- Staat
- MI
- Alter
- 84,0
- Geschlecht
- F
- Eingang
- 17.05.2022
- Impfdatum
- 02.11.2021
- Beginn
- 09.05.2022
- Tage bis Beginn
- 188,0
- Dosis
- 3
- Route/Site
- IM / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: ja
Erholt: ja
Acute respiratory failure
Anticoagulant therapy
Appetite disorder
Arthralgia
Atelectasis
Atrial fibrillation
Blood culture positive
Blood sodium decreased
Brain natriuretic peptide increased
Breath sounds abnormal
C-reactive protein
COVID-19
COVID-19 pneumonia
Chest X-ray abnormal
Chills
Condition aggravated
Cough
Culture urine positive
Symptomtext
Hospitalized (5.9.22 - 5.16.22); COVID-19 positive (5.9.22); fully vaccinated PLUS Booster - moderna x3 Discharge Summary BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider at Discharge: MD Admission Date: 5/9/2022 Discharge Date: 5/16/2022 Active Hospital Problems Diagnosis Date Noted POA ? Sepsis due to Escherichia coli 05/13/2022 Yes ? E coli bacteremia 05/13/2022 Yes ? E. coli UTI 05/13/2022 Yes ? COVID-19 Active Issues Requiring Follow-up Issue: COVID19 Recommended follow-up provider/specialty: PCP What is needed: consider extension of isolation to 21 days given immunosuppression, Issue: RA Recommended follow-up provider/specialty: Rheum What is needed: Eval timing for next orencia given covid19 infection Issue: New AFIB Recommended follow-up provider/specialty: PCP What is needed: DC on Toprol-xl and eliquis; consider outpatient cardiac monitor once over COVID19 to see if there is any AFIB burden, if not can consider holding above meds Issue: HTN Recommended follow-up provider/specialty: PCP What is needed: held HCTZ in lieu of metoprolol, if BP elevated can restart DISCHARGE DISPOSITION: Long term care DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hyponatremia [E87.1] Acute cystitis with hematuria [N30.01] Sepsis, due to unspecified organism, unspecified whether acute organ dysfunction present [A41.9] COVID-19 [U07.1] Patient is a wonderful 84 y.o. female admitted with acute respiratory failure with hypoxia secondary to COVID19 PNA. She has a past medical history of rheumatoid arthritis on methotrexate and monthly Orencia infusions, HTN, obesity. Patient resides at facility was admitted for severe COVID-19 Pneumonia leading to acute respiratory failure with hypoxemia. Patient was vaccinated x2 boosted x1. CXR showing abnormal parenchymal opacification of the left lung base as can be seen with pneumonitis. She was placed on supplemental oxygen and Decadron and improved back to room air by time of discharge. She further was also found to have urinary tract infection, blood and urine culture grew E coli susceptible to ceftriaxone. She completed 7 days of IV antibiotics in hospital. Patient also was noted to have new onset AFIB. She was started on eliquis for anticoagulation and metoprolol for rate control. TTE was essentially normal. Patient should f/u with her PCP to insure continued resolution of symptoms as well as to monitor BP and possibly restart HCTZ if BP allows (held given metoprolol was started). Patient will need to review timing of Orencia with her Rheumatologist. CONSULTS / RECOMMENDATION: IP CONSULT TO CARE MANAGEMENT INPATIENT PROCEDURES: None VITALS/EXAM DAY OF DISCHARGE: BP 148/73 | Pulse 84 | Temp 36.9 ?C (Oral) | Resp 17 | Ht 1.651 m | Wt 116.4 kg | SpO2 99% | BMI 42.70 kg/m? Physical ExamVitals and nursing note reviewed. Constitutional: General: She is not in acute distress. Appearance: She is well-developed. She is not diaphoretic. HENT: Head: Normocephalic and atraumatic. Eyes: General: No scleral icterus. Cardiovascular: Rate and Rhythm: Normal rate and regular rhythm. Heart sounds: Normal heart sounds. No murmur heard. Pulmonary: Effort: Pulmonary effort is normal. No respiratory distress. Breath sounds: Rales present. No wheezing. Abdominal: General: Bowel sounds are normal. There is no distension. Palpations: Abdomen is soft. Tenderness: There is no abdominal tenderness. Musculoskeletal: General: Deformity (chronic changes from RA in hands) present. Skin: General: Skin is warm and dry. Findings: No erythema or rash. Neurological: Mental Status: She is alert and oriented to person, place, and time. Psychiatric: Behavior: Behavior normal. Thought Content: Thought content normal. Judgment: Judgment normal. H&P: CHIEF COMPLAINT: COVID-19 ASSESSMENT / PLAN: Acute hypoxic respiratory failure secondary to COVID-19 - vaccinated and boosted x1, symptom onset 5/6 - currently on 2L O2, wean as able - CXR showing abnormal parenchymal opacification of the left lung base as can be seen with pneumonitis - continue decadron - does not meet criteria for remdesivir d/t absence of b/l infiltrates - dvt prophylaxis, symptomatic treatment - trend daily bmp, crp, d dimer and cbc LLL opacity - suspect 2/2 atelectasis. Pattern is not consistent with COVID infiltrates - procal WNL - encourage IS UTI - previous UA cultures + e cloi with susceptibility to rocephin - continue rocephin - follow urine culture Hyponatremia - euvolemic on exam - initial Na 128 - s/p 500cc IVF in ED - repeat bmp, go Na no greater then 136 within 24 hours Rheumatoid arthritis - receives orencia infusions monthly, recently completed this months infusion - mainly wheelchair bound d/t contractures - hold methotrexate while receiving COVID tx - tylenol prn Essential HTN - hold hctz d/t hyponatremia - continue losartan Morbid obeisty - BMI 44.65 - encourage wt loss Depression/anxiety - continue zoloft DVT prophylaxis: heparin subq Code status: DNR/DNI Diet: general HISTORY OF PRESENT ILLNESS: Patient is a 84 y.o. female with past medical history of rheumatoid arthritis on methotrexate and monthly orencia infusions, HTN, obesity who resides at facility and presented to the ED with chief complaint of dyspnea and cough. She was subsequently found to have COVID as well as UTI. Patient reports she started developing a dry cough on 5/6 with progressively worsening dyspnea. Associated symptoms include chills and poor oral intake. She reports multiple residents have tested positive for COVID within the last several days. Denies chest pain, syncope, N/V/D or unilateral lower extremity edema. Patient had COVID 2 years ago and is vaccinated and has had 1 booster shot. In regards to her UTI, patient has a history of recurrent UTI's with cultures positive for e cloi. She does endorse dysuria without hematuria or increased urinary frequency. Upon arrival