이상반응 보고
| VAERS ID | 904436 |
|---|---|
| 성별 | 남성 |
| 나이 | 47세 |
| 주 코드 | NJ |
| 제약회사 | PFIZER\BIONTECH |
| 로트 번호 | |
| 예방접종 횟수 | 1 |
| 접종일 | 2020-12-17 |
| 발병일 | 2020-12-18 |
| 상태 | 입원 중증 |
증상
- 발열(Pyrexia)
- 두근거림(Palpitations)
- 실신(Malaise)
- 저혈압(Hypotension)
- 빈맥(Tachycardia)
- 호흡기관 혼잡(Respiratory tract congestion)
- 흉부 엑스레이 이상(Chest X-ray abnormal)
- 활성화된 부분 트롬보플라스틴 시간 단축(Activated partial thromboplastin time shortened)
- 알라닌 아미노전이효소 정상(Alanine aminotransferase normal)
- 아스파르테이트 아미노전이효소 정상(Aspartate aminotransferase normal)
- 혈액 알부민 정상(Blood albumin normal)
- 혈액 알칼리성 인산 가수 분해 효소 정상(Blood alkaline phosphatase normal)
- 혈중 칼륨 감소(Blood potassium decreased)
- 혈소판 수 정상(Platelet count normal)
- 단백질 총 정상(Protein total normal)
- 혈액 크레아티닌 정상(Blood creatinine normal)
- 백혈구 수 증가(White blood cell count increased)
- 심방 세동(Atrial fibrillation)
- 혈액 배양 음성(Blood culture negative)
- 혈중 젖산 감소(Blood lactic acid decreased)
- 그람 염색 양성(Gram stain positive)
- 헤마토크릿 감소(Haematocrit decreased)
- 국제 표준화 비율 증가(International normalised ratio increased)
- 프로칼시토닌 증가(Procalcitonin increased)
이환 중 질병
Enterococcus faecalis UTI diagnosed 11/2520 associated with ureteral stent removal 11/10/20 treated successfully with Augmentin
지병
Borderline HTN, recurrent renal calculi
기타 의료
Flomax 0.4mg Daily
이전 예방접종
알레르기
None
임상 검사
Presentation labs: WBC 21.
6 Hct 38.
9 Plt 227 K 3.
3 Cr 1.
26 Lactate 2.
6 Protein 6.
5 Alb 3.
5 AST/ALT/AP normal INR 1.
4 PTT 48.
1 Procalcitonin 4.
7 CXR: Mild congestion Cultures Blod, urins (1day): NGTD
증상 상세
The patient was well prior to vaccination (12/17).
The day after, he felt mildly unwell and had a low grade fever.
The following day, he had a fever of 102.
He received 1L of fluid at Urgent Care and had a BP ion the 80s.
Shortly thereafter, he felt palpitations and developed AF.
He came to the hospital where he was tachycardia to 200 bpm and hypotensive to SBP70s.
He received aggressive fluid resuscitation (4L), IV metoprolol and was started on empiric Abx.
Within several hours, the HR lowered, BP increased, and AF spontaneously converted to sinus.
He had no dysuria.
Curtures so far have not shown growth at our hospital.
Urinary culture from urgent care has reportedly shows 20k gram positive cocci.