Report #2834010

Received Apr 2, 2025

ER / ED visit

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Overview

Sex: Male
Age: 23 yrs
State: IL
Recovered: Recovered
Vaccinated: Mar 28, 2025
Onset: Mar 29, 2025
Days to onset: 1
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
VARZOS	ZOSTER (SHINGRIX)	GLAXOSMITHKLINE BIOLOGICALS	2	27LR2	IM / LA

Symptoms (14)

Blood bicarbonate decreasedBrain natriuretic peptide increasedChest X-ray normalChillsDyspnoeaEchocardiogramFull blood count normalMalaiseMetabolic function testPyrexiaRespiratory pathogen panelTachycardiaTachypnoeaTroponin T normal

Symptom narrative

The patient presented to the emergency room feeling unwell with fever, shortness of breath, chills, and tachycardia around 2:23 am on 3/29. The patient received ibuprofen, Tylenol, and one IVF bolus. Their tachycardia and tachypnea improved significantly. The echo was reviewed, and the patient was discharged around 8:30 am on 3/29. The patient reported feeling well on 3/31 and 4/1.

Medical history

Heart transplant, sleep apnea, sensorineural hearing loss

Other medications

Aspirin, Atorvastatin, Cholecalciferol, Clopidogrel, Multivitamin-iron-folic acid, Sacubitril-valsartan, Sirolimus, Tacrolimus

Allergies

Fentanyl, Nsaids, grapefruit, pomegranate

Lab data

CBC, Comprehensive Metabolic Panel, Respiratory Pathogen Panel, Troponin T, NT-PROBNP, ECG, and CXR were ordered. CXR, CBC, and troponin were all reassuring. CMP with bicarb was slightly low but okay. BNP was higher than baseline (2023 pg/mL) and RPP was negative. They had a clinic appointment on 4/1, and their BNP was 684 pg/mL.