VAERS ID: 1183418

AGE: 65| SEX: F|STATE: CT (United States)

Description

Vaccine breakthrough hospitalization - SOB with O2 sat 50% when EMS arrived. On non-rebreather satting 70%. Chills, fever, cough, and chest pain. BP 152/79, HR 93, RR 20, SpO2 91%. Had been scheduled to receive COVID mAb day of admission, but clinical course worsened. Admitted to Medical ICU for acute respiratory failure with hypoxia and ARDS secondary to COVID-19. Placed on BIPAP and Rx with Remdesivir, dexamethasone, & tociluzumab. Treated for presumed pulmonary embolism with full-dose anticoagulation. Pt expressed wishes to remain DNR/DNI, ultimately she elected to transition to comfort measures only given worsening hypoxia.

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Symptoms

Chills, Pyrexia, Dyspnoea, Cough, Chest pain, Hypoxia, Pulmonary embolism, Respiratory failure, Acute respiratory distress syndrome, Oxygen saturation decreased, Bilevel positive airway pressure, COVID-19, SARS-CoV-2 test positive

Vaccines

VAX DATE: 03-04-2021| ONSET DATE: 04-02-2021| DAYS TO ONSET: 29
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (MODERNA)) 1 COVID19 MODERNA 030m20a IM LA
COVID19 (COVID19 (MODERNA)) 2 COVID19 MODERNA 023M20A IM LA

RECVDATE:04-08-2021
RPT_DATE:
CAGE_YR:65
CAGE_MO:
DIED:Y
DATEDIED:04-08-2021
L_THREAT:U
ER_VISIT:
HOSPITAL:Y
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:U
LAB_DATA:3/26/21 SARS-CoV-2 RNA Detected.
V_ADMINBY:PUB
OTHER_MEDS:Aspirin, symbicort,temovate oint, diphenhydramine, zetia, furo
CUR_ILL:
HISTORY:CAD s/p MI, HFpEF, severe COPD - not on O2, dyslipidemia, HTN, Bullous pemphigoid, OSA, obesity
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:04-08-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:nka
V_FUNDBY:

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