VAERS ID: 1787788

AGE: 82| SEX: M|STATE: MI (United States)

Description

Hospitalized 10/8/2021; COVID-19 positive 10/8/2021; fully vaccinated Discharge Summary(Physician) ? ? General Medicine BRIEF OVERVIEW: Admission Date: 10/8/2021 Discharge Date: Oct 13, 2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Weakness [R53.1] COVID-19 virus infection [U07.1] COVID-19 [U07.1] HOSPITAL COURSE: Patient is an 82-year-old male with a past medical history of cardiomyopathy, systolic CHF, aortic stenosis status post bioprosthetic aortic valve, dementia, CKD, hypertension and prostate cancer who presented secondary to a chief complaint of weakness. The patient developed a cough 3 days prior to admission which was nonproductive. He became weak during this time. Blood home the night prior to admission he slid out of his chair and required family to assist him to the floor. He did not lose consciousness. To decreased oral intake. He fell again and EMS was called. In the emergency department, he had a temperature of 39.0. CMP and complete blood count were unremarkable. Procalcitonin was 0.1. UA was positive for ketones and protein. No signs of infection. COVID PCR was positive. Chest x-ray was negative for acute process. Tylenol was given in the emergency department as well as a 500 mL bolus. The patient was admitted for COVID infection with generalized weakness. He was seen by PT/OT who recommended subacute rehab, but family opted for home with home care. The patient did not require oxygen. He was afebrile. He was discharged home on 10/13/2021 with home care.

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Symptoms

Asthenia, Cough, Urine analysis abnormal, Condition aggravated, Body temperature increased, Full blood count normal, Chest X-ray normal, Metabolic function test, Fall, Urine ketone body present, Protein urine present, Hypophagia, Procalcitonin, COVID-19, SARS-CoV-2 test positive

Vaccines

VAX DATE: 10-04-2021| ONSET DATE: 10-08-2021| DAYS TO ONSET: 4
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH EL9261 IM RA
COVID19 (COVID19 (PFIZER-BIONTECH)) 2 COVID19 PFIZER\BIONTECH EL9265 IM LA
COVID19 (COVID19 (PFIZER-BIONTECH)) 3 COVID19 PFIZER\BIONTECH 301258A IM AR

RECVDATE:10-15-2021
RPT_DATE:
CAGE_YR:82
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:Y
HOSPDAYS:5
X_STAY:U
DISABLE:U
RECOVD:Y
LAB_DATA:
V_ADMINBY:PVT
OTHER_MEDS:alendronate (FOSAMAX) 70 MG tablet amiodarone (PACERONE) 200 MG tablet amLODIPine (NORVASC) 5 MG tablet apixaban (ELIQUIS) 5 MG tablet benzonatate (TESSALON) 100 MG capsule carvedilol (COREG) 25 MG tablet donepezil 23 MG tablet levothyroxin
CUR_ILL:
HISTORY:Allergic rhinitis HTN (hypertension), benign Nonischemic cardiomyopathy (HCC) Heart failure with recovered LV function post HVAD explant Atrial fibrillation, unspecified type NSVT (nonsustained ventricular tachycardia) (HCC) Gastroesophageal reflux disease without esophagitis COVID-19 Syncope Dementia (HCC) Chest pain Cervical myelopathy (HCC) CKD (chronic kidney disease) stage 3, GFR 30-59 ml/min (HCC) Mixed hyperlipidemia Hypothyroidism H/O ventricular tachycardia History of aortic valve repair Generalized weakness
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:10-15-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:Environmental, Isosorbide, Lisinopril
V_FUNDBY:

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