VAERS 2715011
SANOFI PASTEUR · INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE QUADRIVALENT) · Charge UT8150DA
- Staat
- -
- Alter
- 100,0
- Geschlecht
- F
- Eingang
- 17.11.2023
- Impfdatum
- 19.10.2023
- Beginn
- 15.11.2023
- Tage bis Beginn
- 27,0
- Dosis
- N/A
- Route/Site
- IM / RA
Symptomtext
Resident was checked on at 1515 to give 1500 med, resident was noticed to be unresponsive at that time. TMA called this nurse into room, assessment started, eye not tracking, mumbled speech noted, right side mouth droop, not following commands. 911 called. VS taken and charted. Resident was to lunch at noon walked with walker to dining room, received ride in wc back to room which is her normal routine, last checked on at 1300, no concerns at that time. Assessment / Plan Active Problems: *CVA left-sided with right-sided paresis -Not a candidate for thrombolytic given significant comorbidities as well as age -Patient will be admitted We will repeat CT scan in the morning She will have a 2D echo She will be given aspirin 325 per rectum Patient is not able to swallow
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Cerebrovascular accident
- Hospital-Tage
- 2,0
- Labordaten
- LAB 11/15/23 Troponin I: 0.026 BUN: 23 Creatinine: 1.16 Alkaline Phosphatase: 192 AST - SGOT: 36 eGFRcr(AS): 42 Low Platelet Count: 416 High Monocytes Absolute: 1.1 High EXAM: CT HEAD WITHOUT CONTRAST 11/15/23 INDICATION: Stroke TECHNIQUE: CT of the brain performed without IV contrast. COMPARISON(S): 3/23/2023 FINDINGS: There is no acute intra or extra axial fluid collection. There is stable generalized cerebral atrophy. The ventricles are symmetric in size, shape, and position. There are mild areas of hyper bowel attenuation within the cerebral white matter consistent with chronic small vessel disease. No mass effect or midline shift is present. The gray-white matter differentiation is maintained. There is a stable calcified dural based extra-axial lesion near the vertex overlying the parietal convexity which likely represents meningioma. There is no significant mass effect upon the adjacent cerebral sulci. The visualized portions of the orbits, paranasal sinuses, and mastoids are normal. No fractures are identified. IMPRESSION: No acute intracranial process. EKG 11/15/23 WAVEFORM Sinus bradycardia Left axis deviation Left bundle branch block Abnormal ECG Echocardiogram 11/15/23 Left Ventricle The left ventricle appears normal in size. Wall thickness is normal. The EF is visually estimated to be 30-35%. The mid inferior, apical septal and apical inferior wall segments are akinetic. Global hypokinesis of the left ventricular wall segments. Apical tabeculae noted. Grade II diastolic dysfunction and left ventricular filling pressure is elevated. There is no thrombus. Right Ventricle The right ventricle appears normal in size. Systolic function is normal. Wall thickness is normal. The RVSP measures 24 mmHg. There is no evidence of pulmonary hypertension. Left Atrium The left atrium is dilated by visual assessment. Interatrial Septum No evidence of an atrial shunt by color Doppler. Right Atrium The right atrium is dilated by visual assessment. Aortic Valve The aortic valve is tricuspid. Normal valve mobility. The cusps are mildly thickened. There is mild regurgitation. Aortic regurgitation pressure half-time is 506 msec. There is no evidence of aortic valve stenosis. Mitral Valve Mitral valve structure is normal. The leaflets are mildly thickened. There is moderate regurgitation. There is no evidence of mitral valve stenosis. Tricuspid Valve Tricuspid valve structure is normal. There is mild regurgitation. Pulmonic Valve Pulmonic valve structure is normal. There is mild regurgitation. There is no evidence of pulmonic valve stenosis. Aorta The sinus of Valsalva is normal. The sinotubular junction is within normal limits. The ascending aorta is normal. Pulmonary Artery The estimated pulmonary artery systolic pressure is 24 mmHg.There is no pulmonary hypertension. IVC/SVC Normal IVC size with normal respirophasic changes. Pericardium There is no pericardial effusion.
- Aktuelle Erkrankungen
- No acute illnesses
- Vorgeschichte
- Essential hypertension [I10] Disorder of bone and cartilage [M89.9, M94.9 Open-angle glaucoma, moderate stage Bilateral senile cataracts Exudative age-related macular degeneration Pure hypercholesterolemia [E78.00 Hypothyroidism (acquired) [E03.9 Chronic systolic congestive heart failure Nursing home resident [Z59.3] CHF (congestive heart failure) [I50.9] Bronchitis [J40] Heart failure with reduced ejection fraction
- Andere Medikamente
- -potassium chloride (K-TAB) 10 mEq CR tablet -pantoprazole (PROTONIX) 20 mg enteric coated tablet -lisinopril (PRINIVIL, ZESTRIL) 5 mg tablet -carVEDilol (COREG) 12.5 mg tablet -furosemide (LASIX) 20 mg tablet -polyethylene glycol
- Allergien
- No allergies
- Vorherige Impfungen
- -