Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Endoscopy, Exercise tolerance decreased, Feeling abnormal, Fluid retention
Clinical narrative: He got his vaccine, he was feeling light headed immediately, wobbly, out of breath.  He felt like his blood sugar was low so he went to eat but that did not get better.  Then he got worse, the following week he had to go to the ER.  They put him in the hospital for 3 days, moving him around, and then admitted to  Cardiology where they told him that he had a heart murmur and  congestive heart failure.  They did blood work and his red cells of 3.2 and had never seen anybody with blood that low, and had 8 transfusions.  He was put in ICU.  Then he had a colonoscopy and an endoscopy and had to drink the contrast, which caused his kidneys to shut down.  The nephrologist had to get that regulated.  Now he has no control over his bowels and has to wear diapers.  Then he was retaining water, and not able to urinate and now he has a Foley catheter.  He also had a bladder scan with US and saw that he was not relieving his urine and now wears the bag still today.  He did not have any of these issues prior to getting the vaccines.    Then he started to get a bed sore, about 3" round on his tailbone, he was showing the doctor and said that it was nothing.  The nurse agreed that it was a bed sore, and it ended up being 6-7" long, 3-4" wide and about  1.5-2" deep on his coccyx.  Nobody would do anything and didn't put a wound vac on until January.  He has been in and out of the hospital about 8 times.   The wound vac was using, and he still wears that still today 8 months later.  They want to take the machine back before it closes, they want it to close on it's own and goes to wound care every 2 weeks.  He needs a walker now to walk, and used to ride his bike 20 miles  a day prior to the vaccine.  Pharmacy had given  him a new batch of vaccine and feels that perhaps it was too strong for him.   He was 160 pounds prior to the vaccine, and now almost 230 #.  So now he is taking Furosemide 40 mg, Entrusto for his heart, Finasteride 5 mg for prostate, Tamsulosin 0.4 mg for prostate, Clopidogrel 75 mg, Metformin XL 500 mg for diabetes, 81 mg aspirin, iron pill 65 mg 2 pills, Zinc 50 mg, Ezetimibe 10 mg cholesterol pill, antibiotics as needed for infection if needed.  He takes Tylenol 650 mg for pain.  He takes Tylenol 650 mg for pain.  At night he takes Furosemide 40 mg, Entrusto 24-26 mg, Vitamin C 1000 mg, multivitamin, Vitamin D3, calcium 600 mg, iron 65 mg, zinc 50 mg, Tylenol 650 mg for pain, Melatonin 5 mg to help him sleep.   He was  in the hospital from 8/4/21 to 8/31/21.    After he was discharged he was sent to Rehab.  He was there from 8/31/21 to 12/10/21.  Then all of his days were used up and he could not be there anymore.   He went home for a week and his Foley catheter started leaking and his bed sore started leaking and had to go back to the hospital from 12/19/21 to 12/29/21 and then they put the wound vac on, was on IV antibiotics.  He was also getting iron intravenously, and vitamin B shots 1000 mg a day he was getting.  After that he went home and was in and out of the hospital about 6 more times.  The last time he was there they wanted to take the wound vac off and put saline solution in a whole in his spine, and he told them that it was saturated after 24 hours.  When he got home the bandage was saturated and fell off.  He went and had the wound vac reattached to the wound care clinic and has to have it for another 3-6 months.