VAERS ID: 983428

AGE: 68| SEX: F|STATE: NE (United States)

Description

Pt. was admitted to hospital on 1/6/21 with fatigue, weakness. Pt. was Covid positive in November of 2020. Impression upon admission was fatigue may be due to her aortic stenosis and some hypertensive issues with blood pressure changes. She was anemic. WBC was elevated to 19.2, HBG 10.5, NA-131, K+ - 3.1, Rule out bacterial infection. Potential source could be her heart valve. Also noted to have acute renal failure with BUN of 47 and Creatinine of 2.2 noted. Pt. was transferred to Hospital on 1/8/2021 with dx of aortic stenosis, bacteremia, ARF, Dehydration and anemia. Discharged with dx. of sepsis. Pt. expired on 1/18/21 with dx. of severe sepsis, complete heart block, staphylococcus epidermidis bacteremia.

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Symptoms

Vomiting, Asthenia, Blood urea increased, Dehydration, Sepsis, Anaemia, Hypertension, Atelectasis, Condition aggravated, Blood creatinine increased, Cardiomegaly, Atrioventricular block complete, Fatigue, Chest X-ray abnormal, Haemoglobin decreased, White blood cell count increased, Blood potassium decreased, Death, Blood sodium decreased, Lung infiltration, C-reactive protein increased, Blood pressure fluctuation, Staphylococcal bacteraemia, Aortic stenosis, Procalcitonin increased, Acute kidney injury

Vaccines

VAX DATE: 12-24-2020| ONSET DATE: 01-06-2021| DAYS TO ONSET: 13
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (MODERNA)) 1 COVID19 MODERNA 025J20-2A IM

RECVDATE:01-28-2021
RPT_DATE:
CAGE_YR:68
CAGE_MO:
DIED:Y
DATEDIED:01-18-2021
L_THREAT:U
ER_VISIT:
HOSPITAL:Y
HOSPDAYS:13
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:See above for further inform. 1/8/2021 WBC - 14.4, Hgb - 9.2, K+ - 2.9, BUN - 34, Creatitine -1.8, C-Reactive Protein - 12.8, Procalcitonin - 0.64, CXR - 01/07/2021 - Mild increased bibasilar atelectasis or infiltrate. No pleural effusion, no pneumothorax, stable mild cardiomegaly.
V_ADMINBY:PVT
OTHER_MEDS:Bystolic - started on 12/21/20, Crestor started on 11/09/2020, Qzemoic subq weekly, Advair diskus, Fish oil, ASA, Vitamin E, Multivitamin
CUR_ILL:Denied any illness at time of the vaccination. November 2020 was diagnosed with Covid-19. Admitted to Hospital on 01/6/2021 with c/o weakness. Reported that her weakness was over her entire body. Reports having episodes of vomiting once or twice a week.
HISTORY:Erysipelas, Aphthous pharyngitis, Sixth nerve palsy, Heart mumur, Acute renal insufficiency, Hypertension, Diabetes Mellitus
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:01-28-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:Y
ALLERGIES:NKA to medications
V_FUNDBY:

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