VAERS ID: 1846211

AGE: 79| SEX: F|STATE: (United States)

Description

diagnosed positive for COVID on 8/31/21; presents to ED on 9/8/21 with c/o SOB, productive cough, weakness and leg swelling; Hx of CKD III-IV, CAD, lupus, HTN, Gout; states has not taken any polyclonal antibodies; started on dexamethasone and remdisivir; on O2 4-6L and High Flow; DNR/DNI; placed on BiPAP for short period of time but unable to tolerate; pt's condition declined and she was placed on comfort care; she died in the hospital

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Symptoms

Dyspnoea, Asthenia, Productive cough, Death, General physical health deterioration, Peripheral swelling, COVID-19, SARS-CoV-2 test positive, Positive airway pressure therapy

Vaccines

VAX DATE: 02-26-2021| ONSET DATE: 08-30-2021| DAYS TO ONSET: 185
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 2 COVID19 PFIZER\BIONTECH EN6201

RECVDATE:11-05-2021
RPT_DATE:
CAGE_YR:79
CAGE_MO:
DIED:Y
DATEDIED:09-12-2021
L_THREAT:U
ER_VISIT:
HOSPITAL:Y
HOSPDAYS:4
X_STAY:U
DISABLE:U
RECOVD:U
LAB_DATA:
V_ADMINBY:
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:11-05-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:Y
ALLERGIES:
V_FUNDBY:

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