VAERS ID: 1788416

AGE: 93| SEX: M|STATE: CA (United States)

Description

93 yo M hx of HLD HTN RBBB presenting with weakness and feeling dehydrated. Patient had received covid-19 shot and was unable to walk to his car (200 ft), because he was weak. Asked another patient for help and they alerted staff, who wheeled him to the ED. Patient initially declining any intervention, not in pain, or mental confusion. Vital signs mostly normal, elevated heart rate, ran ekg and tropinin Patient Sent to cardiac unit at local Hospital then transferred to another HCF for stent

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Symptoms

Asthenia, Dehydration, Electrocardiogram abnormal, Condition aggravated, Platelet count decreased, Heart rate increased, Troponin I increased, Coronary arterial stent insertion, Bundle branch block right, Gait inability

Vaccines

VAX DATE: 10-08-2021| ONSET DATE: 10-08-2021| DAYS TO ONSET: 0
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 3 COVID19 PFIZER\BIONTECH FF8841 SYR LA

RECVDATE:10-15-2021
RPT_DATE:
CAGE_YR:93
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:Y
ER_VISIT:
HOSPITAL:Y
HOSPDAYS:5
X_STAY:U
DISABLE:U
RECOVD:U
LAB_DATA:Troponin I 0.77 (H) - 0.00 - 0.04 ng/mL Platelets count 95 (L) 140 - 400 K/uL ECG elevated ecg was done - elevated RBBBB on II III AVF HEART
V_ADMINBY:PVT
OTHER_MEDS:LisinoprilaL Alvesco Lorzolimide Lumican Vitamin C, D, Zinc
CUR_ILL:
HISTORY:CHRONIC BRONCHITIS HYPERLIPIDEMIA HTN (HYPERTENSION) PREDIABETES THORACIC AORTIC ANEURYSM RIGHT BUNDLE BRANCH BLOCK BPH (BENIGN PROSTATIC HYPERTROPHY) ATHEROSCLEROSIS OF AORTA ALCOHOL PREVENTION COUNSELING RIGHT PSEUDOEXFOLIATION GLAUCOMA, SEVERE STAGE CKD STAGE 3B (GFR 30-44) LEUKOPENIA THROMBOCYTOPENIA, UNSPECIFIED
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:10-15-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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