Patient received Prevnar 20 on Jan 14, 2025. On 1/15, patient had fever induced SVT requiring adenosine, acetaminophen, and ice packs. Once the fever came down, so did the HR

GENERAL MALAISE, COUGHING, WHOLE BODY MUSCLES AND JOINTS SORENESS.

i started losing feeling in my arms and legs shortly after my covid vaccine

Covid vaccine expired. Chest pain 2 minutes after receiving vaccine

There was no reaction to the vaccine

Pt given Flumist 7 months to early. No actual adverse effects. Pt on 1 year 3 months.

pt says her left arm became very sore and developed a lump around the injection site. The soreness started to move into the armpit and down into the elbow. It continued to get worse so she went to Urgent Care. They did an Xray and EKG. Xray was negative. The EKG showed some right bundle branch block. She was told to follow up with cardiologist. She was referred to an Orthopedic doctor for a suspected shoulder sprain or rotator cuff injury. She went to Ortho Dr. She was given 2 cortisone shots in the left shoulder. She is suspected to have a torn rotator cuff that is possibily turning into a frozen shoulder and was prescribed physical therapy. She will start on Feb 5th. She is scheduled to have a MRI and will FU w/ Ortho Dr. on Jan 29th after MRI.

BRIEF OVERVIEW: Admission Date: 1/14/2025 Discharge Date: Jan 16, 2025 Discharge Disposition: home health care svc DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hypocalcemia [E83.51] Elevated C-reactive protein (CRP) [R79.82] Elevated sed rate [R70.0] Hypoxia [R09.02] Elevated troponin [R79.89] Atrial fibrillation with RVR [I48.91] Elevated brain natriuretic peptide (BNP) level [R79.89] Diabetic ulcer of toe of right foot associated with diabetes mellitus of other type, unspecified ulcer stage [E13.621, L97.519] Acute on chronic congestive heart failure, unspecified heart failure type [I50.9] Hyperglycemia due to diabetes mellitus [E11.65] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1] COVID [U07.1] HOSPITAL COURSE: Patient is a 67-year-old male history of diabetes, diabetic neuropathy, peripheral vascular disease status post left AKA, coronary artery disease, AFib on Xarelto, depression anxiety and chronic pain. Presents for chief complaint of cough shortness for breath chest pain. Admission EKGs chronic AFib without ST segment or T-wave changes. Troponins were noted to be elevated with negative delta likely related to demand ischemia from hypoxia. Patient was on 2 L at admission febrile. RVP was obtained and positive for COVID-19. Patient was started on remdesivir and Decadron for COVID treatment. Initially requiring supplemental oxygen titrated to room air. Patient was complete course of steroids at discharge. During stay patient was noted to have right 1st toe chronic wound. He was seen by wound care team without obvious signs of infection although some concern for long-term healing. Patient was not seen Cardiothoracic surgery in 3-4 years she will be referred on outpatient basis for further workup. We will follow up with wound care team and have home health for wound nursing. Patient was recurrent episodes of chest pain during his stay all associated with morning meals and self resolving. EKGs were obtained and normal at those times likely deemed related to viral syndrome versus GI based. Discharged to Home Health Services

Left transverse sinus, sigmoid sinus, and jugular vein show small caliber and intraluminal filling defect noted consistent with chronic thrombus.

Patient had constant sore left arm with throbbing with shooting pains from the left elbow to the wrist and fingers (“feels like a lightning bolt”), arm feels like it is bruised and aching (“like someone punched you in the arm that never stops”), sore all the way around her arm at the injection site (anterior and posterior), dizziness, went into Atrial Fibrillation on 12/8/2024, still has dizziness and at times has increased heart rate and shortness of air without any exertion, just feels unwell.