VAERS ID: 951045

AGE: 93| SEX: F|STATE: TX (United States)

Description

vivid hallucinations lasting 48 hrs. saw clowns, ants on floor and crawling up walls, Piles of dirt on floor and furniture that must be cleaned. people sitting on furniture. Man sleeping on patio, people having picnic in back yard, backyard completely relandscaped. floor covered in snakes and lizards, then bedroom full of puppies. She became very agitated if you disagreed. Insisted on cleaning 'dirt'. slept 2 hrs first night. Second night finally went to bed at 4 AM. Woke up at 10 AM and was fine. She has bad knees, and they hurt from all the night's activities. She was combative at times, and insisted that you help clean, sweep, remove 'snakes', etc.

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Symptoms

Agitation, Arthralgia, Hallucination, Sleep disorder, Aggression

Vaccines

VAX DATE: 01-13-2021| ONSET DATE: 01-14-2021| DAYS TO ONSET: 1
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (MODERNA)) 1 COVID19 MODERNA IM LA

RECVDATE:01-17-2021
RPT_DATE:
CAGE_YR:93
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:Y
LAB_DATA:notified doctor. She increased the donepezil,
V_ADMINBY:PVT
OTHER_MEDS:nadolol, amlodipine, Quetiapine, levothyroxine, 81 mg aspirin, cranberry concentrate, arthritis strength tylenol , olmesartan , AREDS2, atorvastatin, donopezil
CUR_ILL:none known
HISTORY:high blood pressure, high cholesterol, arthritis, glaucoma, afib, beginning dementia
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:01-17-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:none known
V_FUNDBY:

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