"Notes"	"VAERS ID"	"VAERS ID Code"	"Symptoms"	"Symptoms Code"	"Age"	"Age Code"	Adverse Event Description
	"0921667-1"	"0921667-1"	"AUTOPSY"	"10050117"	"30-39 years"	"30-39"	"LTCF Pfizer Vaccine clinic conducted 12/29/2020 Vaccine lead received a call indicating that a staff member deceased somewhere between 1/3/2021 and 1/4/2021.   Cause of death is unknown, and an autopsy is being performed."
	"0921667-1"	"0921667-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"LTCF Pfizer Vaccine clinic conducted 12/29/2020 Vaccine lead received a call indicating that a staff member deceased somewhere between 1/3/2021 and 1/4/2021.   Cause of death is unknown, and an autopsy is being performed."
	"0929764-1"	"0929764-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"The patient was found deceased at home about 24 hours after immunization. Date of Death:: 12/29/2020; estimated time of death 6:00pm"
	"0937527-1"	"0937527-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"unsure if related to vaccine, but was notified by her next of kin that she died on 1/4/2021.  No reports of side effects or hospitalization were reported to the facility prior to the notification of death."
	"0939050-1"	"0939050-1"	"APHASIA"	"10002948"	"30-39 years"	"30-39"	"Patient vaccinated on 12/28.  Approximately one day later, develops cough and on azithromycin x 1 week.  On 1/3, patient develops left-sided weakness and aphasia.  Taken to the hospital, tested COVID+, required intubation -- acute hypoxic respiratory failure secondary to COVID - on H&P.  Patient died on 1/4/21 at 7:20am."
	"0939050-1"	"0939050-1"	"COUGH"	"10011224"	"30-39 years"	"30-39"	"Patient vaccinated on 12/28.  Approximately one day later, develops cough and on azithromycin x 1 week.  On 1/3, patient develops left-sided weakness and aphasia.  Taken to the hospital, tested COVID+, required intubation -- acute hypoxic respiratory failure secondary to COVID - on H&P.  Patient died on 1/4/21 at 7:20am."
	"0939050-1"	"0939050-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Patient vaccinated on 12/28.  Approximately one day later, develops cough and on azithromycin x 1 week.  On 1/3, patient develops left-sided weakness and aphasia.  Taken to the hospital, tested COVID+, required intubation -- acute hypoxic respiratory failure secondary to COVID - on H&P.  Patient died on 1/4/21 at 7:20am."
	"0939050-1"	"0939050-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"30-39 years"	"30-39"	"Patient vaccinated on 12/28.  Approximately one day later, develops cough and on azithromycin x 1 week.  On 1/3, patient develops left-sided weakness and aphasia.  Taken to the hospital, tested COVID+, required intubation -- acute hypoxic respiratory failure secondary to COVID - on H&P.  Patient died on 1/4/21 at 7:20am."
	"0939050-1"	"0939050-1"	"HEMIPARESIS"	"10019465"	"30-39 years"	"30-39"	"Patient vaccinated on 12/28.  Approximately one day later, develops cough and on azithromycin x 1 week.  On 1/3, patient develops left-sided weakness and aphasia.  Taken to the hospital, tested COVID+, required intubation -- acute hypoxic respiratory failure secondary to COVID - on H&P.  Patient died on 1/4/21 at 7:20am."
	"0939050-1"	"0939050-1"	"RESPIRATORY FAILURE"	"10038695"	"30-39 years"	"30-39"	"Patient vaccinated on 12/28.  Approximately one day later, develops cough and on azithromycin x 1 week.  On 1/3, patient develops left-sided weakness and aphasia.  Taken to the hospital, tested COVID+, required intubation -- acute hypoxic respiratory failure secondary to COVID - on H&P.  Patient died on 1/4/21 at 7:20am."
	"0939050-1"	"0939050-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"30-39 years"	"30-39"	"Patient vaccinated on 12/28.  Approximately one day later, develops cough and on azithromycin x 1 week.  On 1/3, patient develops left-sided weakness and aphasia.  Taken to the hospital, tested COVID+, required intubation -- acute hypoxic respiratory failure secondary to COVID - on H&P.  Patient died on 1/4/21 at 7:20am."
	"0939270-1"	"0939270-1"	"SUDDEN CARDIAC DEATH"	"10049418"	"40-49 years"	"40-49"	"Sudden cardiac death"
	"0948418-1"	"0948418-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Expired on 1/12/2021; unknown cause of death"
	"0950057-1"	"0950057-1"	"CARDIAC ARREST"	"10007515"	"40-49 years"	"40-49"	"Patient suffered a cardiac arrest and was unable to give details about her symptoms. Per husband, patient did not complain of any symptoms after vaccine administration. She began seizing without warning which was complicated by cardiac arrest of uncertain etiology"
	"0950057-1"	"0950057-1"	"SEIZURE"	"10039906"	"40-49 years"	"40-49"	"Patient suffered a cardiac arrest and was unable to give details about her symptoms. Per husband, patient did not complain of any symptoms after vaccine administration. She began seizing without warning which was complicated by cardiac arrest of uncertain etiology"
	"0961339-1"	"0961339-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"possibly got it at clinic, possibly who administered shot. Pts. daughter said the pts boyfriend denied any symptoms the whole day but that in the middle of the night the pt passed away."
	"0965256-1"	"0965256-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Found deceased, presumed while exercising"
	"0967240-1"	"0967240-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Patient unexpectedly died on o1/6/2020.  No known signs or symptoms."
	"0977319-1"	"0977319-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Notified by patient's sister on 1/26/2021 that patient died in his sleep on 1/25/2021. She did not know cause of death."
	"0981407-1"	"0981407-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Expired in sleep on 1/24/21"
	"0982826-1"	"0982826-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Was at work on 1/26/21 and collapsed, no known complaints a the time.   CRP was initiated immediately, transported to ER and  pronounced dead"
	"0982826-1"	"0982826-1"	"RESUSCITATION"	"10038749"	"40-49 years"	"40-49"	"Was at work on 1/26/21 and collapsed, no known complaints a the time.   CRP was initiated immediately, transported to ER and  pronounced dead"
	"0982826-1"	"0982826-1"	"SYNCOPE"	"10042772"	"40-49 years"	"40-49"	"Was at work on 1/26/21 and collapsed, no known complaints a the time.   CRP was initiated immediately, transported to ER and  pronounced dead"
	"0986901-1"	"0986901-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Patient received vaccine uneventfully with no acute concerns. Left clinic and by report went out with friends. Spoke to father on phone at or around 9:00 pm. Failed to show up to work and was found dead at home. Other details pending"
	"0992237-1"	"0992237-1"	"CARDIAC ARREST"	"10007515"	"40-49 years"	"40-49"	"1/28/2021- Seen by FNP for indigestion, chest pressure and palpitations.  EKG reviewed and referral made to Cardiology. 1/29/2021-1800 Presented to ED in cardiac arrest-onset PTA.  Patient was found unresponsive by his wife at their home.  The last known well was at 1530 when she called him on the phone.  The patient was pronounced at ~1850."
	"0992237-1"	"0992237-1"	"CARDIOVERSION"	"10007661"	"40-49 years"	"40-49"	"1/28/2021- Seen by FNP for indigestion, chest pressure and palpitations.  EKG reviewed and referral made to Cardiology. 1/29/2021-1800 Presented to ED in cardiac arrest-onset PTA.  Patient was found unresponsive by his wife at their home.  The last known well was at 1530 when she called him on the phone.  The patient was pronounced at ~1850."
	"0992237-1"	"0992237-1"	"CHEST DISCOMFORT"	"10008469"	"40-49 years"	"40-49"	"1/28/2021- Seen by FNP for indigestion, chest pressure and palpitations.  EKG reviewed and referral made to Cardiology. 1/29/2021-1800 Presented to ED in cardiac arrest-onset PTA.  Patient was found unresponsive by his wife at their home.  The last known well was at 1530 when she called him on the phone.  The patient was pronounced at ~1850."
	"0992237-1"	"0992237-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"1/28/2021- Seen by FNP for indigestion, chest pressure and palpitations.  EKG reviewed and referral made to Cardiology. 1/29/2021-1800 Presented to ED in cardiac arrest-onset PTA.  Patient was found unresponsive by his wife at their home.  The last known well was at 1530 when she called him on the phone.  The patient was pronounced at ~1850."
	"0992237-1"	"0992237-1"	"DYSPEPSIA"	"10013946"	"40-49 years"	"40-49"	"1/28/2021- Seen by FNP for indigestion, chest pressure and palpitations.  EKG reviewed and referral made to Cardiology. 1/29/2021-1800 Presented to ED in cardiac arrest-onset PTA.  Patient was found unresponsive by his wife at their home.  The last known well was at 1530 when she called him on the phone.  The patient was pronounced at ~1850."
	"0992237-1"	"0992237-1"	"ELECTROCARDIOGRAM"	"10014362"	"40-49 years"	"40-49"	"1/28/2021- Seen by FNP for indigestion, chest pressure and palpitations.  EKG reviewed and referral made to Cardiology. 1/29/2021-1800 Presented to ED in cardiac arrest-onset PTA.  Patient was found unresponsive by his wife at their home.  The last known well was at 1530 when she called him on the phone.  The patient was pronounced at ~1850."
	"0992237-1"	"0992237-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"40-49 years"	"40-49"	"1/28/2021- Seen by FNP for indigestion, chest pressure and palpitations.  EKG reviewed and referral made to Cardiology. 1/29/2021-1800 Presented to ED in cardiac arrest-onset PTA.  Patient was found unresponsive by his wife at their home.  The last known well was at 1530 when she called him on the phone.  The patient was pronounced at ~1850."
	"0992237-1"	"0992237-1"	"MECHANICAL VENTILATION"	"10067221"	"40-49 years"	"40-49"	"1/28/2021- Seen by FNP for indigestion, chest pressure and palpitations.  EKG reviewed and referral made to Cardiology. 1/29/2021-1800 Presented to ED in cardiac arrest-onset PTA.  Patient was found unresponsive by his wife at their home.  The last known well was at 1530 when she called him on the phone.  The patient was pronounced at ~1850."
	"0992237-1"	"0992237-1"	"PALPITATIONS"	"10033557"	"40-49 years"	"40-49"	"1/28/2021- Seen by FNP for indigestion, chest pressure and palpitations.  EKG reviewed and referral made to Cardiology. 1/29/2021-1800 Presented to ED in cardiac arrest-onset PTA.  Patient was found unresponsive by his wife at their home.  The last known well was at 1530 when she called him on the phone.  The patient was pronounced at ~1850."
	"0992237-1"	"0992237-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"40-49 years"	"40-49"	"1/28/2021- Seen by FNP for indigestion, chest pressure and palpitations.  EKG reviewed and referral made to Cardiology. 1/29/2021-1800 Presented to ED in cardiac arrest-onset PTA.  Patient was found unresponsive by his wife at their home.  The last known well was at 1530 when she called him on the phone.  The patient was pronounced at ~1850."
	"0994913-1"	"0994913-1"	"BODY TEMPERATURE INCREASED"	"10005911"	"40-49 years"	"40-49"	"patient passed away 2 days after vaccine. patient had temperature, nausea, and vomiting after vaccine."
	"0994913-1"	"0994913-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"patient passed away 2 days after vaccine. patient had temperature, nausea, and vomiting after vaccine."
	"0994913-1"	"0994913-1"	"NAUSEA"	"10028813"	"40-49 years"	"40-49"	"patient passed away 2 days after vaccine. patient had temperature, nausea, and vomiting after vaccine."
	"0994913-1"	"0994913-1"	"VOMITING"	"10047700"	"40-49 years"	"40-49"	"patient passed away 2 days after vaccine. patient had temperature, nausea, and vomiting after vaccine."
	"1000228-1"	"1000228-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"dead; Collapsed; bnt162b2 was given to patient with immunocompromised w/ reportable conditions; bnt162b2 was given to patient with immunocompromised w/ reportable conditions; This is a spontaneous report from a contactable nurse. A 40-year-old male patient receive first dose of bnt162b2 (Lot number: EK9231, Brand: Pfizer), intramuscular in left arm on 21Jan2021 15:15 at single dose for COVID-19 immunization. Medical history included immunocompromised w/ reportable conditions from an unknown date and unknown if ongoing, positive for Covid in September from Sep2020 to an unknown date. The patient's concomitant medications were not reported. The patient experienced dead, collapsed on 26Jan2021. Therapeutic measures were taken as a result of collapsed. The outcome of collapsed was unknown. The patient died on 26Jan2021. It was not reported if an autopsy was performed. Received Covid vaccine here on 21Jan2021, was at work on 26Jan2021 and collapsed, no known complaints at the time, CPR (cardiopulmonary resuscitation) was initiated immediately, transported to ER (Emergency room) and pronounced dead. Unknown if other vaccine in four weeks. The patient had COVID prior vaccination. Unknown If COVID tested post vaccination.; Sender's Comments: Based on the information currently provided, the patient was immunocompromised and had prior COVID infection.  The death and syncope more likely are associated with the patient underlying medical conditions.  More information such medical history, concomitant medications, treatment indication and event term details especially death cause and autopsy results are needed for fully medical assessment.  The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.; Reported Cause(s) of Death: Dead"
	"1000228-1"	"1000228-1"	"RESUSCITATION"	"10038749"	"40-49 years"	"40-49"	"dead; Collapsed; bnt162b2 was given to patient with immunocompromised w/ reportable conditions; bnt162b2 was given to patient with immunocompromised w/ reportable conditions; This is a spontaneous report from a contactable nurse. A 40-year-old male patient receive first dose of bnt162b2 (Lot number: EK9231, Brand: Pfizer), intramuscular in left arm on 21Jan2021 15:15 at single dose for COVID-19 immunization. Medical history included immunocompromised w/ reportable conditions from an unknown date and unknown if ongoing, positive for Covid in September from Sep2020 to an unknown date. The patient's concomitant medications were not reported. The patient experienced dead, collapsed on 26Jan2021. Therapeutic measures were taken as a result of collapsed. The outcome of collapsed was unknown. The patient died on 26Jan2021. It was not reported if an autopsy was performed. Received Covid vaccine here on 21Jan2021, was at work on 26Jan2021 and collapsed, no known complaints at the time, CPR (cardiopulmonary resuscitation) was initiated immediately, transported to ER (Emergency room) and pronounced dead. Unknown if other vaccine in four weeks. The patient had COVID prior vaccination. Unknown If COVID tested post vaccination.; Sender's Comments: Based on the information currently provided, the patient was immunocompromised and had prior COVID infection.  The death and syncope more likely are associated with the patient underlying medical conditions.  More information such medical history, concomitant medications, treatment indication and event term details especially death cause and autopsy results are needed for fully medical assessment.  The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.; Reported Cause(s) of Death: Dead"
	"1000228-1"	"1000228-1"	"SYNCOPE"	"10042772"	"40-49 years"	"40-49"	"dead; Collapsed; bnt162b2 was given to patient with immunocompromised w/ reportable conditions; bnt162b2 was given to patient with immunocompromised w/ reportable conditions; This is a spontaneous report from a contactable nurse. A 40-year-old male patient receive first dose of bnt162b2 (Lot number: EK9231, Brand: Pfizer), intramuscular in left arm on 21Jan2021 15:15 at single dose for COVID-19 immunization. Medical history included immunocompromised w/ reportable conditions from an unknown date and unknown if ongoing, positive for Covid in September from Sep2020 to an unknown date. The patient's concomitant medications were not reported. The patient experienced dead, collapsed on 26Jan2021. Therapeutic measures were taken as a result of collapsed. The outcome of collapsed was unknown. The patient died on 26Jan2021. It was not reported if an autopsy was performed. Received Covid vaccine here on 21Jan2021, was at work on 26Jan2021 and collapsed, no known complaints at the time, CPR (cardiopulmonary resuscitation) was initiated immediately, transported to ER (Emergency room) and pronounced dead. Unknown if other vaccine in four weeks. The patient had COVID prior vaccination. Unknown If COVID tested post vaccination.; Sender's Comments: Based on the information currently provided, the patient was immunocompromised and had prior COVID infection.  The death and syncope more likely are associated with the patient underlying medical conditions.  More information such medical history, concomitant medications, treatment indication and event term details especially death cause and autopsy results are needed for fully medical assessment.  The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.; Reported Cause(s) of Death: Dead"
	"1006640-1"	"1006640-1"	"ACIDOSIS"	"10000486"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"ANAEMIA"	"10002034"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"ANALGESIC DRUG LEVEL DECREASED"	"10060941"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"ANXIETY"	"10002855"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"BACTERIAL TEST NEGATIVE"	"10065004"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"BASOPHIL PERCENTAGE INCREASED"	"10052220"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"BILIRUBIN URINE"	"10053113"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"BLOOD BICARBONATE DECREASED"	"10005359"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"BLOOD GASES"	"10005537"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"BLOOD MAGNESIUM DECREASED"	"10005654"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"BLOOD PH DECREASED"	"10005706"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"BLOOD SMEAR TEST"	"10059655"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"BLOOD URINE ABSENT"	"10018868"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"BRADYCARDIA"	"10006093"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"BRAIN OEDEMA"	"10048962"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"CARDIAC ARREST"	"10007515"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"CARDIO-RESPIRATORY ARREST"	"10007617"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"CHROMATURIA"	"10008796"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"COMPUTERISED TOMOGRAM HEAD ABNORMAL"	"10072168"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"CRYSTAL URINE ABSENT"	"10011510"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"CULTURE URINE"	"10011638"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"DRUG SCREEN NEGATIVE"	"10050895"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"EOSINOPHIL PERCENTAGE INCREASED"	"10052222"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"FIBRIN D DIMER INCREASED"	"10016581"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"GASTROINTESTINAL HAEMORRHAGE"	"10017955"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"GLUCOSE URINE ABSENT"	"10018474"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"HAEMATOCRIT DECREASED"	"10018838"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"HAEMOGLOBIN DECREASED"	"10018884"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"HEAD DISCOMFORT"	"10019194"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"HUMAN CHORIONIC GONADOTROPIN NEGATIVE"	"10071333"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"HYPOXIA"	"10021143"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"INTERNATIONAL NORMALISED RATIO INCREASED"	"10022595"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"LYMPHOCYTE PERCENTAGE DECREASED"	"10052231"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"MEAN CELL HAEMOGLOBIN DECREASED"	"10026995"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"MEAN CELL VOLUME DECREASED"	"10027002"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"MECHANICAL VENTILATION"	"10067221"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"MONOCYTE PERCENTAGE DECREASED"	"10052229"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"MUSCULOSKELETAL STIFFNESS"	"10052904"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"NEUTROPHIL COUNT NORMAL"	"10029370"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"NITRITE URINE ABSENT"	"10060799"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"PCO2 NORMAL"	"10058983"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"PH URINE NORMAL"	"10034797"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"PLATELET COUNT DECREASED"	"10035528"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"PO2 NORMAL"	"10035770"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"POISONING"	"10061355"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"PROTEIN URINE ABSENT"	"10037033"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"PROTHROMBIN TIME PROLONGED"	"10037063"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"PULSE ABSENT"	"10037469"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"PULSELESS ELECTRICAL ACTIVITY"	"10058151"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"RED BLOOD CELL COUNT DECREASED"	"10038153"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"RED BLOOD CELL NUCLEATED MORPHOLOGY"	"10080979"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"RED BLOOD CELLS URINE POSITIVE"	"10038182"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"RED CELL DISTRIBUTION WIDTH NORMAL"	"10053922"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"RESUSCITATION"	"10038749"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"SARS-COV-2 TEST NEGATIVE"	"10084273"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"SEIZURE LIKE PHENOMENA"	"10071048"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"SPECIFIC GRAVITY URINE INCREASED"	"10050773"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"SPECIFIC GRAVITY URINE NORMAL"	"10041440"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"SULPHUR DIOXIDE TEST"	"10084384"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"SYNCOPE"	"10042772"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"TROPONIN I INCREASED"	"10058268"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"URINARY SEDIMENT PRESENT"	"10049821"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"URINE ABNORMALITY"	"10046607"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"URINE KETONE BODY ABSENT"	"10057596"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"URINE LEUKOCYTE ESTERASE"	"10050413"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"UROBILINOGEN URINE DECREASED"	"10070480"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"WHITE BLOOD CELL COUNT NORMAL"	"10047944"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1006640-1"	"1006640-1"	"WHITE BLOOD CELLS URINE POSITIVE"	"10047967"	"40-49 years"	"40-49"	""In discussion with Dr., medical director at Detox, she  arrived night of 2/3/21 was quite intoxicated so was not going through any  withdrawal.  She was getting vitals and CIW  checked regularly.  First dose of  chlordiazepoxide 25mg was 2/4 at 1:25pm for CIWA 9.  She had repeat vitals at  5:50pm, CIWA 1, vitals: P 67, 118/79, 94% on RA, T 98.3.  she had complained of  some ""pressure in her head"" and feeling anxious, but otherwise denied other  complaints.  she was talking with others in the group, then other patients report  she suddenly started having seizure like activity around 6:45pm, med techs came  to help and found her stiff, gurgling.  they tried to get vitals on her, called  911, noticed that at 6:54pm she had lost a pulse and they started CPR.  paramedics arrived at 7:08pm and she was brought to ED.   Pt BIBA in cardiac arrest. Pt was at Detox Center when she  was reported to have seizure-like activity followed by collapse. She  was found to be pulseless and CPR initiated by staff members. EMS  arrived and performed approx 15 min of CPR and gave pt epi x 3 and  bicarb. No shocks administered but they did not report a rhythm.   In the emergency room the patient arrived and was found to be pulseless with PEA arrest, CPR was initiated, patient was intubated. ROSC ultimately achieved, patient remained very acidotic despite ventilator adjustment, head CT revealed cerebral edema. Pt also found to be profoundly anemic with a hemoglobin of 5 and platelets of 37, she was thought to be GI bleeding so medications for this were initiated. Patient then became more hypoxemic with bradycardia, consultation with neurosurgery and critical care medicine at tertiary care center deemed ongoing CPR futile. Patient arrested at 2:30AM on 2/5, pronounced dead at 2:48AM.""
	"1020702-1"	"1020702-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Passed away the morning of 2/9/21."
	"1021040-1"	"1021040-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Pfizer-BioNTech COVID-19 Vaccine  Hospital Emergency Room Provider reported cause of death as COVID vaccine administered 11 days prior to death.  Additional information being reported from LTCF."
	"1026362-1"	"1026362-1"	"APPETITE DISORDER"	"10060961"	"30-39 years"	"30-39"	"Patient stated he had a migraine after the vaccine. We were advised of a change in appetite on Thursday February 4th. Patient died on February 6th."
	"1026362-1"	"1026362-1"	"AUTOPSY"	"10050117"	"30-39 years"	"30-39"	"Patient stated he had a migraine after the vaccine. We were advised of a change in appetite on Thursday February 4th. Patient died on February 6th."
	"1026362-1"	"1026362-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Patient stated he had a migraine after the vaccine. We were advised of a change in appetite on Thursday February 4th. Patient died on February 6th."
	"1026362-1"	"1026362-1"	"MIGRAINE"	"10027599"	"30-39 years"	"30-39"	"Patient stated he had a migraine after the vaccine. We were advised of a change in appetite on Thursday February 4th. Patient died on February 6th."
	"1027619-1"	"1027619-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Swollen leg/pain- taken to urgent care- became unresponsive - CPR initiated- expired"
	"1027619-1"	"1027619-1"	"PAIN IN EXTREMITY"	"10033425"	"40-49 years"	"40-49"	"Swollen leg/pain- taken to urgent care- became unresponsive - CPR initiated- expired"
	"1027619-1"	"1027619-1"	"PERIPHERAL SWELLING"	"10048959"	"40-49 years"	"40-49"	"Swollen leg/pain- taken to urgent care- became unresponsive - CPR initiated- expired"
	"1027619-1"	"1027619-1"	"RESUSCITATION"	"10038749"	"40-49 years"	"40-49"	"Swollen leg/pain- taken to urgent care- became unresponsive - CPR initiated- expired"
	"1027619-1"	"1027619-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"40-49 years"	"40-49"	"Swollen leg/pain- taken to urgent care- became unresponsive - CPR initiated- expired"
	"1028778-1"	"1028778-1"	"CHILLS"	"10008531"	"40-49 years"	"40-49"	"On December 17, 2020, my husband, received his first BioNTech BNT162b2 COVID-19 vaccination. On Thursday January 7, 2021, he received this second COVID-19 vaccination. The following three days after his second vaccination, he felt fine. The fourth day, on Sunday January 10, my husband felt extremely fatigued. On Monday the 11th and Tuesday the 12th, he worked a full shift but complained of extreme fatigue and extreme chills to the point that his teeth were chattering while on the phone with me. He decided to work through it. When he got home on Monday night, he started vomiting. On Wednesday January 13, he woke up and had swollen eyes. Once again, he felt extremely fatigued, even after a full nights rest. He had the day off but had an early meeting. After his meeting, he was still tired so he went back to sleep. I left to get lunch, and drop off our kids, and upon my return, I found him on the walk in closet floor, face up, having passed away. He felt as cold as ice. The rapid test done after they called the paramedics resulted in a negative COVID-19 test for him."
	"1028778-1"	"1028778-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"On December 17, 2020, my husband, received his first BioNTech BNT162b2 COVID-19 vaccination. On Thursday January 7, 2021, he received this second COVID-19 vaccination. The following three days after his second vaccination, he felt fine. The fourth day, on Sunday January 10, my husband felt extremely fatigued. On Monday the 11th and Tuesday the 12th, he worked a full shift but complained of extreme fatigue and extreme chills to the point that his teeth were chattering while on the phone with me. He decided to work through it. When he got home on Monday night, he started vomiting. On Wednesday January 13, he woke up and had swollen eyes. Once again, he felt extremely fatigued, even after a full nights rest. He had the day off but had an early meeting. After his meeting, he was still tired so he went back to sleep. I left to get lunch, and drop off our kids, and upon my return, I found him on the walk in closet floor, face up, having passed away. He felt as cold as ice. The rapid test done after they called the paramedics resulted in a negative COVID-19 test for him."
	"1028778-1"	"1028778-1"	"EYE SWELLING"	"10015967"	"40-49 years"	"40-49"	"On December 17, 2020, my husband, received his first BioNTech BNT162b2 COVID-19 vaccination. On Thursday January 7, 2021, he received this second COVID-19 vaccination. The following three days after his second vaccination, he felt fine. The fourth day, on Sunday January 10, my husband felt extremely fatigued. On Monday the 11th and Tuesday the 12th, he worked a full shift but complained of extreme fatigue and extreme chills to the point that his teeth were chattering while on the phone with me. He decided to work through it. When he got home on Monday night, he started vomiting. On Wednesday January 13, he woke up and had swollen eyes. Once again, he felt extremely fatigued, even after a full nights rest. He had the day off but had an early meeting. After his meeting, he was still tired so he went back to sleep. I left to get lunch, and drop off our kids, and upon my return, I found him on the walk in closet floor, face up, having passed away. He felt as cold as ice. The rapid test done after they called the paramedics resulted in a negative COVID-19 test for him."
	"1028778-1"	"1028778-1"	"FATIGUE"	"10016256"	"40-49 years"	"40-49"	"On December 17, 2020, my husband, received his first BioNTech BNT162b2 COVID-19 vaccination. On Thursday January 7, 2021, he received this second COVID-19 vaccination. The following three days after his second vaccination, he felt fine. The fourth day, on Sunday January 10, my husband felt extremely fatigued. On Monday the 11th and Tuesday the 12th, he worked a full shift but complained of extreme fatigue and extreme chills to the point that his teeth were chattering while on the phone with me. He decided to work through it. When he got home on Monday night, he started vomiting. On Wednesday January 13, he woke up and had swollen eyes. Once again, he felt extremely fatigued, even after a full nights rest. He had the day off but had an early meeting. After his meeting, he was still tired so he went back to sleep. I left to get lunch, and drop off our kids, and upon my return, I found him on the walk in closet floor, face up, having passed away. He felt as cold as ice. The rapid test done after they called the paramedics resulted in a negative COVID-19 test for him."
	"1028778-1"	"1028778-1"	"PERIPHERAL COLDNESS"	"10034568"	"40-49 years"	"40-49"	"On December 17, 2020, my husband, received his first BioNTech BNT162b2 COVID-19 vaccination. On Thursday January 7, 2021, he received this second COVID-19 vaccination. The following three days after his second vaccination, he felt fine. The fourth day, on Sunday January 10, my husband felt extremely fatigued. On Monday the 11th and Tuesday the 12th, he worked a full shift but complained of extreme fatigue and extreme chills to the point that his teeth were chattering while on the phone with me. He decided to work through it. When he got home on Monday night, he started vomiting. On Wednesday January 13, he woke up and had swollen eyes. Once again, he felt extremely fatigued, even after a full nights rest. He had the day off but had an early meeting. After his meeting, he was still tired so he went back to sleep. I left to get lunch, and drop off our kids, and upon my return, I found him on the walk in closet floor, face up, having passed away. He felt as cold as ice. The rapid test done after they called the paramedics resulted in a negative COVID-19 test for him."
	"1028778-1"	"1028778-1"	"SARS-COV-2 TEST NEGATIVE"	"10084273"	"40-49 years"	"40-49"	"On December 17, 2020, my husband, received his first BioNTech BNT162b2 COVID-19 vaccination. On Thursday January 7, 2021, he received this second COVID-19 vaccination. The following three days after his second vaccination, he felt fine. The fourth day, on Sunday January 10, my husband felt extremely fatigued. On Monday the 11th and Tuesday the 12th, he worked a full shift but complained of extreme fatigue and extreme chills to the point that his teeth were chattering while on the phone with me. He decided to work through it. When he got home on Monday night, he started vomiting. On Wednesday January 13, he woke up and had swollen eyes. Once again, he felt extremely fatigued, even after a full nights rest. He had the day off but had an early meeting. After his meeting, he was still tired so he went back to sleep. I left to get lunch, and drop off our kids, and upon my return, I found him on the walk in closet floor, face up, having passed away. He felt as cold as ice. The rapid test done after they called the paramedics resulted in a negative COVID-19 test for him."
	"1028778-1"	"1028778-1"	"VOMITING"	"10047700"	"40-49 years"	"40-49"	"On December 17, 2020, my husband, received his first BioNTech BNT162b2 COVID-19 vaccination. On Thursday January 7, 2021, he received this second COVID-19 vaccination. The following three days after his second vaccination, he felt fine. The fourth day, on Sunday January 10, my husband felt extremely fatigued. On Monday the 11th and Tuesday the 12th, he worked a full shift but complained of extreme fatigue and extreme chills to the point that his teeth were chattering while on the phone with me. He decided to work through it. When he got home on Monday night, he started vomiting. On Wednesday January 13, he woke up and had swollen eyes. Once again, he felt extremely fatigued, even after a full nights rest. He had the day off but had an early meeting. After his meeting, he was still tired so he went back to sleep. I left to get lunch, and drop off our kids, and upon my return, I found him on the walk in closet floor, face up, having passed away. He felt as cold as ice. The rapid test done after they called the paramedics resulted in a negative COVID-19 test for him."
	"1035597-1"	"1035597-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Death on 1/17/2021. Found at home deceased."
	"1035641-1"	"1035641-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Healthcare was advised that this patient expired approximately two weeks after receiving her initial COVID vaccination"
	"1037207-1"	"1037207-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"She had pain in the injection site Tuesday night and then during Tuesday she got worse with nausea and some fever.  By Wednesday she was complaining that she could not pee even though she was drinking a lot of fluids.  She continued to complain it was the worst she ever felt and then at 0600 Thursday morning she woke us up and said she needed to go to the hospital.  We arrived at the hospital just before 0700 and she immediately threw up in the trash can.  We went into a treatment room and they took blood and started fluids as she became incoherent.  She said she had taken Tylenol so they started a drug to counter that but her liver function was all wrong and they started to look for a hospital that could transplant a liver.  She was air evade about 0930 to Medical center and just over 30 hours latter she was dead.  There is a pending autopsy.  She was a healthy 39 year old mother who got the shots because she worked as a surgical tech and she was the single mother of a 9 year old little girl."
	"1037207-1"	"1037207-1"	"INCOHERENT"	"10021630"	"30-39 years"	"30-39"	"She had pain in the injection site Tuesday night and then during Tuesday she got worse with nausea and some fever.  By Wednesday she was complaining that she could not pee even though she was drinking a lot of fluids.  She continued to complain it was the worst she ever felt and then at 0600 Thursday morning she woke us up and said she needed to go to the hospital.  We arrived at the hospital just before 0700 and she immediately threw up in the trash can.  We went into a treatment room and they took blood and started fluids as she became incoherent.  She said she had taken Tylenol so they started a drug to counter that but her liver function was all wrong and they started to look for a hospital that could transplant a liver.  She was air evade about 0930 to Medical center and just over 30 hours latter she was dead.  There is a pending autopsy.  She was a healthy 39 year old mother who got the shots because she worked as a surgical tech and she was the single mother of a 9 year old little girl."
	"1037207-1"	"1037207-1"	"INJECTION SITE PAIN"	"10022086"	"30-39 years"	"30-39"	"She had pain in the injection site Tuesday night and then during Tuesday she got worse with nausea and some fever.  By Wednesday she was complaining that she could not pee even though she was drinking a lot of fluids.  She continued to complain it was the worst she ever felt and then at 0600 Thursday morning she woke us up and said she needed to go to the hospital.  We arrived at the hospital just before 0700 and she immediately threw up in the trash can.  We went into a treatment room and they took blood and started fluids as she became incoherent.  She said she had taken Tylenol so they started a drug to counter that but her liver function was all wrong and they started to look for a hospital that could transplant a liver.  She was air evade about 0930 to Medical center and just over 30 hours latter she was dead.  There is a pending autopsy.  She was a healthy 39 year old mother who got the shots because she worked as a surgical tech and she was the single mother of a 9 year old little girl."
	"1037207-1"	"1037207-1"	"LIVER FUNCTION TEST ABNORMAL"	"10024690"	"30-39 years"	"30-39"	"She had pain in the injection site Tuesday night and then during Tuesday she got worse with nausea and some fever.  By Wednesday she was complaining that she could not pee even though she was drinking a lot of fluids.  She continued to complain it was the worst she ever felt and then at 0600 Thursday morning she woke us up and said she needed to go to the hospital.  We arrived at the hospital just before 0700 and she immediately threw up in the trash can.  We went into a treatment room and they took blood and started fluids as she became incoherent.  She said she had taken Tylenol so they started a drug to counter that but her liver function was all wrong and they started to look for a hospital that could transplant a liver.  She was air evade about 0930 to Medical center and just over 30 hours latter she was dead.  There is a pending autopsy.  She was a healthy 39 year old mother who got the shots because she worked as a surgical tech and she was the single mother of a 9 year old little girl."
	"1037207-1"	"1037207-1"	"MALAISE"	"10025482"	"30-39 years"	"30-39"	"She had pain in the injection site Tuesday night and then during Tuesday she got worse with nausea and some fever.  By Wednesday she was complaining that she could not pee even though she was drinking a lot of fluids.  She continued to complain it was the worst she ever felt and then at 0600 Thursday morning she woke us up and said she needed to go to the hospital.  We arrived at the hospital just before 0700 and she immediately threw up in the trash can.  We went into a treatment room and they took blood and started fluids as she became incoherent.  She said she had taken Tylenol so they started a drug to counter that but her liver function was all wrong and they started to look for a hospital that could transplant a liver.  She was air evade about 0930 to Medical center and just over 30 hours latter she was dead.  There is a pending autopsy.  She was a healthy 39 year old mother who got the shots because she worked as a surgical tech and she was the single mother of a 9 year old little girl."
	"1037207-1"	"1037207-1"	"NAUSEA"	"10028813"	"30-39 years"	"30-39"	"She had pain in the injection site Tuesday night and then during Tuesday she got worse with nausea and some fever.  By Wednesday she was complaining that she could not pee even though she was drinking a lot of fluids.  She continued to complain it was the worst she ever felt and then at 0600 Thursday morning she woke us up and said she needed to go to the hospital.  We arrived at the hospital just before 0700 and she immediately threw up in the trash can.  We went into a treatment room and they took blood and started fluids as she became incoherent.  She said she had taken Tylenol so they started a drug to counter that but her liver function was all wrong and they started to look for a hospital that could transplant a liver.  She was air evade about 0930 to Medical center and just over 30 hours latter she was dead.  There is a pending autopsy.  She was a healthy 39 year old mother who got the shots because she worked as a surgical tech and she was the single mother of a 9 year old little girl."
	"1037207-1"	"1037207-1"	"PYREXIA"	"10037660"	"30-39 years"	"30-39"	"She had pain in the injection site Tuesday night and then during Tuesday she got worse with nausea and some fever.  By Wednesday she was complaining that she could not pee even though she was drinking a lot of fluids.  She continued to complain it was the worst she ever felt and then at 0600 Thursday morning she woke us up and said she needed to go to the hospital.  We arrived at the hospital just before 0700 and she immediately threw up in the trash can.  We went into a treatment room and they took blood and started fluids as she became incoherent.  She said she had taken Tylenol so they started a drug to counter that but her liver function was all wrong and they started to look for a hospital that could transplant a liver.  She was air evade about 0930 to Medical center and just over 30 hours latter she was dead.  There is a pending autopsy.  She was a healthy 39 year old mother who got the shots because she worked as a surgical tech and she was the single mother of a 9 year old little girl."
	"1037207-1"	"1037207-1"	"URINARY RETENTION"	"10046555"	"30-39 years"	"30-39"	"She had pain in the injection site Tuesday night and then during Tuesday she got worse with nausea and some fever.  By Wednesday she was complaining that she could not pee even though she was drinking a lot of fluids.  She continued to complain it was the worst she ever felt and then at 0600 Thursday morning she woke us up and said she needed to go to the hospital.  We arrived at the hospital just before 0700 and she immediately threw up in the trash can.  We went into a treatment room and they took blood and started fluids as she became incoherent.  She said she had taken Tylenol so they started a drug to counter that but her liver function was all wrong and they started to look for a hospital that could transplant a liver.  She was air evade about 0930 to Medical center and just over 30 hours latter she was dead.  There is a pending autopsy.  She was a healthy 39 year old mother who got the shots because she worked as a surgical tech and she was the single mother of a 9 year old little girl."
	"1037207-1"	"1037207-1"	"VOMITING"	"10047700"	"30-39 years"	"30-39"	"She had pain in the injection site Tuesday night and then during Tuesday she got worse with nausea and some fever.  By Wednesday she was complaining that she could not pee even though she was drinking a lot of fluids.  She continued to complain it was the worst she ever felt and then at 0600 Thursday morning she woke us up and said she needed to go to the hospital.  We arrived at the hospital just before 0700 and she immediately threw up in the trash can.  We went into a treatment room and they took blood and started fluids as she became incoherent.  She said she had taken Tylenol so they started a drug to counter that but her liver function was all wrong and they started to look for a hospital that could transplant a liver.  She was air evade about 0930 to Medical center and just over 30 hours latter she was dead.  There is a pending autopsy.  She was a healthy 39 year old mother who got the shots because she worked as a surgical tech and she was the single mother of a 9 year old little girl."
	"1040170-1"	"1040170-1"	"ABNORMAL BEHAVIOUR"	"10061422"	"30-39 years"	"30-39"	"Received vaccine on 2/6/2021.  was a bit off all week per caregivers - low grade temp and reporting pain which they treated with Tylenol. She was pretty much herself on morning of 2/13/2021 - got up, had shower.  caregivers noted her extremities were cool and face was red.  temp was 97.4.  She was placed in wheelchair with book in the living room.  caregivers noted she was not turning pages of the book as she usually would.  She was tracking, so they don't think she had a seizure.  Caregiver moved her back to bed with blanket and noted that her lips were blue and at that point called 911.  She was found with agonal breathing, CPR started, intubated by EMS,  taken to the ER and diagnosed with cardiac arrest upon arrival.  CPR was continued until family could be reached and decision was made to stop resuscitation."
	"1040170-1"	"1040170-1"	"AGONAL RHYTHM"	"10054015"	"30-39 years"	"30-39"	"Received vaccine on 2/6/2021.  was a bit off all week per caregivers - low grade temp and reporting pain which they treated with Tylenol. She was pretty much herself on morning of 2/13/2021 - got up, had shower.  caregivers noted her extremities were cool and face was red.  temp was 97.4.  She was placed in wheelchair with book in the living room.  caregivers noted she was not turning pages of the book as she usually would.  She was tracking, so they don't think she had a seizure.  Caregiver moved her back to bed with blanket and noted that her lips were blue and at that point called 911.  She was found with agonal breathing, CPR started, intubated by EMS,  taken to the ER and diagnosed with cardiac arrest upon arrival.  CPR was continued until family could be reached and decision was made to stop resuscitation."
	"1040170-1"	"1040170-1"	"ALANINE AMINOTRANSFERASE INCREASED"	"10001551"	"30-39 years"	"30-39"	"Received vaccine on 2/6/2021.  was a bit off all week per caregivers - low grade temp and reporting pain which they treated with Tylenol. She was pretty much herself on morning of 2/13/2021 - got up, had shower.  caregivers noted her extremities were cool and face was red.  temp was 97.4.  She was placed in wheelchair with book in the living room.  caregivers noted she was not turning pages of the book as she usually would.  She was tracking, so they don't think she had a seizure.  Caregiver moved her back to bed with blanket and noted that her lips were blue and at that point called 911.  She was found with agonal breathing, CPR started, intubated by EMS,  taken to the ER and diagnosed with cardiac arrest upon arrival.  CPR was continued until family could be reached and decision was made to stop resuscitation."
	"1040170-1"	"1040170-1"	"ANALGESIC DRUG LEVEL THERAPEUTIC"	"10060943"	"30-39 years"	"30-39"	"Received vaccine on 2/6/2021.  was a bit off all week per caregivers - low grade temp and reporting pain which they treated with Tylenol. She was pretty much herself on morning of 2/13/2021 - got up, had shower.  caregivers noted her extremities were cool and face was red.  temp was 97.4.  She was placed in wheelchair with book in the living room.  caregivers noted she was not turning pages of the book as she usually would.  She was tracking, so they don't think she had a seizure.  Caregiver moved her back to bed with blanket and noted that her lips were blue and at that point called 911.  She was found with agonal breathing, CPR started, intubated by EMS,  taken to the ER and diagnosed with cardiac arrest upon arrival.  CPR was continued until family could be reached and decision was made to stop resuscitation."
	"1040170-1"	"1040170-1"	"ASPARTATE AMINOTRANSFERASE INCREASED"	"10003481"	"30-39 years"	"30-39"	"Received vaccine on 2/6/2021.  was a bit off all week per caregivers - low grade temp and reporting pain which they treated with Tylenol. She was pretty much herself on morning of 2/13/2021 - got up, had shower.  caregivers noted her extremities were cool and face was red.  temp was 97.4.  She was placed in wheelchair with book in the living room.  caregivers noted she was not turning pages of the book as she usually would.  She was tracking, so they don't think she had a seizure.  Caregiver moved her back to bed with blanket and noted that her lips were blue and at that point called 911.  She was found with agonal breathing, CPR started, intubated by EMS,  taken to the ER and diagnosed with cardiac arrest upon arrival.  CPR was continued until family could be reached and decision was made to stop resuscitation."
	"1040170-1"	"1040170-1"	"BLOOD CREATININE INCREASED"	"10005483"	"30-39 years"	"30-39"	"Received vaccine on 2/6/2021.  was a bit off all week per caregivers - low grade temp and reporting pain which they treated with Tylenol. She was pretty much herself on morning of 2/13/2021 - got up, had shower.  caregivers noted her extremities were cool and face was red.  temp was 97.4.  She was placed in wheelchair with book in the living room.  caregivers noted she was not turning pages of the book as she usually would.  She was tracking, so they don't think she had a seizure.  Caregiver moved her back to bed with blanket and noted that her lips were blue and at that point called 911.  She was found with agonal breathing, CPR started, intubated by EMS,  taken to the ER and diagnosed with cardiac arrest upon arrival.  CPR was continued until family could be reached and decision was made to stop resuscitation."
	"1040170-1"	"1040170-1"	"BLOOD GLUCOSE DECREASED"	"10005555"	"30-39 years"	"30-39"	"Received vaccine on 2/6/2021.  was a bit off all week per caregivers - low grade temp and reporting pain which they treated with Tylenol. She was pretty much herself on morning of 2/13/2021 - got up, had shower.  caregivers noted her extremities were cool and face was red.  temp was 97.4.  She was placed in wheelchair with book in the living room.  caregivers noted she was not turning pages of the book as she usually would.  She was tracking, so they don't think she had a seizure.  Caregiver moved her back to bed with blanket and noted that her lips were blue and at that point called 911.  She was found with agonal breathing, CPR started, intubated by EMS,  taken to the ER and diagnosed with cardiac arrest upon arrival.  CPR was continued until family could be reached and decision was made to stop resuscitation."
	"1040170-1"	"1040170-1"	"BLOOD LACTIC ACID INCREASED"	"10005635"	"30-39 years"	"30-39"	"Received vaccine on 2/6/2021.  was a bit off all week per caregivers - low grade temp and reporting pain which they treated with Tylenol. She was pretty much herself on morning of 2/13/2021 - got up, had shower.  caregivers noted her extremities were cool and face was red.  temp was 97.4.  She was placed in wheelchair with book in the living room.  caregivers noted she was not turning pages of the book as she usually would.  She was tracking, so they don't think she had a seizure.  Caregiver moved her back to bed with blanket and noted that her lips were blue and at that point called 911.  She was found with agonal breathing, CPR started, intubated by EMS,  taken to the ER and diagnosed with cardiac arrest upon arrival.  CPR was continued until family could be reached and decision was made to stop resuscitation."
	"1040170-1"	"1040170-1"	"BLOOD MAGNESIUM INCREASED"	"10005655"	"30-39 years"	"30-39"	"Received vaccine on 2/6/2021.  was a bit off all week per caregivers - low grade temp and reporting pain which they treated with Tylenol. She was pretty much herself on morning of 2/13/2021 - got up, had shower.  caregivers noted her extremities were cool and face was red.  temp was 97.4.  She was placed in wheelchair with book in the living room.  caregivers noted she was not turning pages of the book as she usually would.  She was tracking, so they don't think she had a seizure.  Caregiver moved her back to bed with blanket and noted that her lips were blue and at that point called 911.  She was found with agonal breathing, CPR started, intubated by EMS,  taken to the ER and diagnosed with cardiac arrest upon arrival.  CPR was continued until family could be reached and decision was made to stop resuscitation."
	"1040170-1"	"1040170-1"	"BLOOD POTASSIUM INCREASED"	"10005725"	"30-39 years"	"30-39"	"Received vaccine on 2/6/2021.  was a bit off all week per caregivers - low grade temp and reporting pain which they treated with Tylenol. She was pretty much herself on morning of 2/13/2021 - got up, had shower.  caregivers noted her extremities were cool and face was red.  temp was 97.4.  She was placed in wheelchair with book in the living room.  caregivers noted she was not turning pages of the book as she usually would.  She was tracking, so they don't think she had a seizure.  Caregiver moved her back to bed with blanket and noted that her lips were blue and at that point called 911.  She was found with agonal breathing, CPR started, intubated by EMS,  taken to the ER and diagnosed with cardiac arrest upon arrival.  CPR was continued until family could be reached and decision was made to stop resuscitation."
	"1040170-1"	"1040170-1"	"CARDIAC ARREST"	"10007515"	"30-39 years"	"30-39"	"Received vaccine on 2/6/2021.  was a bit off all week per caregivers - low grade temp and reporting pain which they treated with Tylenol. She was pretty much herself on morning of 2/13/2021 - got up, had shower.  caregivers noted her extremities were cool and face was red.  temp was 97.4.  She was placed in wheelchair with book in the living room.  caregivers noted she was not turning pages of the book as she usually would.  She was tracking, so they don't think she had a seizure.  Caregiver moved her back to bed with blanket and noted that her lips were blue and at that point called 911.  She was found with agonal breathing, CPR started, intubated by EMS,  taken to the ER and diagnosed with cardiac arrest upon arrival.  CPR was continued until family could be reached and decision was made to stop resuscitation."
	"1040170-1"	"1040170-1"	"CYANOSIS"	"10011703"	"30-39 years"	"30-39"	"Received vaccine on 2/6/2021.  was a bit off all week per caregivers - low grade temp and reporting pain which they treated with Tylenol. She was pretty much herself on morning of 2/13/2021 - got up, had shower.  caregivers noted her extremities were cool and face was red.  temp was 97.4.  She was placed in wheelchair with book in the living room.  caregivers noted she was not turning pages of the book as she usually would.  She was tracking, so they don't think she had a seizure.  Caregiver moved her back to bed with blanket and noted that her lips were blue and at that point called 911.  She was found with agonal breathing, CPR started, intubated by EMS,  taken to the ER and diagnosed with cardiac arrest upon arrival.  CPR was continued until family could be reached and decision was made to stop resuscitation."
	"1040170-1"	"1040170-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"30-39 years"	"30-39"	"Received vaccine on 2/6/2021.  was a bit off all week per caregivers - low grade temp and reporting pain which they treated with Tylenol. She was pretty much herself on morning of 2/13/2021 - got up, had shower.  caregivers noted her extremities were cool and face was red.  temp was 97.4.  She was placed in wheelchair with book in the living room.  caregivers noted she was not turning pages of the book as she usually would.  She was tracking, so they don't think she had a seizure.  Caregiver moved her back to bed with blanket and noted that her lips were blue and at that point called 911.  She was found with agonal breathing, CPR started, intubated by EMS,  taken to the ER and diagnosed with cardiac arrest upon arrival.  CPR was continued until family could be reached and decision was made to stop resuscitation."
	"1040170-1"	"1040170-1"	"ERYTHEMA"	"10015150"	"30-39 years"	"30-39"	"Received vaccine on 2/6/2021.  was a bit off all week per caregivers - low grade temp and reporting pain which they treated with Tylenol. She was pretty much herself on morning of 2/13/2021 - got up, had shower.  caregivers noted her extremities were cool and face was red.  temp was 97.4.  She was placed in wheelchair with book in the living room.  caregivers noted she was not turning pages of the book as she usually would.  She was tracking, so they don't think she had a seizure.  Caregiver moved her back to bed with blanket and noted that her lips were blue and at that point called 911.  She was found with agonal breathing, CPR started, intubated by EMS,  taken to the ER and diagnosed with cardiac arrest upon arrival.  CPR was continued until family could be reached and decision was made to stop resuscitation."
	"1040170-1"	"1040170-1"	"PAIN"	"10033371"	"30-39 years"	"30-39"	"Received vaccine on 2/6/2021.  was a bit off all week per caregivers - low grade temp and reporting pain which they treated with Tylenol. She was pretty much herself on morning of 2/13/2021 - got up, had shower.  caregivers noted her extremities were cool and face was red.  temp was 97.4.  She was placed in wheelchair with book in the living room.  caregivers noted she was not turning pages of the book as she usually would.  She was tracking, so they don't think she had a seizure.  Caregiver moved her back to bed with blanket and noted that her lips were blue and at that point called 911.  She was found with agonal breathing, CPR started, intubated by EMS,  taken to the ER and diagnosed with cardiac arrest upon arrival.  CPR was continued until family could be reached and decision was made to stop resuscitation."
	"1040170-1"	"1040170-1"	"PERIPHERAL COLDNESS"	"10034568"	"30-39 years"	"30-39"	"Received vaccine on 2/6/2021.  was a bit off all week per caregivers - low grade temp and reporting pain which they treated with Tylenol. She was pretty much herself on morning of 2/13/2021 - got up, had shower.  caregivers noted her extremities were cool and face was red.  temp was 97.4.  She was placed in wheelchair with book in the living room.  caregivers noted she was not turning pages of the book as she usually would.  She was tracking, so they don't think she had a seizure.  Caregiver moved her back to bed with blanket and noted that her lips were blue and at that point called 911.  She was found with agonal breathing, CPR started, intubated by EMS,  taken to the ER and diagnosed with cardiac arrest upon arrival.  CPR was continued until family could be reached and decision was made to stop resuscitation."
	"1040170-1"	"1040170-1"	"PYREXIA"	"10037660"	"30-39 years"	"30-39"	"Received vaccine on 2/6/2021.  was a bit off all week per caregivers - low grade temp and reporting pain which they treated with Tylenol. She was pretty much herself on morning of 2/13/2021 - got up, had shower.  caregivers noted her extremities were cool and face was red.  temp was 97.4.  She was placed in wheelchair with book in the living room.  caregivers noted she was not turning pages of the book as she usually would.  She was tracking, so they don't think she had a seizure.  Caregiver moved her back to bed with blanket and noted that her lips were blue and at that point called 911.  She was found with agonal breathing, CPR started, intubated by EMS,  taken to the ER and diagnosed with cardiac arrest upon arrival.  CPR was continued until family could be reached and decision was made to stop resuscitation."
	"1040170-1"	"1040170-1"	"RESPIRATION ABNORMAL"	"10038647"	"30-39 years"	"30-39"	"Received vaccine on 2/6/2021.  was a bit off all week per caregivers - low grade temp and reporting pain which they treated with Tylenol. She was pretty much herself on morning of 2/13/2021 - got up, had shower.  caregivers noted her extremities were cool and face was red.  temp was 97.4.  She was placed in wheelchair with book in the living room.  caregivers noted she was not turning pages of the book as she usually would.  She was tracking, so they don't think she had a seizure.  Caregiver moved her back to bed with blanket and noted that her lips were blue and at that point called 911.  She was found with agonal breathing, CPR started, intubated by EMS,  taken to the ER and diagnosed with cardiac arrest upon arrival.  CPR was continued until family could be reached and decision was made to stop resuscitation."
	"1040170-1"	"1040170-1"	"RESUSCITATION"	"10038749"	"30-39 years"	"30-39"	"Received vaccine on 2/6/2021.  was a bit off all week per caregivers - low grade temp and reporting pain which they treated with Tylenol. She was pretty much herself on morning of 2/13/2021 - got up, had shower.  caregivers noted her extremities were cool and face was red.  temp was 97.4.  She was placed in wheelchair with book in the living room.  caregivers noted she was not turning pages of the book as she usually would.  She was tracking, so they don't think she had a seizure.  Caregiver moved her back to bed with blanket and noted that her lips were blue and at that point called 911.  She was found with agonal breathing, CPR started, intubated by EMS,  taken to the ER and diagnosed with cardiac arrest upon arrival.  CPR was continued until family could be reached and decision was made to stop resuscitation."
	"1040170-1"	"1040170-1"	"TROPONIN INCREASED"	"10058267"	"30-39 years"	"30-39"	"Received vaccine on 2/6/2021.  was a bit off all week per caregivers - low grade temp and reporting pain which they treated with Tylenol. She was pretty much herself on morning of 2/13/2021 - got up, had shower.  caregivers noted her extremities were cool and face was red.  temp was 97.4.  She was placed in wheelchair with book in the living room.  caregivers noted she was not turning pages of the book as she usually would.  She was tracking, so they don't think she had a seizure.  Caregiver moved her back to bed with blanket and noted that her lips were blue and at that point called 911.  She was found with agonal breathing, CPR started, intubated by EMS,  taken to the ER and diagnosed with cardiac arrest upon arrival.  CPR was continued until family could be reached and decision was made to stop resuscitation."
	"1040170-1"	"1040170-1"	"WHITE BLOOD CELL COUNT INCREASED"	"10047943"	"30-39 years"	"30-39"	"Received vaccine on 2/6/2021.  was a bit off all week per caregivers - low grade temp and reporting pain which they treated with Tylenol. She was pretty much herself on morning of 2/13/2021 - got up, had shower.  caregivers noted her extremities were cool and face was red.  temp was 97.4.  She was placed in wheelchair with book in the living room.  caregivers noted she was not turning pages of the book as she usually would.  She was tracking, so they don't think she had a seizure.  Caregiver moved her back to bed with blanket and noted that her lips were blue and at that point called 911.  She was found with agonal breathing, CPR started, intubated by EMS,  taken to the ER and diagnosed with cardiac arrest upon arrival.  CPR was continued until family could be reached and decision was made to stop resuscitation."
	"1044420-1"	"1044420-1"	"APHASIA"	"10002948"	"30-39 years"	"30-39"	"Please reference separately submitted MIS-A form.   He had sore throat, high fever, diarrhea, deteriorating in to multisystem failure and apparent acute myocarditis, notably with relative initial sparing of the lungs.  He suffered cardiac arrest in radiology after developing aphasia and was transferred to Hospital after cannulation for VA ECMO; he died there 2/8/21."
	"1044420-1"	"1044420-1"	"BLOOD CREATININE NORMAL"	"10005484"	"30-39 years"	"30-39"	"Please reference separately submitted MIS-A form.   He had sore throat, high fever, diarrhea, deteriorating in to multisystem failure and apparent acute myocarditis, notably with relative initial sparing of the lungs.  He suffered cardiac arrest in radiology after developing aphasia and was transferred to Hospital after cannulation for VA ECMO; he died there 2/8/21."
	"1044420-1"	"1044420-1"	"BLOOD FIBRINOGEN INCREASED"	"10005521"	"30-39 years"	"30-39"	"Please reference separately submitted MIS-A form.   He had sore throat, high fever, diarrhea, deteriorating in to multisystem failure and apparent acute myocarditis, notably with relative initial sparing of the lungs.  He suffered cardiac arrest in radiology after developing aphasia and was transferred to Hospital after cannulation for VA ECMO; he died there 2/8/21."
	"1044420-1"	"1044420-1"	"BLOOD LACTIC ACID"	"10005632"	"30-39 years"	"30-39"	"Please reference separately submitted MIS-A form.   He had sore throat, high fever, diarrhea, deteriorating in to multisystem failure and apparent acute myocarditis, notably with relative initial sparing of the lungs.  He suffered cardiac arrest in radiology after developing aphasia and was transferred to Hospital after cannulation for VA ECMO; he died there 2/8/21."
	"1044420-1"	"1044420-1"	"BLOOD SODIUM DECREASED"	"10005802"	"30-39 years"	"30-39"	"Please reference separately submitted MIS-A form.   He had sore throat, high fever, diarrhea, deteriorating in to multisystem failure and apparent acute myocarditis, notably with relative initial sparing of the lungs.  He suffered cardiac arrest in radiology after developing aphasia and was transferred to Hospital after cannulation for VA ECMO; he died there 2/8/21."
	"1044420-1"	"1044420-1"	"C-REACTIVE PROTEIN INCREASED"	"10006825"	"30-39 years"	"30-39"	"Please reference separately submitted MIS-A form.   He had sore throat, high fever, diarrhea, deteriorating in to multisystem failure and apparent acute myocarditis, notably with relative initial sparing of the lungs.  He suffered cardiac arrest in radiology after developing aphasia and was transferred to Hospital after cannulation for VA ECMO; he died there 2/8/21."
	"1044420-1"	"1044420-1"	"CARDIAC ARREST"	"10007515"	"30-39 years"	"30-39"	"Please reference separately submitted MIS-A form.   He had sore throat, high fever, diarrhea, deteriorating in to multisystem failure and apparent acute myocarditis, notably with relative initial sparing of the lungs.  He suffered cardiac arrest in radiology after developing aphasia and was transferred to Hospital after cannulation for VA ECMO; he died there 2/8/21."
	"1044420-1"	"1044420-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Please reference separately submitted MIS-A form.   He had sore throat, high fever, diarrhea, deteriorating in to multisystem failure and apparent acute myocarditis, notably with relative initial sparing of the lungs.  He suffered cardiac arrest in radiology after developing aphasia and was transferred to Hospital after cannulation for VA ECMO; he died there 2/8/21."
	"1044420-1"	"1044420-1"	"DIARRHOEA"	"10012735"	"30-39 years"	"30-39"	"Please reference separately submitted MIS-A form.   He had sore throat, high fever, diarrhea, deteriorating in to multisystem failure and apparent acute myocarditis, notably with relative initial sparing of the lungs.  He suffered cardiac arrest in radiology after developing aphasia and was transferred to Hospital after cannulation for VA ECMO; he died there 2/8/21."
	"1044420-1"	"1044420-1"	"FIBRIN D DIMER INCREASED"	"10016581"	"30-39 years"	"30-39"	"Please reference separately submitted MIS-A form.   He had sore throat, high fever, diarrhea, deteriorating in to multisystem failure and apparent acute myocarditis, notably with relative initial sparing of the lungs.  He suffered cardiac arrest in radiology after developing aphasia and was transferred to Hospital after cannulation for VA ECMO; he died there 2/8/21."
	"1044420-1"	"1044420-1"	"MULTIPLE ORGAN DYSFUNCTION SYNDROME"	"10077361"	"30-39 years"	"30-39"	"Please reference separately submitted MIS-A form.   He had sore throat, high fever, diarrhea, deteriorating in to multisystem failure and apparent acute myocarditis, notably with relative initial sparing of the lungs.  He suffered cardiac arrest in radiology after developing aphasia and was transferred to Hospital after cannulation for VA ECMO; he died there 2/8/21."
	"1044420-1"	"1044420-1"	"MYOCARDITIS"	"10028606"	"30-39 years"	"30-39"	"Please reference separately submitted MIS-A form.   He had sore throat, high fever, diarrhea, deteriorating in to multisystem failure and apparent acute myocarditis, notably with relative initial sparing of the lungs.  He suffered cardiac arrest in radiology after developing aphasia and was transferred to Hospital after cannulation for VA ECMO; he died there 2/8/21."
	"1044420-1"	"1044420-1"	"OROPHARYNGEAL PAIN"	"10068319"	"30-39 years"	"30-39"	"Please reference separately submitted MIS-A form.   He had sore throat, high fever, diarrhea, deteriorating in to multisystem failure and apparent acute myocarditis, notably with relative initial sparing of the lungs.  He suffered cardiac arrest in radiology after developing aphasia and was transferred to Hospital after cannulation for VA ECMO; he died there 2/8/21."
	"1044420-1"	"1044420-1"	"PLATELET COUNT DECREASED"	"10035528"	"30-39 years"	"30-39"	"Please reference separately submitted MIS-A form.   He had sore throat, high fever, diarrhea, deteriorating in to multisystem failure and apparent acute myocarditis, notably with relative initial sparing of the lungs.  He suffered cardiac arrest in radiology after developing aphasia and was transferred to Hospital after cannulation for VA ECMO; he died there 2/8/21."
	"1044420-1"	"1044420-1"	"PYREXIA"	"10037660"	"30-39 years"	"30-39"	"Please reference separately submitted MIS-A form.   He had sore throat, high fever, diarrhea, deteriorating in to multisystem failure and apparent acute myocarditis, notably with relative initial sparing of the lungs.  He suffered cardiac arrest in radiology after developing aphasia and was transferred to Hospital after cannulation for VA ECMO; he died there 2/8/21."
	"1044420-1"	"1044420-1"	"SARS-COV-2 ANTIBODY TEST POSITIVE"	"10084491"	"30-39 years"	"30-39"	"Please reference separately submitted MIS-A form.   He had sore throat, high fever, diarrhea, deteriorating in to multisystem failure and apparent acute myocarditis, notably with relative initial sparing of the lungs.  He suffered cardiac arrest in radiology after developing aphasia and was transferred to Hospital after cannulation for VA ECMO; he died there 2/8/21."
	"1044420-1"	"1044420-1"	"SERUM FERRITIN INCREASED"	"10040250"	"30-39 years"	"30-39"	"Please reference separately submitted MIS-A form.   He had sore throat, high fever, diarrhea, deteriorating in to multisystem failure and apparent acute myocarditis, notably with relative initial sparing of the lungs.  He suffered cardiac arrest in radiology after developing aphasia and was transferred to Hospital after cannulation for VA ECMO; he died there 2/8/21."
	"1044420-1"	"1044420-1"	"TRANSAMINASES"	"10054888"	"30-39 years"	"30-39"	"Please reference separately submitted MIS-A form.   He had sore throat, high fever, diarrhea, deteriorating in to multisystem failure and apparent acute myocarditis, notably with relative initial sparing of the lungs.  He suffered cardiac arrest in radiology after developing aphasia and was transferred to Hospital after cannulation for VA ECMO; he died there 2/8/21."
	"1044420-1"	"1044420-1"	"TROPONIN INCREASED"	"10058267"	"30-39 years"	"30-39"	"Please reference separately submitted MIS-A form.   He had sore throat, high fever, diarrhea, deteriorating in to multisystem failure and apparent acute myocarditis, notably with relative initial sparing of the lungs.  He suffered cardiac arrest in radiology after developing aphasia and was transferred to Hospital after cannulation for VA ECMO; he died there 2/8/21."
	"1044420-1"	"1044420-1"	"WHITE BLOOD CELL COUNT INCREASED"	"10047943"	"30-39 years"	"30-39"	"Please reference separately submitted MIS-A form.   He had sore throat, high fever, diarrhea, deteriorating in to multisystem failure and apparent acute myocarditis, notably with relative initial sparing of the lungs.  He suffered cardiac arrest in radiology after developing aphasia and was transferred to Hospital after cannulation for VA ECMO; he died there 2/8/21."
	"1046179-1"	"1046179-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"patient was not vaccinated at hospital.  Caregiver reports that patient was vaccinated with second dose on Monday 2/15/21.  Tuesday patient experienced n/v/d.  Went to an ED on Wednesday and was cleared and sent home.  Thursday reported shortness of breath to her caregiver and then collapsed.  Patient was brought to as PEA arrest and ultimately died."
	"1046179-1"	"1046179-1"	"DIARRHOEA"	"10012735"	"40-49 years"	"40-49"	"patient was not vaccinated at hospital.  Caregiver reports that patient was vaccinated with second dose on Monday 2/15/21.  Tuesday patient experienced n/v/d.  Went to an ED on Wednesday and was cleared and sent home.  Thursday reported shortness of breath to her caregiver and then collapsed.  Patient was brought to as PEA arrest and ultimately died."
	"1046179-1"	"1046179-1"	"DYSPNOEA"	"10013968"	"40-49 years"	"40-49"	"patient was not vaccinated at hospital.  Caregiver reports that patient was vaccinated with second dose on Monday 2/15/21.  Tuesday patient experienced n/v/d.  Went to an ED on Wednesday and was cleared and sent home.  Thursday reported shortness of breath to her caregiver and then collapsed.  Patient was brought to as PEA arrest and ultimately died."
	"1046179-1"	"1046179-1"	"NAUSEA"	"10028813"	"40-49 years"	"40-49"	"patient was not vaccinated at hospital.  Caregiver reports that patient was vaccinated with second dose on Monday 2/15/21.  Tuesday patient experienced n/v/d.  Went to an ED on Wednesday and was cleared and sent home.  Thursday reported shortness of breath to her caregiver and then collapsed.  Patient was brought to as PEA arrest and ultimately died."
	"1046179-1"	"1046179-1"	"PULSELESS ELECTRICAL ACTIVITY"	"10058151"	"40-49 years"	"40-49"	"patient was not vaccinated at hospital.  Caregiver reports that patient was vaccinated with second dose on Monday 2/15/21.  Tuesday patient experienced n/v/d.  Went to an ED on Wednesday and was cleared and sent home.  Thursday reported shortness of breath to her caregiver and then collapsed.  Patient was brought to as PEA arrest and ultimately died."
	"1046179-1"	"1046179-1"	"SYNCOPE"	"10042772"	"40-49 years"	"40-49"	"patient was not vaccinated at hospital.  Caregiver reports that patient was vaccinated with second dose on Monday 2/15/21.  Tuesday patient experienced n/v/d.  Went to an ED on Wednesday and was cleared and sent home.  Thursday reported shortness of breath to her caregiver and then collapsed.  Patient was brought to as PEA arrest and ultimately died."
	"1046179-1"	"1046179-1"	"VOMITING"	"10047700"	"40-49 years"	"40-49"	"patient was not vaccinated at hospital.  Caregiver reports that patient was vaccinated with second dose on Monday 2/15/21.  Tuesday patient experienced n/v/d.  Went to an ED on Wednesday and was cleared and sent home.  Thursday reported shortness of breath to her caregiver and then collapsed.  Patient was brought to as PEA arrest and ultimately died."
