Background: Preventive care is a crucial but underutilized component of optimal population health management. Of eligible patients, 69.0% have received pneumococcal vaccine, 24.1% zoster vaccine, and 30.0% hepatitis B vaccine. Cancer screening rates are similarly low, with 12.5% screened for lung cancer and 71.6% for colorectal cancer. Gaps in preventive care are even larger in [...]

Background: With the advent of COVID-19 vaccinations, disparities in vaccination rates across various demographic groups especially in vulnerable population such as HIV positive patients have become an area of concern. Understanding these disparities and their underlying factors can provide essential insights for designing targeted interventions and optimizing vaccine distribution strategies. This study sought to investigate [...]

Case Presentation: A previously healthy 57-year-old man with a history of chronic sinusitis who received the Ad26.COV2.S vaccination 13 days ago without incident presented to the ED with left lower extremity swelling and pain, left medial thigh ecchymosis, transient episodes of right hand paresthesia and weakness, severe headache with transient blurry vision, and progressively worsening [...]

Background: COVID-19 vaccines have greatly decreased both rate of morbidity and mortality of the COVID-19 infection, but studies have reported myocarditis in patients after vaccination especially with mRNA vaccines. The purpose of this study is to identify if there is a significant correlation between COVID-19 vaccines and myocarditis. Methods: We systematically searched PubMed, Web of [...]

Background: Researchers across the globe have continued their effort in identifying important risk factors for severe COVID-19 infection. Patient demographics including age, race, gender, and certain chronic medical conditions including cardiovascular disease, diabetes, hypertension, and heart failure have been identified as the important risk factors for severity. To simply the risk stratification process, the CHA2DS2-VASc [...]

Background: Adult patient populations are not effectively vaccinated in United States, which contributes to increased rates of hospitalization, cost of medical care and disease complications. Though physicians’ understanding of vaccination measures should be comprehensive, many studies have indicated that adult patients are not receiving their vaccinations as they should. One study during a pertussis outbreak [...]

Case Presentation: A 22-year-old female was admitted with a 5-day history of bilateral lower extremity weakness. She received influenza vaccination five weeks prior to the presentation. The patient progressed rapidly over days to quadriplegia and respiratory failure requiring intubation and mechanical ventilation. The cerebrospinal fluid analysis showed albuminocytological dissociation, and nerve conduction studies revealed an [...]

Case Presentation: A 50-year-old African American female with a history of mixed connective tissue disorder with positive ANA titer, speckled pattern 1:1280, and spindle apparatus pattern 1:640, presented with worsening dyspnea, numbness, and weakness of both lower extremities. Two days prior she received the first dose of COVID-19 mRNA vaccine and later developed nausea, vomiting, diarrhea, and anorexia.   In the emergency department, patient was found to have an elevated blood pressure of [...]

Case Presentation: Here is a case report that describes an immunized immunocompetent 17-year-old male who presented with acute onset sharp migratory poly-articular pain and swelling as a solitary complaint that began in the left hip and right wrist associated with night sweats and difficult ambulation. Fever and other systemic symptoms were absent. Upon initial work-up, [...]

Case Presentation: A 38 year old male with a history of anxiety and hypothyroidism who received the second dose of SARS-COV2 Pfizer-Biontech vaccination 17 days prior, presented with 4 days of severe gingival bleeding after dental cleaning, epistaxis and a petechial rash of his extremities and was found to have new onset severe thrombocytopenia of [...]