Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy mediastinal, Magnetic resonance imaging, Magnetic resonance imaging head, Mycobacterium test, Mycobacterium tuberculosis complex test
Clinical narrative: Widespread mediastinal, bilateral hilar, axillary lymphadenopathy; Widespread mediastinal, bilateral hilar, axillary lymphadenopathy; This is a spontaneous report from a contactable consumer (patient). A 62-year-old male patient received BNT162B2 (PFIZER BIONTECH COVID-19 VACCINE, solution for injection) via an unspecified route of administration on an unspecified date (at the age of 62 years old) (Lot number was not reported) as dose number unknown, single for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. Patient experienced a reaction after getting the getting the Pfizer injection. Patient has not had issues with any injections given to him before. On an unspecified date, the patient experienced widespread mediastinal, bilateral hilar, axillary lymphadenopathy. CT Chest without IV contrast. Indication: Pulmonary nodule. Technique Axial imaging through the chest without IV contrast. Coronal and sagittal reconstructions created. CTDI 17.5 mGy. Findings: Limited evaluation of mediastinum and hilum without IV contrast. There is mediastinal lymphadenopathy One of the larger pretracheal lymph nodes measures 19 x 1.6 cm. There is bilateral hilar lymphadenopathy Hilar Lymph nodes are not well evaluated without IV contrast. One left hilar lymph node measures approximately 2.2 cm. One right hilar lymph node measures approximately 22 cm. There is left axillary lymphadenopathy. An enlarged left axillary lymph node measures 2.6 x 13 cm. There is right axillary lymphadenopathy One right axillary lymph node measures 15 x 1.0 cm. The trachea and mainstem bronchi are clear No pulmonary mass pulmonary consolidation, pleural effusion. pneumothorax. A fissural nodule along the right major fissure measures 5 mm in size on axial image 52 This could also represent a lymph node. No additional pulmonary nodules are identified. The unenhanced visualized portion of upper abdomen without acute finding There is no acute osseous abnormality identified There are atherosclerotic vascular calcifications noted in the aortic arch Unenhanced heart and great vascular structures otherwise grossly unremarkable Degenerative osseous changes involve the spine There is a hypoechoic region in the left thyroid measuring 14 cm.  Impression: Widespread mediastinal, bilateral hilar, axillary lymphadenopathy A 5 mm right fissural nodule or lymph node. No additional significant pulmonary nodules are seen. There is a hypoechoic region in the left thyroid measuring 1.4 cm. This may represent thyroid nodule. This could be followed up with a dedicated thyroid ultrasound exam. This exam was performed according to the departmental dose-optimization program, which includes automated exposure control, adjustment of the mA and/or kV according to patient size and/or use of iterative reconstruction technique.  On 03May2021, with unknown results, patient underwent tests and procedures: respiratory cov2 panel PCR (resp mult PCR PN chl pneu, resp mult PCR PN myc pneu, resp mult PN virus12 25, resp mult PCR PN bordate), urinalysis auto w microscopy, bilirubin direct ,albumin serum, amylase ,bilirubin total, calcium, carbon diox content, chloride, creatinine, blood gases, glucose, blood, lactate, LDH (lactate dehydrogenase), lipase, magnesium, phosphatas alkalin, phosphorus, potassium, protein total, sodium, AST SGOT, ALT SGPT, urea nitrogen bun, CBC automated, blood culture, quantitative urine culture, CT thorax diagnostic w/contrast, CT abd & pelvis w/contrast. On 04May2021, with unknown results, patient underwent tests and procedures: bilirubin direct, CMV quantitative PCR, albumin serum, bilirubin total, calcium, carbon diox content, chloride, creatinine, ferritin, glucose, serum iron, lactate, phosphatas