	"1046447-1"	"1046447-1"	"ACTIVATED PARTIAL THROMBOPLASTIN TIME PROLONGED"	"10000636"	"30-39 years"	"30-39"	"2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021 Brought to ER for loss of consciousness, altered mental status, rectal bleeding; work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia, hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away at 5:54AM"
	"1046447-1"	"1046447-1"	"ALANINE AMINOTRANSFERASE INCREASED"	"10001551"	"30-39 years"	"30-39"	"2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021 Brought to ER for loss of consciousness, altered mental status, rectal bleeding; work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia, hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away at 5:54AM"
	"1046447-1"	"1046447-1"	"ANAEMIA"	"10002034"	"30-39 years"	"30-39"	"2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021 Brought to ER for loss of consciousness, altered mental status, rectal bleeding; work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia, hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away at 5:54AM"
	"1046447-1"	"1046447-1"	"ANION GAP"	"10002522"	"30-39 years"	"30-39"	"2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021 Brought to ER for loss of consciousness, altered mental status, rectal bleeding; work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia, hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away at 5:54AM"
	"1046447-1"	"1046447-1"	"ASTHENIA"	"10003549"	"30-39 years"	"30-39"	"2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021 Brought to ER for loss of consciousness, altered mental status, rectal bleeding; work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia, hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away at 5:54AM"
	"1046447-1"	"1046447-1"	"BLOOD ALBUMIN DECREASED"	"10005287"	"30-39 years"	"30-39"	"2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021 Brought to ER for loss of consciousness, altered mental status, rectal bleeding; work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia, hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away at 5:54AM"
	"1046447-1"	"1046447-1"	"BLOOD ALKALINE PHOSPHATASE INCREASED"	"10059570"	"30-39 years"	"30-39"	"2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021 Brought to ER for loss of consciousness, altered mental status, rectal bleeding; work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia, hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away at 5:54AM"
	"1046447-1"	"1046447-1"	"BLOOD BILIRUBIN INCREASED"	"10005364"	"30-39 years"	"30-39"	"2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021 Brought to ER for loss of consciousness, altered mental status, rectal bleeding; work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia, hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away at 5:54AM"
	"1046447-1"	"1046447-1"	"BLOOD CREATININE INCREASED"	"10005483"	"30-39 years"	"30-39"	"2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021 Brought to ER for loss of consciousness, altered mental status, rectal bleeding; work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia, hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away at 5:54AM"
	"1046447-1"	"1046447-1"	"BLOOD CULTURE POSITIVE"	"10005488"	"30-39 years"	"30-39"	"2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021 Brought to ER for loss of consciousness, altered mental status, rectal bleeding; work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia, hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away at 5:54AM"
	"1046447-1"	"1046447-1"	"BLOOD FIBRINOGEN DECREASED"	"10005520"	"30-39 years"	"30-39"	"2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021 Brought to ER for loss of consciousness, altered mental status, rectal bleeding; work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia, hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away at 5:54AM"
	"1046447-1"	"1046447-1"	"BLOOD LACTIC ACID"	"10005632"	"30-39 years"	"30-39"	"2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021 Brought to ER for loss of consciousness, altered mental status, rectal bleeding; work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia, hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away at 5:54AM"
	"1046447-1"	"1046447-1"	"BLOOD MAGNESIUM INCREASED"	"10005655"	"30-39 years"	"30-39"	"2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021 Brought to ER for loss of consciousness, altered mental status, rectal bleeding; work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia, hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away at 5:54AM"
	"1046447-1"	"1046447-1"	"BLOOD UREA INCREASED"	"10005851"	"30-39 years"	"30-39"	"2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021 Brought to ER for loss of consciousness, altered mental status, rectal bleeding; work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia, hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away at 5:54AM"
	"1046447-1"	"1046447-1"	"CARBON DIOXIDE DECREASED"	"10007223"	"30-39 years"	"30-39"	"2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021 Brought to ER for loss of consciousness, altered mental status, rectal bleeding; work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia, hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away at 5:54AM"
	"1046447-1"	"1046447-1"	"CHEST X-RAY ABNORMAL"	"10008499"	"30-39 years"	"30-39"	"2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021 Brought to ER for loss of consciousness, altered mental status, rectal bleeding; work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia, hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away at 5:54AM"
	"1046447-1"	"1046447-1"	"CULTURE"	"10061447"	"30-39 years"	"30-39"	"2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021 Brought to ER for loss of consciousness, altered mental status, rectal bleeding; work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia, hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away at 5:54AM"
	"1046447-1"	"1046447-1"	"CULTURE URINE POSITIVE"	"10011640"	"30-39 years"	"30-39"	"2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021 Brought to ER for loss of consciousness, altered mental status, rectal bleeding; work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia, hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away at 5:54AM"
	"1046447-1"	"1046447-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021 Brought to ER for loss of consciousness, altered mental status, rectal bleeding; work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia, hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away at 5:54AM"
	"1046447-1"	"1046447-1"	"ESCHERICHIA TEST POSITIVE"	"10070090"	"30-39 years"	"30-39"	"2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021 Brought to ER for loss of consciousness, altered mental status, rectal bleeding; work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia, hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away at 5:54AM"
	"1046447-1"	"1046447-1"	"HAEMATOCRIT DECREASED"	"10018838"	"30-39 years"	"30-39"	"2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021 Brought to ER for loss of consciousness, altered mental status, rectal bleeding; work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia, hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away at 5:54AM"
	"1046447-1"	"1046447-1"	"HAEMOGLOBIN DECREASED"	"10018884"	"30-39 years"	"30-39"	"2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021 Brought to ER for loss of consciousness, altered mental status, rectal bleeding; work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia, hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away at 5:54AM"
	"1046447-1"	"1046447-1"	"HYPOTENSION"	"10021097"	"30-39 years"	"30-39"	"2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021 Brought to ER for loss of consciousness, altered mental status, rectal bleeding; work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia, hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away at 5:54AM"
	"1046447-1"	"1046447-1"	"INTERNATIONAL NORMALISED RATIO INCREASED"	"10022595"	"30-39 years"	"30-39"	"2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021 Brought to ER for loss of consciousness, altered mental status, rectal bleeding; work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia, hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away at 5:54AM"
	"1046447-1"	"1046447-1"	"LOSS OF CONSCIOUSNESS"	"10024855"	"30-39 years"	"30-39"	"2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021 Brought to ER for loss of consciousness, altered mental status, rectal bleeding; work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia, hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away at 5:54AM"
	"1046447-1"	"1046447-1"	"MENTAL STATUS CHANGES"	"10048294"	"30-39 years"	"30-39"	"2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021 Brought to ER for loss of consciousness, altered mental status, rectal bleeding; work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia, hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away at 5:54AM"
	"1046447-1"	"1046447-1"	"MOUTH ULCERATION"	"10028034"	"30-39 years"	"30-39"	"2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021 Brought to ER for loss of consciousness, altered mental status, rectal bleeding; work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia, hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away at 5:54AM"
	"1046447-1"	"1046447-1"	"PANCYTOPENIA"	"10033661"	"30-39 years"	"30-39"	"2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021 Brought to ER for loss of consciousness, altered mental status, rectal bleeding; work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia, hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away at 5:54AM"
	"1046447-1"	"1046447-1"	"PLATELET COUNT DECREASED"	"10035528"	"30-39 years"	"30-39"	"2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021 Brought to ER for loss of consciousness, altered mental status, rectal bleeding; work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia, hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away at 5:54AM"
	"1046447-1"	"1046447-1"	"PLEURAL EFFUSION"	"10035598"	"30-39 years"	"30-39"	"2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021 Brought to ER for loss of consciousness, altered mental status, rectal bleeding; work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia, hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away at 5:54AM"
	"1046447-1"	"1046447-1"	"PNEUMONIA"	"10035664"	"30-39 years"	"30-39"	"2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021 Brought to ER for loss of consciousness, altered mental status, rectal bleeding; work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia, hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away at 5:54AM"
	"1046447-1"	"1046447-1"	"PROTHROMBIN TIME PROLONGED"	"10037063"	"30-39 years"	"30-39"	"2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021 Brought to ER for loss of consciousness, altered mental status, rectal bleeding; work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia, hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away at 5:54AM"
	"1046447-1"	"1046447-1"	"RECTAL HAEMORRHAGE"	"10038063"	"30-39 years"	"30-39"	"2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021 Brought to ER for loss of consciousness, altered mental status, rectal bleeding; work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia, hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away at 5:54AM"
	"1046447-1"	"1046447-1"	"RED BLOOD CELL COUNT DECREASED"	"10038153"	"30-39 years"	"30-39"	"2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021 Brought to ER for loss of consciousness, altered mental status, rectal bleeding; work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia, hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away at 5:54AM"
	"1046447-1"	"1046447-1"	"RESPIRATORY FAILURE"	"10038695"	"30-39 years"	"30-39"	"2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021 Brought to ER for loss of consciousness, altered mental status, rectal bleeding; work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia, hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away at 5:54AM"
	"1046447-1"	"1046447-1"	"SARS-COV-2 TEST NEGATIVE"	"10084273"	"30-39 years"	"30-39"	"2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021 Brought to ER for loss of consciousness, altered mental status, rectal bleeding; work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia, hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away at 5:54AM"
	"1046447-1"	"1046447-1"	"SEPSIS"	"10040047"	"30-39 years"	"30-39"	"2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021 Brought to ER for loss of consciousness, altered mental status, rectal bleeding; work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia, hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away at 5:54AM"
	"1046447-1"	"1046447-1"	"URINARY TRACT INFECTION"	"10046571"	"30-39 years"	"30-39"	"2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021 Brought to ER for loss of consciousness, altered mental status, rectal bleeding; work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia, hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away at 5:54AM"
	"1046447-1"	"1046447-1"	"URINE ANALYSIS NORMAL"	"10061578"	"30-39 years"	"30-39"	"2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021 Brought to ER for loss of consciousness, altered mental status, rectal bleeding; work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia, hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away at 5:54AM"
	"1046447-1"	"1046447-1"	"WHITE BLOOD CELL COUNT DECREASED"	"10047942"	"30-39 years"	"30-39"	"2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021 Brought to ER for loss of consciousness, altered mental status, rectal bleeding; work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia, hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away at 5:54AM"
	"1051803-1"	"1051803-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"unknown, was informed by Health Director that person had passed away"
	"1054160-1"	"1054160-1"	"BACK PAIN"	"10003988"	"30-39 years"	"30-39"	"2/12/2021 woke up with sore arm and back. 2/13/2021 woke up with headache around 1am. Headache and nausea all morning. Mid-late afternoon started having seizures. Admitted to Hospital 2/15/2021 expired. Reported per wife on 2/25/2021."
	"1054160-1"	"1054160-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"2/12/2021 woke up with sore arm and back. 2/13/2021 woke up with headache around 1am. Headache and nausea all morning. Mid-late afternoon started having seizures. Admitted to Hospital 2/15/2021 expired. Reported per wife on 2/25/2021."
	"1054160-1"	"1054160-1"	"HEADACHE"	"10019211"	"30-39 years"	"30-39"	"2/12/2021 woke up with sore arm and back. 2/13/2021 woke up with headache around 1am. Headache and nausea all morning. Mid-late afternoon started having seizures. Admitted to Hospital 2/15/2021 expired. Reported per wife on 2/25/2021."
	"1054160-1"	"1054160-1"	"NAUSEA"	"10028813"	"30-39 years"	"30-39"	"2/12/2021 woke up with sore arm and back. 2/13/2021 woke up with headache around 1am. Headache and nausea all morning. Mid-late afternoon started having seizures. Admitted to Hospital 2/15/2021 expired. Reported per wife on 2/25/2021."
	"1054160-1"	"1054160-1"	"PAIN IN EXTREMITY"	"10033425"	"30-39 years"	"30-39"	"2/12/2021 woke up with sore arm and back. 2/13/2021 woke up with headache around 1am. Headache and nausea all morning. Mid-late afternoon started having seizures. Admitted to Hospital 2/15/2021 expired. Reported per wife on 2/25/2021."
	"1054160-1"	"1054160-1"	"SEIZURE"	"10039906"	"30-39 years"	"30-39"	"2/12/2021 woke up with sore arm and back. 2/13/2021 woke up with headache around 1am. Headache and nausea all morning. Mid-late afternoon started having seizures. Admitted to Hospital 2/15/2021 expired. Reported per wife on 2/25/2021."
	"1055070-1"	"1055070-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Client died on 02/21/2021 and had received the second dose of the vaccine series on 02/19/2021."
	"1061911-1"	"1061911-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Died at home; Gasping for air/difficulty breathing; Soreness; A spontaneous report was received from a physician concerning a 45 years-old, female patient who experienced soreness/MedDRA PT: pain, gasping for air/difficulty breathing/MedDRA PT: dyspnoea and subsequently died/MedDRA PT: death.  The patient's medical history included blood pressure (disorder not specified), thyroid disorder, depression and anxiety. Concomitant product use included blood pressure medication, thyroid medication and possibly depression and anxiety medication.  On 28 Jan 2021, the patient received their first of two planned doses of mRNA-1273 (Lot #007M20A) (route of administration and injection site not provided) for prophylaxis of COVID-19 infection.  On 28 Jan 2021, following the vaccination, the patient was fine but had experienced some soreness.  Per patient's coworker, the patient did not take any medication as it made the patient sick. The physician was not aware of any complaints from the vaccine.  On 13 Feb 2021 at 3:31am, the patient called 911. Per the 911 call, the patient was gasping for air on the call and having difficulty breathing. The patient subsequently died on 13 Feb 2021 at home. The physician inquired whether Moderna gets involved with the autopsy and logistics of the death of patients and wanted to know the time frame for reporting a death of a patient who received the vaccine. The physician did not know who administered the patient's vaccine.  Action taken with mRNA-1273 in response to the events was not applicable as the patient deceased.  The event died was fatal. The outcome for the events soreness and gasping for air/difficulty breathing was unknown.  The patient died on 13 Feb 2021. The cause of death was not provided. Plans for an autopsy were not provided.; Reporter's Comments: Very limited information regarding the event of dyspnea and death has been provided at this time. Further information has been requested. Patient's medical history of blood pressure is considered a risk factor. Based on the current available information and temporal association between the use of the product and the onset of the pain, a causal relationship cannot be excluded.; Reported Cause(s) of Death: Died at home"
	"1061911-1"	"1061911-1"	"DYSPNOEA"	"10013968"	"40-49 years"	"40-49"	"Died at home; Gasping for air/difficulty breathing; Soreness; A spontaneous report was received from a physician concerning a 45 years-old, female patient who experienced soreness/MedDRA PT: pain, gasping for air/difficulty breathing/MedDRA PT: dyspnoea and subsequently died/MedDRA PT: death.  The patient's medical history included blood pressure (disorder not specified), thyroid disorder, depression and anxiety. Concomitant product use included blood pressure medication, thyroid medication and possibly depression and anxiety medication.  On 28 Jan 2021, the patient received their first of two planned doses of mRNA-1273 (Lot #007M20A) (route of administration and injection site not provided) for prophylaxis of COVID-19 infection.  On 28 Jan 2021, following the vaccination, the patient was fine but had experienced some soreness.  Per patient's coworker, the patient did not take any medication as it made the patient sick. The physician was not aware of any complaints from the vaccine.  On 13 Feb 2021 at 3:31am, the patient called 911. Per the 911 call, the patient was gasping for air on the call and having difficulty breathing. The patient subsequently died on 13 Feb 2021 at home. The physician inquired whether Moderna gets involved with the autopsy and logistics of the death of patients and wanted to know the time frame for reporting a death of a patient who received the vaccine. The physician did not know who administered the patient's vaccine.  Action taken with mRNA-1273 in response to the events was not applicable as the patient deceased.  The event died was fatal. The outcome for the events soreness and gasping for air/difficulty breathing was unknown.  The patient died on 13 Feb 2021. The cause of death was not provided. Plans for an autopsy were not provided.; Reporter's Comments: Very limited information regarding the event of dyspnea and death has been provided at this time. Further information has been requested. Patient's medical history of blood pressure is considered a risk factor. Based on the current available information and temporal association between the use of the product and the onset of the pain, a causal relationship cannot be excluded.; Reported Cause(s) of Death: Died at home"
	"1061911-1"	"1061911-1"	"PAIN"	"10033371"	"40-49 years"	"40-49"	"Died at home; Gasping for air/difficulty breathing; Soreness; A spontaneous report was received from a physician concerning a 45 years-old, female patient who experienced soreness/MedDRA PT: pain, gasping for air/difficulty breathing/MedDRA PT: dyspnoea and subsequently died/MedDRA PT: death.  The patient's medical history included blood pressure (disorder not specified), thyroid disorder, depression and anxiety. Concomitant product use included blood pressure medication, thyroid medication and possibly depression and anxiety medication.  On 28 Jan 2021, the patient received their first of two planned doses of mRNA-1273 (Lot #007M20A) (route of administration and injection site not provided) for prophylaxis of COVID-19 infection.  On 28 Jan 2021, following the vaccination, the patient was fine but had experienced some soreness.  Per patient's coworker, the patient did not take any medication as it made the patient sick. The physician was not aware of any complaints from the vaccine.  On 13 Feb 2021 at 3:31am, the patient called 911. Per the 911 call, the patient was gasping for air on the call and having difficulty breathing. The patient subsequently died on 13 Feb 2021 at home. The physician inquired whether Moderna gets involved with the autopsy and logistics of the death of patients and wanted to know the time frame for reporting a death of a patient who received the vaccine. The physician did not know who administered the patient's vaccine.  Action taken with mRNA-1273 in response to the events was not applicable as the patient deceased.  The event died was fatal. The outcome for the events soreness and gasping for air/difficulty breathing was unknown.  The patient died on 13 Feb 2021. The cause of death was not provided. Plans for an autopsy were not provided.; Reporter's Comments: Very limited information regarding the event of dyspnea and death has been provided at this time. Further information has been requested. Patient's medical history of blood pressure is considered a risk factor. Based on the current available information and temporal association between the use of the product and the onset of the pain, a causal relationship cannot be excluded.; Reported Cause(s) of Death: Died at home"
	"1065434-1"	"1065434-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Patient died; This is a spontaneous report from a contactable consumer (parent's patient).  A 47-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), via unknown route on 13Feb2021 (at the age of 47-year-old) at single dose for COVID-19 immunization. Relevant medical history and concomitant medications were not reported. On 18Feb2021 the patient died. The cause of death was unknown. An autopsy was not performed. No COVID prior vaccination. The patient had not been tested for COVID post vaccination.  Information about lot/batch number has been requested.; Reported Cause(s) of Death: Patient died"
	"1066118-1"	"1066118-1"	"CARDIAC ARREST"	"10007515"	"40-49 years"	"40-49"	"Patient had an unwitnessed cardiac arrest while outside walking his dog.  AED in the field initially advised shock and was shocked 3 times without effect. At the time EMS ALS arrived, patient was in PEA arrest. He was transferred to Hospital with CPR in progress. Time of death called at 1857."
	"1066118-1"	"1066118-1"	"CARDIOVERSION"	"10007661"	"40-49 years"	"40-49"	"Patient had an unwitnessed cardiac arrest while outside walking his dog.  AED in the field initially advised shock and was shocked 3 times without effect. At the time EMS ALS arrived, patient was in PEA arrest. He was transferred to Hospital with CPR in progress. Time of death called at 1857."
	"1066118-1"	"1066118-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Patient had an unwitnessed cardiac arrest while outside walking his dog.  AED in the field initially advised shock and was shocked 3 times without effect. At the time EMS ALS arrived, patient was in PEA arrest. He was transferred to Hospital with CPR in progress. Time of death called at 1857."
	"1066118-1"	"1066118-1"	"PULSELESS ELECTRICAL ACTIVITY"	"10058151"	"40-49 years"	"40-49"	"Patient had an unwitnessed cardiac arrest while outside walking his dog.  AED in the field initially advised shock and was shocked 3 times without effect. At the time EMS ALS arrived, patient was in PEA arrest. He was transferred to Hospital with CPR in progress. Time of death called at 1857."
	"1066118-1"	"1066118-1"	"RESUSCITATION"	"10038749"	"40-49 years"	"40-49"	"Patient had an unwitnessed cardiac arrest while outside walking his dog.  AED in the field initially advised shock and was shocked 3 times without effect. At the time EMS ALS arrived, patient was in PEA arrest. He was transferred to Hospital with CPR in progress. Time of death called at 1857."
	"1066118-1"	"1066118-1"	"SHOCK"	"10040560"	"40-49 years"	"40-49"	"Patient had an unwitnessed cardiac arrest while outside walking his dog.  AED in the field initially advised shock and was shocked 3 times without effect. At the time EMS ALS arrived, patient was in PEA arrest. He was transferred to Hospital with CPR in progress. Time of death called at 1857."
	"1066274-1"	"1066274-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"death"
	"1068993-1"	"1068993-1"	"AUTOPSY"	"10050117"	"40-49 years"	"40-49"	"Spontaneous intracerebral hemorrhage and death on 2/20/2021"
	"1068993-1"	"1068993-1"	"CEREBRAL HAEMORRHAGE"	"10008111"	"40-49 years"	"40-49"	"Spontaneous intracerebral hemorrhage and death on 2/20/2021"
	"1068993-1"	"1068993-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Spontaneous intracerebral hemorrhage and death on 2/20/2021"
	"1069728-1"	"1069728-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Patient Started having dizziness, feeling faint at around midnight on 3/3/2021. He then lost consciousness, had seizure-like activity and was taken to hospital via EMS. In the hospital patient was unresponsive and received resuscitation attempts unsuccessfully. Per family, after about 45 minutes, code was called and patient expired."
	"1069728-1"	"1069728-1"	"DIZZINESS"	"10013573"	"40-49 years"	"40-49"	"Patient Started having dizziness, feeling faint at around midnight on 3/3/2021. He then lost consciousness, had seizure-like activity and was taken to hospital via EMS. In the hospital patient was unresponsive and received resuscitation attempts unsuccessfully. Per family, after about 45 minutes, code was called and patient expired."
	"1069728-1"	"1069728-1"	"LOSS OF CONSCIOUSNESS"	"10024855"	"40-49 years"	"40-49"	"Patient Started having dizziness, feeling faint at around midnight on 3/3/2021. He then lost consciousness, had seizure-like activity and was taken to hospital via EMS. In the hospital patient was unresponsive and received resuscitation attempts unsuccessfully. Per family, after about 45 minutes, code was called and patient expired."
	"1069728-1"	"1069728-1"	"RESUSCITATION"	"10038749"	"40-49 years"	"40-49"	"Patient Started having dizziness, feeling faint at around midnight on 3/3/2021. He then lost consciousness, had seizure-like activity and was taken to hospital via EMS. In the hospital patient was unresponsive and received resuscitation attempts unsuccessfully. Per family, after about 45 minutes, code was called and patient expired."
	"1069728-1"	"1069728-1"	"SEIZURE LIKE PHENOMENA"	"10071048"	"40-49 years"	"40-49"	"Patient Started having dizziness, feeling faint at around midnight on 3/3/2021. He then lost consciousness, had seizure-like activity and was taken to hospital via EMS. In the hospital patient was unresponsive and received resuscitation attempts unsuccessfully. Per family, after about 45 minutes, code was called and patient expired."
	"1069728-1"	"1069728-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"40-49 years"	"40-49"	"Patient Started having dizziness, feeling faint at around midnight on 3/3/2021. He then lost consciousness, had seizure-like activity and was taken to hospital via EMS. In the hospital patient was unresponsive and received resuscitation attempts unsuccessfully. Per family, after about 45 minutes, code was called and patient expired."
	"1072113-1"	"1072113-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Death"
	"1073092-1"	"1073092-1"	"AUTOPSY"	"10050117"	"40-49 years"	"40-49"	"The decedent reported a continuous headache since receiving the vaccination. On March 3rd he suffered a cardiac arrest and was pronounced deceased."
	"1073092-1"	"1073092-1"	"CARDIAC ARREST"	"10007515"	"40-49 years"	"40-49"	"The decedent reported a continuous headache since receiving the vaccination. On March 3rd he suffered a cardiac arrest and was pronounced deceased."
	"1073092-1"	"1073092-1"	"CONDITION AGGRAVATED"	"10010264"	"40-49 years"	"40-49"	"The decedent reported a continuous headache since receiving the vaccination. On March 3rd he suffered a cardiac arrest and was pronounced deceased."
	"1073092-1"	"1073092-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"The decedent reported a continuous headache since receiving the vaccination. On March 3rd he suffered a cardiac arrest and was pronounced deceased."
	"1073092-1"	"1073092-1"	"HEADACHE"	"10019211"	"40-49 years"	"40-49"	"The decedent reported a continuous headache since receiving the vaccination. On March 3rd he suffered a cardiac arrest and was pronounced deceased."
	"1073092-1"	"1073092-1"	"SUBARACHNOID HAEMORRHAGE"	"10042316"	"40-49 years"	"40-49"	"The decedent reported a continuous headache since receiving the vaccination. On March 3rd he suffered a cardiac arrest and was pronounced deceased."
	"1079976-1"	"1079976-1"	"COUGH"	"10011224"	"40-49 years"	"40-49"	"12/23/20 (Moderna #1) - Malaise, cough on 12/24, went to walk-in on 12/25 c/o cough, malaise, rx'd Augmentin x14d, Rapid covid negative (and PCR resulted negative). 12/27 slept all day, 12/28 back to work. 1/12/21 metallic taste in mouth, severe GI sx, malaise, aches, headache. 1/14 seen at walk-in and covid swabbed Negative.  1/21/21 exposed to parents who found out they were covid + on 1/22/21.   1/25/21 (Moderna #2) - Continued with persistent cough and GI sx. Then also developed urinary frequency and urgency. Seen at urgent care 2/1 c/o cough, dx URI, rx'd augmenting.  Woke up morning of 2/2/21 abruptly, stood up, said something was wrong, and collapsed.  CPR attempted immediately, EMS brought him to ER where he was pronounced dead."
	"1079976-1"	"1079976-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"12/23/20 (Moderna #1) - Malaise, cough on 12/24, went to walk-in on 12/25 c/o cough, malaise, rx'd Augmentin x14d, Rapid covid negative (and PCR resulted negative). 12/27 slept all day, 12/28 back to work. 1/12/21 metallic taste in mouth, severe GI sx, malaise, aches, headache. 1/14 seen at walk-in and covid swabbed Negative.  1/21/21 exposed to parents who found out they were covid + on 1/22/21.   1/25/21 (Moderna #2) - Continued with persistent cough and GI sx. Then also developed urinary frequency and urgency. Seen at urgent care 2/1 c/o cough, dx URI, rx'd augmenting.  Woke up morning of 2/2/21 abruptly, stood up, said something was wrong, and collapsed.  CPR attempted immediately, EMS brought him to ER where he was pronounced dead."
	"1079976-1"	"1079976-1"	"DYSGEUSIA"	"10013911"	"40-49 years"	"40-49"	"12/23/20 (Moderna #1) - Malaise, cough on 12/24, went to walk-in on 12/25 c/o cough, malaise, rx'd Augmentin x14d, Rapid covid negative (and PCR resulted negative). 12/27 slept all day, 12/28 back to work. 1/12/21 metallic taste in mouth, severe GI sx, malaise, aches, headache. 1/14 seen at walk-in and covid swabbed Negative.  1/21/21 exposed to parents who found out they were covid + on 1/22/21.   1/25/21 (Moderna #2) - Continued with persistent cough and GI sx. Then also developed urinary frequency and urgency. Seen at urgent care 2/1 c/o cough, dx URI, rx'd augmenting.  Woke up morning of 2/2/21 abruptly, stood up, said something was wrong, and collapsed.  CPR attempted immediately, EMS brought him to ER where he was pronounced dead."
	"1079976-1"	"1079976-1"	"EXPOSURE TO SARS-COV-2"	"10084456"	"40-49 years"	"40-49"	"12/23/20 (Moderna #1) - Malaise, cough on 12/24, went to walk-in on 12/25 c/o cough, malaise, rx'd Augmentin x14d, Rapid covid negative (and PCR resulted negative). 12/27 slept all day, 12/28 back to work. 1/12/21 metallic taste in mouth, severe GI sx, malaise, aches, headache. 1/14 seen at walk-in and covid swabbed Negative.  1/21/21 exposed to parents who found out they were covid + on 1/22/21.   1/25/21 (Moderna #2) - Continued with persistent cough and GI sx. Then also developed urinary frequency and urgency. Seen at urgent care 2/1 c/o cough, dx URI, rx'd augmenting.  Woke up morning of 2/2/21 abruptly, stood up, said something was wrong, and collapsed.  CPR attempted immediately, EMS brought him to ER where he was pronounced dead."
	"1079976-1"	"1079976-1"	"FEELING ABNORMAL"	"10016322"	"40-49 years"	"40-49"	"12/23/20 (Moderna #1) - Malaise, cough on 12/24, went to walk-in on 12/25 c/o cough, malaise, rx'd Augmentin x14d, Rapid covid negative (and PCR resulted negative). 12/27 slept all day, 12/28 back to work. 1/12/21 metallic taste in mouth, severe GI sx, malaise, aches, headache. 1/14 seen at walk-in and covid swabbed Negative.  1/21/21 exposed to parents who found out they were covid + on 1/22/21.   1/25/21 (Moderna #2) - Continued with persistent cough and GI sx. Then also developed urinary frequency and urgency. Seen at urgent care 2/1 c/o cough, dx URI, rx'd augmenting.  Woke up morning of 2/2/21 abruptly, stood up, said something was wrong, and collapsed.  CPR attempted immediately, EMS brought him to ER where he was pronounced dead."
	"1079976-1"	"1079976-1"	"GASTROINTESTINAL TRACT IRRITATION"	"10070840"	"40-49 years"	"40-49"	"12/23/20 (Moderna #1) - Malaise, cough on 12/24, went to walk-in on 12/25 c/o cough, malaise, rx'd Augmentin x14d, Rapid covid negative (and PCR resulted negative). 12/27 slept all day, 12/28 back to work. 1/12/21 metallic taste in mouth, severe GI sx, malaise, aches, headache. 1/14 seen at walk-in and covid swabbed Negative.  1/21/21 exposed to parents who found out they were covid + on 1/22/21.   1/25/21 (Moderna #2) - Continued with persistent cough and GI sx. Then also developed urinary frequency and urgency. Seen at urgent care 2/1 c/o cough, dx URI, rx'd augmenting.  Woke up morning of 2/2/21 abruptly, stood up, said something was wrong, and collapsed.  CPR attempted immediately, EMS brought him to ER where he was pronounced dead."
	"1079976-1"	"1079976-1"	"HEADACHE"	"10019211"	"40-49 years"	"40-49"	"12/23/20 (Moderna #1) - Malaise, cough on 12/24, went to walk-in on 12/25 c/o cough, malaise, rx'd Augmentin x14d, Rapid covid negative (and PCR resulted negative). 12/27 slept all day, 12/28 back to work. 1/12/21 metallic taste in mouth, severe GI sx, malaise, aches, headache. 1/14 seen at walk-in and covid swabbed Negative.  1/21/21 exposed to parents who found out they were covid + on 1/22/21.   1/25/21 (Moderna #2) - Continued with persistent cough and GI sx. Then also developed urinary frequency and urgency. Seen at urgent care 2/1 c/o cough, dx URI, rx'd augmenting.  Woke up morning of 2/2/21 abruptly, stood up, said something was wrong, and collapsed.  CPR attempted immediately, EMS brought him to ER where he was pronounced dead."
	"1079976-1"	"1079976-1"	"MALAISE"	"10025482"	"40-49 years"	"40-49"	"12/23/20 (Moderna #1) - Malaise, cough on 12/24, went to walk-in on 12/25 c/o cough, malaise, rx'd Augmentin x14d, Rapid covid negative (and PCR resulted negative). 12/27 slept all day, 12/28 back to work. 1/12/21 metallic taste in mouth, severe GI sx, malaise, aches, headache. 1/14 seen at walk-in and covid swabbed Negative.  1/21/21 exposed to parents who found out they were covid + on 1/22/21.   1/25/21 (Moderna #2) - Continued with persistent cough and GI sx. Then also developed urinary frequency and urgency. Seen at urgent care 2/1 c/o cough, dx URI, rx'd augmenting.  Woke up morning of 2/2/21 abruptly, stood up, said something was wrong, and collapsed.  CPR attempted immediately, EMS brought him to ER where he was pronounced dead."
	"1079976-1"	"1079976-1"	"MICTURITION URGENCY"	"10027566"	"40-49 years"	"40-49"	"12/23/20 (Moderna #1) - Malaise, cough on 12/24, went to walk-in on 12/25 c/o cough, malaise, rx'd Augmentin x14d, Rapid covid negative (and PCR resulted negative). 12/27 slept all day, 12/28 back to work. 1/12/21 metallic taste in mouth, severe GI sx, malaise, aches, headache. 1/14 seen at walk-in and covid swabbed Negative.  1/21/21 exposed to parents who found out they were covid + on 1/22/21.   1/25/21 (Moderna #2) - Continued with persistent cough and GI sx. Then also developed urinary frequency and urgency. Seen at urgent care 2/1 c/o cough, dx URI, rx'd augmenting.  Woke up morning of 2/2/21 abruptly, stood up, said something was wrong, and collapsed.  CPR attempted immediately, EMS brought him to ER where he was pronounced dead."
	"1079976-1"	"1079976-1"	"PAIN"	"10033371"	"40-49 years"	"40-49"	"12/23/20 (Moderna #1) - Malaise, cough on 12/24, went to walk-in on 12/25 c/o cough, malaise, rx'd Augmentin x14d, Rapid covid negative (and PCR resulted negative). 12/27 slept all day, 12/28 back to work. 1/12/21 metallic taste in mouth, severe GI sx, malaise, aches, headache. 1/14 seen at walk-in and covid swabbed Negative.  1/21/21 exposed to parents who found out they were covid + on 1/22/21.   1/25/21 (Moderna #2) - Continued with persistent cough and GI sx. Then also developed urinary frequency and urgency. Seen at urgent care 2/1 c/o cough, dx URI, rx'd augmenting.  Woke up morning of 2/2/21 abruptly, stood up, said something was wrong, and collapsed.  CPR attempted immediately, EMS brought him to ER where he was pronounced dead."
	"1079976-1"	"1079976-1"	"POLLAKIURIA"	"10036018"	"40-49 years"	"40-49"	"12/23/20 (Moderna #1) - Malaise, cough on 12/24, went to walk-in on 12/25 c/o cough, malaise, rx'd Augmentin x14d, Rapid covid negative (and PCR resulted negative). 12/27 slept all day, 12/28 back to work. 1/12/21 metallic taste in mouth, severe GI sx, malaise, aches, headache. 1/14 seen at walk-in and covid swabbed Negative.  1/21/21 exposed to parents who found out they were covid + on 1/22/21.   1/25/21 (Moderna #2) - Continued with persistent cough and GI sx. Then also developed urinary frequency and urgency. Seen at urgent care 2/1 c/o cough, dx URI, rx'd augmenting.  Woke up morning of 2/2/21 abruptly, stood up, said something was wrong, and collapsed.  CPR attempted immediately, EMS brought him to ER where he was pronounced dead."
	"1079976-1"	"1079976-1"	"RESUSCITATION"	"10038749"	"40-49 years"	"40-49"	"12/23/20 (Moderna #1) - Malaise, cough on 12/24, went to walk-in on 12/25 c/o cough, malaise, rx'd Augmentin x14d, Rapid covid negative (and PCR resulted negative). 12/27 slept all day, 12/28 back to work. 1/12/21 metallic taste in mouth, severe GI sx, malaise, aches, headache. 1/14 seen at walk-in and covid swabbed Negative.  1/21/21 exposed to parents who found out they were covid + on 1/22/21.   1/25/21 (Moderna #2) - Continued with persistent cough and GI sx. Then also developed urinary frequency and urgency. Seen at urgent care 2/1 c/o cough, dx URI, rx'd augmenting.  Woke up morning of 2/2/21 abruptly, stood up, said something was wrong, and collapsed.  CPR attempted immediately, EMS brought him to ER where he was pronounced dead."
	"1079976-1"	"1079976-1"	"SARS-COV-2 TEST NEGATIVE"	"10084273"	"40-49 years"	"40-49"	"12/23/20 (Moderna #1) - Malaise, cough on 12/24, went to walk-in on 12/25 c/o cough, malaise, rx'd Augmentin x14d, Rapid covid negative (and PCR resulted negative). 12/27 slept all day, 12/28 back to work. 1/12/21 metallic taste in mouth, severe GI sx, malaise, aches, headache. 1/14 seen at walk-in and covid swabbed Negative.  1/21/21 exposed to parents who found out they were covid + on 1/22/21.   1/25/21 (Moderna #2) - Continued with persistent cough and GI sx. Then also developed urinary frequency and urgency. Seen at urgent care 2/1 c/o cough, dx URI, rx'd augmenting.  Woke up morning of 2/2/21 abruptly, stood up, said something was wrong, and collapsed.  CPR attempted immediately, EMS brought him to ER where he was pronounced dead."
	"1079976-1"	"1079976-1"	"SOMNOLENCE"	"10041349"	"40-49 years"	"40-49"	"12/23/20 (Moderna #1) - Malaise, cough on 12/24, went to walk-in on 12/25 c/o cough, malaise, rx'd Augmentin x14d, Rapid covid negative (and PCR resulted negative). 12/27 slept all day, 12/28 back to work. 1/12/21 metallic taste in mouth, severe GI sx, malaise, aches, headache. 1/14 seen at walk-in and covid swabbed Negative.  1/21/21 exposed to parents who found out they were covid + on 1/22/21.   1/25/21 (Moderna #2) - Continued with persistent cough and GI sx. Then also developed urinary frequency and urgency. Seen at urgent care 2/1 c/o cough, dx URI, rx'd augmenting.  Woke up morning of 2/2/21 abruptly, stood up, said something was wrong, and collapsed.  CPR attempted immediately, EMS brought him to ER where he was pronounced dead."
	"1079976-1"	"1079976-1"	"SYNCOPE"	"10042772"	"40-49 years"	"40-49"	"12/23/20 (Moderna #1) - Malaise, cough on 12/24, went to walk-in on 12/25 c/o cough, malaise, rx'd Augmentin x14d, Rapid covid negative (and PCR resulted negative). 12/27 slept all day, 12/28 back to work. 1/12/21 metallic taste in mouth, severe GI sx, malaise, aches, headache. 1/14 seen at walk-in and covid swabbed Negative.  1/21/21 exposed to parents who found out they were covid + on 1/22/21.   1/25/21 (Moderna #2) - Continued with persistent cough and GI sx. Then also developed urinary frequency and urgency. Seen at urgent care 2/1 c/o cough, dx URI, rx'd augmenting.  Woke up morning of 2/2/21 abruptly, stood up, said something was wrong, and collapsed.  CPR attempted immediately, EMS brought him to ER where he was pronounced dead."
	"1079976-1"	"1079976-1"	"UPPER RESPIRATORY TRACT INFECTION"	"10046306"	"40-49 years"	"40-49"	"12/23/20 (Moderna #1) - Malaise, cough on 12/24, went to walk-in on 12/25 c/o cough, malaise, rx'd Augmentin x14d, Rapid covid negative (and PCR resulted negative). 12/27 slept all day, 12/28 back to work. 1/12/21 metallic taste in mouth, severe GI sx, malaise, aches, headache. 1/14 seen at walk-in and covid swabbed Negative.  1/21/21 exposed to parents who found out they were covid + on 1/22/21.   1/25/21 (Moderna #2) - Continued with persistent cough and GI sx. Then also developed urinary frequency and urgency. Seen at urgent care 2/1 c/o cough, dx URI, rx'd augmenting.  Woke up morning of 2/2/21 abruptly, stood up, said something was wrong, and collapsed.  CPR attempted immediately, EMS brought him to ER where he was pronounced dead."
	"1085413-1"	"1085413-1"	"AUTOPSY"	"10050117"	"30-39 years"	"30-39"	"patient was on treadmill at home on 3/4/21 and became shortness of breath, collaspsed, hitting head on floor. Family started CPR, Downtime prior to ED arrival 30 minutes.  Arrived at ER at 8:48AM.  Intubated by EMS.  initially shocked 1x but otherwise was in asystole.  Eventually after about 70 minutes of CPR at ER patient had no ROSC, pupils dialted and fixed and at this point pronounced dead."
	"1085413-1"	"1085413-1"	"CARDIAC ARREST"	"10007515"	"30-39 years"	"30-39"	"patient was on treadmill at home on 3/4/21 and became shortness of breath, collaspsed, hitting head on floor. Family started CPR, Downtime prior to ED arrival 30 minutes.  Arrived at ER at 8:48AM.  Intubated by EMS.  initially shocked 1x but otherwise was in asystole.  Eventually after about 70 minutes of CPR at ER patient had no ROSC, pupils dialted and fixed and at this point pronounced dead."
	"1085413-1"	"1085413-1"	"CARDIOVERSION"	"10007661"	"30-39 years"	"30-39"	"patient was on treadmill at home on 3/4/21 and became shortness of breath, collaspsed, hitting head on floor. Family started CPR, Downtime prior to ED arrival 30 minutes.  Arrived at ER at 8:48AM.  Intubated by EMS.  initially shocked 1x but otherwise was in asystole.  Eventually after about 70 minutes of CPR at ER patient had no ROSC, pupils dialted and fixed and at this point pronounced dead."
	"1085413-1"	"1085413-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"patient was on treadmill at home on 3/4/21 and became shortness of breath, collaspsed, hitting head on floor. Family started CPR, Downtime prior to ED arrival 30 minutes.  Arrived at ER at 8:48AM.  Intubated by EMS.  initially shocked 1x but otherwise was in asystole.  Eventually after about 70 minutes of CPR at ER patient had no ROSC, pupils dialted and fixed and at this point pronounced dead."
	"1085413-1"	"1085413-1"	"DYSPNOEA"	"10013968"	"30-39 years"	"30-39"	"patient was on treadmill at home on 3/4/21 and became shortness of breath, collaspsed, hitting head on floor. Family started CPR, Downtime prior to ED arrival 30 minutes.  Arrived at ER at 8:48AM.  Intubated by EMS.  initially shocked 1x but otherwise was in asystole.  Eventually after about 70 minutes of CPR at ER patient had no ROSC, pupils dialted and fixed and at this point pronounced dead."
	"1085413-1"	"1085413-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"30-39 years"	"30-39"	"patient was on treadmill at home on 3/4/21 and became shortness of breath, collaspsed, hitting head on floor. Family started CPR, Downtime prior to ED arrival 30 minutes.  Arrived at ER at 8:48AM.  Intubated by EMS.  initially shocked 1x but otherwise was in asystole.  Eventually after about 70 minutes of CPR at ER patient had no ROSC, pupils dialted and fixed and at this point pronounced dead."
	"1085413-1"	"1085413-1"	"HEAD INJURY"	"10019196"	"30-39 years"	"30-39"	"patient was on treadmill at home on 3/4/21 and became shortness of breath, collaspsed, hitting head on floor. Family started CPR, Downtime prior to ED arrival 30 minutes.  Arrived at ER at 8:48AM.  Intubated by EMS.  initially shocked 1x but otherwise was in asystole.  Eventually after about 70 minutes of CPR at ER patient had no ROSC, pupils dialted and fixed and at this point pronounced dead."
	"1085413-1"	"1085413-1"	"PUPIL FIXED"	"10037515"	"30-39 years"	"30-39"	"patient was on treadmill at home on 3/4/21 and became shortness of breath, collaspsed, hitting head on floor. Family started CPR, Downtime prior to ED arrival 30 minutes.  Arrived at ER at 8:48AM.  Intubated by EMS.  initially shocked 1x but otherwise was in asystole.  Eventually after about 70 minutes of CPR at ER patient had no ROSC, pupils dialted and fixed and at this point pronounced dead."
	"1085413-1"	"1085413-1"	"RESUSCITATION"	"10038749"	"30-39 years"	"30-39"	"patient was on treadmill at home on 3/4/21 and became shortness of breath, collaspsed, hitting head on floor. Family started CPR, Downtime prior to ED arrival 30 minutes.  Arrived at ER at 8:48AM.  Intubated by EMS.  initially shocked 1x but otherwise was in asystole.  Eventually after about 70 minutes of CPR at ER patient had no ROSC, pupils dialted and fixed and at this point pronounced dead."
	"1085413-1"	"1085413-1"	"SYNCOPE"	"10042772"	"30-39 years"	"30-39"	"patient was on treadmill at home on 3/4/21 and became shortness of breath, collaspsed, hitting head on floor. Family started CPR, Downtime prior to ED arrival 30 minutes.  Arrived at ER at 8:48AM.  Intubated by EMS.  initially shocked 1x but otherwise was in asystole.  Eventually after about 70 minutes of CPR at ER patient had no ROSC, pupils dialted and fixed and at this point pronounced dead."
	"1085478-1"	"1085478-1"	"BRAIN INJURY"	"10067967"	"40-49 years"	"40-49"	"Patient has been feeling fatigued since the vaccine. On 3/8 he went to play Hockey, first time since pandemic started. He reported feeling to his friends that he felt unwell and left the ice. He was found dead, CPR started, EMS called-> had shockable rhythm (VF), shocked 10 times pre-hospital. Brought to Hospital ER and placed on VA ECMO. He is currently in the ICU setting; echo suggests possible MI but formal cath pending. Has anoxic brain injury, splenic laceration, pulmonary hemorrhage/contusions, rib fractures all related to CPR (received over an hour prior to ECMO placement). Patient may ultimately expire, he is critically ill."
	"1085478-1"	"1085478-1"	"CARDIOVERSION"	"10007661"	"40-49 years"	"40-49"	"Patient has been feeling fatigued since the vaccine. On 3/8 he went to play Hockey, first time since pandemic started. He reported feeling to his friends that he felt unwell and left the ice. He was found dead, CPR started, EMS called-> had shockable rhythm (VF), shocked 10 times pre-hospital. Brought to Hospital ER and placed on VA ECMO. He is currently in the ICU setting; echo suggests possible MI but formal cath pending. Has anoxic brain injury, splenic laceration, pulmonary hemorrhage/contusions, rib fractures all related to CPR (received over an hour prior to ECMO placement). Patient may ultimately expire, he is critically ill."
	"1085478-1"	"1085478-1"	"COMPUTERISED TOMOGRAM"	"10010234"	"40-49 years"	"40-49"	"Patient has been feeling fatigued since the vaccine. On 3/8 he went to play Hockey, first time since pandemic started. He reported feeling to his friends that he felt unwell and left the ice. He was found dead, CPR started, EMS called-> had shockable rhythm (VF), shocked 10 times pre-hospital. Brought to Hospital ER and placed on VA ECMO. He is currently in the ICU setting; echo suggests possible MI but formal cath pending. Has anoxic brain injury, splenic laceration, pulmonary hemorrhage/contusions, rib fractures all related to CPR (received over an hour prior to ECMO placement). Patient may ultimately expire, he is critically ill."
	"1085478-1"	"1085478-1"	"CRITICAL ILLNESS"	"10077264"	"40-49 years"	"40-49"	"Patient has been feeling fatigued since the vaccine. On 3/8 he went to play Hockey, first time since pandemic started. He reported feeling to his friends that he felt unwell and left the ice. He was found dead, CPR started, EMS called-> had shockable rhythm (VF), shocked 10 times pre-hospital. Brought to Hospital ER and placed on VA ECMO. He is currently in the ICU setting; echo suggests possible MI but formal cath pending. Has anoxic brain injury, splenic laceration, pulmonary hemorrhage/contusions, rib fractures all related to CPR (received over an hour prior to ECMO placement). Patient may ultimately expire, he is critically ill."
	"1085478-1"	"1085478-1"	"ECHOCARDIOGRAM ABNORMAL"	"10061593"	"40-49 years"	"40-49"	"Patient has been feeling fatigued since the vaccine. On 3/8 he went to play Hockey, first time since pandemic started. He reported feeling to his friends that he felt unwell and left the ice. He was found dead, CPR started, EMS called-> had shockable rhythm (VF), shocked 10 times pre-hospital. Brought to Hospital ER and placed on VA ECMO. He is currently in the ICU setting; echo suggests possible MI but formal cath pending. Has anoxic brain injury, splenic laceration, pulmonary hemorrhage/contusions, rib fractures all related to CPR (received over an hour prior to ECMO placement). Patient may ultimately expire, he is critically ill."
	"1085478-1"	"1085478-1"	"FATIGUE"	"10016256"	"40-49 years"	"40-49"	"Patient has been feeling fatigued since the vaccine. On 3/8 he went to play Hockey, first time since pandemic started. He reported feeling to his friends that he felt unwell and left the ice. He was found dead, CPR started, EMS called-> had shockable rhythm (VF), shocked 10 times pre-hospital. Brought to Hospital ER and placed on VA ECMO. He is currently in the ICU setting; echo suggests possible MI but formal cath pending. Has anoxic brain injury, splenic laceration, pulmonary hemorrhage/contusions, rib fractures all related to CPR (received over an hour prior to ECMO placement). Patient may ultimately expire, he is critically ill."
	"1085478-1"	"1085478-1"	"INTENSIVE CARE"	"10022519"	"40-49 years"	"40-49"	"Patient has been feeling fatigued since the vaccine. On 3/8 he went to play Hockey, first time since pandemic started. He reported feeling to his friends that he felt unwell and left the ice. He was found dead, CPR started, EMS called-> had shockable rhythm (VF), shocked 10 times pre-hospital. Brought to Hospital ER and placed on VA ECMO. He is currently in the ICU setting; echo suggests possible MI but formal cath pending. Has anoxic brain injury, splenic laceration, pulmonary hemorrhage/contusions, rib fractures all related to CPR (received over an hour prior to ECMO placement). Patient may ultimately expire, he is critically ill."
	"1085478-1"	"1085478-1"	"LABORATORY TEST"	"10059938"	"40-49 years"	"40-49"	"Patient has been feeling fatigued since the vaccine. On 3/8 he went to play Hockey, first time since pandemic started. He reported feeling to his friends that he felt unwell and left the ice. He was found dead, CPR started, EMS called-> had shockable rhythm (VF), shocked 10 times pre-hospital. Brought to Hospital ER and placed on VA ECMO. He is currently in the ICU setting; echo suggests possible MI but formal cath pending. Has anoxic brain injury, splenic laceration, pulmonary hemorrhage/contusions, rib fractures all related to CPR (received over an hour prior to ECMO placement). Patient may ultimately expire, he is critically ill."
	"1085478-1"	"1085478-1"	"MALAISE"	"10025482"	"40-49 years"	"40-49"	"Patient has been feeling fatigued since the vaccine. On 3/8 he went to play Hockey, first time since pandemic started. He reported feeling to his friends that he felt unwell and left the ice. He was found dead, CPR started, EMS called-> had shockable rhythm (VF), shocked 10 times pre-hospital. Brought to Hospital ER and placed on VA ECMO. He is currently in the ICU setting; echo suggests possible MI but formal cath pending. Has anoxic brain injury, splenic laceration, pulmonary hemorrhage/contusions, rib fractures all related to CPR (received over an hour prior to ECMO placement). Patient may ultimately expire, he is critically ill."
	"1085478-1"	"1085478-1"	"PULMONARY CONTUSION"	"10037370"	"40-49 years"	"40-49"	"Patient has been feeling fatigued since the vaccine. On 3/8 he went to play Hockey, first time since pandemic started. He reported feeling to his friends that he felt unwell and left the ice. He was found dead, CPR started, EMS called-> had shockable rhythm (VF), shocked 10 times pre-hospital. Brought to Hospital ER and placed on VA ECMO. He is currently in the ICU setting; echo suggests possible MI but formal cath pending. Has anoxic brain injury, splenic laceration, pulmonary hemorrhage/contusions, rib fractures all related to CPR (received over an hour prior to ECMO placement). Patient may ultimately expire, he is critically ill."
	"1085478-1"	"1085478-1"	"PULMONARY HAEMORRHAGE"	"10037394"	"40-49 years"	"40-49"	"Patient has been feeling fatigued since the vaccine. On 3/8 he went to play Hockey, first time since pandemic started. He reported feeling to his friends that he felt unwell and left the ice. He was found dead, CPR started, EMS called-> had shockable rhythm (VF), shocked 10 times pre-hospital. Brought to Hospital ER and placed on VA ECMO. He is currently in the ICU setting; echo suggests possible MI but formal cath pending. Has anoxic brain injury, splenic laceration, pulmonary hemorrhage/contusions, rib fractures all related to CPR (received over an hour prior to ECMO placement). Patient may ultimately expire, he is critically ill."
	"1085478-1"	"1085478-1"	"RESUSCITATION"	"10038749"	"40-49 years"	"40-49"	"Patient has been feeling fatigued since the vaccine. On 3/8 he went to play Hockey, first time since pandemic started. He reported feeling to his friends that he felt unwell and left the ice. He was found dead, CPR started, EMS called-> had shockable rhythm (VF), shocked 10 times pre-hospital. Brought to Hospital ER and placed on VA ECMO. He is currently in the ICU setting; echo suggests possible MI but formal cath pending. Has anoxic brain injury, splenic laceration, pulmonary hemorrhage/contusions, rib fractures all related to CPR (received over an hour prior to ECMO placement). Patient may ultimately expire, he is critically ill."
	"1085478-1"	"1085478-1"	"RIB FRACTURE"	"10039117"	"40-49 years"	"40-49"	"Patient has been feeling fatigued since the vaccine. On 3/8 he went to play Hockey, first time since pandemic started. He reported feeling to his friends that he felt unwell and left the ice. He was found dead, CPR started, EMS called-> had shockable rhythm (VF), shocked 10 times pre-hospital. Brought to Hospital ER and placed on VA ECMO. He is currently in the ICU setting; echo suggests possible MI but formal cath pending. Has anoxic brain injury, splenic laceration, pulmonary hemorrhage/contusions, rib fractures all related to CPR (received over an hour prior to ECMO placement). Patient may ultimately expire, he is critically ill."
	"1085478-1"	"1085478-1"	"SPLENIC RUPTURE"	"10041658"	"40-49 years"	"40-49"	"Patient has been feeling fatigued since the vaccine. On 3/8 he went to play Hockey, first time since pandemic started. He reported feeling to his friends that he felt unwell and left the ice. He was found dead, CPR started, EMS called-> had shockable rhythm (VF), shocked 10 times pre-hospital. Brought to Hospital ER and placed on VA ECMO. He is currently in the ICU setting; echo suggests possible MI but formal cath pending. Has anoxic brain injury, splenic laceration, pulmonary hemorrhage/contusions, rib fractures all related to CPR (received over an hour prior to ECMO placement). Patient may ultimately expire, he is critically ill."
	"1085478-1"	"1085478-1"	"VENTRICULAR FIBRILLATION"	"10047290"	"40-49 years"	"40-49"	"Patient has been feeling fatigued since the vaccine. On 3/8 he went to play Hockey, first time since pandemic started. He reported feeling to his friends that he felt unwell and left the ice. He was found dead, CPR started, EMS called-> had shockable rhythm (VF), shocked 10 times pre-hospital. Brought to Hospital ER and placed on VA ECMO. He is currently in the ICU setting; echo suggests possible MI but formal cath pending. Has anoxic brain injury, splenic laceration, pulmonary hemorrhage/contusions, rib fractures all related to CPR (received over an hour prior to ECMO placement). Patient may ultimately expire, he is critically ill."
	"1085783-1"	"1085783-1"	"SUDDEN DEATH"	"10042434"	"30-39 years"	"30-39"	"Sudden Unexpected  Death  - No signs or symptoms"
	"1093986-1"	"1093986-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Received a phone call stating that the patient complained of not feeling well on 3/11/21 while at work and that the patient died that night while at home."
	"1093986-1"	"1093986-1"	"MALAISE"	"10025482"	"40-49 years"	"40-49"	"Received a phone call stating that the patient complained of not feeling well on 3/11/21 while at work and that the patient died that night while at home."
	"1095327-1"	"1095327-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"I was alerted on 3.11.21 by the patient's wife that patient had passed away the night after having received the vaccine. The wife informed me that she did not wake up the next morning."
	"1096497-1"	"1096497-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Notified by police department that patient was found dead at his home on 3/12/21.  Per the officer, the family reports patient reported diarrhea on 3/11/21 and fatigue on 3/12/21.  The family found him in his home deceased later in the day on 3/12/21"
	"1096497-1"	"1096497-1"	"DIARRHOEA"	"10012735"	"40-49 years"	"40-49"	"Notified by police department that patient was found dead at his home on 3/12/21.  Per the officer, the family reports patient reported diarrhea on 3/11/21 and fatigue on 3/12/21.  The family found him in his home deceased later in the day on 3/12/21"
	"1096497-1"	"1096497-1"	"FATIGUE"	"10016256"	"40-49 years"	"40-49"	"Notified by police department that patient was found dead at his home on 3/12/21.  Per the officer, the family reports patient reported diarrhea on 3/11/21 and fatigue on 3/12/21.  The family found him in his home deceased later in the day on 3/12/21"
	"1098028-1"	"1098028-1"	"CARDIAC ARREST"	"10007515"	"30-39 years"	"30-39"	"Cardiac arrest, death approx 12 hours later"
	"1098028-1"	"1098028-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Cardiac arrest, death approx 12 hours later"
	"1101884-1"	"1101884-1"	"BLOOD GLUCOSE"	"10005553"	"30-39 years"	"30-39"	"History, patient received 1st COVID-19 Pfizer vaccine on 1/28/21 and 2nd Pfizer COVID-19 vaccine on 2/17/21   Unsure if any relation but patient was treated in our urgent care on 3/8/2021 18 day post receipt of 2nd COVID-19 vaccine unresponsive.  Patient received ACLS support for unknown cause with suspected neurological/respiratory/cardiac complications. Patient was transferred to higher level of care."
	"1101884-1"	"1101884-1"	"CARDIAC DISORDER"	"10061024"	"30-39 years"	"30-39"	"History, patient received 1st COVID-19 Pfizer vaccine on 1/28/21 and 2nd Pfizer COVID-19 vaccine on 2/17/21   Unsure if any relation but patient was treated in our urgent care on 3/8/2021 18 day post receipt of 2nd COVID-19 vaccine unresponsive.  Patient received ACLS support for unknown cause with suspected neurological/respiratory/cardiac complications. Patient was transferred to higher level of care."
	"1101884-1"	"1101884-1"	"DRUG SCREEN"	"10050837"	"30-39 years"	"30-39"	"History, patient received 1st COVID-19 Pfizer vaccine on 1/28/21 and 2nd Pfizer COVID-19 vaccine on 2/17/21   Unsure if any relation but patient was treated in our urgent care on 3/8/2021 18 day post receipt of 2nd COVID-19 vaccine unresponsive.  Patient received ACLS support for unknown cause with suspected neurological/respiratory/cardiac complications. Patient was transferred to higher level of care."
	"1101884-1"	"1101884-1"	"FULL BLOOD COUNT"	"10017411"	"30-39 years"	"30-39"	"History, patient received 1st COVID-19 Pfizer vaccine on 1/28/21 and 2nd Pfizer COVID-19 vaccine on 2/17/21   Unsure if any relation but patient was treated in our urgent care on 3/8/2021 18 day post receipt of 2nd COVID-19 vaccine unresponsive.  Patient received ACLS support for unknown cause with suspected neurological/respiratory/cardiac complications. Patient was transferred to higher level of care."
	"1101884-1"	"1101884-1"	"METABOLIC FUNCTION TEST"	"10062191"	"30-39 years"	"30-39"	"History, patient received 1st COVID-19 Pfizer vaccine on 1/28/21 and 2nd Pfizer COVID-19 vaccine on 2/17/21   Unsure if any relation but patient was treated in our urgent care on 3/8/2021 18 day post receipt of 2nd COVID-19 vaccine unresponsive.  Patient received ACLS support for unknown cause with suspected neurological/respiratory/cardiac complications. Patient was transferred to higher level of care."
	"1101884-1"	"1101884-1"	"NEUROLOGICAL SYMPTOM"	"10060860"	"30-39 years"	"30-39"	"History, patient received 1st COVID-19 Pfizer vaccine on 1/28/21 and 2nd Pfizer COVID-19 vaccine on 2/17/21   Unsure if any relation but patient was treated in our urgent care on 3/8/2021 18 day post receipt of 2nd COVID-19 vaccine unresponsive.  Patient received ACLS support for unknown cause with suspected neurological/respiratory/cardiac complications. Patient was transferred to higher level of care."
	"1101884-1"	"1101884-1"	"RESPIRATORY DISORDER"	"10038683"	"30-39 years"	"30-39"	"History, patient received 1st COVID-19 Pfizer vaccine on 1/28/21 and 2nd Pfizer COVID-19 vaccine on 2/17/21   Unsure if any relation but patient was treated in our urgent care on 3/8/2021 18 day post receipt of 2nd COVID-19 vaccine unresponsive.  Patient received ACLS support for unknown cause with suspected neurological/respiratory/cardiac complications. Patient was transferred to higher level of care."
	"1101884-1"	"1101884-1"	"SARS-COV-2 TEST NEGATIVE"	"10084273"	"30-39 years"	"30-39"	"History, patient received 1st COVID-19 Pfizer vaccine on 1/28/21 and 2nd Pfizer COVID-19 vaccine on 2/17/21   Unsure if any relation but patient was treated in our urgent care on 3/8/2021 18 day post receipt of 2nd COVID-19 vaccine unresponsive.  Patient received ACLS support for unknown cause with suspected neurological/respiratory/cardiac complications. Patient was transferred to higher level of care."
	"1101884-1"	"1101884-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"30-39 years"	"30-39"	"History, patient received 1st COVID-19 Pfizer vaccine on 1/28/21 and 2nd Pfizer COVID-19 vaccine on 2/17/21   Unsure if any relation but patient was treated in our urgent care on 3/8/2021 18 day post receipt of 2nd COVID-19 vaccine unresponsive.  Patient received ACLS support for unknown cause with suspected neurological/respiratory/cardiac complications. Patient was transferred to higher level of care."
	"1101884-1"	"1101884-1"	"URINE ANALYSIS"	"10046614"	"30-39 years"	"30-39"	"History, patient received 1st COVID-19 Pfizer vaccine on 1/28/21 and 2nd Pfizer COVID-19 vaccine on 2/17/21   Unsure if any relation but patient was treated in our urgent care on 3/8/2021 18 day post receipt of 2nd COVID-19 vaccine unresponsive.  Patient received ACLS support for unknown cause with suspected neurological/respiratory/cardiac complications. Patient was transferred to higher level of care."
	"1104175-1"	"1104175-1"	"ABDOMINAL PAIN"	"10000081"	"30-39 years"	"30-39"	"She received the 2nd Dose on 3/9/2021.  On 3/10/2021 She complained of a headache.  On the morning of 3/11/2021 she complained of abdominal pain and had no appetite.  We then found her unresponsive, called 911 and the medics pronounced her at around 1300."
	"1104175-1"	"1104175-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"She received the 2nd Dose on 3/9/2021.  On 3/10/2021 She complained of a headache.  On the morning of 3/11/2021 she complained of abdominal pain and had no appetite.  We then found her unresponsive, called 911 and the medics pronounced her at around 1300."
	"1104175-1"	"1104175-1"	"DECREASED APPETITE"	"10061428"	"30-39 years"	"30-39"	"She received the 2nd Dose on 3/9/2021.  On 3/10/2021 She complained of a headache.  On the morning of 3/11/2021 she complained of abdominal pain and had no appetite.  We then found her unresponsive, called 911 and the medics pronounced her at around 1300."
	"1104175-1"	"1104175-1"	"HEADACHE"	"10019211"	"30-39 years"	"30-39"	"She received the 2nd Dose on 3/9/2021.  On 3/10/2021 She complained of a headache.  On the morning of 3/11/2021 she complained of abdominal pain and had no appetite.  We then found her unresponsive, called 911 and the medics pronounced her at around 1300."
	"1104175-1"	"1104175-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"30-39 years"	"30-39"	"She received the 2nd Dose on 3/9/2021.  On 3/10/2021 She complained of a headache.  On the morning of 3/11/2021 she complained of abdominal pain and had no appetite.  We then found her unresponsive, called 911 and the medics pronounced her at around 1300."
	"1104671-1"	"1104671-1"	"CONDITION AGGRAVATED"	"10010264"	"30-39 years"	"30-39"	"Patient has a long history of seizures.  He has seizures on a daily basis.  He lives with his family,  who are his primary caregivers, they family provides all of his activities of daily living.  Patient received vaccine on Friday morning, feeling well throughout the day according to the father.  Went to bed, during the night in bed he had seizures which is typical for him, and during the episode the father noticed that he had stopped breathing.  called 911 who came to the house and the patient died in the house.  I do not believe he went to the hospital."
	"1104671-1"	"1104671-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Patient has a long history of seizures.  He has seizures on a daily basis.  He lives with his family,  who are his primary caregivers, they family provides all of his activities of daily living.  Patient received vaccine on Friday morning, feeling well throughout the day according to the father.  Went to bed, during the night in bed he had seizures which is typical for him, and during the episode the father noticed that he had stopped breathing.  called 911 who came to the house and the patient died in the house.  I do not believe he went to the hospital."
	"1104671-1"	"1104671-1"	"MALAISE"	"10025482"	"30-39 years"	"30-39"	"Patient has a long history of seizures.  He has seizures on a daily basis.  He lives with his family,  who are his primary caregivers, they family provides all of his activities of daily living.  Patient received vaccine on Friday morning, feeling well throughout the day according to the father.  Went to bed, during the night in bed he had seizures which is typical for him, and during the episode the father noticed that he had stopped breathing.  called 911 who came to the house and the patient died in the house.  I do not believe he went to the hospital."
	"1104671-1"	"1104671-1"	"RESPIRATORY ARREST"	"10038669"	"30-39 years"	"30-39"	"Patient has a long history of seizures.  He has seizures on a daily basis.  He lives with his family,  who are his primary caregivers, they family provides all of his activities of daily living.  Patient received vaccine on Friday morning, feeling well throughout the day according to the father.  Went to bed, during the night in bed he had seizures which is typical for him, and during the episode the father noticed that he had stopped breathing.  called 911 who came to the house and the patient died in the house.  I do not believe he went to the hospital."
	"1104671-1"	"1104671-1"	"SEIZURE"	"10039906"	"30-39 years"	"30-39"	"Patient has a long history of seizures.  He has seizures on a daily basis.  He lives with his family,  who are his primary caregivers, they family provides all of his activities of daily living.  Patient received vaccine on Friday morning, feeling well throughout the day according to the father.  Went to bed, during the night in bed he had seizures which is typical for him, and during the episode the father noticed that he had stopped breathing.  called 911 who came to the house and the patient died in the house.  I do not believe he went to the hospital."
	"1112122-1"	"1112122-1"	"AGGRESSION"	"10001488"	"40-49 years"	"40-49"	""Patient was admitted for Multi drug resistant UTI (for which he has been admitted many times before). Was hospitalized for 3 days while awaiting cultures, hemodynamically stable, with no lab abnormalities. On the day of discharge (sensitivities to UTI came back, pt to be discharged on cefepime, had PICC line) pt got up from bed, sat on the edge of the bed and was being given belongings by the nurse, alert and oriented and in a pleasant mood, when suddenly pt grabbed at his chest and stated ""I can't breathe"" and became combative and altered when O2 was attempted to be placed on pt's face; then pt had PEA arrest x3 and unable to achieve ROSC.""
	"1112122-1"	"1112122-1"	"MOOD ALTERED"	"10027940"	"40-49 years"	"40-49"	""Patient was admitted for Multi drug resistant UTI (for which he has been admitted many times before). Was hospitalized for 3 days while awaiting cultures, hemodynamically stable, with no lab abnormalities. On the day of discharge (sensitivities to UTI came back, pt to be discharged on cefepime, had PICC line) pt got up from bed, sat on the edge of the bed and was being given belongings by the nurse, alert and oriented and in a pleasant mood, when suddenly pt grabbed at his chest and stated ""I can't breathe"" and became combative and altered when O2 was attempted to be placed on pt's face; then pt had PEA arrest x3 and unable to achieve ROSC.""
	"1112122-1"	"1112122-1"	"PULMONARY EMBOLISM"	"10037377"	"40-49 years"	"40-49"	""Patient was admitted for Multi drug resistant UTI (for which he has been admitted many times before). Was hospitalized for 3 days while awaiting cultures, hemodynamically stable, with no lab abnormalities. On the day of discharge (sensitivities to UTI came back, pt to be discharged on cefepime, had PICC line) pt got up from bed, sat on the edge of the bed and was being given belongings by the nurse, alert and oriented and in a pleasant mood, when suddenly pt grabbed at his chest and stated ""I can't breathe"" and became combative and altered when O2 was attempted to be placed on pt's face; then pt had PEA arrest x3 and unable to achieve ROSC.""
	"1112122-1"	"1112122-1"	"PULSELESS ELECTRICAL ACTIVITY"	"10058151"	"40-49 years"	"40-49"	""Patient was admitted for Multi drug resistant UTI (for which he has been admitted many times before). Was hospitalized for 3 days while awaiting cultures, hemodynamically stable, with no lab abnormalities. On the day of discharge (sensitivities to UTI came back, pt to be discharged on cefepime, had PICC line) pt got up from bed, sat on the edge of the bed and was being given belongings by the nurse, alert and oriented and in a pleasant mood, when suddenly pt grabbed at his chest and stated ""I can't breathe"" and became combative and altered when O2 was attempted to be placed on pt's face; then pt had PEA arrest x3 and unable to achieve ROSC.""
	"1112122-1"	"1112122-1"	"RESPIRATORY ARREST"	"10038669"	"40-49 years"	"40-49"	""Patient was admitted for Multi drug resistant UTI (for which he has been admitted many times before). Was hospitalized for 3 days while awaiting cultures, hemodynamically stable, with no lab abnormalities. On the day of discharge (sensitivities to UTI came back, pt to be discharged on cefepime, had PICC line) pt got up from bed, sat on the edge of the bed and was being given belongings by the nurse, alert and oriented and in a pleasant mood, when suddenly pt grabbed at his chest and stated ""I can't breathe"" and became combative and altered when O2 was attempted to be placed on pt's face; then pt had PEA arrest x3 and unable to achieve ROSC.""
	"1112122-1"	"1112122-1"	"SUDDEN DEATH"	"10042434"	"40-49 years"	"40-49"	""Patient was admitted for Multi drug resistant UTI (for which he has been admitted many times before). Was hospitalized for 3 days while awaiting cultures, hemodynamically stable, with no lab abnormalities. On the day of discharge (sensitivities to UTI came back, pt to be discharged on cefepime, had PICC line) pt got up from bed, sat on the edge of the bed and was being given belongings by the nurse, alert and oriented and in a pleasant mood, when suddenly pt grabbed at his chest and stated ""I can't breathe"" and became combative and altered when O2 was attempted to be placed on pt's face; then pt had PEA arrest x3 and unable to achieve ROSC.""
	"1112164-1"	"1112164-1"	"SUDDEN DEATH"	"10042434"	"40-49 years"	"40-49"	"lndividual Suddenly passed away on 3/7/21.....His Psychiartrist stated that there could be an adverse effect with COVID, the COVID Vaccination and medications, with an emphasis on Clozapine"
	"1114806-1"	"1114806-1"	"ANGIOGRAM CEREBRAL ABNORMAL"	"10052906"	"40-49 years"	"40-49"	"Diagnosis: Cortical vein thrombosis, massive intracerebral hemorrhage with tentorial herniation, thrombocytopenia.  Clinical Presentation and Course: 1 week after receiving Janssen COVID19 vaccination, patient developed gradually worsening headache. On March 17th, patient presented to Hospital with dry heaving, sudden worsening of headache and  L sided weakness.  Evaluation with head CT revealed a large R temporoparietal intraparenchymal hemorrhage with 1.3cm midline shift.  She ended up getting intubated for worsening mental status. On evaluation at arrival in Medical Center, she was noted to have extensor posturing.  Repeat imaging revealed worsening midline shift to 1.6cm.  CTA showed cortical vein thrombosis involving the right transverse and sigmoid sigmoid sinus with tentorial herniation. Patient developed brain herniation and brain death was pronounced on March 18th, 2021."
	"1114806-1"	"1114806-1"	"BRAIN DEATH"	"10049054"	"40-49 years"	"40-49"	"Diagnosis: Cortical vein thrombosis, massive intracerebral hemorrhage with tentorial herniation, thrombocytopenia.  Clinical Presentation and Course: 1 week after receiving Janssen COVID19 vaccination, patient developed gradually worsening headache. On March 17th, patient presented to Hospital with dry heaving, sudden worsening of headache and  L sided weakness.  Evaluation with head CT revealed a large R temporoparietal intraparenchymal hemorrhage with 1.3cm midline shift.  She ended up getting intubated for worsening mental status. On evaluation at arrival in Medical Center, she was noted to have extensor posturing.  Repeat imaging revealed worsening midline shift to 1.6cm.  CTA showed cortical vein thrombosis involving the right transverse and sigmoid sigmoid sinus with tentorial herniation. Patient developed brain herniation and brain death was pronounced on March 18th, 2021."
	"1114806-1"	"1114806-1"	"BRAIN HERNIATION"	"10006126"	"40-49 years"	"40-49"	"Diagnosis: Cortical vein thrombosis, massive intracerebral hemorrhage with tentorial herniation, thrombocytopenia.  Clinical Presentation and Course: 1 week after receiving Janssen COVID19 vaccination, patient developed gradually worsening headache. On March 17th, patient presented to Hospital with dry heaving, sudden worsening of headache and  L sided weakness.  Evaluation with head CT revealed a large R temporoparietal intraparenchymal hemorrhage with 1.3cm midline shift.  She ended up getting intubated for worsening mental status. On evaluation at arrival in Medical Center, she was noted to have extensor posturing.  Repeat imaging revealed worsening midline shift to 1.6cm.  CTA showed cortical vein thrombosis involving the right transverse and sigmoid sigmoid sinus with tentorial herniation. Patient developed brain herniation and brain death was pronounced on March 18th, 2021."
	"1114806-1"	"1114806-1"	"CEREBRAL HAEMATOMA"	"10053942"	"40-49 years"	"40-49"	"Diagnosis: Cortical vein thrombosis, massive intracerebral hemorrhage with tentorial herniation, thrombocytopenia.  Clinical Presentation and Course: 1 week after receiving Janssen COVID19 vaccination, patient developed gradually worsening headache. On March 17th, patient presented to Hospital with dry heaving, sudden worsening of headache and  L sided weakness.  Evaluation with head CT revealed a large R temporoparietal intraparenchymal hemorrhage with 1.3cm midline shift.  She ended up getting intubated for worsening mental status. On evaluation at arrival in Medical Center, she was noted to have extensor posturing.  Repeat imaging revealed worsening midline shift to 1.6cm.  CTA showed cortical vein thrombosis involving the right transverse and sigmoid sigmoid sinus with tentorial herniation. Patient developed brain herniation and brain death was pronounced on March 18th, 2021."
	"1114806-1"	"1114806-1"	"CEREBRAL HAEMORRHAGE"	"10008111"	"40-49 years"	"40-49"	"Diagnosis: Cortical vein thrombosis, massive intracerebral hemorrhage with tentorial herniation, thrombocytopenia.  Clinical Presentation and Course: 1 week after receiving Janssen COVID19 vaccination, patient developed gradually worsening headache. On March 17th, patient presented to Hospital with dry heaving, sudden worsening of headache and  L sided weakness.  Evaluation with head CT revealed a large R temporoparietal intraparenchymal hemorrhage with 1.3cm midline shift.  She ended up getting intubated for worsening mental status. On evaluation at arrival in Medical Center, she was noted to have extensor posturing.  Repeat imaging revealed worsening midline shift to 1.6cm.  CTA showed cortical vein thrombosis involving the right transverse and sigmoid sigmoid sinus with tentorial herniation. Patient developed brain herniation and brain death was pronounced on March 18th, 2021."
	"1114806-1"	"1114806-1"	"CEREBRAL MASS EFFECT"	"10067086"	"40-49 years"	"40-49"	"Diagnosis: Cortical vein thrombosis, massive intracerebral hemorrhage with tentorial herniation, thrombocytopenia.  Clinical Presentation and Course: 1 week after receiving Janssen COVID19 vaccination, patient developed gradually worsening headache. On March 17th, patient presented to Hospital with dry heaving, sudden worsening of headache and  L sided weakness.  Evaluation with head CT revealed a large R temporoparietal intraparenchymal hemorrhage with 1.3cm midline shift.  She ended up getting intubated for worsening mental status. On evaluation at arrival in Medical Center, she was noted to have extensor posturing.  Repeat imaging revealed worsening midline shift to 1.6cm.  CTA showed cortical vein thrombosis involving the right transverse and sigmoid sigmoid sinus with tentorial herniation. Patient developed brain herniation and brain death was pronounced on March 18th, 2021."
