VAERS 2575072
SANOFI PASTEUR · INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE QUADRIVALENT) · Charge UT7714AA
- Staat
- MI
- Alter
- 73,0
- Geschlecht
- M
- Eingang
- 03.02.2023
- Impfdatum
- 01.10.2022
- Beginn
- 13.01.2023
- Tage bis Beginn
- 104,0
- Dosis
- N/A
- Route/Site
- - / -
Symptomtext
Discharge Provider: Primary Care Physician at Discharge: MD Admission Date: 1/13/2023 PRESENTING PROBLEM: Lung abnormality [J98.4] Acute on chronic respiratory failure [J96.20] HOSPITAL COURSE: Patient was a 73 y.o. male who is s/p bilateral lung transplant 7/25/18 for IPF, complicated by MDS with pancytopenia, systolic and diastolic heart failure (currently compensated), CAD s/p CABG, then stent (7/2022), atrial flutter. He had COVID-19 infection 12/2022 which was not treated. He presented on 1/13/2023 with worsening respiratory symptoms (dyspnea, cough, wheezing, increased work of breathing, mild desaturation and 1 L drop in home spirometry), CT showing bilateral nodular pulmonary infiltrates. He underwent bronchoscopy 1/13/22 and was admitted to the lung transplant service for IV antibiotics and ID consultation. During bronchoscopy he had bloody secretions on initial bronch, hemoptysis and worsening infiltrates post bronchoscopy. Bronchoscopy with negative bacterial cutlures, empiric abx stopped 1/17. CXR worsening, ECHO obtained and EF down to 30%, previously 60%, with basal to mid anterolateral and apical segments severely hypokinetic, moderate MR. BNP over 37,000. Heart failure team were consulted. 1/18 RHC with Swan placement demonstrated biventricular failure- lasix and Milrinone gtt started per AHF team. 1/21 CT thorax with worsening perihilar infiltrates. Course further complicated by worsening AKI for which nephrology was consulted. Underwent RHC 1/30 on milrinone 0.1, with low filling pressures and normal CO. Milrinone was weaned off. He had worsening respiratory failure 2/1 and didn't tolerate attempts at BiPAP even with Precedex gtt. He had worsening mental status with ABG showing only hypoxemia. CT head without new acute abnormality. Ct thorax showed extensive bilateral ground-glass opacities, worse from prior study. GOC discussion with wife, daughter, and son at bedside with concern for need for intubation. They decided to transition to comfort care. At 1745, he passed away Per Lung Transplant team request, a limited chest autopsy was requested. Family consented. Date of Death: 2/2/23 Time of Death: 5:45 PM Preliminary Cause of Death: Acute respiratory failure
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Acute respiratory failure
- Hospital-Tage
- 20,0
- Labordaten
- -
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- IPF (idiopathic pulmonary fibrosis) OSA (obstructive sleep apnea) History of nicotine use History of psychiatric disorder Pulmonary fibrosis, s/p transplant 7/25/2018 Atial flutter CAD (coronary artery disease) Restless leg syndrome History of pulmonary embolism Other complications of lung transplant Steroid-induced diabetes Pseudoaneurysm History of atrial tachycardia Tachycardia Postoperative atrial fibrillation Hx of CABG Dyslipidemia Central Sleep Apnea on ASV Myocardial infarction Osteoporosis, unspecified osteoporosis type, unspecified pathological fracture presence Paroxysmal nocturnal dyspnea GERD with esophagitis Hiatal hernia BiPAP (biphasic positive airway pressure) ASV dependence Human metapneumovirus (hMPV) pneumonia Other specified anemias Primary insomnia Myelodysplastic syndrome Nonrheumatic aortic valve insufficiency Atypical atrial flutter Cardiomyopathy Pulmonary edema cardiac cause Acute respiratory failure Acute systolic congestive heart failure Ischemic cardiomyopathy Hyponatremia Moderate protein-calorie malnutrition Primary squamous cell carcinoma of left ear Anticoagulant long-term use Long term current use of anticoagulant therapy Actinic keratosis Arthritis Congenital pes planus, unspecified foot Elevated PSA History of cholecystectomy Status post lung transplantation Major depressive disorder, recurrent, moderate Polyp of colon Chronic alcoholism in remission Recurrent major depression in remission Sensorineural hearing loss, bilateral Spinal stenosis, lumbar region without neurogenic claudication Tobacco dependence in remission Unspecified cataract Unspecified disorder of refraction MDS (myelodysplastic syndrome) Lung abnormality Hemoptysis setting of abnormal CT scan demonstrating nodular opacities AKI on CKD 4 History of skin cancer Immunosuppressed status Multifocal lung consolidation Stress hyperglycemia Acute hypoxemic respiratory failure History of CVA (cerebrovascular accident)
- Andere Medikamente
- acetaminophen (TYLENOL) 500 MG tablet acyclovir (ZOVIRAX) 400 MG tablet apixaban (ELIQUIS) 5 MG tablet atorvastatin (LIPITOR) 40 MG tablet BMX compounded suspension buPROPion (WELLBUTRIN SR) 150 MG 12 hr tablet busPIRone (BUSPAR) 10 MG tabl
- Allergien
- Nsaids MoldOther PollenOther
- Vorherige Impfungen
- -