211Swab for influenza A & B done 1/7 and negative Rest of Labs done on 1/8/21 in AM with CXR hemogram- within his recent levels abnormal low RBC, hemoglobin 11.8 but within his range, Creat = 1.0, BUN = 13 , C-Reative Protein elvated at 3.4, Procalcitonin =SENtamsulosin, acetaminophen ES, atorvastatin, vitamin D3, vitamin B-12, finasteride, glipizide ER,isosorbide mononitrate ER, Vitamin E, Ascorbic acid, duloxetine, cranberry, aplha-lipoic acid, flonase, Nystantin powder, saw palmetto, gabapentHosp with severe sepsis with acute organ dysfunction, pneumonia, Covid + 12/8/20hypertensive chronic kidney disease, chronic kidney disease stage 3, type 2 diabetes mellitius with diabeitc polyneuropathy, atherosclerotic heart disease, hyperlipidemia, osteoarthritis201/14/2021aspirin, oxycodone HCl Pregabalin2021VAERSSYMPTOMS2021VAERSVAX
096721401/22/2021WI88.088FWithin 1/2 hour of vaccination the patient was dizzy and was having a hard time remaining upright, additionally the patient was less alert and oriented. Patient was observed for a few minutes and then ambulance was called. Patient was transported via EMS wY2U01/21/202101/21/20210unknownSENaspirin, atorvastatin, famotidine, gabapentin, metoprolol, omeprazole, tramadolunknownanemia, monoplegia of lower limb affecting right dominant side, encephalopathy unspecified, atherosclerotic heart disease, cardiomyopathy, barrets esophagus, acute kidney failure201/22/2021Ysulfa2021VAERSSYMPTOMS2021VAERSVAX
097409501/26/2021WI88.088MInpatient admission for the treatment of sepsis (peptostreptococcus suspected) source of the infection unknown.Y9Y12/30/202001/16/202117Initial lactate of 3.0 on 1/16 at 0749amPVTacetaminophen (TYLENOL) 325 mg tablet Take 650 mg by mouth every 6 hours if needed. ? albuterol HFA (PROAIR HFA) 90 mcg/actuation inhaler Inhale 2 Puffs by mouth 4 times daily if needed for Shortness Of Breath or Wheezing. ? fluticasone-saDementia w/ activity changeDementia, weakness, anemia, COPD, chronic atrial fibrillation, benign neoplasm of ear and external auditory canal,201/26/2021NKA2021VAERSSYMPTOMS2021VAERSVAX
097500201/26/2021WI88.088Mon 1/13/2021 at 3:40am Cliff called for assistance. He lost his balance and had fallen. Cliff refused vitals, refused emergency department, denied hitting his head. As the day progressed patient developed a headache, diarrhea, and vomiting. He again decliY01/14/2021Y1N01/12/202101/13/202111/13/2021 CT scan headSENCholecalciferol 1000 ius daily, Magnesium Oxide 400mg BID, ViStableChronic atrial fibrillation (on warfarin), coronary artery disease, chronic heart failure with preserved ejectionInfluenza vaccine 10/06/2020, age 88, fever, chills, vomiting, malaise201/26/2021YBee venum, shellfish, adhesive tape, cardizem, primidone2021VAERSSYMPTOMS2021VAERSVAX
100322402/04/2021WI88.088FBLACK STOOLS 2 days ago (Tuesday) she started with watery, black stools It was very frequent. Wednesday - it was still black but not as often Thursday - This morning it has been brown. No pain or cramping. No dizziness.Y01/30/202102/03/20214CBC NORMAL, BMP AND EXAM UNREMARKABLE, SYMPTOMS RESOLVING SPONTANEOUSLYPVTRx: cyanocobalamin (vit B-12) ER 1,000 mcg tablet,extended release Ref: 0 Instructions: Take 1 Tablet ORAL DAILY. Rx: PROBIOTIC PRODUCT ORAL Tablet, Ref: 0 Instructions: Take 1 Tablet ORAL DAILY. Rx: biotin 10 mg tablet ReNONEChronic obstructive pulmonary disease (ICD10 = J44.9 / ICD9 = 496 / SNOMED = 13645005) Abdominal aortic aneurysm without mention of ... (ICD10 = I71.4 / ICD9 = 441.4 / SNOMED = 233985008) AAA repair 2001 Restless legs syndrome (ICD10 = G25.81 / ICD9 = 3202/04/2021YCODEINE2021VAERSSYMPTOMS2021VAERSVAX
