이상반응 보고
| VAERS ID | 1545487 |
|---|---|
| 성별 | 남성 |
| 나이 | 72세 |
| 주 코드 | FL |
| 제약회사 | PFIZER\BIONTECH |
| 로트 번호 | EL1284 |
| 예방접종 횟수 | 2 |
| 접종일 | 2021-02-05 |
| 발병일 | 2021-07-27 |
| 상태 | 입원 사망 |
증상
- 피로(Fatigue)
- 발열(Pyrexia)
- 호흡곤란(Dyspnoea)
- 가슴 통증(Chest pain)
- 상태가 악화됨(Condition aggravated)
- 기침(Cough)
- 흉부 엑스레이(Chest X-ray)
- 실험실 테스트(Laboratory test)
- 근육 경련(Muscle spasms)
- 비강 건조(Nasal dryness)
- 불명 증(Insomnia)
- SARS-CoV-2 테스트 양성(SARS-CoV-2 test positive)
- 산소포화도 감소(Oxygen saturation decreased)
- 고혈당(Hyperglycaemia)
- 비출혈(Epistaxis)
- 코로나 바이러스 감염증 -19 : 코로나 19(COVID-19)
- 미각저하증(Hypogeusia)
- 이중 수준 양압(Bilevel positive airway pressure)
- 환자의 치료 거부(Refusal of treatment by patient)
- 기관 삽관(Endotracheal intubation)
- 기계적 환기(Mechanical ventilation)
- 죽음(Death)
- 저산소증(Hypoxia)
- 혈액 가스(Blood gases)
- 전염병(Infection)
- 기종(Emphysema)
이환 중 질병
지병
No date: Actinic keratosis No date: Angiopathy No date: Basal cell carcinoma No date: Cancer (CMS-HCC: 12) No date: Chronic renal disease, stage III No date: Coronary heart disease No date: Dermatitis No date: Diabetes mellitus Comment: Type 2 No date: Elevated transaminase level No date: Fatty liver No date: GERD (gastroesophageal reflux disease) No date: Hyperlipidemia No date: Hypertension No date: Insomnia No date: OSA on CPAP No date: Peripheral polyneuropathy No date: Psoriasis No date: Restless leg No date: Sleep apnea No date: Squamous cell carcinoma of skin No date: Thyroid disease Comment: Hypothyroidism No date: Vitamin D deficiency
기타 의료
amitriptyline (ELAVIL) 10 MG Oral Tablet Take 3 tablets by mouth nightly at bedtime. 9/23/20 amLODIPine (NORVASC) 10 MG Oral Tablet TAKE 1 TABLET BY MOUTH EVERY DAY 9/24/20 aspirin 81 MG Tablet Delayed Release Take by mouth daily.
이전 예방접종
알레르기
? Kenalog [Triamcinolone] - Rash Only ointment he has severe reaction too. ? Latex - Rash
임상 검사
(COVID-19), NAA FLU-RSV-SARS NAAT Collected: 07/26/21 1151 - confirmed positive CORONAVIRUS (COVID-19), NAA Collected: 07/27/21 2235 - confirmed positive
증상 상세
Patient was hospitalized due to breakthrough covid-19 infection on 7/27/21 with complaints of shortness of breath, nonproductive cough, daily fevers, decrease taste, chest pain when coughing, and fatigued.
Patient completed the Pfizer vaccine series in February.
Patients condition worsened over hospital course and he was pronounced deceased on 8/09/21 @21:55.
Below information is copied from progress note on 8/08/21: 7/30/21: Patient has had no new issues overnight.
He remains on HFNC + NRB 80L/100% maximum support, refusing bipap.
Educated on importance of utilizing bipap, still refusing.
Sats remain mid 80s.
8/1: No acute events overnight.
Tol slow wean of HFNC.
Bipap overnight.
Hemodynamically stable.
8/2: No acute events overnight.
On FFB overnight 85% 12/8.
Was reportedly in chair most of the day yesterday on HFNC 70%/70l with stable sats.
Hemodynamically stable.
No fevers.
8/3:Patient sitting up in chair , on HFNC, nostrils bloody and with dry mucus.
Requesting to be placed on regular diet with no restrictions.
Uneventful night.
8/4: Sats upon intial exam this AM by this provider were 77%.
Pt had just transferred bed to chair with HFNC and NRB.
Sats slow to recover but with NRB, slowly improved to 89%.
Pt states that he slept poorly last night and this AM upon getting up had trouble with severe left thigh cramp.
Was given Robaxin, pain med, warm pack to thigh and is better now.
Added Melatonin to HS meds prn to help with sleep.
Additional aspart given for hyperglycemia.
8/5: no events overnight.
Patient remained on BIPAP with no issues.
8/6: Pt required BIPAP d/t decreasing O2 sats to low 80s on HFNC.
8/7: Intubated last night for hypoxemia refractory to FFB 100%.
Currently stable sats on APRN 100%, PH 30.
Sub cut emphysema to neck.
AM CXR, ABG, and labs pending.
TF ordered.
Wife notified of intubation- she was diagnosed with covid at same time as husband.
She will contact her son who has been fully immunized and no current covid s/s.
8/8: patient remained intubated and sedated on ventilator overnight.
APRV PH 24, 95% fiO2