VAERS ID: 1454152

AGE: 73| SEX: M|STATE: CO (United States)

Description

73 year old male, vaccinated with the Janssen Covid-19 vaccine at the time of hospital admission (5/31/21) for a type 3 odontoid fracture; C2 vertebral body fracture extending into bilateral transverse foramina and nasal bone fracture from a fall from standing. Admitted to the trauma service for pain control. Noted to be somnolent throughout admission. On 6/2, developed AKI, likely related to dehydration vs. contrast nephropathy. On the early morning of 6/3, found unresponsive. Given naloxone 0.02 mg x 3 with no documented response. Transferred to the ICU, intubated and had PEA arrest on induction for intubation. CPR was initiated and he received epi x 1 with ROSC within 3 minutes. Remained intubated and sedated in the ICU with labile pressures on 2 pressors throughout the day on 6/3. The patient expired following compassionate extubation 6/3 2211.

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Symptoms

Somnolence, Dehydration, Intensive care, Nephropathy toxic, Unresponsive to stimuli, Death, Endotracheal intubation, Resuscitation, Extubation, Pulseless electrical activity, Acute kidney injury

Vaccines

VAX DATE: 05-31-2021| ONSET DATE: 06-03-2021| DAYS TO ONSET: 3
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (JANSSEN)) 1 COVID19 JANSSEN 205A21A IM LA

RECVDATE:07-07-2021
RPT_DATE:
CAGE_YR:73
CAGE_MO:
DIED:Y
DATEDIED:06-03-2021
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:
V_ADMINBY:PVT
OTHER_MEDS:amlodipine, duloxetine, nitroglycerin SL tablets prn, rosuvastatin 5 mg daily, tamsulosin
CUR_ILL:
HISTORY:sleep apnea, TIA, HTN, CVA, asthma, alcohol dependence, cardiac murmur, CAD, Cervical fusion 2017 (C3-6), Lumbar spine surgery 2018 (L2-4 hemilaminectomy)
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:07-07-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:Cefazolin - anaphylaxis
V_FUNDBY:

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