101622302/09/2021WI88.088FPatient experienced moderate to severe symptoms of shaking, trouble breathing, jaw tightness, tightness in mouth, numbness and tingling in lips, difficulty talking, upset stomach, tremors and numbness to left side of faceY01/29/202101/29/20210NonePUBUnknownNone that were knownUnknown202/09/2021Mold, crab meat, sulfa drugs, Daypril, Metraniazol, Lexapro, Dairy, Contrast Dye, Leather and Betamethasone ointment, also has anaphylactic reactions to bee stings2021VAERSSYMPTOMS2021VAERSVAX
103178802/15/2021WI88.088FPatients arm became red and raised. Upper arm surrounding vaccine site was affected. No warmth.N01/27/202102/11/202115PUB202/15/20212021VAERSSYMPTOMS2021VAERSVAX
104147402/19/2021WI88.088Funresponsive, possible seizure, flushed skin, clammy, slight foamy mouthY02/14/202102/15/20211BMP CBC with diff done on 2/15/2021 BMP normal except BS 116; BUN/cr ratio 27.3 CBC HGB 11.5, neutrophils 76.3SENlisinopril 10 mg mirtazapine 7. 5 mg amlodipine 2. 5 mg omeprazole 20 mg sertraline 75 mgNonedementia hypertension GERD osteoarthritis OSA major depressive disorder blind dysphagia202/19/2021YCiprofloxacin, Oxaprozin, Trimethoprim, Sulfa Antibiotics2021VAERSSYMPTOMS2021VAERSVAX
105152202/24/2021WI88.088MPatient brought to emergency department at 2210 with concern for stroke d/t left sided weakness. Upon arrival patient appeared to have seizure like activity and was given 2mg of ativan and keppra 1000mg. Patient remained able to converse with providers duYU02/22/202102/23/20211CT of head did not show any acute changes. POC chem 8 with elevated potassium at 5.6, SCr 1.5 (pt baseline 0.9-1.1), BUN 48. CBC wnl INR of 1.2 (pt is on apixaban for afib)PVTallopurinol, amantadine, apixaban, vitamin C, atorvastatin, flonase, folic acid, mucinex, atrovent, irbesartan, multivitamin, methotrexate, metoprolol, montelukast, vitamin En/ahypertension, hyperlipidemia, coronary artery disease, atrial fibrillation, rheumatoid arthritis, h/o SDH (10/2020)202/24/2021Ymold2021VAERSSYMPTOMS2021VAERSVAX
105540002/25/2021WI88.088FPatient experienced numbness and tingling to left side of face, tremors, sharp shooting pain in the left temporal area, left upper arm sore shoulder to elbow. Patient was also extremely cold so treated her with warm blankets. Gave patient water and checkedU02/19/202102/19/20210NonePUBUnknownUnknownUnknown1st dose of Pfizer vaccine202/25/2021Mold, crab meat, Daypril, sulfa drugs, Lexapro, dairy, contrast dye, Metraniazole, leather, betamethazone ointment, and andphylactic reaction to bee stings2021VAERSSYMPTOMS2021VAERSVAX
107306003/04/2021WI88.088FShe had weakness to the point she wasn't able to bear weight on her extremities, confusion, chills, emesis,and fatigue. She was sent to ER @ Hospital. Continues with confusion and weakness as of 3/4/2021.Y3N02/25/202102/27/20212Labs showed acute on chronic kidney failure.SENnoneDiabetic203/04/20212021VAERSSYMPTOMS2021VAERSVAX
107736603/06/2021WI88.088MFacial flushing and warm to touch day after injection with slight swelling and painful to touch. Physician called and Treated with Benadryl orally and Tylenol. The next morning his face was extremely swollen and small blisters present and weeping. FaceN02/25/202102/26/20211PUBDonezepil, primidone, blood pressure pill, aspirin, multivitamin, Lipitor, coQ10, sertraline, Zoloft, lasix docusate, aricept, melatonin , ironNoneMultiple - Alzheimer?s Heart disease High cholesterol High blood pressure History of lymphoma203/06/2021YYFeldene2021VAERSSYMPTOMS2021VAERSVAX