to the ED, patient was afebrile and hemodynamically stable on room air. She later became hypoxic to 88% which improved with 2L O2. Labs were notable Na 128, BNP 1,990, WBC 12.94, hgb 10.6, procal 0.15. CXR showed abnormal parenchymal opacification of the left lung base as can be seen with pneumonitis. Blood cultures and urine culture were obtained. Patient received 500cc IVF in addition to rocephin and decadron. Review of Systems Constitutional: Positive for appetite change and chills. Negative for fever. HENT: Negative for congestion and rhinorrhea. Eyes: Negative for visual disturbance. Respiratory: Positive for cough and shortness of breath. Negative for sputum production. Cardiovascular: Negative for chest pain. Gastrointestinal: Negative for nausea, vomiting, abdominal pain and diarrhea. Genitourinary: Negative for difficulty urinating and dysuria. Musculoskeletal: Positive for joint pain (chronic d/t RA). Negative for falls. Neurological: Negative for dizziness, light-headedness and numbness/tingling. Skin: Negative for rash and wound. OBJECTIVE: BP (!) 114/45 | Pulse 88 | Temp 98.1 ?F (36.7 ?C) (Oral) | Resp 16 | Wt 118 kg (260 lb 2.3 oz) | SpO2 96% | BMI 44.65 kg/m? Physical Exam Constitutional: General: She is not in acute distress. Appearance: She is obese. She is not toxic-appearing. Comments: Resting comfortably in bed, daughter at bedside HENT: Mouth/Throat: Pharynx: Oropharynx is clear. Eyes: General: No scleral icterus. Extraocular Movements: Extraocular movements intact. Pupils: Pupils are equal, round, and reactive to light. Cardiovascular: Rate and Rhythm: Normal rate and regular rhythm. Pulmonary: Effort: Pulmonary effort is normal. No respiratory distress. Breath sounds: No wheezing or rales. Comments: Breathe sounds diminished throughout all lung fields secondary to body habitus Abdominal: General: There is no distension. Palpations: Abdomen is soft. Tenderness: There is no abdominal tenderness. Comments: Hypoactive bowel sounds Musculoskeletal: Right lower leg: No edema. Left lower leg: No edema. Comments: Multiple contractures to BUE and BLE ROM limited 2/2 contractures, unable to bend knees and is wheel chair dependent at baseline Skin: General: Skin is warm and dry. Coloration: Skin is pale. Neurological: General: No focal deficit present. Mental Status: She is alert and oriented to person, place, and time. Comments: Follows basic commans
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Acute respiratory failure
- Hospital-Tage
- 7,0
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Past Medical History: Diagnosis Date ? Arthritis ? GERD (gastroesophageal reflux disease) ? HTN (hypertension) ? RA (rheumatoid arthritis)
- Andere Medikamente
- Acetaminophen 1,000 mg Oral Every 6 hours PRN Folic Acid 1 mg Oral Daily Losartan Potassium-HCTZ 50-12.5 MG 1 tablet Oral Daily Methotrexate Sodium 2.5 MG Takes 8 tablets by mouth once a week on Wednesdays. Check with Rheumatologist before
- Allergien
- nabumetone - skin rash/hives tetracycline - not specified
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 76,0
- Geschlecht
- M
- Eingang
- 16.05.2022
- Impfdatum
- 02.11.2021
- Beginn
- 05.05.2022
- Tage bis Beginn
- 184,0
- Dosis
- 3
- Route/Site
- IM / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: ja
Erholt: ja
Abstains from alcohol
Abstains from recreational drugs
Angiogram pulmonary abnormal
Anticoagulant therapy
Arthralgia
Asthenia
Bacteraemia
Blood culture positive
Breath sounds abnormal
COVID-19
Chest X-ray normal
Cough
Capillary nail refill test
Cellulitis
Chest X-ray abnormal
Condition aggravated
Cor pulmonale acute
Deep vein thrombosis
Symptomtext
Hospitalized (5.5.22 - 5.9.22); COVID-19 positive (5.5.22); fully vaccinated PLUS Booster - moderna x3 BRIEF OVERVIEW: Discharge Provider: PA-C/ MD Primary Care Provider at Discharge: NP Admission Date: 5/5/2022 Discharge Date: 05/09/2022 Active Hospital Problems Diagnosis Date Noted POA ? COVID-19 virus infection 05/06/2022 Unknown Resolved Hospital Problems No resolved problems to display DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Weakness [R53.1] COVID-19 virus infection [U07.1] Respiratory tract infection due to COVID-19 virus [U07.1, J98.8] HOSPITAL COURSE: Patient is a 77 y.o. male with a history of Parkinson's dementia, A-Fib, prior PE, HLD, OSA, Obesity and recent DVT/PE on eliquis who presented to ED for malaise, cough, dyspnea, myalgias, generalized weakness, and headache. He is found to be COVID positive but is not hypoxic and has negative CXR. Due to significant weakness he was admitted under observation for PT/OT eval. Therapy evaluated patient and recommended discharge back to ALF with 2-person assist. His facility reported they were able to provide this level of care for him. Patient slowly started to feel better throughout stay and never became hypoxic. He was given supportive care for his COVID. To note, one blood culture was obtained on admission that grew Staph epidermidis, which is a suspected contaminant. Repeat blood cultures remain NGTD and he remained afebrile and no other signs of systemic infection. He was discharged back to his ALF in stable and improved condition. CONSULTS / RECOMMENDATION: None INPATIENT PROCEDURES: None BP 140/79 | Pulse 50 | Temp 36.5 ?C (Axillary) | Resp 16 | Ht 1.727 m | Wt 106.1 kg | SpO2 97% | BMI 35.57 kg/m? Physical ExamVitals and nursing note reviewed. Constitutional: General: He is not in acute distress. Appearance: He is not toxic-appearing. HENT: Head: Normocephalic and atraumatic. Mouth/Throat: Mouth: Mucous membranes are moist. Eyes: General: No scleral icterus. Cardiovascular: Rate and Rhythm: Normal rate and regular rhythm. Heart sounds: Normal heart sounds. No murmur heard. Comments: Faint pitting edema bilaterally. DP pulses 2+ bilaterally Pulmonary: Effort: Pulmonary effort is normal. No respiratory distress. Breath sounds: Normal breath sounds. No wheezing. Abdominal: General: Bowel sounds are normal. There is no distension. Palpations: Abdomen is soft. Musculoskeletal: General: Normal range of motion. Skin: General: Skin is warm and dry. Neurological: Mental Status: He is alert. Mental status is at baseline. Comments: Masked facies. Orientated to person, month only Psychiatric: Mood and Affect: Mood normal H&P: CHIEF COMPLAINT: COVID-19 virus infection ASSESSMENT / PLAN: COVID-19 viral infection Generalized weakness - Admit to GMF under