National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

From the 10/8/2021 release of VAERS data:

This is VAERS ID 1591682



Case Details

VAERS ID: 1591682 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-04-13
Onset:2021-08-06
   Days after vaccination:115
Submitted: 0000-00-00
Entered: 2021-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP7533 / 2 - / IM

Administered by: Public       Purchased by: ?
Symptoms: Acute respiratory failure, Bilevel positive airway pressure, COVID-19 pneumonia, Death, Endotracheal intubation, Extubation, Intensive care
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Acute central respiratory depression (narrow), Hypersensitivity (broad), Respiratory failure (narrow), Infective pneumonia (narrow), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-08-18
   Days after onset: 12
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: OBSTRUCTIVE SLEEP APNEA, CHRONIC RESPIRATORY FAILURE, CHRONIC OBSTRUCTIVE PULMONARY DISEASE, OBESITY WITH BMI 50.0-59.0, MODERATE PERSISTENT ASTHMA, CORONARY ARTERY DISEASE, CONGESTIVE HEART FAILURE
Allergies:
Diagnostic Lab Data:
CDC Split Type: 9260107

Write-up: 2ND COVID19 VACCINE ADMINISTERED 4/13/2021. ADMITTED TO MEDICAL CENTER ON 08/06/2021 WITH COVID PNEUMONIA AND ACUTE HYPOXIC RESPIRATORY FAILURE. WAS TREATED WITH REMDESEVIR IV, DEXAMETHASONE, AND PLACED ON HIGH FLOW O2. PATIENT DECOMPENSATED, WAS PLACED ON BIPAP, AND THEN TRANSFERRED TO ICU AND INTUBATED. CONTINUED TO HAVE INCREASING VENTILATORY SUPPORT. FAMILY EVENTUALLY REQUESTED COMFORT-FOCUSED CARE. EXTUBATED AND EXPIRED ON 8/18/2021.


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1591682

Government Disclaimer on use of this data


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166