	"1114806-1"	"1114806-1"	"CEREBRAL VENOUS THROMBOSIS"	"10008138"	"40-49 years"	"40-49"	"Diagnosis: Cortical vein thrombosis, massive intracerebral hemorrhage with tentorial herniation, thrombocytopenia.  Clinical Presentation and Course: 1 week after receiving Janssen COVID19 vaccination, patient developed gradually worsening headache. On March 17th, patient presented to Hospital with dry heaving, sudden worsening of headache and  L sided weakness.  Evaluation with head CT revealed a large R temporoparietal intraparenchymal hemorrhage with 1.3cm midline shift.  She ended up getting intubated for worsening mental status. On evaluation at arrival in Medical Center, she was noted to have extensor posturing.  Repeat imaging revealed worsening midline shift to 1.6cm.  CTA showed cortical vein thrombosis involving the right transverse and sigmoid sigmoid sinus with tentorial herniation. Patient developed brain herniation and brain death was pronounced on March 18th, 2021."
	"1114806-1"	"1114806-1"	"CEREBRAL VENTRICLE DILATATION"	"10048824"	"40-49 years"	"40-49"	"Diagnosis: Cortical vein thrombosis, massive intracerebral hemorrhage with tentorial herniation, thrombocytopenia.  Clinical Presentation and Course: 1 week after receiving Janssen COVID19 vaccination, patient developed gradually worsening headache. On March 17th, patient presented to Hospital with dry heaving, sudden worsening of headache and  L sided weakness.  Evaluation with head CT revealed a large R temporoparietal intraparenchymal hemorrhage with 1.3cm midline shift.  She ended up getting intubated for worsening mental status. On evaluation at arrival in Medical Center, she was noted to have extensor posturing.  Repeat imaging revealed worsening midline shift to 1.6cm.  CTA showed cortical vein thrombosis involving the right transverse and sigmoid sigmoid sinus with tentorial herniation. Patient developed brain herniation and brain death was pronounced on March 18th, 2021."
	"1114806-1"	"1114806-1"	"COMPUTERISED TOMOGRAM HEAD ABNORMAL"	"10072168"	"40-49 years"	"40-49"	"Diagnosis: Cortical vein thrombosis, massive intracerebral hemorrhage with tentorial herniation, thrombocytopenia.  Clinical Presentation and Course: 1 week after receiving Janssen COVID19 vaccination, patient developed gradually worsening headache. On March 17th, patient presented to Hospital with dry heaving, sudden worsening of headache and  L sided weakness.  Evaluation with head CT revealed a large R temporoparietal intraparenchymal hemorrhage with 1.3cm midline shift.  She ended up getting intubated for worsening mental status. On evaluation at arrival in Medical Center, she was noted to have extensor posturing.  Repeat imaging revealed worsening midline shift to 1.6cm.  CTA showed cortical vein thrombosis involving the right transverse and sigmoid sigmoid sinus with tentorial herniation. Patient developed brain herniation and brain death was pronounced on March 18th, 2021."
	"1114806-1"	"1114806-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"40-49 years"	"40-49"	"Diagnosis: Cortical vein thrombosis, massive intracerebral hemorrhage with tentorial herniation, thrombocytopenia.  Clinical Presentation and Course: 1 week after receiving Janssen COVID19 vaccination, patient developed gradually worsening headache. On March 17th, patient presented to Hospital with dry heaving, sudden worsening of headache and  L sided weakness.  Evaluation with head CT revealed a large R temporoparietal intraparenchymal hemorrhage with 1.3cm midline shift.  She ended up getting intubated for worsening mental status. On evaluation at arrival in Medical Center, she was noted to have extensor posturing.  Repeat imaging revealed worsening midline shift to 1.6cm.  CTA showed cortical vein thrombosis involving the right transverse and sigmoid sigmoid sinus with tentorial herniation. Patient developed brain herniation and brain death was pronounced on March 18th, 2021."
	"1114806-1"	"1114806-1"	"HEADACHE"	"10019211"	"40-49 years"	"40-49"	"Diagnosis: Cortical vein thrombosis, massive intracerebral hemorrhage with tentorial herniation, thrombocytopenia.  Clinical Presentation and Course: 1 week after receiving Janssen COVID19 vaccination, patient developed gradually worsening headache. On March 17th, patient presented to Hospital with dry heaving, sudden worsening of headache and  L sided weakness.  Evaluation with head CT revealed a large R temporoparietal intraparenchymal hemorrhage with 1.3cm midline shift.  She ended up getting intubated for worsening mental status. On evaluation at arrival in Medical Center, she was noted to have extensor posturing.  Repeat imaging revealed worsening midline shift to 1.6cm.  CTA showed cortical vein thrombosis involving the right transverse and sigmoid sigmoid sinus with tentorial herniation. Patient developed brain herniation and brain death was pronounced on March 18th, 2021."
	"1114806-1"	"1114806-1"	"HEMIPARESIS"	"10019465"	"40-49 years"	"40-49"	"Diagnosis: Cortical vein thrombosis, massive intracerebral hemorrhage with tentorial herniation, thrombocytopenia.  Clinical Presentation and Course: 1 week after receiving Janssen COVID19 vaccination, patient developed gradually worsening headache. On March 17th, patient presented to Hospital with dry heaving, sudden worsening of headache and  L sided weakness.  Evaluation with head CT revealed a large R temporoparietal intraparenchymal hemorrhage with 1.3cm midline shift.  She ended up getting intubated for worsening mental status. On evaluation at arrival in Medical Center, she was noted to have extensor posturing.  Repeat imaging revealed worsening midline shift to 1.6cm.  CTA showed cortical vein thrombosis involving the right transverse and sigmoid sigmoid sinus with tentorial herniation. Patient developed brain herniation and brain death was pronounced on March 18th, 2021."
	"1114806-1"	"1114806-1"	"MENTAL STATUS CHANGES"	"10048294"	"40-49 years"	"40-49"	"Diagnosis: Cortical vein thrombosis, massive intracerebral hemorrhage with tentorial herniation, thrombocytopenia.  Clinical Presentation and Course: 1 week after receiving Janssen COVID19 vaccination, patient developed gradually worsening headache. On March 17th, patient presented to Hospital with dry heaving, sudden worsening of headache and  L sided weakness.  Evaluation with head CT revealed a large R temporoparietal intraparenchymal hemorrhage with 1.3cm midline shift.  She ended up getting intubated for worsening mental status. On evaluation at arrival in Medical Center, she was noted to have extensor posturing.  Repeat imaging revealed worsening midline shift to 1.6cm.  CTA showed cortical vein thrombosis involving the right transverse and sigmoid sigmoid sinus with tentorial herniation. Patient developed brain herniation and brain death was pronounced on March 18th, 2021."
	"1114806-1"	"1114806-1"	"POSTURING"	"10036437"	"40-49 years"	"40-49"	"Diagnosis: Cortical vein thrombosis, massive intracerebral hemorrhage with tentorial herniation, thrombocytopenia.  Clinical Presentation and Course: 1 week after receiving Janssen COVID19 vaccination, patient developed gradually worsening headache. On March 17th, patient presented to Hospital with dry heaving, sudden worsening of headache and  L sided weakness.  Evaluation with head CT revealed a large R temporoparietal intraparenchymal hemorrhage with 1.3cm midline shift.  She ended up getting intubated for worsening mental status. On evaluation at arrival in Medical Center, she was noted to have extensor posturing.  Repeat imaging revealed worsening midline shift to 1.6cm.  CTA showed cortical vein thrombosis involving the right transverse and sigmoid sigmoid sinus with tentorial herniation. Patient developed brain herniation and brain death was pronounced on March 18th, 2021."
	"1114806-1"	"1114806-1"	"RETCHING"	"10038776"	"40-49 years"	"40-49"	"Diagnosis: Cortical vein thrombosis, massive intracerebral hemorrhage with tentorial herniation, thrombocytopenia.  Clinical Presentation and Course: 1 week after receiving Janssen COVID19 vaccination, patient developed gradually worsening headache. On March 17th, patient presented to Hospital with dry heaving, sudden worsening of headache and  L sided weakness.  Evaluation with head CT revealed a large R temporoparietal intraparenchymal hemorrhage with 1.3cm midline shift.  She ended up getting intubated for worsening mental status. On evaluation at arrival in Medical Center, she was noted to have extensor posturing.  Repeat imaging revealed worsening midline shift to 1.6cm.  CTA showed cortical vein thrombosis involving the right transverse and sigmoid sigmoid sinus with tentorial herniation. Patient developed brain herniation and brain death was pronounced on March 18th, 2021."
	"1114806-1"	"1114806-1"	"THROMBOCYTOPENIA"	"10043554"	"40-49 years"	"40-49"	"Diagnosis: Cortical vein thrombosis, massive intracerebral hemorrhage with tentorial herniation, thrombocytopenia.  Clinical Presentation and Course: 1 week after receiving Janssen COVID19 vaccination, patient developed gradually worsening headache. On March 17th, patient presented to Hospital with dry heaving, sudden worsening of headache and  L sided weakness.  Evaluation with head CT revealed a large R temporoparietal intraparenchymal hemorrhage with 1.3cm midline shift.  She ended up getting intubated for worsening mental status. On evaluation at arrival in Medical Center, she was noted to have extensor posturing.  Repeat imaging revealed worsening midline shift to 1.6cm.  CTA showed cortical vein thrombosis involving the right transverse and sigmoid sigmoid sinus with tentorial herniation. Patient developed brain herniation and brain death was pronounced on March 18th, 2021."
	"1120315-1"	"1120315-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"After about 30 minutes he said his throat felt weird. That night. Later he said he didn?t feel good and he said these are just normal reactions. I with pneumonia,  or he thought he was catching pneumonia from me. Not possible he had the vaccine. Then the next morning he was still having difficulty breathing. Then Saturday 03/20/2021. afternoon he couldn?t catch his breath. I ran to get my phone and came back and he was dead.  Called 911 and did CPR. They arrived and got a heart beat and put him on a breathing machine. He is in a medical induced coma. With a 50/50. Chance of survival."
	"1120315-1"	"1120315-1"	"DYSPNOEA"	"10013968"	"40-49 years"	"40-49"	"After about 30 minutes he said his throat felt weird. That night. Later he said he didn?t feel good and he said these are just normal reactions. I with pneumonia,  or he thought he was catching pneumonia from me. Not possible he had the vaccine. Then the next morning he was still having difficulty breathing. Then Saturday 03/20/2021. afternoon he couldn?t catch his breath. I ran to get my phone and came back and he was dead.  Called 911 and did CPR. They arrived and got a heart beat and put him on a breathing machine. He is in a medical induced coma. With a 50/50. Chance of survival."
	"1120315-1"	"1120315-1"	"FEELING ABNORMAL"	"10016322"	"40-49 years"	"40-49"	"After about 30 minutes he said his throat felt weird. That night. Later he said he didn?t feel good and he said these are just normal reactions. I with pneumonia,  or he thought he was catching pneumonia from me. Not possible he had the vaccine. Then the next morning he was still having difficulty breathing. Then Saturday 03/20/2021. afternoon he couldn?t catch his breath. I ran to get my phone and came back and he was dead.  Called 911 and did CPR. They arrived and got a heart beat and put him on a breathing machine. He is in a medical induced coma. With a 50/50. Chance of survival."
	"1120315-1"	"1120315-1"	"MECHANICAL VENTILATION"	"10067221"	"40-49 years"	"40-49"	"After about 30 minutes he said his throat felt weird. That night. Later he said he didn?t feel good and he said these are just normal reactions. I with pneumonia,  or he thought he was catching pneumonia from me. Not possible he had the vaccine. Then the next morning he was still having difficulty breathing. Then Saturday 03/20/2021. afternoon he couldn?t catch his breath. I ran to get my phone and came back and he was dead.  Called 911 and did CPR. They arrived and got a heart beat and put him on a breathing machine. He is in a medical induced coma. With a 50/50. Chance of survival."
	"1120315-1"	"1120315-1"	"MEDICAL INDUCTION OF COMA"	"10070677"	"40-49 years"	"40-49"	"After about 30 minutes he said his throat felt weird. That night. Later he said he didn?t feel good and he said these are just normal reactions. I with pneumonia,  or he thought he was catching pneumonia from me. Not possible he had the vaccine. Then the next morning he was still having difficulty breathing. Then Saturday 03/20/2021. afternoon he couldn?t catch his breath. I ran to get my phone and came back and he was dead.  Called 911 and did CPR. They arrived and got a heart beat and put him on a breathing machine. He is in a medical induced coma. With a 50/50. Chance of survival."
	"1120315-1"	"1120315-1"	"OROPHARYNGEAL DISCOMFORT"	"10068318"	"40-49 years"	"40-49"	"After about 30 minutes he said his throat felt weird. That night. Later he said he didn?t feel good and he said these are just normal reactions. I with pneumonia,  or he thought he was catching pneumonia from me. Not possible he had the vaccine. Then the next morning he was still having difficulty breathing. Then Saturday 03/20/2021. afternoon he couldn?t catch his breath. I ran to get my phone and came back and he was dead.  Called 911 and did CPR. They arrived and got a heart beat and put him on a breathing machine. He is in a medical induced coma. With a 50/50. Chance of survival."
	"1120315-1"	"1120315-1"	"RESUSCITATION"	"10038749"	"40-49 years"	"40-49"	"After about 30 minutes he said his throat felt weird. That night. Later he said he didn?t feel good and he said these are just normal reactions. I with pneumonia,  or he thought he was catching pneumonia from me. Not possible he had the vaccine. Then the next morning he was still having difficulty breathing. Then Saturday 03/20/2021. afternoon he couldn?t catch his breath. I ran to get my phone and came back and he was dead.  Called 911 and did CPR. They arrived and got a heart beat and put him on a breathing machine. He is in a medical induced coma. With a 50/50. Chance of survival."
	"1122080-1"	"1122080-1"	"AGONAL RESPIRATION"	"10085467"	"40-49 years"	"40-49"	"Patient's received 2nd dose of Moderna vaccine Friday 3/12.  Her husband reported she had not unexpected fatigue,  malaise, and fever for 1 day but better after that.  On Monday she began complaining of shortness of breath.  This progressively worsened and she started having presyncopal episodes.  On Saturday she was unable to come down the stairs in the house so husband planned to take her to the hospital but she stood up and passed out and woke up quickly.  He decided to call EMS.  By the time she presented to our hospital she was cyanotic and agonal breathing.  On moving her from EMS stretcher to ED bed she had PEA cardiac arrest.  She underwent mechanical device CPR with only brief (<1 min) ROSC x1.  She at some point did have a shockable rhythm.  Cath lab was notified and she was taken emergently to the cath lab with ongoing mechanical device CPR.  Peripheral VA ECMO was placed after about 1.5 hours.  Pulmonary angiogram was done which showed massive saddle PE with near complete obliteration of the right pulmonary tree and some filling defects in the left tree as well.  At that time she had severe mixed respiratory and metabolic acidosis with a lactate of 24.  She also had no gag or corneal reflex, minimally responsive pupils, and no response to noxious stimuli.  Mechanical thrombectomy was attempted with some result.  She was transferred to the SICU with increasing pressor requirement, and DIC.  Ultimately, the venous catheter of the ECMO circuit malfunctioned thought to be secondary propagating IVC thrombosis.  Family decided to withdraw care and she passed away."
	"1122080-1"	"1122080-1"	"ANGIOGRAM PULMONARY ABNORMAL"	"10002441"	"40-49 years"	"40-49"	"Patient's received 2nd dose of Moderna vaccine Friday 3/12.  Her husband reported she had not unexpected fatigue,  malaise, and fever for 1 day but better after that.  On Monday she began complaining of shortness of breath.  This progressively worsened and she started having presyncopal episodes.  On Saturday she was unable to come down the stairs in the house so husband planned to take her to the hospital but she stood up and passed out and woke up quickly.  He decided to call EMS.  By the time she presented to our hospital she was cyanotic and agonal breathing.  On moving her from EMS stretcher to ED bed she had PEA cardiac arrest.  She underwent mechanical device CPR with only brief (<1 min) ROSC x1.  She at some point did have a shockable rhythm.  Cath lab was notified and she was taken emergently to the cath lab with ongoing mechanical device CPR.  Peripheral VA ECMO was placed after about 1.5 hours.  Pulmonary angiogram was done which showed massive saddle PE with near complete obliteration of the right pulmonary tree and some filling defects in the left tree as well.  At that time she had severe mixed respiratory and metabolic acidosis with a lactate of 24.  She also had no gag or corneal reflex, minimally responsive pupils, and no response to noxious stimuli.  Mechanical thrombectomy was attempted with some result.  She was transferred to the SICU with increasing pressor requirement, and DIC.  Ultimately, the venous catheter of the ECMO circuit malfunctioned thought to be secondary propagating IVC thrombosis.  Family decided to withdraw care and she passed away."
	"1122080-1"	"1122080-1"	"AREFLEXIA"	"10003084"	"40-49 years"	"40-49"	"Patient's received 2nd dose of Moderna vaccine Friday 3/12.  Her husband reported she had not unexpected fatigue,  malaise, and fever for 1 day but better after that.  On Monday she began complaining of shortness of breath.  This progressively worsened and she started having presyncopal episodes.  On Saturday she was unable to come down the stairs in the house so husband planned to take her to the hospital but she stood up and passed out and woke up quickly.  He decided to call EMS.  By the time she presented to our hospital she was cyanotic and agonal breathing.  On moving her from EMS stretcher to ED bed she had PEA cardiac arrest.  She underwent mechanical device CPR with only brief (<1 min) ROSC x1.  She at some point did have a shockable rhythm.  Cath lab was notified and she was taken emergently to the cath lab with ongoing mechanical device CPR.  Peripheral VA ECMO was placed after about 1.5 hours.  Pulmonary angiogram was done which showed massive saddle PE with near complete obliteration of the right pulmonary tree and some filling defects in the left tree as well.  At that time she had severe mixed respiratory and metabolic acidosis with a lactate of 24.  She also had no gag or corneal reflex, minimally responsive pupils, and no response to noxious stimuli.  Mechanical thrombectomy was attempted with some result.  She was transferred to the SICU with increasing pressor requirement, and DIC.  Ultimately, the venous catheter of the ECMO circuit malfunctioned thought to be secondary propagating IVC thrombosis.  Family decided to withdraw care and she passed away."
	"1122080-1"	"1122080-1"	"BLOOD LACTIC ACID INCREASED"	"10005635"	"40-49 years"	"40-49"	"Patient's received 2nd dose of Moderna vaccine Friday 3/12.  Her husband reported she had not unexpected fatigue,  malaise, and fever for 1 day but better after that.  On Monday she began complaining of shortness of breath.  This progressively worsened and she started having presyncopal episodes.  On Saturday she was unable to come down the stairs in the house so husband planned to take her to the hospital but she stood up and passed out and woke up quickly.  He decided to call EMS.  By the time she presented to our hospital she was cyanotic and agonal breathing.  On moving her from EMS stretcher to ED bed she had PEA cardiac arrest.  She underwent mechanical device CPR with only brief (<1 min) ROSC x1.  She at some point did have a shockable rhythm.  Cath lab was notified and she was taken emergently to the cath lab with ongoing mechanical device CPR.  Peripheral VA ECMO was placed after about 1.5 hours.  Pulmonary angiogram was done which showed massive saddle PE with near complete obliteration of the right pulmonary tree and some filling defects in the left tree as well.  At that time she had severe mixed respiratory and metabolic acidosis with a lactate of 24.  She also had no gag or corneal reflex, minimally responsive pupils, and no response to noxious stimuli.  Mechanical thrombectomy was attempted with some result.  She was transferred to the SICU with increasing pressor requirement, and DIC.  Ultimately, the venous catheter of the ECMO circuit malfunctioned thought to be secondary propagating IVC thrombosis.  Family decided to withdraw care and she passed away."
	"1122080-1"	"1122080-1"	"CARDIAC ARREST"	"10007515"	"40-49 years"	"40-49"	"Patient's received 2nd dose of Moderna vaccine Friday 3/12.  Her husband reported she had not unexpected fatigue,  malaise, and fever for 1 day but better after that.  On Monday she began complaining of shortness of breath.  This progressively worsened and she started having presyncopal episodes.  On Saturday she was unable to come down the stairs in the house so husband planned to take her to the hospital but she stood up and passed out and woke up quickly.  He decided to call EMS.  By the time she presented to our hospital she was cyanotic and agonal breathing.  On moving her from EMS stretcher to ED bed she had PEA cardiac arrest.  She underwent mechanical device CPR with only brief (<1 min) ROSC x1.  She at some point did have a shockable rhythm.  Cath lab was notified and she was taken emergently to the cath lab with ongoing mechanical device CPR.  Peripheral VA ECMO was placed after about 1.5 hours.  Pulmonary angiogram was done which showed massive saddle PE with near complete obliteration of the right pulmonary tree and some filling defects in the left tree as well.  At that time she had severe mixed respiratory and metabolic acidosis with a lactate of 24.  She also had no gag or corneal reflex, minimally responsive pupils, and no response to noxious stimuli.  Mechanical thrombectomy was attempted with some result.  She was transferred to the SICU with increasing pressor requirement, and DIC.  Ultimately, the venous catheter of the ECMO circuit malfunctioned thought to be secondary propagating IVC thrombosis.  Family decided to withdraw care and she passed away."
	"1122080-1"	"1122080-1"	"COMPLICATION ASSOCIATED WITH DEVICE"	"10077107"	"40-49 years"	"40-49"	"Patient's received 2nd dose of Moderna vaccine Friday 3/12.  Her husband reported she had not unexpected fatigue,  malaise, and fever for 1 day but better after that.  On Monday she began complaining of shortness of breath.  This progressively worsened and she started having presyncopal episodes.  On Saturday she was unable to come down the stairs in the house so husband planned to take her to the hospital but she stood up and passed out and woke up quickly.  He decided to call EMS.  By the time she presented to our hospital she was cyanotic and agonal breathing.  On moving her from EMS stretcher to ED bed she had PEA cardiac arrest.  She underwent mechanical device CPR with only brief (<1 min) ROSC x1.  She at some point did have a shockable rhythm.  Cath lab was notified and she was taken emergently to the cath lab with ongoing mechanical device CPR.  Peripheral VA ECMO was placed after about 1.5 hours.  Pulmonary angiogram was done which showed massive saddle PE with near complete obliteration of the right pulmonary tree and some filling defects in the left tree as well.  At that time she had severe mixed respiratory and metabolic acidosis with a lactate of 24.  She also had no gag or corneal reflex, minimally responsive pupils, and no response to noxious stimuli.  Mechanical thrombectomy was attempted with some result.  She was transferred to the SICU with increasing pressor requirement, and DIC.  Ultimately, the venous catheter of the ECMO circuit malfunctioned thought to be secondary propagating IVC thrombosis.  Family decided to withdraw care and she passed away."
	"1122080-1"	"1122080-1"	"CORNEAL REFLEX DECREASED"	"10011042"	"40-49 years"	"40-49"	"Patient's received 2nd dose of Moderna vaccine Friday 3/12.  Her husband reported she had not unexpected fatigue,  malaise, and fever for 1 day but better after that.  On Monday she began complaining of shortness of breath.  This progressively worsened and she started having presyncopal episodes.  On Saturday she was unable to come down the stairs in the house so husband planned to take her to the hospital but she stood up and passed out and woke up quickly.  He decided to call EMS.  By the time she presented to our hospital she was cyanotic and agonal breathing.  On moving her from EMS stretcher to ED bed she had PEA cardiac arrest.  She underwent mechanical device CPR with only brief (<1 min) ROSC x1.  She at some point did have a shockable rhythm.  Cath lab was notified and she was taken emergently to the cath lab with ongoing mechanical device CPR.  Peripheral VA ECMO was placed after about 1.5 hours.  Pulmonary angiogram was done which showed massive saddle PE with near complete obliteration of the right pulmonary tree and some filling defects in the left tree as well.  At that time she had severe mixed respiratory and metabolic acidosis with a lactate of 24.  She also had no gag or corneal reflex, minimally responsive pupils, and no response to noxious stimuli.  Mechanical thrombectomy was attempted with some result.  She was transferred to the SICU with increasing pressor requirement, and DIC.  Ultimately, the venous catheter of the ECMO circuit malfunctioned thought to be secondary propagating IVC thrombosis.  Family decided to withdraw care and she passed away."
	"1122080-1"	"1122080-1"	"CYANOSIS"	"10011703"	"40-49 years"	"40-49"	"Patient's received 2nd dose of Moderna vaccine Friday 3/12.  Her husband reported she had not unexpected fatigue,  malaise, and fever for 1 day but better after that.  On Monday she began complaining of shortness of breath.  This progressively worsened and she started having presyncopal episodes.  On Saturday she was unable to come down the stairs in the house so husband planned to take her to the hospital but she stood up and passed out and woke up quickly.  He decided to call EMS.  By the time she presented to our hospital she was cyanotic and agonal breathing.  On moving her from EMS stretcher to ED bed she had PEA cardiac arrest.  She underwent mechanical device CPR with only brief (<1 min) ROSC x1.  She at some point did have a shockable rhythm.  Cath lab was notified and she was taken emergently to the cath lab with ongoing mechanical device CPR.  Peripheral VA ECMO was placed after about 1.5 hours.  Pulmonary angiogram was done which showed massive saddle PE with near complete obliteration of the right pulmonary tree and some filling defects in the left tree as well.  At that time she had severe mixed respiratory and metabolic acidosis with a lactate of 24.  She also had no gag or corneal reflex, minimally responsive pupils, and no response to noxious stimuli.  Mechanical thrombectomy was attempted with some result.  She was transferred to the SICU with increasing pressor requirement, and DIC.  Ultimately, the venous catheter of the ECMO circuit malfunctioned thought to be secondary propagating IVC thrombosis.  Family decided to withdraw care and she passed away."
	"1122080-1"	"1122080-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Patient's received 2nd dose of Moderna vaccine Friday 3/12.  Her husband reported she had not unexpected fatigue,  malaise, and fever for 1 day but better after that.  On Monday she began complaining of shortness of breath.  This progressively worsened and she started having presyncopal episodes.  On Saturday she was unable to come down the stairs in the house so husband planned to take her to the hospital but she stood up and passed out and woke up quickly.  He decided to call EMS.  By the time she presented to our hospital she was cyanotic and agonal breathing.  On moving her from EMS stretcher to ED bed she had PEA cardiac arrest.  She underwent mechanical device CPR with only brief (<1 min) ROSC x1.  She at some point did have a shockable rhythm.  Cath lab was notified and she was taken emergently to the cath lab with ongoing mechanical device CPR.  Peripheral VA ECMO was placed after about 1.5 hours.  Pulmonary angiogram was done which showed massive saddle PE with near complete obliteration of the right pulmonary tree and some filling defects in the left tree as well.  At that time she had severe mixed respiratory and metabolic acidosis with a lactate of 24.  She also had no gag or corneal reflex, minimally responsive pupils, and no response to noxious stimuli.  Mechanical thrombectomy was attempted with some result.  She was transferred to the SICU with increasing pressor requirement, and DIC.  Ultimately, the venous catheter of the ECMO circuit malfunctioned thought to be secondary propagating IVC thrombosis.  Family decided to withdraw care and she passed away."
	"1122080-1"	"1122080-1"	"DEVICE MALFUNCTION"	"10063829"	"40-49 years"	"40-49"	"Patient's received 2nd dose of Moderna vaccine Friday 3/12.  Her husband reported she had not unexpected fatigue,  malaise, and fever for 1 day but better after that.  On Monday she began complaining of shortness of breath.  This progressively worsened and she started having presyncopal episodes.  On Saturday she was unable to come down the stairs in the house so husband planned to take her to the hospital but she stood up and passed out and woke up quickly.  He decided to call EMS.  By the time she presented to our hospital she was cyanotic and agonal breathing.  On moving her from EMS stretcher to ED bed she had PEA cardiac arrest.  She underwent mechanical device CPR with only brief (<1 min) ROSC x1.  She at some point did have a shockable rhythm.  Cath lab was notified and she was taken emergently to the cath lab with ongoing mechanical device CPR.  Peripheral VA ECMO was placed after about 1.5 hours.  Pulmonary angiogram was done which showed massive saddle PE with near complete obliteration of the right pulmonary tree and some filling defects in the left tree as well.  At that time she had severe mixed respiratory and metabolic acidosis with a lactate of 24.  She also had no gag or corneal reflex, minimally responsive pupils, and no response to noxious stimuli.  Mechanical thrombectomy was attempted with some result.  She was transferred to the SICU with increasing pressor requirement, and DIC.  Ultimately, the venous catheter of the ECMO circuit malfunctioned thought to be secondary propagating IVC thrombosis.  Family decided to withdraw care and she passed away."
	"1122080-1"	"1122080-1"	"DISSEMINATED INTRAVASCULAR COAGULATION"	"10013442"	"40-49 years"	"40-49"	"Patient's received 2nd dose of Moderna vaccine Friday 3/12.  Her husband reported she had not unexpected fatigue,  malaise, and fever for 1 day but better after that.  On Monday she began complaining of shortness of breath.  This progressively worsened and she started having presyncopal episodes.  On Saturday she was unable to come down the stairs in the house so husband planned to take her to the hospital but she stood up and passed out and woke up quickly.  He decided to call EMS.  By the time she presented to our hospital she was cyanotic and agonal breathing.  On moving her from EMS stretcher to ED bed she had PEA cardiac arrest.  She underwent mechanical device CPR with only brief (<1 min) ROSC x1.  She at some point did have a shockable rhythm.  Cath lab was notified and she was taken emergently to the cath lab with ongoing mechanical device CPR.  Peripheral VA ECMO was placed after about 1.5 hours.  Pulmonary angiogram was done which showed massive saddle PE with near complete obliteration of the right pulmonary tree and some filling defects in the left tree as well.  At that time she had severe mixed respiratory and metabolic acidosis with a lactate of 24.  She also had no gag or corneal reflex, minimally responsive pupils, and no response to noxious stimuli.  Mechanical thrombectomy was attempted with some result.  She was transferred to the SICU with increasing pressor requirement, and DIC.  Ultimately, the venous catheter of the ECMO circuit malfunctioned thought to be secondary propagating IVC thrombosis.  Family decided to withdraw care and she passed away."
	"1122080-1"	"1122080-1"	"DYSPNOEA"	"10013968"	"40-49 years"	"40-49"	"Patient's received 2nd dose of Moderna vaccine Friday 3/12.  Her husband reported she had not unexpected fatigue,  malaise, and fever for 1 day but better after that.  On Monday she began complaining of shortness of breath.  This progressively worsened and she started having presyncopal episodes.  On Saturday she was unable to come down the stairs in the house so husband planned to take her to the hospital but she stood up and passed out and woke up quickly.  He decided to call EMS.  By the time she presented to our hospital she was cyanotic and agonal breathing.  On moving her from EMS stretcher to ED bed she had PEA cardiac arrest.  She underwent mechanical device CPR with only brief (<1 min) ROSC x1.  She at some point did have a shockable rhythm.  Cath lab was notified and she was taken emergently to the cath lab with ongoing mechanical device CPR.  Peripheral VA ECMO was placed after about 1.5 hours.  Pulmonary angiogram was done which showed massive saddle PE with near complete obliteration of the right pulmonary tree and some filling defects in the left tree as well.  At that time she had severe mixed respiratory and metabolic acidosis with a lactate of 24.  She also had no gag or corneal reflex, minimally responsive pupils, and no response to noxious stimuli.  Mechanical thrombectomy was attempted with some result.  She was transferred to the SICU with increasing pressor requirement, and DIC.  Ultimately, the venous catheter of the ECMO circuit malfunctioned thought to be secondary propagating IVC thrombosis.  Family decided to withdraw care and she passed away."
	"1122080-1"	"1122080-1"	"FATIGUE"	"10016256"	"40-49 years"	"40-49"	"Patient's received 2nd dose of Moderna vaccine Friday 3/12.  Her husband reported she had not unexpected fatigue,  malaise, and fever for 1 day but better after that.  On Monday she began complaining of shortness of breath.  This progressively worsened and she started having presyncopal episodes.  On Saturday she was unable to come down the stairs in the house so husband planned to take her to the hospital but she stood up and passed out and woke up quickly.  He decided to call EMS.  By the time she presented to our hospital she was cyanotic and agonal breathing.  On moving her from EMS stretcher to ED bed she had PEA cardiac arrest.  She underwent mechanical device CPR with only brief (<1 min) ROSC x1.  She at some point did have a shockable rhythm.  Cath lab was notified and she was taken emergently to the cath lab with ongoing mechanical device CPR.  Peripheral VA ECMO was placed after about 1.5 hours.  Pulmonary angiogram was done which showed massive saddle PE with near complete obliteration of the right pulmonary tree and some filling defects in the left tree as well.  At that time she had severe mixed respiratory and metabolic acidosis with a lactate of 24.  She also had no gag or corneal reflex, minimally responsive pupils, and no response to noxious stimuli.  Mechanical thrombectomy was attempted with some result.  She was transferred to the SICU with increasing pressor requirement, and DIC.  Ultimately, the venous catheter of the ECMO circuit malfunctioned thought to be secondary propagating IVC thrombosis.  Family decided to withdraw care and she passed away."
	"1122080-1"	"1122080-1"	"INTENSIVE CARE"	"10022519"	"40-49 years"	"40-49"	"Patient's received 2nd dose of Moderna vaccine Friday 3/12.  Her husband reported she had not unexpected fatigue,  malaise, and fever for 1 day but better after that.  On Monday she began complaining of shortness of breath.  This progressively worsened and she started having presyncopal episodes.  On Saturday she was unable to come down the stairs in the house so husband planned to take her to the hospital but she stood up and passed out and woke up quickly.  He decided to call EMS.  By the time she presented to our hospital she was cyanotic and agonal breathing.  On moving her from EMS stretcher to ED bed she had PEA cardiac arrest.  She underwent mechanical device CPR with only brief (<1 min) ROSC x1.  She at some point did have a shockable rhythm.  Cath lab was notified and she was taken emergently to the cath lab with ongoing mechanical device CPR.  Peripheral VA ECMO was placed after about 1.5 hours.  Pulmonary angiogram was done which showed massive saddle PE with near complete obliteration of the right pulmonary tree and some filling defects in the left tree as well.  At that time she had severe mixed respiratory and metabolic acidosis with a lactate of 24.  She also had no gag or corneal reflex, minimally responsive pupils, and no response to noxious stimuli.  Mechanical thrombectomy was attempted with some result.  She was transferred to the SICU with increasing pressor requirement, and DIC.  Ultimately, the venous catheter of the ECMO circuit malfunctioned thought to be secondary propagating IVC thrombosis.  Family decided to withdraw care and she passed away."
	"1122080-1"	"1122080-1"	"LOSS OF CONSCIOUSNESS"	"10024855"	"40-49 years"	"40-49"	"Patient's received 2nd dose of Moderna vaccine Friday 3/12.  Her husband reported she had not unexpected fatigue,  malaise, and fever for 1 day but better after that.  On Monday she began complaining of shortness of breath.  This progressively worsened and she started having presyncopal episodes.  On Saturday she was unable to come down the stairs in the house so husband planned to take her to the hospital but she stood up and passed out and woke up quickly.  He decided to call EMS.  By the time she presented to our hospital she was cyanotic and agonal breathing.  On moving her from EMS stretcher to ED bed she had PEA cardiac arrest.  She underwent mechanical device CPR with only brief (<1 min) ROSC x1.  She at some point did have a shockable rhythm.  Cath lab was notified and she was taken emergently to the cath lab with ongoing mechanical device CPR.  Peripheral VA ECMO was placed after about 1.5 hours.  Pulmonary angiogram was done which showed massive saddle PE with near complete obliteration of the right pulmonary tree and some filling defects in the left tree as well.  At that time she had severe mixed respiratory and metabolic acidosis with a lactate of 24.  She also had no gag or corneal reflex, minimally responsive pupils, and no response to noxious stimuli.  Mechanical thrombectomy was attempted with some result.  She was transferred to the SICU with increasing pressor requirement, and DIC.  Ultimately, the venous catheter of the ECMO circuit malfunctioned thought to be secondary propagating IVC thrombosis.  Family decided to withdraw care and she passed away."
	"1122080-1"	"1122080-1"	"LUNG ASSIST DEVICE THERAPY"	"10082527"	"40-49 years"	"40-49"	"Patient's received 2nd dose of Moderna vaccine Friday 3/12.  Her husband reported she had not unexpected fatigue,  malaise, and fever for 1 day but better after that.  On Monday she began complaining of shortness of breath.  This progressively worsened and she started having presyncopal episodes.  On Saturday she was unable to come down the stairs in the house so husband planned to take her to the hospital but she stood up and passed out and woke up quickly.  He decided to call EMS.  By the time she presented to our hospital she was cyanotic and agonal breathing.  On moving her from EMS stretcher to ED bed she had PEA cardiac arrest.  She underwent mechanical device CPR with only brief (<1 min) ROSC x1.  She at some point did have a shockable rhythm.  Cath lab was notified and she was taken emergently to the cath lab with ongoing mechanical device CPR.  Peripheral VA ECMO was placed after about 1.5 hours.  Pulmonary angiogram was done which showed massive saddle PE with near complete obliteration of the right pulmonary tree and some filling defects in the left tree as well.  At that time she had severe mixed respiratory and metabolic acidosis with a lactate of 24.  She also had no gag or corneal reflex, minimally responsive pupils, and no response to noxious stimuli.  Mechanical thrombectomy was attempted with some result.  She was transferred to the SICU with increasing pressor requirement, and DIC.  Ultimately, the venous catheter of the ECMO circuit malfunctioned thought to be secondary propagating IVC thrombosis.  Family decided to withdraw care and she passed away."
	"1122080-1"	"1122080-1"	"MALAISE"	"10025482"	"40-49 years"	"40-49"	"Patient's received 2nd dose of Moderna vaccine Friday 3/12.  Her husband reported she had not unexpected fatigue,  malaise, and fever for 1 day but better after that.  On Monday she began complaining of shortness of breath.  This progressively worsened and she started having presyncopal episodes.  On Saturday she was unable to come down the stairs in the house so husband planned to take her to the hospital but she stood up and passed out and woke up quickly.  He decided to call EMS.  By the time she presented to our hospital she was cyanotic and agonal breathing.  On moving her from EMS stretcher to ED bed she had PEA cardiac arrest.  She underwent mechanical device CPR with only brief (<1 min) ROSC x1.  She at some point did have a shockable rhythm.  Cath lab was notified and she was taken emergently to the cath lab with ongoing mechanical device CPR.  Peripheral VA ECMO was placed after about 1.5 hours.  Pulmonary angiogram was done which showed massive saddle PE with near complete obliteration of the right pulmonary tree and some filling defects in the left tree as well.  At that time she had severe mixed respiratory and metabolic acidosis with a lactate of 24.  She also had no gag or corneal reflex, minimally responsive pupils, and no response to noxious stimuli.  Mechanical thrombectomy was attempted with some result.  She was transferred to the SICU with increasing pressor requirement, and DIC.  Ultimately, the venous catheter of the ECMO circuit malfunctioned thought to be secondary propagating IVC thrombosis.  Family decided to withdraw care and she passed away."
	"1122080-1"	"1122080-1"	"METABOLIC ACIDOSIS"	"10027417"	"40-49 years"	"40-49"	"Patient's received 2nd dose of Moderna vaccine Friday 3/12.  Her husband reported she had not unexpected fatigue,  malaise, and fever for 1 day but better after that.  On Monday she began complaining of shortness of breath.  This progressively worsened and she started having presyncopal episodes.  On Saturday she was unable to come down the stairs in the house so husband planned to take her to the hospital but she stood up and passed out and woke up quickly.  He decided to call EMS.  By the time she presented to our hospital she was cyanotic and agonal breathing.  On moving her from EMS stretcher to ED bed she had PEA cardiac arrest.  She underwent mechanical device CPR with only brief (<1 min) ROSC x1.  She at some point did have a shockable rhythm.  Cath lab was notified and she was taken emergently to the cath lab with ongoing mechanical device CPR.  Peripheral VA ECMO was placed after about 1.5 hours.  Pulmonary angiogram was done which showed massive saddle PE with near complete obliteration of the right pulmonary tree and some filling defects in the left tree as well.  At that time she had severe mixed respiratory and metabolic acidosis with a lactate of 24.  She also had no gag or corneal reflex, minimally responsive pupils, and no response to noxious stimuli.  Mechanical thrombectomy was attempted with some result.  She was transferred to the SICU with increasing pressor requirement, and DIC.  Ultimately, the venous catheter of the ECMO circuit malfunctioned thought to be secondary propagating IVC thrombosis.  Family decided to withdraw care and she passed away."
	"1122080-1"	"1122080-1"	"MOBILITY DECREASED"	"10048334"	"40-49 years"	"40-49"	"Patient's received 2nd dose of Moderna vaccine Friday 3/12.  Her husband reported she had not unexpected fatigue,  malaise, and fever for 1 day but better after that.  On Monday she began complaining of shortness of breath.  This progressively worsened and she started having presyncopal episodes.  On Saturday she was unable to come down the stairs in the house so husband planned to take her to the hospital but she stood up and passed out and woke up quickly.  He decided to call EMS.  By the time she presented to our hospital she was cyanotic and agonal breathing.  On moving her from EMS stretcher to ED bed she had PEA cardiac arrest.  She underwent mechanical device CPR with only brief (<1 min) ROSC x1.  She at some point did have a shockable rhythm.  Cath lab was notified and she was taken emergently to the cath lab with ongoing mechanical device CPR.  Peripheral VA ECMO was placed after about 1.5 hours.  Pulmonary angiogram was done which showed massive saddle PE with near complete obliteration of the right pulmonary tree and some filling defects in the left tree as well.  At that time she had severe mixed respiratory and metabolic acidosis with a lactate of 24.  She also had no gag or corneal reflex, minimally responsive pupils, and no response to noxious stimuli.  Mechanical thrombectomy was attempted with some result.  She was transferred to the SICU with increasing pressor requirement, and DIC.  Ultimately, the venous catheter of the ECMO circuit malfunctioned thought to be secondary propagating IVC thrombosis.  Family decided to withdraw care and she passed away."
	"1122080-1"	"1122080-1"	"PRESYNCOPE"	"10036653"	"40-49 years"	"40-49"	"Patient's received 2nd dose of Moderna vaccine Friday 3/12.  Her husband reported she had not unexpected fatigue,  malaise, and fever for 1 day but better after that.  On Monday she began complaining of shortness of breath.  This progressively worsened and she started having presyncopal episodes.  On Saturday she was unable to come down the stairs in the house so husband planned to take her to the hospital but she stood up and passed out and woke up quickly.  He decided to call EMS.  By the time she presented to our hospital she was cyanotic and agonal breathing.  On moving her from EMS stretcher to ED bed she had PEA cardiac arrest.  She underwent mechanical device CPR with only brief (<1 min) ROSC x1.  She at some point did have a shockable rhythm.  Cath lab was notified and she was taken emergently to the cath lab with ongoing mechanical device CPR.  Peripheral VA ECMO was placed after about 1.5 hours.  Pulmonary angiogram was done which showed massive saddle PE with near complete obliteration of the right pulmonary tree and some filling defects in the left tree as well.  At that time she had severe mixed respiratory and metabolic acidosis with a lactate of 24.  She also had no gag or corneal reflex, minimally responsive pupils, and no response to noxious stimuli.  Mechanical thrombectomy was attempted with some result.  She was transferred to the SICU with increasing pressor requirement, and DIC.  Ultimately, the venous catheter of the ECMO circuit malfunctioned thought to be secondary propagating IVC thrombosis.  Family decided to withdraw care and she passed away."
	"1122080-1"	"1122080-1"	"PULMONARY EMBOLISM"	"10037377"	"40-49 years"	"40-49"	"Patient's received 2nd dose of Moderna vaccine Friday 3/12.  Her husband reported she had not unexpected fatigue,  malaise, and fever for 1 day but better after that.  On Monday she began complaining of shortness of breath.  This progressively worsened and she started having presyncopal episodes.  On Saturday she was unable to come down the stairs in the house so husband planned to take her to the hospital but she stood up and passed out and woke up quickly.  He decided to call EMS.  By the time she presented to our hospital she was cyanotic and agonal breathing.  On moving her from EMS stretcher to ED bed she had PEA cardiac arrest.  She underwent mechanical device CPR with only brief (<1 min) ROSC x1.  She at some point did have a shockable rhythm.  Cath lab was notified and she was taken emergently to the cath lab with ongoing mechanical device CPR.  Peripheral VA ECMO was placed after about 1.5 hours.  Pulmonary angiogram was done which showed massive saddle PE with near complete obliteration of the right pulmonary tree and some filling defects in the left tree as well.  At that time she had severe mixed respiratory and metabolic acidosis with a lactate of 24.  She also had no gag or corneal reflex, minimally responsive pupils, and no response to noxious stimuli.  Mechanical thrombectomy was attempted with some result.  She was transferred to the SICU with increasing pressor requirement, and DIC.  Ultimately, the venous catheter of the ECMO circuit malfunctioned thought to be secondary propagating IVC thrombosis.  Family decided to withdraw care and she passed away."
	"1122080-1"	"1122080-1"	"PULSELESS ELECTRICAL ACTIVITY"	"10058151"	"40-49 years"	"40-49"	"Patient's received 2nd dose of Moderna vaccine Friday 3/12.  Her husband reported she had not unexpected fatigue,  malaise, and fever for 1 day but better after that.  On Monday she began complaining of shortness of breath.  This progressively worsened and she started having presyncopal episodes.  On Saturday she was unable to come down the stairs in the house so husband planned to take her to the hospital but she stood up and passed out and woke up quickly.  He decided to call EMS.  By the time she presented to our hospital she was cyanotic and agonal breathing.  On moving her from EMS stretcher to ED bed she had PEA cardiac arrest.  She underwent mechanical device CPR with only brief (<1 min) ROSC x1.  She at some point did have a shockable rhythm.  Cath lab was notified and she was taken emergently to the cath lab with ongoing mechanical device CPR.  Peripheral VA ECMO was placed after about 1.5 hours.  Pulmonary angiogram was done which showed massive saddle PE with near complete obliteration of the right pulmonary tree and some filling defects in the left tree as well.  At that time she had severe mixed respiratory and metabolic acidosis with a lactate of 24.  She also had no gag or corneal reflex, minimally responsive pupils, and no response to noxious stimuli.  Mechanical thrombectomy was attempted with some result.  She was transferred to the SICU with increasing pressor requirement, and DIC.  Ultimately, the venous catheter of the ECMO circuit malfunctioned thought to be secondary propagating IVC thrombosis.  Family decided to withdraw care and she passed away."
	"1122080-1"	"1122080-1"	"PUPILLARY REFLEX IMPAIRED"	"10037532"	"40-49 years"	"40-49"	"Patient's received 2nd dose of Moderna vaccine Friday 3/12.  Her husband reported she had not unexpected fatigue,  malaise, and fever for 1 day but better after that.  On Monday she began complaining of shortness of breath.  This progressively worsened and she started having presyncopal episodes.  On Saturday she was unable to come down the stairs in the house so husband planned to take her to the hospital but she stood up and passed out and woke up quickly.  He decided to call EMS.  By the time she presented to our hospital she was cyanotic and agonal breathing.  On moving her from EMS stretcher to ED bed she had PEA cardiac arrest.  She underwent mechanical device CPR with only brief (<1 min) ROSC x1.  She at some point did have a shockable rhythm.  Cath lab was notified and she was taken emergently to the cath lab with ongoing mechanical device CPR.  Peripheral VA ECMO was placed after about 1.5 hours.  Pulmonary angiogram was done which showed massive saddle PE with near complete obliteration of the right pulmonary tree and some filling defects in the left tree as well.  At that time she had severe mixed respiratory and metabolic acidosis with a lactate of 24.  She also had no gag or corneal reflex, minimally responsive pupils, and no response to noxious stimuli.  Mechanical thrombectomy was attempted with some result.  She was transferred to the SICU with increasing pressor requirement, and DIC.  Ultimately, the venous catheter of the ECMO circuit malfunctioned thought to be secondary propagating IVC thrombosis.  Family decided to withdraw care and she passed away."
	"1122080-1"	"1122080-1"	"PYREXIA"	"10037660"	"40-49 years"	"40-49"	"Patient's received 2nd dose of Moderna vaccine Friday 3/12.  Her husband reported she had not unexpected fatigue,  malaise, and fever for 1 day but better after that.  On Monday she began complaining of shortness of breath.  This progressively worsened and she started having presyncopal episodes.  On Saturday she was unable to come down the stairs in the house so husband planned to take her to the hospital but she stood up and passed out and woke up quickly.  He decided to call EMS.  By the time she presented to our hospital she was cyanotic and agonal breathing.  On moving her from EMS stretcher to ED bed she had PEA cardiac arrest.  She underwent mechanical device CPR with only brief (<1 min) ROSC x1.  She at some point did have a shockable rhythm.  Cath lab was notified and she was taken emergently to the cath lab with ongoing mechanical device CPR.  Peripheral VA ECMO was placed after about 1.5 hours.  Pulmonary angiogram was done which showed massive saddle PE with near complete obliteration of the right pulmonary tree and some filling defects in the left tree as well.  At that time she had severe mixed respiratory and metabolic acidosis with a lactate of 24.  She also had no gag or corneal reflex, minimally responsive pupils, and no response to noxious stimuli.  Mechanical thrombectomy was attempted with some result.  She was transferred to the SICU with increasing pressor requirement, and DIC.  Ultimately, the venous catheter of the ECMO circuit malfunctioned thought to be secondary propagating IVC thrombosis.  Family decided to withdraw care and she passed away."
	"1122080-1"	"1122080-1"	"RESPIRATORY ACIDOSIS"	"10038661"	"40-49 years"	"40-49"	"Patient's received 2nd dose of Moderna vaccine Friday 3/12.  Her husband reported she had not unexpected fatigue,  malaise, and fever for 1 day but better after that.  On Monday she began complaining of shortness of breath.  This progressively worsened and she started having presyncopal episodes.  On Saturday she was unable to come down the stairs in the house so husband planned to take her to the hospital but she stood up and passed out and woke up quickly.  He decided to call EMS.  By the time she presented to our hospital she was cyanotic and agonal breathing.  On moving her from EMS stretcher to ED bed she had PEA cardiac arrest.  She underwent mechanical device CPR with only brief (<1 min) ROSC x1.  She at some point did have a shockable rhythm.  Cath lab was notified and she was taken emergently to the cath lab with ongoing mechanical device CPR.  Peripheral VA ECMO was placed after about 1.5 hours.  Pulmonary angiogram was done which showed massive saddle PE with near complete obliteration of the right pulmonary tree and some filling defects in the left tree as well.  At that time she had severe mixed respiratory and metabolic acidosis with a lactate of 24.  She also had no gag or corneal reflex, minimally responsive pupils, and no response to noxious stimuli.  Mechanical thrombectomy was attempted with some result.  She was transferred to the SICU with increasing pressor requirement, and DIC.  Ultimately, the venous catheter of the ECMO circuit malfunctioned thought to be secondary propagating IVC thrombosis.  Family decided to withdraw care and she passed away."
	"1122080-1"	"1122080-1"	"RESUSCITATION"	"10038749"	"40-49 years"	"40-49"	"Patient's received 2nd dose of Moderna vaccine Friday 3/12.  Her husband reported she had not unexpected fatigue,  malaise, and fever for 1 day but better after that.  On Monday she began complaining of shortness of breath.  This progressively worsened and she started having presyncopal episodes.  On Saturday she was unable to come down the stairs in the house so husband planned to take her to the hospital but she stood up and passed out and woke up quickly.  He decided to call EMS.  By the time she presented to our hospital she was cyanotic and agonal breathing.  On moving her from EMS stretcher to ED bed she had PEA cardiac arrest.  She underwent mechanical device CPR with only brief (<1 min) ROSC x1.  She at some point did have a shockable rhythm.  Cath lab was notified and she was taken emergently to the cath lab with ongoing mechanical device CPR.  Peripheral VA ECMO was placed after about 1.5 hours.  Pulmonary angiogram was done which showed massive saddle PE with near complete obliteration of the right pulmonary tree and some filling defects in the left tree as well.  At that time she had severe mixed respiratory and metabolic acidosis with a lactate of 24.  She also had no gag or corneal reflex, minimally responsive pupils, and no response to noxious stimuli.  Mechanical thrombectomy was attempted with some result.  She was transferred to the SICU with increasing pressor requirement, and DIC.  Ultimately, the venous catheter of the ECMO circuit malfunctioned thought to be secondary propagating IVC thrombosis.  Family decided to withdraw care and she passed away."
	"1122080-1"	"1122080-1"	"THERAPY CESSATION"	"10065154"	"40-49 years"	"40-49"	"Patient's received 2nd dose of Moderna vaccine Friday 3/12.  Her husband reported she had not unexpected fatigue,  malaise, and fever for 1 day but better after that.  On Monday she began complaining of shortness of breath.  This progressively worsened and she started having presyncopal episodes.  On Saturday she was unable to come down the stairs in the house so husband planned to take her to the hospital but she stood up and passed out and woke up quickly.  He decided to call EMS.  By the time she presented to our hospital she was cyanotic and agonal breathing.  On moving her from EMS stretcher to ED bed she had PEA cardiac arrest.  She underwent mechanical device CPR with only brief (<1 min) ROSC x1.  She at some point did have a shockable rhythm.  Cath lab was notified and she was taken emergently to the cath lab with ongoing mechanical device CPR.  Peripheral VA ECMO was placed after about 1.5 hours.  Pulmonary angiogram was done which showed massive saddle PE with near complete obliteration of the right pulmonary tree and some filling defects in the left tree as well.  At that time she had severe mixed respiratory and metabolic acidosis with a lactate of 24.  She also had no gag or corneal reflex, minimally responsive pupils, and no response to noxious stimuli.  Mechanical thrombectomy was attempted with some result.  She was transferred to the SICU with increasing pressor requirement, and DIC.  Ultimately, the venous catheter of the ECMO circuit malfunctioned thought to be secondary propagating IVC thrombosis.  Family decided to withdraw care and she passed away."
	"1122080-1"	"1122080-1"	"THROMBECTOMY"	"10043530"	"40-49 years"	"40-49"	"Patient's received 2nd dose of Moderna vaccine Friday 3/12.  Her husband reported she had not unexpected fatigue,  malaise, and fever for 1 day but better after that.  On Monday she began complaining of shortness of breath.  This progressively worsened and she started having presyncopal episodes.  On Saturday she was unable to come down the stairs in the house so husband planned to take her to the hospital but she stood up and passed out and woke up quickly.  He decided to call EMS.  By the time she presented to our hospital she was cyanotic and agonal breathing.  On moving her from EMS stretcher to ED bed she had PEA cardiac arrest.  She underwent mechanical device CPR with only brief (<1 min) ROSC x1.  She at some point did have a shockable rhythm.  Cath lab was notified and she was taken emergently to the cath lab with ongoing mechanical device CPR.  Peripheral VA ECMO was placed after about 1.5 hours.  Pulmonary angiogram was done which showed massive saddle PE with near complete obliteration of the right pulmonary tree and some filling defects in the left tree as well.  At that time she had severe mixed respiratory and metabolic acidosis with a lactate of 24.  She also had no gag or corneal reflex, minimally responsive pupils, and no response to noxious stimuli.  Mechanical thrombectomy was attempted with some result.  She was transferred to the SICU with increasing pressor requirement, and DIC.  Ultimately, the venous catheter of the ECMO circuit malfunctioned thought to be secondary propagating IVC thrombosis.  Family decided to withdraw care and she passed away."
	"1122080-1"	"1122080-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"40-49 years"	"40-49"	"Patient's received 2nd dose of Moderna vaccine Friday 3/12.  Her husband reported she had not unexpected fatigue,  malaise, and fever for 1 day but better after that.  On Monday she began complaining of shortness of breath.  This progressively worsened and she started having presyncopal episodes.  On Saturday she was unable to come down the stairs in the house so husband planned to take her to the hospital but she stood up and passed out and woke up quickly.  He decided to call EMS.  By the time she presented to our hospital she was cyanotic and agonal breathing.  On moving her from EMS stretcher to ED bed she had PEA cardiac arrest.  She underwent mechanical device CPR with only brief (<1 min) ROSC x1.  She at some point did have a shockable rhythm.  Cath lab was notified and she was taken emergently to the cath lab with ongoing mechanical device CPR.  Peripheral VA ECMO was placed after about 1.5 hours.  Pulmonary angiogram was done which showed massive saddle PE with near complete obliteration of the right pulmonary tree and some filling defects in the left tree as well.  At that time she had severe mixed respiratory and metabolic acidosis with a lactate of 24.  She also had no gag or corneal reflex, minimally responsive pupils, and no response to noxious stimuli.  Mechanical thrombectomy was attempted with some result.  She was transferred to the SICU with increasing pressor requirement, and DIC.  Ultimately, the venous catheter of the ECMO circuit malfunctioned thought to be secondary propagating IVC thrombosis.  Family decided to withdraw care and she passed away."
	"1122080-1"	"1122080-1"	"VENA CAVA THROMBOSIS"	"10047195"	"40-49 years"	"40-49"	"Patient's received 2nd dose of Moderna vaccine Friday 3/12.  Her husband reported she had not unexpected fatigue,  malaise, and fever for 1 day but better after that.  On Monday she began complaining of shortness of breath.  This progressively worsened and she started having presyncopal episodes.  On Saturday she was unable to come down the stairs in the house so husband planned to take her to the hospital but she stood up and passed out and woke up quickly.  He decided to call EMS.  By the time she presented to our hospital she was cyanotic and agonal breathing.  On moving her from EMS stretcher to ED bed she had PEA cardiac arrest.  She underwent mechanical device CPR with only brief (<1 min) ROSC x1.  She at some point did have a shockable rhythm.  Cath lab was notified and she was taken emergently to the cath lab with ongoing mechanical device CPR.  Peripheral VA ECMO was placed after about 1.5 hours.  Pulmonary angiogram was done which showed massive saddle PE with near complete obliteration of the right pulmonary tree and some filling defects in the left tree as well.  At that time she had severe mixed respiratory and metabolic acidosis with a lactate of 24.  She also had no gag or corneal reflex, minimally responsive pupils, and no response to noxious stimuli.  Mechanical thrombectomy was attempted with some result.  She was transferred to the SICU with increasing pressor requirement, and DIC.  Ultimately, the venous catheter of the ECMO circuit malfunctioned thought to be secondary propagating IVC thrombosis.  Family decided to withdraw care and she passed away."
	"1124794-1"	"1124794-1"	"CARDIAC ARREST"	"10007515"	"30-39 years"	"30-39"	"Extreme head ache, chest pain, fever 101 F. Gave 1000 mg Tylenol, albuterol via nebulizer Q4hr. Died 3/20/2021 approx 11:00 am from Cardiac Arrest."
	"1124794-1"	"1124794-1"	"CHEST PAIN"	"10008479"	"30-39 years"	"30-39"	"Extreme head ache, chest pain, fever 101 F. Gave 1000 mg Tylenol, albuterol via nebulizer Q4hr. Died 3/20/2021 approx 11:00 am from Cardiac Arrest."
	"1124794-1"	"1124794-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Extreme head ache, chest pain, fever 101 F. Gave 1000 mg Tylenol, albuterol via nebulizer Q4hr. Died 3/20/2021 approx 11:00 am from Cardiac Arrest."
	"1124794-1"	"1124794-1"	"HEADACHE"	"10019211"	"30-39 years"	"30-39"	"Extreme head ache, chest pain, fever 101 F. Gave 1000 mg Tylenol, albuterol via nebulizer Q4hr. Died 3/20/2021 approx 11:00 am from Cardiac Arrest."
	"1124794-1"	"1124794-1"	"PYREXIA"	"10037660"	"30-39 years"	"30-39"	"Extreme head ache, chest pain, fever 101 F. Gave 1000 mg Tylenol, albuterol via nebulizer Q4hr. Died 3/20/2021 approx 11:00 am from Cardiac Arrest."
	"1126015-1"	"1126015-1"	"BLADDER CATHETERISATION"	"10005028"	"40-49 years"	"40-49"	"Unknown adverse event from vaccination. 3/14/21 Informed by caregiver that client was sent by ambulance to ER and diagnosed with bilat pneumonia.  She developed difficulty breathing on 3/13/21.  She was seen at Walk In on 3/12/21 for toenail eviscerated and INR, and had been giving tylenol for pain control for toe. 3/15/21 Informed by caregiver client was in ICU, septic, bilat pneumonia, and low oxygen levels. 3/16/21 Informed by caregiver client not doing well authorized indwelling cath due to low blood pressure and ventilator.  Client transfered by med flight to ICU. 3/17/21 Informed by caregiver client death last night."
	"1126015-1"	"1126015-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Unknown adverse event from vaccination. 3/14/21 Informed by caregiver that client was sent by ambulance to ER and diagnosed with bilat pneumonia.  She developed difficulty breathing on 3/13/21.  She was seen at Walk In on 3/12/21 for toenail eviscerated and INR, and had been giving tylenol for pain control for toe. 3/15/21 Informed by caregiver client was in ICU, septic, bilat pneumonia, and low oxygen levels. 3/16/21 Informed by caregiver client not doing well authorized indwelling cath due to low blood pressure and ventilator.  Client transfered by med flight to ICU. 3/17/21 Informed by caregiver client death last night."
	"1126015-1"	"1126015-1"	"DYSPNOEA"	"10013968"	"40-49 years"	"40-49"	"Unknown adverse event from vaccination. 3/14/21 Informed by caregiver that client was sent by ambulance to ER and diagnosed with bilat pneumonia.  She developed difficulty breathing on 3/13/21.  She was seen at Walk In on 3/12/21 for toenail eviscerated and INR, and had been giving tylenol for pain control for toe. 3/15/21 Informed by caregiver client was in ICU, septic, bilat pneumonia, and low oxygen levels. 3/16/21 Informed by caregiver client not doing well authorized indwelling cath due to low blood pressure and ventilator.  Client transfered by med flight to ICU. 3/17/21 Informed by caregiver client death last night."
	"1126015-1"	"1126015-1"	"HYPOTENSION"	"10021097"	"40-49 years"	"40-49"	"Unknown adverse event from vaccination. 3/14/21 Informed by caregiver that client was sent by ambulance to ER and diagnosed with bilat pneumonia.  She developed difficulty breathing on 3/13/21.  She was seen at Walk In on 3/12/21 for toenail eviscerated and INR, and had been giving tylenol for pain control for toe. 3/15/21 Informed by caregiver client was in ICU, septic, bilat pneumonia, and low oxygen levels. 3/16/21 Informed by caregiver client not doing well authorized indwelling cath due to low blood pressure and ventilator.  Client transfered by med flight to ICU. 3/17/21 Informed by caregiver client death last night."
	"1126015-1"	"1126015-1"	"INTENSIVE CARE"	"10022519"	"40-49 years"	"40-49"	"Unknown adverse event from vaccination. 3/14/21 Informed by caregiver that client was sent by ambulance to ER and diagnosed with bilat pneumonia.  She developed difficulty breathing on 3/13/21.  She was seen at Walk In on 3/12/21 for toenail eviscerated and INR, and had been giving tylenol for pain control for toe. 3/15/21 Informed by caregiver client was in ICU, septic, bilat pneumonia, and low oxygen levels. 3/16/21 Informed by caregiver client not doing well authorized indwelling cath due to low blood pressure and ventilator.  Client transfered by med flight to ICU. 3/17/21 Informed by caregiver client death last night."
	"1126015-1"	"1126015-1"	"MECHANICAL VENTILATION"	"10067221"	"40-49 years"	"40-49"	"Unknown adverse event from vaccination. 3/14/21 Informed by caregiver that client was sent by ambulance to ER and diagnosed with bilat pneumonia.  She developed difficulty breathing on 3/13/21.  She was seen at Walk In on 3/12/21 for toenail eviscerated and INR, and had been giving tylenol for pain control for toe. 3/15/21 Informed by caregiver client was in ICU, septic, bilat pneumonia, and low oxygen levels. 3/16/21 Informed by caregiver client not doing well authorized indwelling cath due to low blood pressure and ventilator.  Client transfered by med flight to ICU. 3/17/21 Informed by caregiver client death last night."
	"1126015-1"	"1126015-1"	"NAIL INJURY"	"10068655"	"40-49 years"	"40-49"	"Unknown adverse event from vaccination. 3/14/21 Informed by caregiver that client was sent by ambulance to ER and diagnosed with bilat pneumonia.  She developed difficulty breathing on 3/13/21.  She was seen at Walk In on 3/12/21 for toenail eviscerated and INR, and had been giving tylenol for pain control for toe. 3/15/21 Informed by caregiver client was in ICU, septic, bilat pneumonia, and low oxygen levels. 3/16/21 Informed by caregiver client not doing well authorized indwelling cath due to low blood pressure and ventilator.  Client transfered by med flight to ICU. 3/17/21 Informed by caregiver client death last night."
	"1126015-1"	"1126015-1"	"OXYGEN SATURATION DECREASED"	"10033318"	"40-49 years"	"40-49"	"Unknown adverse event from vaccination. 3/14/21 Informed by caregiver that client was sent by ambulance to ER and diagnosed with bilat pneumonia.  She developed difficulty breathing on 3/13/21.  She was seen at Walk In on 3/12/21 for toenail eviscerated and INR, and had been giving tylenol for pain control for toe. 3/15/21 Informed by caregiver client was in ICU, septic, bilat pneumonia, and low oxygen levels. 3/16/21 Informed by caregiver client not doing well authorized indwelling cath due to low blood pressure and ventilator.  Client transfered by med flight to ICU. 3/17/21 Informed by caregiver client death last night."
	"1126015-1"	"1126015-1"	"PNEUMONIA"	"10035664"	"40-49 years"	"40-49"	"Unknown adverse event from vaccination. 3/14/21 Informed by caregiver that client was sent by ambulance to ER and diagnosed with bilat pneumonia.  She developed difficulty breathing on 3/13/21.  She was seen at Walk In on 3/12/21 for toenail eviscerated and INR, and had been giving tylenol for pain control for toe. 3/15/21 Informed by caregiver client was in ICU, septic, bilat pneumonia, and low oxygen levels. 3/16/21 Informed by caregiver client not doing well authorized indwelling cath due to low blood pressure and ventilator.  Client transfered by med flight to ICU. 3/17/21 Informed by caregiver client death last night."
	"1126015-1"	"1126015-1"	"SEPSIS"	"10040047"	"40-49 years"	"40-49"	"Unknown adverse event from vaccination. 3/14/21 Informed by caregiver that client was sent by ambulance to ER and diagnosed with bilat pneumonia.  She developed difficulty breathing on 3/13/21.  She was seen at Walk In on 3/12/21 for toenail eviscerated and INR, and had been giving tylenol for pain control for toe. 3/15/21 Informed by caregiver client was in ICU, septic, bilat pneumonia, and low oxygen levels. 3/16/21 Informed by caregiver client not doing well authorized indwelling cath due to low blood pressure and ventilator.  Client transfered by med flight to ICU. 3/17/21 Informed by caregiver client death last night."
	"1130616-1"	"1130616-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Community partner reported that they found her unresponsive on the 17th (so she may have died on the 16th) from what they believe was a heart attack. The family has requested an autopsy."
	"1130616-1"	"1130616-1"	"MYOCARDIAL INFARCTION"	"10028596"	"40-49 years"	"40-49"	"Community partner reported that they found her unresponsive on the 17th (so she may have died on the 16th) from what they believe was a heart attack. The family has requested an autopsy."
	"1130616-1"	"1130616-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"40-49 years"	"40-49"	"Community partner reported that they found her unresponsive on the 17th (so she may have died on the 16th) from what they believe was a heart attack. The family has requested an autopsy."
	"1133712-1"	"1133712-1"	"AUTOPSY"	"10050117"	"40-49 years"	"40-49"	"reported bad headaches on the day following the vaccine--did not see the doctor--later died.  the coroner reported that the preliminary autopsy showed an enlarged heart and liver"
	"1133712-1"	"1133712-1"	"CARDIOMEGALY"	"10007632"	"40-49 years"	"40-49"	"reported bad headaches on the day following the vaccine--did not see the doctor--later died.  the coroner reported that the preliminary autopsy showed an enlarged heart and liver"
	"1133712-1"	"1133712-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"reported bad headaches on the day following the vaccine--did not see the doctor--later died.  the coroner reported that the preliminary autopsy showed an enlarged heart and liver"
	"1133712-1"	"1133712-1"	"HEADACHE"	"10019211"	"40-49 years"	"40-49"	"reported bad headaches on the day following the vaccine--did not see the doctor--later died.  the coroner reported that the preliminary autopsy showed an enlarged heart and liver"
	"1133712-1"	"1133712-1"	"HEPATOMEGALY"	"10019842"	"40-49 years"	"40-49"	"reported bad headaches on the day following the vaccine--did not see the doctor--later died.  the coroner reported that the preliminary autopsy showed an enlarged heart and liver"
	"1135730-1"	"1135730-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Patient found dead two days after vaccination; A spontaneous report was received from a healthcare provider concerning 48-year-old, male patient who received Moderna's COVID-19 vaccine (mrna-1273) and died.  The patient's medical history includes bipolar disorder, colon polyps, hypertension, benign tremors & other Comorbidities. Concomitant product like iron sulfate, Fluticasone, Gabapentin, Lamotrigine, Methocarbamol, Propranolol hydrochloride was reported by the reporter .  On 11 mar 2021, approximately 2 days prior to the event, the patient received their first dose of two planned doses of mRNA-1273 (Batch number: unknown) intramuscularly for prophylaxis of COVID-19 infection.   On 13 Mar 2021, the patient died. No other details were reported. Treatment information was unknown.   The patient died on 13 Mar 2021. The cause of death was not provided. Plans for an autopsy were unknown.; Reporter's Comments: Very limited information regarding this event has been provided at this time.  Further information has been requested.; Reported Cause(s) of Death: Unknown cause of death"
	"1144826-1"	"1144826-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"received word that the patient passed away on 3/5/2021.  Do not know the cause of death, nor where he passed away.  He does not have any significant medical history at Health Care Corporation, but did get his first vaccination here on 2/17/2021."
	"1145054-1"	"1145054-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"patient received 2nd dose of Moderna on 3/13/2021; reported by Police Department as having passed away on 3/14/2021.  No other details available."
	"1145526-1"	"1145526-1"	"AUTOPSY"	"10050117"	"30-39 years"	"30-39"	"3/13- First shot of Moderna vaccine received.  3/14- Sore arm, chills and a headache.  3/15- Shortness of breath and rapid heartbeat.  3/16- Went to ER because of more severe shortness of breath and rapid heartbeat.  3/17- COVID test with negative result.  3/19- Patient messaged her PCP explaining persisted symptoms. 3/23- Chest pain and shortness of breath developed and she died at ER in PEA.   3/25- Autopsy showed pulmonary embolism with no evidence of peripheral vascular disease.              Double check COVID test with negative result."
	"1145526-1"	"1145526-1"	"CHEST PAIN"	"10008479"	"30-39 years"	"30-39"	"3/13- First shot of Moderna vaccine received.  3/14- Sore arm, chills and a headache.  3/15- Shortness of breath and rapid heartbeat.  3/16- Went to ER because of more severe shortness of breath and rapid heartbeat.  3/17- COVID test with negative result.  3/19- Patient messaged her PCP explaining persisted symptoms. 3/23- Chest pain and shortness of breath developed and she died at ER in PEA.   3/25- Autopsy showed pulmonary embolism with no evidence of peripheral vascular disease.              Double check COVID test with negative result."
	"1145526-1"	"1145526-1"	"CHILLS"	"10008531"	"30-39 years"	"30-39"	"3/13- First shot of Moderna vaccine received.  3/14- Sore arm, chills and a headache.  3/15- Shortness of breath and rapid heartbeat.  3/16- Went to ER because of more severe shortness of breath and rapid heartbeat.  3/17- COVID test with negative result.  3/19- Patient messaged her PCP explaining persisted symptoms. 3/23- Chest pain and shortness of breath developed and she died at ER in PEA.   3/25- Autopsy showed pulmonary embolism with no evidence of peripheral vascular disease.              Double check COVID test with negative result."
