Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Full blood count, Gait inability, Hypertension, Investigation
Clinical narrative: very high blood pressure; i am not being able to walk; it feeling terrible/feeling "off" since then; all my body doing is shaking all day/body sways all day; legs feel like jelly; dizziness; nausea; weakness; The initial case was missing the following minimum criteria. Upon receipt of follow-up information on (14Jul2022), this case now contains all required information to be considered valid.  An 84-year-old female patient (unknown if pregnant) received BNT162b2 (BNT162B2), on 04Mar2021 at 11:00 as dose 1, single (Lot number: EN6206) at the age of 84 years, in left arm for covid-19 immunisation. The patient's relevant medical history included: "nurophey" (unspecified if ongoing), notes: i am having problems with my nurophey; "Known allergies: sulfa drugs" (unspecified if ongoing), notes: Known allergies: sulfa drugs; "Steroidal Neuromuscular Blockers" (unspecified if ongoing), notes: Steroidal Neuromuscular Blockers. Concomitant medication(s) included: ASPIRIN [ACETYLSALICYLIC ACID] oral; DICLOFENAC oral; NUFOLA oral; PHENYTOIN [PHENYTOIN SODIUM] oral; DILTIAZEM oral. Past drug history included: Macrobid, reaction(s): "Known allergies: Macrobid"; Cortisone, reaction(s): "Known allergies: Cortisone"; Morphine, reaction(s): "Known allergies: morphine"; Codeine, reaction(s): "Known allergies: codeine"; Ciprofloxacin, reaction(s): "Known allergies: ciprofloxacin". Vaccination history included: Tetanus-diphth toxoids, for Immunization. The following information was reported: TREMOR (hospitalization) with onset 05Mar2021 at 10:00, outcome "not recovered", described as "all my body doing is shaking all day/body sways all day"; GAIT INABILITY (hospitalization) with onset 05Mar2021 at 10:00, outcome "not recovered", described as "i am not being able to walk"; FEELING ABNORMAL (hospitalization) with onset 05Mar2021 at 10:00, outcome "not recovered", described as "it feeling terrible/feeling "off" since then"; HYPERTENSION (hospitalization) with onset 05Mar2021 at 10:00, outcome "not recovered", described as "very high blood pressure"; LIMB DISCOMFORT (non-serious), outcome "unknown", described as "legs feel like jelly"; DIZZINESS (non-serious), outcome "unknown"; NAUSEA (non-serious), outcome "unknown"; ASTHENIA (non-serious), outcome "unknown", described as "weakness". The events "very high blood pressure", "i am not being able to walk", "it feeling terrible/feeling "off" since then", "all my body doing is shaking all day/body sways all day", "legs feel like jelly", "dizziness", "nausea" and "weakness" required emergency room visit. The patient underwent the following laboratory tests and procedures: Blood pressure measurement: High, notes: very high blood pressure; High, notes: 179-117; Computerised tomogram: Unknown results; Electrocardiogram: Unknown results; Full blood count: Unknown results; Glucose POC: Unknown results; Unknown results; Unknown results; Metabolic function test: Unknown results; Prothrombin time: Unknown results; Troponin I: Unknown results; Tuberculin test: Unknown results; Urine analysis: Unknown results; Unknown results. Therapeutic measures were not taken as a result of hypertension, gait inability, feeling abnormal, tremor.  Clinical information: patient state that if she knew I was to get into condition I would never have taken the dose. And that was just one shot can you imagine had I taken the whole shot it may have killed me. I must use a walker and cane. I am not able to get and walk anymore. My life went down the toilet. Why was this not researched before you let it out for people to use, My Daughters so far as the COVID 3 times and my other daughter 2 times, My days are me having to sit around I was always going out in sports and now never again. Patient reports getting COVID Vaccine yesterday, feeling off since then Dizziness, nausea, weakness. We have provided a list of your active medications as a courrege so that you can easily update your home records and provide to your physician(s). Do not stopped taking these conmed medications until told to stop. Please review carefully and contact your doctor to taking any medications NOT on this list. Deconditioning refers to the changes in the body that occur during a period of activity. The changes happen in the heart, lungs, and muscles. They make you feel tired and weak (fatigued) and decrease your ability to be active. The three stages of deconditioning include: Mild deconditioning. This is a change in your ability to do your usual exercise activities, such as running biking, or swimming, Moderate deconditioning. This is a change in your ability to do normal everyday activities, such as walk shopping for groceries, and doing chores. Severe deconditioning. In this stage, you may not be able to do minimal activity or usual self-care. Causes: Deconditioning can occur after only a few days of inactivity. The longer the period of inactivity, the more severe the deconditioning will be, and the longer it will take to return to your previous level of functioning. Deconditioning is often caused by inactivity due to: Illnesses, such as cancer, stroke, heart attack, fibromyalgia, and chronic fatigue syndrome. Injuries, especially back injuries, broken bones, and injuries to soft tissues, such as ligaments and tendons. A long stay in the hospital. Pregnancy, especially if long periods of bed rest are needed. The following factors may make you more likely to develop this condition: Staying in the hospital or being on bed rest. Obesity. Poor nutrition, Being an older adult. Having an injury or illness that affects your movement and activity. Sign and symptoms: Symptoms of this condition include: Weakness and tiredness. Shortness of breath with minor physical effort (exertion A heartbeat that is faster than normal. You may not notice this without taking your pulse. Pain or discomfort with activity. Decreased strength, endurance, and balance. Difficulty doing your usual forms of exercise. Difficulty doing activities of daily living, such as grocery shopping or chores. You may also have problems walking around the house and