VAERS 2453686
SANOFI PASTEUR · INFLUENZA (SEASONAL) (FLUZONE QUADRIVALENT) · Charge UT7411JA
- Staat
- MI
- Alter
- 43,0
- Geschlecht
- M
- Eingang
- 21.09.2022
- Impfdatum
- 17.11.2021
- Beginn
- 17.09.2022
- Tage bis Beginn
- 304,0
- Dosis
- N/A
- Route/Site
- - / -
Symptomtext
Discharge Provider: MD Primary Care Provider: FNP Admission Date: 9/17/2022 Discharge Date: Sep 18, 2022 PRESENTING PROBLEM: DKA, type 2, not at goal (HCC) [E11.10] Diabetic ketoacidosis without coma associated with type 2 diabetes mellitus (HCC) [E11.10] Type 2 diabetes mellitus with hyperglycemia, with long-term current use of insulin (HCC) [E11.65, Z79.4] Left lower quadrant abdominal pain [R10.32] COVID-19 [U07.1] HOSPITAL COURSE: 44 year old male with history of insulin dependant DMII who presented to ER on 9/17/22 with complaints of vomiting. On 9/16/22, patient started with sore throat, cough and SOB. Shortly after, he started with vomiting. Initially, blood sugars were controlled but then started to trend upward despite insulin use. He continued with vomiting overnight and ultimately presented to the ER on 9/17/22. He was found to be in DKA with pH 7.3, anion gap of 25 and bicarb of 12. He was admitted to the ICU, given IV fluids and started on insulin drip. By morning of 9/18/22, anion gap closed and patient was tolerating diet. Blood sugars remained stable on basal bolus insulin and patient is discharged home. Patient did test positive for COVID on 9/18/22. He did have brief time when oxygen saturations decreased to 88% on room air. He was placed on 2L oxygen but was able to quickly wean back to room air. With drop in oxygen saturations, he was started on oral decardon and IV Remdesivir. By discharge, symptoms are mild and he remains on room air. He was instructed to follow CDC guidelines and remain in isolation for 5 days at home. No medications prescribed at discharge. He can treat symptoms with OTC meds prn.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Intensive care
- Hospital-Tage
- 1,0
- Labordaten
- -
- Aktuelle Erkrankungen
- 11/8/2021 - 11/10/2021 (2 days) HOSPITAL PRESENTING PROBLEM: DKA, type 2, not at goal (HCC) [E11.10] Left upper quadrant abdominal pain [R10.12] Ketoacidosis in type 2 diabetes mellitus without coma (HCC) [E11.10]
- Vorgeschichte
- Femoroacetabular impingement of right hip Allergic rhinitis Chronic tension-type headache, not intractable Essential tremor Essential hypertension Irritable colon Long term (current) use of insulin (HCC) Major depressive disorder, recurrent, moderate (HCC) Migraine without aura and without status migrainosus, not intractable Mixed hyperlipidemia PTSD (post-traumatic stress disorder) Tobacco abuse Type 2 diabetes mellitus with complication, with long-term current use of insulin (HCC) Kidney stone Aftercare following surgery of the musculoskeletal system Metabolic acidosis due to diabetes mellitus (HCC) GERD (gastroesophageal reflux disease) COVID-19
- Andere Medikamente
- acetaminophen (TYLENOL) 500 MG tablet aspirin 81 MG enteric coated tablet atorvastatin (LIPITOR) 20 MG tablet cyclobenzaprine (FLEXERIL) 10 MG tablet dulaglutide (TRULICITY) 1.5 MG/0.5ML injection fluticasone (FLONASE) 50 MCG/ACT nasal spra
- Allergien
- MetforminRash
- Vorherige Impfungen
- -