	"1145526-1"	"1145526-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"3/13- First shot of Moderna vaccine received.  3/14- Sore arm, chills and a headache.  3/15- Shortness of breath and rapid heartbeat.  3/16- Went to ER because of more severe shortness of breath and rapid heartbeat.  3/17- COVID test with negative result.  3/19- Patient messaged her PCP explaining persisted symptoms. 3/23- Chest pain and shortness of breath developed and she died at ER in PEA.   3/25- Autopsy showed pulmonary embolism with no evidence of peripheral vascular disease.              Double check COVID test with negative result."
	"1145526-1"	"1145526-1"	"DYSPNOEA"	"10013968"	"30-39 years"	"30-39"	"3/13- First shot of Moderna vaccine received.  3/14- Sore arm, chills and a headache.  3/15- Shortness of breath and rapid heartbeat.  3/16- Went to ER because of more severe shortness of breath and rapid heartbeat.  3/17- COVID test with negative result.  3/19- Patient messaged her PCP explaining persisted symptoms. 3/23- Chest pain and shortness of breath developed and she died at ER in PEA.   3/25- Autopsy showed pulmonary embolism with no evidence of peripheral vascular disease.              Double check COVID test with negative result."
	"1145526-1"	"1145526-1"	"HEADACHE"	"10019211"	"30-39 years"	"30-39"	"3/13- First shot of Moderna vaccine received.  3/14- Sore arm, chills and a headache.  3/15- Shortness of breath and rapid heartbeat.  3/16- Went to ER because of more severe shortness of breath and rapid heartbeat.  3/17- COVID test with negative result.  3/19- Patient messaged her PCP explaining persisted symptoms. 3/23- Chest pain and shortness of breath developed and she died at ER in PEA.   3/25- Autopsy showed pulmonary embolism with no evidence of peripheral vascular disease.              Double check COVID test with negative result."
	"1145526-1"	"1145526-1"	"HEART RATE INCREASED"	"10019303"	"30-39 years"	"30-39"	"3/13- First shot of Moderna vaccine received.  3/14- Sore arm, chills and a headache.  3/15- Shortness of breath and rapid heartbeat.  3/16- Went to ER because of more severe shortness of breath and rapid heartbeat.  3/17- COVID test with negative result.  3/19- Patient messaged her PCP explaining persisted symptoms. 3/23- Chest pain and shortness of breath developed and she died at ER in PEA.   3/25- Autopsy showed pulmonary embolism with no evidence of peripheral vascular disease.              Double check COVID test with negative result."
	"1145526-1"	"1145526-1"	"PAIN IN EXTREMITY"	"10033425"	"30-39 years"	"30-39"	"3/13- First shot of Moderna vaccine received.  3/14- Sore arm, chills and a headache.  3/15- Shortness of breath and rapid heartbeat.  3/16- Went to ER because of more severe shortness of breath and rapid heartbeat.  3/17- COVID test with negative result.  3/19- Patient messaged her PCP explaining persisted symptoms. 3/23- Chest pain and shortness of breath developed and she died at ER in PEA.   3/25- Autopsy showed pulmonary embolism with no evidence of peripheral vascular disease.              Double check COVID test with negative result."
	"1145526-1"	"1145526-1"	"PULMONARY EMBOLISM"	"10037377"	"30-39 years"	"30-39"	"3/13- First shot of Moderna vaccine received.  3/14- Sore arm, chills and a headache.  3/15- Shortness of breath and rapid heartbeat.  3/16- Went to ER because of more severe shortness of breath and rapid heartbeat.  3/17- COVID test with negative result.  3/19- Patient messaged her PCP explaining persisted symptoms. 3/23- Chest pain and shortness of breath developed and she died at ER in PEA.   3/25- Autopsy showed pulmonary embolism with no evidence of peripheral vascular disease.              Double check COVID test with negative result."
	"1145526-1"	"1145526-1"	"SARS-COV-2 TEST NEGATIVE"	"10084273"	"30-39 years"	"30-39"	"3/13- First shot of Moderna vaccine received.  3/14- Sore arm, chills and a headache.  3/15- Shortness of breath and rapid heartbeat.  3/16- Went to ER because of more severe shortness of breath and rapid heartbeat.  3/17- COVID test with negative result.  3/19- Patient messaged her PCP explaining persisted symptoms. 3/23- Chest pain and shortness of breath developed and she died at ER in PEA.   3/25- Autopsy showed pulmonary embolism with no evidence of peripheral vascular disease.              Double check COVID test with negative result."
	"1154639-1"	"1154639-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Patient began having seizures about four hours post vaccine while at a friends house and passed away"
	"1154639-1"	"1154639-1"	"SEIZURE"	"10039906"	"30-39 years"	"30-39"	"Patient began having seizures about four hours post vaccine while at a friends house and passed away"
	"1154856-1"	"1154856-1"	"AUTOPSY"	"10050117"	"40-49 years"	"40-49"	"My sister died due to allergic reaction 45min after taking the Moderna Vaccine"
	"1154856-1"	"1154856-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"My sister died due to allergic reaction 45min after taking the Moderna Vaccine"
	"1154856-1"	"1154856-1"	"HYPERSENSITIVITY"	"10020751"	"40-49 years"	"40-49"	"My sister died due to allergic reaction 45min after taking the Moderna Vaccine"
	"1156266-1"	"1156266-1"	"BACK PAIN"	"10003988"	"40-49 years"	"40-49"	"pt presented in ER 3/17/21 with SOB and  back pain; felt bad since vaccine given; UTI diagnosis-given keflex 500 tid and rocephin shot pt presented to clinic 3/19/21 with continuing back pain  dx low back pain and candidia given methocarbamol, diflucan, and ibuprofen pt presented to clinic 3/26/21 with continuing back pain, difficulty urination. given ceftin and rocephin shot pt presented to ER 3/27/21 renal failure and expired within 10 min of arrival  no fever documented at any visit"
	"1156266-1"	"1156266-1"	"BLOOD CREATINE ABNORMAL"	"10005462"	"40-49 years"	"40-49"	"pt presented in ER 3/17/21 with SOB and  back pain; felt bad since vaccine given; UTI diagnosis-given keflex 500 tid and rocephin shot pt presented to clinic 3/19/21 with continuing back pain  dx low back pain and candidia given methocarbamol, diflucan, and ibuprofen pt presented to clinic 3/26/21 with continuing back pain, difficulty urination. given ceftin and rocephin shot pt presented to ER 3/27/21 renal failure and expired within 10 min of arrival  no fever documented at any visit"
	"1156266-1"	"1156266-1"	"CANDIDA INFECTION"	"10074170"	"40-49 years"	"40-49"	"pt presented in ER 3/17/21 with SOB and  back pain; felt bad since vaccine given; UTI diagnosis-given keflex 500 tid and rocephin shot pt presented to clinic 3/19/21 with continuing back pain  dx low back pain and candidia given methocarbamol, diflucan, and ibuprofen pt presented to clinic 3/26/21 with continuing back pain, difficulty urination. given ceftin and rocephin shot pt presented to ER 3/27/21 renal failure and expired within 10 min of arrival  no fever documented at any visit"
	"1156266-1"	"1156266-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"pt presented in ER 3/17/21 with SOB and  back pain; felt bad since vaccine given; UTI diagnosis-given keflex 500 tid and rocephin shot pt presented to clinic 3/19/21 with continuing back pain  dx low back pain and candidia given methocarbamol, diflucan, and ibuprofen pt presented to clinic 3/26/21 with continuing back pain, difficulty urination. given ceftin and rocephin shot pt presented to ER 3/27/21 renal failure and expired within 10 min of arrival  no fever documented at any visit"
	"1156266-1"	"1156266-1"	"DYSPNOEA"	"10013968"	"40-49 years"	"40-49"	"pt presented in ER 3/17/21 with SOB and  back pain; felt bad since vaccine given; UTI diagnosis-given keflex 500 tid and rocephin shot pt presented to clinic 3/19/21 with continuing back pain  dx low back pain and candidia given methocarbamol, diflucan, and ibuprofen pt presented to clinic 3/26/21 with continuing back pain, difficulty urination. given ceftin and rocephin shot pt presented to ER 3/27/21 renal failure and expired within 10 min of arrival  no fever documented at any visit"
	"1156266-1"	"1156266-1"	"DYSURIA"	"10013990"	"40-49 years"	"40-49"	"pt presented in ER 3/17/21 with SOB and  back pain; felt bad since vaccine given; UTI diagnosis-given keflex 500 tid and rocephin shot pt presented to clinic 3/19/21 with continuing back pain  dx low back pain and candidia given methocarbamol, diflucan, and ibuprofen pt presented to clinic 3/26/21 with continuing back pain, difficulty urination. given ceftin and rocephin shot pt presented to ER 3/27/21 renal failure and expired within 10 min of arrival  no fever documented at any visit"
	"1156266-1"	"1156266-1"	"FEELING ABNORMAL"	"10016322"	"40-49 years"	"40-49"	"pt presented in ER 3/17/21 with SOB and  back pain; felt bad since vaccine given; UTI diagnosis-given keflex 500 tid and rocephin shot pt presented to clinic 3/19/21 with continuing back pain  dx low back pain and candidia given methocarbamol, diflucan, and ibuprofen pt presented to clinic 3/26/21 with continuing back pain, difficulty urination. given ceftin and rocephin shot pt presented to ER 3/27/21 renal failure and expired within 10 min of arrival  no fever documented at any visit"
	"1156266-1"	"1156266-1"	"GLOMERULAR FILTRATION RATE"	"10018355"	"40-49 years"	"40-49"	"pt presented in ER 3/17/21 with SOB and  back pain; felt bad since vaccine given; UTI diagnosis-given keflex 500 tid and rocephin shot pt presented to clinic 3/19/21 with continuing back pain  dx low back pain and candidia given methocarbamol, diflucan, and ibuprofen pt presented to clinic 3/26/21 with continuing back pain, difficulty urination. given ceftin and rocephin shot pt presented to ER 3/27/21 renal failure and expired within 10 min of arrival  no fever documented at any visit"
	"1156266-1"	"1156266-1"	"RENAL FAILURE"	"10038435"	"40-49 years"	"40-49"	"pt presented in ER 3/17/21 with SOB and  back pain; felt bad since vaccine given; UTI diagnosis-given keflex 500 tid and rocephin shot pt presented to clinic 3/19/21 with continuing back pain  dx low back pain and candidia given methocarbamol, diflucan, and ibuprofen pt presented to clinic 3/26/21 with continuing back pain, difficulty urination. given ceftin and rocephin shot pt presented to ER 3/27/21 renal failure and expired within 10 min of arrival  no fever documented at any visit"
	"1156266-1"	"1156266-1"	"URINARY TRACT INFECTION"	"10046571"	"40-49 years"	"40-49"	"pt presented in ER 3/17/21 with SOB and  back pain; felt bad since vaccine given; UTI diagnosis-given keflex 500 tid and rocephin shot pt presented to clinic 3/19/21 with continuing back pain  dx low back pain and candidia given methocarbamol, diflucan, and ibuprofen pt presented to clinic 3/26/21 with continuing back pain, difficulty urination. given ceftin and rocephin shot pt presented to ER 3/27/21 renal failure and expired within 10 min of arrival  no fever documented at any visit"
	"1156266-1"	"1156266-1"	"WHITE BLOOD CELL DISORDER"	"10061414"	"40-49 years"	"40-49"	"pt presented in ER 3/17/21 with SOB and  back pain; felt bad since vaccine given; UTI diagnosis-given keflex 500 tid and rocephin shot pt presented to clinic 3/19/21 with continuing back pain  dx low back pain and candidia given methocarbamol, diflucan, and ibuprofen pt presented to clinic 3/26/21 with continuing back pain, difficulty urination. given ceftin and rocephin shot pt presented to ER 3/27/21 renal failure and expired within 10 min of arrival  no fever documented at any visit"
	"1156620-1"	"1156620-1"	"COVID-19"	"10084268"	"40-49 years"	"40-49"	"Mandatory EUA Reporting - Patient received COVID-19 vaccine on 1/12/21 and then tested positive for Covid the same day. Was admitted to hospital from rehab (resides in rehab for chronic respiratory failure). Patient deteriorated throughout hospitalization, was transitioned to comfort care, and expired on 2/10/21."
	"1156620-1"	"1156620-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Mandatory EUA Reporting - Patient received COVID-19 vaccine on 1/12/21 and then tested positive for Covid the same day. Was admitted to hospital from rehab (resides in rehab for chronic respiratory failure). Patient deteriorated throughout hospitalization, was transitioned to comfort care, and expired on 2/10/21."
	"1156620-1"	"1156620-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"40-49 years"	"40-49"	"Mandatory EUA Reporting - Patient received COVID-19 vaccine on 1/12/21 and then tested positive for Covid the same day. Was admitted to hospital from rehab (resides in rehab for chronic respiratory failure). Patient deteriorated throughout hospitalization, was transitioned to comfort care, and expired on 2/10/21."
	"1156620-1"	"1156620-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"40-49 years"	"40-49"	"Mandatory EUA Reporting - Patient received COVID-19 vaccine on 1/12/21 and then tested positive for Covid the same day. Was admitted to hospital from rehab (resides in rehab for chronic respiratory failure). Patient deteriorated throughout hospitalization, was transitioned to comfort care, and expired on 2/10/21."
	"1161106-1"	"1161106-1"	"COVID-19"	"10084268"	"40-49 years"	"40-49"	"CONTRACTED COVID, CONFIRMED 3/17/21, PATIENT DIED ON 3/23/21"
	"1161106-1"	"1161106-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"CONTRACTED COVID, CONFIRMED 3/17/21, PATIENT DIED ON 3/23/21"
	"1165154-1"	"1165154-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"My husband died 18 days after the shot"
	"1168104-1"	"1168104-1"	"ANAPHYLACTOID SYNDROME OF PREGNANCY"	"10067010"	"30-39 years"	"30-39"	"Pfizer COVID Vaccine treatment under Emergency Use Authorization(EUA): Vaccination received 3/2/2021. On 3/16/2021, maternal cardiac arrest, terminal fetal bradycardia, emergent C-section. Likely amniotic fluid embolism and DIC."
	"1168104-1"	"1168104-1"	"BRADYCARDIA FOETAL"	"10006094"	"30-39 years"	"30-39"	"Pfizer COVID Vaccine treatment under Emergency Use Authorization(EUA): Vaccination received 3/2/2021. On 3/16/2021, maternal cardiac arrest, terminal fetal bradycardia, emergent C-section. Likely amniotic fluid embolism and DIC."
	"1168104-1"	"1168104-1"	"CAESAREAN SECTION"	"10006924"	"30-39 years"	"30-39"	"Pfizer COVID Vaccine treatment under Emergency Use Authorization(EUA): Vaccination received 3/2/2021. On 3/16/2021, maternal cardiac arrest, terminal fetal bradycardia, emergent C-section. Likely amniotic fluid embolism and DIC."
	"1168104-1"	"1168104-1"	"CARDIAC ARREST NEONATAL"	"10007516"	"30-39 years"	"30-39"	"Pfizer COVID Vaccine treatment under Emergency Use Authorization(EUA): Vaccination received 3/2/2021. On 3/16/2021, maternal cardiac arrest, terminal fetal bradycardia, emergent C-section. Likely amniotic fluid embolism and DIC."
	"1168104-1"	"1168104-1"	"DISSEMINATED INTRAVASCULAR COAGULATION"	"10013442"	"30-39 years"	"30-39"	"Pfizer COVID Vaccine treatment under Emergency Use Authorization(EUA): Vaccination received 3/2/2021. On 3/16/2021, maternal cardiac arrest, terminal fetal bradycardia, emergent C-section. Likely amniotic fluid embolism and DIC."
	"1168104-1"	"1168104-1"	"EXPOSURE DURING PREGNANCY"	"10073513"	"30-39 years"	"30-39"	"Pfizer COVID Vaccine treatment under Emergency Use Authorization(EUA): Vaccination received 3/2/2021. On 3/16/2021, maternal cardiac arrest, terminal fetal bradycardia, emergent C-section. Likely amniotic fluid embolism and DIC."
	"1169650-1"	"1169650-1"	"ABDOMINAL PAIN UPPER"	"10000087"	"40-49 years"	"40-49"	"DIFFICULTY BREATHING, SEVERE CHEST PAIN, STOMACH ACHE, HEADACHE, JOINT PAIN WENT TO EMERGENCY ROOM THAT EVENING ON 3/15/2021 WENT TO BED WITH CHEST PAIN AND DID NOT WAKE UP THE NEXT MORNING PARAMEDICS WERE UNABLE TO REVIVE HIM, PRONOUNCED HIM DEAD AT THE SCENE."
	"1169650-1"	"1169650-1"	"ARTHRALGIA"	"10003239"	"40-49 years"	"40-49"	"DIFFICULTY BREATHING, SEVERE CHEST PAIN, STOMACH ACHE, HEADACHE, JOINT PAIN WENT TO EMERGENCY ROOM THAT EVENING ON 3/15/2021 WENT TO BED WITH CHEST PAIN AND DID NOT WAKE UP THE NEXT MORNING PARAMEDICS WERE UNABLE TO REVIVE HIM, PRONOUNCED HIM DEAD AT THE SCENE."
	"1169650-1"	"1169650-1"	"CHEST PAIN"	"10008479"	"40-49 years"	"40-49"	"DIFFICULTY BREATHING, SEVERE CHEST PAIN, STOMACH ACHE, HEADACHE, JOINT PAIN WENT TO EMERGENCY ROOM THAT EVENING ON 3/15/2021 WENT TO BED WITH CHEST PAIN AND DID NOT WAKE UP THE NEXT MORNING PARAMEDICS WERE UNABLE TO REVIVE HIM, PRONOUNCED HIM DEAD AT THE SCENE."
	"1169650-1"	"1169650-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"DIFFICULTY BREATHING, SEVERE CHEST PAIN, STOMACH ACHE, HEADACHE, JOINT PAIN WENT TO EMERGENCY ROOM THAT EVENING ON 3/15/2021 WENT TO BED WITH CHEST PAIN AND DID NOT WAKE UP THE NEXT MORNING PARAMEDICS WERE UNABLE TO REVIVE HIM, PRONOUNCED HIM DEAD AT THE SCENE."
	"1169650-1"	"1169650-1"	"DYSPNOEA"	"10013968"	"40-49 years"	"40-49"	"DIFFICULTY BREATHING, SEVERE CHEST PAIN, STOMACH ACHE, HEADACHE, JOINT PAIN WENT TO EMERGENCY ROOM THAT EVENING ON 3/15/2021 WENT TO BED WITH CHEST PAIN AND DID NOT WAKE UP THE NEXT MORNING PARAMEDICS WERE UNABLE TO REVIVE HIM, PRONOUNCED HIM DEAD AT THE SCENE."
	"1169650-1"	"1169650-1"	"ELECTROCARDIOGRAM"	"10014362"	"40-49 years"	"40-49"	"DIFFICULTY BREATHING, SEVERE CHEST PAIN, STOMACH ACHE, HEADACHE, JOINT PAIN WENT TO EMERGENCY ROOM THAT EVENING ON 3/15/2021 WENT TO BED WITH CHEST PAIN AND DID NOT WAKE UP THE NEXT MORNING PARAMEDICS WERE UNABLE TO REVIVE HIM, PRONOUNCED HIM DEAD AT THE SCENE."
	"1169650-1"	"1169650-1"	"HEADACHE"	"10019211"	"40-49 years"	"40-49"	"DIFFICULTY BREATHING, SEVERE CHEST PAIN, STOMACH ACHE, HEADACHE, JOINT PAIN WENT TO EMERGENCY ROOM THAT EVENING ON 3/15/2021 WENT TO BED WITH CHEST PAIN AND DID NOT WAKE UP THE NEXT MORNING PARAMEDICS WERE UNABLE TO REVIVE HIM, PRONOUNCED HIM DEAD AT THE SCENE."
	"1170822-1"	"1170822-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Patient was found deceased on arrival in his living quarters after not showing up for work. This was approximately 14 days after his second pfizer vaccination. We have no reports of previous signs or symptoms in the days preceding his death. Patient had not visited the clinic since receiving his second shot in the series"
	"1171191-1"	"1171191-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Patient was found dead in his apartment. I'm not clear on details, but he was having some issues the week prior to being vaccinated. He was in acute distress when his attendant care worker came to give him his medications the day before."
	"1171601-1"	"1171601-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Loss of appetite, malaise, nausea, falls, mental fog, death."
	"1171601-1"	"1171601-1"	"DECREASED APPETITE"	"10061428"	"40-49 years"	"40-49"	"Loss of appetite, malaise, nausea, falls, mental fog, death."
	"1171601-1"	"1171601-1"	"FALL"	"10016173"	"40-49 years"	"40-49"	"Loss of appetite, malaise, nausea, falls, mental fog, death."
	"1171601-1"	"1171601-1"	"FEELING ABNORMAL"	"10016322"	"40-49 years"	"40-49"	"Loss of appetite, malaise, nausea, falls, mental fog, death."
	"1171601-1"	"1171601-1"	"MALAISE"	"10025482"	"40-49 years"	"40-49"	"Loss of appetite, malaise, nausea, falls, mental fog, death."
	"1171601-1"	"1171601-1"	"NAUSEA"	"10028813"	"40-49 years"	"40-49"	"Loss of appetite, malaise, nausea, falls, mental fog, death."
	"1172648-1"	"1172648-1"	"CARDIAC ARREST"	"10007515"	"40-49 years"	"40-49"	"Cardiopulmonary arrest,  D-Dimer 55,000, TNKase administered, ACLS, needle thoracostomy, persistent PEA arrest, decompensated into asystole , pronounced"
	"1172648-1"	"1172648-1"	"CARDIO-RESPIRATORY ARREST"	"10007617"	"40-49 years"	"40-49"	"Cardiopulmonary arrest,  D-Dimer 55,000, TNKase administered, ACLS, needle thoracostomy, persistent PEA arrest, decompensated into asystole , pronounced"
	"1172648-1"	"1172648-1"	"CHEST TUBE INSERTION"	"10050522"	"40-49 years"	"40-49"	"Cardiopulmonary arrest,  D-Dimer 55,000, TNKase administered, ACLS, needle thoracostomy, persistent PEA arrest, decompensated into asystole , pronounced"
	"1172648-1"	"1172648-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Cardiopulmonary arrest,  D-Dimer 55,000, TNKase administered, ACLS, needle thoracostomy, persistent PEA arrest, decompensated into asystole , pronounced"
	"1172648-1"	"1172648-1"	"FIBRIN D DIMER INCREASED"	"10016581"	"40-49 years"	"40-49"	"Cardiopulmonary arrest,  D-Dimer 55,000, TNKase administered, ACLS, needle thoracostomy, persistent PEA arrest, decompensated into asystole , pronounced"
	"1172648-1"	"1172648-1"	"LIFE SUPPORT"	"10024447"	"40-49 years"	"40-49"	"Cardiopulmonary arrest,  D-Dimer 55,000, TNKase administered, ACLS, needle thoracostomy, persistent PEA arrest, decompensated into asystole , pronounced"
	"1172648-1"	"1172648-1"	"PULSELESS ELECTRICAL ACTIVITY"	"10058151"	"40-49 years"	"40-49"	"Cardiopulmonary arrest,  D-Dimer 55,000, TNKase administered, ACLS, needle thoracostomy, persistent PEA arrest, decompensated into asystole , pronounced"
	"1174338-1"	"1174338-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Patient died 12-15hrs after vaccination.; This is a spontaneous report from a contactable Consumer. A 40-year-old male patient received bnt162b2 (BNT162B2), dose 1 via an unspecified route of administration, administered in Arm Right on 25Mar2021 12:45 (Batch/Lot Number: ER8727) at the age of 40-year-old as single dose for covid-19 immunisation. Medical history reported as none. Concomitant medication included buprenorphine hydrochloride, naloxone hydrochloride (SUBOXONE) taken for an unspecified indication, start and stop date were not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient patient died 12-15 hours after vaccination. The patient died on 26Mar2021. An autopsy was not performed. No treatment received for the event. Prior to vaccination, the patient was not diagnosed with COVID-19 and since the vaccination, the patient was not been tested for COVID-19.; Reported Cause(s) of Death: Patient died 12-15hrs after vaccination."
	"1175952-1"	"1175952-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Patient death within 60 days of receiving the COVID vaccine series"
	"1176010-1"	"1176010-1"	"ABDOMINAL PAIN UPPER"	"10000087"	"30-39 years"	"30-39"	"He got his vaccine, and mother had talked to his girlfriend said that he felt fine other than a sore arm.  He called his mother and told her that he was sick to his stomach with cramps and that he was throwing up blood.  The girlfriend found him on the floor on the 21st dead on the floor in his hotel room at 8:00 AM.  The girlfriend said she had spoken with him around 10:00 PM and that he said he was going to sleep on the floor in the bathroom as he was throwing up and the floor was cool.  She subsequently found out that he was throwing up blood, and autopsy report showed that his stomach was full of blood and further testing is being done to see what has caused the bleeding."
	"1176010-1"	"1176010-1"	"AUTOPSY"	"10050117"	"30-39 years"	"30-39"	"He got his vaccine, and mother had talked to his girlfriend said that he felt fine other than a sore arm.  He called his mother and told her that he was sick to his stomach with cramps and that he was throwing up blood.  The girlfriend found him on the floor on the 21st dead on the floor in his hotel room at 8:00 AM.  The girlfriend said she had spoken with him around 10:00 PM and that he said he was going to sleep on the floor in the bathroom as he was throwing up and the floor was cool.  She subsequently found out that he was throwing up blood, and autopsy report showed that his stomach was full of blood and further testing is being done to see what has caused the bleeding."
	"1176010-1"	"1176010-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"He got his vaccine, and mother had talked to his girlfriend said that he felt fine other than a sore arm.  He called his mother and told her that he was sick to his stomach with cramps and that he was throwing up blood.  The girlfriend found him on the floor on the 21st dead on the floor in his hotel room at 8:00 AM.  The girlfriend said she had spoken with him around 10:00 PM and that he said he was going to sleep on the floor in the bathroom as he was throwing up and the floor was cool.  She subsequently found out that he was throwing up blood, and autopsy report showed that his stomach was full of blood and further testing is being done to see what has caused the bleeding."
	"1176010-1"	"1176010-1"	"HAEMATEMESIS"	"10018830"	"30-39 years"	"30-39"	"He got his vaccine, and mother had talked to his girlfriend said that he felt fine other than a sore arm.  He called his mother and told her that he was sick to his stomach with cramps and that he was throwing up blood.  The girlfriend found him on the floor on the 21st dead on the floor in his hotel room at 8:00 AM.  The girlfriend said she had spoken with him around 10:00 PM and that he said he was going to sleep on the floor in the bathroom as he was throwing up and the floor was cool.  She subsequently found out that he was throwing up blood, and autopsy report showed that his stomach was full of blood and further testing is being done to see what has caused the bleeding."
	"1176010-1"	"1176010-1"	"INTERNAL HAEMORRHAGE"	"10075192"	"30-39 years"	"30-39"	"He got his vaccine, and mother had talked to his girlfriend said that he felt fine other than a sore arm.  He called his mother and told her that he was sick to his stomach with cramps and that he was throwing up blood.  The girlfriend found him on the floor on the 21st dead on the floor in his hotel room at 8:00 AM.  The girlfriend said she had spoken with him around 10:00 PM and that he said he was going to sleep on the floor in the bathroom as he was throwing up and the floor was cool.  She subsequently found out that he was throwing up blood, and autopsy report showed that his stomach was full of blood and further testing is being done to see what has caused the bleeding."
	"1176010-1"	"1176010-1"	"PAIN IN EXTREMITY"	"10033425"	"30-39 years"	"30-39"	"He got his vaccine, and mother had talked to his girlfriend said that he felt fine other than a sore arm.  He called his mother and told her that he was sick to his stomach with cramps and that he was throwing up blood.  The girlfriend found him on the floor on the 21st dead on the floor in his hotel room at 8:00 AM.  The girlfriend said she had spoken with him around 10:00 PM and that he said he was going to sleep on the floor in the bathroom as he was throwing up and the floor was cool.  She subsequently found out that he was throwing up blood, and autopsy report showed that his stomach was full of blood and further testing is being done to see what has caused the bleeding."
	"1176274-1"	"1176274-1"	"CARDIO-RESPIRATORY ARREST"	"10007617"	"40-49 years"	"40-49"	"Patient became SOB 911 called patient arrested in ambulance and died"
	"1176274-1"	"1176274-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Patient became SOB 911 called patient arrested in ambulance and died"
	"1176274-1"	"1176274-1"	"DYSPNOEA"	"10013968"	"40-49 years"	"40-49"	"Patient became SOB 911 called patient arrested in ambulance and died"
	"1177548-1"	"1177548-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"On the evening of 4/3/2021 the patient was at home, prone in bed, gasped suddenly and became unresponsive. EMS was called and unable to resuscitate. She expired."
	"1177548-1"	"1177548-1"	"DYSPNOEA"	"10013968"	"30-39 years"	"30-39"	"On the evening of 4/3/2021 the patient was at home, prone in bed, gasped suddenly and became unresponsive. EMS was called and unable to resuscitate. She expired."
	"1177548-1"	"1177548-1"	"RESUSCITATION"	"10038749"	"30-39 years"	"30-39"	"On the evening of 4/3/2021 the patient was at home, prone in bed, gasped suddenly and became unresponsive. EMS was called and unable to resuscitate. She expired."
	"1177548-1"	"1177548-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"30-39 years"	"30-39"	"On the evening of 4/3/2021 the patient was at home, prone in bed, gasped suddenly and became unresponsive. EMS was called and unable to resuscitate. She expired."
	"1178531-1"	"1178531-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Death within 12 hours"
	"1178887-1"	"1178887-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Death"
	"1180895-1"	"1180895-1"	"COMPLETED SUICIDE"	"10010144"	"40-49 years"	"40-49"	"death Narrative:  Pt with hx substance use disorder (on suboxone), depression, PTSD, SI and grief following her son's suicide. Pt received COVID vaccine 3/14/21. Clinic notified of pt's death on 4/6, for which it HAS NOT BEEN VERIFIED but reported death date of 4/3. Pt was scheduled for MH f/u appt 4/5, but no-showed it. Unclear report or cause of death, however, suspected via suicide or drug overdose given risk factors and worsening of mental illnesses. Was pt previously covid positive? No Are there any predisposing factors (i.e. PMH, HPI, allergy history etc) for patient experiencing adverse drug event? No Any occurrence of an ADR at time of administration or during time of observation? No Did patient recover from event? N/A - pt died but does not appear related to vaccine Was there an ADR between observation period and date of death? No Was patient hospitalized prior to vaccination? No Was patient hospitalized between vaccination and date of death? No Was patient hospitalized prior to death No What are the possible cause of death? Suicide, illicit drug overdose"
	"1180895-1"	"1180895-1"	"CONDITION AGGRAVATED"	"10010264"	"40-49 years"	"40-49"	"death Narrative:  Pt with hx substance use disorder (on suboxone), depression, PTSD, SI and grief following her son's suicide. Pt received COVID vaccine 3/14/21. Clinic notified of pt's death on 4/6, for which it HAS NOT BEEN VERIFIED but reported death date of 4/3. Pt was scheduled for MH f/u appt 4/5, but no-showed it. Unclear report or cause of death, however, suspected via suicide or drug overdose given risk factors and worsening of mental illnesses. Was pt previously covid positive? No Are there any predisposing factors (i.e. PMH, HPI, allergy history etc) for patient experiencing adverse drug event? No Any occurrence of an ADR at time of administration or during time of observation? No Did patient recover from event? N/A - pt died but does not appear related to vaccine Was there an ADR between observation period and date of death? No Was patient hospitalized prior to vaccination? No Was patient hospitalized between vaccination and date of death? No Was patient hospitalized prior to death No What are the possible cause of death? Suicide, illicit drug overdose"
	"1180895-1"	"1180895-1"	"MENTAL DISORDER"	"10061284"	"40-49 years"	"40-49"	"death Narrative:  Pt with hx substance use disorder (on suboxone), depression, PTSD, SI and grief following her son's suicide. Pt received COVID vaccine 3/14/21. Clinic notified of pt's death on 4/6, for which it HAS NOT BEEN VERIFIED but reported death date of 4/3. Pt was scheduled for MH f/u appt 4/5, but no-showed it. Unclear report or cause of death, however, suspected via suicide or drug overdose given risk factors and worsening of mental illnesses. Was pt previously covid positive? No Are there any predisposing factors (i.e. PMH, HPI, allergy history etc) for patient experiencing adverse drug event? No Any occurrence of an ADR at time of administration or during time of observation? No Did patient recover from event? N/A - pt died but does not appear related to vaccine Was there an ADR between observation period and date of death? No Was patient hospitalized prior to vaccination? No Was patient hospitalized between vaccination and date of death? No Was patient hospitalized prior to death No What are the possible cause of death? Suicide, illicit drug overdose"
	"1180895-1"	"1180895-1"	"OVERDOSE"	"10033295"	"40-49 years"	"40-49"	"death Narrative:  Pt with hx substance use disorder (on suboxone), depression, PTSD, SI and grief following her son's suicide. Pt received COVID vaccine 3/14/21. Clinic notified of pt's death on 4/6, for which it HAS NOT BEEN VERIFIED but reported death date of 4/3. Pt was scheduled for MH f/u appt 4/5, but no-showed it. Unclear report or cause of death, however, suspected via suicide or drug overdose given risk factors and worsening of mental illnesses. Was pt previously covid positive? No Are there any predisposing factors (i.e. PMH, HPI, allergy history etc) for patient experiencing adverse drug event? No Any occurrence of an ADR at time of administration or during time of observation? No Did patient recover from event? N/A - pt died but does not appear related to vaccine Was there an ADR between observation period and date of death? No Was patient hospitalized prior to vaccination? No Was patient hospitalized between vaccination and date of death? No Was patient hospitalized prior to death No What are the possible cause of death? Suicide, illicit drug overdose"
	"1186348-1"	"1186348-1"	"ANGIOGRAM PULMONARY ABNORMAL"	"10002441"	"30-39 years"	"30-39"	"Copied from MD discharge note - Patient is a 38 y.o. female with PMH significant for asthma and lupus not on any treatment admitted on 3/27/2021 with progressive shortness of breath and cough for months, found to have hypoxia, bilateral multifocal infiltrate without pulmonary embolism on CTA, leukocytosis, elevated troponin, elevated BNP, normal EF on echocardiogram.  COVID- 19 tests were negative 4 times in the last 1 week.  Blood cultures were negative. Urine and strep antigens are negative. HIV-1 also negative.  Rheum consulted for hx of lupus.  They did not feel this was lupus pneumonitis.  Negative anti-dsDNA/SSA/SSB and RF.  Pts resp status continued to decline.  She was intubated on 4/3 and transferred to the ICU.  Bronch washings were also neg for COVID.  Despite neg cultures pt was given multiple rounds of abx including vanc, merrem, azithromycin, cefepime,  without benefit.  IV steroids added for possible reactive pneumonitis.  Pt with shock, likely multifactorial including septic and cardiogenic.  Multiple pressors maximized and BP remained low.  Nephro following for worsening renal function.  CRRT initiated to attempt to correct electrolyte and acidosis.  Pt did not tolerate CRRT after several adjustments by neprho, pts electrolytes continued to drift from normal.  Hgb dropped and CRRT held.  Pt went into cardiac arrest at 1329 on 4/8/21.  After several rounds of epinephrine and optimized ACLS, no pulse was recovered and ROSC was not achieved.  Family notified of death at 1344 on 4/8/21"
	"1186348-1"	"1186348-1"	"ANTINUCLEAR ANTIBODY NEGATIVE"	"10002809"	"30-39 years"	"30-39"	"Copied from MD discharge note - Patient is a 38 y.o. female with PMH significant for asthma and lupus not on any treatment admitted on 3/27/2021 with progressive shortness of breath and cough for months, found to have hypoxia, bilateral multifocal infiltrate without pulmonary embolism on CTA, leukocytosis, elevated troponin, elevated BNP, normal EF on echocardiogram.  COVID- 19 tests were negative 4 times in the last 1 week.  Blood cultures were negative. Urine and strep antigens are negative. HIV-1 also negative.  Rheum consulted for hx of lupus.  They did not feel this was lupus pneumonitis.  Negative anti-dsDNA/SSA/SSB and RF.  Pts resp status continued to decline.  She was intubated on 4/3 and transferred to the ICU.  Bronch washings were also neg for COVID.  Despite neg cultures pt was given multiple rounds of abx including vanc, merrem, azithromycin, cefepime,  without benefit.  IV steroids added for possible reactive pneumonitis.  Pt with shock, likely multifactorial including septic and cardiogenic.  Multiple pressors maximized and BP remained low.  Nephro following for worsening renal function.  CRRT initiated to attempt to correct electrolyte and acidosis.  Pt did not tolerate CRRT after several adjustments by neprho, pts electrolytes continued to drift from normal.  Hgb dropped and CRRT held.  Pt went into cardiac arrest at 1329 on 4/8/21.  After several rounds of epinephrine and optimized ACLS, no pulse was recovered and ROSC was not achieved.  Family notified of death at 1344 on 4/8/21"
	"1186348-1"	"1186348-1"	"BLOOD CULTURE NEGATIVE"	"10005486"	"30-39 years"	"30-39"	"Copied from MD discharge note - Patient is a 38 y.o. female with PMH significant for asthma and lupus not on any treatment admitted on 3/27/2021 with progressive shortness of breath and cough for months, found to have hypoxia, bilateral multifocal infiltrate without pulmonary embolism on CTA, leukocytosis, elevated troponin, elevated BNP, normal EF on echocardiogram.  COVID- 19 tests were negative 4 times in the last 1 week.  Blood cultures were negative. Urine and strep antigens are negative. HIV-1 also negative.  Rheum consulted for hx of lupus.  They did not feel this was lupus pneumonitis.  Negative anti-dsDNA/SSA/SSB and RF.  Pts resp status continued to decline.  She was intubated on 4/3 and transferred to the ICU.  Bronch washings were also neg for COVID.  Despite neg cultures pt was given multiple rounds of abx including vanc, merrem, azithromycin, cefepime,  without benefit.  IV steroids added for possible reactive pneumonitis.  Pt with shock, likely multifactorial including septic and cardiogenic.  Multiple pressors maximized and BP remained low.  Nephro following for worsening renal function.  CRRT initiated to attempt to correct electrolyte and acidosis.  Pt did not tolerate CRRT after several adjustments by neprho, pts electrolytes continued to drift from normal.  Hgb dropped and CRRT held.  Pt went into cardiac arrest at 1329 on 4/8/21.  After several rounds of epinephrine and optimized ACLS, no pulse was recovered and ROSC was not achieved.  Family notified of death at 1344 on 4/8/21"
	"1186348-1"	"1186348-1"	"BRAIN NATRIURETIC PEPTIDE INCREASED"	"10053405"	"30-39 years"	"30-39"	"Copied from MD discharge note - Patient is a 38 y.o. female with PMH significant for asthma and lupus not on any treatment admitted on 3/27/2021 with progressive shortness of breath and cough for months, found to have hypoxia, bilateral multifocal infiltrate without pulmonary embolism on CTA, leukocytosis, elevated troponin, elevated BNP, normal EF on echocardiogram.  COVID- 19 tests were negative 4 times in the last 1 week.  Blood cultures were negative. Urine and strep antigens are negative. HIV-1 also negative.  Rheum consulted for hx of lupus.  They did not feel this was lupus pneumonitis.  Negative anti-dsDNA/SSA/SSB and RF.  Pts resp status continued to decline.  She was intubated on 4/3 and transferred to the ICU.  Bronch washings were also neg for COVID.  Despite neg cultures pt was given multiple rounds of abx including vanc, merrem, azithromycin, cefepime,  without benefit.  IV steroids added for possible reactive pneumonitis.  Pt with shock, likely multifactorial including septic and cardiogenic.  Multiple pressors maximized and BP remained low.  Nephro following for worsening renal function.  CRRT initiated to attempt to correct electrolyte and acidosis.  Pt did not tolerate CRRT after several adjustments by neprho, pts electrolytes continued to drift from normal.  Hgb dropped and CRRT held.  Pt went into cardiac arrest at 1329 on 4/8/21.  After several rounds of epinephrine and optimized ACLS, no pulse was recovered and ROSC was not achieved.  Family notified of death at 1344 on 4/8/21"
	"1186348-1"	"1186348-1"	"BRONCHOALVEOLAR LAVAGE"	"10049413"	"30-39 years"	"30-39"	"Copied from MD discharge note - Patient is a 38 y.o. female with PMH significant for asthma and lupus not on any treatment admitted on 3/27/2021 with progressive shortness of breath and cough for months, found to have hypoxia, bilateral multifocal infiltrate without pulmonary embolism on CTA, leukocytosis, elevated troponin, elevated BNP, normal EF on echocardiogram.  COVID- 19 tests were negative 4 times in the last 1 week.  Blood cultures were negative. Urine and strep antigens are negative. HIV-1 also negative.  Rheum consulted for hx of lupus.  They did not feel this was lupus pneumonitis.  Negative anti-dsDNA/SSA/SSB and RF.  Pts resp status continued to decline.  She was intubated on 4/3 and transferred to the ICU.  Bronch washings were also neg for COVID.  Despite neg cultures pt was given multiple rounds of abx including vanc, merrem, azithromycin, cefepime,  without benefit.  IV steroids added for possible reactive pneumonitis.  Pt with shock, likely multifactorial including septic and cardiogenic.  Multiple pressors maximized and BP remained low.  Nephro following for worsening renal function.  CRRT initiated to attempt to correct electrolyte and acidosis.  Pt did not tolerate CRRT after several adjustments by neprho, pts electrolytes continued to drift from normal.  Hgb dropped and CRRT held.  Pt went into cardiac arrest at 1329 on 4/8/21.  After several rounds of epinephrine and optimized ACLS, no pulse was recovered and ROSC was not achieved.  Family notified of death at 1344 on 4/8/21"
	"1186348-1"	"1186348-1"	"CARDIAC ARREST"	"10007515"	"30-39 years"	"30-39"	"Copied from MD discharge note - Patient is a 38 y.o. female with PMH significant for asthma and lupus not on any treatment admitted on 3/27/2021 with progressive shortness of breath and cough for months, found to have hypoxia, bilateral multifocal infiltrate without pulmonary embolism on CTA, leukocytosis, elevated troponin, elevated BNP, normal EF on echocardiogram.  COVID- 19 tests were negative 4 times in the last 1 week.  Blood cultures were negative. Urine and strep antigens are negative. HIV-1 also negative.  Rheum consulted for hx of lupus.  They did not feel this was lupus pneumonitis.  Negative anti-dsDNA/SSA/SSB and RF.  Pts resp status continued to decline.  She was intubated on 4/3 and transferred to the ICU.  Bronch washings were also neg for COVID.  Despite neg cultures pt was given multiple rounds of abx including vanc, merrem, azithromycin, cefepime,  without benefit.  IV steroids added for possible reactive pneumonitis.  Pt with shock, likely multifactorial including septic and cardiogenic.  Multiple pressors maximized and BP remained low.  Nephro following for worsening renal function.  CRRT initiated to attempt to correct electrolyte and acidosis.  Pt did not tolerate CRRT after several adjustments by neprho, pts electrolytes continued to drift from normal.  Hgb dropped and CRRT held.  Pt went into cardiac arrest at 1329 on 4/8/21.  After several rounds of epinephrine and optimized ACLS, no pulse was recovered and ROSC was not achieved.  Family notified of death at 1344 on 4/8/21"
	"1186348-1"	"1186348-1"	"CARDIOGENIC SHOCK"	"10007625"	"30-39 years"	"30-39"	"Copied from MD discharge note - Patient is a 38 y.o. female with PMH significant for asthma and lupus not on any treatment admitted on 3/27/2021 with progressive shortness of breath and cough for months, found to have hypoxia, bilateral multifocal infiltrate without pulmonary embolism on CTA, leukocytosis, elevated troponin, elevated BNP, normal EF on echocardiogram.  COVID- 19 tests were negative 4 times in the last 1 week.  Blood cultures were negative. Urine and strep antigens are negative. HIV-1 also negative.  Rheum consulted for hx of lupus.  They did not feel this was lupus pneumonitis.  Negative anti-dsDNA/SSA/SSB and RF.  Pts resp status continued to decline.  She was intubated on 4/3 and transferred to the ICU.  Bronch washings were also neg for COVID.  Despite neg cultures pt was given multiple rounds of abx including vanc, merrem, azithromycin, cefepime,  without benefit.  IV steroids added for possible reactive pneumonitis.  Pt with shock, likely multifactorial including septic and cardiogenic.  Multiple pressors maximized and BP remained low.  Nephro following for worsening renal function.  CRRT initiated to attempt to correct electrolyte and acidosis.  Pt did not tolerate CRRT after several adjustments by neprho, pts electrolytes continued to drift from normal.  Hgb dropped and CRRT held.  Pt went into cardiac arrest at 1329 on 4/8/21.  After several rounds of epinephrine and optimized ACLS, no pulse was recovered and ROSC was not achieved.  Family notified of death at 1344 on 4/8/21"
	"1186348-1"	"1186348-1"	"COUGH"	"10011224"	"30-39 years"	"30-39"	"Copied from MD discharge note - Patient is a 38 y.o. female with PMH significant for asthma and lupus not on any treatment admitted on 3/27/2021 with progressive shortness of breath and cough for months, found to have hypoxia, bilateral multifocal infiltrate without pulmonary embolism on CTA, leukocytosis, elevated troponin, elevated BNP, normal EF on echocardiogram.  COVID- 19 tests were negative 4 times in the last 1 week.  Blood cultures were negative. Urine and strep antigens are negative. HIV-1 also negative.  Rheum consulted for hx of lupus.  They did not feel this was lupus pneumonitis.  Negative anti-dsDNA/SSA/SSB and RF.  Pts resp status continued to decline.  She was intubated on 4/3 and transferred to the ICU.  Bronch washings were also neg for COVID.  Despite neg cultures pt was given multiple rounds of abx including vanc, merrem, azithromycin, cefepime,  without benefit.  IV steroids added for possible reactive pneumonitis.  Pt with shock, likely multifactorial including septic and cardiogenic.  Multiple pressors maximized and BP remained low.  Nephro following for worsening renal function.  CRRT initiated to attempt to correct electrolyte and acidosis.  Pt did not tolerate CRRT after several adjustments by neprho, pts electrolytes continued to drift from normal.  Hgb dropped and CRRT held.  Pt went into cardiac arrest at 1329 on 4/8/21.  After several rounds of epinephrine and optimized ACLS, no pulse was recovered and ROSC was not achieved.  Family notified of death at 1344 on 4/8/21"
	"1186348-1"	"1186348-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Copied from MD discharge note - Patient is a 38 y.o. female with PMH significant for asthma and lupus not on any treatment admitted on 3/27/2021 with progressive shortness of breath and cough for months, found to have hypoxia, bilateral multifocal infiltrate without pulmonary embolism on CTA, leukocytosis, elevated troponin, elevated BNP, normal EF on echocardiogram.  COVID- 19 tests were negative 4 times in the last 1 week.  Blood cultures were negative. Urine and strep antigens are negative. HIV-1 also negative.  Rheum consulted for hx of lupus.  They did not feel this was lupus pneumonitis.  Negative anti-dsDNA/SSA/SSB and RF.  Pts resp status continued to decline.  She was intubated on 4/3 and transferred to the ICU.  Bronch washings were also neg for COVID.  Despite neg cultures pt was given multiple rounds of abx including vanc, merrem, azithromycin, cefepime,  without benefit.  IV steroids added for possible reactive pneumonitis.  Pt with shock, likely multifactorial including septic and cardiogenic.  Multiple pressors maximized and BP remained low.  Nephro following for worsening renal function.  CRRT initiated to attempt to correct electrolyte and acidosis.  Pt did not tolerate CRRT after several adjustments by neprho, pts electrolytes continued to drift from normal.  Hgb dropped and CRRT held.  Pt went into cardiac arrest at 1329 on 4/8/21.  After several rounds of epinephrine and optimized ACLS, no pulse was recovered and ROSC was not achieved.  Family notified of death at 1344 on 4/8/21"
	"1186348-1"	"1186348-1"	"DOUBLE STRANDED DNA ANTIBODY"	"10050418"	"30-39 years"	"30-39"	"Copied from MD discharge note - Patient is a 38 y.o. female with PMH significant for asthma and lupus not on any treatment admitted on 3/27/2021 with progressive shortness of breath and cough for months, found to have hypoxia, bilateral multifocal infiltrate without pulmonary embolism on CTA, leukocytosis, elevated troponin, elevated BNP, normal EF on echocardiogram.  COVID- 19 tests were negative 4 times in the last 1 week.  Blood cultures were negative. Urine and strep antigens are negative. HIV-1 also negative.  Rheum consulted for hx of lupus.  They did not feel this was lupus pneumonitis.  Negative anti-dsDNA/SSA/SSB and RF.  Pts resp status continued to decline.  She was intubated on 4/3 and transferred to the ICU.  Bronch washings were also neg for COVID.  Despite neg cultures pt was given multiple rounds of abx including vanc, merrem, azithromycin, cefepime,  without benefit.  IV steroids added for possible reactive pneumonitis.  Pt with shock, likely multifactorial including septic and cardiogenic.  Multiple pressors maximized and BP remained low.  Nephro following for worsening renal function.  CRRT initiated to attempt to correct electrolyte and acidosis.  Pt did not tolerate CRRT after several adjustments by neprho, pts electrolytes continued to drift from normal.  Hgb dropped and CRRT held.  Pt went into cardiac arrest at 1329 on 4/8/21.  After several rounds of epinephrine and optimized ACLS, no pulse was recovered and ROSC was not achieved.  Family notified of death at 1344 on 4/8/21"
	"1186348-1"	"1186348-1"	"DYSPNOEA"	"10013968"	"30-39 years"	"30-39"	"Copied from MD discharge note - Patient is a 38 y.o. female with PMH significant for asthma and lupus not on any treatment admitted on 3/27/2021 with progressive shortness of breath and cough for months, found to have hypoxia, bilateral multifocal infiltrate without pulmonary embolism on CTA, leukocytosis, elevated troponin, elevated BNP, normal EF on echocardiogram.  COVID- 19 tests were negative 4 times in the last 1 week.  Blood cultures were negative. Urine and strep antigens are negative. HIV-1 also negative.  Rheum consulted for hx of lupus.  They did not feel this was lupus pneumonitis.  Negative anti-dsDNA/SSA/SSB and RF.  Pts resp status continued to decline.  She was intubated on 4/3 and transferred to the ICU.  Bronch washings were also neg for COVID.  Despite neg cultures pt was given multiple rounds of abx including vanc, merrem, azithromycin, cefepime,  without benefit.  IV steroids added for possible reactive pneumonitis.  Pt with shock, likely multifactorial including septic and cardiogenic.  Multiple pressors maximized and BP remained low.  Nephro following for worsening renal function.  CRRT initiated to attempt to correct electrolyte and acidosis.  Pt did not tolerate CRRT after several adjustments by neprho, pts electrolytes continued to drift from normal.  Hgb dropped and CRRT held.  Pt went into cardiac arrest at 1329 on 4/8/21.  After several rounds of epinephrine and optimized ACLS, no pulse was recovered and ROSC was not achieved.  Family notified of death at 1344 on 4/8/21"
	"1186348-1"	"1186348-1"	"ECHOCARDIOGRAM NORMAL"	"10014115"	"30-39 years"	"30-39"	"Copied from MD discharge note - Patient is a 38 y.o. female with PMH significant for asthma and lupus not on any treatment admitted on 3/27/2021 with progressive shortness of breath and cough for months, found to have hypoxia, bilateral multifocal infiltrate without pulmonary embolism on CTA, leukocytosis, elevated troponin, elevated BNP, normal EF on echocardiogram.  COVID- 19 tests were negative 4 times in the last 1 week.  Blood cultures were negative. Urine and strep antigens are negative. HIV-1 also negative.  Rheum consulted for hx of lupus.  They did not feel this was lupus pneumonitis.  Negative anti-dsDNA/SSA/SSB and RF.  Pts resp status continued to decline.  She was intubated on 4/3 and transferred to the ICU.  Bronch washings were also neg for COVID.  Despite neg cultures pt was given multiple rounds of abx including vanc, merrem, azithromycin, cefepime,  without benefit.  IV steroids added for possible reactive pneumonitis.  Pt with shock, likely multifactorial including septic and cardiogenic.  Multiple pressors maximized and BP remained low.  Nephro following for worsening renal function.  CRRT initiated to attempt to correct electrolyte and acidosis.  Pt did not tolerate CRRT after several adjustments by neprho, pts electrolytes continued to drift from normal.  Hgb dropped and CRRT held.  Pt went into cardiac arrest at 1329 on 4/8/21.  After several rounds of epinephrine and optimized ACLS, no pulse was recovered and ROSC was not achieved.  Family notified of death at 1344 on 4/8/21"
	"1186348-1"	"1186348-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"30-39 years"	"30-39"	"Copied from MD discharge note - Patient is a 38 y.o. female with PMH significant for asthma and lupus not on any treatment admitted on 3/27/2021 with progressive shortness of breath and cough for months, found to have hypoxia, bilateral multifocal infiltrate without pulmonary embolism on CTA, leukocytosis, elevated troponin, elevated BNP, normal EF on echocardiogram.  COVID- 19 tests were negative 4 times in the last 1 week.  Blood cultures were negative. Urine and strep antigens are negative. HIV-1 also negative.  Rheum consulted for hx of lupus.  They did not feel this was lupus pneumonitis.  Negative anti-dsDNA/SSA/SSB and RF.  Pts resp status continued to decline.  She was intubated on 4/3 and transferred to the ICU.  Bronch washings were also neg for COVID.  Despite neg cultures pt was given multiple rounds of abx including vanc, merrem, azithromycin, cefepime,  without benefit.  IV steroids added for possible reactive pneumonitis.  Pt with shock, likely multifactorial including septic and cardiogenic.  Multiple pressors maximized and BP remained low.  Nephro following for worsening renal function.  CRRT initiated to attempt to correct electrolyte and acidosis.  Pt did not tolerate CRRT after several adjustments by neprho, pts electrolytes continued to drift from normal.  Hgb dropped and CRRT held.  Pt went into cardiac arrest at 1329 on 4/8/21.  After several rounds of epinephrine and optimized ACLS, no pulse was recovered and ROSC was not achieved.  Family notified of death at 1344 on 4/8/21"
	"1186348-1"	"1186348-1"	"HAEMOGLOBIN DECREASED"	"10018884"	"30-39 years"	"30-39"	"Copied from MD discharge note - Patient is a 38 y.o. female with PMH significant for asthma and lupus not on any treatment admitted on 3/27/2021 with progressive shortness of breath and cough for months, found to have hypoxia, bilateral multifocal infiltrate without pulmonary embolism on CTA, leukocytosis, elevated troponin, elevated BNP, normal EF on echocardiogram.  COVID- 19 tests were negative 4 times in the last 1 week.  Blood cultures were negative. Urine and strep antigens are negative. HIV-1 also negative.  Rheum consulted for hx of lupus.  They did not feel this was lupus pneumonitis.  Negative anti-dsDNA/SSA/SSB and RF.  Pts resp status continued to decline.  She was intubated on 4/3 and transferred to the ICU.  Bronch washings were also neg for COVID.  Despite neg cultures pt was given multiple rounds of abx including vanc, merrem, azithromycin, cefepime,  without benefit.  IV steroids added for possible reactive pneumonitis.  Pt with shock, likely multifactorial including septic and cardiogenic.  Multiple pressors maximized and BP remained low.  Nephro following for worsening renal function.  CRRT initiated to attempt to correct electrolyte and acidosis.  Pt did not tolerate CRRT after several adjustments by neprho, pts electrolytes continued to drift from normal.  Hgb dropped and CRRT held.  Pt went into cardiac arrest at 1329 on 4/8/21.  After several rounds of epinephrine and optimized ACLS, no pulse was recovered and ROSC was not achieved.  Family notified of death at 1344 on 4/8/21"
	"1186348-1"	"1186348-1"	"HIV TEST NEGATIVE"	"10020187"	"30-39 years"	"30-39"	"Copied from MD discharge note - Patient is a 38 y.o. female with PMH significant for asthma and lupus not on any treatment admitted on 3/27/2021 with progressive shortness of breath and cough for months, found to have hypoxia, bilateral multifocal infiltrate without pulmonary embolism on CTA, leukocytosis, elevated troponin, elevated BNP, normal EF on echocardiogram.  COVID- 19 tests were negative 4 times in the last 1 week.  Blood cultures were negative. Urine and strep antigens are negative. HIV-1 also negative.  Rheum consulted for hx of lupus.  They did not feel this was lupus pneumonitis.  Negative anti-dsDNA/SSA/SSB and RF.  Pts resp status continued to decline.  She was intubated on 4/3 and transferred to the ICU.  Bronch washings were also neg for COVID.  Despite neg cultures pt was given multiple rounds of abx including vanc, merrem, azithromycin, cefepime,  without benefit.  IV steroids added for possible reactive pneumonitis.  Pt with shock, likely multifactorial including septic and cardiogenic.  Multiple pressors maximized and BP remained low.  Nephro following for worsening renal function.  CRRT initiated to attempt to correct electrolyte and acidosis.  Pt did not tolerate CRRT after several adjustments by neprho, pts electrolytes continued to drift from normal.  Hgb dropped and CRRT held.  Pt went into cardiac arrest at 1329 on 4/8/21.  After several rounds of epinephrine and optimized ACLS, no pulse was recovered and ROSC was not achieved.  Family notified of death at 1344 on 4/8/21"
	"1186348-1"	"1186348-1"	"HYPOTENSION"	"10021097"	"30-39 years"	"30-39"	"Copied from MD discharge note - Patient is a 38 y.o. female with PMH significant for asthma and lupus not on any treatment admitted on 3/27/2021 with progressive shortness of breath and cough for months, found to have hypoxia, bilateral multifocal infiltrate without pulmonary embolism on CTA, leukocytosis, elevated troponin, elevated BNP, normal EF on echocardiogram.  COVID- 19 tests were negative 4 times in the last 1 week.  Blood cultures were negative. Urine and strep antigens are negative. HIV-1 also negative.  Rheum consulted for hx of lupus.  They did not feel this was lupus pneumonitis.  Negative anti-dsDNA/SSA/SSB and RF.  Pts resp status continued to decline.  She was intubated on 4/3 and transferred to the ICU.  Bronch washings were also neg for COVID.  Despite neg cultures pt was given multiple rounds of abx including vanc, merrem, azithromycin, cefepime,  without benefit.  IV steroids added for possible reactive pneumonitis.  Pt with shock, likely multifactorial including septic and cardiogenic.  Multiple pressors maximized and BP remained low.  Nephro following for worsening renal function.  CRRT initiated to attempt to correct electrolyte and acidosis.  Pt did not tolerate CRRT after several adjustments by neprho, pts electrolytes continued to drift from normal.  Hgb dropped and CRRT held.  Pt went into cardiac arrest at 1329 on 4/8/21.  After several rounds of epinephrine and optimized ACLS, no pulse was recovered and ROSC was not achieved.  Family notified of death at 1344 on 4/8/21"
	"1186348-1"	"1186348-1"	"HYPOXIA"	"10021143"	"30-39 years"	"30-39"	"Copied from MD discharge note - Patient is a 38 y.o. female with PMH significant for asthma and lupus not on any treatment admitted on 3/27/2021 with progressive shortness of breath and cough for months, found to have hypoxia, bilateral multifocal infiltrate without pulmonary embolism on CTA, leukocytosis, elevated troponin, elevated BNP, normal EF on echocardiogram.  COVID- 19 tests were negative 4 times in the last 1 week.  Blood cultures were negative. Urine and strep antigens are negative. HIV-1 also negative.  Rheum consulted for hx of lupus.  They did not feel this was lupus pneumonitis.  Negative anti-dsDNA/SSA/SSB and RF.  Pts resp status continued to decline.  She was intubated on 4/3 and transferred to the ICU.  Bronch washings were also neg for COVID.  Despite neg cultures pt was given multiple rounds of abx including vanc, merrem, azithromycin, cefepime,  without benefit.  IV steroids added for possible reactive pneumonitis.  Pt with shock, likely multifactorial including septic and cardiogenic.  Multiple pressors maximized and BP remained low.  Nephro following for worsening renal function.  CRRT initiated to attempt to correct electrolyte and acidosis.  Pt did not tolerate CRRT after several adjustments by neprho, pts electrolytes continued to drift from normal.  Hgb dropped and CRRT held.  Pt went into cardiac arrest at 1329 on 4/8/21.  After several rounds of epinephrine and optimized ACLS, no pulse was recovered and ROSC was not achieved.  Family notified of death at 1344 on 4/8/21"
	"1186348-1"	"1186348-1"	"INTENSIVE CARE"	"10022519"	"30-39 years"	"30-39"	"Copied from MD discharge note - Patient is a 38 y.o. female with PMH significant for asthma and lupus not on any treatment admitted on 3/27/2021 with progressive shortness of breath and cough for months, found to have hypoxia, bilateral multifocal infiltrate without pulmonary embolism on CTA, leukocytosis, elevated troponin, elevated BNP, normal EF on echocardiogram.  COVID- 19 tests were negative 4 times in the last 1 week.  Blood cultures were negative. Urine and strep antigens are negative. HIV-1 also negative.  Rheum consulted for hx of lupus.  They did not feel this was lupus pneumonitis.  Negative anti-dsDNA/SSA/SSB and RF.  Pts resp status continued to decline.  She was intubated on 4/3 and transferred to the ICU.  Bronch washings were also neg for COVID.  Despite neg cultures pt was given multiple rounds of abx including vanc, merrem, azithromycin, cefepime,  without benefit.  IV steroids added for possible reactive pneumonitis.  Pt with shock, likely multifactorial including septic and cardiogenic.  Multiple pressors maximized and BP remained low.  Nephro following for worsening renal function.  CRRT initiated to attempt to correct electrolyte and acidosis.  Pt did not tolerate CRRT after several adjustments by neprho, pts electrolytes continued to drift from normal.  Hgb dropped and CRRT held.  Pt went into cardiac arrest at 1329 on 4/8/21.  After several rounds of epinephrine and optimized ACLS, no pulse was recovered and ROSC was not achieved.  Family notified of death at 1344 on 4/8/21"
	"1186348-1"	"1186348-1"	"LEUKOCYTOSIS"	"10024378"	"30-39 years"	"30-39"	"Copied from MD discharge note - Patient is a 38 y.o. female with PMH significant for asthma and lupus not on any treatment admitted on 3/27/2021 with progressive shortness of breath and cough for months, found to have hypoxia, bilateral multifocal infiltrate without pulmonary embolism on CTA, leukocytosis, elevated troponin, elevated BNP, normal EF on echocardiogram.  COVID- 19 tests were negative 4 times in the last 1 week.  Blood cultures were negative. Urine and strep antigens are negative. HIV-1 also negative.  Rheum consulted for hx of lupus.  They did not feel this was lupus pneumonitis.  Negative anti-dsDNA/SSA/SSB and RF.  Pts resp status continued to decline.  She was intubated on 4/3 and transferred to the ICU.  Bronch washings were also neg for COVID.  Despite neg cultures pt was given multiple rounds of abx including vanc, merrem, azithromycin, cefepime,  without benefit.  IV steroids added for possible reactive pneumonitis.  Pt with shock, likely multifactorial including septic and cardiogenic.  Multiple pressors maximized and BP remained low.  Nephro following for worsening renal function.  CRRT initiated to attempt to correct electrolyte and acidosis.  Pt did not tolerate CRRT after several adjustments by neprho, pts electrolytes continued to drift from normal.  Hgb dropped and CRRT held.  Pt went into cardiac arrest at 1329 on 4/8/21.  After several rounds of epinephrine and optimized ACLS, no pulse was recovered and ROSC was not achieved.  Family notified of death at 1344 on 4/8/21"
	"1186348-1"	"1186348-1"	"LIFE SUPPORT"	"10024447"	"30-39 years"	"30-39"	"Copied from MD discharge note - Patient is a 38 y.o. female with PMH significant for asthma and lupus not on any treatment admitted on 3/27/2021 with progressive shortness of breath and cough for months, found to have hypoxia, bilateral multifocal infiltrate without pulmonary embolism on CTA, leukocytosis, elevated troponin, elevated BNP, normal EF on echocardiogram.  COVID- 19 tests were negative 4 times in the last 1 week.  Blood cultures were negative. Urine and strep antigens are negative. HIV-1 also negative.  Rheum consulted for hx of lupus.  They did not feel this was lupus pneumonitis.  Negative anti-dsDNA/SSA/SSB and RF.  Pts resp status continued to decline.  She was intubated on 4/3 and transferred to the ICU.  Bronch washings were also neg for COVID.  Despite neg cultures pt was given multiple rounds of abx including vanc, merrem, azithromycin, cefepime,  without benefit.  IV steroids added for possible reactive pneumonitis.  Pt with shock, likely multifactorial including septic and cardiogenic.  Multiple pressors maximized and BP remained low.  Nephro following for worsening renal function.  CRRT initiated to attempt to correct electrolyte and acidosis.  Pt did not tolerate CRRT after several adjustments by neprho, pts electrolytes continued to drift from normal.  Hgb dropped and CRRT held.  Pt went into cardiac arrest at 1329 on 4/8/21.  After several rounds of epinephrine and optimized ACLS, no pulse was recovered and ROSC was not achieved.  Family notified of death at 1344 on 4/8/21"
	"1186348-1"	"1186348-1"	"LUNG INFILTRATION"	"10025102"	"30-39 years"	"30-39"	"Copied from MD discharge note - Patient is a 38 y.o. female with PMH significant for asthma and lupus not on any treatment admitted on 3/27/2021 with progressive shortness of breath and cough for months, found to have hypoxia, bilateral multifocal infiltrate without pulmonary embolism on CTA, leukocytosis, elevated troponin, elevated BNP, normal EF on echocardiogram.  COVID- 19 tests were negative 4 times in the last 1 week.  Blood cultures were negative. Urine and strep antigens are negative. HIV-1 also negative.  Rheum consulted for hx of lupus.  They did not feel this was lupus pneumonitis.  Negative anti-dsDNA/SSA/SSB and RF.  Pts resp status continued to decline.  She was intubated on 4/3 and transferred to the ICU.  Bronch washings were also neg for COVID.  Despite neg cultures pt was given multiple rounds of abx including vanc, merrem, azithromycin, cefepime,  without benefit.  IV steroids added for possible reactive pneumonitis.  Pt with shock, likely multifactorial including septic and cardiogenic.  Multiple pressors maximized and BP remained low.  Nephro following for worsening renal function.  CRRT initiated to attempt to correct electrolyte and acidosis.  Pt did not tolerate CRRT after several adjustments by neprho, pts electrolytes continued to drift from normal.  Hgb dropped and CRRT held.  Pt went into cardiac arrest at 1329 on 4/8/21.  After several rounds of epinephrine and optimized ACLS, no pulse was recovered and ROSC was not achieved.  Family notified of death at 1344 on 4/8/21"
	"1186348-1"	"1186348-1"	"PULSE ABSENT"	"10037469"	"30-39 years"	"30-39"	"Copied from MD discharge note - Patient is a 38 y.o. female with PMH significant for asthma and lupus not on any treatment admitted on 3/27/2021 with progressive shortness of breath and cough for months, found to have hypoxia, bilateral multifocal infiltrate without pulmonary embolism on CTA, leukocytosis, elevated troponin, elevated BNP, normal EF on echocardiogram.  COVID- 19 tests were negative 4 times in the last 1 week.  Blood cultures were negative. Urine and strep antigens are negative. HIV-1 also negative.  Rheum consulted for hx of lupus.  They did not feel this was lupus pneumonitis.  Negative anti-dsDNA/SSA/SSB and RF.  Pts resp status continued to decline.  She was intubated on 4/3 and transferred to the ICU.  Bronch washings were also neg for COVID.  Despite neg cultures pt was given multiple rounds of abx including vanc, merrem, azithromycin, cefepime,  without benefit.  IV steroids added for possible reactive pneumonitis.  Pt with shock, likely multifactorial including septic and cardiogenic.  Multiple pressors maximized and BP remained low.  Nephro following for worsening renal function.  CRRT initiated to attempt to correct electrolyte and acidosis.  Pt did not tolerate CRRT after several adjustments by neprho, pts electrolytes continued to drift from normal.  Hgb dropped and CRRT held.  Pt went into cardiac arrest at 1329 on 4/8/21.  After several rounds of epinephrine and optimized ACLS, no pulse was recovered and ROSC was not achieved.  Family notified of death at 1344 on 4/8/21"
	"1186348-1"	"1186348-1"	"RENAL IMPAIRMENT"	"10062237"	"30-39 years"	"30-39"	"Copied from MD discharge note - Patient is a 38 y.o. female with PMH significant for asthma and lupus not on any treatment admitted on 3/27/2021 with progressive shortness of breath and cough for months, found to have hypoxia, bilateral multifocal infiltrate without pulmonary embolism on CTA, leukocytosis, elevated troponin, elevated BNP, normal EF on echocardiogram.  COVID- 19 tests were negative 4 times in the last 1 week.  Blood cultures were negative. Urine and strep antigens are negative. HIV-1 also negative.  Rheum consulted for hx of lupus.  They did not feel this was lupus pneumonitis.  Negative anti-dsDNA/SSA/SSB and RF.  Pts resp status continued to decline.  She was intubated on 4/3 and transferred to the ICU.  Bronch washings were also neg for COVID.  Despite neg cultures pt was given multiple rounds of abx including vanc, merrem, azithromycin, cefepime,  without benefit.  IV steroids added for possible reactive pneumonitis.  Pt with shock, likely multifactorial including septic and cardiogenic.  Multiple pressors maximized and BP remained low.  Nephro following for worsening renal function.  CRRT initiated to attempt to correct electrolyte and acidosis.  Pt did not tolerate CRRT after several adjustments by neprho, pts electrolytes continued to drift from normal.  Hgb dropped and CRRT held.  Pt went into cardiac arrest at 1329 on 4/8/21.  After several rounds of epinephrine and optimized ACLS, no pulse was recovered and ROSC was not achieved.  Family notified of death at 1344 on 4/8/21"
	"1186348-1"	"1186348-1"	"SARS-COV-2 TEST NEGATIVE"	"10084273"	"30-39 years"	"30-39"	"Copied from MD discharge note - Patient is a 38 y.o. female with PMH significant for asthma and lupus not on any treatment admitted on 3/27/2021 with progressive shortness of breath and cough for months, found to have hypoxia, bilateral multifocal infiltrate without pulmonary embolism on CTA, leukocytosis, elevated troponin, elevated BNP, normal EF on echocardiogram.  COVID- 19 tests were negative 4 times in the last 1 week.  Blood cultures were negative. Urine and strep antigens are negative. HIV-1 also negative.  Rheum consulted for hx of lupus.  They did not feel this was lupus pneumonitis.  Negative anti-dsDNA/SSA/SSB and RF.  Pts resp status continued to decline.  She was intubated on 4/3 and transferred to the ICU.  Bronch washings were also neg for COVID.  Despite neg cultures pt was given multiple rounds of abx including vanc, merrem, azithromycin, cefepime,  without benefit.  IV steroids added for possible reactive pneumonitis.  Pt with shock, likely multifactorial including septic and cardiogenic.  Multiple pressors maximized and BP remained low.  Nephro following for worsening renal function.  CRRT initiated to attempt to correct electrolyte and acidosis.  Pt did not tolerate CRRT after several adjustments by neprho, pts electrolytes continued to drift from normal.  Hgb dropped and CRRT held.  Pt went into cardiac arrest at 1329 on 4/8/21.  After several rounds of epinephrine and optimized ACLS, no pulse was recovered and ROSC was not achieved.  Family notified of death at 1344 on 4/8/21"
	"1186348-1"	"1186348-1"	"SEPTIC SHOCK"	"10040070"	"30-39 years"	"30-39"	"Copied from MD discharge note - Patient is a 38 y.o. female with PMH significant for asthma and lupus not on any treatment admitted on 3/27/2021 with progressive shortness of breath and cough for months, found to have hypoxia, bilateral multifocal infiltrate without pulmonary embolism on CTA, leukocytosis, elevated troponin, elevated BNP, normal EF on echocardiogram.  COVID- 19 tests were negative 4 times in the last 1 week.  Blood cultures were negative. Urine and strep antigens are negative. HIV-1 also negative.  Rheum consulted for hx of lupus.  They did not feel this was lupus pneumonitis.  Negative anti-dsDNA/SSA/SSB and RF.  Pts resp status continued to decline.  She was intubated on 4/3 and transferred to the ICU.  Bronch washings were also neg for COVID.  Despite neg cultures pt was given multiple rounds of abx including vanc, merrem, azithromycin, cefepime,  without benefit.  IV steroids added for possible reactive pneumonitis.  Pt with shock, likely multifactorial including septic and cardiogenic.  Multiple pressors maximized and BP remained low.  Nephro following for worsening renal function.  CRRT initiated to attempt to correct electrolyte and acidosis.  Pt did not tolerate CRRT after several adjustments by neprho, pts electrolytes continued to drift from normal.  Hgb dropped and CRRT held.  Pt went into cardiac arrest at 1329 on 4/8/21.  After several rounds of epinephrine and optimized ACLS, no pulse was recovered and ROSC was not achieved.  Family notified of death at 1344 on 4/8/21"
	"1186348-1"	"1186348-1"	"TROPONIN INCREASED"	"10058267"	"30-39 years"	"30-39"	"Copied from MD discharge note - Patient is a 38 y.o. female with PMH significant for asthma and lupus not on any treatment admitted on 3/27/2021 with progressive shortness of breath and cough for months, found to have hypoxia, bilateral multifocal infiltrate without pulmonary embolism on CTA, leukocytosis, elevated troponin, elevated BNP, normal EF on echocardiogram.  COVID- 19 tests were negative 4 times in the last 1 week.  Blood cultures were negative. Urine and strep antigens are negative. HIV-1 also negative.  Rheum consulted for hx of lupus.  They did not feel this was lupus pneumonitis.  Negative anti-dsDNA/SSA/SSB and RF.  Pts resp status continued to decline.  She was intubated on 4/3 and transferred to the ICU.  Bronch washings were also neg for COVID.  Despite neg cultures pt was given multiple rounds of abx including vanc, merrem, azithromycin, cefepime,  without benefit.  IV steroids added for possible reactive pneumonitis.  Pt with shock, likely multifactorial including septic and cardiogenic.  Multiple pressors maximized and BP remained low.  Nephro following for worsening renal function.  CRRT initiated to attempt to correct electrolyte and acidosis.  Pt did not tolerate CRRT after several adjustments by neprho, pts electrolytes continued to drift from normal.  Hgb dropped and CRRT held.  Pt went into cardiac arrest at 1329 on 4/8/21.  After several rounds of epinephrine and optimized ACLS, no pulse was recovered and ROSC was not achieved.  Family notified of death at 1344 on 4/8/21"
	"1186471-1"	"1186471-1"	"ASTHENIA"	"10003549"	"40-49 years"	"40-49"	"Complaints of  diarrhea, sweating, weakness suffered sudden cardiac arrest. CPR, AED, Lucas device applied ACLS protocol initiated by EMS. Efforts terminated. Patient pronounced deceased at 1003am."