110223103/15/2021WI88.088Fpt got to feeling really sick w/ headache, nausea, light headed and fever of 100.9. Pts son called ambulance. Pt passed out when EMTs were treating her. Pt was taken to hospital ER on 3/12/2021. They did blood work, covid test (negative) and CT. She waYY2N03/11/202103/12/20211blood work uranalysis Covid Test- negative CTPUBadvair diskus250-50mg 1 puff x 2 daily, Flonase 50 mg, atenolol 20mg x 2 daily, Lantus 100ml (12 units at bedtime) Zetia 10mg, Combivent in haler 100mcg 1 dose every 6 hrs, paroxetine hci 10mg 1/2 tab once daily, bumetanide 0.5mg, levothroinoCOPD, Diabetes, AFIB, Chronic Kidney Disease, HBP, High Chlorestoral, hiatal hernia, bronchitis, allergies, sinusitisTetanus shot- 20 years ago- bad body aches and headache,203/15/2021Ypenicillin, metformin,2021VAERSSYMPTOMS2021VAERSVAX
110854303/17/2021WI88.088Mdizziness when standingN03/03/202103/05/20212PUBamlodepine 5mg, aspirin, anenelol 50mg, centrum vitamin, gemfibrozil, lisinopril, omeprazole, tylenolafib203/17/2021Y2021VAERSSYMPTOMS2021VAERSVAX
111702203/19/2021WI88.088FPatient arrived at the clinic for their second dose. They received an initial dose of Pfizer on 2/26/2021. The received a second dose of Moderna 3/19/2021. Per CDC guidance, In exceptional situations in which the vaccine product given for the first dose caU03/19/202103/19/20210UNK203/19/20212021VAERSSYMPTOMS2021VAERSVAX
122843004/19/2021WI88.088FHospitalization within 6 weeks of receiving the first COVID vaccine dose. Second dose received 4/7/2021.Y603/11/202103/31/202120PVT204/19/2021Y2021VAERSSYMPTOMS2021VAERSVAX
122956004/19/2021WI88.088FCOVID-19 infection & hospitalization after completed vaccine series. First dose of Moderna 2/17/21, second dose received 3/17/21. Pt hospitalized 4/7 for shortness of breath and generalized weakness.Y9Y02/17/202104/07/202149Positive COVID-19 PCRUNKUTIChronic pain ? Depression ? Diabetes mellitus (CMS/HCC)DM 2 ? Esophageal reflux ? Essential (primary) hypertension204/19/2021Penicillins, perflutren2021VAERSSYMPTOMS2021VAERSVAX
126836904/28/2021WI88.088FPer registry this resident already received a 2-dose series of Moderna on 1/5/2021 and 2/2/2021. We administered 1 dose of Pfizer on 4/21/2021 under the assumption this would be the resident's first dose of the COVID-19 vaccine.U04/21/202104/21/20210PHM204/28/20212021VAERSSYMPTOMS2021VAERSVAX
129097505/05/2021WI88.088MDizziness a few days after receiving. Also after 2nd vaccine and went to the ER because my dad got scared. The doctor recommended a pacemaker! His pulse was very low. At doctor follow up he was given a heart rate monitor to wear for 2 daysN04/06/202104/09/20213A complete work up. All test were normal. May 1PUBLevothyroxine Aspirin B12 vitaminNoneHeart disease Abdominal aneurysm205/05/2021YYNone2021VAERSSYMPTOMS2021VAERSVAX