observation. - Symptom onset 5/5. COVID PCR+ on 5/5. Vaccinated but due for booster. - Comfortable breathing, saturating normally on RA alone. - Not presently a candidate for dexamethasone or remdesivir. - Supportive care, symptom management, encourage IS usage. - Admitting primarily for weakness - therapy evals and dispo planning. - Check ambulatory pulse ox once able to ambulate with walker. Parkinson's disease Dementia Hypotension - Alert and oriented to person only. Usually better oriented during day per daughter. - Continue home Sinemet, Aricept and midodrine. - Regular reorientation, supportive care, avoid deliriogenic meds. PAF - Currently in NSR. Not on chronic rate/rhythm control. - Continue home Eliquis for anticoagulation. - Monitor and optimize electrolytes. HLD - Continue home ASA and Lipitor. Anxiety Depression Insomnia - Continue home Zoloft and melatonin. BPH - Continue Flomax and Vesicare (for Myrbetriq) and monitor for inpatient retention, ISC PRN. Dysphagia - Nectar thick and general solids per daughter. SLP consult. Physical deconditioning - PT/OT evals for home safety (ALF resident). NCM for dispo assist. H/o recent admissions for cellulitis and DVT/PE (Feb-March 2022) VTE Proph: Continue home Eliquis. Code Status: "FULL CODE" per d/w patient and daughter at bedside. HISTORY OF PRESENT ILLNESS: Patient is a 77 y.o. male ALF resident with h/o Parkinsons dementia, A-Fib, prior PE, HLD, OSA and obesity, presenting to the Blodgett ER on 5/5 with c/o malaise, cough, dyspnea, myalgias and headache. He also appears weaker than usual baseline, requiring 2-person assist for standing rather than his usual 1-person assist. He was recently admitted twice in the past few months for DVT/PE and cellulitis, respectively. He is now off antibiotics, but continues to take Eliquis for anticoagulation. Venous duplex in February showed acute appearing DVT of left femoral vein, and CTA thorax showed multiple bilateral acute pulmonary emboli with high clot burden on the right, but no evidence of acute right heart strain. He was in his normal state of health until earlier on 5/5, when the above-noted symptoms started rapidly and progressed throughout the day. There was recently a member of the care staff that was diagnosed with COVID-19. The patient has been vaccinated, but is overdue for his booster. He does not currently smoke, drink alcohol or use recreational drugs. Family history was reviewed but is noncontributory. He denies any other specific complaints or concerns at this time. In the ER, he was afebrile (Tmax 37.7), normotensive, with normal pulse and respiratory rates, and normal oxygen saturation on room air alone. Initial labs are notable for mild normocytic anemia and thrombocytopenia, as well as a positive COVID screen. CXR shows low lung volumes, but no acute cardiopulmonary process. He was treated with Tylenol and 1 L of IV NS. Review of Systems Constitutional: Positive for fatigue. Negative for chills, diaphoresis and fever. HENT: Negative for sore throat and trouble swallowing. Eyes: Negative for visual disturbance. Respiratory: Positive for cough and shortness of breath. Negative for wheezing and sputum production. Cardiovascular: Negative for chest pain, palpitations, orthopnea and leg swelling. Gastrointestinal: Negative for nausea, vomiting, abdominal pain, constipation, diarrhea and trouble swallowing. Genitourinary: Negative for dysuria, frequency and urgency. Musculoskeletal: Positive for joint pain and muscle pain. Neurological: Positive for headaches and weakness (generalized). Negative for dizziness, light-headedness, speech difficulty, loss of consciousness and numbness/tingling. Endo/Heme/Allergy: Negative for adenopathy and easy bleeding or bruising. Skin: Negative for color change and rash OBJECTIVE: BP 117/62 | Pulse 85 | Temp 37.7 ?C (Oral) | Resp 20 | SpO2 95% Physical Exam Vitals reviewed. Constitutional: General: He is not in acute distress. Appearance: He is well-developed. He is ill-appearing. He is not diaphoretic. HENT: Head: Normocephalic and atraumatic. Mouth/Throat: Mouth: Mucous membranes are dry. Eyes: Conjunctiva/sclera: Conjunctivae normal. Pupils: Pupils are equal, round, and reactive to light. Neck: Vascular: No JVD. Cardiovascular: Rate and Rhythm: Normal rate and regular rhythm. Pulmonary: Effort: Pulmonary effort is normal. No respiratory distress. Breath sounds: No wheezing or rales. Comments: Diminished at bases bilaterally, but no audible wheezes, rales or rhonchi. Comfortable and saturating appropriately on baseline room air. Abdominal: General: Bowel sounds are normal. There is no distension. Palpations: Abdomen is soft. Tenderness: There is no abdominal tenderness. Musculoskeletal: General: Swelling (1-2+ BL LE) present. No tenderness. Skin: General: Skin is warm and dry. Capillary Refill: Capillary refill takes less than 2 seconds. Neurological: General: No focal deficit present. Mental Status: He is alert and oriented to person, place, and time. Mental status is at baseline. Psychiatric: Mood and Affect: Mood normal. Behavior: Behavior normal
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pulmonary embolism
- Hospital-Tage
- 4,0
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Pre-Existing Active Problems Diagnosis Date Noted POA ? Bacteremia 03/21/2022 Unknown ? Cellulitis of left groin 03/19/2022 Unknown ? Cellulitis 03/19/2022 Unknown ? Dysphagia 02/17/2022 Unknown ? Acute pulmonary embolism with acute cor pulmonale, unspecified pulmonary embolism type 02/14/2022 Unknown ? Presence of Watchman left atrial appendage closure device 11/11/2021 Unknown ? Urinary tract infection 10/24/2021 Unknown ? UTI (urinary tract infection) 10/21/2021 Unknown ? Fall from ground level 10/14/2021 Unknown ? Scalp laceration 10/14/2021 Unknown ? Scalp hematoma 10/14/2021 Unknown ? Obesity, morbid 06/07/2021 Unknown ? Skin breakdown 12/15/2020 Unknown ? Anxiety and depression 02/20/2020 Unknown ? Dizziness 10/07/2019 Unknown ? Weakness 04/19/2019 Unknown ? Paroxysmal atrial fibrillation 01/02/2019 Unknown ? Other sleep apnea 01/02/2019 Unknown ? Dyslipidemia 01/02/2019 Unknown ? Orthostatic hypotension 01/02/2019 Unknown ? Recurrent urinary tract infection 11/07/2018 Unknown ? Parkinsons disease 02/12/2018 Unknown ? Irritable bowel 02/12/2018 Unknown ? BPH (benign prostatic hyperplasia) 02/12/2018 Unknown ? Parkinson's disease dementia 02/12/2018 Unknown ? Psychosis due to Parkinson's disease