	"1186471-1"	"1186471-1"	"CARDIAC ARREST"	"10007515"	"40-49 years"	"40-49"	"Complaints of  diarrhea, sweating, weakness suffered sudden cardiac arrest. CPR, AED, Lucas device applied ACLS protocol initiated by EMS. Efforts terminated. Patient pronounced deceased at 1003am."
	"1186471-1"	"1186471-1"	"CARDIOVERSION"	"10007661"	"40-49 years"	"40-49"	"Complaints of  diarrhea, sweating, weakness suffered sudden cardiac arrest. CPR, AED, Lucas device applied ACLS protocol initiated by EMS. Efforts terminated. Patient pronounced deceased at 1003am."
	"1186471-1"	"1186471-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Complaints of  diarrhea, sweating, weakness suffered sudden cardiac arrest. CPR, AED, Lucas device applied ACLS protocol initiated by EMS. Efforts terminated. Patient pronounced deceased at 1003am."
	"1186471-1"	"1186471-1"	"DIARRHOEA"	"10012735"	"40-49 years"	"40-49"	"Complaints of  diarrhea, sweating, weakness suffered sudden cardiac arrest. CPR, AED, Lucas device applied ACLS protocol initiated by EMS. Efforts terminated. Patient pronounced deceased at 1003am."
	"1186471-1"	"1186471-1"	"HYPERHIDROSIS"	"10020642"	"40-49 years"	"40-49"	"Complaints of  diarrhea, sweating, weakness suffered sudden cardiac arrest. CPR, AED, Lucas device applied ACLS protocol initiated by EMS. Efforts terminated. Patient pronounced deceased at 1003am."
	"1186471-1"	"1186471-1"	"LIFE SUPPORT"	"10024447"	"40-49 years"	"40-49"	"Complaints of  diarrhea, sweating, weakness suffered sudden cardiac arrest. CPR, AED, Lucas device applied ACLS protocol initiated by EMS. Efforts terminated. Patient pronounced deceased at 1003am."
	"1186471-1"	"1186471-1"	"RESUSCITATION"	"10038749"	"40-49 years"	"40-49"	"Complaints of  diarrhea, sweating, weakness suffered sudden cardiac arrest. CPR, AED, Lucas device applied ACLS protocol initiated by EMS. Efforts terminated. Patient pronounced deceased at 1003am."
	"1189015-1"	"1189015-1"	"ACUTE CARDIAC EVENT"	"10081099"	"40-49 years"	"40-49"	"Patient was given the vaccine without incident at or near 0924a.  He previously was diagnosed, through PCR test to have COVID-19 back in December 2019.  Outside of supportive therapy at home, he was not treated and was not hospitalized and he recovered within a few weeks.  At or near 930-10p, on April 9th, approximately 12 hours after the vaccine was given, while out at a restaurant with family, the patient experienced a medical event, (what appears to be an acute coronary event) and died."
	"1189015-1"	"1189015-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Patient was given the vaccine without incident at or near 0924a.  He previously was diagnosed, through PCR test to have COVID-19 back in December 2019.  Outside of supportive therapy at home, he was not treated and was not hospitalized and he recovered within a few weeks.  At or near 930-10p, on April 9th, approximately 12 hours after the vaccine was given, while out at a restaurant with family, the patient experienced a medical event, (what appears to be an acute coronary event) and died."
	"1196666-1"	"1196666-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Pt. Expired"
	"1198157-1"	"1198157-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Hospice patient death within 60 days of receiving the COVID vaccine series"
	"1198162-1"	"1198162-1"	"BRAIN DEATH"	"10049054"	"40-49 years"	"40-49"	"My sister received the Janssen vaccine on March 13, 2021.  One week later, March 20, 2021, she started complaining of severe headaches, dizziness and vomiting.  This continued so she visited the ER on Wednesday, March 24, 2021, where she suffered a cerebral venous sinus thrombosis.  She was pronounced brain dead on March 27, 2021, which is also the same day she was pronounced dead."
	"1198162-1"	"1198162-1"	"CEREBRAL VENOUS SINUS THROMBOSIS"	"10083037"	"40-49 years"	"40-49"	"My sister received the Janssen vaccine on March 13, 2021.  One week later, March 20, 2021, she started complaining of severe headaches, dizziness and vomiting.  This continued so she visited the ER on Wednesday, March 24, 2021, where she suffered a cerebral venous sinus thrombosis.  She was pronounced brain dead on March 27, 2021, which is also the same day she was pronounced dead."
	"1198162-1"	"1198162-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"My sister received the Janssen vaccine on March 13, 2021.  One week later, March 20, 2021, she started complaining of severe headaches, dizziness and vomiting.  This continued so she visited the ER on Wednesday, March 24, 2021, where she suffered a cerebral venous sinus thrombosis.  She was pronounced brain dead on March 27, 2021, which is also the same day she was pronounced dead."
	"1198162-1"	"1198162-1"	"DIZZINESS"	"10013573"	"40-49 years"	"40-49"	"My sister received the Janssen vaccine on March 13, 2021.  One week later, March 20, 2021, she started complaining of severe headaches, dizziness and vomiting.  This continued so she visited the ER on Wednesday, March 24, 2021, where she suffered a cerebral venous sinus thrombosis.  She was pronounced brain dead on March 27, 2021, which is also the same day she was pronounced dead."
	"1198162-1"	"1198162-1"	"HEADACHE"	"10019211"	"40-49 years"	"40-49"	"My sister received the Janssen vaccine on March 13, 2021.  One week later, March 20, 2021, she started complaining of severe headaches, dizziness and vomiting.  This continued so she visited the ER on Wednesday, March 24, 2021, where she suffered a cerebral venous sinus thrombosis.  She was pronounced brain dead on March 27, 2021, which is also the same day she was pronounced dead."
	"1198162-1"	"1198162-1"	"VOMITING"	"10047700"	"40-49 years"	"40-49"	"My sister received the Janssen vaccine on March 13, 2021.  One week later, March 20, 2021, she started complaining of severe headaches, dizziness and vomiting.  This continued so she visited the ER on Wednesday, March 24, 2021, where she suffered a cerebral venous sinus thrombosis.  She was pronounced brain dead on March 27, 2021, which is also the same day she was pronounced dead."
	"1198211-1"	"1198211-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"30-39 years"	"30-39"	"The patient received his 2nd dose of Moderna (LOT#, site, time unavailable) at an outside clinic the morning of 2/10/21 and presented to the ED with coughing and hypoxia (sp02 occasionally dropping into 70's) at 8 PM that day.  He had quadriplegic spinal paralysis as a result of a remote MVA and has been hospitalized and critically ill in the past due to recurrent UTI's and pneumonia with associated sepsis.   CT negative for pulmonary embolism and showed bilateral infiltrates.  Clinical presentation consistent with bilateral pneumonia and started on Rocephin/azithromycin.  He was initially stable in the hospital on 1-2 LPM 02.  The following evening he became febrile and acutely developed asystole without any pre-existing arrhythmia.  Resuscitation was attempted for 45 minutes but unsuccessful.  Overall, I suspect his death was related to bacterial pneumonia and resulting acute respiratory failure, complicated by his quadriplegia and autonomic dysreflexia but reported this event as it did occur within 2 days of receiving his 2nd Moderna vaccination."
	"1198211-1"	"1198211-1"	"C-REACTIVE PROTEIN INCREASED"	"10006825"	"30-39 years"	"30-39"	"The patient received his 2nd dose of Moderna (LOT#, site, time unavailable) at an outside clinic the morning of 2/10/21 and presented to the ED with coughing and hypoxia (sp02 occasionally dropping into 70's) at 8 PM that day.  He had quadriplegic spinal paralysis as a result of a remote MVA and has been hospitalized and critically ill in the past due to recurrent UTI's and pneumonia with associated sepsis.   CT negative for pulmonary embolism and showed bilateral infiltrates.  Clinical presentation consistent with bilateral pneumonia and started on Rocephin/azithromycin.  He was initially stable in the hospital on 1-2 LPM 02.  The following evening he became febrile and acutely developed asystole without any pre-existing arrhythmia.  Resuscitation was attempted for 45 minutes but unsuccessful.  Overall, I suspect his death was related to bacterial pneumonia and resulting acute respiratory failure, complicated by his quadriplegia and autonomic dysreflexia but reported this event as it did occur within 2 days of receiving his 2nd Moderna vaccination."
	"1198211-1"	"1198211-1"	"CARDIAC ARREST"	"10007515"	"30-39 years"	"30-39"	"The patient received his 2nd dose of Moderna (LOT#, site, time unavailable) at an outside clinic the morning of 2/10/21 and presented to the ED with coughing and hypoxia (sp02 occasionally dropping into 70's) at 8 PM that day.  He had quadriplegic spinal paralysis as a result of a remote MVA and has been hospitalized and critically ill in the past due to recurrent UTI's and pneumonia with associated sepsis.   CT negative for pulmonary embolism and showed bilateral infiltrates.  Clinical presentation consistent with bilateral pneumonia and started on Rocephin/azithromycin.  He was initially stable in the hospital on 1-2 LPM 02.  The following evening he became febrile and acutely developed asystole without any pre-existing arrhythmia.  Resuscitation was attempted for 45 minutes but unsuccessful.  Overall, I suspect his death was related to bacterial pneumonia and resulting acute respiratory failure, complicated by his quadriplegia and autonomic dysreflexia but reported this event as it did occur within 2 days of receiving his 2nd Moderna vaccination."
	"1198211-1"	"1198211-1"	"COMPUTERISED TOMOGRAM ABNORMAL"	"10010235"	"30-39 years"	"30-39"	"The patient received his 2nd dose of Moderna (LOT#, site, time unavailable) at an outside clinic the morning of 2/10/21 and presented to the ED with coughing and hypoxia (sp02 occasionally dropping into 70's) at 8 PM that day.  He had quadriplegic spinal paralysis as a result of a remote MVA and has been hospitalized and critically ill in the past due to recurrent UTI's and pneumonia with associated sepsis.   CT negative for pulmonary embolism and showed bilateral infiltrates.  Clinical presentation consistent with bilateral pneumonia and started on Rocephin/azithromycin.  He was initially stable in the hospital on 1-2 LPM 02.  The following evening he became febrile and acutely developed asystole without any pre-existing arrhythmia.  Resuscitation was attempted for 45 minutes but unsuccessful.  Overall, I suspect his death was related to bacterial pneumonia and resulting acute respiratory failure, complicated by his quadriplegia and autonomic dysreflexia but reported this event as it did occur within 2 days of receiving his 2nd Moderna vaccination."
	"1198211-1"	"1198211-1"	"COUGH"	"10011224"	"30-39 years"	"30-39"	"The patient received his 2nd dose of Moderna (LOT#, site, time unavailable) at an outside clinic the morning of 2/10/21 and presented to the ED with coughing and hypoxia (sp02 occasionally dropping into 70's) at 8 PM that day.  He had quadriplegic spinal paralysis as a result of a remote MVA and has been hospitalized and critically ill in the past due to recurrent UTI's and pneumonia with associated sepsis.   CT negative for pulmonary embolism and showed bilateral infiltrates.  Clinical presentation consistent with bilateral pneumonia and started on Rocephin/azithromycin.  He was initially stable in the hospital on 1-2 LPM 02.  The following evening he became febrile and acutely developed asystole without any pre-existing arrhythmia.  Resuscitation was attempted for 45 minutes but unsuccessful.  Overall, I suspect his death was related to bacterial pneumonia and resulting acute respiratory failure, complicated by his quadriplegia and autonomic dysreflexia but reported this event as it did occur within 2 days of receiving his 2nd Moderna vaccination."
	"1198211-1"	"1198211-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"The patient received his 2nd dose of Moderna (LOT#, site, time unavailable) at an outside clinic the morning of 2/10/21 and presented to the ED with coughing and hypoxia (sp02 occasionally dropping into 70's) at 8 PM that day.  He had quadriplegic spinal paralysis as a result of a remote MVA and has been hospitalized and critically ill in the past due to recurrent UTI's and pneumonia with associated sepsis.   CT negative for pulmonary embolism and showed bilateral infiltrates.  Clinical presentation consistent with bilateral pneumonia and started on Rocephin/azithromycin.  He was initially stable in the hospital on 1-2 LPM 02.  The following evening he became febrile and acutely developed asystole without any pre-existing arrhythmia.  Resuscitation was attempted for 45 minutes but unsuccessful.  Overall, I suspect his death was related to bacterial pneumonia and resulting acute respiratory failure, complicated by his quadriplegia and autonomic dysreflexia but reported this event as it did occur within 2 days of receiving his 2nd Moderna vaccination."
	"1198211-1"	"1198211-1"	"HYPOXIA"	"10021143"	"30-39 years"	"30-39"	"The patient received his 2nd dose of Moderna (LOT#, site, time unavailable) at an outside clinic the morning of 2/10/21 and presented to the ED with coughing and hypoxia (sp02 occasionally dropping into 70's) at 8 PM that day.  He had quadriplegic spinal paralysis as a result of a remote MVA and has been hospitalized and critically ill in the past due to recurrent UTI's and pneumonia with associated sepsis.   CT negative for pulmonary embolism and showed bilateral infiltrates.  Clinical presentation consistent with bilateral pneumonia and started on Rocephin/azithromycin.  He was initially stable in the hospital on 1-2 LPM 02.  The following evening he became febrile and acutely developed asystole without any pre-existing arrhythmia.  Resuscitation was attempted for 45 minutes but unsuccessful.  Overall, I suspect his death was related to bacterial pneumonia and resulting acute respiratory failure, complicated by his quadriplegia and autonomic dysreflexia but reported this event as it did occur within 2 days of receiving his 2nd Moderna vaccination."
	"1198211-1"	"1198211-1"	"LUNG INFILTRATION"	"10025102"	"30-39 years"	"30-39"	"The patient received his 2nd dose of Moderna (LOT#, site, time unavailable) at an outside clinic the morning of 2/10/21 and presented to the ED with coughing and hypoxia (sp02 occasionally dropping into 70's) at 8 PM that day.  He had quadriplegic spinal paralysis as a result of a remote MVA and has been hospitalized and critically ill in the past due to recurrent UTI's and pneumonia with associated sepsis.   CT negative for pulmonary embolism and showed bilateral infiltrates.  Clinical presentation consistent with bilateral pneumonia and started on Rocephin/azithromycin.  He was initially stable in the hospital on 1-2 LPM 02.  The following evening he became febrile and acutely developed asystole without any pre-existing arrhythmia.  Resuscitation was attempted for 45 minutes but unsuccessful.  Overall, I suspect his death was related to bacterial pneumonia and resulting acute respiratory failure, complicated by his quadriplegia and autonomic dysreflexia but reported this event as it did occur within 2 days of receiving his 2nd Moderna vaccination."
	"1198211-1"	"1198211-1"	"PNEUMONIA"	"10035664"	"30-39 years"	"30-39"	"The patient received his 2nd dose of Moderna (LOT#, site, time unavailable) at an outside clinic the morning of 2/10/21 and presented to the ED with coughing and hypoxia (sp02 occasionally dropping into 70's) at 8 PM that day.  He had quadriplegic spinal paralysis as a result of a remote MVA and has been hospitalized and critically ill in the past due to recurrent UTI's and pneumonia with associated sepsis.   CT negative for pulmonary embolism and showed bilateral infiltrates.  Clinical presentation consistent with bilateral pneumonia and started on Rocephin/azithromycin.  He was initially stable in the hospital on 1-2 LPM 02.  The following evening he became febrile and acutely developed asystole without any pre-existing arrhythmia.  Resuscitation was attempted for 45 minutes but unsuccessful.  Overall, I suspect his death was related to bacterial pneumonia and resulting acute respiratory failure, complicated by his quadriplegia and autonomic dysreflexia but reported this event as it did occur within 2 days of receiving his 2nd Moderna vaccination."
	"1198211-1"	"1198211-1"	"PNEUMONIA BACTERIAL"	"10060946"	"30-39 years"	"30-39"	"The patient received his 2nd dose of Moderna (LOT#, site, time unavailable) at an outside clinic the morning of 2/10/21 and presented to the ED with coughing and hypoxia (sp02 occasionally dropping into 70's) at 8 PM that day.  He had quadriplegic spinal paralysis as a result of a remote MVA and has been hospitalized and critically ill in the past due to recurrent UTI's and pneumonia with associated sepsis.   CT negative for pulmonary embolism and showed bilateral infiltrates.  Clinical presentation consistent with bilateral pneumonia and started on Rocephin/azithromycin.  He was initially stable in the hospital on 1-2 LPM 02.  The following evening he became febrile and acutely developed asystole without any pre-existing arrhythmia.  Resuscitation was attempted for 45 minutes but unsuccessful.  Overall, I suspect his death was related to bacterial pneumonia and resulting acute respiratory failure, complicated by his quadriplegia and autonomic dysreflexia but reported this event as it did occur within 2 days of receiving his 2nd Moderna vaccination."
	"1198211-1"	"1198211-1"	"PYREXIA"	"10037660"	"30-39 years"	"30-39"	"The patient received his 2nd dose of Moderna (LOT#, site, time unavailable) at an outside clinic the morning of 2/10/21 and presented to the ED with coughing and hypoxia (sp02 occasionally dropping into 70's) at 8 PM that day.  He had quadriplegic spinal paralysis as a result of a remote MVA and has been hospitalized and critically ill in the past due to recurrent UTI's and pneumonia with associated sepsis.   CT negative for pulmonary embolism and showed bilateral infiltrates.  Clinical presentation consistent with bilateral pneumonia and started on Rocephin/azithromycin.  He was initially stable in the hospital on 1-2 LPM 02.  The following evening he became febrile and acutely developed asystole without any pre-existing arrhythmia.  Resuscitation was attempted for 45 minutes but unsuccessful.  Overall, I suspect his death was related to bacterial pneumonia and resulting acute respiratory failure, complicated by his quadriplegia and autonomic dysreflexia but reported this event as it did occur within 2 days of receiving his 2nd Moderna vaccination."
	"1198211-1"	"1198211-1"	"RESUSCITATION"	"10038749"	"30-39 years"	"30-39"	"The patient received his 2nd dose of Moderna (LOT#, site, time unavailable) at an outside clinic the morning of 2/10/21 and presented to the ED with coughing and hypoxia (sp02 occasionally dropping into 70's) at 8 PM that day.  He had quadriplegic spinal paralysis as a result of a remote MVA and has been hospitalized and critically ill in the past due to recurrent UTI's and pneumonia with associated sepsis.   CT negative for pulmonary embolism and showed bilateral infiltrates.  Clinical presentation consistent with bilateral pneumonia and started on Rocephin/azithromycin.  He was initially stable in the hospital on 1-2 LPM 02.  The following evening he became febrile and acutely developed asystole without any pre-existing arrhythmia.  Resuscitation was attempted for 45 minutes but unsuccessful.  Overall, I suspect his death was related to bacterial pneumonia and resulting acute respiratory failure, complicated by his quadriplegia and autonomic dysreflexia but reported this event as it did occur within 2 days of receiving his 2nd Moderna vaccination."
	"1198211-1"	"1198211-1"	"SARS-COV-2 TEST NEGATIVE"	"10084273"	"30-39 years"	"30-39"	"The patient received his 2nd dose of Moderna (LOT#, site, time unavailable) at an outside clinic the morning of 2/10/21 and presented to the ED with coughing and hypoxia (sp02 occasionally dropping into 70's) at 8 PM that day.  He had quadriplegic spinal paralysis as a result of a remote MVA and has been hospitalized and critically ill in the past due to recurrent UTI's and pneumonia with associated sepsis.   CT negative for pulmonary embolism and showed bilateral infiltrates.  Clinical presentation consistent with bilateral pneumonia and started on Rocephin/azithromycin.  He was initially stable in the hospital on 1-2 LPM 02.  The following evening he became febrile and acutely developed asystole without any pre-existing arrhythmia.  Resuscitation was attempted for 45 minutes but unsuccessful.  Overall, I suspect his death was related to bacterial pneumonia and resulting acute respiratory failure, complicated by his quadriplegia and autonomic dysreflexia but reported this event as it did occur within 2 days of receiving his 2nd Moderna vaccination."
	"1198211-1"	"1198211-1"	"VIRAL TEST NEGATIVE"	"10062362"	"30-39 years"	"30-39"	"The patient received his 2nd dose of Moderna (LOT#, site, time unavailable) at an outside clinic the morning of 2/10/21 and presented to the ED with coughing and hypoxia (sp02 occasionally dropping into 70's) at 8 PM that day.  He had quadriplegic spinal paralysis as a result of a remote MVA and has been hospitalized and critically ill in the past due to recurrent UTI's and pneumonia with associated sepsis.   CT negative for pulmonary embolism and showed bilateral infiltrates.  Clinical presentation consistent with bilateral pneumonia and started on Rocephin/azithromycin.  He was initially stable in the hospital on 1-2 LPM 02.  The following evening he became febrile and acutely developed asystole without any pre-existing arrhythmia.  Resuscitation was attempted for 45 minutes but unsuccessful.  Overall, I suspect his death was related to bacterial pneumonia and resulting acute respiratory failure, complicated by his quadriplegia and autonomic dysreflexia but reported this event as it did occur within 2 days of receiving his 2nd Moderna vaccination."
	"1198211-1"	"1198211-1"	"WHITE BLOOD CELL COUNT INCREASED"	"10047943"	"30-39 years"	"30-39"	"The patient received his 2nd dose of Moderna (LOT#, site, time unavailable) at an outside clinic the morning of 2/10/21 and presented to the ED with coughing and hypoxia (sp02 occasionally dropping into 70's) at 8 PM that day.  He had quadriplegic spinal paralysis as a result of a remote MVA and has been hospitalized and critically ill in the past due to recurrent UTI's and pneumonia with associated sepsis.   CT negative for pulmonary embolism and showed bilateral infiltrates.  Clinical presentation consistent with bilateral pneumonia and started on Rocephin/azithromycin.  He was initially stable in the hospital on 1-2 LPM 02.  The following evening he became febrile and acutely developed asystole without any pre-existing arrhythmia.  Resuscitation was attempted for 45 minutes but unsuccessful.  Overall, I suspect his death was related to bacterial pneumonia and resulting acute respiratory failure, complicated by his quadriplegia and autonomic dysreflexia but reported this event as it did occur within 2 days of receiving his 2nd Moderna vaccination."
	"1198967-1"	"1198967-1"	"CARDIAC ARREST"	"10007515"	"30-39 years"	"30-39"	"Cardiac arrest, death"
	"1198967-1"	"1198967-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Cardiac arrest, death"
	"1199575-1"	"1199575-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Death"
	"1199594-1"	"1199594-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"There were no noted adverse signs or symptoms at the time of vaccination. Fiance of patient called Public Health on 4/12/21 to report the patient died in her sleep overnight on 4/7 or 4/8.  Autopsy not performed, body embalmed prior to Public Health's knowledge of client death.  Pfizer BioNTech COVID-19 Vaccine EUA"
	"1200939-1"	"1200939-1"	"ACTIVATED PARTIAL THROMBOPLASTIN TIME SHORTENED"	"10000637"	"40-49 years"	"40-49"	"Massive PE, patient died. No history of DVT, we did a COVID test here and it was negative.  She had no PMH, we suspect the vaccine made her hypercoagulable. Had pleuritic CP, tachycardia, tachypnea."
	"1200939-1"	"1200939-1"	"BRAIN NATRIURETIC PEPTIDE INCREASED"	"10053405"	"40-49 years"	"40-49"	"Massive PE, patient died. No history of DVT, we did a COVID test here and it was negative.  She had no PMH, we suspect the vaccine made her hypercoagulable. Had pleuritic CP, tachycardia, tachypnea."
	"1200939-1"	"1200939-1"	"CHEST PAIN"	"10008479"	"40-49 years"	"40-49"	"Massive PE, patient died. No history of DVT, we did a COVID test here and it was negative.  She had no PMH, we suspect the vaccine made her hypercoagulable. Had pleuritic CP, tachycardia, tachypnea."
	"1200939-1"	"1200939-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Massive PE, patient died. No history of DVT, we did a COVID test here and it was negative.  She had no PMH, we suspect the vaccine made her hypercoagulable. Had pleuritic CP, tachycardia, tachypnea."
	"1200939-1"	"1200939-1"	"FIBRIN D DIMER INCREASED"	"10016581"	"40-49 years"	"40-49"	"Massive PE, patient died. No history of DVT, we did a COVID test here and it was negative.  She had no PMH, we suspect the vaccine made her hypercoagulable. Had pleuritic CP, tachycardia, tachypnea."
	"1200939-1"	"1200939-1"	"HYPERCOAGULATION"	"10020608"	"40-49 years"	"40-49"	"Massive PE, patient died. No history of DVT, we did a COVID test here and it was negative.  She had no PMH, we suspect the vaccine made her hypercoagulable. Had pleuritic CP, tachycardia, tachypnea."
	"1200939-1"	"1200939-1"	"PLEURITIC PAIN"	"10035623"	"40-49 years"	"40-49"	"Massive PE, patient died. No history of DVT, we did a COVID test here and it was negative.  She had no PMH, we suspect the vaccine made her hypercoagulable. Had pleuritic CP, tachycardia, tachypnea."
	"1200939-1"	"1200939-1"	"PULMONARY EMBOLISM"	"10037377"	"40-49 years"	"40-49"	"Massive PE, patient died. No history of DVT, we did a COVID test here and it was negative.  She had no PMH, we suspect the vaccine made her hypercoagulable. Had pleuritic CP, tachycardia, tachypnea."
	"1200939-1"	"1200939-1"	"SARS-COV-2 TEST NEGATIVE"	"10084273"	"40-49 years"	"40-49"	"Massive PE, patient died. No history of DVT, we did a COVID test here and it was negative.  She had no PMH, we suspect the vaccine made her hypercoagulable. Had pleuritic CP, tachycardia, tachypnea."
	"1200939-1"	"1200939-1"	"TACHYCARDIA"	"10043071"	"40-49 years"	"40-49"	"Massive PE, patient died. No history of DVT, we did a COVID test here and it was negative.  She had no PMH, we suspect the vaccine made her hypercoagulable. Had pleuritic CP, tachycardia, tachypnea."
	"1200939-1"	"1200939-1"	"TACHYPNOEA"	"10043089"	"40-49 years"	"40-49"	"Massive PE, patient died. No history of DVT, we did a COVID test here and it was negative.  She had no PMH, we suspect the vaccine made her hypercoagulable. Had pleuritic CP, tachycardia, tachypnea."
	"1200939-1"	"1200939-1"	"TROPONIN INCREASED"	"10058267"	"40-49 years"	"40-49"	"Massive PE, patient died. No history of DVT, we did a COVID test here and it was negative.  She had no PMH, we suspect the vaccine made her hypercoagulable. Had pleuritic CP, tachycardia, tachypnea."
	"1200959-1"	"1200959-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"death"
	"1201114-1"	"1201114-1"	"CAESAREAN SECTION"	"10006924"	"30-39 years"	"30-39"	"Due date 4/18/2021.  Pt presented in labor on 4/10/21.  Her labor was uncomplicated and progressing appropriately.  She had sudden onset of coughing following by loss of consciousness.  Code blue was called.  Emergency bedside C/S was performed.  Despite resuscitative efforts of 1 hour and 15 minutes, the patient expired."
	"1201114-1"	"1201114-1"	"CARDIO-RESPIRATORY ARREST"	"10007617"	"30-39 years"	"30-39"	"Due date 4/18/2021.  Pt presented in labor on 4/10/21.  Her labor was uncomplicated and progressing appropriately.  She had sudden onset of coughing following by loss of consciousness.  Code blue was called.  Emergency bedside C/S was performed.  Despite resuscitative efforts of 1 hour and 15 minutes, the patient expired."
	"1201114-1"	"1201114-1"	"COUGH"	"10011224"	"30-39 years"	"30-39"	"Due date 4/18/2021.  Pt presented in labor on 4/10/21.  Her labor was uncomplicated and progressing appropriately.  She had sudden onset of coughing following by loss of consciousness.  Code blue was called.  Emergency bedside C/S was performed.  Despite resuscitative efforts of 1 hour and 15 minutes, the patient expired."
	"1201114-1"	"1201114-1"	"EXPOSURE DURING PREGNANCY"	"10073513"	"30-39 years"	"30-39"	"Due date 4/18/2021.  Pt presented in labor on 4/10/21.  Her labor was uncomplicated and progressing appropriately.  She had sudden onset of coughing following by loss of consciousness.  Code blue was called.  Emergency bedside C/S was performed.  Despite resuscitative efforts of 1 hour and 15 minutes, the patient expired."
	"1201114-1"	"1201114-1"	"LOSS OF CONSCIOUSNESS"	"10024855"	"30-39 years"	"30-39"	"Due date 4/18/2021.  Pt presented in labor on 4/10/21.  Her labor was uncomplicated and progressing appropriately.  She had sudden onset of coughing following by loss of consciousness.  Code blue was called.  Emergency bedside C/S was performed.  Despite resuscitative efforts of 1 hour and 15 minutes, the patient expired."
	"1201114-1"	"1201114-1"	"MATERNAL DEATH DURING CHILDBIRTH"	"10066376"	"30-39 years"	"30-39"	"Due date 4/18/2021.  Pt presented in labor on 4/10/21.  Her labor was uncomplicated and progressing appropriately.  She had sudden onset of coughing following by loss of consciousness.  Code blue was called.  Emergency bedside C/S was performed.  Despite resuscitative efforts of 1 hour and 15 minutes, the patient expired."
	"1201114-1"	"1201114-1"	"RESUSCITATION"	"10038749"	"30-39 years"	"30-39"	"Due date 4/18/2021.  Pt presented in labor on 4/10/21.  Her labor was uncomplicated and progressing appropriately.  She had sudden onset of coughing following by loss of consciousness.  Code blue was called.  Emergency bedside C/S was performed.  Despite resuscitative efforts of 1 hour and 15 minutes, the patient expired."
	"1201543-1"	"1201543-1"	"CEREBRAL INFARCTION"	"10008118"	"30-39 years"	"30-39"	"Death"
	"1201543-1"	"1201543-1"	"COMPUTERISED TOMOGRAM HEAD ABNORMAL"	"10072168"	"30-39 years"	"30-39"	"Death"
	"1201543-1"	"1201543-1"	"COMPUTERISED TOMOGRAM THORAX ABNORMAL"	"10057799"	"30-39 years"	"30-39"	"Death"
	"1201543-1"	"1201543-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Death"
	"1201543-1"	"1201543-1"	"DEEP VEIN THROMBOSIS"	"10051055"	"30-39 years"	"30-39"	"Death"
	"1201543-1"	"1201543-1"	"PULMONARY EMBOLISM"	"10037377"	"30-39 years"	"30-39"	"Death"
	"1201543-1"	"1201543-1"	"RENAL INFARCT"	"10038470"	"30-39 years"	"30-39"	"Death"
	"1201543-1"	"1201543-1"	"SPLENIC INFARCTION"	"10041648"	"30-39 years"	"30-39"	"Death"
	"1201543-1"	"1201543-1"	"THROMBOPHLEBITIS SUPERFICIAL"	"10043595"	"30-39 years"	"30-39"	"Death"
	"1201543-1"	"1201543-1"	"ULTRASOUND SCAN ABNORMAL"	"10061606"	"30-39 years"	"30-39"	"Death"
	"1201543-1"	"1201543-1"	"VENOUS OCCLUSION"	"10058990"	"30-39 years"	"30-39"	"Death"
	"1202257-1"	"1202257-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Brother called pharmacy on 04.13.2021 at approximately 10am and informed pharmacist that his sister had passed away due to a pulmonary embolism about 2 weeks after receiving her first dose of the Moderna COVID vaccination at our pharmacy. He mentioned that healthcare provider was looking at possible gene mutation in family that may have contributed."
	"1202257-1"	"1202257-1"	"PULMONARY EMBOLISM"	"10037377"	"40-49 years"	"40-49"	"Brother called pharmacy on 04.13.2021 at approximately 10am and informed pharmacist that his sister had passed away due to a pulmonary embolism about 2 weeks after receiving her first dose of the Moderna COVID vaccination at our pharmacy. He mentioned that healthcare provider was looking at possible gene mutation in family that may have contributed."
	"1202482-1"	"1202482-1"	"THROMBOSIS"	"10043607"	"40-49 years"	"40-49"	"blood clots"
	"1203510-1"	"1203510-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Unknown on any adverse events or symptoms"
	"1205423-1"	"1205423-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Patient's physician reported this adverse event by phone to Medical Center administration on 4/13/2021.  Per the physician, the patient received his 2nd Pfizer COVID19 vaccination dose on Friday 4/9/2021 at the drive through vaccination clinic.  On Saturday 4/10/2021 the patient told to his wife that he felt ill, continuing through Sunday.  On Sunday, 4/11/2021, at his home, the patient told his wife that he felt ill and went to sleep.  The patients wife found him not breathing, called 911 and started CPR.  The patient was pronounced deceased at his home and was not transported to hospital."
	"1205423-1"	"1205423-1"	"MALAISE"	"10025482"	"40-49 years"	"40-49"	"Patient's physician reported this adverse event by phone to Medical Center administration on 4/13/2021.  Per the physician, the patient received his 2nd Pfizer COVID19 vaccination dose on Friday 4/9/2021 at the drive through vaccination clinic.  On Saturday 4/10/2021 the patient told to his wife that he felt ill, continuing through Sunday.  On Sunday, 4/11/2021, at his home, the patient told his wife that he felt ill and went to sleep.  The patients wife found him not breathing, called 911 and started CPR.  The patient was pronounced deceased at his home and was not transported to hospital."
	"1205423-1"	"1205423-1"	"RESPIRATORY ARREST"	"10038669"	"40-49 years"	"40-49"	"Patient's physician reported this adverse event by phone to Medical Center administration on 4/13/2021.  Per the physician, the patient received his 2nd Pfizer COVID19 vaccination dose on Friday 4/9/2021 at the drive through vaccination clinic.  On Saturday 4/10/2021 the patient told to his wife that he felt ill, continuing through Sunday.  On Sunday, 4/11/2021, at his home, the patient told his wife that he felt ill and went to sleep.  The patients wife found him not breathing, called 911 and started CPR.  The patient was pronounced deceased at his home and was not transported to hospital."
	"1205423-1"	"1205423-1"	"RESUSCITATION"	"10038749"	"40-49 years"	"40-49"	"Patient's physician reported this adverse event by phone to Medical Center administration on 4/13/2021.  Per the physician, the patient received his 2nd Pfizer COVID19 vaccination dose on Friday 4/9/2021 at the drive through vaccination clinic.  On Saturday 4/10/2021 the patient told to his wife that he felt ill, continuing through Sunday.  On Sunday, 4/11/2021, at his home, the patient told his wife that he felt ill and went to sleep.  The patients wife found him not breathing, called 911 and started CPR.  The patient was pronounced deceased at his home and was not transported to hospital."
	"1205518-1"	"1205518-1"	"COLD SWEAT"	"10009866"	"40-49 years"	"40-49"	"Resident was inoculated on 04/09.  According to family  members, he began to feel unwell that evening, cold sweats, high fever,  dehydration.  According to family members, he refused to get medical  attention.  After not hearing from him for a few days, family members  called for a wellfare check on 04/12 at which time he was found  deceased."
	"1205518-1"	"1205518-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Resident was inoculated on 04/09.  According to family  members, he began to feel unwell that evening, cold sweats, high fever,  dehydration.  According to family members, he refused to get medical  attention.  After not hearing from him for a few days, family members  called for a wellfare check on 04/12 at which time he was found  deceased."
	"1205518-1"	"1205518-1"	"DEHYDRATION"	"10012174"	"40-49 years"	"40-49"	"Resident was inoculated on 04/09.  According to family  members, he began to feel unwell that evening, cold sweats, high fever,  dehydration.  According to family members, he refused to get medical  attention.  After not hearing from him for a few days, family members  called for a wellfare check on 04/12 at which time he was found  deceased."
	"1205518-1"	"1205518-1"	"MALAISE"	"10025482"	"40-49 years"	"40-49"	"Resident was inoculated on 04/09.  According to family  members, he began to feel unwell that evening, cold sweats, high fever,  dehydration.  According to family members, he refused to get medical  attention.  After not hearing from him for a few days, family members  called for a wellfare check on 04/12 at which time he was found  deceased."
	"1205518-1"	"1205518-1"	"PYREXIA"	"10037660"	"40-49 years"	"40-49"	"Resident was inoculated on 04/09.  According to family  members, he began to feel unwell that evening, cold sweats, high fever,  dehydration.  According to family members, he refused to get medical  attention.  After not hearing from him for a few days, family members  called for a wellfare check on 04/12 at which time he was found  deceased."
	"1208419-1"	"1208419-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Patient described throwing up, pale in skin, sweating prior to passing away."
	"1208419-1"	"1208419-1"	"HYPERHIDROSIS"	"10020642"	"40-49 years"	"40-49"	"Patient described throwing up, pale in skin, sweating prior to passing away."
	"1208419-1"	"1208419-1"	"PALLOR"	"10033546"	"40-49 years"	"40-49"	"Patient described throwing up, pale in skin, sweating prior to passing away."
	"1208419-1"	"1208419-1"	"VOMITING"	"10047700"	"40-49 years"	"40-49"	"Patient described throwing up, pale in skin, sweating prior to passing away."
	"1209498-1"	"1209498-1"	"CARDIAC ARREST"	"10007515"	"40-49 years"	"40-49"	"Pt received the vaccine on 3/24/21. On 4/12/21 pt died of cardiac arrest"
	"1209498-1"	"1209498-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Pt received the vaccine on 3/24/21. On 4/12/21 pt died of cardiac arrest"
	"1209498-1"	"1209498-1"	"SARS-COV-2 TEST NEGATIVE"	"10084273"	"40-49 years"	"40-49"	"Pt received the vaccine on 3/24/21. On 4/12/21 pt died of cardiac arrest"
	"1212567-1"	"1212567-1"	"ACUTE CARDIAC EVENT"	"10081099"	"40-49 years"	"40-49"	"he died while on his routine daily run; medical examiner agreed he should have an autopsy which showed coronary artery disease/likely an acute cardiac event"
	"1212567-1"	"1212567-1"	"AUTOPSY"	"10050117"	"40-49 years"	"40-49"	"he died while on his routine daily run; medical examiner agreed he should have an autopsy which showed coronary artery disease/likely an acute cardiac event"
	"1212567-1"	"1212567-1"	"CORONARY ARTERY DISEASE"	"10011078"	"40-49 years"	"40-49"	"he died while on his routine daily run; medical examiner agreed he should have an autopsy which showed coronary artery disease/likely an acute cardiac event"
	"1212567-1"	"1212567-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"he died while on his routine daily run; medical examiner agreed he should have an autopsy which showed coronary artery disease/likely an acute cardiac event"
	"1212820-1"	"1212820-1"	"COVID-19"	"10084268"	"30-39 years"	"30-39"	"Unexpected death 3 days after vaccination"
	"1212820-1"	"1212820-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Unexpected death 3 days after vaccination"
	"1212820-1"	"1212820-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"30-39 years"	"30-39"	"Unexpected death 3 days after vaccination"
	"1213431-1"	"1213431-1"	"INFECTION"	"10021789"	"40-49 years"	"40-49"	"Patient admitted with massive portal vein thrombosis and low plt in setting of infection. Symptoms started one week prior"
	"1213431-1"	"1213431-1"	"PLATELET COUNT DECREASED"	"10035528"	"40-49 years"	"40-49"	"Patient admitted with massive portal vein thrombosis and low plt in setting of infection. Symptoms started one week prior"
	"1213431-1"	"1213431-1"	"PORTAL VEIN THROMBOSIS"	"10036206"	"40-49 years"	"40-49"	"Patient admitted with massive portal vein thrombosis and low plt in setting of infection. Symptoms started one week prior"
	"1214500-1"	"1214500-1"	"BLOOD TEST NORMAL"	"10050540"	"40-49 years"	"40-49"	"Patient at 27 weeks of pregnancy, reported to midwife at regular visit on 4/14/21 that she was experiencing SOB but all blood work normal - assumed normal SOB with pregnancy.  Night/morning of 4/15 started seizures, transported to ED.  Diagnosed with massive pulmonary embolism.  Emergency C-section prerformed by Dr.  Pt. did not survive."
	"1214500-1"	"1214500-1"	"CAESAREAN SECTION"	"10006924"	"40-49 years"	"40-49"	"Patient at 27 weeks of pregnancy, reported to midwife at regular visit on 4/14/21 that she was experiencing SOB but all blood work normal - assumed normal SOB with pregnancy.  Night/morning of 4/15 started seizures, transported to ED.  Diagnosed with massive pulmonary embolism.  Emergency C-section prerformed by Dr.  Pt. did not survive."
	"1214500-1"	"1214500-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Patient at 27 weeks of pregnancy, reported to midwife at regular visit on 4/14/21 that she was experiencing SOB but all blood work normal - assumed normal SOB with pregnancy.  Night/morning of 4/15 started seizures, transported to ED.  Diagnosed with massive pulmonary embolism.  Emergency C-section prerformed by Dr.  Pt. did not survive."
	"1214500-1"	"1214500-1"	"DYSPNOEA"	"10013968"	"40-49 years"	"40-49"	"Patient at 27 weeks of pregnancy, reported to midwife at regular visit on 4/14/21 that she was experiencing SOB but all blood work normal - assumed normal SOB with pregnancy.  Night/morning of 4/15 started seizures, transported to ED.  Diagnosed with massive pulmonary embolism.  Emergency C-section prerformed by Dr.  Pt. did not survive."
	"1214500-1"	"1214500-1"	"EXPOSURE DURING PREGNANCY"	"10073513"	"40-49 years"	"40-49"	"Patient at 27 weeks of pregnancy, reported to midwife at regular visit on 4/14/21 that she was experiencing SOB but all blood work normal - assumed normal SOB with pregnancy.  Night/morning of 4/15 started seizures, transported to ED.  Diagnosed with massive pulmonary embolism.  Emergency C-section prerformed by Dr.  Pt. did not survive."
	"1214500-1"	"1214500-1"	"PULMONARY EMBOLISM"	"10037377"	"40-49 years"	"40-49"	"Patient at 27 weeks of pregnancy, reported to midwife at regular visit on 4/14/21 that she was experiencing SOB but all blood work normal - assumed normal SOB with pregnancy.  Night/morning of 4/15 started seizures, transported to ED.  Diagnosed with massive pulmonary embolism.  Emergency C-section prerformed by Dr.  Pt. did not survive."
	"1214500-1"	"1214500-1"	"SEIZURE"	"10039906"	"40-49 years"	"40-49"	"Patient at 27 weeks of pregnancy, reported to midwife at regular visit on 4/14/21 that she was experiencing SOB but all blood work normal - assumed normal SOB with pregnancy.  Night/morning of 4/15 started seizures, transported to ED.  Diagnosed with massive pulmonary embolism.  Emergency C-section prerformed by Dr.  Pt. did not survive."
	"1214640-1"	"1214640-1"	"CARDIO-RESPIRATORY ARREST"	"10007617"	"40-49 years"	"40-49"	"After receiving the J&J vaccine on Sunday afternoon, when my husband got up on Monday morning he passed out in the bathroom and was unresponsive. The EMTs arrived and were able to revive him in the ambulance. When they reached the hospital he was put on life support.  After he coded again in the Emergency room they told me he was without oxygen for too long and was taken off the respirator. He passed away at 4:10 PM."
	"1214640-1"	"1214640-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"After receiving the J&J vaccine on Sunday afternoon, when my husband got up on Monday morning he passed out in the bathroom and was unresponsive. The EMTs arrived and were able to revive him in the ambulance. When they reached the hospital he was put on life support.  After he coded again in the Emergency room they told me he was without oxygen for too long and was taken off the respirator. He passed away at 4:10 PM."
	"1214640-1"	"1214640-1"	"LIFE SUPPORT"	"10024447"	"40-49 years"	"40-49"	"After receiving the J&J vaccine on Sunday afternoon, when my husband got up on Monday morning he passed out in the bathroom and was unresponsive. The EMTs arrived and were able to revive him in the ambulance. When they reached the hospital he was put on life support.  After he coded again in the Emergency room they told me he was without oxygen for too long and was taken off the respirator. He passed away at 4:10 PM."
	"1214640-1"	"1214640-1"	"LOSS OF CONSCIOUSNESS"	"10024855"	"40-49 years"	"40-49"	"After receiving the J&J vaccine on Sunday afternoon, when my husband got up on Monday morning he passed out in the bathroom and was unresponsive. The EMTs arrived and were able to revive him in the ambulance. When they reached the hospital he was put on life support.  After he coded again in the Emergency room they told me he was without oxygen for too long and was taken off the respirator. He passed away at 4:10 PM."
	"1214640-1"	"1214640-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"40-49 years"	"40-49"	"After receiving the J&J vaccine on Sunday afternoon, when my husband got up on Monday morning he passed out in the bathroom and was unresponsive. The EMTs arrived and were able to revive him in the ambulance. When they reached the hospital he was put on life support.  After he coded again in the Emergency room they told me he was without oxygen for too long and was taken off the respirator. He passed away at 4:10 PM."
	"1215403-1"	"1215403-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"1 week post vaccination - patient, not responding to albuterol HFA, called 911, he passed out, was unresponsive, pronounced dead."
	"1215403-1"	"1215403-1"	"DYSPNOEA"	"10013968"	"40-49 years"	"40-49"	"1 week post vaccination - patient, not responding to albuterol HFA, called 911, he passed out, was unresponsive, pronounced dead."
	"1215403-1"	"1215403-1"	"LOSS OF CONSCIOUSNESS"	"10024855"	"40-49 years"	"40-49"	"1 week post vaccination - patient, not responding to albuterol HFA, called 911, he passed out, was unresponsive, pronounced dead."
	"1215403-1"	"1215403-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"40-49 years"	"40-49"	"1 week post vaccination - patient, not responding to albuterol HFA, called 911, he passed out, was unresponsive, pronounced dead."
	"1216091-1"	"1216091-1"	"CARDIAC ARREST"	"10007515"	"30-39 years"	"30-39"	"Patient at gym working out and had a seizure, when 9-1-1 crews arrived patient was post-ictal, while treating the patient he had another seizure, during transport patient went into cardiac arrest, crews provided ACLS care and transported patient to hospital for treatment. Resuscitation efforts were terminated by physician in emergency room."
	"1216091-1"	"1216091-1"	"LIFE SUPPORT"	"10024447"	"30-39 years"	"30-39"	"Patient at gym working out and had a seizure, when 9-1-1 crews arrived patient was post-ictal, while treating the patient he had another seizure, during transport patient went into cardiac arrest, crews provided ACLS care and transported patient to hospital for treatment. Resuscitation efforts were terminated by physician in emergency room."
	"1216091-1"	"1216091-1"	"POSTICTAL STATE"	"10048727"	"30-39 years"	"30-39"	"Patient at gym working out and had a seizure, when 9-1-1 crews arrived patient was post-ictal, while treating the patient he had another seizure, during transport patient went into cardiac arrest, crews provided ACLS care and transported patient to hospital for treatment. Resuscitation efforts were terminated by physician in emergency room."
	"1216091-1"	"1216091-1"	"RESUSCITATION"	"10038749"	"30-39 years"	"30-39"	"Patient at gym working out and had a seizure, when 9-1-1 crews arrived patient was post-ictal, while treating the patient he had another seizure, during transport patient went into cardiac arrest, crews provided ACLS care and transported patient to hospital for treatment. Resuscitation efforts were terminated by physician in emergency room."
	"1216091-1"	"1216091-1"	"SEIZURE"	"10039906"	"30-39 years"	"30-39"	"Patient at gym working out and had a seizure, when 9-1-1 crews arrived patient was post-ictal, while treating the patient he had another seizure, during transport patient went into cardiac arrest, crews provided ACLS care and transported patient to hospital for treatment. Resuscitation efforts were terminated by physician in emergency room."
	"1220590-1"	"1220590-1"	"ABDOMINAL PAIN"	"10000081"	"40-49 years"	"40-49"	"- In the early morning of 4/14/21 Pt called Kaiser help line complaining of cold hands/ feet, restlessness, pallor, R arm pain.   - Telephone visit 4/14/21 complained of chills, nausea, vomiting, abdominal cramping, diarrhea. Fluids and rest recommended.   - 4/15/21 presented to Kaiser with chest pain, shortness of breath, abdominal pain.  Diagnosed with late presentation of acute coronary syndrome / anterior ST elevation MI.  Echo with low EF < 25%, LV apical thrombus - 4/16/21 heart catheterization showed 100% occlusion of LAD treated with PCI / DES x 2, IABP.  Endotracheal intubation for respiratory failure."
	"1220590-1"	"1220590-1"	"ACUTE CORONARY SYNDROME"	"10051592"	"40-49 years"	"40-49"	"- In the early morning of 4/14/21 Pt called Kaiser help line complaining of cold hands/ feet, restlessness, pallor, R arm pain.   - Telephone visit 4/14/21 complained of chills, nausea, vomiting, abdominal cramping, diarrhea. Fluids and rest recommended.   - 4/15/21 presented to Kaiser with chest pain, shortness of breath, abdominal pain.  Diagnosed with late presentation of acute coronary syndrome / anterior ST elevation MI.  Echo with low EF < 25%, LV apical thrombus - 4/16/21 heart catheterization showed 100% occlusion of LAD treated with PCI / DES x 2, IABP.  Endotracheal intubation for respiratory failure."
	"1220590-1"	"1220590-1"	"ACUTE MYOCARDIAL INFARCTION"	"10000891"	"40-49 years"	"40-49"	"- In the early morning of 4/14/21 Pt called Kaiser help line complaining of cold hands/ feet, restlessness, pallor, R arm pain.   - Telephone visit 4/14/21 complained of chills, nausea, vomiting, abdominal cramping, diarrhea. Fluids and rest recommended.   - 4/15/21 presented to Kaiser with chest pain, shortness of breath, abdominal pain.  Diagnosed with late presentation of acute coronary syndrome / anterior ST elevation MI.  Echo with low EF < 25%, LV apical thrombus - 4/16/21 heart catheterization showed 100% occlusion of LAD treated with PCI / DES x 2, IABP.  Endotracheal intubation for respiratory failure."
	"1220590-1"	"1220590-1"	"BLOOD CREATININE INCREASED"	"10005483"	"40-49 years"	"40-49"	"- In the early morning of 4/14/21 Pt called Kaiser help line complaining of cold hands/ feet, restlessness, pallor, R arm pain.   - Telephone visit 4/14/21 complained of chills, nausea, vomiting, abdominal cramping, diarrhea. Fluids and rest recommended.   - 4/15/21 presented to Kaiser with chest pain, shortness of breath, abdominal pain.  Diagnosed with late presentation of acute coronary syndrome / anterior ST elevation MI.  Echo with low EF < 25%, LV apical thrombus - 4/16/21 heart catheterization showed 100% occlusion of LAD treated with PCI / DES x 2, IABP.  Endotracheal intubation for respiratory failure."
	"1220590-1"	"1220590-1"	"CATHETERISATION CARDIAC ABNORMAL"	"10007816"	"40-49 years"	"40-49"	"- In the early morning of 4/14/21 Pt called Kaiser help line complaining of cold hands/ feet, restlessness, pallor, R arm pain.   - Telephone visit 4/14/21 complained of chills, nausea, vomiting, abdominal cramping, diarrhea. Fluids and rest recommended.   - 4/15/21 presented to Kaiser with chest pain, shortness of breath, abdominal pain.  Diagnosed with late presentation of acute coronary syndrome / anterior ST elevation MI.  Echo with low EF < 25%, LV apical thrombus - 4/16/21 heart catheterization showed 100% occlusion of LAD treated with PCI / DES x 2, IABP.  Endotracheal intubation for respiratory failure."
	"1220590-1"	"1220590-1"	"CHEST PAIN"	"10008479"	"40-49 years"	"40-49"	"- In the early morning of 4/14/21 Pt called Kaiser help line complaining of cold hands/ feet, restlessness, pallor, R arm pain.   - Telephone visit 4/14/21 complained of chills, nausea, vomiting, abdominal cramping, diarrhea. Fluids and rest recommended.   - 4/15/21 presented to Kaiser with chest pain, shortness of breath, abdominal pain.  Diagnosed with late presentation of acute coronary syndrome / anterior ST elevation MI.  Echo with low EF < 25%, LV apical thrombus - 4/16/21 heart catheterization showed 100% occlusion of LAD treated with PCI / DES x 2, IABP.  Endotracheal intubation for respiratory failure."
	"1220590-1"	"1220590-1"	"CHEST X-RAY ABNORMAL"	"10008499"	"40-49 years"	"40-49"	"- In the early morning of 4/14/21 Pt called Kaiser help line complaining of cold hands/ feet, restlessness, pallor, R arm pain.   - Telephone visit 4/14/21 complained of chills, nausea, vomiting, abdominal cramping, diarrhea. Fluids and rest recommended.   - 4/15/21 presented to Kaiser with chest pain, shortness of breath, abdominal pain.  Diagnosed with late presentation of acute coronary syndrome / anterior ST elevation MI.  Echo with low EF < 25%, LV apical thrombus - 4/16/21 heart catheterization showed 100% occlusion of LAD treated with PCI / DES x 2, IABP.  Endotracheal intubation for respiratory failure."
	"1220590-1"	"1220590-1"	"CHILLS"	"10008531"	"40-49 years"	"40-49"	"- In the early morning of 4/14/21 Pt called Kaiser help line complaining of cold hands/ feet, restlessness, pallor, R arm pain.   - Telephone visit 4/14/21 complained of chills, nausea, vomiting, abdominal cramping, diarrhea. Fluids and rest recommended.   - 4/15/21 presented to Kaiser with chest pain, shortness of breath, abdominal pain.  Diagnosed with late presentation of acute coronary syndrome / anterior ST elevation MI.  Echo with low EF < 25%, LV apical thrombus - 4/16/21 heart catheterization showed 100% occlusion of LAD treated with PCI / DES x 2, IABP.  Endotracheal intubation for respiratory failure."
	"1220590-1"	"1220590-1"	"CORONARY ARTERIAL STENT INSERTION"	"10052086"	"40-49 years"	"40-49"	"- In the early morning of 4/14/21 Pt called Kaiser help line complaining of cold hands/ feet, restlessness, pallor, R arm pain.   - Telephone visit 4/14/21 complained of chills, nausea, vomiting, abdominal cramping, diarrhea. Fluids and rest recommended.   - 4/15/21 presented to Kaiser with chest pain, shortness of breath, abdominal pain.  Diagnosed with late presentation of acute coronary syndrome / anterior ST elevation MI.  Echo with low EF < 25%, LV apical thrombus - 4/16/21 heart catheterization showed 100% occlusion of LAD treated with PCI / DES x 2, IABP.  Endotracheal intubation for respiratory failure."
	"1220590-1"	"1220590-1"	"CORONARY ARTERY OCCLUSION"	"10011086"	"40-49 years"	"40-49"	"- In the early morning of 4/14/21 Pt called Kaiser help line complaining of cold hands/ feet, restlessness, pallor, R arm pain.   - Telephone visit 4/14/21 complained of chills, nausea, vomiting, abdominal cramping, diarrhea. Fluids and rest recommended.   - 4/15/21 presented to Kaiser with chest pain, shortness of breath, abdominal pain.  Diagnosed with late presentation of acute coronary syndrome / anterior ST elevation MI.  Echo with low EF < 25%, LV apical thrombus - 4/16/21 heart catheterization showed 100% occlusion of LAD treated with PCI / DES x 2, IABP.  Endotracheal intubation for respiratory failure."
	"1220590-1"	"1220590-1"	"DIARRHOEA"	"10012735"	"40-49 years"	"40-49"	"- In the early morning of 4/14/21 Pt called Kaiser help line complaining of cold hands/ feet, restlessness, pallor, R arm pain.   - Telephone visit 4/14/21 complained of chills, nausea, vomiting, abdominal cramping, diarrhea. Fluids and rest recommended.   - 4/15/21 presented to Kaiser with chest pain, shortness of breath, abdominal pain.  Diagnosed with late presentation of acute coronary syndrome / anterior ST elevation MI.  Echo with low EF < 25%, LV apical thrombus - 4/16/21 heart catheterization showed 100% occlusion of LAD treated with PCI / DES x 2, IABP.  Endotracheal intubation for respiratory failure."
	"1220590-1"	"1220590-1"	"DYSPNOEA"	"10013968"	"40-49 years"	"40-49"	"- In the early morning of 4/14/21 Pt called Kaiser help line complaining of cold hands/ feet, restlessness, pallor, R arm pain.   - Telephone visit 4/14/21 complained of chills, nausea, vomiting, abdominal cramping, diarrhea. Fluids and rest recommended.   - 4/15/21 presented to Kaiser with chest pain, shortness of breath, abdominal pain.  Diagnosed with late presentation of acute coronary syndrome / anterior ST elevation MI.  Echo with low EF < 25%, LV apical thrombus - 4/16/21 heart catheterization showed 100% occlusion of LAD treated with PCI / DES x 2, IABP.  Endotracheal intubation for respiratory failure."
	"1220590-1"	"1220590-1"	"ECHOCARDIOGRAM"	"10014113"	"40-49 years"	"40-49"	"- In the early morning of 4/14/21 Pt called Kaiser help line complaining of cold hands/ feet, restlessness, pallor, R arm pain.   - Telephone visit 4/14/21 complained of chills, nausea, vomiting, abdominal cramping, diarrhea. Fluids and rest recommended.   - 4/15/21 presented to Kaiser with chest pain, shortness of breath, abdominal pain.  Diagnosed with late presentation of acute coronary syndrome / anterior ST elevation MI.  Echo with low EF < 25%, LV apical thrombus - 4/16/21 heart catheterization showed 100% occlusion of LAD treated with PCI / DES x 2, IABP.  Endotracheal intubation for respiratory failure."
	"1220590-1"	"1220590-1"	"ECHOCARDIOGRAM ABNORMAL"	"10061593"	"40-49 years"	"40-49"	"- In the early morning of 4/14/21 Pt called Kaiser help line complaining of cold hands/ feet, restlessness, pallor, R arm pain.   - Telephone visit 4/14/21 complained of chills, nausea, vomiting, abdominal cramping, diarrhea. Fluids and rest recommended.   - 4/15/21 presented to Kaiser with chest pain, shortness of breath, abdominal pain.  Diagnosed with late presentation of acute coronary syndrome / anterior ST elevation MI.  Echo with low EF < 25%, LV apical thrombus - 4/16/21 heart catheterization showed 100% occlusion of LAD treated with PCI / DES x 2, IABP.  Endotracheal intubation for respiratory failure."
	"1220590-1"	"1220590-1"	"EJECTION FRACTION"	"10050527"	"40-49 years"	"40-49"	"- In the early morning of 4/14/21 Pt called Kaiser help line complaining of cold hands/ feet, restlessness, pallor, R arm pain.   - Telephone visit 4/14/21 complained of chills, nausea, vomiting, abdominal cramping, diarrhea. Fluids and rest recommended.   - 4/15/21 presented to Kaiser with chest pain, shortness of breath, abdominal pain.  Diagnosed with late presentation of acute coronary syndrome / anterior ST elevation MI.  Echo with low EF < 25%, LV apical thrombus - 4/16/21 heart catheterization showed 100% occlusion of LAD treated with PCI / DES x 2, IABP.  Endotracheal intubation for respiratory failure."
	"1220590-1"	"1220590-1"	"EJECTION FRACTION DECREASED"	"10050528"	"40-49 years"	"40-49"	"- In the early morning of 4/14/21 Pt called Kaiser help line complaining of cold hands/ feet, restlessness, pallor, R arm pain.   - Telephone visit 4/14/21 complained of chills, nausea, vomiting, abdominal cramping, diarrhea. Fluids and rest recommended.   - 4/15/21 presented to Kaiser with chest pain, shortness of breath, abdominal pain.  Diagnosed with late presentation of acute coronary syndrome / anterior ST elevation MI.  Echo with low EF < 25%, LV apical thrombus - 4/16/21 heart catheterization showed 100% occlusion of LAD treated with PCI / DES x 2, IABP.  Endotracheal intubation for respiratory failure."
	"1220590-1"	"1220590-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"40-49 years"	"40-49"	"- In the early morning of 4/14/21 Pt called Kaiser help line complaining of cold hands/ feet, restlessness, pallor, R arm pain.   - Telephone visit 4/14/21 complained of chills, nausea, vomiting, abdominal cramping, diarrhea. Fluids and rest recommended.   - 4/15/21 presented to Kaiser with chest pain, shortness of breath, abdominal pain.  Diagnosed with late presentation of acute coronary syndrome / anterior ST elevation MI.  Echo with low EF < 25%, LV apical thrombus - 4/16/21 heart catheterization showed 100% occlusion of LAD treated with PCI / DES x 2, IABP.  Endotracheal intubation for respiratory failure."
	"1220590-1"	"1220590-1"	"INTRA-AORTIC BALLOON PLACEMENT"	"10052989"	"40-49 years"	"40-49"	"- In the early morning of 4/14/21 Pt called Kaiser help line complaining of cold hands/ feet, restlessness, pallor, R arm pain.   - Telephone visit 4/14/21 complained of chills, nausea, vomiting, abdominal cramping, diarrhea. Fluids and rest recommended.   - 4/15/21 presented to Kaiser with chest pain, shortness of breath, abdominal pain.  Diagnosed with late presentation of acute coronary syndrome / anterior ST elevation MI.  Echo with low EF < 25%, LV apical thrombus - 4/16/21 heart catheterization showed 100% occlusion of LAD treated with PCI / DES x 2, IABP.  Endotracheal intubation for respiratory failure."
	"1220590-1"	"1220590-1"	"NAUSEA"	"10028813"	"40-49 years"	"40-49"	"- In the early morning of 4/14/21 Pt called Kaiser help line complaining of cold hands/ feet, restlessness, pallor, R arm pain.   - Telephone visit 4/14/21 complained of chills, nausea, vomiting, abdominal cramping, diarrhea. Fluids and rest recommended.   - 4/15/21 presented to Kaiser with chest pain, shortness of breath, abdominal pain.  Diagnosed with late presentation of acute coronary syndrome / anterior ST elevation MI.  Echo with low EF < 25%, LV apical thrombus - 4/16/21 heart catheterization showed 100% occlusion of LAD treated with PCI / DES x 2, IABP.  Endotracheal intubation for respiratory failure."
	"1220590-1"	"1220590-1"	"PAIN IN EXTREMITY"	"10033425"	"40-49 years"	"40-49"	"- In the early morning of 4/14/21 Pt called Kaiser help line complaining of cold hands/ feet, restlessness, pallor, R arm pain.   - Telephone visit 4/14/21 complained of chills, nausea, vomiting, abdominal cramping, diarrhea. Fluids and rest recommended.   - 4/15/21 presented to Kaiser with chest pain, shortness of breath, abdominal pain.  Diagnosed with late presentation of acute coronary syndrome / anterior ST elevation MI.  Echo with low EF < 25%, LV apical thrombus - 4/16/21 heart catheterization showed 100% occlusion of LAD treated with PCI / DES x 2, IABP.  Endotracheal intubation for respiratory failure."
	"1220590-1"	"1220590-1"	"PALLOR"	"10033546"	"40-49 years"	"40-49"	"- In the early morning of 4/14/21 Pt called Kaiser help line complaining of cold hands/ feet, restlessness, pallor, R arm pain.   - Telephone visit 4/14/21 complained of chills, nausea, vomiting, abdominal cramping, diarrhea. Fluids and rest recommended.   - 4/15/21 presented to Kaiser with chest pain, shortness of breath, abdominal pain.  Diagnosed with late presentation of acute coronary syndrome / anterior ST elevation MI.  Echo with low EF < 25%, LV apical thrombus - 4/16/21 heart catheterization showed 100% occlusion of LAD treated with PCI / DES x 2, IABP.  Endotracheal intubation for respiratory failure."
	"1220590-1"	"1220590-1"	"PERCUTANEOUS CORONARY INTERVENTION"	"10065608"	"40-49 years"	"40-49"	"- In the early morning of 4/14/21 Pt called Kaiser help line complaining of cold hands/ feet, restlessness, pallor, R arm pain.   - Telephone visit 4/14/21 complained of chills, nausea, vomiting, abdominal cramping, diarrhea. Fluids and rest recommended.   - 4/15/21 presented to Kaiser with chest pain, shortness of breath, abdominal pain.  Diagnosed with late presentation of acute coronary syndrome / anterior ST elevation MI.  Echo with low EF < 25%, LV apical thrombus - 4/16/21 heart catheterization showed 100% occlusion of LAD treated with PCI / DES x 2, IABP.  Endotracheal intubation for respiratory failure."
	"1220590-1"	"1220590-1"	"PERIPHERAL COLDNESS"	"10034568"	"40-49 years"	"40-49"	"- In the early morning of 4/14/21 Pt called Kaiser help line complaining of cold hands/ feet, restlessness, pallor, R arm pain.   - Telephone visit 4/14/21 complained of chills, nausea, vomiting, abdominal cramping, diarrhea. Fluids and rest recommended.   - 4/15/21 presented to Kaiser with chest pain, shortness of breath, abdominal pain.  Diagnosed with late presentation of acute coronary syndrome / anterior ST elevation MI.  Echo with low EF < 25%, LV apical thrombus - 4/16/21 heart catheterization showed 100% occlusion of LAD treated with PCI / DES x 2, IABP.  Endotracheal intubation for respiratory failure."
	"1220590-1"	"1220590-1"	"PULMONARY OEDEMA"	"10037423"	"40-49 years"	"40-49"	"- In the early morning of 4/14/21 Pt called Kaiser help line complaining of cold hands/ feet, restlessness, pallor, R arm pain.   - Telephone visit 4/14/21 complained of chills, nausea, vomiting, abdominal cramping, diarrhea. Fluids and rest recommended.   - 4/15/21 presented to Kaiser with chest pain, shortness of breath, abdominal pain.  Diagnosed with late presentation of acute coronary syndrome / anterior ST elevation MI.  Echo with low EF < 25%, LV apical thrombus - 4/16/21 heart catheterization showed 100% occlusion of LAD treated with PCI / DES x 2, IABP.  Endotracheal intubation for respiratory failure."
	"1220590-1"	"1220590-1"	"RESPIRATORY FAILURE"	"10038695"	"40-49 years"	"40-49"	"- In the early morning of 4/14/21 Pt called Kaiser help line complaining of cold hands/ feet, restlessness, pallor, R arm pain.   - Telephone visit 4/14/21 complained of chills, nausea, vomiting, abdominal cramping, diarrhea. Fluids and rest recommended.   - 4/15/21 presented to Kaiser with chest pain, shortness of breath, abdominal pain.  Diagnosed with late presentation of acute coronary syndrome / anterior ST elevation MI.  Echo with low EF < 25%, LV apical thrombus - 4/16/21 heart catheterization showed 100% occlusion of LAD treated with PCI / DES x 2, IABP.  Endotracheal intubation for respiratory failure."
	"1220590-1"	"1220590-1"	"RESTLESSNESS"	"10038743"	"40-49 years"	"40-49"	"- In the early morning of 4/14/21 Pt called Kaiser help line complaining of cold hands/ feet, restlessness, pallor, R arm pain.   - Telephone visit 4/14/21 complained of chills, nausea, vomiting, abdominal cramping, diarrhea. Fluids and rest recommended.   - 4/15/21 presented to Kaiser with chest pain, shortness of breath, abdominal pain.  Diagnosed with late presentation of acute coronary syndrome / anterior ST elevation MI.  Echo with low EF < 25%, LV apical thrombus - 4/16/21 heart catheterization showed 100% occlusion of LAD treated with PCI / DES x 2, IABP.  Endotracheal intubation for respiratory failure."
	"1220590-1"	"1220590-1"	"VOMITING"	"10047700"	"40-49 years"	"40-49"	"- In the early morning of 4/14/21 Pt called Kaiser help line complaining of cold hands/ feet, restlessness, pallor, R arm pain.   - Telephone visit 4/14/21 complained of chills, nausea, vomiting, abdominal cramping, diarrhea. Fluids and rest recommended.   - 4/15/21 presented to Kaiser with chest pain, shortness of breath, abdominal pain.  Diagnosed with late presentation of acute coronary syndrome / anterior ST elevation MI.  Echo with low EF < 25%, LV apical thrombus - 4/16/21 heart catheterization showed 100% occlusion of LAD treated with PCI / DES x 2, IABP.  Endotracheal intubation for respiratory failure."
	"1220723-1"	"1220723-1"	"ACUTE KIDNEY INJURY"	"10069339"	"30-39 years"	"30-39"	"36  year old male with hx of hypertension , asthma,  schizophrenia . he recieved  Janssen vaccine on 4/6/2021. he started to fell unwell on 4/14  and on 4/15 he was found  by his father unresponsive then sent to the hospital.  Pt was diagnosed with  massive pulmonary embolism, severe shock, acute renal failure ,Diabetic ketoacidosis ,  hyperglycemic hyperosmolar nonketotic coma, acute respiratory failure, patient expried  from massive pulmonary embolism  within 48 hours after admission."
	"1220723-1"	"1220723-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"30-39 years"	"30-39"	"36  year old male with hx of hypertension , asthma,  schizophrenia . he recieved  Janssen vaccine on 4/6/2021. he started to fell unwell on 4/14  and on 4/15 he was found  by his father unresponsive then sent to the hospital.  Pt was diagnosed with  massive pulmonary embolism, severe shock, acute renal failure ,Diabetic ketoacidosis ,  hyperglycemic hyperosmolar nonketotic coma, acute respiratory failure, patient expried  from massive pulmonary embolism  within 48 hours after admission."
