VAERS ID: 1000754

AGE: 89| SEX: F|STATE: NJ (United States)

Description

on 2/1/2021 Resident Reported Back pain given Tylenol Medication orally For Relief. APPRoximately 30 Min Later. complaint of & Noted Diarrhea, Shivering, and vomiting SenT To ER 2/1 And Admitted Diagnosis: Sepsis

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Symptoms

Chills, Vomiting, Back pain, Diarrhoea, Sepsis, Condition aggravated

Vaccines

VAX DATE: 01-25-2021| ONSET DATE: 02-01-2021| DAYS TO ONSET: 7
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 2 COVID19 PFIZER\BIONTECH EZ3247 IM AR

RECVDATE:02-03-2021
RPT_DATE:
CAGE_YR:89
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:Y
ER_VISIT:
HOSPITAL:Y
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:U
LAB_DATA:
V_ADMINBY:OTH
OTHER_MEDS:CENTRUM SILVER; FOLIC ACID; B-12; ALENDRONDATE SODIUM; METOPROLOL SUCCINATE ER; VITAMIN C; RIDAURA; METHENAMINE HIPPURATE; DOK; SENNA; RESTASIS; CALCIUM+D3; ASPIRIN; PREDNISONE; CRANBERRY CONCENTRATE; FAMOTIDINE; ACETAMINOPHEN EXTRA STRENGT
CUR_ILL:Lower Back Pain Essential, SIALOADENITIS NONINFECTIVE GASTROENTERITIS AND COLITIS, CONSTIPATION, OTHER SPECIFIED ARTHRITIS, UNSPECIFIED SITE, AGE-RELATED OSTEOPOROSIS WITHOUT CURRENT PATHOLOGICAL FRACTURE, URINARY TRACT INFECTION SITE NOT SPECIFIED COUGH RASH AND OTHER NONSPECIFIC SKIN ERUPTION Localized swelling, mass and lump, lower limb, bilateral, ANXIETY DISORDER, OTHER INJURY OF UNSPECIFIED BODY REGION, ENCOUTER FOR SCREENING FOR RESPIRATORY TUBERCULOSIS, LONG TERM (CURRENT) USE OF ASPIRIN
HISTORY:Lower Back Pain
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:02-03-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:Y
ALLERGIES:CIPRO, Avelox, TRamado HCL
V_FUNDBY:

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