- Andere Medikamente
- Acetaminophen 500-1,000 mg Oral 3 times daily PRN Apixaban 5 mg Oral 2 times daily Aspirin 81 mg Oral Every morning Atorvastatin Calcium 20 mg Oral Every evening Carbidopa-Levodopa 25-100 MG 3 tablets Oral 4 times daily Cranberry 450 mg Ora
- Allergien
- No known allergies
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 78,0
- Geschlecht
- M
- Eingang
- 22.04.2022
- Impfdatum
- 17.09.2021
- Beginn
- 22.12.2021
- Tage bis Beginn
- 96,0
- Dosis
- 2
- Route/Site
- - / -
Tod: ja
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: ja
Erholt: unbekannt
Acute respiratory failure
COVID-19
Death
Decreased appetite
Dyspnoea
Dyspnoea exertional
General physical health deterioration
Pneumothorax
SARS-CoV-2 test positive
Sepsis
Symptomtext
pt presents to ED with SOB and DOE; AHRF; O2 sas 80% on RA; decrease in appetite; found to be positive for COVID; O2 supplementation; steroids and ABX given; sepsis secondary to COVID; bilateral pneumothorax; pt's condition worsened; DNR and eventually made comfort measures only, Morphine and Ativan given; pt died in the hospital
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Acute respiratory failure
- Hospital-Tage
- 22,0
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- GERD, multiple myeloma, chronic prostatitis
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 83,0
- Geschlecht
- M
- Eingang
- 10.03.2022
- Impfdatum
- 19.04.2021
- Beginn
- 08.01.2022
- Tage bis Beginn
- 264,0
- Dosis
- 2
- Route/Site
- - / -
Tod: ja
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Acute respiratory failure
COVID-19
Cardio-respiratory arrest
Dyspnoea
Life support
Death
SARS-CoV-2 test positive
Symptomtext
pt presents to hospital with increasing dyspnea; O2 supplementation; positive test for COVID; AHRF due to COVID; given decadron, vitamins C, D, and zinc; code blue called and ACLS initiated; despite several rounds of ACLS, unable to revive pt
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Death
- Hospital-Tage
- 7,0
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 73,0
- Geschlecht
- M
- Eingang
- 08.02.2022
- Impfdatum
- 02.02.2021
- Beginn
- 01.05.2021
- Tage bis Beginn
- 88,0
- Dosis
- 2
- Route/Site
- - / -
Tod: ja
Lebensbedrohlich: ja
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
COVID-19 pneumonia
Death
Dyspnoea
Dyspnoea at rest
Hypophagia
Symptomtext
pt placed in home hospice with diagnosis of COVID pneumonia; pt's condition was worsening - increasing SOB, on O2 supplementation (NRB), dyspnea with rest, decreased po intake; DNR; per death certificate, pt died at home
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Death
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- kidney transplant, DMT2, HTN, CAD
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 65,0
- Geschlecht
- M
- Eingang
- 08.02.2022
- Impfdatum
- 28.03.2021
- Beginn
- 17.12.2021
- Tage bis Beginn
- 264,0
- Dosis
- 2
- Route/Site
- - / -
Tod: ja
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Blood culture positive
COVID-19
Cardiac arrest
Chest X-ray abnormal
Confusional state
COVID-19 pneumonia
Death
Endotracheal intubation
Fatigue
Culture positive
Intensive care
Unresponsive to stimuli
Lung opacity
Mechanical ventilation
Pleural effusion
Pneumonia
Respiratory failure
SARS-CoV-2 test positive
Symptomtext
pt brought to ED via EMS, pt was unresponsive with O2 sats at 40% on RA; hx of confusion and fatigue x 3 days; intubated; transferred to ICU; COVID pneumonia; pt's condition worsened and he passed away in the hospital
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Cardiac arrest
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- CAD, COPD, HTN RUE amputation
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 60,0
- Geschlecht
- M
- Eingang
- 02.02.2022
- Impfdatum
- 11.03.2021
- Beginn
- 23.08.2021
- Tage bis Beginn
- 165,0
- Dosis
- 1
- Route/Site
- - / -
Tod: ja
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: ja
Erholt: unbekannt
Asthenia
COVID-19
Cardiac arrest
Cerebrovascular accident
Computerised tomogram head abnormal
Dyspnoea
Endotracheal intubation
General physical health deterioration
Respiratory failure
Unresponsive to stimuli
Symptomtext
pt brought to ED via EMS for increasing SOB, weakness after being diagnosed with COVID t days earlier; hypoxic respiratory failure; O2 sats in ED 50%; placed on NRB and O2 sats went up to 70%; placed on Vapotherm 35L; given dexamethasone, remdesivir, vitamins C & D, zinc; pt's condition worsened requiring intubation; off sedation but still unresponsive; head CT showed right CVA and developing left CVA; DNR; comfort measures; pt experienced asystole and never recovered
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Cardiac arrest
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 51,0
- Geschlecht
- M
- Eingang
- 02.02.2022
- Impfdatum
- 25.06.2021
- Beginn
- 13.08.2021
- Tage bis Beginn
- 49,0
- Dosis
- 1
- Route/Site
- - / -
Tod: ja
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: ja
Erholt: unbekannt
COVID-19 pneumonia
Cardio-respiratory arrest
Death
Dyspnoea
Endotracheal intubation
Gastrointestinal haemorrhage
Intensive care
Mechanical ventilation
Positive airway pressure therapy
Resuscitation
Symptomtext
seen in ED with SOB; diagnosed with COVID pneumonia; treated with antibiotic and steroids; worsening SOB; O2 supplementation in ICU with BiPAP 100% alternated with Vapotherm and NRB adjuncts; was able to be moved to medical floor; later experienced code blue, (likely GI bleed), CPR performed; intubated with mechanical ventilation; transferred to SICU; family chose to not perform additional CPR or other aggressive support if needed; pt's condition worsened; in house hospice was chosen and pt died in the hosp
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Cardio-respiratory arrest
- Hospital-Tage
- 28,0
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- HTN
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 77,0
- Geschlecht
- F
- Eingang
- 05.01.2022
- Impfdatum
- 07.03.2021
- Beginn
- 03.09.2021
- Tage bis Beginn
- 180,0
- Dosis
- 1
- Route/Site
- - / -
Tod: ja
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: ja
Erholt: unbekannt
COVID-19
Confusional state
Cough
Death
Deep vein thrombosis
Dyspnoea
Pulmonary embolism
SARS-CoV-2 test positive
Symptomtext
