VAERS 1929337
PFIZER\BIONTECH · COVID19 (COVID19 (PFIZER-BIONTECH)) · Charge EW01534
- Staat
- MI
- Alter
- 92,0
- Geschlecht
- F
- Eingang
- 07.12.2021
- Impfdatum
- 14.04.2021
- Beginn
- 04.11.2021
- Tage bis Beginn
- 204,0
- Dosis
- 2
- Route/Site
- UN / UN
Symptomtext
This is a 93y.o. female with type 2 diabetes mellitus, hypertension, sleep apnea, and atrial fibrillation who presents with body aches and back pain. She had sustained a fall recently with multiple injuries and believed her current pain was related to this event. She was seen in the ED on 11/4/21 and had negative trauma work-up and discharged home with Tylenol and a lidocaine patch. She did have an incidental finding of a right ovarian cyst at that time. Since her discharge, she's also been having intermittent abdominal pain. She denies any known fever or known exposures. She is fully vaccinated against COVID-19 since 4/14/21, but has not received a booster. She denies any further falls. No nausea, vomiting, diarrhea, chest pain, shortness of breath, or cough. On arrival to the ED, BP was 127/58 and she was afebrile. HR 68, RR 18. SpO2 initially 97% on room air and 2 liters of supplemental oxygen later applied. Labs notable for potassium 5.7, creatinine 1.12, WBC 10.0. Chest x-ray negative for acute process. COVID-19 positive. The patient was admitted for further evaluation and management.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Abdominal pain
- Hospital-Tage
- 12,0
- Labordaten
- COVID-19 infection - positive 11/7/21 Hyperkalemia - potassium 5.7 - secondary to ACE-I vs. related to some other potassium secretory defect Abdominal pain - CT abdomen/pelvis 11/5/21 with no acute process, shows right ovarian cyst increased in size from previous exam - pelvic US confirms cyst measuring 6.1 cm and one-year follow-up exam recommended - abdominal exam currently benign Stage 3 chronic kidney disease - creatinine at baseline Type 2 diabetes mellitus Essential hypertension Frequent falls - had a fall 11/4/21 with negative work-up by CT head and CT C-spine and x-rays of right elbow and thoracolumbar spine Obesity - Maintain isolation precautions. - ID consulted, start 6 mg dexamethasone IV QD and remdesivir. - Supplemental oxygen per protocol. - Follow potassium after receiving medical therapy in the ED. - Continue IV fluids: 75 mL/hr normal saline. - Hold ACE-I. - PT/OT, fall precautions. - Case Management to assist with discharge planning. - Monitor glycemic trends on IV steroids. Continue sliding scale insulin with meals and Lantus HS and adjust accordingly. - Daily CBC and BMP.
- Aktuelle Erkrankungen
- Atrial fibrillation ? Chronic back pain ? Diabetes mellitus, type II ? Diabetic peripheral neuropathy ? Hypertension ? OSA (obstructive sleep apnea) ? Pure hypercholesterolemia
- Vorgeschichte
- Atrial fibrillation ? Chronic back pain ? Diabetes mellitus, type II ? Diabetic peripheral neuropathy ? Hypertension ? OSA (obstructive sleep apnea) ? Pure hypercholesterolemia
- Andere Medikamente
- aspirin (ECOTRIN) 81 MG PO Tablet Delayed Response take 81 mg by mouth once daily. 11/7/2021 Unknown time CALCIUM-VITAMIN D PO take 1 Tab by mouth once daily. 11/7/2021 Unknown time COENZYME Q10 PO take 1 Tab by mouth once every evening. 11
- Allergien
- No Known Allergies
- Vorherige Impfungen
- -