	"1220723-1"	"1220723-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"36  year old male with hx of hypertension , asthma,  schizophrenia . he recieved  Janssen vaccine on 4/6/2021. he started to fell unwell on 4/14  and on 4/15 he was found  by his father unresponsive then sent to the hospital.  Pt was diagnosed with  massive pulmonary embolism, severe shock, acute renal failure ,Diabetic ketoacidosis ,  hyperglycemic hyperosmolar nonketotic coma, acute respiratory failure, patient expried  from massive pulmonary embolism  within 48 hours after admission."
	"1220723-1"	"1220723-1"	"DIABETIC HYPEROSMOLAR COMA"	"10012669"	"30-39 years"	"30-39"	"36  year old male with hx of hypertension , asthma,  schizophrenia . he recieved  Janssen vaccine on 4/6/2021. he started to fell unwell on 4/14  and on 4/15 he was found  by his father unresponsive then sent to the hospital.  Pt was diagnosed with  massive pulmonary embolism, severe shock, acute renal failure ,Diabetic ketoacidosis ,  hyperglycemic hyperosmolar nonketotic coma, acute respiratory failure, patient expried  from massive pulmonary embolism  within 48 hours after admission."
	"1220723-1"	"1220723-1"	"DIABETIC KETOACIDOSIS"	"10012671"	"30-39 years"	"30-39"	"36  year old male with hx of hypertension , asthma,  schizophrenia . he recieved  Janssen vaccine on 4/6/2021. he started to fell unwell on 4/14  and on 4/15 he was found  by his father unresponsive then sent to the hospital.  Pt was diagnosed with  massive pulmonary embolism, severe shock, acute renal failure ,Diabetic ketoacidosis ,  hyperglycemic hyperosmolar nonketotic coma, acute respiratory failure, patient expried  from massive pulmonary embolism  within 48 hours after admission."
	"1220723-1"	"1220723-1"	"MALAISE"	"10025482"	"30-39 years"	"30-39"	"36  year old male with hx of hypertension , asthma,  schizophrenia . he recieved  Janssen vaccine on 4/6/2021. he started to fell unwell on 4/14  and on 4/15 he was found  by his father unresponsive then sent to the hospital.  Pt was diagnosed with  massive pulmonary embolism, severe shock, acute renal failure ,Diabetic ketoacidosis ,  hyperglycemic hyperosmolar nonketotic coma, acute respiratory failure, patient expried  from massive pulmonary embolism  within 48 hours after admission."
	"1220723-1"	"1220723-1"	"PULMONARY EMBOLISM"	"10037377"	"30-39 years"	"30-39"	"36  year old male with hx of hypertension , asthma,  schizophrenia . he recieved  Janssen vaccine on 4/6/2021. he started to fell unwell on 4/14  and on 4/15 he was found  by his father unresponsive then sent to the hospital.  Pt was diagnosed with  massive pulmonary embolism, severe shock, acute renal failure ,Diabetic ketoacidosis ,  hyperglycemic hyperosmolar nonketotic coma, acute respiratory failure, patient expried  from massive pulmonary embolism  within 48 hours after admission."
	"1220723-1"	"1220723-1"	"SHOCK"	"10040560"	"30-39 years"	"30-39"	"36  year old male with hx of hypertension , asthma,  schizophrenia . he recieved  Janssen vaccine on 4/6/2021. he started to fell unwell on 4/14  and on 4/15 he was found  by his father unresponsive then sent to the hospital.  Pt was diagnosed with  massive pulmonary embolism, severe shock, acute renal failure ,Diabetic ketoacidosis ,  hyperglycemic hyperosmolar nonketotic coma, acute respiratory failure, patient expried  from massive pulmonary embolism  within 48 hours after admission."
	"1220723-1"	"1220723-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"30-39 years"	"30-39"	"36  year old male with hx of hypertension , asthma,  schizophrenia . he recieved  Janssen vaccine on 4/6/2021. he started to fell unwell on 4/14  and on 4/15 he was found  by his father unresponsive then sent to the hospital.  Pt was diagnosed with  massive pulmonary embolism, severe shock, acute renal failure ,Diabetic ketoacidosis ,  hyperglycemic hyperosmolar nonketotic coma, acute respiratory failure, patient expried  from massive pulmonary embolism  within 48 hours after admission."
	"1221176-1"	"1221176-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"he died; This spontaneous case was reported by a consumer and describes the occurrence of DEATH (he died) in a 49-year-old patient of an unknown gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination.     The patient's past medical history included No adverse event (No reported medical history).    On 30-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. Death occurred on 03-Apr-2021 The patient died on 03-Apr-2021. The cause of death was not reported. It is unknown if an autopsy was performed.            No concomitant medications were reported. No treatment medications were reported.  Action taken with mRNA-1273 in response to the event was not applicable.  Very limited information regarding this event has been provided at this time.  Further information has been requested; Sender's Comments: Very limited information regarding this event has been provided at this time.  Further information has been requested; Reported Cause(s) of Death: Unknown cause of death"
	"1223650-1"	"1223650-1"	"CARDIAC DISORDER"	"10061024"	"30-39 years"	"30-39"	"In the evening on March 15th, she began having shortness of breath and chest pain. She asked her boyfriend for her blood pressure cuff so she could take her blood pressure. As he was getting it she told him to call 911 and then her eyes rolled back in her head and she stopped breathing. Paramedics attempted to revive her but were unsuccessful. She was taken to the hospital and pronounced dead. Cause of death listed as heart disease."
	"1223650-1"	"1223650-1"	"CHEST PAIN"	"10008479"	"30-39 years"	"30-39"	"In the evening on March 15th, she began having shortness of breath and chest pain. She asked her boyfriend for her blood pressure cuff so she could take her blood pressure. As he was getting it she told him to call 911 and then her eyes rolled back in her head and she stopped breathing. Paramedics attempted to revive her but were unsuccessful. She was taken to the hospital and pronounced dead. Cause of death listed as heart disease."
	"1223650-1"	"1223650-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"In the evening on March 15th, she began having shortness of breath and chest pain. She asked her boyfriend for her blood pressure cuff so she could take her blood pressure. As he was getting it she told him to call 911 and then her eyes rolled back in her head and she stopped breathing. Paramedics attempted to revive her but were unsuccessful. She was taken to the hospital and pronounced dead. Cause of death listed as heart disease."
	"1223650-1"	"1223650-1"	"DYSPNOEA"	"10013968"	"30-39 years"	"30-39"	"In the evening on March 15th, she began having shortness of breath and chest pain. She asked her boyfriend for her blood pressure cuff so she could take her blood pressure. As he was getting it she told him to call 911 and then her eyes rolled back in her head and she stopped breathing. Paramedics attempted to revive her but were unsuccessful. She was taken to the hospital and pronounced dead. Cause of death listed as heart disease."
	"1223650-1"	"1223650-1"	"EYE MOVEMENT DISORDER"	"10061129"	"30-39 years"	"30-39"	"In the evening on March 15th, she began having shortness of breath and chest pain. She asked her boyfriend for her blood pressure cuff so she could take her blood pressure. As he was getting it she told him to call 911 and then her eyes rolled back in her head and she stopped breathing. Paramedics attempted to revive her but were unsuccessful. She was taken to the hospital and pronounced dead. Cause of death listed as heart disease."
	"1223650-1"	"1223650-1"	"RESPIRATORY ARREST"	"10038669"	"30-39 years"	"30-39"	"In the evening on March 15th, she began having shortness of breath and chest pain. She asked her boyfriend for her blood pressure cuff so she could take her blood pressure. As he was getting it she told him to call 911 and then her eyes rolled back in her head and she stopped breathing. Paramedics attempted to revive her but were unsuccessful. She was taken to the hospital and pronounced dead. Cause of death listed as heart disease."
	"1223650-1"	"1223650-1"	"RESUSCITATION"	"10038749"	"30-39 years"	"30-39"	"In the evening on March 15th, she began having shortness of breath and chest pain. She asked her boyfriend for her blood pressure cuff so she could take her blood pressure. As he was getting it she told him to call 911 and then her eyes rolled back in her head and she stopped breathing. Paramedics attempted to revive her but were unsuccessful. She was taken to the hospital and pronounced dead. Cause of death listed as heart disease."
	"1223683-1"	"1223683-1"	"AUTOPSY"	"10050117"	"40-49 years"	"40-49"	"Patient reported severe headache on 2/12/21 at approximately 3:30 pm followed by vertigo, nausea, vomiting.  Patient became unconscious and EMS was called, found patient on floor and she was brought to ED where CT revealed intracranial hemorrhage.  Patient was admitted and supportive care given.  She had worsening status on 2/17/21 with pupillary reflexes no longer present and withdrawal of care was performed on 2/21/21.  Patient expired on 2/22/21."
	"1223683-1"	"1223683-1"	"COMPUTERISED TOMOGRAM HEAD ABNORMAL"	"10072168"	"40-49 years"	"40-49"	"Patient reported severe headache on 2/12/21 at approximately 3:30 pm followed by vertigo, nausea, vomiting.  Patient became unconscious and EMS was called, found patient on floor and she was brought to ED where CT revealed intracranial hemorrhage.  Patient was admitted and supportive care given.  She had worsening status on 2/17/21 with pupillary reflexes no longer present and withdrawal of care was performed on 2/21/21.  Patient expired on 2/22/21."
	"1223683-1"	"1223683-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Patient reported severe headache on 2/12/21 at approximately 3:30 pm followed by vertigo, nausea, vomiting.  Patient became unconscious and EMS was called, found patient on floor and she was brought to ED where CT revealed intracranial hemorrhage.  Patient was admitted and supportive care given.  She had worsening status on 2/17/21 with pupillary reflexes no longer present and withdrawal of care was performed on 2/21/21.  Patient expired on 2/22/21."
	"1223683-1"	"1223683-1"	"HAEMORRHAGE INTRACRANIAL"	"10018985"	"40-49 years"	"40-49"	"Patient reported severe headache on 2/12/21 at approximately 3:30 pm followed by vertigo, nausea, vomiting.  Patient became unconscious and EMS was called, found patient on floor and she was brought to ED where CT revealed intracranial hemorrhage.  Patient was admitted and supportive care given.  She had worsening status on 2/17/21 with pupillary reflexes no longer present and withdrawal of care was performed on 2/21/21.  Patient expired on 2/22/21."
	"1223683-1"	"1223683-1"	"HEADACHE"	"10019211"	"40-49 years"	"40-49"	"Patient reported severe headache on 2/12/21 at approximately 3:30 pm followed by vertigo, nausea, vomiting.  Patient became unconscious and EMS was called, found patient on floor and she was brought to ED where CT revealed intracranial hemorrhage.  Patient was admitted and supportive care given.  She had worsening status on 2/17/21 with pupillary reflexes no longer present and withdrawal of care was performed on 2/21/21.  Patient expired on 2/22/21."
	"1223683-1"	"1223683-1"	"LOSS OF CONSCIOUSNESS"	"10024855"	"40-49 years"	"40-49"	"Patient reported severe headache on 2/12/21 at approximately 3:30 pm followed by vertigo, nausea, vomiting.  Patient became unconscious and EMS was called, found patient on floor and she was brought to ED where CT revealed intracranial hemorrhage.  Patient was admitted and supportive care given.  She had worsening status on 2/17/21 with pupillary reflexes no longer present and withdrawal of care was performed on 2/21/21.  Patient expired on 2/22/21."
	"1223683-1"	"1223683-1"	"NAUSEA"	"10028813"	"40-49 years"	"40-49"	"Patient reported severe headache on 2/12/21 at approximately 3:30 pm followed by vertigo, nausea, vomiting.  Patient became unconscious and EMS was called, found patient on floor and she was brought to ED where CT revealed intracranial hemorrhage.  Patient was admitted and supportive care given.  She had worsening status on 2/17/21 with pupillary reflexes no longer present and withdrawal of care was performed on 2/21/21.  Patient expired on 2/22/21."
	"1223683-1"	"1223683-1"	"PLATELET COUNT NORMAL"	"10035530"	"40-49 years"	"40-49"	"Patient reported severe headache on 2/12/21 at approximately 3:30 pm followed by vertigo, nausea, vomiting.  Patient became unconscious and EMS was called, found patient on floor and she was brought to ED where CT revealed intracranial hemorrhage.  Patient was admitted and supportive care given.  She had worsening status on 2/17/21 with pupillary reflexes no longer present and withdrawal of care was performed on 2/21/21.  Patient expired on 2/22/21."
	"1223683-1"	"1223683-1"	"PUPILLARY REFLEX IMPAIRED"	"10037532"	"40-49 years"	"40-49"	"Patient reported severe headache on 2/12/21 at approximately 3:30 pm followed by vertigo, nausea, vomiting.  Patient became unconscious and EMS was called, found patient on floor and she was brought to ED where CT revealed intracranial hemorrhage.  Patient was admitted and supportive care given.  She had worsening status on 2/17/21 with pupillary reflexes no longer present and withdrawal of care was performed on 2/21/21.  Patient expired on 2/22/21."
	"1223683-1"	"1223683-1"	"VERTIGO"	"10047340"	"40-49 years"	"40-49"	"Patient reported severe headache on 2/12/21 at approximately 3:30 pm followed by vertigo, nausea, vomiting.  Patient became unconscious and EMS was called, found patient on floor and she was brought to ED where CT revealed intracranial hemorrhage.  Patient was admitted and supportive care given.  She had worsening status on 2/17/21 with pupillary reflexes no longer present and withdrawal of care was performed on 2/21/21.  Patient expired on 2/22/21."
	"1223683-1"	"1223683-1"	"VOMITING"	"10047700"	"40-49 years"	"40-49"	"Patient reported severe headache on 2/12/21 at approximately 3:30 pm followed by vertigo, nausea, vomiting.  Patient became unconscious and EMS was called, found patient on floor and she was brought to ED where CT revealed intracranial hemorrhage.  Patient was admitted and supportive care given.  She had worsening status on 2/17/21 with pupillary reflexes no longer present and withdrawal of care was performed on 2/21/21.  Patient expired on 2/22/21."
	"1223683-1"	"1223683-1"	"WITHDRAWAL OF LIFE SUPPORT"	"10067595"	"40-49 years"	"40-49"	"Patient reported severe headache on 2/12/21 at approximately 3:30 pm followed by vertigo, nausea, vomiting.  Patient became unconscious and EMS was called, found patient on floor and she was brought to ED where CT revealed intracranial hemorrhage.  Patient was admitted and supportive care given.  She had worsening status on 2/17/21 with pupillary reflexes no longer present and withdrawal of care was performed on 2/21/21.  Patient expired on 2/22/21."
	"1223714-1"	"1223714-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"This information is second hand, I have not been in contact with next of kin- I am reporting this because I don't know if anyone else including a medical examiner or his PCP would know that he was recently vaccinated.  I was told that this patient was feeling sick for a couple of weeks. A friend visited him within the last couple days and he had a migraine headache. When they went to check on him today they found him deceased in his chair.  Further investigation would be needed."
	"1223714-1"	"1223714-1"	"MALAISE"	"10025482"	"30-39 years"	"30-39"	"This information is second hand, I have not been in contact with next of kin- I am reporting this because I don't know if anyone else including a medical examiner or his PCP would know that he was recently vaccinated.  I was told that this patient was feeling sick for a couple of weeks. A friend visited him within the last couple days and he had a migraine headache. When they went to check on him today they found him deceased in his chair.  Further investigation would be needed."
	"1223714-1"	"1223714-1"	"MIGRAINE"	"10027599"	"30-39 years"	"30-39"	"This information is second hand, I have not been in contact with next of kin- I am reporting this because I don't know if anyone else including a medical examiner or his PCP would know that he was recently vaccinated.  I was told that this patient was feeling sick for a couple of weeks. A friend visited him within the last couple days and he had a migraine headache. When they went to check on him today they found him deceased in his chair.  Further investigation would be needed."
	"1223941-1"	"1223941-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Death 4/17/21"
	"1228010-1"	"1228010-1"	"CHLAMYDIA TEST NEGATIVE"	"10070273"	"30-39 years"	"30-39"	"Death Narrative: Patient was not previously Covid positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Patient died of a drug overdose and had a UDS positive for fentanyl and alcohol on 3/8/21 patient tested positive for Chlamydia due to high risk sexual behavior and substance use disorder. Patient was admitted to facility on 2/26/21 to detox from alcohol."
	"1228010-1"	"1228010-1"	"CHLAMYDIAL INFECTION"	"10061041"	"30-39 years"	"30-39"	"Death Narrative: Patient was not previously Covid positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Patient died of a drug overdose and had a UDS positive for fentanyl and alcohol on 3/8/21 patient tested positive for Chlamydia due to high risk sexual behavior and substance use disorder. Patient was admitted to facility on 2/26/21 to detox from alcohol."
	"1228010-1"	"1228010-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Death Narrative: Patient was not previously Covid positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Patient died of a drug overdose and had a UDS positive for fentanyl and alcohol on 3/8/21 patient tested positive for Chlamydia due to high risk sexual behavior and substance use disorder. Patient was admitted to facility on 2/26/21 to detox from alcohol."
	"1228010-1"	"1228010-1"	"DRUG SCREEN POSITIVE"	"10049177"	"30-39 years"	"30-39"	"Death Narrative: Patient was not previously Covid positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Patient died of a drug overdose and had a UDS positive for fentanyl and alcohol on 3/8/21 patient tested positive for Chlamydia due to high risk sexual behavior and substance use disorder. Patient was admitted to facility on 2/26/21 to detox from alcohol."
	"1228010-1"	"1228010-1"	"HIGH RISK SEXUAL BEHAVIOUR"	"10020082"	"30-39 years"	"30-39"	"Death Narrative: Patient was not previously Covid positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Patient died of a drug overdose and had a UDS positive for fentanyl and alcohol on 3/8/21 patient tested positive for Chlamydia due to high risk sexual behavior and substance use disorder. Patient was admitted to facility on 2/26/21 to detox from alcohol."
	"1228010-1"	"1228010-1"	"OVERDOSE"	"10033295"	"30-39 years"	"30-39"	"Death Narrative: Patient was not previously Covid positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Patient died of a drug overdose and had a UDS positive for fentanyl and alcohol on 3/8/21 patient tested positive for Chlamydia due to high risk sexual behavior and substance use disorder. Patient was admitted to facility on 2/26/21 to detox from alcohol."
	"1228010-1"	"1228010-1"	"SUBSTANCE USE DISORDER"	"10079384"	"30-39 years"	"30-39"	"Death Narrative: Patient was not previously Covid positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Patient died of a drug overdose and had a UDS positive for fentanyl and alcohol on 3/8/21 patient tested positive for Chlamydia due to high risk sexual behavior and substance use disorder. Patient was admitted to facility on 2/26/21 to detox from alcohol."
	"1228351-1"	"1228351-1"	"SUDDEN DEATH"	"10042434"	"30-39 years"	"30-39"	"He died unexpectedly early in the morning. He woke up suddenly, said he needed help, and then was gone."
	"1230371-1"	"1230371-1"	"ACUTE KIDNEY INJURY"	"10069339"	"40-49 years"	"40-49"	"Patient passed away on 4/13 after presenting to local hospital with near syncope and AKI.  Records from local hospital are unavailable, unclear regarding cause of death and circumstances thereforth."
	"1230371-1"	"1230371-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Patient passed away on 4/13 after presenting to local hospital with near syncope and AKI.  Records from local hospital are unavailable, unclear regarding cause of death and circumstances thereforth."
	"1230371-1"	"1230371-1"	"PRESYNCOPE"	"10036653"	"40-49 years"	"40-49"	"Patient passed away on 4/13 after presenting to local hospital with near syncope and AKI.  Records from local hospital are unavailable, unclear regarding cause of death and circumstances thereforth."
	"1232541-1"	"1232541-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Patient found unresponsive at approximately 12:00 am 10/11.  EMS called and patient was pronounced dead at scene."
	"1232541-1"	"1232541-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"30-39 years"	"30-39"	"Patient found unresponsive at approximately 12:00 am 10/11.  EMS called and patient was pronounced dead at scene."
	"1233510-1"	"1233510-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Death. Multiple pulmonary thrombi."
	"1233510-1"	"1233510-1"	"PULMONARY THROMBOSIS"	"10037437"	"40-49 years"	"40-49"	"Death. Multiple pulmonary thrombi."
	"1234064-1"	"1234064-1"	"CEREBROVASCULAR ACCIDENT"	"10008190"	"30-39 years"	"30-39"	"Husband stated wife had a severe stroke on 4/19"
	"1234152-1"	"1234152-1"	"ACTIVATED PARTIAL THROMBOPLASTIN TIME NORMAL"	"10000635"	"40-49 years"	"40-49"	"Pt. had (what we think) a small seizure on Thursday, March 18th and then again on Saturday, March 20th.  On Sunday, March 21st, 911 had to be called as his seizure did not end.  He had a grand male.  He was seizing for several hours.  At the time this was all occurring he has been on anti seizure meds for a few years Divalproex 1000 mg am and 1000 mgs pm daily).  He passed 1 week later, March 28 at approx 6:45pm at the Clinic.  I am unable to get any information  on his medical report for that week.  Statement from his Nurologists is on second page. Additional information for Item 18:   Statement:  47 year old gentleman who passed away on March 28 from aspiration pneumonia secondary to status epilepticus and on a history of multiple sclerosis / additional leukoencephalopathy of unknown etiology (both treated with rituximab), prior seizures (on valproic acid) and pulmonary embolism (on apixaban). The key reason for reaching out is in light of the announcement about the side effects of the Johnson & Johnson vaccine specifically cerebral venous sinus thrombosis. While he had a known history of seizures, he had no clear trigger for these seizures; including that his valproic acid level was therapeutic (83.0 mcg/mL) at time of presentation. He had, however, received the Johnson & Johnson vaccine on March 12 before having what in hindsight appeared to be repeated seizures between March 18-21; he had a more significant one on March 21 that hospitalized him. This time frame appears consistent with the reported cases of central venous sinus thrombosis associated with the Johnson & Johnson vaccine. Equally, he was taking apixaban at that point in time and his PLT (173) / INR (1.1) / PTT (36.6) at time of presentation were all normal and stable. He did have an elevated ProBNP (552.0) at presentation; nasopharyngeal swab was negative for COVID / Influenza A/B / RSV and non-contrast head CT did not show any clear new abnormalities. His only D-dimer was obtained on March 23 and was 226. He did not have a CT angiogram or venogram.   Overall the link between the vaccine and pt. seizures is not definite. At the same time, the similarity with the reported cases has led to me wanting to report it in case of the possible link. If you require further information then please don't hesitate to email me Pt. med list at the time of this incident  Modifinil - 100 mg/1per day/AM Sertraline - 100 mg/1per day/AM Vitamin D3 - 50 mg/1per day/AM Divalproex - 500 mg/2per day/AM Eliquis - 5 mg/1per day/AM Furoseminde - 20 mg/1per day/AM Metroprolol - 100 mg/1per day/AM Lisinopril - 10 mg/1per day/AM  Divalproex - 500 mg/2per day/PM Eliquis - 5 mg/1per day/PM Metroprolol - 100 mg/1per day/PM Melatonin - 5 mg/1per day/PM Quetiapine - 50 mg/3per day/PM"
	"1234152-1"	"1234152-1"	"ANTICOAGULANT THERAPY"	"10053468"	"40-49 years"	"40-49"	"Pt. had (what we think) a small seizure on Thursday, March 18th and then again on Saturday, March 20th.  On Sunday, March 21st, 911 had to be called as his seizure did not end.  He had a grand male.  He was seizing for several hours.  At the time this was all occurring he has been on anti seizure meds for a few years Divalproex 1000 mg am and 1000 mgs pm daily).  He passed 1 week later, March 28 at approx 6:45pm at the Clinic.  I am unable to get any information  on his medical report for that week.  Statement from his Nurologists is on second page. Additional information for Item 18:   Statement:  47 year old gentleman who passed away on March 28 from aspiration pneumonia secondary to status epilepticus and on a history of multiple sclerosis / additional leukoencephalopathy of unknown etiology (both treated with rituximab), prior seizures (on valproic acid) and pulmonary embolism (on apixaban). The key reason for reaching out is in light of the announcement about the side effects of the Johnson & Johnson vaccine specifically cerebral venous sinus thrombosis. While he had a known history of seizures, he had no clear trigger for these seizures; including that his valproic acid level was therapeutic (83.0 mcg/mL) at time of presentation. He had, however, received the Johnson & Johnson vaccine on March 12 before having what in hindsight appeared to be repeated seizures between March 18-21; he had a more significant one on March 21 that hospitalized him. This time frame appears consistent with the reported cases of central venous sinus thrombosis associated with the Johnson & Johnson vaccine. Equally, he was taking apixaban at that point in time and his PLT (173) / INR (1.1) / PTT (36.6) at time of presentation were all normal and stable. He did have an elevated ProBNP (552.0) at presentation; nasopharyngeal swab was negative for COVID / Influenza A/B / RSV and non-contrast head CT did not show any clear new abnormalities. His only D-dimer was obtained on March 23 and was 226. He did not have a CT angiogram or venogram.   Overall the link between the vaccine and pt. seizures is not definite. At the same time, the similarity with the reported cases has led to me wanting to report it in case of the possible link. If you require further information then please don't hesitate to email me Pt. med list at the time of this incident  Modifinil - 100 mg/1per day/AM Sertraline - 100 mg/1per day/AM Vitamin D3 - 50 mg/1per day/AM Divalproex - 500 mg/2per day/AM Eliquis - 5 mg/1per day/AM Furoseminde - 20 mg/1per day/AM Metroprolol - 100 mg/1per day/AM Lisinopril - 10 mg/1per day/AM  Divalproex - 500 mg/2per day/PM Eliquis - 5 mg/1per day/PM Metroprolol - 100 mg/1per day/PM Melatonin - 5 mg/1per day/PM Quetiapine - 50 mg/3per day/PM"
	"1234152-1"	"1234152-1"	"CEREBRAL VENOUS SINUS THROMBOSIS"	"10083037"	"40-49 years"	"40-49"	"Pt. had (what we think) a small seizure on Thursday, March 18th and then again on Saturday, March 20th.  On Sunday, March 21st, 911 had to be called as his seizure did not end.  He had a grand male.  He was seizing for several hours.  At the time this was all occurring he has been on anti seizure meds for a few years Divalproex 1000 mg am and 1000 mgs pm daily).  He passed 1 week later, March 28 at approx 6:45pm at the Clinic.  I am unable to get any information  on his medical report for that week.  Statement from his Nurologists is on second page. Additional information for Item 18:   Statement:  47 year old gentleman who passed away on March 28 from aspiration pneumonia secondary to status epilepticus and on a history of multiple sclerosis / additional leukoencephalopathy of unknown etiology (both treated with rituximab), prior seizures (on valproic acid) and pulmonary embolism (on apixaban). The key reason for reaching out is in light of the announcement about the side effects of the Johnson & Johnson vaccine specifically cerebral venous sinus thrombosis. While he had a known history of seizures, he had no clear trigger for these seizures; including that his valproic acid level was therapeutic (83.0 mcg/mL) at time of presentation. He had, however, received the Johnson & Johnson vaccine on March 12 before having what in hindsight appeared to be repeated seizures between March 18-21; he had a more significant one on March 21 that hospitalized him. This time frame appears consistent with the reported cases of central venous sinus thrombosis associated with the Johnson & Johnson vaccine. Equally, he was taking apixaban at that point in time and his PLT (173) / INR (1.1) / PTT (36.6) at time of presentation were all normal and stable. He did have an elevated ProBNP (552.0) at presentation; nasopharyngeal swab was negative for COVID / Influenza A/B / RSV and non-contrast head CT did not show any clear new abnormalities. His only D-dimer was obtained on March 23 and was 226. He did not have a CT angiogram or venogram.   Overall the link between the vaccine and pt. seizures is not definite. At the same time, the similarity with the reported cases has led to me wanting to report it in case of the possible link. If you require further information then please don't hesitate to email me Pt. med list at the time of this incident  Modifinil - 100 mg/1per day/AM Sertraline - 100 mg/1per day/AM Vitamin D3 - 50 mg/1per day/AM Divalproex - 500 mg/2per day/AM Eliquis - 5 mg/1per day/AM Furoseminde - 20 mg/1per day/AM Metroprolol - 100 mg/1per day/AM Lisinopril - 10 mg/1per day/AM  Divalproex - 500 mg/2per day/PM Eliquis - 5 mg/1per day/PM Metroprolol - 100 mg/1per day/PM Melatonin - 5 mg/1per day/PM Quetiapine - 50 mg/3per day/PM"
	"1234152-1"	"1234152-1"	"COMPUTERISED TOMOGRAM HEAD"	"10054003"	"40-49 years"	"40-49"	"Pt. had (what we think) a small seizure on Thursday, March 18th and then again on Saturday, March 20th.  On Sunday, March 21st, 911 had to be called as his seizure did not end.  He had a grand male.  He was seizing for several hours.  At the time this was all occurring he has been on anti seizure meds for a few years Divalproex 1000 mg am and 1000 mgs pm daily).  He passed 1 week later, March 28 at approx 6:45pm at the Clinic.  I am unable to get any information  on his medical report for that week.  Statement from his Nurologists is on second page. Additional information for Item 18:   Statement:  47 year old gentleman who passed away on March 28 from aspiration pneumonia secondary to status epilepticus and on a history of multiple sclerosis / additional leukoencephalopathy of unknown etiology (both treated with rituximab), prior seizures (on valproic acid) and pulmonary embolism (on apixaban). The key reason for reaching out is in light of the announcement about the side effects of the Johnson & Johnson vaccine specifically cerebral venous sinus thrombosis. While he had a known history of seizures, he had no clear trigger for these seizures; including that his valproic acid level was therapeutic (83.0 mcg/mL) at time of presentation. He had, however, received the Johnson & Johnson vaccine on March 12 before having what in hindsight appeared to be repeated seizures between March 18-21; he had a more significant one on March 21 that hospitalized him. This time frame appears consistent with the reported cases of central venous sinus thrombosis associated with the Johnson & Johnson vaccine. Equally, he was taking apixaban at that point in time and his PLT (173) / INR (1.1) / PTT (36.6) at time of presentation were all normal and stable. He did have an elevated ProBNP (552.0) at presentation; nasopharyngeal swab was negative for COVID / Influenza A/B / RSV and non-contrast head CT did not show any clear new abnormalities. His only D-dimer was obtained on March 23 and was 226. He did not have a CT angiogram or venogram.   Overall the link between the vaccine and pt. seizures is not definite. At the same time, the similarity with the reported cases has led to me wanting to report it in case of the possible link. If you require further information then please don't hesitate to email me Pt. med list at the time of this incident  Modifinil - 100 mg/1per day/AM Sertraline - 100 mg/1per day/AM Vitamin D3 - 50 mg/1per day/AM Divalproex - 500 mg/2per day/AM Eliquis - 5 mg/1per day/AM Furoseminde - 20 mg/1per day/AM Metroprolol - 100 mg/1per day/AM Lisinopril - 10 mg/1per day/AM  Divalproex - 500 mg/2per day/PM Eliquis - 5 mg/1per day/PM Metroprolol - 100 mg/1per day/PM Melatonin - 5 mg/1per day/PM Quetiapine - 50 mg/3per day/PM"
	"1234152-1"	"1234152-1"	"CONDITION AGGRAVATED"	"10010264"	"40-49 years"	"40-49"	"Pt. had (what we think) a small seizure on Thursday, March 18th and then again on Saturday, March 20th.  On Sunday, March 21st, 911 had to be called as his seizure did not end.  He had a grand male.  He was seizing for several hours.  At the time this was all occurring he has been on anti seizure meds for a few years Divalproex 1000 mg am and 1000 mgs pm daily).  He passed 1 week later, March 28 at approx 6:45pm at the Clinic.  I am unable to get any information  on his medical report for that week.  Statement from his Nurologists is on second page. Additional information for Item 18:   Statement:  47 year old gentleman who passed away on March 28 from aspiration pneumonia secondary to status epilepticus and on a history of multiple sclerosis / additional leukoencephalopathy of unknown etiology (both treated with rituximab), prior seizures (on valproic acid) and pulmonary embolism (on apixaban). The key reason for reaching out is in light of the announcement about the side effects of the Johnson & Johnson vaccine specifically cerebral venous sinus thrombosis. While he had a known history of seizures, he had no clear trigger for these seizures; including that his valproic acid level was therapeutic (83.0 mcg/mL) at time of presentation. He had, however, received the Johnson & Johnson vaccine on March 12 before having what in hindsight appeared to be repeated seizures between March 18-21; he had a more significant one on March 21 that hospitalized him. This time frame appears consistent with the reported cases of central venous sinus thrombosis associated with the Johnson & Johnson vaccine. Equally, he was taking apixaban at that point in time and his PLT (173) / INR (1.1) / PTT (36.6) at time of presentation were all normal and stable. He did have an elevated ProBNP (552.0) at presentation; nasopharyngeal swab was negative for COVID / Influenza A/B / RSV and non-contrast head CT did not show any clear new abnormalities. His only D-dimer was obtained on March 23 and was 226. He did not have a CT angiogram or venogram.   Overall the link between the vaccine and pt. seizures is not definite. At the same time, the similarity with the reported cases has led to me wanting to report it in case of the possible link. If you require further information then please don't hesitate to email me Pt. med list at the time of this incident  Modifinil - 100 mg/1per day/AM Sertraline - 100 mg/1per day/AM Vitamin D3 - 50 mg/1per day/AM Divalproex - 500 mg/2per day/AM Eliquis - 5 mg/1per day/AM Furoseminde - 20 mg/1per day/AM Metroprolol - 100 mg/1per day/AM Lisinopril - 10 mg/1per day/AM  Divalproex - 500 mg/2per day/PM Eliquis - 5 mg/1per day/PM Metroprolol - 100 mg/1per day/PM Melatonin - 5 mg/1per day/PM Quetiapine - 50 mg/3per day/PM"
	"1234152-1"	"1234152-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Pt. had (what we think) a small seizure on Thursday, March 18th and then again on Saturday, March 20th.  On Sunday, March 21st, 911 had to be called as his seizure did not end.  He had a grand male.  He was seizing for several hours.  At the time this was all occurring he has been on anti seizure meds for a few years Divalproex 1000 mg am and 1000 mgs pm daily).  He passed 1 week later, March 28 at approx 6:45pm at the Clinic.  I am unable to get any information  on his medical report for that week.  Statement from his Nurologists is on second page. Additional information for Item 18:   Statement:  47 year old gentleman who passed away on March 28 from aspiration pneumonia secondary to status epilepticus and on a history of multiple sclerosis / additional leukoencephalopathy of unknown etiology (both treated with rituximab), prior seizures (on valproic acid) and pulmonary embolism (on apixaban). The key reason for reaching out is in light of the announcement about the side effects of the Johnson & Johnson vaccine specifically cerebral venous sinus thrombosis. While he had a known history of seizures, he had no clear trigger for these seizures; including that his valproic acid level was therapeutic (83.0 mcg/mL) at time of presentation. He had, however, received the Johnson & Johnson vaccine on March 12 before having what in hindsight appeared to be repeated seizures between March 18-21; he had a more significant one on March 21 that hospitalized him. This time frame appears consistent with the reported cases of central venous sinus thrombosis associated with the Johnson & Johnson vaccine. Equally, he was taking apixaban at that point in time and his PLT (173) / INR (1.1) / PTT (36.6) at time of presentation were all normal and stable. He did have an elevated ProBNP (552.0) at presentation; nasopharyngeal swab was negative for COVID / Influenza A/B / RSV and non-contrast head CT did not show any clear new abnormalities. His only D-dimer was obtained on March 23 and was 226. He did not have a CT angiogram or venogram.   Overall the link between the vaccine and pt. seizures is not definite. At the same time, the similarity with the reported cases has led to me wanting to report it in case of the possible link. If you require further information then please don't hesitate to email me Pt. med list at the time of this incident  Modifinil - 100 mg/1per day/AM Sertraline - 100 mg/1per day/AM Vitamin D3 - 50 mg/1per day/AM Divalproex - 500 mg/2per day/AM Eliquis - 5 mg/1per day/AM Furoseminde - 20 mg/1per day/AM Metroprolol - 100 mg/1per day/AM Lisinopril - 10 mg/1per day/AM  Divalproex - 500 mg/2per day/PM Eliquis - 5 mg/1per day/PM Metroprolol - 100 mg/1per day/PM Melatonin - 5 mg/1per day/PM Quetiapine - 50 mg/3per day/PM"
	"1234152-1"	"1234152-1"	"FIBRIN D DIMER NORMAL"	"10016583"	"40-49 years"	"40-49"	"Pt. had (what we think) a small seizure on Thursday, March 18th and then again on Saturday, March 20th.  On Sunday, March 21st, 911 had to be called as his seizure did not end.  He had a grand male.  He was seizing for several hours.  At the time this was all occurring he has been on anti seizure meds for a few years Divalproex 1000 mg am and 1000 mgs pm daily).  He passed 1 week later, March 28 at approx 6:45pm at the Clinic.  I am unable to get any information  on his medical report for that week.  Statement from his Nurologists is on second page. Additional information for Item 18:   Statement:  47 year old gentleman who passed away on March 28 from aspiration pneumonia secondary to status epilepticus and on a history of multiple sclerosis / additional leukoencephalopathy of unknown etiology (both treated with rituximab), prior seizures (on valproic acid) and pulmonary embolism (on apixaban). The key reason for reaching out is in light of the announcement about the side effects of the Johnson & Johnson vaccine specifically cerebral venous sinus thrombosis. While he had a known history of seizures, he had no clear trigger for these seizures; including that his valproic acid level was therapeutic (83.0 mcg/mL) at time of presentation. He had, however, received the Johnson & Johnson vaccine on March 12 before having what in hindsight appeared to be repeated seizures between March 18-21; he had a more significant one on March 21 that hospitalized him. This time frame appears consistent with the reported cases of central venous sinus thrombosis associated with the Johnson & Johnson vaccine. Equally, he was taking apixaban at that point in time and his PLT (173) / INR (1.1) / PTT (36.6) at time of presentation were all normal and stable. He did have an elevated ProBNP (552.0) at presentation; nasopharyngeal swab was negative for COVID / Influenza A/B / RSV and non-contrast head CT did not show any clear new abnormalities. His only D-dimer was obtained on March 23 and was 226. He did not have a CT angiogram or venogram.   Overall the link between the vaccine and pt. seizures is not definite. At the same time, the similarity with the reported cases has led to me wanting to report it in case of the possible link. If you require further information then please don't hesitate to email me Pt. med list at the time of this incident  Modifinil - 100 mg/1per day/AM Sertraline - 100 mg/1per day/AM Vitamin D3 - 50 mg/1per day/AM Divalproex - 500 mg/2per day/AM Eliquis - 5 mg/1per day/AM Furoseminde - 20 mg/1per day/AM Metroprolol - 100 mg/1per day/AM Lisinopril - 10 mg/1per day/AM  Divalproex - 500 mg/2per day/PM Eliquis - 5 mg/1per day/PM Metroprolol - 100 mg/1per day/PM Melatonin - 5 mg/1per day/PM Quetiapine - 50 mg/3per day/PM"
	"1234152-1"	"1234152-1"	"GENERALISED TONIC-CLONIC SEIZURE"	"10018100"	"40-49 years"	"40-49"	"Pt. had (what we think) a small seizure on Thursday, March 18th and then again on Saturday, March 20th.  On Sunday, March 21st, 911 had to be called as his seizure did not end.  He had a grand male.  He was seizing for several hours.  At the time this was all occurring he has been on anti seizure meds for a few years Divalproex 1000 mg am and 1000 mgs pm daily).  He passed 1 week later, March 28 at approx 6:45pm at the Clinic.  I am unable to get any information  on his medical report for that week.  Statement from his Nurologists is on second page. Additional information for Item 18:   Statement:  47 year old gentleman who passed away on March 28 from aspiration pneumonia secondary to status epilepticus and on a history of multiple sclerosis / additional leukoencephalopathy of unknown etiology (both treated with rituximab), prior seizures (on valproic acid) and pulmonary embolism (on apixaban). The key reason for reaching out is in light of the announcement about the side effects of the Johnson & Johnson vaccine specifically cerebral venous sinus thrombosis. While he had a known history of seizures, he had no clear trigger for these seizures; including that his valproic acid level was therapeutic (83.0 mcg/mL) at time of presentation. He had, however, received the Johnson & Johnson vaccine on March 12 before having what in hindsight appeared to be repeated seizures between March 18-21; he had a more significant one on March 21 that hospitalized him. This time frame appears consistent with the reported cases of central venous sinus thrombosis associated with the Johnson & Johnson vaccine. Equally, he was taking apixaban at that point in time and his PLT (173) / INR (1.1) / PTT (36.6) at time of presentation were all normal and stable. He did have an elevated ProBNP (552.0) at presentation; nasopharyngeal swab was negative for COVID / Influenza A/B / RSV and non-contrast head CT did not show any clear new abnormalities. His only D-dimer was obtained on March 23 and was 226. He did not have a CT angiogram or venogram.   Overall the link between the vaccine and pt. seizures is not definite. At the same time, the similarity with the reported cases has led to me wanting to report it in case of the possible link. If you require further information then please don't hesitate to email me Pt. med list at the time of this incident  Modifinil - 100 mg/1per day/AM Sertraline - 100 mg/1per day/AM Vitamin D3 - 50 mg/1per day/AM Divalproex - 500 mg/2per day/AM Eliquis - 5 mg/1per day/AM Furoseminde - 20 mg/1per day/AM Metroprolol - 100 mg/1per day/AM Lisinopril - 10 mg/1per day/AM  Divalproex - 500 mg/2per day/PM Eliquis - 5 mg/1per day/PM Metroprolol - 100 mg/1per day/PM Melatonin - 5 mg/1per day/PM Quetiapine - 50 mg/3per day/PM"
	"1234152-1"	"1234152-1"	"INFLUENZA A VIRUS TEST NEGATIVE"	"10070417"	"40-49 years"	"40-49"	"Pt. had (what we think) a small seizure on Thursday, March 18th and then again on Saturday, March 20th.  On Sunday, March 21st, 911 had to be called as his seizure did not end.  He had a grand male.  He was seizing for several hours.  At the time this was all occurring he has been on anti seizure meds for a few years Divalproex 1000 mg am and 1000 mgs pm daily).  He passed 1 week later, March 28 at approx 6:45pm at the Clinic.  I am unable to get any information  on his medical report for that week.  Statement from his Nurologists is on second page. Additional information for Item 18:   Statement:  47 year old gentleman who passed away on March 28 from aspiration pneumonia secondary to status epilepticus and on a history of multiple sclerosis / additional leukoencephalopathy of unknown etiology (both treated with rituximab), prior seizures (on valproic acid) and pulmonary embolism (on apixaban). The key reason for reaching out is in light of the announcement about the side effects of the Johnson & Johnson vaccine specifically cerebral venous sinus thrombosis. While he had a known history of seizures, he had no clear trigger for these seizures; including that his valproic acid level was therapeutic (83.0 mcg/mL) at time of presentation. He had, however, received the Johnson & Johnson vaccine on March 12 before having what in hindsight appeared to be repeated seizures between March 18-21; he had a more significant one on March 21 that hospitalized him. This time frame appears consistent with the reported cases of central venous sinus thrombosis associated with the Johnson & Johnson vaccine. Equally, he was taking apixaban at that point in time and his PLT (173) / INR (1.1) / PTT (36.6) at time of presentation were all normal and stable. He did have an elevated ProBNP (552.0) at presentation; nasopharyngeal swab was negative for COVID / Influenza A/B / RSV and non-contrast head CT did not show any clear new abnormalities. His only D-dimer was obtained on March 23 and was 226. He did not have a CT angiogram or venogram.   Overall the link between the vaccine and pt. seizures is not definite. At the same time, the similarity with the reported cases has led to me wanting to report it in case of the possible link. If you require further information then please don't hesitate to email me Pt. med list at the time of this incident  Modifinil - 100 mg/1per day/AM Sertraline - 100 mg/1per day/AM Vitamin D3 - 50 mg/1per day/AM Divalproex - 500 mg/2per day/AM Eliquis - 5 mg/1per day/AM Furoseminde - 20 mg/1per day/AM Metroprolol - 100 mg/1per day/AM Lisinopril - 10 mg/1per day/AM  Divalproex - 500 mg/2per day/PM Eliquis - 5 mg/1per day/PM Metroprolol - 100 mg/1per day/PM Melatonin - 5 mg/1per day/PM Quetiapine - 50 mg/3per day/PM"
	"1234152-1"	"1234152-1"	"INFLUENZA B VIRUS TEST"	"10071544"	"40-49 years"	"40-49"	"Pt. had (what we think) a small seizure on Thursday, March 18th and then again on Saturday, March 20th.  On Sunday, March 21st, 911 had to be called as his seizure did not end.  He had a grand male.  He was seizing for several hours.  At the time this was all occurring he has been on anti seizure meds for a few years Divalproex 1000 mg am and 1000 mgs pm daily).  He passed 1 week later, March 28 at approx 6:45pm at the Clinic.  I am unable to get any information  on his medical report for that week.  Statement from his Nurologists is on second page. Additional information for Item 18:   Statement:  47 year old gentleman who passed away on March 28 from aspiration pneumonia secondary to status epilepticus and on a history of multiple sclerosis / additional leukoencephalopathy of unknown etiology (both treated with rituximab), prior seizures (on valproic acid) and pulmonary embolism (on apixaban). The key reason for reaching out is in light of the announcement about the side effects of the Johnson & Johnson vaccine specifically cerebral venous sinus thrombosis. While he had a known history of seizures, he had no clear trigger for these seizures; including that his valproic acid level was therapeutic (83.0 mcg/mL) at time of presentation. He had, however, received the Johnson & Johnson vaccine on March 12 before having what in hindsight appeared to be repeated seizures between March 18-21; he had a more significant one on March 21 that hospitalized him. This time frame appears consistent with the reported cases of central venous sinus thrombosis associated with the Johnson & Johnson vaccine. Equally, he was taking apixaban at that point in time and his PLT (173) / INR (1.1) / PTT (36.6) at time of presentation were all normal and stable. He did have an elevated ProBNP (552.0) at presentation; nasopharyngeal swab was negative for COVID / Influenza A/B / RSV and non-contrast head CT did not show any clear new abnormalities. His only D-dimer was obtained on March 23 and was 226. He did not have a CT angiogram or venogram.   Overall the link between the vaccine and pt. seizures is not definite. At the same time, the similarity with the reported cases has led to me wanting to report it in case of the possible link. If you require further information then please don't hesitate to email me Pt. med list at the time of this incident  Modifinil - 100 mg/1per day/AM Sertraline - 100 mg/1per day/AM Vitamin D3 - 50 mg/1per day/AM Divalproex - 500 mg/2per day/AM Eliquis - 5 mg/1per day/AM Furoseminde - 20 mg/1per day/AM Metroprolol - 100 mg/1per day/AM Lisinopril - 10 mg/1per day/AM  Divalproex - 500 mg/2per day/PM Eliquis - 5 mg/1per day/PM Metroprolol - 100 mg/1per day/PM Melatonin - 5 mg/1per day/PM Quetiapine - 50 mg/3per day/PM"
	"1234152-1"	"1234152-1"	"INTERNATIONAL NORMALISED RATIO NORMAL"	"10022596"	"40-49 years"	"40-49"	"Pt. had (what we think) a small seizure on Thursday, March 18th and then again on Saturday, March 20th.  On Sunday, March 21st, 911 had to be called as his seizure did not end.  He had a grand male.  He was seizing for several hours.  At the time this was all occurring he has been on anti seizure meds for a few years Divalproex 1000 mg am and 1000 mgs pm daily).  He passed 1 week later, March 28 at approx 6:45pm at the Clinic.  I am unable to get any information  on his medical report for that week.  Statement from his Nurologists is on second page. Additional information for Item 18:   Statement:  47 year old gentleman who passed away on March 28 from aspiration pneumonia secondary to status epilepticus and on a history of multiple sclerosis / additional leukoencephalopathy of unknown etiology (both treated with rituximab), prior seizures (on valproic acid) and pulmonary embolism (on apixaban). The key reason for reaching out is in light of the announcement about the side effects of the Johnson & Johnson vaccine specifically cerebral venous sinus thrombosis. While he had a known history of seizures, he had no clear trigger for these seizures; including that his valproic acid level was therapeutic (83.0 mcg/mL) at time of presentation. He had, however, received the Johnson & Johnson vaccine on March 12 before having what in hindsight appeared to be repeated seizures between March 18-21; he had a more significant one on March 21 that hospitalized him. This time frame appears consistent with the reported cases of central venous sinus thrombosis associated with the Johnson & Johnson vaccine. Equally, he was taking apixaban at that point in time and his PLT (173) / INR (1.1) / PTT (36.6) at time of presentation were all normal and stable. He did have an elevated ProBNP (552.0) at presentation; nasopharyngeal swab was negative for COVID / Influenza A/B / RSV and non-contrast head CT did not show any clear new abnormalities. His only D-dimer was obtained on March 23 and was 226. He did not have a CT angiogram or venogram.   Overall the link between the vaccine and pt. seizures is not definite. At the same time, the similarity with the reported cases has led to me wanting to report it in case of the possible link. If you require further information then please don't hesitate to email me Pt. med list at the time of this incident  Modifinil - 100 mg/1per day/AM Sertraline - 100 mg/1per day/AM Vitamin D3 - 50 mg/1per day/AM Divalproex - 500 mg/2per day/AM Eliquis - 5 mg/1per day/AM Furoseminde - 20 mg/1per day/AM Metroprolol - 100 mg/1per day/AM Lisinopril - 10 mg/1per day/AM  Divalproex - 500 mg/2per day/PM Eliquis - 5 mg/1per day/PM Metroprolol - 100 mg/1per day/PM Melatonin - 5 mg/1per day/PM Quetiapine - 50 mg/3per day/PM"
	"1234152-1"	"1234152-1"	"N-TERMINAL PROHORMONE BRAIN NATRIURETIC PEPTIDE INCREASED"	"10071662"	"40-49 years"	"40-49"	"Pt. had (what we think) a small seizure on Thursday, March 18th and then again on Saturday, March 20th.  On Sunday, March 21st, 911 had to be called as his seizure did not end.  He had a grand male.  He was seizing for several hours.  At the time this was all occurring he has been on anti seizure meds for a few years Divalproex 1000 mg am and 1000 mgs pm daily).  He passed 1 week later, March 28 at approx 6:45pm at the Clinic.  I am unable to get any information  on his medical report for that week.  Statement from his Nurologists is on second page. Additional information for Item 18:   Statement:  47 year old gentleman who passed away on March 28 from aspiration pneumonia secondary to status epilepticus and on a history of multiple sclerosis / additional leukoencephalopathy of unknown etiology (both treated with rituximab), prior seizures (on valproic acid) and pulmonary embolism (on apixaban). The key reason for reaching out is in light of the announcement about the side effects of the Johnson & Johnson vaccine specifically cerebral venous sinus thrombosis. While he had a known history of seizures, he had no clear trigger for these seizures; including that his valproic acid level was therapeutic (83.0 mcg/mL) at time of presentation. He had, however, received the Johnson & Johnson vaccine on March 12 before having what in hindsight appeared to be repeated seizures between March 18-21; he had a more significant one on March 21 that hospitalized him. This time frame appears consistent with the reported cases of central venous sinus thrombosis associated with the Johnson & Johnson vaccine. Equally, he was taking apixaban at that point in time and his PLT (173) / INR (1.1) / PTT (36.6) at time of presentation were all normal and stable. He did have an elevated ProBNP (552.0) at presentation; nasopharyngeal swab was negative for COVID / Influenza A/B / RSV and non-contrast head CT did not show any clear new abnormalities. His only D-dimer was obtained on March 23 and was 226. He did not have a CT angiogram or venogram.   Overall the link between the vaccine and pt. seizures is not definite. At the same time, the similarity with the reported cases has led to me wanting to report it in case of the possible link. If you require further information then please don't hesitate to email me Pt. med list at the time of this incident  Modifinil - 100 mg/1per day/AM Sertraline - 100 mg/1per day/AM Vitamin D3 - 50 mg/1per day/AM Divalproex - 500 mg/2per day/AM Eliquis - 5 mg/1per day/AM Furoseminde - 20 mg/1per day/AM Metroprolol - 100 mg/1per day/AM Lisinopril - 10 mg/1per day/AM  Divalproex - 500 mg/2per day/PM Eliquis - 5 mg/1per day/PM Metroprolol - 100 mg/1per day/PM Melatonin - 5 mg/1per day/PM Quetiapine - 50 mg/3per day/PM"
	"1234152-1"	"1234152-1"	"PLATELET COUNT NORMAL"	"10035530"	"40-49 years"	"40-49"	"Pt. had (what we think) a small seizure on Thursday, March 18th and then again on Saturday, March 20th.  On Sunday, March 21st, 911 had to be called as his seizure did not end.  He had a grand male.  He was seizing for several hours.  At the time this was all occurring he has been on anti seizure meds for a few years Divalproex 1000 mg am and 1000 mgs pm daily).  He passed 1 week later, March 28 at approx 6:45pm at the Clinic.  I am unable to get any information  on his medical report for that week.  Statement from his Nurologists is on second page. Additional information for Item 18:   Statement:  47 year old gentleman who passed away on March 28 from aspiration pneumonia secondary to status epilepticus and on a history of multiple sclerosis / additional leukoencephalopathy of unknown etiology (both treated with rituximab), prior seizures (on valproic acid) and pulmonary embolism (on apixaban). The key reason for reaching out is in light of the announcement about the side effects of the Johnson & Johnson vaccine specifically cerebral venous sinus thrombosis. While he had a known history of seizures, he had no clear trigger for these seizures; including that his valproic acid level was therapeutic (83.0 mcg/mL) at time of presentation. He had, however, received the Johnson & Johnson vaccine on March 12 before having what in hindsight appeared to be repeated seizures between March 18-21; he had a more significant one on March 21 that hospitalized him. This time frame appears consistent with the reported cases of central venous sinus thrombosis associated with the Johnson & Johnson vaccine. Equally, he was taking apixaban at that point in time and his PLT (173) / INR (1.1) / PTT (36.6) at time of presentation were all normal and stable. He did have an elevated ProBNP (552.0) at presentation; nasopharyngeal swab was negative for COVID / Influenza A/B / RSV and non-contrast head CT did not show any clear new abnormalities. His only D-dimer was obtained on March 23 and was 226. He did not have a CT angiogram or venogram.   Overall the link between the vaccine and pt. seizures is not definite. At the same time, the similarity with the reported cases has led to me wanting to report it in case of the possible link. If you require further information then please don't hesitate to email me Pt. med list at the time of this incident  Modifinil - 100 mg/1per day/AM Sertraline - 100 mg/1per day/AM Vitamin D3 - 50 mg/1per day/AM Divalproex - 500 mg/2per day/AM Eliquis - 5 mg/1per day/AM Furoseminde - 20 mg/1per day/AM Metroprolol - 100 mg/1per day/AM Lisinopril - 10 mg/1per day/AM  Divalproex - 500 mg/2per day/PM Eliquis - 5 mg/1per day/PM Metroprolol - 100 mg/1per day/PM Melatonin - 5 mg/1per day/PM Quetiapine - 50 mg/3per day/PM"
	"1234152-1"	"1234152-1"	"PNEUMONIA ASPIRATION"	"10035669"	"40-49 years"	"40-49"	"Pt. had (what we think) a small seizure on Thursday, March 18th and then again on Saturday, March 20th.  On Sunday, March 21st, 911 had to be called as his seizure did not end.  He had a grand male.  He was seizing for several hours.  At the time this was all occurring he has been on anti seizure meds for a few years Divalproex 1000 mg am and 1000 mgs pm daily).  He passed 1 week later, March 28 at approx 6:45pm at the Clinic.  I am unable to get any information  on his medical report for that week.  Statement from his Nurologists is on second page. Additional information for Item 18:   Statement:  47 year old gentleman who passed away on March 28 from aspiration pneumonia secondary to status epilepticus and on a history of multiple sclerosis / additional leukoencephalopathy of unknown etiology (both treated with rituximab), prior seizures (on valproic acid) and pulmonary embolism (on apixaban). The key reason for reaching out is in light of the announcement about the side effects of the Johnson & Johnson vaccine specifically cerebral venous sinus thrombosis. While he had a known history of seizures, he had no clear trigger for these seizures; including that his valproic acid level was therapeutic (83.0 mcg/mL) at time of presentation. He had, however, received the Johnson & Johnson vaccine on March 12 before having what in hindsight appeared to be repeated seizures between March 18-21; he had a more significant one on March 21 that hospitalized him. This time frame appears consistent with the reported cases of central venous sinus thrombosis associated with the Johnson & Johnson vaccine. Equally, he was taking apixaban at that point in time and his PLT (173) / INR (1.1) / PTT (36.6) at time of presentation were all normal and stable. He did have an elevated ProBNP (552.0) at presentation; nasopharyngeal swab was negative for COVID / Influenza A/B / RSV and non-contrast head CT did not show any clear new abnormalities. His only D-dimer was obtained on March 23 and was 226. He did not have a CT angiogram or venogram.   Overall the link between the vaccine and pt. seizures is not definite. At the same time, the similarity with the reported cases has led to me wanting to report it in case of the possible link. If you require further information then please don't hesitate to email me Pt. med list at the time of this incident  Modifinil - 100 mg/1per day/AM Sertraline - 100 mg/1per day/AM Vitamin D3 - 50 mg/1per day/AM Divalproex - 500 mg/2per day/AM Eliquis - 5 mg/1per day/AM Furoseminde - 20 mg/1per day/AM Metroprolol - 100 mg/1per day/AM Lisinopril - 10 mg/1per day/AM  Divalproex - 500 mg/2per day/PM Eliquis - 5 mg/1per day/PM Metroprolol - 100 mg/1per day/PM Melatonin - 5 mg/1per day/PM Quetiapine - 50 mg/3per day/PM"
	"1234152-1"	"1234152-1"	"RESPIRATORY SYNCYTIAL VIRUS TEST NEGATIVE"	"10068564"	"40-49 years"	"40-49"	"Pt. had (what we think) a small seizure on Thursday, March 18th and then again on Saturday, March 20th.  On Sunday, March 21st, 911 had to be called as his seizure did not end.  He had a grand male.  He was seizing for several hours.  At the time this was all occurring he has been on anti seizure meds for a few years Divalproex 1000 mg am and 1000 mgs pm daily).  He passed 1 week later, March 28 at approx 6:45pm at the Clinic.  I am unable to get any information  on his medical report for that week.  Statement from his Nurologists is on second page. Additional information for Item 18:   Statement:  47 year old gentleman who passed away on March 28 from aspiration pneumonia secondary to status epilepticus and on a history of multiple sclerosis / additional leukoencephalopathy of unknown etiology (both treated with rituximab), prior seizures (on valproic acid) and pulmonary embolism (on apixaban). The key reason for reaching out is in light of the announcement about the side effects of the Johnson & Johnson vaccine specifically cerebral venous sinus thrombosis. While he had a known history of seizures, he had no clear trigger for these seizures; including that his valproic acid level was therapeutic (83.0 mcg/mL) at time of presentation. He had, however, received the Johnson & Johnson vaccine on March 12 before having what in hindsight appeared to be repeated seizures between March 18-21; he had a more significant one on March 21 that hospitalized him. This time frame appears consistent with the reported cases of central venous sinus thrombosis associated with the Johnson & Johnson vaccine. Equally, he was taking apixaban at that point in time and his PLT (173) / INR (1.1) / PTT (36.6) at time of presentation were all normal and stable. He did have an elevated ProBNP (552.0) at presentation; nasopharyngeal swab was negative for COVID / Influenza A/B / RSV and non-contrast head CT did not show any clear new abnormalities. His only D-dimer was obtained on March 23 and was 226. He did not have a CT angiogram or venogram.   Overall the link between the vaccine and pt. seizures is not definite. At the same time, the similarity with the reported cases has led to me wanting to report it in case of the possible link. If you require further information then please don't hesitate to email me Pt. med list at the time of this incident  Modifinil - 100 mg/1per day/AM Sertraline - 100 mg/1per day/AM Vitamin D3 - 50 mg/1per day/AM Divalproex - 500 mg/2per day/AM Eliquis - 5 mg/1per day/AM Furoseminde - 20 mg/1per day/AM Metroprolol - 100 mg/1per day/AM Lisinopril - 10 mg/1per day/AM  Divalproex - 500 mg/2per day/PM Eliquis - 5 mg/1per day/PM Metroprolol - 100 mg/1per day/PM Melatonin - 5 mg/1per day/PM Quetiapine - 50 mg/3per day/PM"
	"1234152-1"	"1234152-1"	"SARS-COV-2 TEST NEGATIVE"	"10084273"	"40-49 years"	"40-49"	"Pt. had (what we think) a small seizure on Thursday, March 18th and then again on Saturday, March 20th.  On Sunday, March 21st, 911 had to be called as his seizure did not end.  He had a grand male.  He was seizing for several hours.  At the time this was all occurring he has been on anti seizure meds for a few years Divalproex 1000 mg am and 1000 mgs pm daily).  He passed 1 week later, March 28 at approx 6:45pm at the Clinic.  I am unable to get any information  on his medical report for that week.  Statement from his Nurologists is on second page. Additional information for Item 18:   Statement:  47 year old gentleman who passed away on March 28 from aspiration pneumonia secondary to status epilepticus and on a history of multiple sclerosis / additional leukoencephalopathy of unknown etiology (both treated with rituximab), prior seizures (on valproic acid) and pulmonary embolism (on apixaban). The key reason for reaching out is in light of the announcement about the side effects of the Johnson & Johnson vaccine specifically cerebral venous sinus thrombosis. While he had a known history of seizures, he had no clear trigger for these seizures; including that his valproic acid level was therapeutic (83.0 mcg/mL) at time of presentation. He had, however, received the Johnson & Johnson vaccine on March 12 before having what in hindsight appeared to be repeated seizures between March 18-21; he had a more significant one on March 21 that hospitalized him. This time frame appears consistent with the reported cases of central venous sinus thrombosis associated with the Johnson & Johnson vaccine. Equally, he was taking apixaban at that point in time and his PLT (173) / INR (1.1) / PTT (36.6) at time of presentation were all normal and stable. He did have an elevated ProBNP (552.0) at presentation; nasopharyngeal swab was negative for COVID / Influenza A/B / RSV and non-contrast head CT did not show any clear new abnormalities. His only D-dimer was obtained on March 23 and was 226. He did not have a CT angiogram or venogram.   Overall the link between the vaccine and pt. seizures is not definite. At the same time, the similarity with the reported cases has led to me wanting to report it in case of the possible link. If you require further information then please don't hesitate to email me Pt. med list at the time of this incident  Modifinil - 100 mg/1per day/AM Sertraline - 100 mg/1per day/AM Vitamin D3 - 50 mg/1per day/AM Divalproex - 500 mg/2per day/AM Eliquis - 5 mg/1per day/AM Furoseminde - 20 mg/1per day/AM Metroprolol - 100 mg/1per day/AM Lisinopril - 10 mg/1per day/AM  Divalproex - 500 mg/2per day/PM Eliquis - 5 mg/1per day/PM Metroprolol - 100 mg/1per day/PM Melatonin - 5 mg/1per day/PM Quetiapine - 50 mg/3per day/PM"
	"1234152-1"	"1234152-1"	"SEIZURE"	"10039906"	"40-49 years"	"40-49"	"Pt. had (what we think) a small seizure on Thursday, March 18th and then again on Saturday, March 20th.  On Sunday, March 21st, 911 had to be called as his seizure did not end.  He had a grand male.  He was seizing for several hours.  At the time this was all occurring he has been on anti seizure meds for a few years Divalproex 1000 mg am and 1000 mgs pm daily).  He passed 1 week later, March 28 at approx 6:45pm at the Clinic.  I am unable to get any information  on his medical report for that week.  Statement from his Nurologists is on second page. Additional information for Item 18:   Statement:  47 year old gentleman who passed away on March 28 from aspiration pneumonia secondary to status epilepticus and on a history of multiple sclerosis / additional leukoencephalopathy of unknown etiology (both treated with rituximab), prior seizures (on valproic acid) and pulmonary embolism (on apixaban). The key reason for reaching out is in light of the announcement about the side effects of the Johnson & Johnson vaccine specifically cerebral venous sinus thrombosis. While he had a known history of seizures, he had no clear trigger for these seizures; including that his valproic acid level was therapeutic (83.0 mcg/mL) at time of presentation. He had, however, received the Johnson & Johnson vaccine on March 12 before having what in hindsight appeared to be repeated seizures between March 18-21; he had a more significant one on March 21 that hospitalized him. This time frame appears consistent with the reported cases of central venous sinus thrombosis associated with the Johnson & Johnson vaccine. Equally, he was taking apixaban at that point in time and his PLT (173) / INR (1.1) / PTT (36.6) at time of presentation were all normal and stable. He did have an elevated ProBNP (552.0) at presentation; nasopharyngeal swab was negative for COVID / Influenza A/B / RSV and non-contrast head CT did not show any clear new abnormalities. His only D-dimer was obtained on March 23 and was 226. He did not have a CT angiogram or venogram.   Overall the link between the vaccine and pt. seizures is not definite. At the same time, the similarity with the reported cases has led to me wanting to report it in case of the possible link. If you require further information then please don't hesitate to email me Pt. med list at the time of this incident  Modifinil - 100 mg/1per day/AM Sertraline - 100 mg/1per day/AM Vitamin D3 - 50 mg/1per day/AM Divalproex - 500 mg/2per day/AM Eliquis - 5 mg/1per day/AM Furoseminde - 20 mg/1per day/AM Metroprolol - 100 mg/1per day/AM Lisinopril - 10 mg/1per day/AM  Divalproex - 500 mg/2per day/PM Eliquis - 5 mg/1per day/PM Metroprolol - 100 mg/1per day/PM Melatonin - 5 mg/1per day/PM Quetiapine - 50 mg/3per day/PM"
	"1234152-1"	"1234152-1"	"STATUS EPILEPTICUS"	"10041962"	"40-49 years"	"40-49"	"Pt. had (what we think) a small seizure on Thursday, March 18th and then again on Saturday, March 20th.  On Sunday, March 21st, 911 had to be called as his seizure did not end.  He had a grand male.  He was seizing for several hours.  At the time this was all occurring he has been on anti seizure meds for a few years Divalproex 1000 mg am and 1000 mgs pm daily).  He passed 1 week later, March 28 at approx 6:45pm at the Clinic.  I am unable to get any information  on his medical report for that week.  Statement from his Nurologists is on second page. Additional information for Item 18:   Statement:  47 year old gentleman who passed away on March 28 from aspiration pneumonia secondary to status epilepticus and on a history of multiple sclerosis / additional leukoencephalopathy of unknown etiology (both treated with rituximab), prior seizures (on valproic acid) and pulmonary embolism (on apixaban). The key reason for reaching out is in light of the announcement about the side effects of the Johnson & Johnson vaccine specifically cerebral venous sinus thrombosis. While he had a known history of seizures, he had no clear trigger for these seizures; including that his valproic acid level was therapeutic (83.0 mcg/mL) at time of presentation. He had, however, received the Johnson & Johnson vaccine on March 12 before having what in hindsight appeared to be repeated seizures between March 18-21; he had a more significant one on March 21 that hospitalized him. This time frame appears consistent with the reported cases of central venous sinus thrombosis associated with the Johnson & Johnson vaccine. Equally, he was taking apixaban at that point in time and his PLT (173) / INR (1.1) / PTT (36.6) at time of presentation were all normal and stable. He did have an elevated ProBNP (552.0) at presentation; nasopharyngeal swab was negative for COVID / Influenza A/B / RSV and non-contrast head CT did not show any clear new abnormalities. His only D-dimer was obtained on March 23 and was 226. He did not have a CT angiogram or venogram.   Overall the link between the vaccine and pt. seizures is not definite. At the same time, the similarity with the reported cases has led to me wanting to report it in case of the possible link. If you require further information then please don't hesitate to email me Pt. med list at the time of this incident  Modifinil - 100 mg/1per day/AM Sertraline - 100 mg/1per day/AM Vitamin D3 - 50 mg/1per day/AM Divalproex - 500 mg/2per day/AM Eliquis - 5 mg/1per day/AM Furoseminde - 20 mg/1per day/AM Metroprolol - 100 mg/1per day/AM Lisinopril - 10 mg/1per day/AM  Divalproex - 500 mg/2per day/PM Eliquis - 5 mg/1per day/PM Metroprolol - 100 mg/1per day/PM Melatonin - 5 mg/1per day/PM Quetiapine - 50 mg/3per day/PM"
	"1235191-1"	"1235191-1"	"COMPUTERISED TOMOGRAM HEAD ABNORMAL"	"10072168"	"40-49 years"	"40-49"	"my sister had a ruptured brain aneurysm on 3/25/2021"
	"1235191-1"	"1235191-1"	"MAGNETIC RESONANCE IMAGING HEAD ABNORMAL"	"10085256"	"40-49 years"	"40-49"	"my sister had a ruptured brain aneurysm on 3/25/2021"
	"1235191-1"	"1235191-1"	"RUPTURED CEREBRAL ANEURYSM"	"10039330"	"40-49 years"	"40-49"	"my sister had a ruptured brain aneurysm on 3/25/2021"
	"1235822-1"	"1235822-1"	"CHOLESTASIS"	"10008635"	"40-49 years"	"40-49"	"microangiopathic hemolytic anemia; thrombocytopenia; severe hyperbilirubinemia/cholestasis with coagulopathy; severe hyperbilirubinemia/cholestasis with coagulopathy; severe hyperbilirubinemia/cholestasis with coagulopathy; thrombotic microangiopathy; jaundice; nausea; vomiting; diarrhea; This is a spontaneous report from a contactable physician. A 49-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 intramuscular, administered in Arm Left on 29Mar2021 13:45 (Batch/Lot Number: ER8733) as single dose for covid-19 immunisation. Patient was not pregnant. The COVID-19 vaccine was administered at Doctor's office/urgent care. Medical history included Metastatic breast cancer. Prior to vaccination, the patient was not diagnosed with COVID-19. Concomitant Therapy included Clinical trial oral drug - ARV-471 on 22Mar2021. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Patient presented to the hospital on 05Apr2021 complaint of (c/o) 1 week of jaundice, nausea, vomiting, and diarrhea, which started on an unknown date in Mar2021, and on 05Apr2021 found to have evidence of microangiopathic hemolytic anemia, thrombocytopenia, and severe hyperbilirubinemia/cholestasis with coagulopathy. Work-up revealed like thrombotic microangiopathy although etiology unclear. ADAMTS13 level 29 with no inhibitor not suggestive of Thrombotic thrombocytopenic purpura (TTP). Patient eventually died of this acute presentation. She also had a history of metastatic breast cancer and had also just started taking a phase 1/2 oral clinical trial drug ARV-471 on 22Mar2021. Unclear if the drug, COVID vaccine, or breast cancer may have contributed to current illness. Adverse event resulted in: Doctor or other healthcare professional office/clinic visit, Emergency room/department or urgent care, Hospitalization, Prolongation of existing hospitalization (vaccine received during existing hospitalization), Life threatening illness (immediate risk of death from the event), Patient died. Patient hospitalized for 5 days. Date of Death was on 09Apr2021. Death cause: Death certificate stated metastatic breast cancer. No autopsy performed. Therapeutic measures were taken as a result of events included plasmapheresis, steroids, antibiotics. The patient underwent lab tests and procedures which included Nasal Swab: negative on 05Apr2021. The outcome of the events was fatal.; Sender's Comments: Based on temporal association and the limited information available, the causal association between BNT162B2 vaccine and the reported events cannot be completely excluded. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to RAs, Ethics Committees, and Investigators, as appropriate.; Reported Cause(s) of Death: severe hyperbilirubinemia/cholestasis with coagulopathy; jaundice; nausea; vomiting; diarrhea; microangiopathic hemolytic anemia; thrombocytopenia; severe hyperbilirubinemia/cholestasis with coagulopathy; severe hyperbilirubinemia/cholestasis with co"
