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VAERS ID	2587223
성별	여성
나이	52세
주 코드	CA
제약회사	PFIZER\BIONTECH
로트 번호	ER8734
예방접종 횟수	1
접종일	2021-04-05
발병일	2023-02-18
상태	사망

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History of Present Illness: The patient is a 54-year-old woman with a past medical history significant for depression and hyperlipidemia who presents to the emergency department 2/18/2023 after cardiac arrest.
The patient's cardiac arrest was witnessed.
In the field, the patient was found to be in V-fib and was shocked.
The patient remained in V-fib and was treated with lidocaine and shocked again.
The patient then was felt to be in PEA arrest.
The patient received 7 mg epinephrine in the field prior to arrival in the emergency department.
On arrival to the emergency department, the patient was found to have a pulse.
CPR time was 36 minutes.
According to the patient's boyfriend, the patient had consumed alcohol but denied any drug use.
The patient's urine drug screen, however, was preliminarily positive for cocaine.
The boyfriend had accompanied the patient to the emergency department but then left.
The patient had been ventilated with a King tube prior to presentation.
Shortly after arrival, the patient was intubated.
The patient, however, had a lot of blood in the trachea and required frequent suctioning.
A Foley catheter was placed.
The patient was treated with amiodarone 150 mg IV, lorazepam 2 mg IV, a bolus of lactated Ringer's solution, and started on propofol & Precedex.
The patient's EKG was consistent with an inferior wall STEMI.
The case was reviewed with the interventional cardiologist on-call who felt the patient was too unstable for cardiac catheterization.
A CT angiogram of the chest was ordered to rule out PE, but, however, the patient was again too unstable for CT scan.
The 36 C cooling protocol was ordered.
The patient, however, was hypothermic on presentation.
The patient's initial troponin I was 13.
The ALT and AST were 43 and 452.
D-dimer was elevated at 2.
68.
An ABG was performed that showed an arterial pH of 7.
09/PCO2 38/PO2 88.
The glucose level was 364.
No family contacts in the chart -will consult medical social worker.