이상반응 보고
| VAERS ID | 2570034 |
|---|---|
| 성별 | 남성 |
| 나이 | 79세 |
| 주 코드 | MI |
| 제약회사 | PFIZER\BIONTECH |
| 로트 번호 | EQ0162 |
| 예방접종 횟수 | 2 |
| 접종일 | 2021-04-17 |
| 발병일 | 2021-11-14 |
| 상태 | 입원 사망 |
증상
- 피로(Fatigue)
- 집중 치료(Intensive care)
- 무력증(Asthenia)
- SARS-CoV-2 테스트 양성(SARS-CoV-2 test positive)
- 코로나 바이러스 감염증 -19 : 코로나 19(COVID-19)
- 기관 삽관(Endotracheal intubation)
- 호흡곤란(Respiratory distress)
- 급성 신장 손상(Acute kidney injury)
- 코로나19 폐렴(COVID-19 pneumonia)
- 죽음(Death)
- 저산소증(Hypoxia)
- 심 부정맥 혈전증(Deep vein thrombosis)
- 초음파 도플러 이상(Ultrasound Doppler abnormal)
- 신부전(Renal failure)
- 항응고 요법(Anticoagulant therapy)
- 포부(Aspiration)
- 중심 정맥 도관(Central venous catheterisation)
- 동맥 도관(Arterial catheterisation)
이환 중 질병
지병
coronary artery disease status post CABG hypertension chronic kidney disease
기타 의료
amLODIPine (NORVASC) 5 MG tablet ascorbic acid (VITAMIN C) 250 MG tablet aspirin EC (ECOTRIN) 325 MG tablet atorvastatin (LIPITOR) 40 MG tablet Cyanocobalamin (VITAMIN B-12) 1000 MCG tablet metoprolol succinate (TOPROL XL) 50 MG SR tablets
이전 예방접종
알레르기
Ciprofloxacin
임상 검사
Positive COVID 19 test 11/14/2021
증상 상세
Patient is a 79-year-old male who was admitted to the hospital on 11/14.
Patient has a past medical history including coronary artery disease status post CABG hypertension chronic kidney disease.
Patient had presented with generalized weakness and fatigue.
In the emergency room patient was noted to be hypoxic and COVID-19 positive.
Patient was previously vaccinated patient initially required high-flow nasal cannula non-rebreather in the emergency room due to progressive hypoxia.
Patient was admitted to the intensive care unit.
Upon admission, patient was started on varus attentive and dexamethasone for his COVID-19 pneumonia.
Patient responded with decrease FiO2 and was transition to moderate care.
After several days, patient developed progressive hypoxemia increasing FiO2 requirement.
Pulmonary was consulted.
Patient also displayed some waxing and weaning oxygen requirements.
On 12/07 patient increased respiratory distress requiring intubation.
At the time of intubation patient was noted to have aspirated gastric contents.
Following intubation patient was transferred back to the intensive care unit, A-line and central venous access were obtained.
Patient required nitric oxide and prone positioning for his profound hypoxemia additionally patient went was placed on Levophed and vasopressin.
Patient's antibiotics were adjusted to account for the aspiration.
Patient continued to require high FiO2 as well as high peep.
Patient also remained on vaso press in and norepinephrine during his ICU stay.
Patient also developed progressive acute kidney injury and ultrasound did reveal a DVT of his lap up with Dr.
Extremity for which she was placed on heparin.
Patient was made previously DNR by the patient's family and upon further discussions with the patient's family patient had previously stated that he would not want to be on dialysis.
As patient has renal failure progressed without any significant improvement in his hypoxemia and O2 requirements patient was transition to comfort care by the family.
Patient expired on December 17, 2021