Sex: M
Vaccine: UNK, UNK, VARZOS
Symptoms: Malaise, Mobility decreased, Muscle twitching, Oxygen saturation decreased, Pain
Clinical narrative: was getting weaker and weaker, and could not breathe; rash in his groin; the patient had a fever of 101F, the doctor state d to go back to the hospital; the patient had fallen into the bathtub; patient had an "MRl and patient had an epidural abscess".; the patient was diagnosed with stage 4 lung cancer, that was also in his bones, adrenal glands, and the patient had 10 lesions on his brain; the patient had a collapsed lung; the patient was getting weaker and weakerand couldn't breath;; declined rapidly, and then died on 6/24/2019 from an unspecified cause; pneumonia and was on a nebulizer treatment multiple times a day; was coughing up copious amounts of mucous; his oxygen level were 82-83%; he was swating; the patient was coughing; the patient had magnetic resonance imaging (MRI) fo unspecified cause and needed an epidural.; twiches in the face and jerking movements in body; the patient ws in pain and could not get out of bed; on an unspecified date in 2018 the patient was at the gym and hurt his back; needed an epidural.; he was swating and pale; the patient was not feeling well; the patient had blood clots in his lungs; was diagnosed "with cellulitis, and was started on an unspecified intravenous antibiotic; twitches in the face and jerking movements in body; The Physician thought he had some kind of bleed; This spontaneous report was received from a patient's wife and refers to a 75-year-old male patient. There was no information about the patient's concurrent conditions, allergies, drug reactions, concomitant therapies provided. Medical history included prostate cancer diagnosed in year 2001, it was unknown if the patient received any treatment.  On unknown date, the patient was vaccinated with zoster vaccine live (manufacturer unknown) (dose, dose number, lot #, expiration date and route of administration were not reported) for prophylaxis. On unspecified date in 2018, the patient was at the gym and hurt his back which was treated with unspecified pain injections. On unknown date, reported as unspecified Tuesday, the patient had magnetic resonance imaging (MRI) to unspecified cause and needed an epidural. On unknown date, reported as Saturday after getting epidural, the patient was running a temperature. After contact with physician the patient was admitted to the hospital. The patient had an MRI and was diagnosed with epidural abscess, treated with surgery on 01-OCT-2018. On an unspecified date in 2018, unspecified amount of time after the surgery, the patient started ertapenem sodium (INVANZ) injection, intravenously (strength, dose, frequency, indication, lot # and expiration date were not reported) therapy and developed twitches in the face and jerking movements in body. The patient was also in pain and could not get out of bed. He had many unspecified tests done, was seeing neurologists, was getting tested for seizures, and tests to see if the patient had a stroke, but no results were provided. The patient was in the hospital for three weeks, and then went to an unspecified rehabilitation center for three weeks and then, on an unspecified date, was discharged home.  On unknown date, approximately in 2018, the patient was not feeling well, was coughing and on unknown date, he had fallen into the bathtub. The home nurse called the ambulance and he went to an unspecified hospital. Blood tests were performed and the physician thought that the patient had some kind of bleeding. The patient was pale and sweating and was released from the hospital. On the same day, in the evening, he developed fever of 101 degrees of Fahrenheit (F). The infectious doctor was called, and referred the patient back to the hospital. Chest radiograph (x-ray) and blood work were performed and results showed that there were blood clots in his lungs. Treatment with an unspecified blood thinner was started and the patient went to an unspecified rehabilitation facility for three weeks in November 2018.  On unknown date in November 2018 (reported as around Thanksgiving 2018), the patient experienced rash in his groin and was admitted to hospital. Cellulitis was diagnosed (date not provided), and as a treatment an unspecified intravenous antibiotic was administered. After discharge, the treatment was changed to unspecified antibiotic pills. On unspecified date, in December 2018, the patient developed pneumonia and was on a nebulizer treatment multiple times a day. He was coughing up copious amounts of mucous and his oxygen levels were 82-83%. The patient was getting weaker and weaker, and could not breathe.  On unknown date, within four days of starting the breathing treatments, the patient was admitted to the hospital for both lungs being infiltrated. On unspecified date, he had a collapsed lung and Atelectasis, and unspecified intravenous antibiotic was administered.  On unspecified date, the patient had a bronchoscopy, and was diagnosed with stage 4 lung cancer, that was also in his bones, adrenal glands, and the patient had 10 lesions on his brain. While being in the hospital, he was coughing and was miserable. There was many consultation with specialist physicians.  On unknown date, in one week, the patient received 5 radiation treatments on his brain. On the same week (start date was not provided), he received one dose of pembrolizumab (KEYTRUDA) injection (formulation, strength, (dose, frequency, route of administration, indication, lot # and expiration date were not reported) treatment. On unknown date, the patient declined rapidly, and then died on 24-JUN-2019 from an unspecified cause. It was unknown if autopsy was performed.  Therapy with ertapenem sodium (INVANZ) was discontinued. The outcome of back injury, lung cancer metastatic, some kind of bleed, coughing up copious amounts of mucous, getting weaker and weaker, oxygen level of 82-83%, collapsed lung, breathing difficulty, pneumonia, cellulitis, rash, clots in lungs, fever, sweating, pallor of skin, fall, cough, malaise, pain, twitches in the face, jerking movements in body, extradural abscess was unknown. The causality assessment between the events and suspect therapies was not provided.  Upon internal review the events of epidural abscess, some kind of bleed, clots in his lungs, cellulitis, pneumonia, collapsed lung, stage 4 lung cancer were considered to be medically significant.