| Days after vaccination:||1
|Vaccination / Manufacturer
||Lot / Dose
||Site / Route|
|COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH
||- / 1
||- / IM
Administered by: Pharmacy Purchased by: ?
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal allergic conditions (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Life Threatening? No
Birth Defect? No
Date died: 2021-04-02
Days after onset: 0
Permanent Disability? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Other Medications: Lexapro, Actos, Lopressor, Lasix, Risperdal, Prilosec, Metformin, Lipitor, Lisinopril, Tresiba, Glipizide, Vit D
Current Illness: Doing okay otherwise. Lisinopril was increased 2 days before death due to elevated blood pressure.
Preexisting Conditions: DM2, HTN, HPL h/o traumatic head injury years ago, depression, GERD, HPL
Diagnostic Lab Data: Was evaluated in hospital ER. Died after presentation. Not sure if any tests were done as he was distressed on arrival per report.
CDC Split Type:
Write-up: Angioedema on 4/2/21 leading to death