VAERS ID: 910750

AGE: 76| SEX: M|STATE: OR (United States)

Description

Patient was found slumped over in wheelchair, drooling and unable to respond/follow simple instructions; sent to ED for evaluation. CT scans and MRI NEGATIVE for new/recent stroke; resident slurred speech likely due to hypertensive urgency

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Symptoms

Dysarthria, Creatinine renal clearance decreased, White blood cell count normal, Blood urea normal, Unresponsive to stimuli, Blood creatinine normal, Platelet count normal, Drooling, Blood sodium decreased, Blood cholesterol normal, Blood potassium normal, Blood triglycerides normal, Haematocrit normal, Haemoglobin normal, Wheelchair user, Posture abnormal, High density lipoprotein decreased, International normalised ratio normal, Arteriogram carotid normal, Angiogram cerebral normal, Magnetic resonance imaging brain normal, Hypertensive urgency

Vaccines

VAX DATE: 12-22-2020| ONSET DATE: 12-25-2020| DAYS TO ONSET: 3
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH EJ1685 IM LA

RECVDATE:12-28-2020
RPT_DATE:
CAGE_YR:76
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:Y
HOSPDAYS:2
X_STAY:U
DISABLE:U
RECOVD:Y
LAB_DATA:MRI brain - no acute infarct CTA Head/Neck scan - failed to show a new area of ischemia Labs - no infection noted, WBC unrevealing, creatinine clearance 56.5 ml/min (based on SCr of 1.22mg/dL) - at baseline, sodium 134, potassium 4.8, BUN 13, PT INR 1.1, HGB 17.0, platelets 287, hematocrit 51.0, chol 167, trig 131, HDL 35
V_ADMINBY:SEN
OTHER_MEDS:Tylenol 325mg - 2 tablets Famotidine 20mg - 1 tablet BID Fenofibrate 160mg - 1 tablet daily Vitamin D 2000iu - 1 tablet daily Hydralazine 25mg - 1 tablet TID Amlodipine Besylate 5mg - 1 tablet BID Atorvastatin 40mg - 1 tablet HS Donepezil
CUR_ILL:none noted
HISTORY:hypertension associated with Stage 3 chronic kidney disease due to type II diabetes hemiparesis - R dominant side vascular dementia w/out behavioral disturbance hx of stroke with residual deficit -2005 - R medial thamamus -2018 - L basal ganglia paroxysmal atrial fibrillation type II diabetes dysphagia as late effect of stroke sleep apnea hyperlipidemia
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:12-28-2020
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:Y
ALLERGIES:Aspirin, Ibuprofen, Losartan, Simvastatin, ACE inhibitors, Penicillins
V_FUNDBY:

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