VAERS ID: 0985004-1
Patient Age | 79.00 | Sex | Male |
---|---|---|---|
State / Territory | Oklahoma | Date Report Completed | 2021-01-18 |
Date Vaccinated | 2021-01-14 | Date Report Received | 2021-01-18 |
Date of Onset | 2021-01-14 | Date Died | 2021-01-16 |
Days to onset | 0 |
Vaccine Type | Vaccine | Manufacturer | Lot | Dose | Route | Site |
---|---|---|---|---|---|---|
COVID19 VACCINE | COVID19 (COVID19 (PFIZER-BIONTECH)) | PFIZER\BIONTECH | NONE | UNK |
ABDOMINAL PAIN UPPER | Yes | COVID19 VACCINE (COVID19) |
---|
Daughter call in for VAERS report to file for father whom committed suicide 1/16/2021 in the AM after reportable ae of COVID 19 vaccine administered 1/14/2021. Patient sought care twice at ER; first visit by ambulance around 5PM and Friday 1/15/2021 Medical Center: Emergency Room. 1st Discharge summary diagnosis: adverse reaction to COVID shot; 2nd Discharge summary diagnosis: adverse reaction to COVID shot, fever, Panic Disorder-- ER. Medical Center Discharge summary diagnosis: Adverse reaction to the vaccine, acute anxiety. Reportable patient symptoms at, 1st visit : fever, shaking stomach cramps, breathing issues. Medical Center -- No fever, confusion and dementia type, patient would not stay in patient bed; patient would get up and sit down again repeatedly, agitated and anxious. Attempted to urinated hospital bed. Patient committed suicide in home.
ABDOMINAL PAIN UPPER | Yes | COVID19 VACCINE (COVID19) |
---|
LINK: https://wonder.cdc.gov/controller/datarequest/D8;jsessionid=4692C5FB50361E8BE82306FD46BB |
---|
VAERS ID: 0976032-1 ABDOMINAL PAIN - COVID 19 VACCINE |
---|
Patient stated he wasn't feeling well on January 25, 2021, wasn't eating and complained of abdominal pain. Patient noted to have indigestion and was constipated. Meds provided and labs ordered. On morning of January 26, 2021, patient became weak, lethargic and hypoxic and was sent to emergency department around 0700 hours on January 26, 2021. At approximately 1100 hours, emergency physician notified this writer that patient was not going to overcome his illness and would be placed on comfort care. At approximately 1130 hours, this writer was notified that patient had passed away from multi-organ failure. |
---|
|
---|
|
---|
VAERS ID: 0954812-1 ABDOMINAL PAIN UPPER - COVID19 VACCINE
She had the first dose of Pfizer vaccine at the Campus on Friday 1/15 at 4:30 pm. After the vaccine, she had no new symptoms or signs of vaccine reaction and MD friend reports that he checked her pulse which was not elevated from baseline. On 1/16, she awakened and continued to feel at her recent baseline. However, in the early afternoon, she complained of headache, nausea/epigastric pain, and chest heaviness. These apparently were not unusual symptoms for her to feel intermittently. Per her niece, who has a home O2 sat device, her 02 sat that morning was 97 with a HR of 87 irregularly irregular. She was afebrile. (continue on page 2)
Patient Age | 86.00 | Sex | Female | |||||
---|---|---|---|---|---|---|---|---|
State / Territory | New York | Date Report Completed | 2021-01-18 | |||||
Date Vaccinated | 2021-01-15 | Date Report Received | 2021-01-19 | |||||
Date of Onset | 2021-01-16 | Date Died | 2021-01-16 | |||||
Days to onset | 1 | |||||||
Vaccine Administered By | Private | Vaccine Purchased By | Not Applicable * | |||||
Mfr/Imm Project Number | NONE | Report Form Version | 2 | |||||
Recovered | Missing | Serious | Yes |
Vaccine Type | Vaccine | Manufacturer | Lot | Dose | Route | Site |
---|---|---|---|---|---|---|
COVID19 VACCINE | COVID19 (COVID19 (PFIZER-BIONTECH)) | PFIZER\BIONTECH | NONE | 1 | IM |
Medications At Time Of Vaccination | History/Allergies |
---|---|
apixaban, levothyroxine, prednisone, diltiazem, (cont page 2) | non stentable distal occlusive disease, coronary heart disease, stroke, heart failure, diabetes mellitus, (cont. p 2),NKDA |
VAERS ID: 0959179-1 ACUTE KIDNEY INJURY - COVID19 VACCINE
Patient received COVID-19 vaccination on 1/14/2021. On 1/17/2021, patient was transferred to Hospital s/p multiple cardiac arrests. Patient was hyperkalemic and in acute renal failure at time of transfer. Hyperkalemia was treated, but the patient suffered PEA vs VFib. At the time of transfer, patient was on vasopressin, norepinephrine, and epinephrine. The patient had an EF of 40-45% and elevated troponins. Patient was made DNR and placed on comfort care. Patient passed away on 1/18/2021. Ultimately we suspect that the patients condition was a direct result of his underlying disease states, but wanted to make sure reporting was made available.
