VAERS ID: 2331435

AGE: 84| SEX: M|STATE: FL (United States)

Description

Patient presented with left femur fracture from fall. Patinet was tested for covid to be discharged to snf. tested + asymptomatic, discharged to snf.

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Symptoms

Fall, Femur fracture, SARS-CoV-2 test positive, Asymptomatic COVID-19

Vaccines

VAX DATE: 11-03-2021| ONSET DATE: 06-23-2022| DAYS TO ONSET: 232
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (MODERNA)) 0 COVID19 MODERNA 051F21A

RECVDATE:06-24-2022
RPT_DATE:
CAGE_YR:84
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:Y
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:U
LAB_DATA:
V_ADMINBY:
OTHER_MEDS:
CUR_ILL:
HISTORY:HTN; Dementia.
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:06-24-2022
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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