pt brought to ED with increasing SOB, confusion, on O2 via NC; found to have a DVT left upper extremity and PE right lower lung; positive for COVID; coughing; placed on Airvo 55L/91% FiO2; given remdesivir, solu-medrol, baricitinib; pt's condition worsened and she was placed on comfort measures without aggressive treatments; pt died in the hospital
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Death
- Hospital-Tage
- 8,0
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- HTN; RA; GERD; restless leg syndrome, hypothyroidism
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 80,0
- Geschlecht
- M
- Eingang
- 05.01.2022
- Impfdatum
- 17.02.2021
- Beginn
- 15.11.2021
- Tage bis Beginn
- 271,0
- Dosis
- 2
- Route/Site
- - / -
Tod: ja
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: ja
Erholt: unbekannt
Acute respiratory failure
Cough
Death
Dyspnoea
Endotracheal intubation
COVID-19
Vaccine breakthrough infection
Fall
Mechanical ventilation
Resuscitation
Thrombocytopenia
Unresponsive to stimuli
Symptomtext
admitted to hospital through ED post fall at home; c/o SOB and cough for several days; admitted with ARF with hypoxia; given Decadron, antibiotics, Redesivir, Vitamin C & D, Pepcid; thromobocytopenia; pt's condition worsened requiring intubation with mechanical ventilation; pt was found unresponsive by a nurse; CPR was unsuccessful and pt was pronounced dead
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Death
- Hospital-Tage
- 5,0
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- CAD, melanoma of bone
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 47,0
- Geschlecht
- M
- Eingang
- 20.12.2021
- Impfdatum
- 26.03.2021
- Beginn
- 19.10.2021
- Tage bis Beginn
- 207,0
- Dosis
- 1
- Route/Site
- - / -
Tod: ja
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Ageusia
Anosmia
COVID-19
Cough
Death
Dyspnoea
Endotracheal intubation
General physical health deterioration
Nasal congestion
Oropharyngeal pain
SARS-CoV-2 test positive
Symptomtext
diagnosed positive for COVID on 10/19/21; to hosp with worsening SOB, cough, nasal congestion, throat pain, loss of taste and smell; on NRB; condition worsened and pt required intubation; condition continued to deteriorate and pt died in the hosp
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Death
- Hospital-Tage
- 17,0
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 74,0
- Geschlecht
- F
- Eingang
- 13.12.2021
- Impfdatum
- 27.03.2021
- Beginn
- 08.09.2021
- Tage bis Beginn
- 165,0
- Dosis
- 2
- Route/Site
- - / -
Tod: ja
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
COVID-19
Death
Dyspnoea
General physical health deterioration
Intensive care
Mechanical ventilation
SARS-CoV-2 test positive
Symptomtext
pt admitted to hosp with c/o dyspnea; found to be positive for COVID; started on "standard COVID treatment"; pt failed to improved; required increased concentrations of supplemental O2; admitted to ICU; mechanical ventilation; condition worsened; DNR; pt died in the hosp
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Death
- Hospital-Tage
- 33,0
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 87,0
- Geschlecht
- M
- Eingang
- 18.11.2021
- Impfdatum
- 23.02.2021
- Beginn
- 30.08.2021
- Tage bis Beginn
- 188,0
- Dosis
- 2
- Route/Site
- - / -
Tod: ja
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: ja
Erholt: unbekannt
Asthenia
COVID-19
Cough
Death
Dyspnoea
Oxygen saturation decreased
Positive airway pressure therapy
Respiratory failure
SARS-CoV-2 test positive
Symptomtext
PMH: HTN, DMT2, prostate CA; to ED with increasing weakness, SOB, cough (x8dys); Positive for COVID; taking antibiotics and steroids from PCP; initially on NRB; AHRF; O2 sats decreased and pt placed on BiPAP; given broad-spectrum antibiotics and baricitinib; DNR/DNI; pt's condition worsened; family declined hospice; pt died in the hosp
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Death
- Hospital-Tage
- 13,0
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 52,0
- Geschlecht
- M
- Eingang
- 18.11.2021
- Impfdatum
- 24.03.2021
- Beginn
- 30.09.2021
- Tage bis Beginn
- 190,0
- Dosis
- 1
- Route/Site
- - / -
Tod: ja
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: ja
Erholt: unbekannt
COVID-19
COVID-19 pneumonia
Cardio-respiratory arrest
Cough
Death
Decreased appetite
Dyspnoea
Endotracheal intubation
Fatigue
Mechanical ventilation
Nausea
Positive airway pressure therapy
Respiratory failure
SARS-CoV-2 test positive
Symptomtext
PMH: HTN, DM, morbid obesity; pt c/o SOB, fatigue, cough, nausea, anorexia x2wks, worsening past 3 dys; positive for COVID; COVID pneumonia with HRF; placed on BiPAP, remdesivir, dexamethasone, baricitinib; eventually required intubation with mechanical ventilation; pt coded and died in the hosp
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Cardio-respiratory arrest
- Hospital-Tage
- 8,0
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 86,0
- Geschlecht
- F
- Eingang
- 17.11.2021
- Impfdatum
- 26.02.2021
- Beginn
- 13.08.2021
- Tage bis Beginn
- 168,0
- Dosis
- 2
- Route/Site
- - / -
Tod: ja
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: ja
Erholt: unbekannt
Anticoagulant therapy
Asthenia
COVID-19
Death
Dyspnoea
Hypoxia
Positive airway pressure therapy
SARS-CoV-2 test positive
Sepsis
Symptomtext
pt diagnosed positive for COVID 19 on 8/13/21; to ED on 8/15 with increasing SOB; hypoxic with O2 sats 70%; on BiPAP; Hx of lung CA, currently not taking chemotherapy or radiation; treated with dexamethasone, tocilizumab, remdesivir, therapeutic anticoagulation; DNR; TPN; became septic with increasing weakness; made comfort care; inpatient hospice; pt died in hospice
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Death
- Hospital-Tage
- 15,0
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 75,0
- Geschlecht
- M
- Eingang
- 16.11.2021
- Impfdatum
- 13.03.2021
- Beginn
- 20.04.2021
- Tage bis Beginn
- 38,0
- Dosis
- 1
- Route/Site
- - / -
Tod: ja
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Blood loss anaemia
COVID-19
Condition aggravated
Death
Gastrointestinal haemorrhage
Haematemesis
Hepatic cirrhosis
SARS-CoV-2 test positive
Symptomtext
limited medical records received on this pt; pt admitted to the hospital with coffee-ground emesis and vomiting bright red blood; positive for COVID; PMH: cirrhosis and esophageal varices; per death certificate pt died of GI bleed, COVID, blood loss anemia and cirrhosis
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Death
