Received Jun 20, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (MODERNA)) | MODERNA | 1 | — | IM / LA |
pt states that when he shows up for work that Monday morning, he had electrical shocking pain down his right leg that was causing terrible pain. He continued to work while hurting but ended up in an ambulance to the ER (redacted) Hospital in (redacted state). He was admitted and spent 3 days in there because his BP was so high but was not treated for the pain in his leg. After being discharged he was told to see his PCP. He went to Medical. Dr. ran some test and given an EMG. The nerve was dead in his right leg from a blood clot. The hematoma hit his sciatic nerve and killed his leg and his leg is dead today. He is on blood thinner now for the clots. and has DVT. Had to go to the hospital in (redacted) for a heart attack. Dr. placed 4 stints in his heart. No further treatment. On Jan 19th, 2025, He had to take an ambulance to Hospital in (redacted) for pneumonia. He had a z-pack and sedative. After being released, he couldn't fill meds because pharmacy was closed so he went back to the ER. They wanted to give him another sedative and send him home. He told them he was not going home. They sent him security vehicle to (redacted) Hospital and is now on mood stabilizers for his mental state from anxiety and depression. He is currently being treated with physicians through (redacted) Health. Currents medications. buspirone 10mg 3x daily, Hydroxyz 25 mg prn x 3 daily, lisinopril 10mg x 1 daily, propranolol 20 mg x 2 daily, mirtazapine 15mg x1 tab daily, abilify 5 mg x1 daily, Lipitor 20mg x 1 daily, Plavix 75mg, Lexapro 20mg x1 daily, depico 500 mg x 2 daily, gabapentin 300 mg x 3 daily, Flomax .4 mg 1 daily.
Hypertension
none
nka
EMG, labs,