	"1235822-1"	"1235822-1"	"COAGULOPATHY"	"10009802"	"40-49 years"	"40-49"	"microangiopathic hemolytic anemia; thrombocytopenia; severe hyperbilirubinemia/cholestasis with coagulopathy; severe hyperbilirubinemia/cholestasis with coagulopathy; severe hyperbilirubinemia/cholestasis with coagulopathy; thrombotic microangiopathy; jaundice; nausea; vomiting; diarrhea; This is a spontaneous report from a contactable physician. A 49-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 intramuscular, administered in Arm Left on 29Mar2021 13:45 (Batch/Lot Number: ER8733) as single dose for covid-19 immunisation. Patient was not pregnant. The COVID-19 vaccine was administered at Doctor's office/urgent care. Medical history included Metastatic breast cancer. Prior to vaccination, the patient was not diagnosed with COVID-19. Concomitant Therapy included Clinical trial oral drug - ARV-471 on 22Mar2021. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Patient presented to the hospital on 05Apr2021 complaint of (c/o) 1 week of jaundice, nausea, vomiting, and diarrhea, which started on an unknown date in Mar2021, and on 05Apr2021 found to have evidence of microangiopathic hemolytic anemia, thrombocytopenia, and severe hyperbilirubinemia/cholestasis with coagulopathy. Work-up revealed like thrombotic microangiopathy although etiology unclear. ADAMTS13 level 29 with no inhibitor not suggestive of Thrombotic thrombocytopenic purpura (TTP). Patient eventually died of this acute presentation. She also had a history of metastatic breast cancer and had also just started taking a phase 1/2 oral clinical trial drug ARV-471 on 22Mar2021. Unclear if the drug, COVID vaccine, or breast cancer may have contributed to current illness. Adverse event resulted in: Doctor or other healthcare professional office/clinic visit, Emergency room/department or urgent care, Hospitalization, Prolongation of existing hospitalization (vaccine received during existing hospitalization), Life threatening illness (immediate risk of death from the event), Patient died. Patient hospitalized for 5 days. Date of Death was on 09Apr2021. Death cause: Death certificate stated metastatic breast cancer. No autopsy performed. Therapeutic measures were taken as a result of events included plasmapheresis, steroids, antibiotics. The patient underwent lab tests and procedures which included Nasal Swab: negative on 05Apr2021. The outcome of the events was fatal.; Sender's Comments: Based on temporal association and the limited information available, the causal association between BNT162B2 vaccine and the reported events cannot be completely excluded. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to RAs, Ethics Committees, and Investigators, as appropriate.; Reported Cause(s) of Death: severe hyperbilirubinemia/cholestasis with coagulopathy; jaundice; nausea; vomiting; diarrhea; microangiopathic hemolytic anemia; thrombocytopenia; severe hyperbilirubinemia/cholestasis with coagulopathy; severe hyperbilirubinemia/cholestasis with co"
	"1235822-1"	"1235822-1"	"DIARRHOEA"	"10012735"	"40-49 years"	"40-49"	"microangiopathic hemolytic anemia; thrombocytopenia; severe hyperbilirubinemia/cholestasis with coagulopathy; severe hyperbilirubinemia/cholestasis with coagulopathy; severe hyperbilirubinemia/cholestasis with coagulopathy; thrombotic microangiopathy; jaundice; nausea; vomiting; diarrhea; This is a spontaneous report from a contactable physician. A 49-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 intramuscular, administered in Arm Left on 29Mar2021 13:45 (Batch/Lot Number: ER8733) as single dose for covid-19 immunisation. Patient was not pregnant. The COVID-19 vaccine was administered at Doctor's office/urgent care. Medical history included Metastatic breast cancer. Prior to vaccination, the patient was not diagnosed with COVID-19. Concomitant Therapy included Clinical trial oral drug - ARV-471 on 22Mar2021. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Patient presented to the hospital on 05Apr2021 complaint of (c/o) 1 week of jaundice, nausea, vomiting, and diarrhea, which started on an unknown date in Mar2021, and on 05Apr2021 found to have evidence of microangiopathic hemolytic anemia, thrombocytopenia, and severe hyperbilirubinemia/cholestasis with coagulopathy. Work-up revealed like thrombotic microangiopathy although etiology unclear. ADAMTS13 level 29 with no inhibitor not suggestive of Thrombotic thrombocytopenic purpura (TTP). Patient eventually died of this acute presentation. She also had a history of metastatic breast cancer and had also just started taking a phase 1/2 oral clinical trial drug ARV-471 on 22Mar2021. Unclear if the drug, COVID vaccine, or breast cancer may have contributed to current illness. Adverse event resulted in: Doctor or other healthcare professional office/clinic visit, Emergency room/department or urgent care, Hospitalization, Prolongation of existing hospitalization (vaccine received during existing hospitalization), Life threatening illness (immediate risk of death from the event), Patient died. Patient hospitalized for 5 days. Date of Death was on 09Apr2021. Death cause: Death certificate stated metastatic breast cancer. No autopsy performed. Therapeutic measures were taken as a result of events included plasmapheresis, steroids, antibiotics. The patient underwent lab tests and procedures which included Nasal Swab: negative on 05Apr2021. The outcome of the events was fatal.; Sender's Comments: Based on temporal association and the limited information available, the causal association between BNT162B2 vaccine and the reported events cannot be completely excluded. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to RAs, Ethics Committees, and Investigators, as appropriate.; Reported Cause(s) of Death: severe hyperbilirubinemia/cholestasis with coagulopathy; jaundice; nausea; vomiting; diarrhea; microangiopathic hemolytic anemia; thrombocytopenia; severe hyperbilirubinemia/cholestasis with coagulopathy; severe hyperbilirubinemia/cholestasis with co"
	"1235822-1"	"1235822-1"	"HYPERBILIRUBINAEMIA"	"10020578"	"40-49 years"	"40-49"	"microangiopathic hemolytic anemia; thrombocytopenia; severe hyperbilirubinemia/cholestasis with coagulopathy; severe hyperbilirubinemia/cholestasis with coagulopathy; severe hyperbilirubinemia/cholestasis with coagulopathy; thrombotic microangiopathy; jaundice; nausea; vomiting; diarrhea; This is a spontaneous report from a contactable physician. A 49-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 intramuscular, administered in Arm Left on 29Mar2021 13:45 (Batch/Lot Number: ER8733) as single dose for covid-19 immunisation. Patient was not pregnant. The COVID-19 vaccine was administered at Doctor's office/urgent care. Medical history included Metastatic breast cancer. Prior to vaccination, the patient was not diagnosed with COVID-19. Concomitant Therapy included Clinical trial oral drug - ARV-471 on 22Mar2021. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Patient presented to the hospital on 05Apr2021 complaint of (c/o) 1 week of jaundice, nausea, vomiting, and diarrhea, which started on an unknown date in Mar2021, and on 05Apr2021 found to have evidence of microangiopathic hemolytic anemia, thrombocytopenia, and severe hyperbilirubinemia/cholestasis with coagulopathy. Work-up revealed like thrombotic microangiopathy although etiology unclear. ADAMTS13 level 29 with no inhibitor not suggestive of Thrombotic thrombocytopenic purpura (TTP). Patient eventually died of this acute presentation. She also had a history of metastatic breast cancer and had also just started taking a phase 1/2 oral clinical trial drug ARV-471 on 22Mar2021. Unclear if the drug, COVID vaccine, or breast cancer may have contributed to current illness. Adverse event resulted in: Doctor or other healthcare professional office/clinic visit, Emergency room/department or urgent care, Hospitalization, Prolongation of existing hospitalization (vaccine received during existing hospitalization), Life threatening illness (immediate risk of death from the event), Patient died. Patient hospitalized for 5 days. Date of Death was on 09Apr2021. Death cause: Death certificate stated metastatic breast cancer. No autopsy performed. Therapeutic measures were taken as a result of events included plasmapheresis, steroids, antibiotics. The patient underwent lab tests and procedures which included Nasal Swab: negative on 05Apr2021. The outcome of the events was fatal.; Sender's Comments: Based on temporal association and the limited information available, the causal association between BNT162B2 vaccine and the reported events cannot be completely excluded. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to RAs, Ethics Committees, and Investigators, as appropriate.; Reported Cause(s) of Death: severe hyperbilirubinemia/cholestasis with coagulopathy; jaundice; nausea; vomiting; diarrhea; microangiopathic hemolytic anemia; thrombocytopenia; severe hyperbilirubinemia/cholestasis with coagulopathy; severe hyperbilirubinemia/cholestasis with co"
	"1235822-1"	"1235822-1"	"INVESTIGATION"	"10062026"	"40-49 years"	"40-49"	"microangiopathic hemolytic anemia; thrombocytopenia; severe hyperbilirubinemia/cholestasis with coagulopathy; severe hyperbilirubinemia/cholestasis with coagulopathy; severe hyperbilirubinemia/cholestasis with coagulopathy; thrombotic microangiopathy; jaundice; nausea; vomiting; diarrhea; This is a spontaneous report from a contactable physician. A 49-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 intramuscular, administered in Arm Left on 29Mar2021 13:45 (Batch/Lot Number: ER8733) as single dose for covid-19 immunisation. Patient was not pregnant. The COVID-19 vaccine was administered at Doctor's office/urgent care. Medical history included Metastatic breast cancer. Prior to vaccination, the patient was not diagnosed with COVID-19. Concomitant Therapy included Clinical trial oral drug - ARV-471 on 22Mar2021. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Patient presented to the hospital on 05Apr2021 complaint of (c/o) 1 week of jaundice, nausea, vomiting, and diarrhea, which started on an unknown date in Mar2021, and on 05Apr2021 found to have evidence of microangiopathic hemolytic anemia, thrombocytopenia, and severe hyperbilirubinemia/cholestasis with coagulopathy. Work-up revealed like thrombotic microangiopathy although etiology unclear. ADAMTS13 level 29 with no inhibitor not suggestive of Thrombotic thrombocytopenic purpura (TTP). Patient eventually died of this acute presentation. She also had a history of metastatic breast cancer and had also just started taking a phase 1/2 oral clinical trial drug ARV-471 on 22Mar2021. Unclear if the drug, COVID vaccine, or breast cancer may have contributed to current illness. Adverse event resulted in: Doctor or other healthcare professional office/clinic visit, Emergency room/department or urgent care, Hospitalization, Prolongation of existing hospitalization (vaccine received during existing hospitalization), Life threatening illness (immediate risk of death from the event), Patient died. Patient hospitalized for 5 days. Date of Death was on 09Apr2021. Death cause: Death certificate stated metastatic breast cancer. No autopsy performed. Therapeutic measures were taken as a result of events included plasmapheresis, steroids, antibiotics. The patient underwent lab tests and procedures which included Nasal Swab: negative on 05Apr2021. The outcome of the events was fatal.; Sender's Comments: Based on temporal association and the limited information available, the causal association between BNT162B2 vaccine and the reported events cannot be completely excluded. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to RAs, Ethics Committees, and Investigators, as appropriate.; Reported Cause(s) of Death: severe hyperbilirubinemia/cholestasis with coagulopathy; jaundice; nausea; vomiting; diarrhea; microangiopathic hemolytic anemia; thrombocytopenia; severe hyperbilirubinemia/cholestasis with coagulopathy; severe hyperbilirubinemia/cholestasis with co"
	"1235822-1"	"1235822-1"	"JAUNDICE"	"10023126"	"40-49 years"	"40-49"	"microangiopathic hemolytic anemia; thrombocytopenia; severe hyperbilirubinemia/cholestasis with coagulopathy; severe hyperbilirubinemia/cholestasis with coagulopathy; severe hyperbilirubinemia/cholestasis with coagulopathy; thrombotic microangiopathy; jaundice; nausea; vomiting; diarrhea; This is a spontaneous report from a contactable physician. A 49-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 intramuscular, administered in Arm Left on 29Mar2021 13:45 (Batch/Lot Number: ER8733) as single dose for covid-19 immunisation. Patient was not pregnant. The COVID-19 vaccine was administered at Doctor's office/urgent care. Medical history included Metastatic breast cancer. Prior to vaccination, the patient was not diagnosed with COVID-19. Concomitant Therapy included Clinical trial oral drug - ARV-471 on 22Mar2021. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Patient presented to the hospital on 05Apr2021 complaint of (c/o) 1 week of jaundice, nausea, vomiting, and diarrhea, which started on an unknown date in Mar2021, and on 05Apr2021 found to have evidence of microangiopathic hemolytic anemia, thrombocytopenia, and severe hyperbilirubinemia/cholestasis with coagulopathy. Work-up revealed like thrombotic microangiopathy although etiology unclear. ADAMTS13 level 29 with no inhibitor not suggestive of Thrombotic thrombocytopenic purpura (TTP). Patient eventually died of this acute presentation. She also had a history of metastatic breast cancer and had also just started taking a phase 1/2 oral clinical trial drug ARV-471 on 22Mar2021. Unclear if the drug, COVID vaccine, or breast cancer may have contributed to current illness. Adverse event resulted in: Doctor or other healthcare professional office/clinic visit, Emergency room/department or urgent care, Hospitalization, Prolongation of existing hospitalization (vaccine received during existing hospitalization), Life threatening illness (immediate risk of death from the event), Patient died. Patient hospitalized for 5 days. Date of Death was on 09Apr2021. Death cause: Death certificate stated metastatic breast cancer. No autopsy performed. Therapeutic measures were taken as a result of events included plasmapheresis, steroids, antibiotics. The patient underwent lab tests and procedures which included Nasal Swab: negative on 05Apr2021. The outcome of the events was fatal.; Sender's Comments: Based on temporal association and the limited information available, the causal association between BNT162B2 vaccine and the reported events cannot be completely excluded. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to RAs, Ethics Committees, and Investigators, as appropriate.; Reported Cause(s) of Death: severe hyperbilirubinemia/cholestasis with coagulopathy; jaundice; nausea; vomiting; diarrhea; microangiopathic hemolytic anemia; thrombocytopenia; severe hyperbilirubinemia/cholestasis with coagulopathy; severe hyperbilirubinemia/cholestasis with co"
	"1235822-1"	"1235822-1"	"MICROANGIOPATHIC HAEMOLYTIC ANAEMIA"	"10027527"	"40-49 years"	"40-49"	"microangiopathic hemolytic anemia; thrombocytopenia; severe hyperbilirubinemia/cholestasis with coagulopathy; severe hyperbilirubinemia/cholestasis with coagulopathy; severe hyperbilirubinemia/cholestasis with coagulopathy; thrombotic microangiopathy; jaundice; nausea; vomiting; diarrhea; This is a spontaneous report from a contactable physician. A 49-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 intramuscular, administered in Arm Left on 29Mar2021 13:45 (Batch/Lot Number: ER8733) as single dose for covid-19 immunisation. Patient was not pregnant. The COVID-19 vaccine was administered at Doctor's office/urgent care. Medical history included Metastatic breast cancer. Prior to vaccination, the patient was not diagnosed with COVID-19. Concomitant Therapy included Clinical trial oral drug - ARV-471 on 22Mar2021. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Patient presented to the hospital on 05Apr2021 complaint of (c/o) 1 week of jaundice, nausea, vomiting, and diarrhea, which started on an unknown date in Mar2021, and on 05Apr2021 found to have evidence of microangiopathic hemolytic anemia, thrombocytopenia, and severe hyperbilirubinemia/cholestasis with coagulopathy. Work-up revealed like thrombotic microangiopathy although etiology unclear. ADAMTS13 level 29 with no inhibitor not suggestive of Thrombotic thrombocytopenic purpura (TTP). Patient eventually died of this acute presentation. She also had a history of metastatic breast cancer and had also just started taking a phase 1/2 oral clinical trial drug ARV-471 on 22Mar2021. Unclear if the drug, COVID vaccine, or breast cancer may have contributed to current illness. Adverse event resulted in: Doctor or other healthcare professional office/clinic visit, Emergency room/department or urgent care, Hospitalization, Prolongation of existing hospitalization (vaccine received during existing hospitalization), Life threatening illness (immediate risk of death from the event), Patient died. Patient hospitalized for 5 days. Date of Death was on 09Apr2021. Death cause: Death certificate stated metastatic breast cancer. No autopsy performed. Therapeutic measures were taken as a result of events included plasmapheresis, steroids, antibiotics. The patient underwent lab tests and procedures which included Nasal Swab: negative on 05Apr2021. The outcome of the events was fatal.; Sender's Comments: Based on temporal association and the limited information available, the causal association between BNT162B2 vaccine and the reported events cannot be completely excluded. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to RAs, Ethics Committees, and Investigators, as appropriate.; Reported Cause(s) of Death: severe hyperbilirubinemia/cholestasis with coagulopathy; jaundice; nausea; vomiting; diarrhea; microangiopathic hemolytic anemia; thrombocytopenia; severe hyperbilirubinemia/cholestasis with coagulopathy; severe hyperbilirubinemia/cholestasis with co"
	"1235822-1"	"1235822-1"	"NAUSEA"	"10028813"	"40-49 years"	"40-49"	"microangiopathic hemolytic anemia; thrombocytopenia; severe hyperbilirubinemia/cholestasis with coagulopathy; severe hyperbilirubinemia/cholestasis with coagulopathy; severe hyperbilirubinemia/cholestasis with coagulopathy; thrombotic microangiopathy; jaundice; nausea; vomiting; diarrhea; This is a spontaneous report from a contactable physician. A 49-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 intramuscular, administered in Arm Left on 29Mar2021 13:45 (Batch/Lot Number: ER8733) as single dose for covid-19 immunisation. Patient was not pregnant. The COVID-19 vaccine was administered at Doctor's office/urgent care. Medical history included Metastatic breast cancer. Prior to vaccination, the patient was not diagnosed with COVID-19. Concomitant Therapy included Clinical trial oral drug - ARV-471 on 22Mar2021. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Patient presented to the hospital on 05Apr2021 complaint of (c/o) 1 week of jaundice, nausea, vomiting, and diarrhea, which started on an unknown date in Mar2021, and on 05Apr2021 found to have evidence of microangiopathic hemolytic anemia, thrombocytopenia, and severe hyperbilirubinemia/cholestasis with coagulopathy. Work-up revealed like thrombotic microangiopathy although etiology unclear. ADAMTS13 level 29 with no inhibitor not suggestive of Thrombotic thrombocytopenic purpura (TTP). Patient eventually died of this acute presentation. She also had a history of metastatic breast cancer and had also just started taking a phase 1/2 oral clinical trial drug ARV-471 on 22Mar2021. Unclear if the drug, COVID vaccine, or breast cancer may have contributed to current illness. Adverse event resulted in: Doctor or other healthcare professional office/clinic visit, Emergency room/department or urgent care, Hospitalization, Prolongation of existing hospitalization (vaccine received during existing hospitalization), Life threatening illness (immediate risk of death from the event), Patient died. Patient hospitalized for 5 days. Date of Death was on 09Apr2021. Death cause: Death certificate stated metastatic breast cancer. No autopsy performed. Therapeutic measures were taken as a result of events included plasmapheresis, steroids, antibiotics. The patient underwent lab tests and procedures which included Nasal Swab: negative on 05Apr2021. The outcome of the events was fatal.; Sender's Comments: Based on temporal association and the limited information available, the causal association between BNT162B2 vaccine and the reported events cannot be completely excluded. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to RAs, Ethics Committees, and Investigators, as appropriate.; Reported Cause(s) of Death: severe hyperbilirubinemia/cholestasis with coagulopathy; jaundice; nausea; vomiting; diarrhea; microangiopathic hemolytic anemia; thrombocytopenia; severe hyperbilirubinemia/cholestasis with coagulopathy; severe hyperbilirubinemia/cholestasis with co"
	"1235822-1"	"1235822-1"	"SARS-COV-2 TEST"	"10084354"	"40-49 years"	"40-49"	"microangiopathic hemolytic anemia; thrombocytopenia; severe hyperbilirubinemia/cholestasis with coagulopathy; severe hyperbilirubinemia/cholestasis with coagulopathy; severe hyperbilirubinemia/cholestasis with coagulopathy; thrombotic microangiopathy; jaundice; nausea; vomiting; diarrhea; This is a spontaneous report from a contactable physician. A 49-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 intramuscular, administered in Arm Left on 29Mar2021 13:45 (Batch/Lot Number: ER8733) as single dose for covid-19 immunisation. Patient was not pregnant. The COVID-19 vaccine was administered at Doctor's office/urgent care. Medical history included Metastatic breast cancer. Prior to vaccination, the patient was not diagnosed with COVID-19. Concomitant Therapy included Clinical trial oral drug - ARV-471 on 22Mar2021. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Patient presented to the hospital on 05Apr2021 complaint of (c/o) 1 week of jaundice, nausea, vomiting, and diarrhea, which started on an unknown date in Mar2021, and on 05Apr2021 found to have evidence of microangiopathic hemolytic anemia, thrombocytopenia, and severe hyperbilirubinemia/cholestasis with coagulopathy. Work-up revealed like thrombotic microangiopathy although etiology unclear. ADAMTS13 level 29 with no inhibitor not suggestive of Thrombotic thrombocytopenic purpura (TTP). Patient eventually died of this acute presentation. She also had a history of metastatic breast cancer and had also just started taking a phase 1/2 oral clinical trial drug ARV-471 on 22Mar2021. Unclear if the drug, COVID vaccine, or breast cancer may have contributed to current illness. Adverse event resulted in: Doctor or other healthcare professional office/clinic visit, Emergency room/department or urgent care, Hospitalization, Prolongation of existing hospitalization (vaccine received during existing hospitalization), Life threatening illness (immediate risk of death from the event), Patient died. Patient hospitalized for 5 days. Date of Death was on 09Apr2021. Death cause: Death certificate stated metastatic breast cancer. No autopsy performed. Therapeutic measures were taken as a result of events included plasmapheresis, steroids, antibiotics. The patient underwent lab tests and procedures which included Nasal Swab: negative on 05Apr2021. The outcome of the events was fatal.; Sender's Comments: Based on temporal association and the limited information available, the causal association between BNT162B2 vaccine and the reported events cannot be completely excluded. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to RAs, Ethics Committees, and Investigators, as appropriate.; Reported Cause(s) of Death: severe hyperbilirubinemia/cholestasis with coagulopathy; jaundice; nausea; vomiting; diarrhea; microangiopathic hemolytic anemia; thrombocytopenia; severe hyperbilirubinemia/cholestasis with coagulopathy; severe hyperbilirubinemia/cholestasis with co"
	"1235822-1"	"1235822-1"	"THROMBOCYTOPENIA"	"10043554"	"40-49 years"	"40-49"	"microangiopathic hemolytic anemia; thrombocytopenia; severe hyperbilirubinemia/cholestasis with coagulopathy; severe hyperbilirubinemia/cholestasis with coagulopathy; severe hyperbilirubinemia/cholestasis with coagulopathy; thrombotic microangiopathy; jaundice; nausea; vomiting; diarrhea; This is a spontaneous report from a contactable physician. A 49-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 intramuscular, administered in Arm Left on 29Mar2021 13:45 (Batch/Lot Number: ER8733) as single dose for covid-19 immunisation. Patient was not pregnant. The COVID-19 vaccine was administered at Doctor's office/urgent care. Medical history included Metastatic breast cancer. Prior to vaccination, the patient was not diagnosed with COVID-19. Concomitant Therapy included Clinical trial oral drug - ARV-471 on 22Mar2021. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Patient presented to the hospital on 05Apr2021 complaint of (c/o) 1 week of jaundice, nausea, vomiting, and diarrhea, which started on an unknown date in Mar2021, and on 05Apr2021 found to have evidence of microangiopathic hemolytic anemia, thrombocytopenia, and severe hyperbilirubinemia/cholestasis with coagulopathy. Work-up revealed like thrombotic microangiopathy although etiology unclear. ADAMTS13 level 29 with no inhibitor not suggestive of Thrombotic thrombocytopenic purpura (TTP). Patient eventually died of this acute presentation. She also had a history of metastatic breast cancer and had also just started taking a phase 1/2 oral clinical trial drug ARV-471 on 22Mar2021. Unclear if the drug, COVID vaccine, or breast cancer may have contributed to current illness. Adverse event resulted in: Doctor or other healthcare professional office/clinic visit, Emergency room/department or urgent care, Hospitalization, Prolongation of existing hospitalization (vaccine received during existing hospitalization), Life threatening illness (immediate risk of death from the event), Patient died. Patient hospitalized for 5 days. Date of Death was on 09Apr2021. Death cause: Death certificate stated metastatic breast cancer. No autopsy performed. Therapeutic measures were taken as a result of events included plasmapheresis, steroids, antibiotics. The patient underwent lab tests and procedures which included Nasal Swab: negative on 05Apr2021. The outcome of the events was fatal.; Sender's Comments: Based on temporal association and the limited information available, the causal association between BNT162B2 vaccine and the reported events cannot be completely excluded. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to RAs, Ethics Committees, and Investigators, as appropriate.; Reported Cause(s) of Death: severe hyperbilirubinemia/cholestasis with coagulopathy; jaundice; nausea; vomiting; diarrhea; microangiopathic hemolytic anemia; thrombocytopenia; severe hyperbilirubinemia/cholestasis with coagulopathy; severe hyperbilirubinemia/cholestasis with co"
	"1235822-1"	"1235822-1"	"THROMBOTIC MICROANGIOPATHY"	"10043645"	"40-49 years"	"40-49"	"microangiopathic hemolytic anemia; thrombocytopenia; severe hyperbilirubinemia/cholestasis with coagulopathy; severe hyperbilirubinemia/cholestasis with coagulopathy; severe hyperbilirubinemia/cholestasis with coagulopathy; thrombotic microangiopathy; jaundice; nausea; vomiting; diarrhea; This is a spontaneous report from a contactable physician. A 49-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 intramuscular, administered in Arm Left on 29Mar2021 13:45 (Batch/Lot Number: ER8733) as single dose for covid-19 immunisation. Patient was not pregnant. The COVID-19 vaccine was administered at Doctor's office/urgent care. Medical history included Metastatic breast cancer. Prior to vaccination, the patient was not diagnosed with COVID-19. Concomitant Therapy included Clinical trial oral drug - ARV-471 on 22Mar2021. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Patient presented to the hospital on 05Apr2021 complaint of (c/o) 1 week of jaundice, nausea, vomiting, and diarrhea, which started on an unknown date in Mar2021, and on 05Apr2021 found to have evidence of microangiopathic hemolytic anemia, thrombocytopenia, and severe hyperbilirubinemia/cholestasis with coagulopathy. Work-up revealed like thrombotic microangiopathy although etiology unclear. ADAMTS13 level 29 with no inhibitor not suggestive of Thrombotic thrombocytopenic purpura (TTP). Patient eventually died of this acute presentation. She also had a history of metastatic breast cancer and had also just started taking a phase 1/2 oral clinical trial drug ARV-471 on 22Mar2021. Unclear if the drug, COVID vaccine, or breast cancer may have contributed to current illness. Adverse event resulted in: Doctor or other healthcare professional office/clinic visit, Emergency room/department or urgent care, Hospitalization, Prolongation of existing hospitalization (vaccine received during existing hospitalization), Life threatening illness (immediate risk of death from the event), Patient died. Patient hospitalized for 5 days. Date of Death was on 09Apr2021. Death cause: Death certificate stated metastatic breast cancer. No autopsy performed. Therapeutic measures were taken as a result of events included plasmapheresis, steroids, antibiotics. The patient underwent lab tests and procedures which included Nasal Swab: negative on 05Apr2021. The outcome of the events was fatal.; Sender's Comments: Based on temporal association and the limited information available, the causal association between BNT162B2 vaccine and the reported events cannot be completely excluded. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to RAs, Ethics Committees, and Investigators, as appropriate.; Reported Cause(s) of Death: severe hyperbilirubinemia/cholestasis with coagulopathy; jaundice; nausea; vomiting; diarrhea; microangiopathic hemolytic anemia; thrombocytopenia; severe hyperbilirubinemia/cholestasis with coagulopathy; severe hyperbilirubinemia/cholestasis with co"
	"1235822-1"	"1235822-1"	"VOMITING"	"10047700"	"40-49 years"	"40-49"	"microangiopathic hemolytic anemia; thrombocytopenia; severe hyperbilirubinemia/cholestasis with coagulopathy; severe hyperbilirubinemia/cholestasis with coagulopathy; severe hyperbilirubinemia/cholestasis with coagulopathy; thrombotic microangiopathy; jaundice; nausea; vomiting; diarrhea; This is a spontaneous report from a contactable physician. A 49-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 intramuscular, administered in Arm Left on 29Mar2021 13:45 (Batch/Lot Number: ER8733) as single dose for covid-19 immunisation. Patient was not pregnant. The COVID-19 vaccine was administered at Doctor's office/urgent care. Medical history included Metastatic breast cancer. Prior to vaccination, the patient was not diagnosed with COVID-19. Concomitant Therapy included Clinical trial oral drug - ARV-471 on 22Mar2021. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Patient presented to the hospital on 05Apr2021 complaint of (c/o) 1 week of jaundice, nausea, vomiting, and diarrhea, which started on an unknown date in Mar2021, and on 05Apr2021 found to have evidence of microangiopathic hemolytic anemia, thrombocytopenia, and severe hyperbilirubinemia/cholestasis with coagulopathy. Work-up revealed like thrombotic microangiopathy although etiology unclear. ADAMTS13 level 29 with no inhibitor not suggestive of Thrombotic thrombocytopenic purpura (TTP). Patient eventually died of this acute presentation. She also had a history of metastatic breast cancer and had also just started taking a phase 1/2 oral clinical trial drug ARV-471 on 22Mar2021. Unclear if the drug, COVID vaccine, or breast cancer may have contributed to current illness. Adverse event resulted in: Doctor or other healthcare professional office/clinic visit, Emergency room/department or urgent care, Hospitalization, Prolongation of existing hospitalization (vaccine received during existing hospitalization), Life threatening illness (immediate risk of death from the event), Patient died. Patient hospitalized for 5 days. Date of Death was on 09Apr2021. Death cause: Death certificate stated metastatic breast cancer. No autopsy performed. Therapeutic measures were taken as a result of events included plasmapheresis, steroids, antibiotics. The patient underwent lab tests and procedures which included Nasal Swab: negative on 05Apr2021. The outcome of the events was fatal.; Sender's Comments: Based on temporal association and the limited information available, the causal association between BNT162B2 vaccine and the reported events cannot be completely excluded. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to RAs, Ethics Committees, and Investigators, as appropriate.; Reported Cause(s) of Death: severe hyperbilirubinemia/cholestasis with coagulopathy; jaundice; nausea; vomiting; diarrhea; microangiopathic hemolytic anemia; thrombocytopenia; severe hyperbilirubinemia/cholestasis with coagulopathy; severe hyperbilirubinemia/cholestasis with co"
	"1236415-1"	"1236415-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"death Narrative:  Patient received Moderna covid vaccine #1 on 3/25/21. No notes entered after this time and date of death is recorded as 3/30/21. No scanned records. No autopsy results available. 5 days from date of vaccine to date of death."
	"1237092-1"	"1237092-1"	"PULMONARY EMBOLISM"	"10037377"	"30-39 years"	"30-39"	"Massive pulmonary thromboemboli"
	"1238566-1"	"1238566-1"	"COMPLETED SUICIDE"	"10010144"	"40-49 years"	"40-49"	"On April 18, 2021, nine days after the person got his second dose of Moderna vaccine, he committed suicide using a gun in the presence  of his family."
	"1240207-1"	"1240207-1"	"AUTOPSY"	"10050117"	"40-49 years"	"40-49"	"Symptoms of tiredness and head sinus pressure came on throughout the day monday 3-29-21. Symptoms were unchanged tues morning 3-30-21. She died Tuesday 3-30-21 between 10:34 am and 12:00 pm. She was found unresponsive at 12:07 pm when husband returned home for lunch. Autopsy results still pending."
	"1240207-1"	"1240207-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Symptoms of tiredness and head sinus pressure came on throughout the day monday 3-29-21. Symptoms were unchanged tues morning 3-30-21. She died Tuesday 3-30-21 between 10:34 am and 12:00 pm. She was found unresponsive at 12:07 pm when husband returned home for lunch. Autopsy results still pending."
	"1240207-1"	"1240207-1"	"FATIGUE"	"10016256"	"40-49 years"	"40-49"	"Symptoms of tiredness and head sinus pressure came on throughout the day monday 3-29-21. Symptoms were unchanged tues morning 3-30-21. She died Tuesday 3-30-21 between 10:34 am and 12:00 pm. She was found unresponsive at 12:07 pm when husband returned home for lunch. Autopsy results still pending."
	"1240207-1"	"1240207-1"	"HEAD DISCOMFORT"	"10019194"	"40-49 years"	"40-49"	"Symptoms of tiredness and head sinus pressure came on throughout the day monday 3-29-21. Symptoms were unchanged tues morning 3-30-21. She died Tuesday 3-30-21 between 10:34 am and 12:00 pm. She was found unresponsive at 12:07 pm when husband returned home for lunch. Autopsy results still pending."
	"1240207-1"	"1240207-1"	"PARANASAL SINUS DISCOMFORT"	"10052438"	"40-49 years"	"40-49"	"Symptoms of tiredness and head sinus pressure came on throughout the day monday 3-29-21. Symptoms were unchanged tues morning 3-30-21. She died Tuesday 3-30-21 between 10:34 am and 12:00 pm. She was found unresponsive at 12:07 pm when husband returned home for lunch. Autopsy results still pending."
	"1240207-1"	"1240207-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"40-49 years"	"40-49"	"Symptoms of tiredness and head sinus pressure came on throughout the day monday 3-29-21. Symptoms were unchanged tues morning 3-30-21. She died Tuesday 3-30-21 between 10:34 am and 12:00 pm. She was found unresponsive at 12:07 pm when husband returned home for lunch. Autopsy results still pending."
	"1241805-1"	"1241805-1"	"CYANOSIS"	"10011703"	"40-49 years"	"40-49"	"Patient experienced a headache within 4 hours of vaccination. Took recommended dose of Tylenol.  4 hours after that (8 hours after vaccination) he was still experiencing extreme headache and also vomiting and took another dose of Tylenol.  Was still feeling poor at 1am but coherent and talking, not thinking  that it was serious enough to warrant going to hospital, as he believed it was just a bad headache and the vomiting was from the headache.  At 6am, he was found blue/dead in his bed."
	"1241805-1"	"1241805-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Patient experienced a headache within 4 hours of vaccination. Took recommended dose of Tylenol.  4 hours after that (8 hours after vaccination) he was still experiencing extreme headache and also vomiting and took another dose of Tylenol.  Was still feeling poor at 1am but coherent and talking, not thinking  that it was serious enough to warrant going to hospital, as he believed it was just a bad headache and the vomiting was from the headache.  At 6am, he was found blue/dead in his bed."
	"1241805-1"	"1241805-1"	"FEELING ABNORMAL"	"10016322"	"40-49 years"	"40-49"	"Patient experienced a headache within 4 hours of vaccination. Took recommended dose of Tylenol.  4 hours after that (8 hours after vaccination) he was still experiencing extreme headache and also vomiting and took another dose of Tylenol.  Was still feeling poor at 1am but coherent and talking, not thinking  that it was serious enough to warrant going to hospital, as he believed it was just a bad headache and the vomiting was from the headache.  At 6am, he was found blue/dead in his bed."
	"1241805-1"	"1241805-1"	"HEADACHE"	"10019211"	"40-49 years"	"40-49"	"Patient experienced a headache within 4 hours of vaccination. Took recommended dose of Tylenol.  4 hours after that (8 hours after vaccination) he was still experiencing extreme headache and also vomiting and took another dose of Tylenol.  Was still feeling poor at 1am but coherent and talking, not thinking  that it was serious enough to warrant going to hospital, as he believed it was just a bad headache and the vomiting was from the headache.  At 6am, he was found blue/dead in his bed."
	"1241805-1"	"1241805-1"	"VOMITING"	"10047700"	"40-49 years"	"40-49"	"Patient experienced a headache within 4 hours of vaccination. Took recommended dose of Tylenol.  4 hours after that (8 hours after vaccination) he was still experiencing extreme headache and also vomiting and took another dose of Tylenol.  Was still feeling poor at 1am but coherent and talking, not thinking  that it was serious enough to warrant going to hospital, as he believed it was just a bad headache and the vomiting was from the headache.  At 6am, he was found blue/dead in his bed."
	"1242117-1"	"1242117-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Healthy male, no substance use, no symptoms reported made plans to go hiking with a friend the following Sunday (4/18/21) on 4/16/2021 in afternoon. This was last known contact, patient stopped responding to phone after text and was found deceased in home on 4/22/2021, appearing to have passed away in sleep, likely 4/16/2021 in evening."
	"1242520-1"	"1242520-1"	"APNOEA"	"10002974"	"30-39 years"	"30-39"	"35 y/o with asthma (on alvesco and singulair), GERD, morbid obesity (BMI 45)  and RA (on prednisone and MTX, SZA.) Vaccinated for COVID 2.12. and 3.10 Recent lab 3/17- normal, including negative CRP. Code continued for 50 minutes, no shock advised.  PEA, gave Epi X 4.  Normal BS. Considered narcan. Over the weekend- 4/17 Chest pain that started with eating. Labile blood pressure.  EKG showed NSR rate 64.  Treated with ASA 325, clear liquid diet and rest.  Treated with toradol and Zofran. Improved.  At f/u on Monday, discussed chronic knee pain was overall better.  Normal for her exam.  BP 136/79.  Felt dizzy and then passed out, hitting her head, became pulseless an apneic and was coded for over an hour."
	"1242520-1"	"1242520-1"	"ARTHRALGIA"	"10003239"	"30-39 years"	"30-39"	"35 y/o with asthma (on alvesco and singulair), GERD, morbid obesity (BMI 45)  and RA (on prednisone and MTX, SZA.) Vaccinated for COVID 2.12. and 3.10 Recent lab 3/17- normal, including negative CRP. Code continued for 50 minutes, no shock advised.  PEA, gave Epi X 4.  Normal BS. Considered narcan. Over the weekend- 4/17 Chest pain that started with eating. Labile blood pressure.  EKG showed NSR rate 64.  Treated with ASA 325, clear liquid diet and rest.  Treated with toradol and Zofran. Improved.  At f/u on Monday, discussed chronic knee pain was overall better.  Normal for her exam.  BP 136/79.  Felt dizzy and then passed out, hitting her head, became pulseless an apneic and was coded for over an hour."
	"1242520-1"	"1242520-1"	"BLOOD GLUCOSE NORMAL"	"10005558"	"30-39 years"	"30-39"	"35 y/o with asthma (on alvesco and singulair), GERD, morbid obesity (BMI 45)  and RA (on prednisone and MTX, SZA.) Vaccinated for COVID 2.12. and 3.10 Recent lab 3/17- normal, including negative CRP. Code continued for 50 minutes, no shock advised.  PEA, gave Epi X 4.  Normal BS. Considered narcan. Over the weekend- 4/17 Chest pain that started with eating. Labile blood pressure.  EKG showed NSR rate 64.  Treated with ASA 325, clear liquid diet and rest.  Treated with toradol and Zofran. Improved.  At f/u on Monday, discussed chronic knee pain was overall better.  Normal for her exam.  BP 136/79.  Felt dizzy and then passed out, hitting her head, became pulseless an apneic and was coded for over an hour."
	"1242520-1"	"1242520-1"	"C-REACTIVE PROTEIN NORMAL"	"10006826"	"30-39 years"	"30-39"	"35 y/o with asthma (on alvesco and singulair), GERD, morbid obesity (BMI 45)  and RA (on prednisone and MTX, SZA.) Vaccinated for COVID 2.12. and 3.10 Recent lab 3/17- normal, including negative CRP. Code continued for 50 minutes, no shock advised.  PEA, gave Epi X 4.  Normal BS. Considered narcan. Over the weekend- 4/17 Chest pain that started with eating. Labile blood pressure.  EKG showed NSR rate 64.  Treated with ASA 325, clear liquid diet and rest.  Treated with toradol and Zofran. Improved.  At f/u on Monday, discussed chronic knee pain was overall better.  Normal for her exam.  BP 136/79.  Felt dizzy and then passed out, hitting her head, became pulseless an apneic and was coded for over an hour."
	"1242520-1"	"1242520-1"	"CARDIO-RESPIRATORY ARREST"	"10007617"	"30-39 years"	"30-39"	"35 y/o with asthma (on alvesco and singulair), GERD, morbid obesity (BMI 45)  and RA (on prednisone and MTX, SZA.) Vaccinated for COVID 2.12. and 3.10 Recent lab 3/17- normal, including negative CRP. Code continued for 50 minutes, no shock advised.  PEA, gave Epi X 4.  Normal BS. Considered narcan. Over the weekend- 4/17 Chest pain that started with eating. Labile blood pressure.  EKG showed NSR rate 64.  Treated with ASA 325, clear liquid diet and rest.  Treated with toradol and Zofran. Improved.  At f/u on Monday, discussed chronic knee pain was overall better.  Normal for her exam.  BP 136/79.  Felt dizzy and then passed out, hitting her head, became pulseless an apneic and was coded for over an hour."
	"1242520-1"	"1242520-1"	"CHEST PAIN"	"10008479"	"30-39 years"	"30-39"	"35 y/o with asthma (on alvesco and singulair), GERD, morbid obesity (BMI 45)  and RA (on prednisone and MTX, SZA.) Vaccinated for COVID 2.12. and 3.10 Recent lab 3/17- normal, including negative CRP. Code continued for 50 minutes, no shock advised.  PEA, gave Epi X 4.  Normal BS. Considered narcan. Over the weekend- 4/17 Chest pain that started with eating. Labile blood pressure.  EKG showed NSR rate 64.  Treated with ASA 325, clear liquid diet and rest.  Treated with toradol and Zofran. Improved.  At f/u on Monday, discussed chronic knee pain was overall better.  Normal for her exam.  BP 136/79.  Felt dizzy and then passed out, hitting her head, became pulseless an apneic and was coded for over an hour."
	"1242520-1"	"1242520-1"	"DIZZINESS"	"10013573"	"30-39 years"	"30-39"	"35 y/o with asthma (on alvesco and singulair), GERD, morbid obesity (BMI 45)  and RA (on prednisone and MTX, SZA.) Vaccinated for COVID 2.12. and 3.10 Recent lab 3/17- normal, including negative CRP. Code continued for 50 minutes, no shock advised.  PEA, gave Epi X 4.  Normal BS. Considered narcan. Over the weekend- 4/17 Chest pain that started with eating. Labile blood pressure.  EKG showed NSR rate 64.  Treated with ASA 325, clear liquid diet and rest.  Treated with toradol and Zofran. Improved.  At f/u on Monday, discussed chronic knee pain was overall better.  Normal for her exam.  BP 136/79.  Felt dizzy and then passed out, hitting her head, became pulseless an apneic and was coded for over an hour."
	"1242520-1"	"1242520-1"	"ELECTROCARDIOGRAM NORMAL"	"10014373"	"30-39 years"	"30-39"	"35 y/o with asthma (on alvesco and singulair), GERD, morbid obesity (BMI 45)  and RA (on prednisone and MTX, SZA.) Vaccinated for COVID 2.12. and 3.10 Recent lab 3/17- normal, including negative CRP. Code continued for 50 minutes, no shock advised.  PEA, gave Epi X 4.  Normal BS. Considered narcan. Over the weekend- 4/17 Chest pain that started with eating. Labile blood pressure.  EKG showed NSR rate 64.  Treated with ASA 325, clear liquid diet and rest.  Treated with toradol and Zofran. Improved.  At f/u on Monday, discussed chronic knee pain was overall better.  Normal for her exam.  BP 136/79.  Felt dizzy and then passed out, hitting her head, became pulseless an apneic and was coded for over an hour."
	"1242520-1"	"1242520-1"	"HEAD INJURY"	"10019196"	"30-39 years"	"30-39"	"35 y/o with asthma (on alvesco and singulair), GERD, morbid obesity (BMI 45)  and RA (on prednisone and MTX, SZA.) Vaccinated for COVID 2.12. and 3.10 Recent lab 3/17- normal, including negative CRP. Code continued for 50 minutes, no shock advised.  PEA, gave Epi X 4.  Normal BS. Considered narcan. Over the weekend- 4/17 Chest pain that started with eating. Labile blood pressure.  EKG showed NSR rate 64.  Treated with ASA 325, clear liquid diet and rest.  Treated with toradol and Zofran. Improved.  At f/u on Monday, discussed chronic knee pain was overall better.  Normal for her exam.  BP 136/79.  Felt dizzy and then passed out, hitting her head, became pulseless an apneic and was coded for over an hour."
	"1242520-1"	"1242520-1"	"LABILE BLOOD PRESSURE"	"10023533"	"30-39 years"	"30-39"	"35 y/o with asthma (on alvesco and singulair), GERD, morbid obesity (BMI 45)  and RA (on prednisone and MTX, SZA.) Vaccinated for COVID 2.12. and 3.10 Recent lab 3/17- normal, including negative CRP. Code continued for 50 minutes, no shock advised.  PEA, gave Epi X 4.  Normal BS. Considered narcan. Over the weekend- 4/17 Chest pain that started with eating. Labile blood pressure.  EKG showed NSR rate 64.  Treated with ASA 325, clear liquid diet and rest.  Treated with toradol and Zofran. Improved.  At f/u on Monday, discussed chronic knee pain was overall better.  Normal for her exam.  BP 136/79.  Felt dizzy and then passed out, hitting her head, became pulseless an apneic and was coded for over an hour."
	"1242520-1"	"1242520-1"	"LOSS OF CONSCIOUSNESS"	"10024855"	"30-39 years"	"30-39"	"35 y/o with asthma (on alvesco and singulair), GERD, morbid obesity (BMI 45)  and RA (on prednisone and MTX, SZA.) Vaccinated for COVID 2.12. and 3.10 Recent lab 3/17- normal, including negative CRP. Code continued for 50 minutes, no shock advised.  PEA, gave Epi X 4.  Normal BS. Considered narcan. Over the weekend- 4/17 Chest pain that started with eating. Labile blood pressure.  EKG showed NSR rate 64.  Treated with ASA 325, clear liquid diet and rest.  Treated with toradol and Zofran. Improved.  At f/u on Monday, discussed chronic knee pain was overall better.  Normal for her exam.  BP 136/79.  Felt dizzy and then passed out, hitting her head, became pulseless an apneic and was coded for over an hour."
	"1242520-1"	"1242520-1"	"PULSE ABSENT"	"10037469"	"30-39 years"	"30-39"	"35 y/o with asthma (on alvesco and singulair), GERD, morbid obesity (BMI 45)  and RA (on prednisone and MTX, SZA.) Vaccinated for COVID 2.12. and 3.10 Recent lab 3/17- normal, including negative CRP. Code continued for 50 minutes, no shock advised.  PEA, gave Epi X 4.  Normal BS. Considered narcan. Over the weekend- 4/17 Chest pain that started with eating. Labile blood pressure.  EKG showed NSR rate 64.  Treated with ASA 325, clear liquid diet and rest.  Treated with toradol and Zofran. Improved.  At f/u on Monday, discussed chronic knee pain was overall better.  Normal for her exam.  BP 136/79.  Felt dizzy and then passed out, hitting her head, became pulseless an apneic and was coded for over an hour."
	"1242520-1"	"1242520-1"	"PULSELESS ELECTRICAL ACTIVITY"	"10058151"	"30-39 years"	"30-39"	"35 y/o with asthma (on alvesco and singulair), GERD, morbid obesity (BMI 45)  and RA (on prednisone and MTX, SZA.) Vaccinated for COVID 2.12. and 3.10 Recent lab 3/17- normal, including negative CRP. Code continued for 50 minutes, no shock advised.  PEA, gave Epi X 4.  Normal BS. Considered narcan. Over the weekend- 4/17 Chest pain that started with eating. Labile blood pressure.  EKG showed NSR rate 64.  Treated with ASA 325, clear liquid diet and rest.  Treated with toradol and Zofran. Improved.  At f/u on Monday, discussed chronic knee pain was overall better.  Normal for her exam.  BP 136/79.  Felt dizzy and then passed out, hitting her head, became pulseless an apneic and was coded for over an hour."
	"1242906-1"	"1242906-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Pharmacy was contacted by an aunt, who is also a healthcare provider. This contact was requested by the family. Per nurse practitionar who is the aunt of the deceased), patient passed away on Monday, 4/19/2021. He was found unresponsive on a jogging trail, where he had been jogging, by a third party person. They had called an ambulance and could not revive him. Family requested a VAERS report due to the proximity in time to his 2nd Pfizer vaccination. He had received his vaccination at 9:56am on 4/14/21 (lot ER8730) and per father the only side effect he indicated was a sore arm. Autopsy pending per family."
	"1242906-1"	"1242906-1"	"PAIN IN EXTREMITY"	"10033425"	"40-49 years"	"40-49"	"Pharmacy was contacted by an aunt, who is also a healthcare provider. This contact was requested by the family. Per nurse practitionar who is the aunt of the deceased), patient passed away on Monday, 4/19/2021. He was found unresponsive on a jogging trail, where he had been jogging, by a third party person. They had called an ambulance and could not revive him. Family requested a VAERS report due to the proximity in time to his 2nd Pfizer vaccination. He had received his vaccination at 9:56am on 4/14/21 (lot ER8730) and per father the only side effect he indicated was a sore arm. Autopsy pending per family."
	"1242906-1"	"1242906-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"40-49 years"	"40-49"	"Pharmacy was contacted by an aunt, who is also a healthcare provider. This contact was requested by the family. Per nurse practitionar who is the aunt of the deceased), patient passed away on Monday, 4/19/2021. He was found unresponsive on a jogging trail, where he had been jogging, by a third party person. They had called an ambulance and could not revive him. Family requested a VAERS report due to the proximity in time to his 2nd Pfizer vaccination. He had received his vaccination at 9:56am on 4/14/21 (lot ER8730) and per father the only side effect he indicated was a sore arm. Autopsy pending per family."
	"1243648-1"	"1243648-1"	"HEADACHE"	"10019211"	"30-39 years"	"30-39"	"headache on 4/8/21, sudden death 4/11/2021"
	"1243648-1"	"1243648-1"	"SUDDEN DEATH"	"10042434"	"30-39 years"	"30-39"	"headache on 4/8/21, sudden death 4/11/2021"
	"1243650-1"	"1243650-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Unexpected death; found unresponsive 04/20/21 morning and pronounced dead after unsuccessful resuscitative efforts"
	"1243650-1"	"1243650-1"	"RESUSCITATION"	"10038749"	"30-39 years"	"30-39"	"Unexpected death; found unresponsive 04/20/21 morning and pronounced dead after unsuccessful resuscitative efforts"
	"1243650-1"	"1243650-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"30-39 years"	"30-39"	"Unexpected death; found unresponsive 04/20/21 morning and pronounced dead after unsuccessful resuscitative efforts"
	"1244990-1"	"1244990-1"	"CATHETERISATION CARDIAC ABNORMAL"	"10007816"	"30-39 years"	"30-39"	"After receiving the second dose of the vaccine,  my husband experienced left arm pain which he thought was from the injection. About a week later, the pain got worse and moved toward his chest. It got so bad, he had to be taken by ambulance to the hospital to find out he had been having a heart attack. He spent nearly three weeks in the hospital before he died on 4/15/21"
	"1244990-1"	"1244990-1"	"CHEST PAIN"	"10008479"	"30-39 years"	"30-39"	"After receiving the second dose of the vaccine,  my husband experienced left arm pain which he thought was from the injection. About a week later, the pain got worse and moved toward his chest. It got so bad, he had to be taken by ambulance to the hospital to find out he had been having a heart attack. He spent nearly three weeks in the hospital before he died on 4/15/21"
	"1244990-1"	"1244990-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"After receiving the second dose of the vaccine,  my husband experienced left arm pain which he thought was from the injection. About a week later, the pain got worse and moved toward his chest. It got so bad, he had to be taken by ambulance to the hospital to find out he had been having a heart attack. He spent nearly three weeks in the hospital before he died on 4/15/21"
	"1244990-1"	"1244990-1"	"ECHOCARDIOGRAM ABNORMAL"	"10061593"	"30-39 years"	"30-39"	"After receiving the second dose of the vaccine,  my husband experienced left arm pain which he thought was from the injection. About a week later, the pain got worse and moved toward his chest. It got so bad, he had to be taken by ambulance to the hospital to find out he had been having a heart attack. He spent nearly three weeks in the hospital before he died on 4/15/21"
	"1244990-1"	"1244990-1"	"INJECTION SITE PAIN"	"10022086"	"30-39 years"	"30-39"	"After receiving the second dose of the vaccine,  my husband experienced left arm pain which he thought was from the injection. About a week later, the pain got worse and moved toward his chest. It got so bad, he had to be taken by ambulance to the hospital to find out he had been having a heart attack. He spent nearly three weeks in the hospital before he died on 4/15/21"
	"1244990-1"	"1244990-1"	"LABORATORY TEST"	"10059938"	"30-39 years"	"30-39"	"After receiving the second dose of the vaccine,  my husband experienced left arm pain which he thought was from the injection. About a week later, the pain got worse and moved toward his chest. It got so bad, he had to be taken by ambulance to the hospital to find out he had been having a heart attack. He spent nearly three weeks in the hospital before he died on 4/15/21"
	"1244990-1"	"1244990-1"	"MYOCARDIAL INFARCTION"	"10028596"	"30-39 years"	"30-39"	"After receiving the second dose of the vaccine,  my husband experienced left arm pain which he thought was from the injection. About a week later, the pain got worse and moved toward his chest. It got so bad, he had to be taken by ambulance to the hospital to find out he had been having a heart attack. He spent nearly three weeks in the hospital before he died on 4/15/21"
	"1246534-1"	"1246534-1"	"AUTOPSY"	"10050117"	"30-39 years"	"30-39"	"Patient felt initially well, but later in that afternoon her arm started hurting and she felt increasingly nauseous and started vomiting at 10:49pm, two hours later she was pronounced dead at approximately 12:30am."
	"1246534-1"	"1246534-1"	"CARDIOMEGALY"	"10007632"	"30-39 years"	"30-39"	"Patient felt initially well, but later in that afternoon her arm started hurting and she felt increasingly nauseous and started vomiting at 10:49pm, two hours later she was pronounced dead at approximately 12:30am."
	"1246534-1"	"1246534-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Patient felt initially well, but later in that afternoon her arm started hurting and she felt increasingly nauseous and started vomiting at 10:49pm, two hours later she was pronounced dead at approximately 12:30am."
	"1246534-1"	"1246534-1"	"NAUSEA"	"10028813"	"30-39 years"	"30-39"	"Patient felt initially well, but later in that afternoon her arm started hurting and she felt increasingly nauseous and started vomiting at 10:49pm, two hours later she was pronounced dead at approximately 12:30am."
	"1246534-1"	"1246534-1"	"PAIN IN EXTREMITY"	"10033425"	"30-39 years"	"30-39"	"Patient felt initially well, but later in that afternoon her arm started hurting and she felt increasingly nauseous and started vomiting at 10:49pm, two hours later she was pronounced dead at approximately 12:30am."
	"1246534-1"	"1246534-1"	"RENAL DISORDER"	"10038428"	"30-39 years"	"30-39"	"Patient felt initially well, but later in that afternoon her arm started hurting and she felt increasingly nauseous and started vomiting at 10:49pm, two hours later she was pronounced dead at approximately 12:30am."
	"1246534-1"	"1246534-1"	"VOMITING"	"10047700"	"30-39 years"	"30-39"	"Patient felt initially well, but later in that afternoon her arm started hurting and she felt increasingly nauseous and started vomiting at 10:49pm, two hours later she was pronounced dead at approximately 12:30am."
	"1246604-1"	"1246604-1"	"BLOOD GLUCOSE INCREASED"	"10005557"	"30-39 years"	"30-39"	""Patient presented to ED on 04/18/2021 with cardiopulmonary arrest, per ED ""He was receiving CPR with EMS for arrival to the emergency.  Two rounds epi.  Asystole and then went into V-tach.  Got shocked once.  Then after that has been strip PA asystole."" ED called time of death on patient 04/18/2021 at  05:14AM.""
	"1246604-1"	"1246604-1"	"CARDIAC ARREST"	"10007515"	"30-39 years"	"30-39"	""Patient presented to ED on 04/18/2021 with cardiopulmonary arrest, per ED ""He was receiving CPR with EMS for arrival to the emergency.  Two rounds epi.  Asystole and then went into V-tach.  Got shocked once.  Then after that has been strip PA asystole."" ED called time of death on patient 04/18/2021 at  05:14AM.""
	"1246604-1"	"1246604-1"	"CARDIO-RESPIRATORY ARREST"	"10007617"	"30-39 years"	"30-39"	""Patient presented to ED on 04/18/2021 with cardiopulmonary arrest, per ED ""He was receiving CPR with EMS for arrival to the emergency.  Two rounds epi.  Asystole and then went into V-tach.  Got shocked once.  Then after that has been strip PA asystole."" ED called time of death on patient 04/18/2021 at  05:14AM.""
	"1246604-1"	"1246604-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	""Patient presented to ED on 04/18/2021 with cardiopulmonary arrest, per ED ""He was receiving CPR with EMS for arrival to the emergency.  Two rounds epi.  Asystole and then went into V-tach.  Got shocked once.  Then after that has been strip PA asystole."" ED called time of death on patient 04/18/2021 at  05:14AM.""
	"1246604-1"	"1246604-1"	"PARASYSTOLE"	"10033929"	"30-39 years"	"30-39"	""Patient presented to ED on 04/18/2021 with cardiopulmonary arrest, per ED ""He was receiving CPR with EMS for arrival to the emergency.  Two rounds epi.  Asystole and then went into V-tach.  Got shocked once.  Then after that has been strip PA asystole."" ED called time of death on patient 04/18/2021 at  05:14AM.""
	"1246604-1"	"1246604-1"	"RESUSCITATION"	"10038749"	"30-39 years"	"30-39"	""Patient presented to ED on 04/18/2021 with cardiopulmonary arrest, per ED ""He was receiving CPR with EMS for arrival to the emergency.  Two rounds epi.  Asystole and then went into V-tach.  Got shocked once.  Then after that has been strip PA asystole."" ED called time of death on patient 04/18/2021 at  05:14AM.""
	"1246604-1"	"1246604-1"	"SARS-COV-2 TEST NEGATIVE"	"10084273"	"30-39 years"	"30-39"	""Patient presented to ED on 04/18/2021 with cardiopulmonary arrest, per ED ""He was receiving CPR with EMS for arrival to the emergency.  Two rounds epi.  Asystole and then went into V-tach.  Got shocked once.  Then after that has been strip PA asystole."" ED called time of death on patient 04/18/2021 at  05:14AM.""
	"1246604-1"	"1246604-1"	"SHOCK"	"10040560"	"30-39 years"	"30-39"	""Patient presented to ED on 04/18/2021 with cardiopulmonary arrest, per ED ""He was receiving CPR with EMS for arrival to the emergency.  Two rounds epi.  Asystole and then went into V-tach.  Got shocked once.  Then after that has been strip PA asystole."" ED called time of death on patient 04/18/2021 at  05:14AM.""
	"1246604-1"	"1246604-1"	"VENTRICULAR TACHYCARDIA"	"10047302"	"30-39 years"	"30-39"	""Patient presented to ED on 04/18/2021 with cardiopulmonary arrest, per ED ""He was receiving CPR with EMS for arrival to the emergency.  Two rounds epi.  Asystole and then went into V-tach.  Got shocked once.  Then after that has been strip PA asystole."" ED called time of death on patient 04/18/2021 at  05:14AM.""
	"1247401-1"	"1247401-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Patient received Moderna Vaccine on Friday 4/16/2021 12:00pm in dialysis clinic.  Over the weekend family called and left a message stating that patient CTB on Friday 4/16/2021 around 8pm."
	"1247401-1"	"1247401-1"	"RESPIRATORY ARREST"	"10038669"	"30-39 years"	"30-39"	"Patient received Moderna Vaccine on Friday 4/16/2021 12:00pm in dialysis clinic.  Over the weekend family called and left a message stating that patient CTB on Friday 4/16/2021 around 8pm."
	"1247816-1"	"1247816-1"	"BLINDNESS"	"10005169"	"30-39 years"	"30-39"	"patient called EMS with pain crisis and noted that she had lost vision in both eyes. was transported to Emergency room by EMS and had cardiac arrest and died."
	"1247816-1"	"1247816-1"	"CARDIAC ARREST"	"10007515"	"30-39 years"	"30-39"	"patient called EMS with pain crisis and noted that she had lost vision in both eyes. was transported to Emergency room by EMS and had cardiac arrest and died."
	"1247816-1"	"1247816-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"patient called EMS with pain crisis and noted that she had lost vision in both eyes. was transported to Emergency room by EMS and had cardiac arrest and died."
	"1247816-1"	"1247816-1"	"PAIN"	"10033371"	"30-39 years"	"30-39"	"patient called EMS with pain crisis and noted that she had lost vision in both eyes. was transported to Emergency room by EMS and had cardiac arrest and died."
	"1247816-1"	"1247816-1"	"SICKLE CELL ANAEMIA WITH CRISIS"	"10040642"	"30-39 years"	"30-39"	"patient called EMS with pain crisis and noted that she had lost vision in both eyes. was transported to Emergency room by EMS and had cardiac arrest and died."
	"1248086-1"	"1248086-1"	"ANTICOAGULANT THERAPY"	"10053468"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: patient underwent L1-2 corpectomy, pedicle subtraction osteotomy, and extension of fusion from T4 to the pelvis two months after vaccination. During surgery patient became thrombocytopenic and required massive transfusion. Thirteen days after surgery found to have bilateral pulmonary embolisms and deep vein thromboses and placed on anticoagulation. Patient subsequently suffered cardiac arrest and was unable to be resuscitated."
	"1248086-1"	"1248086-1"	"BLOOD IMMUNOGLOBULIN G"	"10005593"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: patient underwent L1-2 corpectomy, pedicle subtraction osteotomy, and extension of fusion from T4 to the pelvis two months after vaccination. During surgery patient became thrombocytopenic and required massive transfusion. Thirteen days after surgery found to have bilateral pulmonary embolisms and deep vein thromboses and placed on anticoagulation. Patient subsequently suffered cardiac arrest and was unable to be resuscitated."
	"1248086-1"	"1248086-1"	"CARDIAC ARREST"	"10007515"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: patient underwent L1-2 corpectomy, pedicle subtraction osteotomy, and extension of fusion from T4 to the pelvis two months after vaccination. During surgery patient became thrombocytopenic and required massive transfusion. Thirteen days after surgery found to have bilateral pulmonary embolisms and deep vein thromboses and placed on anticoagulation. Patient subsequently suffered cardiac arrest and was unable to be resuscitated."
	"1248086-1"	"1248086-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: patient underwent L1-2 corpectomy, pedicle subtraction osteotomy, and extension of fusion from T4 to the pelvis two months after vaccination. During surgery patient became thrombocytopenic and required massive transfusion. Thirteen days after surgery found to have bilateral pulmonary embolisms and deep vein thromboses and placed on anticoagulation. Patient subsequently suffered cardiac arrest and was unable to be resuscitated."
	"1248086-1"	"1248086-1"	"DEEP VEIN THROMBOSIS"	"10051055"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: patient underwent L1-2 corpectomy, pedicle subtraction osteotomy, and extension of fusion from T4 to the pelvis two months after vaccination. During surgery patient became thrombocytopenic and required massive transfusion. Thirteen days after surgery found to have bilateral pulmonary embolisms and deep vein thromboses and placed on anticoagulation. Patient subsequently suffered cardiac arrest and was unable to be resuscitated."
	"1248086-1"	"1248086-1"	"HAEMATOCRIT DECREASED"	"10018838"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: patient underwent L1-2 corpectomy, pedicle subtraction osteotomy, and extension of fusion from T4 to the pelvis two months after vaccination. During surgery patient became thrombocytopenic and required massive transfusion. Thirteen days after surgery found to have bilateral pulmonary embolisms and deep vein thromboses and placed on anticoagulation. Patient subsequently suffered cardiac arrest and was unable to be resuscitated."
	"1248086-1"	"1248086-1"	"HAEMOGLOBIN DECREASED"	"10018884"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: patient underwent L1-2 corpectomy, pedicle subtraction osteotomy, and extension of fusion from T4 to the pelvis two months after vaccination. During surgery patient became thrombocytopenic and required massive transfusion. Thirteen days after surgery found to have bilateral pulmonary embolisms and deep vein thromboses and placed on anticoagulation. Patient subsequently suffered cardiac arrest and was unable to be resuscitated."
	"1248086-1"	"1248086-1"	"PLATELET COUNT DECREASED"	"10035528"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: patient underwent L1-2 corpectomy, pedicle subtraction osteotomy, and extension of fusion from T4 to the pelvis two months after vaccination. During surgery patient became thrombocytopenic and required massive transfusion. Thirteen days after surgery found to have bilateral pulmonary embolisms and deep vein thromboses and placed on anticoagulation. Patient subsequently suffered cardiac arrest and was unable to be resuscitated."
	"1248086-1"	"1248086-1"	"PULMONARY EMBOLISM"	"10037377"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: patient underwent L1-2 corpectomy, pedicle subtraction osteotomy, and extension of fusion from T4 to the pelvis two months after vaccination. During surgery patient became thrombocytopenic and required massive transfusion. Thirteen days after surgery found to have bilateral pulmonary embolisms and deep vein thromboses and placed on anticoagulation. Patient subsequently suffered cardiac arrest and was unable to be resuscitated."
	"1248086-1"	"1248086-1"	"RESUSCITATION"	"10038749"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: patient underwent L1-2 corpectomy, pedicle subtraction osteotomy, and extension of fusion from T4 to the pelvis two months after vaccination. During surgery patient became thrombocytopenic and required massive transfusion. Thirteen days after surgery found to have bilateral pulmonary embolisms and deep vein thromboses and placed on anticoagulation. Patient subsequently suffered cardiac arrest and was unable to be resuscitated."
	"1248086-1"	"1248086-1"	"THROMBOCYTOPENIA"	"10043554"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: patient underwent L1-2 corpectomy, pedicle subtraction osteotomy, and extension of fusion from T4 to the pelvis two months after vaccination. During surgery patient became thrombocytopenic and required massive transfusion. Thirteen days after surgery found to have bilateral pulmonary embolisms and deep vein thromboses and placed on anticoagulation. Patient subsequently suffered cardiac arrest and was unable to be resuscitated."
	"1248086-1"	"1248086-1"	"TRANSFUSION"	"10066152"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: patient underwent L1-2 corpectomy, pedicle subtraction osteotomy, and extension of fusion from T4 to the pelvis two months after vaccination. During surgery patient became thrombocytopenic and required massive transfusion. Thirteen days after surgery found to have bilateral pulmonary embolisms and deep vein thromboses and placed on anticoagulation. Patient subsequently suffered cardiac arrest and was unable to be resuscitated."
	"1251028-1"	"1251028-1"	"COMPLETED SUICIDE"	"10010144"	"40-49 years"	"40-49"	"Death by suicide sometime between late evening Wednesday, April 21st, 2021 and early morning April 22nd, 2021.  He was found at about 8am that morning."
	"1251028-1"	"1251028-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Death by suicide sometime between late evening Wednesday, April 21st, 2021 and early morning April 22nd, 2021.  He was found at about 8am that morning."
	"1255612-1"	"1255612-1"	"MYOCARDIAL INFARCTION"	"10028596"	"40-49 years"	"40-49"	"Heart attack and death; This is a spontaneous report from a contactable Nurse. A 49-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number: Ej1685) intramuscular in left arm on 18Dec2020 at 11:00 AM at single dose for COVID-19 immunisation. Medical history was none, no known allergies. No other concomitant medications in two weeks. No other vaccine in four weeks. The patient experienced heart attack at 05:30 pm on 06Apr2021 and the event caused patient death. No treatment for the event. Autopsy results was available. Autopsy remarks: heart attack. No COVID prior vaccination, no COVID tested post vaccination. The patient died on 06Apr2021. An autopsy was performed and the reported cause of death was heart attack.; Sender's Comments: Myocardial infarction occurred 3 months and 19 days after BNT162B2 vaccine administration. The event is considered unrelated to suspect drug being rather an incidental occurrence.   The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.; Reported Cause(s) of Death: Heart attack and death; Autopsy-determined Cause(s) of Death: Heart attack"
	"1256112-1"	"1256112-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"My husband received the shot on the 22nd. He died in his sleep on the 24th. He was complaining how the second shot really was giving him a lot of trouble, but nothing that would indicate life-threatening symptoms"
	"1257062-1"	"1257062-1"	"ACUTE RESPIRATORY DISTRESS SYNDROME"	"10001052"	"40-49 years"	"40-49"	"The patient developed high fevers, profound watery diarrhea up to 13L/day, requiring IV administration of replacement fluids. He ultimately developed ARDS and succumbed to this illness."
	"1257062-1"	"1257062-1"	"ASPARTATE AMINOTRANSFERASE INCREASED"	"10003481"	"40-49 years"	"40-49"	"The patient developed high fevers, profound watery diarrhea up to 13L/day, requiring IV administration of replacement fluids. He ultimately developed ARDS and succumbed to this illness."
	"1257062-1"	"1257062-1"	"BLOOD TRIGLYCERIDES INCREASED"	"10005839"	"40-49 years"	"40-49"	"The patient developed high fevers, profound watery diarrhea up to 13L/day, requiring IV administration of replacement fluids. He ultimately developed ARDS and succumbed to this illness."
	"1257062-1"	"1257062-1"	"CD25 ANTIGEN POSITIVE"	"10075649"	"40-49 years"	"40-49"	"The patient developed high fevers, profound watery diarrhea up to 13L/day, requiring IV administration of replacement fluids. He ultimately developed ARDS and succumbed to this illness."
	"1257062-1"	"1257062-1"	"COMPUTERISED TOMOGRAM ABDOMEN ABNORMAL"	"10057798"	"40-49 years"	"40-49"	"The patient developed high fevers, profound watery diarrhea up to 13L/day, requiring IV administration of replacement fluids. He ultimately developed ARDS and succumbed to this illness."
	"1257062-1"	"1257062-1"	"COMPUTERISED TOMOGRAM PELVIS ABNORMAL"	"10081333"	"40-49 years"	"40-49"	"The patient developed high fevers, profound watery diarrhea up to 13L/day, requiring IV administration of replacement fluids. He ultimately developed ARDS and succumbed to this illness."
	"1257062-1"	"1257062-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"The patient developed high fevers, profound watery diarrhea up to 13L/day, requiring IV administration of replacement fluids. He ultimately developed ARDS and succumbed to this illness."
	"1257062-1"	"1257062-1"	"DIARRHOEA"	"10012735"	"40-49 years"	"40-49"	"The patient developed high fevers, profound watery diarrhea up to 13L/day, requiring IV administration of replacement fluids. He ultimately developed ARDS and succumbed to this illness."
	"1257062-1"	"1257062-1"	"HEPATOSPLENOMEGALY"	"10019847"	"40-49 years"	"40-49"	"The patient developed high fevers, profound watery diarrhea up to 13L/day, requiring IV administration of replacement fluids. He ultimately developed ARDS and succumbed to this illness."
	"1257062-1"	"1257062-1"	"PYREXIA"	"10037660"	"40-49 years"	"40-49"	"The patient developed high fevers, profound watery diarrhea up to 13L/day, requiring IV administration of replacement fluids. He ultimately developed ARDS and succumbed to this illness."
	"1257062-1"	"1257062-1"	"SERUM FERRITIN INCREASED"	"10040250"	"40-49 years"	"40-49"	"The patient developed high fevers, profound watery diarrhea up to 13L/day, requiring IV administration of replacement fluids. He ultimately developed ARDS and succumbed to this illness."
	"1257204-1"	"1257204-1"	"CARDIAC ARREST"	"10007515"	"30-39 years"	"30-39"	"Patient began experiencing pain and difficulty walking on Tuesday, March 23. Later that afternoon she was taken to an Urgent care, who sent her to the ER for evaluation. She was diagnosed with a very large blood clot in her leg, spanning from just above the knee to her groin area. They admitted her and began treating her with blood thinners.  While undergoing that treatment, her heart stopped 3 times and she had to be resuscitated. They discovered a pulmonary embolism.  While removing a large clot from her lungs, the doctor found that her lungs were riddled with hundreds of tiny blood clots. They also said that she was bleeding internally, very heavily, from an unknown location. In all, they gave her 20 units of blood, and none of it stayed in her veins. The doctor said it seemed to just disintegrate.  At that point, her brain and organs had begun shutting down and family made the decision to remove her from life support. She passed away Thursday evening, March 25, 2021."
