이상반응 보고
| VAERS ID | 920368 |
|---|---|
| 성별 | 여성 |
| 나이 | 92세 |
| 주 코드 | IN |
| 제약회사 | MODERNA |
| 로트 번호 | 026L20A |
| 예방접종 횟수 | 1 |
| 접종일 | 2020-12-29 |
| 발병일 | 2020-12-30 |
| 상태 | 사망 |
증상
- 홍진(Erythema)
- 호흡곤란(Dyspnoea)
- 식욕 감소(Decreased appetite)
- 흉부 엑스레이 이상(Chest X-ray abnormal)
- 체온 상승(Body temperature increased)
- 호흡수 증가(Respiratory rate increased)
- 혈액 요소 증가(Blood urea increased)
- 전체 혈구 수(Full blood count)
- 대사 기능 검사(Metabolic function test)
- 혈액 크레아티닌 증가(Blood creatinine increased)
- 백혈구 수 증가(White blood cell count increased)
- 인플루엔자 바이러스 검사 음성(Influenza virus test negative)
- 호스피스 케어(Hospice care)
- 생명 기능 비정상(Vital functions abnormal)
- 폐 침윤(Lung infiltration)
이환 중 질병
F03.90 Unspecified dementia without behavioral disturbance E78.5 Hyperlipidemia, unspecified K21.9 Gastro-esophageal reflux disease without esophagitis I10 Essential (primary) hypertension Z74.09 Other reduced mobility M62.81 Muscle weakness (generalized) R13.12 Dysphagia, oropharyngeal phase R26.81 Unsteadiness on feet R27.8 Other lack of coordination R41.841 Cognitive communication deficit R54 Age-related physical debility D53.9 Nutritional anemia, unspecified R29.6 Repeated falls M13.80 Other specified arthritis, unspecified site M25.512 Pain in left shoulder M19.012 Primary osteoarthritis, left shoulder K59.09 Other constipation R26.89 Other abnormalities of gait and mobility R63.8 Other symptoms and signs concerning food and fluid intake M85.89 Other specified disorders of bone density and structure, multiple sites Note: Osteopenia M24.512 Contracture, left shoulder J43.9 Emphysema, unspecified
지병
U07.1 2019-nCoV acute respiratory disease (Primary) F03.90 Unspecified dementia without behavioral disturbance E78.5 Hyperlipidemia, unspecified K21.9 Gastro-esophageal reflux disease without esophagitis I10 Essential (primary) hypertension Z74.09 Other reduced mobility M62.81 Muscle weakness (generalized) R13.12 Dysphagia, oropharyngeal phase R26.81 Unsteadiness on feet R27.8 Other lack of coordination R41.841 Cognitive communication deficit R54 Age-related physical debility D53.9 Nutritional anemia, unspecified R29.6 Repeated falls M13.80 Other specified arthritis, unspecified site M25.512 Pain in left shoulder M19.012 Primary osteoarthritis, left shoulder K59.09 Other constipation R26.89 Other abnormalities of gait and mobility R63.8 Other symptoms and signs concerning food and fluid intake M85.89 Other specified disorders of bone density and structure, multiple sites Note: Osteopenia M24.512 Contracture, left shoulder J43.9 Emphysema, unspecified
기타 의료
Acetaminophen, Atenolol, Colace, Lisinopril, Mirtazapine, Omeprazole, Simvastatin, Vitamin D3
이전 예방접종
알레르기
quinine sulfate
임상 검사
Influenza Swab: 12/30/20-Negative Results CBC: 12/30/20 showed WBC of 14.
1 (H) CMP: 12/30/20 showed BUN: 113 (H); Creatinine 2.
7 (H) CXR: 12/30/20 showed: Conclusion: A mild left lower lung infiltrate
증상 상세
12/30/2020 07:02 AM Resident noted to have some redness in face and respiration were fast.
Resident vital signs were abnormal except blood pressure.
Temp at the time was 102.
0 F taken temporal.
Resident respirations were 22 labored at times.
Pulse is 105 and pulse ox 94% on room air.
Resident is made comfortable in bed.
Notified triage of change in condition also made triage aware of resident receiving Covid vaccination yesterday morning.
Resident appetite and fluid consumption has been poor for few days.
12/30/2020 07:32 AM Received order from agency to administer Acetaminophen 650mg suppos rectally due to resident not wanting to swallow anything including fluids, medications and food.
This writer administered medication as NP ordered.
Will monitor for effectiveness and adverse effects if any.
12/30/2020 08:41 AM Received new orders to obtain Flu swab, obtain CBC and BMP, and Chest Xray all to be obtained today.
Notified family of resident having temperature and vital signs excluding b/p that was abnormal.
Family was thankful for call and inierated to nurse that family does not want resident sent to hospital.
Did educate family on benefits of Hospice services, but family persistant on continued daily care provided by nursing staff.
Requests visits if decline continues.
Family assured if resident continues to decline, facility will accomandate resident family to be able to be at bedside when time comes to do so.
NP ordered IVF and IV Levaquin on 12/31/20.
Family chose at that time to sign for Hospice services and not have resident provided with IVF or IV Antibiotics