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This is VAERS ID 983187

History of Changes from the VAERS Wayback Machine

First Appeared on 1/29/2021

VAERS ID: 983187
VAERS Form:2
Age:92.0
Sex:Male
Location:Kentucky
Vaccinated:2021-01-05
Onset:2021-01-09
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: Apnoea, Cough, Oxygen saturation decreased, Rales, Unresponsive to stimuli, Oxygen 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: Allopurinol, Eliquis, Allegra, Synthroid, Sodium Chloride, Trazadone, Zinc, Vitamin C, Vitamin D, Dexamethasone, Tylenol
Current Illness: COVID-19
Preexisting Conditions: Alzheimer''s Disease, Dysphagia, Encephalopathy, Syndrome of Inappropriate Secretion of Antidiuretic hormone
Allergies: Risperidone, Memantine, Haldol
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Client tested positive for COVID-19 by rapid test on 1/8/21. On 1/9/21 at 1405 his oxygen saturation dropped to 86% and oxygen was initiated at 2L per nasal cannula. A non-productive cough was noted on 1/10/21 and oxygen was increased to 3L. On 1/12/21 Client became non-responsive with 30 second periods of apnea. Dexamethasone was initiated on 1/13/21. Lung sounds were noted with crackles on 1/15/21 at 1158 and at 2120 Client was unresponsive and without vital signs. Orders were for DNR and CPR was not initiated.

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