Received Mar 18, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| FLU3 | INFLUENZA (SEASONAL) (FLUAD) | SEQIRUS, INC. | 1 | 388493 | IM / RA |
| RSV | RSV (AREXVY) | GLAXOSMITHKLINE BIOLOGICALS | 1 | P24D3 | IM / LA |
Pt reports receiving a flu shot at the office and an RSV vaccine at pharmacy last Friday. By Saturday, he experienced extreme fatigue and memory loss. As a truck driver, he struggled with a routine delivery. Sleeping excessively at multiple stops and side-swiping a truck due to confusion. He lost track of time, mistakenly believing he would be home Sunday night when it was already Monday. He also did not eat or drink anything during this period. He suspects a reaction to the vaccines. Additionally, he developed swelling in his right leg and went to ER, where CT scan and US were normal. He was given a Rocephin shot and prescribed cephalexin. He denies current memory issues.
COPD, obesity, tobacco use disorder, OSA addressed at visit with pulmonologist
? Malignant neoplasm of prostate (HCC) ? Atrial flutter (HCC) ? Typical atrial flutter (HCC) ? Chronic health problem ? Hyperlipidemia ? COLD (chronic obstructive lung disease) (HCC) ? Class 3 severe obesity due to excess calories with serious comorbidity and body mass index (BMI) of 40.0 to 44.9 in adult (HCC) ? Malignant neoplasm of upper lobe of right lung (HCC) ? History of smoking greater than 50 pack years ? COPD (chronic obstructive pulmonary disease) (HCC) ? Type 2 diabetes mellitus (HCC) ? Encounter for follow-up examination after completed treatment for malignant neoplasm ? Nicotine vapor product user ? Solitary pulmonary nodule present on computed tomography of lung ? Chronic obstructive pulmonary disease (HCC) ? Severe obesity (HCC) ? Obstructive sleep apnea syndrome ? Nicotine dependence ? Malignant neoplasm of lung (HCC) ? Extreme obesity with alveolar hypoventilation (HCC) ? Chronic hypercapnic respiratory failure (HCC)
unknown full medication history - pt is on Trelegy, albuterol from provider at our Clinic (pulmonologist), 2L of O2 on exertion, and on CPAP for sleep apnea
antifungal medications, imidazole