VAERS 1951790
PFIZER\BIONTECH · COVID19 (COVID19 (PFIZER-BIONTECH)) · Charge EN1699
- Staat
- NY
- Alter
- 86,0
- Geschlecht
- M
- Eingang
- 15.12.2021
- Impfdatum
- 11.04.2021
- Beginn
- 24.11.2021
- Tage bis Beginn
- 227,0
- Dosis
- 1
- Route/Site
- - / -
Symptomtext
11/22/2021: Patient tested positive for COVID in outpatient/community setting 11/23/2021: given Casirivimab-Imdevimab dose in outpatient/community setting 11/24/21 @0100: Presented to ER post fall with head laceration. Noted to have SBP 80's, MAP <50, RR 30-40, HR 130-140, sat 73% on RA with respiratory distress on movement and accessory muscle use at rest. Rapidly declining status required intubation in the ER. BUN Crt 29/1.4, EGFR 51, WBC 15.7, CRP 8.3, troponin 0.210, glucose 304, ABG 7.331/35/143/18.5/BE -6.7 sat 100% on Bilevel vent settings 30/10 PS 20 FiO2 100%. EKG shows new depression in inferiolateral leads. CXR diffuse interstitial opacities consistent with COVID 19 PNA. Admitted with acute hypox hypoxemic respiratory failure in the setting of bilateral COVID 19 PNA, septic shock, AKI, and NSTEMI with troponin peak of 0.483. Started on IV Rocephin, IV doxycycline, methylprednisolone, baricitinip, levophed, IVF, ASA, and heparin gtt. 11/26/21: Heparin gtt changed to Lovenox. Bilevel 14 20/8 Fio2 80% WBC 24.2. FMS placed for diarrhea c.diff negative. Levophed weaned down to maintain MAP >65 SBP >100. 11/30/21: Started PSV weaning trials in am. Extubated in PM to 4LNC. After a few hours post extubation required 8L via NC to maintain sat >90%. RR 20's 12/1/21: Increase to 10L via HFNC RR 30's HR 120's. Patient wished to have code status changed from full code to DNR/DNI with trial BiPaP. 12/2/21: 15L via HFNC with intermittent BiPap 14/8 FiO2 70% to rest. RR 30-40 HR 110-120 anxious and dyspnic with any activity or movement 12/3/21: Requiring BiPap at all times 100% FiO2. Increased respiratory distress and anxiety. Family meeting with patient held. Decided on comfort care measures only. Placed on 4L NC, morphine and ativan gtt for comfort. 12/6/21 @2330 patient expired on comfort measures.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Acute myocardial infarction
- Hospital-Tage
- 12,0
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Prostate CA; gout; HTN; pituitary macroadenoma currently in work up phase
- Andere Medikamente
- -
- Allergien
- Gabapentin
- Vorherige Impfungen
- -