VAERS 2544590
MERCK & CO. INC. · PNEUMO (PNEUMOVAX) · Charge U016057
- Staat
- MI
- Alter
- 82,0
- Geschlecht
- F
- Eingang
- 28.12.2022
- Impfdatum
- 29.10.2021
- Beginn
- 22.12.2022
- Tage bis Beginn
- 419,0
- Dosis
- 1
- Route/Site
- IM / -
Symptomtext
COVID+ 12/22/22. Vaccination Status - Moderna x3 BRIEF OVERVIEW: Discharge Provider: Primary Care Provider at Discharge: Admission Date: 12/22/2022 Discharge Date: 12/27/2022 Active Hospital Problems Diagnosis Date Noted POA ? AKI (acute kidney injury) 12/24/2022 Unknown ? COVID-19 12/22/2022 Unknown ? Atrial fibrillation with RVR 12/22/2022 Unknown ? Pleural effusion, bilateral 12/22/2022 Unknown ? Chronic combined systolic and diastolic heart failure 09/28/2022 Yes ? Valvular heart disease 09/28/2022 Yes ? Paroxysmal atrial fibrillation 09/14/2022 Yes ? Primary hypertension DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Pleural effusion [J90] Atrial fibrillation with RVR [I48.91] Acute respiratory failure with hypoxia [J96.01] COVID-19 [U07.1] HOSPITAL COURSE: Pt. is a 83 y.o. female who presented with shortness of breath, fatigue and weakness that started roughly 5 days ago. She denies dizziness, headache, palpitations, chest pain/pressure, fever, chills, body aches, cough, congestion, lower extremity edema. No nausea, vomiting, diarrhea, dysuria. Upon arrival to the emergency department she was found to be hypoxic with SpO2 79%, and tachypnea with RR 29. EKG was performed and demonstrated atrial fibrillation with RVR. CXR demonstrated large left pleural effusion and small right pleural effusion with vascular congestion bilaterally. BNP 10478. Troponin 21. Positive COVID nasal swab. Current vital signs 95% on 2 L nasal cannula, RR 28, blood pressure 160/122, HR 154. Patient reports that her symptoms have improved since arrival however she does state that her shortness of breath continues to be moderate in intensity. She denies pain at this time. The above vital signs, and radiographs, labs reviewed and interpreted by me on 12/22/2022. Patient was referred to admission to hospitalist service, inpatient progressive care unit. Patient was diuresed with intravenous Lasix and placed on a Cardizem drip for rate control. She underwent thoracentesis with removal of 500 mL of fluid. With these measures she was able to be weaned off oxygen but she became mildly hypotensive. Cardizem had to be discontinued. She was started on digoxin for control of her heart rate with good results; however she did have some pauses with an elevated digoxin level. Case was discussed with Cardiology to was recommended maintaining her on a beta-blocker, adding a low-dose of oral Cardizem with the patient could tolerate. Patient continue improved but she did have some nighttime hypoxemia. She was kept an additional day for a nighttime oxygen saturation study to possibly qualify her for oxygen. She did not qualify for oxygen. Labs and vitals are stable.Patient is eager to discharge, she has been discharged in a stable medical condition with her family.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Acute respiratory failure
- Hospital-Tage
- 5,0
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Primary hypertension Mixed hyperlipidemia Tubular adenoma of colon GERD (gastroesophageal reflux disease) High cholesterol History of Barrett's esophagus Mitral stenosis Mild aortic stenosis Osteoporosis, unspecified osteoporosis type, unspecified pathological fracture presence Psoriasis Onychomycosis Paroxysmal atrial fibrillation Chronic combined systolic and diastolic heart failure Valvular heart disease
- Andere Medikamente
- Aspirin 81 mg Oral Daily Carvedilol 12.5 MG take 1 tablet by mouth twice a day with meals Clobetasol Propionate 0.05 % Apply externally Daily PRN, To the scalp Diclofenac Sodium 1 % Topical 2 times daily, To affected joints for pain Omepraz
- Allergien
- Sulfa DrugsRash
- Vorherige Impfungen
- -