VAERS 1140394
PFIZER\BIONTECH · COVID19 (COVID19 (PFIZER-BIONTECH)) · Charge EW6204
- Staat
- AZ
- Alter
- 69,0
- Geschlecht
- F
- Eingang
- 27.03.2021
- Impfdatum
- 25.02.2021
- Beginn
- 24.03.2021
- Tage bis Beginn
- 27,0
- Dosis
- 2
- Route/Site
- IM / AR
Symptomtext
This is a 70 year old female with paroxysmal atrial fibrillation (anticoagualted on Eliquis), obstructive sleep apnea (uses CPAP), mitral valve regurgitation, remote tobacco use, hypertension and dyslipidemia who presents to the ED for worsening dyspnea, cough, subjective fever, chills and body aches that have been ongoing for the past several days. The patient indicates that her dyspnea is exacerbated with exertion but she denies chest pain, pleuritic chest pain, leg swelling or calf pain. She mentions that she has received both of her COVID-19 vaccines (Pfizer); the first immunization was on 02/25 followed by her second immunization which took place eight days ago on 03/18. She is not confident that she has had any contact with a known sick or definitive COVID-positive individual recently. Of note, the last documented incidence of testing for COVID-19 was performed on 10/31/2020 after the patient was seen at a Clinic after a exposure for a COVID-positive individual. Testing at that time had resulted negative. To her knowledge, she states that she had, in fact, tested positive for COVID-19 in late fall of 2020, but she was not hospitalized. Yesterday (3/26/2021), she was evaluated at a Pharmacy where she was testing for COVID-19 which has since resulted positive. The patient denies any other acute symptoms of illness. In the ED, the patient was found to have acute respiratory failure with hypoxemia and pneumonia due to SARS-CoV-2 infection. Review of Systems Constitutional: Positive for chills, fatigue and fever. Negative for activity change. Respiratory: Positive for cough and shortness of breath. Cardiovascular: Negative for chest pain and leg swelling. Gastrointestinal: Negative for abdominal pain, diarrhea, nausea and vomiting. Genitourinary: Negative for dysuria. Musculoskeletal: Positive for arthralgias and myalgias. Negative for gait problem. Neurological: Negative for syncope. All other systems reviewed and are negative. Vitals Blood pressure 159/79, pulse 65, temperature 36.4 ?C (97.5 ?F), temperature source Oral, resp. rate 18, height 1.6 m (5' 3"), weight 107 kg, SpO2 98 %. Physical Exam Vitals reviewed. Constitutional: General: She is awake. She is not in acute distress. Appearance: Normal appearance. She is well-developed. She is morbidly obese. She is ill-appearing. She is not toxic-appearing. Interventions: Nasal cannula in place. HENT: Head: Normocephalic and atraumatic. Nose: Congestion present. Mouth/Throat: Mouth: Mucous membranes are dry. Pharynx: Oropharynx is clear. Cardiovascular: Rate and Rhythm: Normal rate and regular rhythm. Pulses: Normal pulses. Heart sounds: Normal heart sounds. Pulmonary: Effort: Pulmonary effort is normal. Breath sounds: Decreased breath sounds present. Comments: Diminished breath sounds in all lung fields. Occasional cough. Abdominal: General: Bowel sounds are normal. There is no distension. Palpations: Abdomen is soft. Tenderness: There is no abdominal tenderness. Musculoskeletal: General: Normal range of motion. Cervical back: Normal range of motion and neck supple. Skin: General: Skin is warm and dry. Neurological: General: No focal deficit present. Mental Status: She is alert and oriented to person, place, and time. Psychiatric: Behavior: Behavior is cooperative.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Acute respiratory failure