Patient Age | 79.00 | Sex | Male |
---|---|---|---|
State / Territory | Colorado | Date Report Completed | 2021-01-20 |
Date Vaccinated | 2021-01-14 | Date Report Received | 2021-01-20 |
Date of Onset | 2021-01-17 | Date Died | 2021-01-18 |
Days to onset | 3 | ||
Vaccine Administered By | Unknown | Vaccine Purchased By | Not Applicable * |
Mfr/Imm Project Number | NONE | Report Form Version | 2 |
Recovered | No | Serious | Yes |
LINK: https://wonder.cdc.gov/controller/datarequest/D8;jsessionid=4692C5FB50361E8BE82306FD46BB
VAERS ID: 0920545-1 ABNORMAL BEHAVIOR - COVID19 VACCINE
"The resident received is vaccine around 11:00 am and tolerated it without any difficulty or immediate adverse effects. He was at therapy from 12:36 pm until 1:22 pm when he stated he was too tired and could not do anymore. The therapist took him back to his room at that time and he got into bed himself but stated his legs felt heavy. At 1:50 pm the CNA answered his call light and found he had taken himself to the bathroom. She stated that when he went to get back into the bed it was ""abnormal"" how he was getting into it so she assisted him. At that time he quit breathing and she called a RN into the room immediately. He was found without a pulse, respirations, or blood pressure at 1:54 pm. He was a DNR."
Patient Age | 93.00 | Sex | Male |
---|---|---|---|
State / Territory | South Dakota | Date Report Completed | 2021-01-05 |
Date Vaccinated | 2021-01-04 | Date Report Received | 2021-01-05 |
Date of Onset | 2021-01-04 | Date Died | 2021-01-04 |
Days to onset | 0 | ||
Vaccine Administered By | Senior Living * | Vaccine Purchased By | Not Applicable * |
Mfr/Imm Project Number | NONE | Report Form Version | 2 |
Recovered | No | Serious | Yes |
Vaccine Type | Vaccine | Manufacturer | Lot | Dose | Route | Site |
---|---|---|---|---|---|---|
COVID19 VACCINE | COVID19 (COVID19 (PFIZER-BIONTECH)) | PFIZER\BIONTECH | EL0140 | 1 | IM | LA |
Medications At Time Of Vaccination | History/Allergies |
---|---|
Ferrex 150 mg, Folic Acid 1 mg, Furosemide 20 mg, Isosorbide Mononoitrate ER 30 mg, Lactulose 15 mL, Omeprazole 40 mg, Potassium Chloride ER 20 MEQ, Metoprolol 12.5 mg, PreserVision AREDS 2 one capsule, Ranolazine ER 1,000 mg, and Sucralf | ACUTE POSTHEMORRHAGIC ANEMIA, ATHEROSCLEROTIC HEART DISEASE OF NATIVE CORONARY ARTERY WITH OTHER FORMS OF ANGINA PECTORIS, CARDIAC MURMUR, UNSPECIFIED, CHRONIC KIDNEY DISEASE, STAGE 2, CHRONIC OBSTRUCTIVE PULMONARY DISEASE, EMPHYSEMA, ESSENTIAL (PRIMARY) HYPERTENSION, FRACTURE OF NASAL BONES, INITIAL ENCOUNTER FOR CLOSED FRACTURE, HYPOXEMIA, PAROXYSMAL ATRIAL FIBRILLATION, PRESENCE OF CARDIAC PACEMAKER, THROMBOCYTOPENIA, UNSPECIFIED CIRRHOSIS OF LIVER, and UNSPECIFIED DIASTOLIC (CONGESTIVE) HEART FAILURE.,NKA |
Comments
Post a Comment