Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia, Sputum culture, Vomiting, Weight decreased
Clinical narrative: Started to feel extremely fatigued. General malaise and when I coughed a lot, I was even throwing up. I did have some nausea but was surprised when I had to throw up because the nausea didn't seem all that bad. It lasted about four days. It seemed to resolved days after 4 or 5 days and then I had a period where I started to feel great. It started to come back in the last week (final) of September. The onset and symptoms were almost identical but this time it didn't let up and so I went for a good 5 days and eventually I went to Immediate Care - Friday, this past week. I did go see Dr. the week before on Wednesday - she ordered x-ray - they found a new area in the lower area in the right lung - she thought it might be pneumonia but she couldn't be sure. I hadn't had anything there before. On Friday before the last week of September, I saw my cardiologist and my medical oncologist (rechecking the cancer and she said I was doing very well).  At first, my cardiologist said everything looked good but was concerned about the Olmesartan and so she did say to go off of that and went back to Losartan (less potent) - this was after the first week of the health symptoms in September and before the last week of the adverse symptoms in Sept. when she thought everything was going okay again.  So then she said to go back on the Olmesartan but then told me to go off again when I was so sick again - she was a bit concerned with me taking it. I have hypo-natremia and that has been going on for 3-4 months. Not severe but the highish 120's. The final week in September when I was feeling sick it was maybe a bit worse - extreme fatigue, that same nausea and throwing up. I was continuing to take me dog out to walk but I would sometimes have difficulty making back to car - light headed and very, very weak. It wasn't clearing up on it's own. Over the month of September, I lost 14 lbs. When I had those two weeks of feeling so sick - I was eating very little, not drinking enough. I was in the high 150's and dropped to 138. Hospital for 5 days - pnuemonia; Olmesartan; nephremia - could have all been contributors. IV fluids - normal saline and then Sunday - Dr. - she prescribed sodium tablets and high protein diet and high calorie diet. I started to really improve on the diet and salt tablets. They collected a sputum sample - the day after I was hospitalized; was diagnosed on Sunday - I was in isolation then with that Diagnosis; standard treatment for IV  - gave me Vancomycin -they were very concerned that it may have been doing more harm than they initially realized. Zyvox - 600 mg tablet twice daily until finished - started that Tuesday and they discontinued the Vancomycin. WHen I came home, they also prescribed 1 mg at least for 3 times day of sodium tablets; that and the protein shakes have made a significant difference for me.  I feel much better now. I have improved dramatically - but each evening I do have a downward turn. I see Primary Care physician soon and he'll be doing another blood panel. On the day of the hospital release, they did give me a flu vaccine - October 5th. Had a sore arm after it.