alkalin, potassium, procalcitonin (PCT), protein total, sodium, AST SGOT, ALT SGPT, transferrin, urea nitrogen bun, C-Reactive protein, T-spot TB, syphilis test. qual, bartonella enselae IGG, bartonella henselae IGM, bartonella quintana IGG, bartonella quintana IGM, EBV EBNA titer, EBV VCA IGG titer, EBV VCA IGM titer, toxoplasma IGG AB, toxoplasma IGM AB, HIV 1/2 AG and AB 4th gen, CBC automated, Prothrombin time, Sedimentation rate, part thromboplastin, cryptococc antigen, HIV-1 RNA detection and quantification, EBV viral load quantpcr, special stain group in other ext, echo 2D mode w/m-mode, Electrocardiogram-resting. On 05May2021, with unknown results, patient underwent tests and procedures: Epstein-Barr Antibody Nuclear (Epstein-Barr Antibody V Capsid, Svc Date: 05May2021 Epstein-Barr Antibody V Capsid), Urine Culture Colony Count, bilirubin direct, smooth muscle antibody screen, albumin serum, bilirubin total, calcium, carbon diox content, chloride, creatinine, glucose, phosphatas alkalin, potassium, protein total, sodium, AST SGOT, ALT SGPT, urea nitrogen bun, antinuclear antibodies hep-2 substrate IGG, C3 complement, C4-complement, Anti-DNA, CBC automated, prothrombin time, Part thromboplastin, culture routine each, culture, anaerob, IR fungal culture, smears gram st, calcoflour st, smears, acid fast, Flow cytometry, I-EA addition antibody, i-1st antibody, FNA (fine needle aspiration), BX/EX lymph nodes NDL SFC, ultrasound guidance needle placement, electrocardiogram-resting. On 06May2021, with unknown results, patient underwent tests and procedures: MRI Brain, X-Ray Shoulder 2+ view, MRI, Cerv Spine, MRI Dorsal Spine, MRI Lumbar Spine, bilirubin direct, myeloperoxidase AB serum, albumin serum, bilirubin total, calcium, carbon diox content, chloride, CPK (creatine phosphokinase), IGG sub 1, IGG sub 2, IGG sub 3, IGG sub 4, glucose, proteinase, magnesium, phosphatas alkalin, phosphorus, potassium, protein total, sodium, AST SGOT, ALT SGPT, urea nitrogen bun, ANCA-inflammatory, hepatitis BC AB, IGG & IGM, HCV antibody screen, CBC automated, culture routine each, HBS antigen, radiologic exam hip unilateral with pelvis 2 or 3 views. On 07 May2021, with unknown results, patient underwent tests and procedures: Electrocardiogram, bilirubin direct, albumin serum, bilirubin total, calcium, carbon diox content, chloride, CPK, creatinine, glucose, magnesium, osmolality, blood, osmolality, urine, phosphatas alkalin, phosphorus, potassium, protein total, sodium, sodium, urine, AST SGOT, ALT SGPT, urea nitrogen bun, CBC automated, Lyme's disease PCR blood, special Stains, Group II. On 08May2021, with unknown results, patient underwent tests and procedures: bilirubin direct, albumin serum, bilirubin total, calcium, carbon diox content, chloride, CPK, creatinine, glucose, magnesium, phosphatas alkalin, phosphorus, potassium, protein total, sodium, AST SGOT, ALT SGPT, urea nitrogen bun, histoplasm ab, mycelial antibody by, yeast antibody by cf, CBC automated, histoplasma antigen, Flowcytometry/Read, 16 & > Markers. On 09May2021, with unknown results, patient underwent tests and procedures: Culture Spec, Bacteria, Not Urine Stool Blood, bilirubin direct, albumin serum, bilirubin total, calcium, carbon diox content, chloride, CPK, creatinine, glucose, magnesium, phosphatas alkalin, phosphorus, potassium, protein total, sodium, AST SGOT, ALT SGPT, urea nitrogen bun, CBC automated, x-ray exam chest single view. On 10May2021, with unknown results, patient underwent tests and procedures: albumin serum, bilirubin total, calcium, carbon diox content, chloride, CPK, Creatinine, Glucose, Magnesium, Phosphatas Alkalin, Phosphorus, Potassium, Protein Total, Sodium, AST SGOT, ALT SGPT, Urea Nitrogen Bun, CBC Automated, EBV Viral Load Quant PCR, PET CT Whole Body, Imhistochem/Cytchm Int Antibody Stain Procedure, Blood Culture for Bacteria. On 11May2021, with unknown results, patient underwent tests and procedures: acupuncture With Estim, Albumin Serum, Bilirubin Total, Calcium, Carbon Diox Content, Chloride, CPK, Creatinine, Glucose, Magnesium, Phosphatas Alkalin, Phosphorus, Potassium, Protein Total, Sodium, AST SGOT, ALT SGPT, Urea Nitrogen Bun, CBC Automated, EBV Viral Load Quantpcr, TCRB, TCRG.  