- Hospital-Tage
- 2,0
- Labordaten
- Diagnostic Results LABS Recent Results (from the past 24 hour(s)) Basic Metabolic Panel Collection Time: 03/26/21 7:52 PM Result Value Ref Range Glucose 163 (H) 70 - 99 mg/dL Urea Nitrogen (BUN) 9 8 - 23 mg/dL Creatinine 0.8 0.5 - 0.9 mg/dL Calcium (Ca) 9.3 8.8 - 10.2 mg/dL Sodium (Na) 131 (L) 136 - 145 mmol/L Potassium (K) 4.0 3.4 - 5.1 mmol/L Chloride (Cl) 92 (L) 98 - 107 mmol/L Carbon Dioxide (CO2) 25 22 - 29 mmol/L Anion Gap 14 (H) 3 - 11 mEq/L CBC with Auto Differential Collection Time: 03/26/21 7:52 PM Result Value Ref Range WBC 5.7 4.0 - 11.0 X1000/UL RBC 4.83 4.20 - 5.40 M/UL HGB 15.1 12.0 - 16.0 g/dL HCT 43.4 35.0 - 50.0 % MCV 89.8 80.0 - 100.0 FL MCH 31.2 (H) 27.0 - 31.0 PG MCHC 34.7 32.0 - 36.0 G/DL RDW 13.1 11.5 - 14.5 % Platelet Count 121 (L) 130 - 450 K/UL MPV 7.9 7.4 - 10.4 FL Neutrophils, auto 87.0 (H) 54 - 62 % Lymphocytes, auto 9.1 (L) 25 - 35 % Monocytes, auto 3.6 (L) 5.5 - 11.7 % Eosinophils, auto 0.0 0 - 5 % Basophils, auto 0.3 0 - 2.9 % Absolute Lymphocytes 0.5 (L) 1.0 - 3.2 K/uL Absolute Monocytes 0.2 (L) 0.3 - 1.1 K/uL Absolute Neutrophils 5.0 1.7 - 7.6 K/uL Absolute Eosinophils 0.0 0.0 - 0.5 K/uL Absolute Basophils 0.0 0.0 - 0.1 K/uL Troponin T Collection Time: 03/26/21 7:52 PM Result Value Ref Range TROPONIN T <0.01 0.00 - 0.01 ng/mL Troponin Note See Comment Lactic Acid Collection Time: 03/26/21 7:52 PM Result Value Ref Range LACTIC ACID 1.9 0.5 - 2.2 mmol/L Magnesium Collection Time: 03/26/21 7:52 PM Result Value Ref Range Magnesium 2.4 1.6 - 2.4 mg/dL PT/INR Collection Time: 03/26/21 7:52 PM Result Value Ref Range PT 20.3 (H) 9.4 - 12.6 SEC INR 1.74 (H) 0.90 - 1.20 Procalcitonin Collection Time: 03/26/21 7:52 PM Result Value Ref Range Procalcitonin 0.09 0.00 - 0.50 ng/mL Procalcitonin Note See Comment Note TMC Lab COVID-19 (In-house) Collection Time: 03/26/21 7:55 PM Specimen: Nasopharyngeal ; SWAB Result Value Ref Range COVID Source Nasopharyngeal swab SARS-CoV-2 (COVID-19) Positive (A) NEG Previously tested for COVID-19 Y Employed in healthcare Unknown COVID-19 Symptomatic as defined by CDC Y Date of Symptom Onset 20,210,326 Hospitalized for COVID-19 N Admitted to ICU for COVID-19 N Resident in a congregate care setting Unknown Is Patient Pregnant? Not Pregnant Respiratory Panel By PCR Collection Time: 03/26/21 8:46 PM Result Value Ref Range Resp Spec Source Nasopharyngeal swab Resp Panel Results No Organisms Detected Resp Panel Comment See Comment IMAGING ? Chest 1 view Portable, 3/26/2021 Poor inspiratory effort. Bilateral multifocal infiltrate. CARDIAC ? EKG 12 Lead, 3/26/2021 @ 16:01 Sinus rhythm at a rate of 76 bpm. Baseline wander in lead(s) II, III, aVF.
- Aktuelle Erkrankungen
- No other acute illnesses known at the time of vaccinations.
- Vorgeschichte
- OSA on CPAP Class 3 severe obesity in adult (HCC) Atrial fibrillation (HCC) Essential hypertension Dyslipidemia
- Andere Medikamente
- Albuterol Sulfate (ALBUTEROL, USE PROVENTIL HFA,) 90 MCG/ACT Inhale 1-2 puffs into the lungs every four hours as needed amiodarone (PACERONE) 200 MG tablet Take 200 mg by mouth daily. apixaban (ELIQUIS) 5 MG tablet Take 5 mg by mouth tw
- Allergien
- Morphine (nausea/vomiting)
- Vorherige Impfungen
- -