143316606/29/2021WI88.088FLoss of hearing four hours after receiving the vaccine (second dose). Developed ringing in the ears. Left ear hearing loss. April 21 hearing evaluation showed approximately 30 dB hearing loss at 2,000 and 3,000 in the left ear only. Right ear hearing is siYN03/26/202103/26/20210Audiogram. April 21, 2021. Audiogram May 14, 2021. On May 14, her audiogram showed profound hearing loss in the left ear with 0% word recognition. Mild to severe sensorineural hearing loss in the right ear with 100% word recognition. Outside audiogram fromOTHCholecalciferol 5,000 units by mouth once daily. Dopa Mucuna 800 mg by mouth twice daily. Ginger Root 1 capsule by mouth once daily. Healthy thyroid 1 tablet by mouth twice daily. Magnesium oxide 500 mg by mouth three times daily. meclizineLower extremity edema. Osteoporosis. Uses hearing aid.Lower extremity edema. Osteoporosis. Uses hearing aid.206/29/2021YNo known Allergies.2021VAERSSYMPTOMS2021VAERSVAX
154832608/12/2021WI88.088MFever; Chills; Flu like symptoms; weakness; I fell on the floor and could not get up for 15 minutes today.; This spontaneous case was reported by a consumer and describes the occurrence of PYREXIA (Fever), CHILLS (Chills), INFLUENZA LIKE ILLNESS (Flu like U02/17/202102/18/20211UNKUSMODERNATX, INC.MOD20210208/10/20212021VAERSSYMPTOMS2021VAERSVAX
154844108/12/2021WI88.088MFelt very sick; Very weak; Coughs all the time; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION COMPLICATION (Felt very sick), ASTHENIA (Very weak) and COUGH (Coughs all the time) in an 88-year-old male patient U02/17/2021UNKBlood pressure high; CholesterolMedical History/Concurrent Conditions: COVID-19USMODERNATX, INC.MOD20210208/10/20212021VAERSSYMPTOMS2021VAERSVAX
155069408/13/2021WI88.088Fhot rash; swollen rash; chills; fever; fatigue; rash from shoulder to elbow; rash on arm; itchy rash on arm; redness; soreness; This spontaneous case was reported by a consumer and describes the occurrence of PYREXIA (fever) and RASH (rash from shoulder toU01/31/202102/01/20211UNKUSMODERNATX, INC.MOD20210208/10/20212021VAERSSYMPTOMS2021VAERSVAX
156557808/15/2021WI89.088Mweakness in the legs; flushiness in the face; incontinence of urine; Low grade fever; extreme fatigue; This spontaneous case was reported by a patient family member or friend and describes the occurrence of MUSCULAR WEAKNESS (weakness in the legs), FLUSHINY02/10/202103/10/202128UNKBedridden; Walker userUSMODERNATX, INC.MOD20210208/11/20212021VAERSSYMPTOMS2021VAERSVAX
157420708/16/2021WI88.088MAdmitted 7/27/2021 to the hospital with cough and fever, no hypoxia or respiratory distress. Determined to be pneumonia with sepsis. Returned to home at CBRF facility 7/29/2021. Contact with DON of CBRF facility on 8/10 - report was client was doing well oY2Y03/16/202107/27/20211332/26/2021 - Covid 19 positive per PCR, 7/27/2021 - Covid 19 positive per PCR, 7/27/2021- CXR - infiltrateUNKUnknownUnknownArthritis, celiac disease, GERD, CKD3208/16/2021Unknown2021VAERSSYMPTOMS2021VAERSVAX
160185708/21/2021WI88.088FSmall bump appeared on her face; Started getting bigger and red; This spontaneous case was reported by a consumer and describes the occurrence of ERYTHEMA (Small bump appeared on her face) and SWELLING FACE (Started getting bigger and red) in an 88-year-olU01/28/2021UNKUSMODERNATX, INC.MOD20210208/12/20212021VAERSSYMPTOMS2021VAERSVAX
160881008/22/2021WI88.088FBump appeared on her face right side; This spontaneous case was reported by a consumer and describes the occurrence of SWELLING FACE (Bump appeared on her face right side) in an 88-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (U01/28/2021UNKUSMODERNATX, INC.MOD20210208/17/20212021VAERSSYMPTOMS2021VAERSVAX
161107308/22/2021WI88.088Fnot feeling so well; did not feel like she had a good balance; discomfort in her left upper arm; Could not walk straight and confidently; This spontaneous case was reported by a consumer and describes the occurrence of MALAISE (not feeling so well), BALANCU04/21/202104/22/20211UNKUSMODERNATX, INC.MOD20210208/13/20212021VAERSSYMPTOMS2021VAERSVAX
