Received Sep 21, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| RSV | RSV (ABRYSVO) | PFIZER\WYETH | 1 | LM1211 | IM / RA |
Within 24 hours of receiving RSV and flu shot on same day, patient presented with chest pain and elevated troponin consistent with non STEMI and acutely worsening reduced EF 30% with hypotension.
CKD, Anemia, HTN, Longstanding prostate cancer, EF 45%
Outpatient Medications amLODIPine (NORVASC) 5 mg tablet Take 1 tablet (5 mg) by mouth 1 time per day vitamin D3, cholecalciferol, 50 mcg (2000 unit) tablet Take 2 tablets (100 mcg) by mouth 1 time per day cyanocobalamin (VITAMIN B-
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9/19-9/20/2025 Elevated troponin 43,208, abnormal EKG consistent with ischemia with new ST depression, Echo with reduced EF 30% and anterior apical hypokinesis.