이상반응 보고
| VAERS ID | 2298551 |
|---|---|
| 성별 | 남성 |
| 나이 | 60세 |
| 주 코드 | MI |
| 제약회사 | MODERNA |
| 로트 번호 | 016B21F |
| 예방접종 횟수 | 2 |
| 접종일 | 2021-04-20 |
| 발병일 | 2022-02-15 |
| 상태 | 입원 회복 |
증상
- 피로(Fatigue)
- 식욕 감소(Decreased appetite)
- 옆구리 통증(Flank pain)
- C 반응성 단백질 증가(C-reactive protein increased)
- 혈액 요소 증가(Blood urea increased)
- 실험실 테스트 비정상(Laboratory test abnormal)
- SARS-CoV-2 테스트 양성(SARS-CoV-2 test positive)
- 산소포화도 감소(Oxygen saturation decreased)
- 혈액 크레아티닌 증가(Blood creatinine increased)
- 탈수(Dehydration)
- 코로나 바이러스 감염증 -19 : 코로나 19(COVID-19)
- 심방 세동(Atrial fibrillation)
- 급성 신장 손상(Acute kidney injury)
- 섬망 상태(Delirium)
- 혈관 조영술 이상(Angiogram abnormal)
- 백혈구 증가증(Leukocytosis)
- 방광 카테터 삽입(Bladder catheterisation)
- 요폐(Urinary retention)
- 소변량 감소(Urine output decreased)
- 프로칼시토닌 정상(Procalcitonin normal)
- 관상동맥 우회(Coronary artery bypass)
- 대 동맥류(Aortic aneurysm)
- 신장 장애(Renal impairment)
이환 중 질병
지병
02/05/19 Lumbosacral radiculopathy at S1 Date Unknown Abnormal computed tomography angiography (CTA) 2/7/22 Ascending aortic aneurysm (HCC) 2/7/22 Coronary artery disease with angina pectoris, unspecified vessel or lesion type, unspecified whether native or transplanted heart (HCC) Date Unknown GERD (gastroesophageal reflux disease) Date Unknown History of skin cancer Date Unknown HTN (hypertension) Date Unknown Hypercholesteremia Date Unknown Sleep apnea
기타 의료
Crestor 20 mg Norvasc 2.5 mg
이전 예방접종
알레르기
Zocor
임상 검사
증상 상세
Patient was initially presented on 2/15/2022 with a chief complaint of left flank pain and lack of appetite with decreased urine output.
Patient recently underwent 2 vessel CABG on 02/07/2022 and was discharged to home on 02/13/22.
Postoperative course was complicated by urinary retention and high PVR required straight catheterization.
Patient developed postoperative atrial fibrillation with RVR was started on amiodarone and was also started on Lasix.
Upon evaluation in the ED BP was 88/59, heart rate 70 with SpO2 93% in room air afebrile.
Patient appeared to be fatigued and subsequently he was found to have atrial fibrillation with RVR with a rate of 138 BPM.
Lab work revealed mild leukocytosis, elevated creatinine of 1.
9 and BUN of 35.
Patient was subsequently admitted for dehydration and acute kidney injury.
Subsequently patient tested positive for COVID-19 PCR although patient denied any fever or chills or any sore throat or body ache.
He was placed on contact and droplet precaution.
Patient developed worsening renal function with elevation of creatinine possibly due to dehydration.
He was started on 75 cc/hour of IV fluid cautiously due to COVID-19 infection.
Patient reported to have no shortness of breath or fever or chills or any sore throat or any myalgias.
CRP is elevated on 2/17.
Patient had slightly low SpO2 on 2/18 and he was started on Decadron at the time.
He received another dose and the Decadron is discontinued on 02/19.
Leukocytosis and CRP are improving.
Procalcitonin is negative.
The length of stay was prolonged due to acute delirium.
Patient remained stable and was discharged at stable condition.