- Hospital-Tage
- 4,0
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 58,0
- Geschlecht
- M
- Eingang
- 12.11.2021
- Impfdatum
- 24.02.2021
- Beginn
- 01.10.2021
- Tage bis Beginn
- 219,0
- Dosis
- 2
- Route/Site
- - / -
Tod: ja
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: ja
Erholt: unbekannt
Airway peak pressure increased
Bacterial infection
Bronchoscopy
COVID-19
Candida infection
Catheter removal
Central venous catheter removal
Chest tube insertion
Condition aggravated
Dialysis
COVID-19 pneumonia
Death
Dyspnoea
Encephalopathy
Endotracheal intubation
Haemofiltration
Mental status changes
Oxygen saturation decreased
Symptomtext
pt had a short stay in the hosp from 9/27 - 9/28/21 with positive test for COVID; dc'd to home; presents to ED with increasing SOB and altered mental status; O2 sats @ 72% on RA; encephalopathic; positive for COVID pneumonia; intubation required; renal failure on CRRT and transitioned to hemodialysis, didn't tolerate well and required pressors; condition declined and worsened; comfort care measures instituted and pt died in the hosp
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Septic shock
- Hospital-Tage
- 13,0
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 65,0
- Geschlecht
- F
- Eingang
- 12.11.2021
- Impfdatum
- 09.04.2021
- Beginn
- 05.08.2021
- Tage bis Beginn
- 118,0
- Dosis
- 2
- Route/Site
- - / -
Tod: ja
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: ja
Erholt: unbekannt
Blood glucose decreased
COVID-19
Chest X-ray
Computerised tomogram thorax
Cough
Chronic obstructive pulmonary disease
Death
Electrolyte substitution therapy
Refusal of treatment by patient
Dyspnoea
Full blood count
Metabolic function test
Muscular weakness
Nausea
Physical deconditioning
SARS-CoV-2 test positive
Spinal X-ray
Vomiting
Symptomtext
pt presents to ED with dyspnea and cough x 2 days; recently diagnosed with small cell lung CA but refuses to go for treatment; states she's "given up"; recent COPD exacerbation, refused to take antibiotics; tested positive for COVID; O2 supplementation via NC; given antibiotics, steroids, IV fluids, electrolyte replacement; dexamethasone; OptiFlow; DNR/DNI; comfort measures and hospice care requested; pt's condition worsened and she died in inpatient hospice care
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Death
- Hospital-Tage
- 13,0
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 79,0
- Geschlecht
- M
- Eingang
- 03.11.2021
- Impfdatum
- 09.03.2021
- Beginn
- 02.09.2021
- Tage bis Beginn
- 177,0
- Dosis
- 1
- Route/Site
- - / -
Tod: ja
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: ja
Erholt: unbekannt
COVID-19 pneumonia
Death
Dyspnoea
Productive cough
Respiratory failure
COVID-19
Vaccine breakthrough infection
Symptomtext
pt to ED with increasing SOB and productive cough x 1 wk; hx of COPD, A Fib, HTN, lung CA; hypoxic respiratory failure secondary to COVID pneumonia; given decadron and remdisivir; pt's condition worsened; O2 supplementation via NC; pt refused BiPAP; DNAR/DNI; pt condition continued to decline and he passed away in the hospital
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Death
- Hospital-Tage
- 37,0
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 64,0
- Geschlecht
- M
- Eingang
- 21.09.2021
- Impfdatum
- 01.03.2021
- Beginn
- 25.08.2021
- Tage bis Beginn
- 177,0
- Dosis
- 2
- Route/Site
- - / -
Tod: ja
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: ja
Erholt: unbekannt
Acute respiratory distress syndrome
Asthenia
COVID-19 pneumonia
Death
Dyspnoea
Endotracheal intubation
Weight decreased
Symptomtext
presented to hospital with complaints of increased weakness, dyspnea, and weight loss; immunosuppressed due to heart transplant; intubated, condition worsened and patient passed away in the hospital; COVID pneumonia ARDS
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Death
- Hospital-Tage
- 7,0
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 80,0
- Geschlecht
- M
- Eingang
- 09.09.2021
- Impfdatum
- 05.03.2021
- Beginn
- 11.08.2021
- Tage bis Beginn
- 159,0
- Dosis
- 1
- Route/Site
- - / -
Tod: ja
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
COVID-19
Cerebrovascular accident
Death
Pneumonia
SARS-CoV-2 test positive
Symptomtext
RECENT CVA; HX OF COPD, HTN, ASTHMA; PNEUMONIA DUE TO POSITIVE FOR COVID
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Cerebrovascular accident
- Hospital-Tage
- 11,0
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 38,0
- Geschlecht
- F
- Eingang
- 09.09.2021
- Impfdatum
- 01.04.2021
- Beginn
- 26.08.2021
- Tage bis Beginn
- 147,0
- Dosis
- 1
- Route/Site
- - / -
Tod: ja
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Asthenia
COVID-19
Cardiac arrest
Dyspnoea
Pyrexia
Respiratory failure
SARS-CoV-2 test positive
Symptomtext
SOB, FEVER, WEAKNESS, POSITIVE COVID TEST, RESPIRATORY FAILURE, CARDIAC ARREST
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Cardiac arrest
- Hospital-Tage
- 4,0
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 67,0
- Geschlecht
- M
- Eingang
- 09.09.2021
- Impfdatum
- 12.04.2021
- Beginn
- 12.08.2021
- Tage bis Beginn
- 122,0
- Dosis
- 1
- Route/Site
- - / -
Tod: ja
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
COVID-19
Death
Dyspnoea
Hypoxia
SARS-CoV-2 test positive
Symptomtext
POSITIVE COVID TEST IN JULY 2021, SOB WORSENED, SENT BACK TO HOSPITAL DUE TO HYPOXIA,, THEN DISCHARGED TO HOSPICE WHERE HE PASSED AWAY.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Death
- Hospital-Tage
- 12,0
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 68,0
- Geschlecht
- F
- Eingang
- 09.09.2021
- Impfdatum
- 30.07.2021
- Beginn
- 12.08.2021
- Tage bis Beginn
- 13,0
- Dosis
- 1
- Route/Site
- - / -
Tod: ja
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Acute respiratory failure
Bilevel positive airway pressure
Computerised tomogram thorax
Computerised tomogram thorax abnormal
Lung opacity
COVID-19
COVID-19 pneumonia
SARS-CoV-2 test positive
Oxygen saturation decreased
Pneumonia viral
Symptomtext
ACUTE RESPIRATORY FAILURE WITH HYPOXIA, COVID POSITIVE, PNEUMONIA DUE TO COVID, HX OF HTN AND DM2
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Acute respiratory failure
- Hospital-Tage
- 1,0
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 86,0
- Geschlecht
- M
- Eingang
- 08.09.2021
- Impfdatum
- 30.01.2021
- Beginn
- 18.08.2021
- Tage bis Beginn
- 200,0
