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Report #2847002

Received Jun 23, 2025

ER / 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
Female
Age
77 yrs
State
CA
Recovered
Recovered
Vaccinated
Jun 20, 2025
Onset
Jun 22, 2025
Days to onset
2
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNAUNK3046734IM / LA

Symptoms (2)

Eye movement disorderMental status changes

Symptom narrative

Change in condition related to altered mental status and abnormal vital signs. On 6/22/2025 @ 1749, resident noted with BP 136/86, Pulse 102, Temperature 98.6, Oxygen saturation 73% on Room Air, BS 124 mg/dl. Resident noted to have eyes rolling to back of head, unable to hold arms up during assessment, only responded to pain stimulation (Sternal rub), Resident transferred to Hospital for further evaluation.

Medical history

TYPE 2 DIABETES MELLITUS WITH DIABETIC NEUROPATHY, UNSPECIFIED; MUSCLE WEAKNESS (GENERALIZED); DIFFICULTY IN WALKING, NOT ELSEWHERE CLASSIFIED; OTHER SPECIFIED DISORDERS OF BONE DENSITY AND STRUCTURE, MULTIPLE SITES; DYSPHAGIA, ORAL PHASE; PARKINSONISM, UNSPECIFIED; HISTORY OF FALLING; SPINAL STENOSIS, SITE UNSPECIFIED; DIVERTICULITIS OF LARGE INTESTINE WITHOUT PERFORATION OR ABSCESS WITHOUT BLEEDING; AGE-RELATED OSTEOPOROSIS WITHOUT CURRENT PATHOLOGICAL FRACTURE; OTHER CHRONIC PAIN; MAJOR DEPRESSIVE DISORDER, SINGLE EPISODE, UNSPECIFIED; HYPERLIPIDEMIA, UNSPECIFIED; CALCULUS OF KIDNEY; PRESENCE OF RIGHT ARTIFICIAL HIP JOINT; OPIOID DEPENDENCE, UNCOMPLICATED

Other medications

Gabapentin Oral Capsule 100 MG- Give 1 capsule by mouth three times a day for Neuropathy Hold for RR <10; NovoLOG FlexPen Subcutaneous Solution Pen-injector 100 UNIT/ML; Acetaminophen Tablet 325 MG Give 2 tablet by mouth every 4 hours as ne

Allergies

Sulfa Antibiotics