이상반응 보고
| VAERS ID | 1570770 |
|---|---|
| 성별 | 여성 |
| 나이 | 52세 |
| 주 코드 | WI |
| 제약회사 | PFIZER\BIONTECH |
| 로트 번호 | EW0181 |
| 예방접종 횟수 | 2 |
| 접종일 | 2021-07-30 |
| 발병일 | 2021-07-31 |
| 상태 |
증상
- 두통(Headache)
- 뜨거운 느낌(Feeling hot)
- 현기증(Dizziness)
- 감각 장애(Sensory disturbance)
- 메스꺼움(Nausea)
- 부적절한 제품 관리 일정(Inappropriate schedule of product administration)
- 무력증(Asthenia)
- 혈당 정상(Blood glucose normal)
- 흉부 X선 정상(Chest X-ray normal)
- 혈액 나트륨 정상(Blood sodium normal)
- 전체 혈구 수(Full blood count)
- 대사 기능 검사(Metabolic function test)
- 차등 백혈구 수(Differential white blood cell count)
- 예방 접종 합병증(Vaccination complication)
- 임신 테스트 음성(Pregnancy test negative)
- 임신 테스트(Pregnancy test)
- 사구체 여과율(Glomerular filtration rate)
- 심전도 ST분절 정상(Electrocardiogram ST segment normal)
- 호중구 수(Neutrophil count)
- 동리듬(Sinus rhythm)
- 심전도 PR 간격(Electrocardiogram PR interval)
- 심전도 QT 간격(Electrocardiogram QT interval)
- QRS 축(QRS axis)
- QRS 축 비정상(QRS axis abnormal)
- 심전도 T파 정상(Electrocardiogram T wave normal)
- 심전도 P파 정상(Electrocardiogram P wave normal)
이환 중 질병
N/A
지병
Cardiovascular and Mediastinum Migraine Essential hypertension Dermatologic Rosacea Endocrine IFG (impaired fasting glucose) Musculoskeletal DDD (degenerative disc disease), lumbar Achilles tendinitis of left lower extremity Bunion of great toe of right foot Ophthalmologic Myopia of both eyes with regular astigmatism and presbyopia Other Depression History of breast cancer - left breast in situ (6/23/2020)
기타 의료
acetaminophen (TYLENOL) 500 MG tablet cetirizine (ZYRTEC) 10 MG tablet fluticasone-vilanterol (BREO ELLIPTA) 200-25 MCG/INH inhaler glucosamine hcl 1000 MG tablet hydroCHLOROthiazide 25 MG tablet hydrOXYzine hcl 25 MG tablet ipratropium-alb
이전 예방접종
알레르기
Latex-Swelling Adhesive Tape [Tape]-Rash Nickel-Rash Peppermint Oil-Rash SeasonalRunny Nose Sulfa- DrugsItching
임상 검사
7/31/2021 ED visit: Labs Reviewed COMPREHENSIVE METABOLIC PANEL (CPANEL) - Abnormal; Notable for the following components: Result Value GLUCOSE RANDOM 132 (*) SODIUM 136 (*) All other components within normal limits CBC WITH DIFF - Abnormal; Notable for the following components: ABSOLUTE NEUTROPHILS 8.
0 (*) All other components within normal limits TROPONIN I SERUM PREGNANCY QUAL GFR--ESTIMATED GLOMERULAR FILTRATION RATE TROPONIN I Imaging XRAY CHEST AP PORTABLE Result Date: 7/31/2021 No active disease of the chest.
Reading Radiologist - Dictation Date Time - 07/31/2021 21:09 CDT Signed Date Time - 07/31/2021 21:09 CDT Transcriptionist - NA CT HEAD W/O IV CONTR Result Date: 7/31/2021 * No acute intracranial findings.
Reading Radiologist - Dictation Date Time - 07/31/2021 21:29 CDT Signed Date Time - 07/31/2021 21:32 CDT Transcriptionist - NA Medications acetaminophen (TYLENOL) tablet 1,000 mg (1,000 mg Oral Not Given 7/31/21 1951) sodium chloride IV bolus 0.
9 % 1,000 mL (0 mL Intravenous Infusion Complete 7/31/21 2150) ketorolac (TORADOL) injection 15 mg (15 mg Intravenous Given 7/31/21 2026) prochlorperazine (COMPAZINE) injection 10 mg (10 mg Intravenous Given 7/31/21 2042) EKG 7/31/2021 at 2125 Normal sinus rhythm at 69 bpm Normal P waves, PR interval, QTc, QRS, axis Poor R wave progression No definitely new concerning ST or T-wave changes
증상 상세
Patient received care at ED on 7/21/2021: Reports she got her 2nd dose of pfizer vaccine yesterday.
Had similar reaction to the first dose but back in December.
Waited for second one due to first dose.
Having all over weakness, HA.
Also having dizziness.
An 8/10 HA.
Nauseated as well.
Also had weird sensation over the R side of her face feeling very warm like she was on a heating pad.
Symptoms started at 10pm last night.
Just doesn't feel like she is getting any better.
DDx considered includes but not limited to: myositis, active infxn, intra-cranial abnl.
W/u for these is reassuring against emergent pathology.
Most likely related to 2nd vaccine dose.
Disposition: Discharge