Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Nephrolithiasis, Pain, Renal stone removal, Scan with contrast abnormal
Clinical narrative: I received my second Pfizer booster for COVID-19 on 5/17/2022. On 10/29/2022, I had severe pain in my right lower abdomen through to my back and blood in my urine. I went to the ER. I underwent an abdominal CT scan. It was through the CT scan that a deep tissue kidney stone (8 mm) was discovered in the left kidney. Even though the pain was on the right side, they couldn't at that point see the kidney stone in my right kidney. They decided to do an iodine dye CT scan to examine the area from my neck down. Even then, they could not detect the stone in my right kidney. However, they did discover an aneurysm and extensive plaque in my aorta. The PA I talked to told me that I had more plaque than he had ever seen in anyone my age. I was at the ER from about 8:30 AM until 8:30 PM. At one point, they gave me TYLENOL to help ease the pain, but it didn't help. They discharged me, but they gave me a shot of morphine beforehand, and that also didn't help with the pain. I was also prescribed cefalexin. Throughout the following week, I felt sick, but I wasn't in pain. I was extremely exhausted and kept throwing up. I also still had blood in my urine. On 11/4/2022, I went back to the ER because of the pain. I waited several hours to be seen. The doctor who saw me looked at the records from the previous ER visit and didn't see any potential cause for my symptoms, so he took another CT scan. It was through this CT scan that the doctor discovered a stone (5 mm) in my right ureter. The doctor then advised me to see my PCP and then sent me home. I was also given a prescription for hydrocodone and tamsulosin. I then went home and took a MOTRIN (800mg) and later took a hydrocodone. They helped for a little while, but on 11/8/2022, I had severe pain and my husband had to call 911. The pain was so intense that I couldn't even stand up. The paramedics came and decided not to take me anywhere. Instead, they advised me to go to a certain hospital. I then went to the hospital they recommended. The staff at the clinic told me that they couldn't help me, so they recommended yet another hospital that was nearby. I then went to that hospital. I was checked in right away and given a non-narcotic pain reliever whose name I don't remember. We waited for 4-5 hours, and I was told that they had been communicating with the staff of another hospital. The staff at the other hospital agreed to pick me up and take to their facility. I was taken to the other hospital, where I was admitted straight away and taken to my bed. The doctors at the hospital then informed me that I would be having surgery the following morning. On the morning of 11/9/2022, I underwent surgery for my kidney stones, in which they used lasers to remove as much as they could of both the stone in the left kidney and the stone in the right ureter. They then implanted 2 stents to enable me to more easily pass what was left of the stones. After the surgery, I was released from the hospital and given a prescription of hydrocodone and cefalexin. On 11/15/2022, they removed the stents. I had a telehealth visit with a doctor on 11/17/2022 regarding my aneurysm. The doctor told me that she would be consulting with a cardiologist and that she was prescribing me 81mg aspirin, 800mg ibuprofen, and rosuvastatin. I am to take these medications until the cardiologist makes a decision about what to do.