doing basic self-care. stxh as tting to the bathroom, preparing meals, or doing laundry. This condition is diagnosed based on your medical history and a physical exam. During the physical exam, your health care provider will check for signs of deconditioning such as: Decreased size of muscles. Decreased strength. Trouble with balance. Shortness of breath or a heart rate that is faster than normal after minor exertion. Treatment for this condition involves an exercise program in which activity is increased slowly. Your health care provider will tell you which exercises are right for you. The exercise program will likely include: Aerobic exercise. This type of exercise helps improve the functioning of the heart, hings, and muscles. Strength training. This type of exercise helps increase muscle size and strength. Both of these types of exercise will improve your endurance. You may be referred to a physical therapist who can create a safe strengthening program for you to follow. Follow these instructions at home: Eating and drinking, Eat a healthy, well-balanced diet. This includes: Proteins, such as lean meats and fish, to build muscles. Fresh fruits and vegetables. Carbohydrates, such as whole grains, to boost energy. Drink enough fluid to keep your urine pale yellow. Follow the exercise program that was recommended by your health care provider or physical therapist. Do not increase your exercise any faster than directed. General instructions: Take over-the-counter and prescription medicines only as took by your health care provider. Do not use any products that contain nicotine or tobacco, such as cigarettes. e-cigarettes, and chewing tobacco. If you need help quitting, ask your health care provider. Keep all follow-up visits as told by your health care provider. This is important. Contact a health care provider if: You were not able to do the recommended exercise program. You were becoming more and more tired and weak. You became light-headed when rising to a sitting or standing position. Your level of endurance decreases after it has improved. Get help right away if you: Have chest pain. Are very short of breath. Have any episodes of fainting. Summary: Deconditioning refers to the changes in the body that occur during a period of inactivity. Deconditioning happens in the heart, lungs, and muscles. The changes make you feel tired and weak and decrease your ability to be active. Treatment for deconditioning involves an exercise program in which activity is increased slowly. This information is not intended to replace advice given to you by your health care provider. Make sure you discuss any questions you have with your health care provider.  Weakness: Weakness was a lack of strength. You may feel weak all over your body (generalized), or you may feel weak in one specific part of your body (focal). Common causes of weakness include: Infection and immune system disorders. Physical exhaustion Internal bleeding or other blood loss that results in a lack of red blood cells (anemia). Dehydration: An imbalance in mineral (electrolyte) levels, such as potassium, Heart disease, circulation problems, or stroke. Other causes include: Some medicines or cancer treatment. Stress, anxiety, or depression. Nervous system disorders. Thyroid disorders. Loss of muscle strength because of age or inactivity. Poor sleep quality or sleep disorders. The cause of your weakness may not be known. Some causes of weakness can be serious, so it is important to see your health care provider. Follow these instructions at home: Activity Rest as needed. Try to get enough sleep. Most adults need 7-8 hours of quality sleep each night. Talk to your health care provider about how much sleep you need each night. Do exercises, such as arm curls and leg raises, for 30 minutes at least 2 days a week or as told by your health care provider. This helps build muscle strength Consider working with a physical therapist or trainer who can develop an exercise plan to help you gain muscle strength. General instructions: Take over-the-counter and prescription medicines only as told by your health care provider. Eat a healthy, well-balanced diet. This includes: Proteins to build muscles, such as lean meats and fish. Fresh fruits and vegetables. Carbohydrates to boost energy, such as whole grains. Drink enough fluid to keep your urine pale yellow. Drink enough fluid to keep your urine pale yellow. Keep all follow-up visits as told by your health care provider. This is important. Contact a health care provider if your weakness: Does not improve or gets worse. Affects your ability to think clearly. Affects your ability to do your normal daily activities. Get help right away if you: Develop sudden weakness, especially on one side of your face or body. Haye chest pain. Have trouble breathing or shortness of breath. Have problems with your vision.. Have trouble talking or swallowing. Have trouble standing or walking. Are light-headed or lose consciousness. Summary: Weakness is a lack of strength. You may feel weak all over your body or just in one specific part of your body. weakness can be caused by a variety of things. In some cases, the cause may be unknown. Rest as needed, and try to get enough sleep. Most adults need 7-8 hours of quality sleep each night. Eat a healthy, well-balanced diet. This information is not intended to replace advice given to you by your health care provider. Make saw you discuss any questions you have with your health care provider.   X-RAYS and LAB TESTS:If you had x-rays today they were read by the emergency physician. Your x-rays will also be read by a radiologist within 24 hours. If you had a culture done it will take 24 to 72 hours to get results. If there is a change in the x-ray diagnosis or a positive culture we will contact you. (Make sure we have your local phone number.) Thank you for the opportunity to provide your emergency medical care. It is important you understand that emergency medical services are not a substitute for complete medical care. Suicide Awareness: If you are having thoughts of harming yourself or others, call or go to the nearest emergency department. You may also contact the National Suicide Prevention Lifeline at.