161304408/22/2021WI88.088Fpatient states the rash is itchy and on their buttocks, thighs, breast, back, stomach "just all over"; patient states the rash is itchy and on their buttocks, thighs, breast, back, stomach "just all over"; This spontaneous case was reported by a consumer (U03/01/202104/21/202151UNKARIA DESUSMODERNATX, INC.MOD20211208/17/2021Y2021VAERSSYMPTOMS2021VAERSVAX
162634308/24/2021WI88.088FShe mentions that she has developed two blemishes, one on her left rear cheek and another on her right cheek; Developed blemishes, one on her left rear cheek, it is bumpy getting bigger; Developed two blemishes, one on her left rear cheek is bumpy getting U01/28/2021UNKMedical History/Concurrent Conditions: Aneurysm cerebral (Had cranial aneurisms.); Comments: No concomitant medications were reported.USMODERNATX, INC.MOD20210208/23/20212021VAERSSYMPTOMS2021VAERSVAX
163126708/25/2021WI88.088Fhot rash; Chills; Fever; Fatigue; rash from shoulder to elbow; rash on arm; itchy rash on arm; redness; soreness; A spontaneous report was received from a consumer concerning a 88-years-old patient who received Moderna's COVID-19 vaccine (mRNA-1273) and eU01/31/202102/01/20211UNKMedical History/Concurrent Conditions: No adverse eventUSMODERNATX, INC.MOD20210208/23/20212021VAERSSYMPTOMS2021VAERSVAX
165602308/30/2021WI88.088MClient tested positive for COVID-19 on 8/15/21 and was hospitalized. He has been inpatient and still is hospitalized as of 8/30. Was informed patient also had pneumonia.Y16N03/09/202108/15/2021159Tested positive for COVID-19 on 8/15/21 with this laboratory test: Covid-19 by PCR. Basic metabolic panel done on 8/28 and every othPUBUnknownUnknownAcute kidney failure Cancer of the colon, lung and peritoneum Urinary calculi208/30/2021No known allergies2021VAERSSYMPTOMS2021VAERSVAX
166312509/01/2021WI88.088Fpt had a breakthrough infection of COVID-19 which was diagnosed on 8/14/2021.Y02/12/202108/14/2021183PVTaspirin, atorvastatin, vitamin B12, Eliquis, premarin vaginal cream, ferrous sulfate, furosemide, Lisinopril, loratadine prn, metformin, metoprolol, pregabalin, tamsulosinnoneDM2, vitamin B12 deficiency, HTN, CAD, chronic atrial fibrillation, non-STEMI, PVD, congestive heart failure, COPD, restless legs, recurrent UTIs, urge incontinence, iron deficiency anemia209/01/2021Ypenicillins (rash), Bactrim/sulfa (hives), nitrofurantoin, Cipro, Voltaren2021VAERSSYMPTOMS2021VAERSVAX
167292209/04/2021WI88.088MThis spontaneous case was reported by a consumer and describes the occurrence of OFF LABEL USE (Received a 3rd dose / Caller is not immunocompromised and has not received an organ transplant) and INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (received 3Y02/17/202108/18/2021182UNKUSMODERNATX, INC.MOD20212209/03/20212021VAERSSYMPTOMS2021VAERSVAX
175354610/01/2021WI88.088MPatient finished COVID-19 vaccine series on 2/16/21. Patient arrived at reporting hospital with reports of weakness and cough. Other symptoms included fever and diarrhea. Patient was admitted on 9/23/21 with COVID-19 pneumonia with acute hypoxemic respiraY4U02/16/202109/25/2021221COVID 19 NP Swab positive 9/23/21UNKAlbuterol 108, aspirin low dose 81mg, Lipitor 40mg, Coreg 25mg, Plavix 75mg, Voltaren 1% Gel, Lisinopril 10mg, melatonin 10mg, multi-vitamin, Spiriva 18mcg, Nitroglycerin 0.4mgCAD s/p PCI, aortic stenosis s/p TAVR in October 2020, HFrEF with EF 45%, chronic kidney disease stage 3, spinal stenosis on chronic low dose prednisoneCAD s/p PCI, aortic stenosis s/p TAVR in October 2020, HFrEF with EF 45%, chronic kidney disease stage 3, spinal stenosis on chronic low dose prednisone, two admissions for sepsis this year (April and July 2021)210/01/2021Zolpidem, Ceftriaxone, Niacin, oxycodone, vancomycin2021VAERSSYMPTOMS2021VAERSVAX
