Vaer Report Details
Age: 74 years old
Gender: Male
State: Michigan
- Patient Died?
- No
- Vaccine information
-
Name: COVID19 (COVID19 (JANSSEN))
Type: Coronavirus 2019 vaccine
Manufacturer: JANSSEN
Lot: 1805018
- Date report was received
- 2022-03-04
- Date form completed
- Date Vaccinated
- 2021-03-05
- Date of Onset
- 346
- Number of days (onset date – vaccination date)
- 346
- Adverse Event Description
-
patient is fully vaccinated and boosted. covid positive on admission to the hospital. patient presented to the ed per complaints of fatigue, flank pain, bradycardia, hypotension & hypoxia from their pcp's office. work up was concerning for covid pneumonia, diverticulitis, aki, copd exacerbation, chf exacerbation or possible sepsis. broad spectrum antibiotics, iv fluid resuscitation, breathing treatments, rate control, & blood cultures were all initiated & drawn. patient improved quickly oxygenating appropriately on room air with appropriate vitals & responding appropriately to interventions. discharge plans were initiated with continued outpatient antibiotics to treat diverticulitis. medications: albuter, aspirin, bumetanide, carvedilol, fluticasone, furosemide, ipratropium, tamsulosin and warfarin. cr 1.62, plts 42-132, d dimer 759. discharged home
- Lab Data
-
na
- List of symptoms
-
bradycardia fatigue platelet count decreased blood creatinine increased hypoxia hypotension blood culture covid-19 sars-cov-2 test positive diverticulitis flank pain fibrin d dimer anticoagulant therapy interventional procedure
- Patient Died?
- No
- Date Died
- NA
- Birth defect
- false
- Vaccine Administered By:
- Private
- Vaccine Purchased By:
- Unknown
- Patient visit ER?
- No
- Patient Hospitalized?
- Yes
- Stay in hospital
- No
- Days in hospital
- Unspecified
- Permanent disability?
- No
- Allergies:
-
na
- Current Illness
-
na