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This is VAERS ID 983184

History of Changes from the VAERS Wayback Machine

First Appeared on 1/29/2021

VAERS ID: 983184
VAERS Form:2
Age:87.0
Sex:Female
Location:Kentucky
Vaccinated:2021-01-05
Onset:2021-01-11
Submitted:0000-00-00
Entered:2021-01-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1685 / 1 AR / IM

Administered by: Senior Living      Purchased by: ??
Symptoms: Dyspnoea, Salivary hypersecretion, Unresponsive to stimuli, Vital functions abnormal, Airway secretion clearance therapy, SARS-CoV-2 test positive

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-01-15
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Norco, Morphine Sulfate, Levsin
Current Illness: COVID-19
Preexisting Conditions: Alzheimer''s Disease, Dysphagia, Anxiety, Ischemic Heart Disease, Hypertension, Hypercholesterolemia
Allergies: NKA
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient has been under Hospice services for almost a year. She began to demonstrate a large amount of oral secretions on 1/10/21 at 2130. She was suctioned and a Rapid COVID-19 test was performed, which was negative. The COVID-19 Rapid test was repeated on 1/11/21 and was positive. Oxygen saturation was noted to be 78% on 1/12/21, and oxygen was initiated at 1133 at 3L per nasal cannula. Oxygen was increased to 4L at 1635 d/t shortness of breath. On 1/15/21 @ 0645 patient was unresponsive and without vital signs. Orders were for DNR and CPR was not initiated.

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