On 12May2021, with unknown results, patient underwent tests and procedures: Albumin Serum, Bilirubin Total, Calcium, Carbon Diox Content, Chloride, CPK , Creatinine, Glucose, Magnesium, Phosphatas Alkalin, Phosphorus, Potassium , Protein Total, Sodium, AST SGOT, ALT SGPT, Urea Nitrogen Bun, CBC Automated, Culture Spec Bacteria Not Urine Stool Blood . On 13May2021, with unknown results, patient underwent tests and procedures: Brain Wave Monitor, ABO, RH (D), Albumin Serum, Bilirubin Total, Calcium, Carbon Diox Content, Chloride, CPK, Creatinine, Glucose, Magnesium, Phosphatas Alkalin, Phosphorus, Potassium, Protein Total, Sodium, AST SGOT, ALT SGPT, Urea Nitrogen Bun, CBC Automated, Prothrombin Time, Part Thromboplastin, Flow cytometry, Special Stain Group I Micro Org Base, I-Ea Addition Antibody, I-1st Antibody, Multiplex IHC, Cg Tissue Cul Neop, Solid tumor, Cg Analysis, 15-20 Cells, Bx/Remv Lymph Node Deep Axill. On 13May2021, patient underwent surgery of shoulder. On 17May2021, with unknown results, patient underwent Culture Spec, Bacteria, Not Urine Stool Blood. On 20May2021, with unknown results, patient underwent Flow cytometry/Read, 9-15 Markers. On 21May2021, with unknown results, patient underwent Cyto/Molecular Report. On 24May2021, with unknown results, patient underwent tests and procedures: Special Stains, Group , Special Stains, Group II and Imstochem/Cytchm Init Antibody Stain Procedure. On 25May2021, with unknown results, patient underwent tests and procedures: Bilirubin Direct, ABO, RH (D), Albumin Serum, Bilirubin Total, Calcium, Carbon Diox Content, Chloride, Creatinine, Glucose, LDH (lactate dehydrogenase), Magnesium, Phosphatas Alkalin, Phosphorus, Potassium, Protein Total, Sodium, AST SGOT, ALT SGPT, Urea Nitrogen Bun, Uric Acid, CBC Automated. On 02Jun2021, with unknown results, patient underwent Fungus Isolation Culture. On 01Jul2021, with unknown results, patient underwent Mycobacteria Identification. Treatment included acetaminophen 325 mg tab, acetaminophen 500 mg tab, atorvastatin 20 mg tab, potassium chloride 10 meq tbtq, potassium chloride 20 meq pack, azithromycin 500 mg solr 500 mg vial, ceftriaxone 1 g solr 1,000 mg vial, sodium chloride 0.9% solp, iohexol 350 mg iodine/ml soln, ,eszopiclone 3 mg tab, pantoprazole 40 mg tbec, heparin 5,000 units/ml soln, dextrose 5%-sodium chloride 0.9%solp, lidocaine 10 mg/ml (1%) soln acetaminophen 500 mg tab, triamcinolone 0.1% crea 15 g tube, pantoprazole 40 mg tbec 1810msk-truguide core kit 18x10 ir biopsy tray, 1810msk-truguide core kit 18x10, tramadol 50 mg tab, levofloxacin 500 mg tab, lidocaine 5% (700 mg/patch) ptmd, linezolid 600 mg tab, pantoprazole 40 mg tbec, gadobutrol 10 mmol/10 ml soln, 06may2021 enoxaparin 40 mg/0.4 ml syrg, morphine 2 mg/ml syrg, senna-docusate 8.6 mg-50 mg tab, olanzapine 5 mg tbdl, polyethylene glycol 17 g pwpk, gabapentin 300 mg cap, ipratropium-albuterol 0.5 mg-2.5 mg/3 ml nebu, levofloxacin 500 mg tab, colchicine 0.6 mg tab, sevoflurane/15 minutes, sodium chloride 0.9% (pf) soln 10 ml vial, electrolyte-a solp, rocuronium 10 mg/ml soln, electrolyte-a/electrolyte-s solp, bupivacaine liposomal pf 266 mg/20 ml susp 20ml vial, sugammadex 100 mg/ml, cefazolin 1 g solr 1 g vial soln, hydromorphone 0.5 mg/0.5 ml syrg, lidocaine pf (cardiac) 100 mg/5 ml (2%) syrg, midazolam 1 mg/ml sol, propofol 10 mg/ml emul, fentanyl pf 50 mcg/ml soln and bupivacaine 2.5 mg/ml (0.25% ) soln 10 vial. The patient was hospitalized from 03May2021 to 13May2021 (10 days). The patient's outcome was unknown.  The lot number for the vaccine, [BNT162B2], was not provided and will be requested during follow up.