176411210/06/2021WI88.088Fslept for 24 hours; Ran a high fever that night; This spontaneous case was reported by a consumer and describes the occurrence of HYPERSOMNIA (slept for 24 hours) and PYREXIA (Ran a high fever that night) in an 88-year-old female patient who received mRNA-Y02/12/202103/12/202128UNKUSMODERNATX, INC.MOD20213210/05/20212021VAERSSYMPTOMS2021VAERSVAX
176803710/07/2021WI88.088MPatient admitted under observation on 10/04/2021 due to Acute respiratory failure with hypoxia 2/2 COVID pneumonia. Patient was tested for COVID-19 and was positive on 10/04/2021.Y02/22/202110/04/2021224PVTfinasterie, furosemide, gabapentin, losartan, lovastatin, metFORMIN, metoprolol succinate , nitroglycerin, tamsulosin210/06/2021Vytorin 10-80 [Ezetimibe-simvastatin]2021VAERSSYMPTOMS2021VAERSVAX
176828610/07/2021WI88.088FPatient was admitted to observation level of care on 10-2 with weakness, diarrhea and AKI. Patient is noted to be positive for covid upon testing at admission.Y04/06/202110/02/2021179PVT210/07/2021Bacitracin, Lipitor2021VAERSSYMPTOMS2021VAERSVAX
179546210/18/2021WI88.088MAdmitted to hospital 9/21/2021 with cough, fever, SOB, acute hypoxemic respiratory failure. Placed on oxygen, plan for Remdesivir, Solumedrol, cefepime or azithromycin. Client vaccinated for Covid - Pfizer 2/10/2021, 3/3/2021 and booster 9/15/2021. Flu vaYU09/15/202109/21/202169/21/2021 - Covid-19 positive by PCRUNKunknownunknownCOPD - asbestosis, basal cell and squamous cell carcinoma, CKD, HTN210/18/2021Yace inhibitors - hyperkalemia amlodipine - ankle swelling sulfa antibiotics - rash2021VAERSSYMPTOMS2021VAERSVAX
185802111/10/2021WI88.088F10/9/2021 Hospitalized with cough, hypoxia, weakness, SOB. Initially treated with oxygen, dexamethasone and respiratory treatments. Died. Primary cause: ACUTE ON CHRONIC RESPIRATORY FAILURE WITH HYPOXIA 10/9-10/24/21 Due to or consequence of: COVID-19 PNY10/24/2021Y16N02/24/202110/09/202122710/8/2021 Covid positive by PCR 10/9/2021 Chest x-ray probable mild atelectasis to the right lung base 10/22/2021 SARS-COV-2 IGG NEGATIVEUNKunknownunknown? Arthritis ? B12 deficienc y 4/3/2019 ? Bartholin's cys t ? Basal cell carcinom a 08/09 left tip of nose ? Breast cancer (* ) 10/01/2019 left breast, invasive lobular ? COPD (chronic obstructive pulmonary disease) (* ) ? Hypertension (* )211/10/2021NKA2021VAERSSYMPTOMS2021VAERSVAX
185845011/10/2021WI88.088FImmediately developed hematoma at injection site.U10/11/202111/10/202130UNK211/10/20212021VAERSSYMPTOMS2021VAERSVAX
186114711/11/2021WI88.088FPatient requested booster dose of Moderna shot (0.25mL) and given a dose of 0.5mL.U11/10/202111/10/20210PHM211/11/20212021VAERSSYMPTOMS2021VAERSVAX
186413011/12/2021WI89.088MExpired booster dose administered to a patient; This spontaneous case was reported by a pharmacist and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Expired booster dose administered to a patient) in an 89-year-old male patient who received mRNY02/01/202111/01/2021273UNKUSMODERNATX, INC.MOD20213211/12/20212021VAERSSYMPTOMS2021VAERSVAX