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Report #2832871

Received Mar 24, 2025

HospitalizedER / ED visit
A note on interpretation. VAERS reports are unverified and may be incomplete or coincidental. A report does not establish that a vaccine caused an event, and counts should not be used to calculate incidence or infer causation. Full disclaimer

Overview

Sex
Male
Age
70 yrs
State
CA
Recovered
Unknown
Vaccinated
Mar 21, 2025
Onset
Mar 22, 2025
Days to onset
1
Hospital days
2

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA43044069IM / LA

Symptoms (4)

Heart rate irregularHypopnoeaPallorSepsis

Symptom narrative

RESIDENT NOTED WITH CHANGE IN CONDITION EVENT ON 3/22/2025 1330- OXYGEN SATURATION @85% ON 2L OXYGEN VIA NASAL CANNULA, SHALLOW RESPIRATONS, SKIN COLOR NOTED TO BE PALE. VITAL SIGNS: BP 117/66, P 121 (IRREGULAR), RR 12, T 97.2, SPO2 85% VIA 2L NC, BS 191. NON-REBREATHER MASK PLACED ON RESIDENT WITH O2 SATURATION AT 100%. MD NOTIFIED WITH ORDER TO TRANSFER RESIDENT TO HOSPITAL FOR FURTHER EVALUATION, RESIDENT TRANSFERRED TO HOSPITAL WITH DX OF SEPSIS.

Current illness

2/27/2025 ADMIT TO SNF W/ DX OF: RESPIRATORY FAILURE, UNSPECIFIED WITH HYPOXIA; SEPSIS, UNSPECIFIED ORGANISM; DYSPHAGIA, OROPHARYNGEAL PHASE; DIFFICULTY IN WALKING, NOT ELSEWHERE CLASSIFIED; OTHER SYMPTOMS AND SIGNS INVOLVING THE MUSCULOSKELETAL SYSTEM; TYPE 2 DIABETES MELLITUS WITH HYPERGLYCEMIA; INTERSTITIAL PULMONARY DISEASE, UNSPECIFIED; BRONCHIECTASIS, UNCOMPLICATED; PNEUMONIA, UNSPECIFIED ORGANISM

Medical history

2/27/2025 ADMIT TO SNF W/ DX OF: RESPIRATORY FAILURE, UNSPECIFIED WITH HYPOXIA; SEPSIS, UNSPECIFIED ORGANISM; DYSPHAGIA, OROPHARYNGEAL PHASE; DIFFICULTY IN WALKING, NOT ELSEWHERE CLASSIFIED; OTHER SYMPTOMS AND SIGNS INVOLVING THE MUSCULOSKELETAL SYSTEM; TYPE 2 DIABETES MELLITUS WITH HYPERGLYCEMIA; INTERSTITIAL PULMONARY DISEASE, UNSPECIFIED; BRONCHIECTASIS, UNCOMPLICATED; PNEUMONIA, UNSPECIFIED ORGANISM

Other medications

Diltiazem HCl Tablet 30 MG 1 TAB PO TID, Midodrine HCl Tablet 5 MG 1 TAB PO TID, Ferrous Sulfate Oral Tablet 325 (65 Fe) MG 1 TAB PO QD, Lactobacillus Oral Capsule 1 CAP PO QD, sulfaSALAzine Oral Tablet 500 MG 3 TAB PO BID, Juven Oral Pa

Allergies

CODEINE, ETANERCEPT, NSAIDS, APPLES

Lab data

N/A