VAERS ID: 2331426

AGE: 72| SEX: F|STATE: MD

Description

Patient presented to the ED with complaints of shortness of breath for 2-3 days. She was found to have right lower lobe pneumonia, sepsis, and acute respiratory insufficiency. She was subsequently admitted for further management and discharged home 3 days later in improving condition.

Symptoms

Acute respiratory failure, Dyspnoea, Pneumonia, Sepsis

Vaccines

VAX DATE: 01-10-2022| ONSET DATE: 02-02-2022| DAYS TO ONSET: 23
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (MODERNA)) 3 COVID19 MODERNA 030A21B IM LA

RECVDATE:06-24-2022
RPT_DATE:
CAGE_YR:72
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:U
HOSPITAL:Y
HOSPDAYS:3
X_STAY:U
DISABLE:U
RECOVD:U
LAB_DATA:
V_ADMINBY:PVT
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:2
TODAYS_DATE:06-24-2022
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:Y
ALLERGIES:
V_FUNDBY:

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