VAERS 2563270
MERCK & CO. INC. · PNEUMO (PNEUMOVAX) · Charge U025499
- Staat
- MI
- Alter
- 62,0
- Geschlecht
- M
- Eingang
- 19.01.2023
- Impfdatum
- 17.03.2022
- Beginn
- 15.01.2023
- Tage bis Beginn
- 304,0
- Dosis
- 1
- Route/Site
- IM / RA
Symptomtext
COVID+ 1/15/2023. Vaccination status - J&J x1, Pfizer x1 Discharge Date: Jan 18, 2023 Discharge Provider: MD Primary Care Provider : PA-C Admission Date: 1/15/2023 Discharge Diagnoses: Active Hospital Problems Diagnosis Date Noted POA ? Diabetic ulcer of toe of right foot associated with type 2 diabetes mellitus, with fat layer exposed 01/16/2023 Unknown ? COVID-19 virus infection Details of Hospital Stay PRESENTING PROBLEM: Right upper quadrant abdominal pain HOSPITAL COURSE: 62-year-old male with past medical history of chronic diastolic CHF, hypertension, diabetes mellitus type 2 with neuropathy, presented with cough, lightheadedness, nausea, vomiting, and right upper quadrant abdominal pain for 3 days. He initially presented to emergency department were he tested positive for COVID -19. He had acute kidney injury, CT scan of the abdomen and pelvis revealed multiple gallstones with showed digestion of possible cholecystitis. Patient was hydrated with IV fluids and was transferred to Hospital for general surgery evaluation. He was empirically started on IV Zosyn. A HIDA scan was done which was negative. His nausea has improved and he is now tolerating a diet. He continues to have right flank/lower rib pain that is worse with cough which was thought to be musculoskeletal strain. His oxygen levels were monitored and he did not have any hypoxic episodes Patient has also been following with Wound Clinic regarding nonhealing wounds on his right hallux, 2nd and 3rd toes. ABI revealed moderate arterial insufficiency. MRI of the right foot showed no evidence of osteomyelitis. Chronic wounds does not look infected. Zosyn was discontinued. His renal function improved back to baseline. Patient was discharged home on improved condition. He was evaluated by PT and OT who recommended discharge home with assist. He will continue to follow up with his wound clinic.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Musculoskeletal chest pain
- Hospital-Tage
- 3,0
- Labordaten
- PERTINENT LABS AND STUDIES: Recent Labs 01/15/23 2119 01/16/23 0629 01/17/23 0958 WBC -- 6.34 5.71 HGB -- 11.2* 11.1* HCT -- 34.1* 35.1* PLATELET -- 162 163 INR 1.0 -- -- Recent Labs 01/16/23 0629 01/17/23 0958 01/18/23 0525 SODIUM 138 140 137 POTASSIUM 3.8 4.8 4.1 CHLORIDE 107 108 107 HCO3 21 21 22 ANIONGAP 10 11 8* CREATININE 2.39* 1.51* 1.21 BUN 45* 32* 25* GLUCOSE 118* 283* 143* CALCIUM 8.3* 8.5* 8.3* MAGNESIUM 2.0 -- -- PHOSPHORUS 3.9 -- -- TOTALPROTE 6.2 -- -- ALBUMIN 2.4* -- -- BILIRUBINT 0.5 -- -- ALKALINEPH 87 -- --
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Mixed dyslipidemia Sleep apnea Arthritis Murmur, cardiac Carotid bruit Pneumonia due to infectious agent Cardiomyopathy Elevated liver enzymes Depression Peripheral neuropathy Tobacco abuse Medically noncompliant Branch retinal vein occlusion of right eye Uncontrolled type 2 diabetes mellitus with diabetic polyneuropathy, with long-term current use of insulin Other chest pain Tooth abscess Localized edema Asthma Heart disease BPH (benign prostatic hyperplasia) Morbid obesity with BMI of 45.0-49.9, adult Chest pain COPD (chronic obstructive pulmonary disease) Hyperlipidemia Stable angina pectoris Aneurysm of left internal carotid artery Type 2 diabetes mellitus with ophthalmic complication with long-term use of insulin Anticoagulant long-term use Symptomatic bradycardia Chronic systolic heart failure Atrial fibrillation, unspecified type Permanent atrial fibrillation Shortness of breath Hypertension Former smoker
- Andere Medikamente
- Albuterol Sulfate 108 (90 Base) MCG/ACT 2 puffs Inhalation Every 4 hours PRN Atorvastatin Calcium 40 mg Oral Daily Furosemide 40 mg Oral 2 times daily Gabapentin 100 mg Oral 3 times daily Insulin Aspart 100 UNIT/ML inject up to 40 units PER
- Allergien
- No Known allergies
- Vorherige Impfungen
- -