이상반응 보고

VAERS ID	2591883
성별	남성
나이	83세
주 코드
제약회사	PFIZER\BIONTECH
로트 번호	GJ6665
예방접종 횟수	1
접종일	2022-10-23
발병일	2023-01-26
상태	입원 사망

증상

이환 중 질병

지병

기타 의료

이전 예방접종

알레르기

임상 검사

증상 상세

Patient admitted for acute hypoxic respiratory failure, multifocal pneumonia, COVID-pneumonia, aspiration pneumonia.
He received treatment for COVID with remdesivir, steroids.
During his stay he had worsening of his respiratory status with oxygen demand increased.
He was noted to need BiPAP for improvement of oxygen.
Due to his aspiration plans were for PEG tube however PEG tube was unable to be placed because of his poor respiratory status.
Despite antibiotics, steroids BiPAP, nebs patient continued to deteriorate.
Repeat imaging with CTA ruled out PE and confirmed worsening pneumonia.
Patient and family eventually decided on DNR CCA and later DNR CC.
Patient later passed away at 6:25pm 2/7/23 with family at bedside.
RIP.
Clinical Summary Assessment and Plan The patient is a 83 y.
o.
male with history of recently diagnosed dementia prostate cancer hyperlipidemia diabetes diverticulosis DVT status post 6 months of therapy GERD presented to the Hospital with worsening shortness of breath and cough from primary care's office.
Acute respiratory failure with hypoxia, worsening Sepsis 2/2 Multifocal pneumonia Probably aspiration pneumonia Covid pneumonia Patient on BiPAP, wean as tolerated Completed remdesivir and dexamethasone Received duo nebs every 4 every 6 as needed ID consulted IV Zosyn Repeat CTA - no PE, worsening Lung disease DC bipap, transition DNRCC COVID PNA Completed remdesevir and decadron DC'd COVID isolation 2/5/23 Ileus- resolved KUB shows mild distention of small bowel large bowel with persistent contrast throughout the colon continue bowel regimen continue tube feeds Dysphagia with aspiration S/p modified barium swallow study No need for PEG tube now Remove NG tube- DNRCC Depression Mirtazapine DM Sliding scale Hyponatremia-resolved Mild, continue to monitor