- Dosis
- 1
- Route/Site
- - / -
Tod: ja
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
COVID-19
Hypoxia
SARS-CoV-2 test positive
Septic shock
Symptomtext
positive COVID test; hypoxic; septic shock
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Septic shock
- Hospital-Tage
- 13,0
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 98,0
- Geschlecht
- M
- Eingang
- 09.09.2021
- Impfdatum
- 26.02.2021
- Beginn
- 17.08.2021
- Tage bis Beginn
- 172,0
- Dosis
- 1
- Route/Site
- - / -
Tod: ja
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
COVID-19
COVID-19 pneumonia
Respiratory distress
SARS-CoV-2 test positive
Symptomtext
PRESENTED IN RESPIRATORY DISTRESS, COVID POSITIVE, PNEUMONIA DUE TO COVID
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Respiratory distress
- Hospital-Tage
- 1,0
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 83,0
- Geschlecht
- F
- Eingang
- 09.09.2021
- Impfdatum
- 15.01.2021
- Beginn
- 17.08.2021
- Tage bis Beginn
- 214,0
- Dosis
- 1
- Route/Site
- - / -
Tod: ja
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
COVID-19
Confusional state
Lung infiltration
Pulmonary oedema
SARS-CoV-2 test positive
Symptomtext
CONFUSION, POSITIVE COVID TEST, BILATERAL PULMONARY INFILTRATE, PULMONARY EDEMA
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pulmonary oedema
- Hospital-Tage
- 6,0
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 92,0
- Geschlecht
- M
- Eingang
- 24.01.2022
- Impfdatum
- 05.11.2021
- Beginn
- 12.01.2022
- Tage bis Beginn
- 68,0
- Dosis
- 3
- Route/Site
- IM / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: ja
Erholt: ja
Anion gap
Anticoagulant therapy
Arrhythmia
Asthenia
Bladder catheterisation
Blood bicarbonate normal
Blood chloride increased
Blood creatinine normal
Blood glucose normal
Blood potassium normal
Blood sodium normal
Blood urea normal
COVID-19
Capillary nail refill test
Carbon dioxide normal
Cardiac telemetry normal
Chest X-ray normal
Condition aggravated
Symptomtext
Hospitalized (1.12.22 - 1.18.22); COVID-19 positive (1.12.22); fully vaccinated PLUS Booster - moderna x3 D/c summary: Discharge Summary General Medicine Hospitalist Discharge Summary BRIEF OVERVIEW: Admission Date: 1/12/2022 Discharge Date: 01/18/2022 Active Hospital Problems Diagnosis Date Noted POA ? Enterococcus faecalis infection 01/18/2022 Unknown ? UTI (urinary tract infection) 01/18/2022 Unknown ? COVID-19 01/12/2022 Yes ? Generalized weakness 01/12/2022 PRESENTING PROBLEM: Acute cystitis with hematuria COVID-19 Generalized weakness Proctitis HOSPITAL COURSE: Patient is 92M who presented to the ED with cough, fever, and generalized weakness. Patient has hisetory of dementia, baseline oriented x2, deaf and blind. He has history of urinary retention s/p SPC. In the ER, UA was collected showing evidence of infection for which he was started on Rocephin. He tested positive for COVID 19 and noted to be fully vaccinated and boosted. CXR was unremarkable and patient was not hypoxic, thus did not qualify for Decadron or Remdesivir. Patient's home care was unable to resume care due to postiive COVID status, so was admitted for further monitoring. Urine culture grew E faecalis so he was treated with Ampicillin (discharged on amoxicillin) to complete 7 day course. Patient stayed inpatient until he could return to his facility with COVID precautions. PT/OT recommended discharge to extended care facility. He was discharged back to his independent living facility with escalated home care BP 117/64 | Pulse 102 | Temp 36.3 ?C (Axillary) | Resp 18 | Ht 1.82 m | Wt 79.7 kg | SpO2 90% | BMI 24.06 kg/m? Physical Exam Vitals and nursing note reviewed. Constitutional: General: He is not in acute distress. HENT: Head: Normocephalic and atraumatic. Mouth/Throat: Mouth: Mucous membranes are dry. Eyes: Conjunctiva/sclera: Conjunctivae normal. Cardiovascular: Rate and Rhythm: Normal rate and regular rhythm. Pulmonary: Effort: Pulmonary effort is normal. No respiratory distress. Breath sounds: No wheezing or rhonchi. Abdominal: General: Bowel sounds are normal. There is no distension. Palpations: Abdomen is soft. Tenderness: There is no abdominal tenderness. There is no guarding. Musculoskeletal: General: No swelling. Skin: General: Skin is warm and dry. Capillary Refill: Capillary refill takes less than 2 seconds. Neurological: Mental Status: He is alert. Comments: Oriented to person and place H&P: CHIEF COMPLAINT: COVID-19 Assessment/Plan ASSESSMENT / PLAN: # COVID-19 with Generalized Weakness -tested positive (1/12/22) and fully vaccinated (booster with Moderna 11/5/21) -CXR without acute findings and no hypoxia -monitor for development of respiratory decline -no indication for decadron or remdesivir at this time -PT/OT, consulted # History of Urinary Retention with Suprapubic Catheter -Cystoscopy and placement of SPC (8/2020 with Dr.) -foley exchanged in ED (1/12/22) with UA demonstrating WBC, no nitrite -follow urine culture and will obtain peripheral cultures x2 -Oxybutynin (5 mg BID), Flomax (0.4 mg HS), -given reported fever will continue antibiotics with Rocephin (1 gm IV daily) # Paroxysmal Atrial Fibrillation -not on any rate controlling medication and obtain EKG as appears irregular -PAF going back to 2018 and decision made in the past not to start anticoagulation due to fall risk # Dementia -advance directive in chart and reviewed (DNR/DNI) -clear diet and will have SLP evaluate for advancement of oral intake # Normocytic Anemia -Hgb baseline 11-12 and stable -monitor CBC q72 hours while on Lovenox # Depression with Insomnia -Obtain EKG and if QTc not prolonged continue home Trazodone (50 mg HS) and Celexa (10 mg HS) Telemetry: rates stable and therefore not indicated VTE prophylaxis: lovenox give COVID-19 Nutrition: clears and SLP consulted Code Status: DNR/DNI (advanced directive in place HISTORY OF PRESENT ILLNESS: Patient is a 92 y.o. male who presented to ED today due to cough, fever and generalized weakness. Per report to ED by spouse, patient is normally oriented x2 with confusion at baseline, he is also blind and deaf. Patient noted to have a suprapubic catheter and UA was initially obtained but when foley was last changes was not known. Patient was given dose of Ciprofloxacin prior to foley exchange, after which UA was repeated. Patient tested positive for COVID-19 and was noted to be fully vaccinated including having received his booster. CXR was unremarkable