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This is VAERS ID 1685668

History of Changes from the VAERS Wayback Machine

First Appeared on 9/10/2021

VAERS ID: 1685668
VAERS Form:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Private      Purchased by: ??
Symptoms: Acute respiratory failure, Brain hypoxia, Cough, Death, Dyspnoea, Gastrooesophageal reflux disease, Headache, Intensive care, Pyrexia, Respiratory distress, Wheezing, General physical health deterioration, Respiratory tract congestion, Pneumonia bacterial, Endotracheal intubation, Use of accessory respiratory muscles, COVID-19, SARS-CoV-2 test positive, COVID-19 pneumonia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-08-31
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Albuterol MDI PRN, Aspirin 81 mg QD, Atorvastatin 40 mg QD, Calcium Carbonate+Vitamin D BID, Cholecalciferol 5000 units QD, Citalopram 20 mg QD, Fluticasone nasal QD, folic acid 1 mg QD, Gabapentin 300 mg BID, Hydroxychloroquine 200 mg QD
Current Illness:
Preexisting Conditions: Anxiety, Arthritis, Asthma, CKD, Thoracic compression fracture, COPD, Depression, Diabetes mellitus, Dysphagia, GERD, Esophageal ring, hyperlipidemia, hypertension, migraine, nephrolithiasis, premtaure ventricular contractions, restless legs syndrome.
Allergies: NKDA
Diagnostic Lab Data: Positive COVID test on 8/10/2021 using the Roche LIAT SARS assay platform using PCR or equivalent nucleic acid amplification technology.
CDC 'Split Type':

Write-up: Pfizer BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 1/14/2021 and 2/2/2021. Patient contacted physician office on 8/9/2021 stating had a positive COVID HOME test on 8/8/2021 with a three day history of sore throat, headache, congestion, coughing also noted to have oxygen level of 81 and fever of 101.9. Patient was retested on 8/10/2021 and was positive. Patient presented to ED on 8/10/2021 with complaints of shortness of breath. On presentation SpO2 100% on room air without significant tachypnea, but with mild bilateral wheezes. Patient received Imdevimab+casirivimab and was discharged home @ 1645. Patient presented back to ED at 2011 in respiratory distress with increased work of breathing, accessory muscle use, and transient hypoxia. Noted O2 sats of 74% on room air, and placed on high-flow nasal cannula. Patient improved rapidly overnight coming down to just 2 L NC by the following morning. Patient stated she felt better as well denying SOB, fevers or chills but reporting some cough. Patient O2 needs had decreased to 4 L on ambulation by 8/13. She was discharged on home with home O2 on 8/13. She was prescribed dexamethasone to complete a total of 10 days of therapy for COVID and cefdinir to complete 5 days of therapy for suspected overlying bacterial PNA. Patient presented to ED on 8/14/2021 due to shortness of breath. She was transferred to ICU 8/15 due to acute hypoxic respiratory failure due to COVID-19 pneumonia and found to have secondary bacterial pna. Patient returned to the floor in hosptial but subsequently bounced back to the ICU 8/25 and intubated 8/26. Patient continued to deteriorate and palliative care was consulted. 8/31 decision was made by family to pursue DNR/AND. Patient passed away peacefully at 8:54PM on 8/31/2021.

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