Report #2855513

Received Aug 25, 2025

Hospitalized

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Overview

Sex: Female
Age: 81 yrs
State: AL
Recovered: Not recovered
Vaccinated: Aug 18, 2025
Onset: Aug 22, 2025
Days to onset: 4
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	1	MD3414	IM / RA

Symptoms (13)

Acute kidney injuryAmmoniaChest X-ray abnormalFull blood countHypotensionHypovolaemiaLethargyLeukocytosisMetabolic function testPneumoniaTreatment failureUrine analysisWhite blood cell count increased

Symptom narrative

Admitted to Nursing Home on Monday 8/18/25 s/p hospitalization for aspiration pneumonia. Requested a COVID and PNA vaccine on admit. Covid vaccine available and resident had completed treatment for pneumonia and stable. Covid Comirnaty 24/25 vaccine given on 8/18/25 to right deltoid. Friday 8/22/25 she was hypotensive, lethargic. Labs and urine and chest x-ray obtained. WBCs were 17 on lab work and chest x-ray still shows right middle lobe pneumonia (possibly not fully resolved from previous infection). Antibiotics and IV fluids started on 8/23/25. Sent her to the ER for failed outpatient treatment and resident admitted for inpatient hospitalization for treatment of pneumoina, AKI r/t fluid volume depletion and leukocytosis.

Current illness

Aspiration pneumonia - treatment completed prior to admission on 8/18/25.

Medical history

Recent aspiration pneumonia, rheumatoid arthritis, Non-hodgkin lymphoma, Dementia, HTN

Other medications

Vitamin C, Potassium Chloride, Carafate, Oxycodone, Lisinopril, Zinc Sulfate, Prednisone, Mirtazapine, Furosemide, Atenolol, Pantoprazole, Quetiapine, Pregabalin, Donepezil

Allergies

No known allergies

Lab data

CBC, CHEM14, Ammonia, urinalysis, chest x-ray