and patient without hypoxia. Lab work was largely unremarkable. Patient lives at home and receives 2 hour in home care. However, patients home care refused continued care at this time for patient due to COVID-19 (+) status and therefore patient being admitted until safe discharge plan can be arranged. Patient seen upon arrival to medical unit. No family at bedside and patient with noted dementia and unable to provide any reliable history. Denies any concerns. OBJECTIVE: BP 126/56 | Pulse 78 | Temp 37.6 ?C (Oral) | Resp 14 | Wt 79.7 kg | SpO2 95% | BMI 23.83 kg/m? Physical Exam Vitals and nursing note reviewed. Constitutional: General: He is not in acute distress. Appearance: He is not toxic-appearing or diaphoretic. HENT: Head: Normocephalic. Cardiovascular: Rate and Rhythm: Normal rate. Rhythm irregular. Pulmonary: Effort: Pulmonary effort is normal. No respiratory distress. Breath sounds: No wheezing. Abdominal: Palpations: Abdomen is soft. Tenderness: There is no abdominal tenderness. There is no guarding. Musculoskeletal: Right lower leg: No edema. Left lower leg: No edema. Neurological: Mental Status: He is alert. Comments: Knows he is here, but not aware he is in the hospital, unable to correctly state current month, but able to state his own name Psychiatric: Behavior: Behavior normal
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Arrhythmia
- Hospital-Tage
- 6,0
- Labordaten
- Lab Results Component Value Date WBC 7.40 01/17/2022 RBC 3.89 (L) 01/17/2022 HGB 12.5 (L) 01/17/2022 HCT 37.7 (L) 01/17/2022 MCV 96.9 01/17/2022 PLATELET 206 01/17/2022 NEUTABSOLU 4.67 01/12/2022 Lab Results Component Value Date GLUCOSE 97 01/17/2022 SODIUM 138 01/17/2022 POTASSIUM 4.4 01/17/2022 CHLORIDE 108 01/17/2022 TOTALCO2 24 04/20/2020 HCO3 22 01/17/2022 ANIONGAP 8 (L) 01/17/2022 BUN 12 01/17/2022 CREATININE 0.87 01/17/2022 EGFR >60 01/17/2022 EGFRML 91 04/20/2020
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Past Medical History: Diagnosis Date ? Cancer ? Cough ? Hernia of unspecified site of abdominal cavity without mention of obstruction or gangrene ? Pneumonia due to organism
- Andere Medikamente
- Acetaminophen 650 mg Oral Every 8 hours PRN Citalopram Hydrobromide 10 mg Oral Nightly Melatonin 5 mg Oral Nightly Oxybutynin Chloride 5 mg Oral 2 times daily Tamsulosin HCl 0.4 mg Oral Nightly traZODone HCl 50 mg Oral Nightly
- Allergien
- No known allergies
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 92,0
- Geschlecht
- M
- Eingang
- 10.09.2021
- Impfdatum
- 05.02.2021
- Beginn
- 01.07.2021
- Tage bis Beginn
- 146,0
- Dosis
- 1
- Route/Site
- - / -
Tod: ja
Lebensbedrohlich: ja
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Asthenia
COVID-19 pneumonia
Symptomtext
weakness; pneumonia due to COVID-19
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- COVID-19 pneumonia
- Hospital-Tage
- 13,0
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 86,0
- Geschlecht
- M
- Eingang
- 09.09.2021
- Impfdatum
- 12.01.2021
- Beginn
- 16.08.2021
- Tage bis Beginn
- 216,0
- Dosis
- 1
- Route/Site
- - / -
Tod: ja
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
COVID-19
Mental status changes
Pneumonia
Respiratory syncytial virus infection
Respiratory syncytial virus test positive
SARS-CoV-2 test positive
Symptomtext
PNEUMONIA, POSITIVE COVID TEST, RSV POSITIVE, ALTERED MENTAL STATE
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pneumonia
- Hospital-Tage
- 11,0
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 76,0
- Geschlecht
- M
- Eingang
- 09.09.2021
- Impfdatum
- 01.04.2021
- Beginn
- 07.08.2021
- Tage bis Beginn
- 128,0
- Dosis
- 1
- Route/Site
- - / -
Tod: ja
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
COVID-19
Cough
Dyspnoea
SARS-CoV-2 test positive
Symptomtext
COUGH, SOB, HX OF MOTHER BEING POSITIVE FOR COVID, PT TESTED POSITIVE FOR COVID
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dyspnoea
- Hospital-Tage
- 13,0
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 80,0
- Geschlecht
- M
- Eingang
- 08.09.2021
- Impfdatum
- 07.01.2021
- Beginn
- 27.08.2021
- Tage bis Beginn
- 232,0
- Dosis
- 1
- Route/Site
- - / -
Tod: ja
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
COVID-19
Dyspnoea
Hypoxia
SARS-CoV-2 test positive
Symptomtext
hypoxic, SOB, positive COVID test
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dyspnoea
- Hospital-Tage
- 1,0
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 75,0
- Geschlecht
- M
- Eingang
- 08.09.2021
- Impfdatum
- 14.01.2021
- Beginn
- 10.08.2021
- Tage bis Beginn
- 208,0
- Dosis
- 1
- Route/Site
- - / -
Tod: ja
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: ja
Erholt: unbekannt
Asthenia
COVID-19
Decreased appetite
Dyspnoea
SARS-CoV-2 test positive
Symptomtext
DECREASE APPETITE, SOB, WEAKNESS, POSITIVE COVID TEST
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dyspnoea
- Hospital-Tage
- 15,0
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TN
- Alter
- 91,0
- Geschlecht
- M
- Eingang
- 09.09.2021
- Impfdatum
- 23.01.2021
- Beginn
- 15.08.2021
- Tage bis Beginn
- 204,0
- Dosis
- 1
- Route/Site
- - / -
Tod: ja
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
COVID-19
Cough
Fatigue
Pyrexia
SARS-CoV-2 test positive
Symptomtext
fever, fatigue, cough, positive for COVID
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Fatigue
- Hospital-Tage
- 10,0
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 64,0
- Geschlecht
- M
- Eingang
- 09.09.2021
- Impfdatum
- 20.03.2021
- Beginn
- 20.08.2021
- Tage bis Beginn
- 153,0
- Dosis
- 1
- Route/Site
- - / -
Tod: ja
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
COVID-19
Diarrhoea
SARS-CoV-2 test positive
Symptomtext
DIARRHEA, POSITIVE COVID TEST, HX OF DIABETES AND HTN; SEIZURE DISORDER
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Diarrhoea
- Hospital-Tage
- 5,0
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 66,0
- Geschlecht
- M
- Eingang
- 09.09.2021
- Impfdatum
- 17.03.2021
- Beginn
- 24.08.2021
- Tage bis Beginn
- 160,0
- Dosis
- 1
- Route/Site
- - / -
Tod: ja
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Blood culture positive
COVID-19
Myalgia
Pyrexia
SARS-CoV-2 test positive
Staphylococcal infection
Symptomtext
POSITIVE COVID TEST, MYALGIAS, FEVER, BLOOD CULTURE POSITIVE FOR MSSA
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Myalgia
- Hospital-Tage
- 3,0
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -