VAERS ID: 2038016

AGE: 43| SEX: M|STATE: CA

Description

44M with no significant PMH who presented with acute ICH 2/2 sagittal sinus thrombosis complicated by seizures requiring intubation for airway protection, and aspiration pneumonia. Patient successfully extubated on 12/6. Subsequent head CT head scans have shown stability. Patient started on heparin drip then transition to lovenox on 12/7. Started on 3% NS therapy due to cerebral edema and that has since improved too as well. Keppra 500 mg BID initiated for seizures. CT chest/abdomen/pelvis negative for malignancy, but consolidation present suspicious for pneumonia, Zosyn started on 12/7. Vanco added on 12/8. Would recommend a 7 day course for pneumonia. Hypercoag workup revealing as well, other than patient is heterozygous for prothrombin mutation. He will need anticoagulation for 3 months with repeat CTV at that time, econsult to neurology needed upon discharge to manage seizure medication (keppra 500 mg BID). Currently he is on lovenox cause his swallowing recently has been an issue, once his swallowing is more reliable he can be switched to pradaxa. He was started on decadron on 12/8 for headaches. That can be tapered off over the next 1-2 weeks. The etiology of his cerebral venous sinus thrombosis remains unclear but perhaps related to his vaccine which he received 5 days before his onset of headaches.

Symptoms

Anticoagulant therapy, Brain oedema, Cerebral haemorrhage, Coagulation test abnormal, Computerised tomogram abdomen normal, Computerised tomogram head abnormal, Computerised tomogram thorax abnormal, Dysphagia, Endotracheal intubation, Extubation, Factor II mutation, Headache, Lung consolidation, Pneumonia aspiration, Seizure, Superior sagittal sinus thrombosis

Vaccines

VAX DATE: 11-15-2021| ONSET DATE: 11-20-2021| DAYS TO ONSET: 5
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) Unknown COVID19 PFIZER\BIONTECH IM Unknown

RECVDATE:01-15-2022
RPT_DATE:
CAGE_YR:43
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:U
HOSPITAL:Y
HOSPDAYS:6
X_STAY:U
DISABLE:Y
RECOVD:U
LAB_DATA:
V_ADMINBY:PVT
OTHER_MEDS:
CUR_ILL:none
HISTORY:none
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:2
TODAYS_DATE:01-15-2022
BIRTH_DEFECT:U
OFC_VISIT:Y
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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