	"1257204-1"	"1257204-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Patient began experiencing pain and difficulty walking on Tuesday, March 23. Later that afternoon she was taken to an Urgent care, who sent her to the ER for evaluation. She was diagnosed with a very large blood clot in her leg, spanning from just above the knee to her groin area. They admitted her and began treating her with blood thinners.  While undergoing that treatment, her heart stopped 3 times and she had to be resuscitated. They discovered a pulmonary embolism.  While removing a large clot from her lungs, the doctor found that her lungs were riddled with hundreds of tiny blood clots. They also said that she was bleeding internally, very heavily, from an unknown location. In all, they gave her 20 units of blood, and none of it stayed in her veins. The doctor said it seemed to just disintegrate.  At that point, her brain and organs had begun shutting down and family made the decision to remove her from life support. She passed away Thursday evening, March 25, 2021."
	"1257204-1"	"1257204-1"	"GAIT DISTURBANCE"	"10017577"	"30-39 years"	"30-39"	"Patient began experiencing pain and difficulty walking on Tuesday, March 23. Later that afternoon she was taken to an Urgent care, who sent her to the ER for evaluation. She was diagnosed with a very large blood clot in her leg, spanning from just above the knee to her groin area. They admitted her and began treating her with blood thinners.  While undergoing that treatment, her heart stopped 3 times and she had to be resuscitated. They discovered a pulmonary embolism.  While removing a large clot from her lungs, the doctor found that her lungs were riddled with hundreds of tiny blood clots. They also said that she was bleeding internally, very heavily, from an unknown location. In all, they gave her 20 units of blood, and none of it stayed in her veins. The doctor said it seemed to just disintegrate.  At that point, her brain and organs had begun shutting down and family made the decision to remove her from life support. She passed away Thursday evening, March 25, 2021."
	"1257204-1"	"1257204-1"	"INTERNAL HAEMORRHAGE"	"10075192"	"30-39 years"	"30-39"	"Patient began experiencing pain and difficulty walking on Tuesday, March 23. Later that afternoon she was taken to an Urgent care, who sent her to the ER for evaluation. She was diagnosed with a very large blood clot in her leg, spanning from just above the knee to her groin area. They admitted her and began treating her with blood thinners.  While undergoing that treatment, her heart stopped 3 times and she had to be resuscitated. They discovered a pulmonary embolism.  While removing a large clot from her lungs, the doctor found that her lungs were riddled with hundreds of tiny blood clots. They also said that she was bleeding internally, very heavily, from an unknown location. In all, they gave her 20 units of blood, and none of it stayed in her veins. The doctor said it seemed to just disintegrate.  At that point, her brain and organs had begun shutting down and family made the decision to remove her from life support. She passed away Thursday evening, March 25, 2021."
	"1257204-1"	"1257204-1"	"MULTIPLE ORGAN DYSFUNCTION SYNDROME"	"10077361"	"30-39 years"	"30-39"	"Patient began experiencing pain and difficulty walking on Tuesday, March 23. Later that afternoon she was taken to an Urgent care, who sent her to the ER for evaluation. She was diagnosed with a very large blood clot in her leg, spanning from just above the knee to her groin area. They admitted her and began treating her with blood thinners.  While undergoing that treatment, her heart stopped 3 times and she had to be resuscitated. They discovered a pulmonary embolism.  While removing a large clot from her lungs, the doctor found that her lungs were riddled with hundreds of tiny blood clots. They also said that she was bleeding internally, very heavily, from an unknown location. In all, they gave her 20 units of blood, and none of it stayed in her veins. The doctor said it seemed to just disintegrate.  At that point, her brain and organs had begun shutting down and family made the decision to remove her from life support. She passed away Thursday evening, March 25, 2021."
	"1257204-1"	"1257204-1"	"PAIN"	"10033371"	"30-39 years"	"30-39"	"Patient began experiencing pain and difficulty walking on Tuesday, March 23. Later that afternoon she was taken to an Urgent care, who sent her to the ER for evaluation. She was diagnosed with a very large blood clot in her leg, spanning from just above the knee to her groin area. They admitted her and began treating her with blood thinners.  While undergoing that treatment, her heart stopped 3 times and she had to be resuscitated. They discovered a pulmonary embolism.  While removing a large clot from her lungs, the doctor found that her lungs were riddled with hundreds of tiny blood clots. They also said that she was bleeding internally, very heavily, from an unknown location. In all, they gave her 20 units of blood, and none of it stayed in her veins. The doctor said it seemed to just disintegrate.  At that point, her brain and organs had begun shutting down and family made the decision to remove her from life support. She passed away Thursday evening, March 25, 2021."
	"1257204-1"	"1257204-1"	"PERIPHERAL EMBOLISM"	"10061340"	"30-39 years"	"30-39"	"Patient began experiencing pain and difficulty walking on Tuesday, March 23. Later that afternoon she was taken to an Urgent care, who sent her to the ER for evaluation. She was diagnosed with a very large blood clot in her leg, spanning from just above the knee to her groin area. They admitted her and began treating her with blood thinners.  While undergoing that treatment, her heart stopped 3 times and she had to be resuscitated. They discovered a pulmonary embolism.  While removing a large clot from her lungs, the doctor found that her lungs were riddled with hundreds of tiny blood clots. They also said that she was bleeding internally, very heavily, from an unknown location. In all, they gave her 20 units of blood, and none of it stayed in her veins. The doctor said it seemed to just disintegrate.  At that point, her brain and organs had begun shutting down and family made the decision to remove her from life support. She passed away Thursday evening, March 25, 2021."
	"1257204-1"	"1257204-1"	"PULMONARY EMBOLISM"	"10037377"	"30-39 years"	"30-39"	"Patient began experiencing pain and difficulty walking on Tuesday, March 23. Later that afternoon she was taken to an Urgent care, who sent her to the ER for evaluation. She was diagnosed with a very large blood clot in her leg, spanning from just above the knee to her groin area. They admitted her and began treating her with blood thinners.  While undergoing that treatment, her heart stopped 3 times and she had to be resuscitated. They discovered a pulmonary embolism.  While removing a large clot from her lungs, the doctor found that her lungs were riddled with hundreds of tiny blood clots. They also said that she was bleeding internally, very heavily, from an unknown location. In all, they gave her 20 units of blood, and none of it stayed in her veins. The doctor said it seemed to just disintegrate.  At that point, her brain and organs had begun shutting down and family made the decision to remove her from life support. She passed away Thursday evening, March 25, 2021."
	"1257204-1"	"1257204-1"	"RESUSCITATION"	"10038749"	"30-39 years"	"30-39"	"Patient began experiencing pain and difficulty walking on Tuesday, March 23. Later that afternoon she was taken to an Urgent care, who sent her to the ER for evaluation. She was diagnosed with a very large blood clot in her leg, spanning from just above the knee to her groin area. They admitted her and began treating her with blood thinners.  While undergoing that treatment, her heart stopped 3 times and she had to be resuscitated. They discovered a pulmonary embolism.  While removing a large clot from her lungs, the doctor found that her lungs were riddled with hundreds of tiny blood clots. They also said that she was bleeding internally, very heavily, from an unknown location. In all, they gave her 20 units of blood, and none of it stayed in her veins. The doctor said it seemed to just disintegrate.  At that point, her brain and organs had begun shutting down and family made the decision to remove her from life support. She passed away Thursday evening, March 25, 2021."
	"1257204-1"	"1257204-1"	"TRANSFUSION"	"10066152"	"30-39 years"	"30-39"	"Patient began experiencing pain and difficulty walking on Tuesday, March 23. Later that afternoon she was taken to an Urgent care, who sent her to the ER for evaluation. She was diagnosed with a very large blood clot in her leg, spanning from just above the knee to her groin area. They admitted her and began treating her with blood thinners.  While undergoing that treatment, her heart stopped 3 times and she had to be resuscitated. They discovered a pulmonary embolism.  While removing a large clot from her lungs, the doctor found that her lungs were riddled with hundreds of tiny blood clots. They also said that she was bleeding internally, very heavily, from an unknown location. In all, they gave her 20 units of blood, and none of it stayed in her veins. The doctor said it seemed to just disintegrate.  At that point, her brain and organs had begun shutting down and family made the decision to remove her from life support. She passed away Thursday evening, March 25, 2021."
	"1259763-1"	"1259763-1"	"CHILLS"	"10008531"	"40-49 years"	"40-49"	"Fever, chills, headache, and tiredness (2nd day of receiving  the 2nd dose) Feeling good on the 3rd day Headache, stomach burn, throwing up, and heart attack (4th day of receiving the 2nd dose)  Passed away on April 2, 2021"
	"1259763-1"	"1259763-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Fever, chills, headache, and tiredness (2nd day of receiving  the 2nd dose) Feeling good on the 3rd day Headache, stomach burn, throwing up, and heart attack (4th day of receiving the 2nd dose)  Passed away on April 2, 2021"
	"1259763-1"	"1259763-1"	"DYSPEPSIA"	"10013946"	"40-49 years"	"40-49"	"Fever, chills, headache, and tiredness (2nd day of receiving  the 2nd dose) Feeling good on the 3rd day Headache, stomach burn, throwing up, and heart attack (4th day of receiving the 2nd dose)  Passed away on April 2, 2021"
	"1259763-1"	"1259763-1"	"FATIGUE"	"10016256"	"40-49 years"	"40-49"	"Fever, chills, headache, and tiredness (2nd day of receiving  the 2nd dose) Feeling good on the 3rd day Headache, stomach burn, throwing up, and heart attack (4th day of receiving the 2nd dose)  Passed away on April 2, 2021"
	"1259763-1"	"1259763-1"	"HEADACHE"	"10019211"	"40-49 years"	"40-49"	"Fever, chills, headache, and tiredness (2nd day of receiving  the 2nd dose) Feeling good on the 3rd day Headache, stomach burn, throwing up, and heart attack (4th day of receiving the 2nd dose)  Passed away on April 2, 2021"
	"1259763-1"	"1259763-1"	"MYOCARDIAL INFARCTION"	"10028596"	"40-49 years"	"40-49"	"Fever, chills, headache, and tiredness (2nd day of receiving  the 2nd dose) Feeling good on the 3rd day Headache, stomach burn, throwing up, and heart attack (4th day of receiving the 2nd dose)  Passed away on April 2, 2021"
	"1259763-1"	"1259763-1"	"PYREXIA"	"10037660"	"40-49 years"	"40-49"	"Fever, chills, headache, and tiredness (2nd day of receiving  the 2nd dose) Feeling good on the 3rd day Headache, stomach burn, throwing up, and heart attack (4th day of receiving the 2nd dose)  Passed away on April 2, 2021"
	"1259763-1"	"1259763-1"	"VOMITING"	"10047700"	"40-49 years"	"40-49"	"Fever, chills, headache, and tiredness (2nd day of receiving  the 2nd dose) Feeling good on the 3rd day Headache, stomach burn, throwing up, and heart attack (4th day of receiving the 2nd dose)  Passed away on April 2, 2021"
	"1264618-1"	"1264618-1"	"AUTOPSY"	"10050117"	"30-39 years"	"30-39"	"103 fever 2 days after the vaccine.  Then became afebrile. Then found deceased on 4-26-2021"
	"1264618-1"	"1264618-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"103 fever 2 days after the vaccine.  Then became afebrile. Then found deceased on 4-26-2021"
	"1264618-1"	"1264618-1"	"PYREXIA"	"10037660"	"30-39 years"	"30-39"	"103 fever 2 days after the vaccine.  Then became afebrile. Then found deceased on 4-26-2021"
	"1266821-1"	"1266821-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Pt was seen in Family Medicine on 4/23/2021.  Was given her first Moderna vaccine that day.  On-call doctor received phone call on 4/24/2021 that pt had expired.   Death certificate states cause of death: seizure due to possible complication of COVID 19 vaccine. Conditions if any, leading to immediate cause:  cerebellopontine angle tumor of brain"
	"1266821-1"	"1266821-1"	"SEIZURE"	"10039906"	"40-49 years"	"40-49"	"Pt was seen in Family Medicine on 4/23/2021.  Was given her first Moderna vaccine that day.  On-call doctor received phone call on 4/24/2021 that pt had expired.   Death certificate states cause of death: seizure due to possible complication of COVID 19 vaccine. Conditions if any, leading to immediate cause:  cerebellopontine angle tumor of brain"
	"1267074-1"	"1267074-1"	"ANGIOGRAM PULMONARY NORMAL"	"10002442"	"40-49 years"	"40-49"	"#1 = 011J20A on 1-6-21 #2 = 028L20A on 2-3-21 patient presented after sudden onset of chest pain early in morning and found to be covid +. ECG demonstrated diffuse ST elevation, troponins negative. CT without contrast didn't have much in it. He was found to be COVID rapid test+ and IGG negative. He was admitted into isolation, no oxygen needs. DDIMER was over 2000 and friction rub noted on physical exam.   Cardiology ruled out STEMI, thought maybe viral pericarditis - but wanted echo done after out of isolation. CTA was planned for AM on 4-28-21, but patient died 4-27-21 PM after being found down in room. ROSC was not able to be achieved despite aggressive resuscitation efforts"
	"1267074-1"	"1267074-1"	"ATELECTASIS"	"10003598"	"40-49 years"	"40-49"	"#1 = 011J20A on 1-6-21 #2 = 028L20A on 2-3-21 patient presented after sudden onset of chest pain early in morning and found to be covid +. ECG demonstrated diffuse ST elevation, troponins negative. CT without contrast didn't have much in it. He was found to be COVID rapid test+ and IGG negative. He was admitted into isolation, no oxygen needs. DDIMER was over 2000 and friction rub noted on physical exam.   Cardiology ruled out STEMI, thought maybe viral pericarditis - but wanted echo done after out of isolation. CTA was planned for AM on 4-28-21, but patient died 4-27-21 PM after being found down in room. ROSC was not able to be achieved despite aggressive resuscitation efforts"
	"1267074-1"	"1267074-1"	"CHEST PAIN"	"10008479"	"40-49 years"	"40-49"	"#1 = 011J20A on 1-6-21 #2 = 028L20A on 2-3-21 patient presented after sudden onset of chest pain early in morning and found to be covid +. ECG demonstrated diffuse ST elevation, troponins negative. CT without contrast didn't have much in it. He was found to be COVID rapid test+ and IGG negative. He was admitted into isolation, no oxygen needs. DDIMER was over 2000 and friction rub noted on physical exam.   Cardiology ruled out STEMI, thought maybe viral pericarditis - but wanted echo done after out of isolation. CTA was planned for AM on 4-28-21, but patient died 4-27-21 PM after being found down in room. ROSC was not able to be achieved despite aggressive resuscitation efforts"
	"1267074-1"	"1267074-1"	"CHEST X-RAY NORMAL"	"10008500"	"40-49 years"	"40-49"	"#1 = 011J20A on 1-6-21 #2 = 028L20A on 2-3-21 patient presented after sudden onset of chest pain early in morning and found to be covid +. ECG demonstrated diffuse ST elevation, troponins negative. CT without contrast didn't have much in it. He was found to be COVID rapid test+ and IGG negative. He was admitted into isolation, no oxygen needs. DDIMER was over 2000 and friction rub noted on physical exam.   Cardiology ruled out STEMI, thought maybe viral pericarditis - but wanted echo done after out of isolation. CTA was planned for AM on 4-28-21, but patient died 4-27-21 PM after being found down in room. ROSC was not able to be achieved despite aggressive resuscitation efforts"
	"1267074-1"	"1267074-1"	"COMPUTERISED TOMOGRAM THORAX ABNORMAL"	"10057799"	"40-49 years"	"40-49"	"#1 = 011J20A on 1-6-21 #2 = 028L20A on 2-3-21 patient presented after sudden onset of chest pain early in morning and found to be covid +. ECG demonstrated diffuse ST elevation, troponins negative. CT without contrast didn't have much in it. He was found to be COVID rapid test+ and IGG negative. He was admitted into isolation, no oxygen needs. DDIMER was over 2000 and friction rub noted on physical exam.   Cardiology ruled out STEMI, thought maybe viral pericarditis - but wanted echo done after out of isolation. CTA was planned for AM on 4-28-21, but patient died 4-27-21 PM after being found down in room. ROSC was not able to be achieved despite aggressive resuscitation efforts"
	"1267074-1"	"1267074-1"	"COVID-19"	"10084268"	"40-49 years"	"40-49"	"#1 = 011J20A on 1-6-21 #2 = 028L20A on 2-3-21 patient presented after sudden onset of chest pain early in morning and found to be covid +. ECG demonstrated diffuse ST elevation, troponins negative. CT without contrast didn't have much in it. He was found to be COVID rapid test+ and IGG negative. He was admitted into isolation, no oxygen needs. DDIMER was over 2000 and friction rub noted on physical exam.   Cardiology ruled out STEMI, thought maybe viral pericarditis - but wanted echo done after out of isolation. CTA was planned for AM on 4-28-21, but patient died 4-27-21 PM after being found down in room. ROSC was not able to be achieved despite aggressive resuscitation efforts"
	"1267074-1"	"1267074-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"#1 = 011J20A on 1-6-21 #2 = 028L20A on 2-3-21 patient presented after sudden onset of chest pain early in morning and found to be covid +. ECG demonstrated diffuse ST elevation, troponins negative. CT without contrast didn't have much in it. He was found to be COVID rapid test+ and IGG negative. He was admitted into isolation, no oxygen needs. DDIMER was over 2000 and friction rub noted on physical exam.   Cardiology ruled out STEMI, thought maybe viral pericarditis - but wanted echo done after out of isolation. CTA was planned for AM on 4-28-21, but patient died 4-27-21 PM after being found down in room. ROSC was not able to be achieved despite aggressive resuscitation efforts"
	"1267074-1"	"1267074-1"	"ELECTROCARDIOGRAM ST SEGMENT ELEVATION"	"10014392"	"40-49 years"	"40-49"	"#1 = 011J20A on 1-6-21 #2 = 028L20A on 2-3-21 patient presented after sudden onset of chest pain early in morning and found to be covid +. ECG demonstrated diffuse ST elevation, troponins negative. CT without contrast didn't have much in it. He was found to be COVID rapid test+ and IGG negative. He was admitted into isolation, no oxygen needs. DDIMER was over 2000 and friction rub noted on physical exam.   Cardiology ruled out STEMI, thought maybe viral pericarditis - but wanted echo done after out of isolation. CTA was planned for AM on 4-28-21, but patient died 4-27-21 PM after being found down in room. ROSC was not able to be achieved despite aggressive resuscitation efforts"
	"1267074-1"	"1267074-1"	"ELECTROCARDIOGRAM T WAVE INVERSION"	"10014395"	"40-49 years"	"40-49"	"#1 = 011J20A on 1-6-21 #2 = 028L20A on 2-3-21 patient presented after sudden onset of chest pain early in morning and found to be covid +. ECG demonstrated diffuse ST elevation, troponins negative. CT without contrast didn't have much in it. He was found to be COVID rapid test+ and IGG negative. He was admitted into isolation, no oxygen needs. DDIMER was over 2000 and friction rub noted on physical exam.   Cardiology ruled out STEMI, thought maybe viral pericarditis - but wanted echo done after out of isolation. CTA was planned for AM on 4-28-21, but patient died 4-27-21 PM after being found down in room. ROSC was not able to be achieved despite aggressive resuscitation efforts"
	"1267074-1"	"1267074-1"	"FIBRIN D DIMER INCREASED"	"10016581"	"40-49 years"	"40-49"	"#1 = 011J20A on 1-6-21 #2 = 028L20A on 2-3-21 patient presented after sudden onset of chest pain early in morning and found to be covid +. ECG demonstrated diffuse ST elevation, troponins negative. CT without contrast didn't have much in it. He was found to be COVID rapid test+ and IGG negative. He was admitted into isolation, no oxygen needs. DDIMER was over 2000 and friction rub noted on physical exam.   Cardiology ruled out STEMI, thought maybe viral pericarditis - but wanted echo done after out of isolation. CTA was planned for AM on 4-28-21, but patient died 4-27-21 PM after being found down in room. ROSC was not able to be achieved despite aggressive resuscitation efforts"
	"1267074-1"	"1267074-1"	"GENERAL SYMPTOM"	"10060891"	"40-49 years"	"40-49"	"#1 = 011J20A on 1-6-21 #2 = 028L20A on 2-3-21 patient presented after sudden onset of chest pain early in morning and found to be covid +. ECG demonstrated diffuse ST elevation, troponins negative. CT without contrast didn't have much in it. He was found to be COVID rapid test+ and IGG negative. He was admitted into isolation, no oxygen needs. DDIMER was over 2000 and friction rub noted on physical exam.   Cardiology ruled out STEMI, thought maybe viral pericarditis - but wanted echo done after out of isolation. CTA was planned for AM on 4-28-21, but patient died 4-27-21 PM after being found down in room. ROSC was not able to be achieved despite aggressive resuscitation efforts"
	"1267074-1"	"1267074-1"	"PULMONARY MASS"	"10056342"	"40-49 years"	"40-49"	"#1 = 011J20A on 1-6-21 #2 = 028L20A on 2-3-21 patient presented after sudden onset of chest pain early in morning and found to be covid +. ECG demonstrated diffuse ST elevation, troponins negative. CT without contrast didn't have much in it. He was found to be COVID rapid test+ and IGG negative. He was admitted into isolation, no oxygen needs. DDIMER was over 2000 and friction rub noted on physical exam.   Cardiology ruled out STEMI, thought maybe viral pericarditis - but wanted echo done after out of isolation. CTA was planned for AM on 4-28-21, but patient died 4-27-21 PM after being found down in room. ROSC was not able to be achieved despite aggressive resuscitation efforts"
	"1267074-1"	"1267074-1"	"RESUSCITATION"	"10038749"	"40-49 years"	"40-49"	"#1 = 011J20A on 1-6-21 #2 = 028L20A on 2-3-21 patient presented after sudden onset of chest pain early in morning and found to be covid +. ECG demonstrated diffuse ST elevation, troponins negative. CT without contrast didn't have much in it. He was found to be COVID rapid test+ and IGG negative. He was admitted into isolation, no oxygen needs. DDIMER was over 2000 and friction rub noted on physical exam.   Cardiology ruled out STEMI, thought maybe viral pericarditis - but wanted echo done after out of isolation. CTA was planned for AM on 4-28-21, but patient died 4-27-21 PM after being found down in room. ROSC was not able to be achieved despite aggressive resuscitation efforts"
	"1267074-1"	"1267074-1"	"SARS-COV-2 ANTIBODY TEST NEGATIVE"	"10084509"	"40-49 years"	"40-49"	"#1 = 011J20A on 1-6-21 #2 = 028L20A on 2-3-21 patient presented after sudden onset of chest pain early in morning and found to be covid +. ECG demonstrated diffuse ST elevation, troponins negative. CT without contrast didn't have much in it. He was found to be COVID rapid test+ and IGG negative. He was admitted into isolation, no oxygen needs. DDIMER was over 2000 and friction rub noted on physical exam.   Cardiology ruled out STEMI, thought maybe viral pericarditis - but wanted echo done after out of isolation. CTA was planned for AM on 4-28-21, but patient died 4-27-21 PM after being found down in room. ROSC was not able to be achieved despite aggressive resuscitation efforts"
	"1267074-1"	"1267074-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"40-49 years"	"40-49"	"#1 = 011J20A on 1-6-21 #2 = 028L20A on 2-3-21 patient presented after sudden onset of chest pain early in morning and found to be covid +. ECG demonstrated diffuse ST elevation, troponins negative. CT without contrast didn't have much in it. He was found to be COVID rapid test+ and IGG negative. He was admitted into isolation, no oxygen needs. DDIMER was over 2000 and friction rub noted on physical exam.   Cardiology ruled out STEMI, thought maybe viral pericarditis - but wanted echo done after out of isolation. CTA was planned for AM on 4-28-21, but patient died 4-27-21 PM after being found down in room. ROSC was not able to be achieved despite aggressive resuscitation efforts"
	"1267074-1"	"1267074-1"	"TROPONIN NORMAL"	"10071322"	"40-49 years"	"40-49"	"#1 = 011J20A on 1-6-21 #2 = 028L20A on 2-3-21 patient presented after sudden onset of chest pain early in morning and found to be covid +. ECG demonstrated diffuse ST elevation, troponins negative. CT without contrast didn't have much in it. He was found to be COVID rapid test+ and IGG negative. He was admitted into isolation, no oxygen needs. DDIMER was over 2000 and friction rub noted on physical exam.   Cardiology ruled out STEMI, thought maybe viral pericarditis - but wanted echo done after out of isolation. CTA was planned for AM on 4-28-21, but patient died 4-27-21 PM after being found down in room. ROSC was not able to be achieved despite aggressive resuscitation efforts"
	"1267278-1"	"1267278-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Patient passed away 4/12/2021 suddenly, found by family on couch. Was having shortness of breath day before. Per mom, patient had been laughing and talking the morning before patient passed away."
	"1267278-1"	"1267278-1"	"DYSPNOEA"	"10013968"	"30-39 years"	"30-39"	"Patient passed away 4/12/2021 suddenly, found by family on couch. Was having shortness of breath day before. Per mom, patient had been laughing and talking the morning before patient passed away."
	"1267487-1"	"1267487-1"	"AUTOPSY"	"10050117"	"40-49 years"	"40-49"	"Cough and diarrhea the day after receiving vaccine.  The next day, had difficulty breathing and collapsed."
	"1267487-1"	"1267487-1"	"COUGH"	"10011224"	"40-49 years"	"40-49"	"Cough and diarrhea the day after receiving vaccine.  The next day, had difficulty breathing and collapsed."
	"1267487-1"	"1267487-1"	"DIARRHOEA"	"10012735"	"40-49 years"	"40-49"	"Cough and diarrhea the day after receiving vaccine.  The next day, had difficulty breathing and collapsed."
	"1267487-1"	"1267487-1"	"DYSPNOEA"	"10013968"	"40-49 years"	"40-49"	"Cough and diarrhea the day after receiving vaccine.  The next day, had difficulty breathing and collapsed."
	"1267487-1"	"1267487-1"	"SYNCOPE"	"10042772"	"40-49 years"	"40-49"	"Cough and diarrhea the day after receiving vaccine.  The next day, had difficulty breathing and collapsed."
	"1267794-1"	"1267794-1"	"BRAIN STEM INFARCTION"	"10006147"	"40-49 years"	"40-49"	"Approximately 3 weeks after Moderna Covid-19 vaccine administration, patient began to experience dizziness, transferred to Hospital, diagnosed with ischemic stroke, discharged, returned within days with worsening, diagnosed with new ischemic stroke (contralateral side), transferred to Medical Center, patient's condition worsened, presumably additional new ischemic stroke, patient ultimately died on 3/5/2021.  Diagnosis was acute infarction of the brainstem/pons as well as acute bilateral cerebellar/occipital infarctions."
	"1267794-1"	"1267794-1"	"CEREBELLAR INFARCTION"	"10008034"	"40-49 years"	"40-49"	"Approximately 3 weeks after Moderna Covid-19 vaccine administration, patient began to experience dizziness, transferred to Hospital, diagnosed with ischemic stroke, discharged, returned within days with worsening, diagnosed with new ischemic stroke (contralateral side), transferred to Medical Center, patient's condition worsened, presumably additional new ischemic stroke, patient ultimately died on 3/5/2021.  Diagnosis was acute infarction of the brainstem/pons as well as acute bilateral cerebellar/occipital infarctions."
	"1267794-1"	"1267794-1"	"CEREBROVASCULAR ACCIDENT"	"10008190"	"40-49 years"	"40-49"	"Approximately 3 weeks after Moderna Covid-19 vaccine administration, patient began to experience dizziness, transferred to Hospital, diagnosed with ischemic stroke, discharged, returned within days with worsening, diagnosed with new ischemic stroke (contralateral side), transferred to Medical Center, patient's condition worsened, presumably additional new ischemic stroke, patient ultimately died on 3/5/2021.  Diagnosis was acute infarction of the brainstem/pons as well as acute bilateral cerebellar/occipital infarctions."
	"1267794-1"	"1267794-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Approximately 3 weeks after Moderna Covid-19 vaccine administration, patient began to experience dizziness, transferred to Hospital, diagnosed with ischemic stroke, discharged, returned within days with worsening, diagnosed with new ischemic stroke (contralateral side), transferred to Medical Center, patient's condition worsened, presumably additional new ischemic stroke, patient ultimately died on 3/5/2021.  Diagnosis was acute infarction of the brainstem/pons as well as acute bilateral cerebellar/occipital infarctions."
	"1267794-1"	"1267794-1"	"DIZZINESS"	"10013573"	"40-49 years"	"40-49"	"Approximately 3 weeks after Moderna Covid-19 vaccine administration, patient began to experience dizziness, transferred to Hospital, diagnosed with ischemic stroke, discharged, returned within days with worsening, diagnosed with new ischemic stroke (contralateral side), transferred to Medical Center, patient's condition worsened, presumably additional new ischemic stroke, patient ultimately died on 3/5/2021.  Diagnosis was acute infarction of the brainstem/pons as well as acute bilateral cerebellar/occipital infarctions."
	"1267794-1"	"1267794-1"	"ISCHAEMIC STROKE"	"10061256"	"40-49 years"	"40-49"	"Approximately 3 weeks after Moderna Covid-19 vaccine administration, patient began to experience dizziness, transferred to Hospital, diagnosed with ischemic stroke, discharged, returned within days with worsening, diagnosed with new ischemic stroke (contralateral side), transferred to Medical Center, patient's condition worsened, presumably additional new ischemic stroke, patient ultimately died on 3/5/2021.  Diagnosis was acute infarction of the brainstem/pons as well as acute bilateral cerebellar/occipital infarctions."
	"1268424-1"	"1268424-1"	"COUGH"	"10011224"	"40-49 years"	"40-49"	"The decedent was found in her bedroom by her daughter. Medical history only includes previous blood clots. Decedent has been complaining of coughing and shortness of breath the past few days. There is no history of drug use. The decedent had a foam cone when found."
	"1268424-1"	"1268424-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"The decedent was found in her bedroom by her daughter. Medical history only includes previous blood clots. Decedent has been complaining of coughing and shortness of breath the past few days. There is no history of drug use. The decedent had a foam cone when found."
	"1268424-1"	"1268424-1"	"DYSPNOEA"	"10013968"	"40-49 years"	"40-49"	"The decedent was found in her bedroom by her daughter. Medical history only includes previous blood clots. Decedent has been complaining of coughing and shortness of breath the past few days. There is no history of drug use. The decedent had a foam cone when found."
	"1268424-1"	"1268424-1"	"SARS-COV-2 TEST"	"10084354"	"40-49 years"	"40-49"	"The decedent was found in her bedroom by her daughter. Medical history only includes previous blood clots. Decedent has been complaining of coughing and shortness of breath the past few days. There is no history of drug use. The decedent had a foam cone when found."
	"1269763-1"	"1269763-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"died on 14Apr2021 01:30 pm of a sudden death; first dose of BNT16B2 on 15Mar2021 09:00 am/ second dose via an unspecified route of administration on 02Apr2021; first dose of BNT16B2 on 15Mar2021 09:00 am/ second dose via an unspecified route of administration on 02Apr2021; This is a spontaneous report from a contactable healthcare professional (patient's spouse, nurse practitioner). A 47-year-old non-pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), second dose via an unspecified route of administration on 02Apr2021 (lot number: EW0150) as single dose (at the age of 47-years-old) for COVID-19 immunisation, vaccinated at a hospital. Medical history included hypothyroidism, anxiety, and chronic migraine (ongoing). The patient had no known food and drug allergies. Concomitant medications included levothyroxine sodium (SYNTHROID); sumatriptan for migraines; and clonazepam for anxiety. The patient received the first dose of BNT16B2 on 15Mar2021 09:00 am (lot number: EN6708) (at the age of 47-years-old) for COVID-19 immunization. The patient had no other vaccine in four weeks. The patient had no COVID prior to vaccination. The patient died on 14Apr2021 01:30 pm of a sudden death. She was found at home unresponsive and pulseless. Efforts at resuscitation were unsuccessful. Her medical history of hypothyroidism, anxiety and chronic migraines do not appear to be contributory. The patient did not receive treatment (as reported). The reporter considered the event to be a serious adverse effect (SAE). A full autopsy has been performed; the results were pending.; Reported Cause(s) of Death: died on 14Apr2021 01:30 pm of a sudden death"
	"1269763-1"	"1269763-1"	"INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION"	"10081572"	"40-49 years"	"40-49"	"died on 14Apr2021 01:30 pm of a sudden death; first dose of BNT16B2 on 15Mar2021 09:00 am/ second dose via an unspecified route of administration on 02Apr2021; first dose of BNT16B2 on 15Mar2021 09:00 am/ second dose via an unspecified route of administration on 02Apr2021; This is a spontaneous report from a contactable healthcare professional (patient's spouse, nurse practitioner). A 47-year-old non-pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), second dose via an unspecified route of administration on 02Apr2021 (lot number: EW0150) as single dose (at the age of 47-years-old) for COVID-19 immunisation, vaccinated at a hospital. Medical history included hypothyroidism, anxiety, and chronic migraine (ongoing). The patient had no known food and drug allergies. Concomitant medications included levothyroxine sodium (SYNTHROID); sumatriptan for migraines; and clonazepam for anxiety. The patient received the first dose of BNT16B2 on 15Mar2021 09:00 am (lot number: EN6708) (at the age of 47-years-old) for COVID-19 immunization. The patient had no other vaccine in four weeks. The patient had no COVID prior to vaccination. The patient died on 14Apr2021 01:30 pm of a sudden death. She was found at home unresponsive and pulseless. Efforts at resuscitation were unsuccessful. Her medical history of hypothyroidism, anxiety and chronic migraines do not appear to be contributory. The patient did not receive treatment (as reported). The reporter considered the event to be a serious adverse effect (SAE). A full autopsy has been performed; the results were pending.; Reported Cause(s) of Death: died on 14Apr2021 01:30 pm of a sudden death"
	"1269763-1"	"1269763-1"	"OFF LABEL USE"	"10053762"	"40-49 years"	"40-49"	"died on 14Apr2021 01:30 pm of a sudden death; first dose of BNT16B2 on 15Mar2021 09:00 am/ second dose via an unspecified route of administration on 02Apr2021; first dose of BNT16B2 on 15Mar2021 09:00 am/ second dose via an unspecified route of administration on 02Apr2021; This is a spontaneous report from a contactable healthcare professional (patient's spouse, nurse practitioner). A 47-year-old non-pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), second dose via an unspecified route of administration on 02Apr2021 (lot number: EW0150) as single dose (at the age of 47-years-old) for COVID-19 immunisation, vaccinated at a hospital. Medical history included hypothyroidism, anxiety, and chronic migraine (ongoing). The patient had no known food and drug allergies. Concomitant medications included levothyroxine sodium (SYNTHROID); sumatriptan for migraines; and clonazepam for anxiety. The patient received the first dose of BNT16B2 on 15Mar2021 09:00 am (lot number: EN6708) (at the age of 47-years-old) for COVID-19 immunization. The patient had no other vaccine in four weeks. The patient had no COVID prior to vaccination. The patient died on 14Apr2021 01:30 pm of a sudden death. She was found at home unresponsive and pulseless. Efforts at resuscitation were unsuccessful. Her medical history of hypothyroidism, anxiety and chronic migraines do not appear to be contributory. The patient did not receive treatment (as reported). The reporter considered the event to be a serious adverse effect (SAE). A full autopsy has been performed; the results were pending.; Reported Cause(s) of Death: died on 14Apr2021 01:30 pm of a sudden death"
	"1270366-1"	"1270366-1"	"CARDIAC ARREST"	"10007515"	"30-39 years"	"30-39"	"cardiac arrest 5 days post vaccination."
	"1273940-1"	"1273940-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Heart Attack at 7:10 am( 4/9/21), CPR, CCU, CPR, Death(4/11/21) 9:15pm"
	"1273940-1"	"1273940-1"	"INTENSIVE CARE"	"10022519"	"40-49 years"	"40-49"	"Heart Attack at 7:10 am( 4/9/21), CPR, CCU, CPR, Death(4/11/21) 9:15pm"
	"1273940-1"	"1273940-1"	"MYOCARDIAL INFARCTION"	"10028596"	"40-49 years"	"40-49"	"Heart Attack at 7:10 am( 4/9/21), CPR, CCU, CPR, Death(4/11/21) 9:15pm"
	"1273940-1"	"1273940-1"	"RESUSCITATION"	"10038749"	"40-49 years"	"40-49"	"Heart Attack at 7:10 am( 4/9/21), CPR, CCU, CPR, Death(4/11/21) 9:15pm"
	"1273940-1"	"1273940-1"	"STENT PLACEMENT"	"10048561"	"40-49 years"	"40-49"	"Heart Attack at 7:10 am( 4/9/21), CPR, CCU, CPR, Death(4/11/21) 9:15pm"
	"1273988-1"	"1273988-1"	"HYPOXIA"	"10021143"	"40-49 years"	"40-49"	"Patient had vaccination 4/7/2021 and started having symptoms 04/25/2021 arrived at the ER today with hypoxia"
	"1274722-1"	"1274722-1"	"ANTICOAGULANT THERAPY"	"10053468"	"40-49 years"	"40-49"	"Pt presented to the hospital after a cardiac arrest. Work up  showed renal artery thrombosis b/l causing renal failure and hyperkalemia.  ROSC was achieved and pt coded multiple times after.  We were unable to obtain CT A 2/2 to  pt being unstable so only U/S imaging with doppler was used for diagnosis.  Pt was treated with heparin gtt., hematology work up was sent but cause not identified. ECHO did not show thrombosis in the heart. CCRT was attempted but pt expired."
	"1274722-1"	"1274722-1"	"CARDIAC ARREST"	"10007515"	"40-49 years"	"40-49"	"Pt presented to the hospital after a cardiac arrest. Work up  showed renal artery thrombosis b/l causing renal failure and hyperkalemia.  ROSC was achieved and pt coded multiple times after.  We were unable to obtain CT A 2/2 to  pt being unstable so only U/S imaging with doppler was used for diagnosis.  Pt was treated with heparin gtt., hematology work up was sent but cause not identified. ECHO did not show thrombosis in the heart. CCRT was attempted but pt expired."
	"1274722-1"	"1274722-1"	"CARDIO-RESPIRATORY ARREST"	"10007617"	"40-49 years"	"40-49"	"Pt presented to the hospital after a cardiac arrest. Work up  showed renal artery thrombosis b/l causing renal failure and hyperkalemia.  ROSC was achieved and pt coded multiple times after.  We were unable to obtain CT A 2/2 to  pt being unstable so only U/S imaging with doppler was used for diagnosis.  Pt was treated with heparin gtt., hematology work up was sent but cause not identified. ECHO did not show thrombosis in the heart. CCRT was attempted but pt expired."
	"1274722-1"	"1274722-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Pt presented to the hospital after a cardiac arrest. Work up  showed renal artery thrombosis b/l causing renal failure and hyperkalemia.  ROSC was achieved and pt coded multiple times after.  We were unable to obtain CT A 2/2 to  pt being unstable so only U/S imaging with doppler was used for diagnosis.  Pt was treated with heparin gtt., hematology work up was sent but cause not identified. ECHO did not show thrombosis in the heart. CCRT was attempted but pt expired."
	"1274722-1"	"1274722-1"	"ECHOCARDIOGRAM NORMAL"	"10014115"	"40-49 years"	"40-49"	"Pt presented to the hospital after a cardiac arrest. Work up  showed renal artery thrombosis b/l causing renal failure and hyperkalemia.  ROSC was achieved and pt coded multiple times after.  We were unable to obtain CT A 2/2 to  pt being unstable so only U/S imaging with doppler was used for diagnosis.  Pt was treated with heparin gtt., hematology work up was sent but cause not identified. ECHO did not show thrombosis in the heart. CCRT was attempted but pt expired."
	"1274722-1"	"1274722-1"	"HAEMATOLOGY TEST"	"10053076"	"40-49 years"	"40-49"	"Pt presented to the hospital after a cardiac arrest. Work up  showed renal artery thrombosis b/l causing renal failure and hyperkalemia.  ROSC was achieved and pt coded multiple times after.  We were unable to obtain CT A 2/2 to  pt being unstable so only U/S imaging with doppler was used for diagnosis.  Pt was treated with heparin gtt., hematology work up was sent but cause not identified. ECHO did not show thrombosis in the heart. CCRT was attempted but pt expired."
	"1274722-1"	"1274722-1"	"HYPERKALAEMIA"	"10020646"	"40-49 years"	"40-49"	"Pt presented to the hospital after a cardiac arrest. Work up  showed renal artery thrombosis b/l causing renal failure and hyperkalemia.  ROSC was achieved and pt coded multiple times after.  We were unable to obtain CT A 2/2 to  pt being unstable so only U/S imaging with doppler was used for diagnosis.  Pt was treated with heparin gtt., hematology work up was sent but cause not identified. ECHO did not show thrombosis in the heart. CCRT was attempted but pt expired."
	"1274722-1"	"1274722-1"	"RENAL ARTERY THROMBOSIS"	"10038380"	"40-49 years"	"40-49"	"Pt presented to the hospital after a cardiac arrest. Work up  showed renal artery thrombosis b/l causing renal failure and hyperkalemia.  ROSC was achieved and pt coded multiple times after.  We were unable to obtain CT A 2/2 to  pt being unstable so only U/S imaging with doppler was used for diagnosis.  Pt was treated with heparin gtt., hematology work up was sent but cause not identified. ECHO did not show thrombosis in the heart. CCRT was attempted but pt expired."
	"1274722-1"	"1274722-1"	"RENAL FAILURE"	"10038435"	"40-49 years"	"40-49"	"Pt presented to the hospital after a cardiac arrest. Work up  showed renal artery thrombosis b/l causing renal failure and hyperkalemia.  ROSC was achieved and pt coded multiple times after.  We were unable to obtain CT A 2/2 to  pt being unstable so only U/S imaging with doppler was used for diagnosis.  Pt was treated with heparin gtt., hematology work up was sent but cause not identified. ECHO did not show thrombosis in the heart. CCRT was attempted but pt expired."
	"1274722-1"	"1274722-1"	"ULTRASOUND DOPPLER ABNORMAL"	"10045413"	"40-49 years"	"40-49"	"Pt presented to the hospital after a cardiac arrest. Work up  showed renal artery thrombosis b/l causing renal failure and hyperkalemia.  ROSC was achieved and pt coded multiple times after.  We were unable to obtain CT A 2/2 to  pt being unstable so only U/S imaging with doppler was used for diagnosis.  Pt was treated with heparin gtt., hematology work up was sent but cause not identified. ECHO did not show thrombosis in the heart. CCRT was attempted but pt expired."
	"1277679-1"	"1277679-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Death on 04/30/2021"
	"1278349-1"	"1278349-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Patient suffered a seizure and pulmonary edema four days after receiving second Pfizer shot. He was pronounced dead several hours later. Patient had no health issues and was 45 years old."
	"1278349-1"	"1278349-1"	"PULMONARY OEDEMA"	"10037423"	"40-49 years"	"40-49"	"Patient suffered a seizure and pulmonary edema four days after receiving second Pfizer shot. He was pronounced dead several hours later. Patient had no health issues and was 45 years old."
	"1278349-1"	"1278349-1"	"SEIZURE"	"10039906"	"40-49 years"	"40-49"	"Patient suffered a seizure and pulmonary edema four days after receiving second Pfizer shot. He was pronounced dead several hours later. Patient had no health issues and was 45 years old."
	"1279801-1"	"1279801-1"	"AUTOPSY"	"10050117"	"40-49 years"	"40-49"	"Death.  Autopsy was done.  Awaiting results"
	"1279801-1"	"1279801-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Death.  Autopsy was done.  Awaiting results"
	"1281531-1"	"1281531-1"	"AUTOPSY"	"10050117"	"30-39 years"	"30-39"	"Received 2nd dose of vaccine, 5 days later his left leg started hurting and swelling.  He had severe headache afterwards, dizzy and blurred vision.  04/24/2021 he complained of not feeling right, coughed and passed out. Had fever and chills when he came to.  Wife called 911 and was talking and walking.  Was awake and talking in ambulance, oxygen level was low.  Once arrived at hospital, he became restless and passed away within 3 minutes. Autopsy was performed due to his age - 35 and no pre-existing illnesses - was determined he died of Pulmonary Thrumbo Embolism"
	"1281531-1"	"1281531-1"	"CHILLS"	"10008531"	"30-39 years"	"30-39"	"Received 2nd dose of vaccine, 5 days later his left leg started hurting and swelling.  He had severe headache afterwards, dizzy and blurred vision.  04/24/2021 he complained of not feeling right, coughed and passed out. Had fever and chills when he came to.  Wife called 911 and was talking and walking.  Was awake and talking in ambulance, oxygen level was low.  Once arrived at hospital, he became restless and passed away within 3 minutes. Autopsy was performed due to his age - 35 and no pre-existing illnesses - was determined he died of Pulmonary Thrumbo Embolism"
	"1281531-1"	"1281531-1"	"COUGH"	"10011224"	"30-39 years"	"30-39"	"Received 2nd dose of vaccine, 5 days later his left leg started hurting and swelling.  He had severe headache afterwards, dizzy and blurred vision.  04/24/2021 he complained of not feeling right, coughed and passed out. Had fever and chills when he came to.  Wife called 911 and was talking and walking.  Was awake and talking in ambulance, oxygen level was low.  Once arrived at hospital, he became restless and passed away within 3 minutes. Autopsy was performed due to his age - 35 and no pre-existing illnesses - was determined he died of Pulmonary Thrumbo Embolism"
	"1281531-1"	"1281531-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Received 2nd dose of vaccine, 5 days later his left leg started hurting and swelling.  He had severe headache afterwards, dizzy and blurred vision.  04/24/2021 he complained of not feeling right, coughed and passed out. Had fever and chills when he came to.  Wife called 911 and was talking and walking.  Was awake and talking in ambulance, oxygen level was low.  Once arrived at hospital, he became restless and passed away within 3 minutes. Autopsy was performed due to his age - 35 and no pre-existing illnesses - was determined he died of Pulmonary Thrumbo Embolism"
	"1281531-1"	"1281531-1"	"DIZZINESS"	"10013573"	"30-39 years"	"30-39"	"Received 2nd dose of vaccine, 5 days later his left leg started hurting and swelling.  He had severe headache afterwards, dizzy and blurred vision.  04/24/2021 he complained of not feeling right, coughed and passed out. Had fever and chills when he came to.  Wife called 911 and was talking and walking.  Was awake and talking in ambulance, oxygen level was low.  Once arrived at hospital, he became restless and passed away within 3 minutes. Autopsy was performed due to his age - 35 and no pre-existing illnesses - was determined he died of Pulmonary Thrumbo Embolism"
	"1281531-1"	"1281531-1"	"FEELING ABNORMAL"	"10016322"	"30-39 years"	"30-39"	"Received 2nd dose of vaccine, 5 days later his left leg started hurting and swelling.  He had severe headache afterwards, dizzy and blurred vision.  04/24/2021 he complained of not feeling right, coughed and passed out. Had fever and chills when he came to.  Wife called 911 and was talking and walking.  Was awake and talking in ambulance, oxygen level was low.  Once arrived at hospital, he became restless and passed away within 3 minutes. Autopsy was performed due to his age - 35 and no pre-existing illnesses - was determined he died of Pulmonary Thrumbo Embolism"
	"1281531-1"	"1281531-1"	"HEADACHE"	"10019211"	"30-39 years"	"30-39"	"Received 2nd dose of vaccine, 5 days later his left leg started hurting and swelling.  He had severe headache afterwards, dizzy and blurred vision.  04/24/2021 he complained of not feeling right, coughed and passed out. Had fever and chills when he came to.  Wife called 911 and was talking and walking.  Was awake and talking in ambulance, oxygen level was low.  Once arrived at hospital, he became restless and passed away within 3 minutes. Autopsy was performed due to his age - 35 and no pre-existing illnesses - was determined he died of Pulmonary Thrumbo Embolism"
	"1281531-1"	"1281531-1"	"LOSS OF CONSCIOUSNESS"	"10024855"	"30-39 years"	"30-39"	"Received 2nd dose of vaccine, 5 days later his left leg started hurting and swelling.  He had severe headache afterwards, dizzy and blurred vision.  04/24/2021 he complained of not feeling right, coughed and passed out. Had fever and chills when he came to.  Wife called 911 and was talking and walking.  Was awake and talking in ambulance, oxygen level was low.  Once arrived at hospital, he became restless and passed away within 3 minutes. Autopsy was performed due to his age - 35 and no pre-existing illnesses - was determined he died of Pulmonary Thrumbo Embolism"
	"1281531-1"	"1281531-1"	"OXYGEN SATURATION DECREASED"	"10033318"	"30-39 years"	"30-39"	"Received 2nd dose of vaccine, 5 days later his left leg started hurting and swelling.  He had severe headache afterwards, dizzy and blurred vision.  04/24/2021 he complained of not feeling right, coughed and passed out. Had fever and chills when he came to.  Wife called 911 and was talking and walking.  Was awake and talking in ambulance, oxygen level was low.  Once arrived at hospital, he became restless and passed away within 3 minutes. Autopsy was performed due to his age - 35 and no pre-existing illnesses - was determined he died of Pulmonary Thrumbo Embolism"
	"1281531-1"	"1281531-1"	"PAIN IN EXTREMITY"	"10033425"	"30-39 years"	"30-39"	"Received 2nd dose of vaccine, 5 days later his left leg started hurting and swelling.  He had severe headache afterwards, dizzy and blurred vision.  04/24/2021 he complained of not feeling right, coughed and passed out. Had fever and chills when he came to.  Wife called 911 and was talking and walking.  Was awake and talking in ambulance, oxygen level was low.  Once arrived at hospital, he became restless and passed away within 3 minutes. Autopsy was performed due to his age - 35 and no pre-existing illnesses - was determined he died of Pulmonary Thrumbo Embolism"
	"1281531-1"	"1281531-1"	"PERIPHERAL SWELLING"	"10048959"	"30-39 years"	"30-39"	"Received 2nd dose of vaccine, 5 days later his left leg started hurting and swelling.  He had severe headache afterwards, dizzy and blurred vision.  04/24/2021 he complained of not feeling right, coughed and passed out. Had fever and chills when he came to.  Wife called 911 and was talking and walking.  Was awake and talking in ambulance, oxygen level was low.  Once arrived at hospital, he became restless and passed away within 3 minutes. Autopsy was performed due to his age - 35 and no pre-existing illnesses - was determined he died of Pulmonary Thrumbo Embolism"
	"1281531-1"	"1281531-1"	"PULMONARY EMBOLISM"	"10037377"	"30-39 years"	"30-39"	"Received 2nd dose of vaccine, 5 days later his left leg started hurting and swelling.  He had severe headache afterwards, dizzy and blurred vision.  04/24/2021 he complained of not feeling right, coughed and passed out. Had fever and chills when he came to.  Wife called 911 and was talking and walking.  Was awake and talking in ambulance, oxygen level was low.  Once arrived at hospital, he became restless and passed away within 3 minutes. Autopsy was performed due to his age - 35 and no pre-existing illnesses - was determined he died of Pulmonary Thrumbo Embolism"
	"1281531-1"	"1281531-1"	"PYREXIA"	"10037660"	"30-39 years"	"30-39"	"Received 2nd dose of vaccine, 5 days later his left leg started hurting and swelling.  He had severe headache afterwards, dizzy and blurred vision.  04/24/2021 he complained of not feeling right, coughed and passed out. Had fever and chills when he came to.  Wife called 911 and was talking and walking.  Was awake and talking in ambulance, oxygen level was low.  Once arrived at hospital, he became restless and passed away within 3 minutes. Autopsy was performed due to his age - 35 and no pre-existing illnesses - was determined he died of Pulmonary Thrumbo Embolism"
	"1281531-1"	"1281531-1"	"RESTLESSNESS"	"10038743"	"30-39 years"	"30-39"	"Received 2nd dose of vaccine, 5 days later his left leg started hurting and swelling.  He had severe headache afterwards, dizzy and blurred vision.  04/24/2021 he complained of not feeling right, coughed and passed out. Had fever and chills when he came to.  Wife called 911 and was talking and walking.  Was awake and talking in ambulance, oxygen level was low.  Once arrived at hospital, he became restless and passed away within 3 minutes. Autopsy was performed due to his age - 35 and no pre-existing illnesses - was determined he died of Pulmonary Thrumbo Embolism"
	"1281531-1"	"1281531-1"	"VISION BLURRED"	"10047513"	"30-39 years"	"30-39"	"Received 2nd dose of vaccine, 5 days later his left leg started hurting and swelling.  He had severe headache afterwards, dizzy and blurred vision.  04/24/2021 he complained of not feeling right, coughed and passed out. Had fever and chills when he came to.  Wife called 911 and was talking and walking.  Was awake and talking in ambulance, oxygen level was low.  Once arrived at hospital, he became restless and passed away within 3 minutes. Autopsy was performed due to his age - 35 and no pre-existing illnesses - was determined he died of Pulmonary Thrumbo Embolism"
	"1283686-1"	"1283686-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Patient discovered by caregiver to have passed away on the morning of 4/24/21"
	"1286144-1"	"1286144-1"	"AUTOPSY"	"10050117"	"40-49 years"	"40-49"	"Shortness of breath followed by sudden collapse followed by death."
	"1286144-1"	"1286144-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Shortness of breath followed by sudden collapse followed by death."
	"1286144-1"	"1286144-1"	"DYSPNOEA"	"10013968"	"40-49 years"	"40-49"	"Shortness of breath followed by sudden collapse followed by death."
	"1286144-1"	"1286144-1"	"PULMONARY EMBOLISM"	"10037377"	"40-49 years"	"40-49"	"Shortness of breath followed by sudden collapse followed by death."
	"1286144-1"	"1286144-1"	"SYNCOPE"	"10042772"	"40-49 years"	"40-49"	"Shortness of breath followed by sudden collapse followed by death."
	"1288450-1"	"1288450-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Feeling Tired; Headaches; Passed away; found dead in her bed; Was not feeling well; This is a spontaneous report from a contactable consumer. A 49-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), dose 2 via an unspecified route of administration on 11Apr2021 (lot number: ER8729) at the age of 49 years old, as single dose for COVID-19 immunisation. The patient's medical history was not reported. Concomitant medications included naproxen sodium (NAPROSYN) taken for an unspecified indication from 05Apr2021 to an unspecified stop date; and benzonatate taken for an unspecified indication from 05Apr2021 to an unspecified stop date. The patient previously received first dose of BNT162b2 on 21Mar2021 (lot number: EP6955) at the age of 49 years old, for COVID-19 immunization and experienced fatigue, legs were hurting, dry cough, and really bad headaches. No other vaccines received in four weeks. The caller's friend (patient) got her second dose on a Sunday (11Apr2021). Monday, (12Apr2021), the patient went to work, but left because she wasn't feeling well. The reporter stated that the reporter did not speak to her friend (patient) directly on this day but was told that her friend (the patient) was feeling tired and having headaches. The reporter stated that her friend died early Tuesday morning 13Apr2021. The patient underwent lab tests and procedures which included COVID-19 PCR test: negative on 05Apr2021. The patient died on 13Apr2021. An autopsy was performed, and results were not provided. Outcome of events 'was not feeling well', 'feeling tired', and 'headaches' was unknown.; Reported Cause(s) of Death: Passed away; found dead in her bed"
	"1288450-1"	"1288450-1"	"FATIGUE"	"10016256"	"40-49 years"	"40-49"	"Feeling Tired; Headaches; Passed away; found dead in her bed; Was not feeling well; This is a spontaneous report from a contactable consumer. A 49-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), dose 2 via an unspecified route of administration on 11Apr2021 (lot number: ER8729) at the age of 49 years old, as single dose for COVID-19 immunisation. The patient's medical history was not reported. Concomitant medications included naproxen sodium (NAPROSYN) taken for an unspecified indication from 05Apr2021 to an unspecified stop date; and benzonatate taken for an unspecified indication from 05Apr2021 to an unspecified stop date. The patient previously received first dose of BNT162b2 on 21Mar2021 (lot number: EP6955) at the age of 49 years old, for COVID-19 immunization and experienced fatigue, legs were hurting, dry cough, and really bad headaches. No other vaccines received in four weeks. The caller's friend (patient) got her second dose on a Sunday (11Apr2021). Monday, (12Apr2021), the patient went to work, but left because she wasn't feeling well. The reporter stated that the reporter did not speak to her friend (patient) directly on this day but was told that her friend (the patient) was feeling tired and having headaches. The reporter stated that her friend died early Tuesday morning 13Apr2021. The patient underwent lab tests and procedures which included COVID-19 PCR test: negative on 05Apr2021. The patient died on 13Apr2021. An autopsy was performed, and results were not provided. Outcome of events 'was not feeling well', 'feeling tired', and 'headaches' was unknown.; Reported Cause(s) of Death: Passed away; found dead in her bed"
	"1288450-1"	"1288450-1"	"HEADACHE"	"10019211"	"40-49 years"	"40-49"	"Feeling Tired; Headaches; Passed away; found dead in her bed; Was not feeling well; This is a spontaneous report from a contactable consumer. A 49-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), dose 2 via an unspecified route of administration on 11Apr2021 (lot number: ER8729) at the age of 49 years old, as single dose for COVID-19 immunisation. The patient's medical history was not reported. Concomitant medications included naproxen sodium (NAPROSYN) taken for an unspecified indication from 05Apr2021 to an unspecified stop date; and benzonatate taken for an unspecified indication from 05Apr2021 to an unspecified stop date. The patient previously received first dose of BNT162b2 on 21Mar2021 (lot number: EP6955) at the age of 49 years old, for COVID-19 immunization and experienced fatigue, legs were hurting, dry cough, and really bad headaches. No other vaccines received in four weeks. The caller's friend (patient) got her second dose on a Sunday (11Apr2021). Monday, (12Apr2021), the patient went to work, but left because she wasn't feeling well. The reporter stated that the reporter did not speak to her friend (patient) directly on this day but was told that her friend (the patient) was feeling tired and having headaches. The reporter stated that her friend died early Tuesday morning 13Apr2021. The patient underwent lab tests and procedures which included COVID-19 PCR test: negative on 05Apr2021. The patient died on 13Apr2021. An autopsy was performed, and results were not provided. Outcome of events 'was not feeling well', 'feeling tired', and 'headaches' was unknown.; Reported Cause(s) of Death: Passed away; found dead in her bed"
	"1288450-1"	"1288450-1"	"MALAISE"	"10025482"	"40-49 years"	"40-49"	"Feeling Tired; Headaches; Passed away; found dead in her bed; Was not feeling well; This is a spontaneous report from a contactable consumer. A 49-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), dose 2 via an unspecified route of administration on 11Apr2021 (lot number: ER8729) at the age of 49 years old, as single dose for COVID-19 immunisation. The patient's medical history was not reported. Concomitant medications included naproxen sodium (NAPROSYN) taken for an unspecified indication from 05Apr2021 to an unspecified stop date; and benzonatate taken for an unspecified indication from 05Apr2021 to an unspecified stop date. The patient previously received first dose of BNT162b2 on 21Mar2021 (lot number: EP6955) at the age of 49 years old, for COVID-19 immunization and experienced fatigue, legs were hurting, dry cough, and really bad headaches. No other vaccines received in four weeks. The caller's friend (patient) got her second dose on a Sunday (11Apr2021). Monday, (12Apr2021), the patient went to work, but left because she wasn't feeling well. The reporter stated that the reporter did not speak to her friend (patient) directly on this day but was told that her friend (the patient) was feeling tired and having headaches. The reporter stated that her friend died early Tuesday morning 13Apr2021. The patient underwent lab tests and procedures which included COVID-19 PCR test: negative on 05Apr2021. The patient died on 13Apr2021. An autopsy was performed, and results were not provided. Outcome of events 'was not feeling well', 'feeling tired', and 'headaches' was unknown.; Reported Cause(s) of Death: Passed away; found dead in her bed"
	"1288450-1"	"1288450-1"	"SARS-COV-2 TEST"	"10084354"	"40-49 years"	"40-49"	"Feeling Tired; Headaches; Passed away; found dead in her bed; Was not feeling well; This is a spontaneous report from a contactable consumer. A 49-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), dose 2 via an unspecified route of administration on 11Apr2021 (lot number: ER8729) at the age of 49 years old, as single dose for COVID-19 immunisation. The patient's medical history was not reported. Concomitant medications included naproxen sodium (NAPROSYN) taken for an unspecified indication from 05Apr2021 to an unspecified stop date; and benzonatate taken for an unspecified indication from 05Apr2021 to an unspecified stop date. The patient previously received first dose of BNT162b2 on 21Mar2021 (lot number: EP6955) at the age of 49 years old, for COVID-19 immunization and experienced fatigue, legs were hurting, dry cough, and really bad headaches. No other vaccines received in four weeks. The caller's friend (patient) got her second dose on a Sunday (11Apr2021). Monday, (12Apr2021), the patient went to work, but left because she wasn't feeling well. The reporter stated that the reporter did not speak to her friend (patient) directly on this day but was told that her friend (the patient) was feeling tired and having headaches. The reporter stated that her friend died early Tuesday morning 13Apr2021. The patient underwent lab tests and procedures which included COVID-19 PCR test: negative on 05Apr2021. The patient died on 13Apr2021. An autopsy was performed, and results were not provided. Outcome of events 'was not feeling well', 'feeling tired', and 'headaches' was unknown.; Reported Cause(s) of Death: Passed away; found dead in her bed"
	"1289723-1"	"1289723-1"	"CARDIAC ARREST"	"10007515"	"30-39 years"	"30-39"	"Death.   Approximately 12 hours after administering the vaccination shot, patient experienced a medical emergency and lost her pulse. Paramedics attempted to resuscitate her for about 80 minutes. Her heart was unable to be restarted. She was declared deceased at 3:00 AM locally."
	"1289723-1"	"1289723-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Death.   Approximately 12 hours after administering the vaccination shot, patient experienced a medical emergency and lost her pulse. Paramedics attempted to resuscitate her for about 80 minutes. Her heart was unable to be restarted. She was declared deceased at 3:00 AM locally."
	"1289723-1"	"1289723-1"	"PULSE ABSENT"	"10037469"	"30-39 years"	"30-39"	"Death.   Approximately 12 hours after administering the vaccination shot, patient experienced a medical emergency and lost her pulse. Paramedics attempted to resuscitate her for about 80 minutes. Her heart was unable to be restarted. She was declared deceased at 3:00 AM locally."
	"1289723-1"	"1289723-1"	"RESUSCITATION"	"10038749"	"30-39 years"	"30-39"	"Death.   Approximately 12 hours after administering the vaccination shot, patient experienced a medical emergency and lost her pulse. Paramedics attempted to resuscitate her for about 80 minutes. Her heart was unable to be restarted. She was declared deceased at 3:00 AM locally."
	"1290128-1"	"1290128-1"	"ARRHYTHMIA"	"10003119"	"30-39 years"	"30-39"	"Patient collapsed at home with cardiopulmonary arrest. He had been complaining of shortness of breath 1 week prior to the event, starting when he received his covid vaccination. The differential diganosis was pulmonary embolism, myocardial infarction or arrythmia. CPR was started immediately and patient received tPA during ACLS without return of spontaneous circulation."
	"1290128-1"	"1290128-1"	"BLOOD GLUCOSE NORMAL"	"10005558"	"30-39 years"	"30-39"	"Patient collapsed at home with cardiopulmonary arrest. He had been complaining of shortness of breath 1 week prior to the event, starting when he received his covid vaccination. The differential diganosis was pulmonary embolism, myocardial infarction or arrythmia. CPR was started immediately and patient received tPA during ACLS without return of spontaneous circulation."
	"1290128-1"	"1290128-1"	"BLOOD LACTIC ACID"	"10005632"	"30-39 years"	"30-39"	"Patient collapsed at home with cardiopulmonary arrest. He had been complaining of shortness of breath 1 week prior to the event, starting when he received his covid vaccination. The differential diganosis was pulmonary embolism, myocardial infarction or arrythmia. CPR was started immediately and patient received tPA during ACLS without return of spontaneous circulation."
	"1290128-1"	"1290128-1"	"BLOOD POTASSIUM DECREASED"	"10005724"	"30-39 years"	"30-39"	"Patient collapsed at home with cardiopulmonary arrest. He had been complaining of shortness of breath 1 week prior to the event, starting when he received his covid vaccination. The differential diganosis was pulmonary embolism, myocardial infarction or arrythmia. CPR was started immediately and patient received tPA during ACLS without return of spontaneous circulation."
	"1290128-1"	"1290128-1"	"CARDIO-RESPIRATORY ARREST"	"10007617"	"30-39 years"	"30-39"	"Patient collapsed at home with cardiopulmonary arrest. He had been complaining of shortness of breath 1 week prior to the event, starting when he received his covid vaccination. The differential diganosis was pulmonary embolism, myocardial infarction or arrythmia. CPR was started immediately and patient received tPA during ACLS without return of spontaneous circulation."
	"1290128-1"	"1290128-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Patient collapsed at home with cardiopulmonary arrest. He had been complaining of shortness of breath 1 week prior to the event, starting when he received his covid vaccination. The differential diganosis was pulmonary embolism, myocardial infarction or arrythmia. CPR was started immediately and patient received tPA during ACLS without return of spontaneous circulation."
	"1290128-1"	"1290128-1"	"DYSPNOEA"	"10013968"	"30-39 years"	"30-39"	"Patient collapsed at home with cardiopulmonary arrest. He had been complaining of shortness of breath 1 week prior to the event, starting when he received his covid vaccination. The differential diganosis was pulmonary embolism, myocardial infarction or arrythmia. CPR was started immediately and patient received tPA during ACLS without return of spontaneous circulation."
	"1290128-1"	"1290128-1"	"MYOCARDIAL INFARCTION"	"10028596"	"30-39 years"	"30-39"	"Patient collapsed at home with cardiopulmonary arrest. He had been complaining of shortness of breath 1 week prior to the event, starting when he received his covid vaccination. The differential diganosis was pulmonary embolism, myocardial infarction or arrythmia. CPR was started immediately and patient received tPA during ACLS without return of spontaneous circulation."
	"1290128-1"	"1290128-1"	"PULMONARY EMBOLISM"	"10037377"	"30-39 years"	"30-39"	"Patient collapsed at home with cardiopulmonary arrest. He had been complaining of shortness of breath 1 week prior to the event, starting when he received his covid vaccination. The differential diganosis was pulmonary embolism, myocardial infarction or arrythmia. CPR was started immediately and patient received tPA during ACLS without return of spontaneous circulation."
	"1290128-1"	"1290128-1"	"RESUSCITATION"	"10038749"	"30-39 years"	"30-39"	"Patient collapsed at home with cardiopulmonary arrest. He had been complaining of shortness of breath 1 week prior to the event, starting when he received his covid vaccination. The differential diganosis was pulmonary embolism, myocardial infarction or arrythmia. CPR was started immediately and patient received tPA during ACLS without return of spontaneous circulation."
	"1290128-1"	"1290128-1"	"SYNCOPE"	"10042772"	"30-39 years"	"30-39"	"Patient collapsed at home with cardiopulmonary arrest. He had been complaining of shortness of breath 1 week prior to the event, starting when he received his covid vaccination. The differential diganosis was pulmonary embolism, myocardial infarction or arrythmia. CPR was started immediately and patient received tPA during ACLS without return of spontaneous circulation."
	"1293657-1"	"1293657-1"	"CARDIAC ARREST"	"10007515"	"30-39 years"	"30-39"	"34 y/o male with no PMHx presenting in cardiac arrest from home.  Per pt's wife, he received 2nd dose of the Pfizer vaccine roughly 24 hours prior.  He complained of arm soreness yesterday afternoon and some chills this morning, took Tylenol for these symptoms.  She found him unresponsive in bed after speaking to him roughly 2 hours earlier.  Per EMS, patient was in asystole upon their arrival.  He received ~ 30 minutes of prehospital ACLS and an additional 20 minutes in the ED and remained in asystole throughout."
	"1293657-1"	"1293657-1"	"CHILLS"	"10008531"	"30-39 years"	"30-39"	"34 y/o male with no PMHx presenting in cardiac arrest from home.  Per pt's wife, he received 2nd dose of the Pfizer vaccine roughly 24 hours prior.  He complained of arm soreness yesterday afternoon and some chills this morning, took Tylenol for these symptoms.  She found him unresponsive in bed after speaking to him roughly 2 hours earlier.  Per EMS, patient was in asystole upon their arrival.  He received ~ 30 minutes of prehospital ACLS and an additional 20 minutes in the ED and remained in asystole throughout."
	"1293657-1"	"1293657-1"	"PAIN IN EXTREMITY"	"10033425"	"30-39 years"	"30-39"	"34 y/o male with no PMHx presenting in cardiac arrest from home.  Per pt's wife, he received 2nd dose of the Pfizer vaccine roughly 24 hours prior.  He complained of arm soreness yesterday afternoon and some chills this morning, took Tylenol for these symptoms.  She found him unresponsive in bed after speaking to him roughly 2 hours earlier.  Per EMS, patient was in asystole upon their arrival.  He received ~ 30 minutes of prehospital ACLS and an additional 20 minutes in the ED and remained in asystole throughout."
	"1293657-1"	"1293657-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"30-39 years"	"30-39"	"34 y/o male with no PMHx presenting in cardiac arrest from home.  Per pt's wife, he received 2nd dose of the Pfizer vaccine roughly 24 hours prior.  He complained of arm soreness yesterday afternoon and some chills this morning, took Tylenol for these symptoms.  She found him unresponsive in bed after speaking to him roughly 2 hours earlier.  Per EMS, patient was in asystole upon their arrival.  He received ~ 30 minutes of prehospital ACLS and an additional 20 minutes in the ED and remained in asystole throughout."
	"1293909-1"	"1293909-1"	"BLOOD GLUCOSE INCREASED"	"10005557"	"30-39 years"	"30-39"	"Per family, pt reported fatigue and elevated glucose, nausea and diarrhea 3-4 days after immunization. She was seen by her PCP following week and again was experiencing elevated blood glucose."
	"1293909-1"	"1293909-1"	"DIARRHOEA"	"10012735"	"30-39 years"	"30-39"	"Per family, pt reported fatigue and elevated glucose, nausea and diarrhea 3-4 days after immunization. She was seen by her PCP following week and again was experiencing elevated blood glucose."
	"1293909-1"	"1293909-1"	"FATIGUE"	"10016256"	"30-39 years"	"30-39"	"Per family, pt reported fatigue and elevated glucose, nausea and diarrhea 3-4 days after immunization. She was seen by her PCP following week and again was experiencing elevated blood glucose."
	"1293909-1"	"1293909-1"	"NAUSEA"	"10028813"	"30-39 years"	"30-39"	"Per family, pt reported fatigue and elevated glucose, nausea and diarrhea 3-4 days after immunization. She was seen by her PCP following week and again was experiencing elevated blood glucose."
	"1295555-1"	"1295555-1"	"AUTOPSY"	"10050117"	"40-49 years"	"40-49"	"Patient found dead"
	"1295555-1"	"1295555-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Patient found dead"
	"1296030-1"	"1296030-1"	"ACUTE CARDIAC EVENT"	"10081099"	"30-39 years"	"30-39"	"Unknown cardiac event. Found on sidewalk down. Revived but resulted in extensive neurological damage. Was put in life support. Never came to. Passed away 05/05/2021."
	"1296030-1"	"1296030-1"	"BIOPSY"	"10004720"	"30-39 years"	"30-39"	"Unknown cardiac event. Found on sidewalk down. Revived but resulted in extensive neurological damage. Was put in life support. Never came to. Passed away 05/05/2021."
	"1296030-1"	"1296030-1"	"BLOOD TEST"	"10061726"	"30-39 years"	"30-39"	"Unknown cardiac event. Found on sidewalk down. Revived but resulted in extensive neurological damage. Was put in life support. Never came to. Passed away 05/05/2021."
	"1296030-1"	"1296030-1"	"CENTRAL NERVOUS SYSTEM INJURY"	"10081266"	"30-39 years"	"30-39"	"Unknown cardiac event. Found on sidewalk down. Revived but resulted in extensive neurological damage. Was put in life support. Never came to. Passed away 05/05/2021."
	"1296030-1"	"1296030-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Unknown cardiac event. Found on sidewalk down. Revived but resulted in extensive neurological damage. Was put in life support. Never came to. Passed away 05/05/2021."
	"1296030-1"	"1296030-1"	"LIFE SUPPORT"	"10024447"	"30-39 years"	"30-39"	"Unknown cardiac event. Found on sidewalk down. Revived but resulted in extensive neurological damage. Was put in life support. Never came to. Passed away 05/05/2021."
	"1296030-1"	"1296030-1"	"LOSS OF CONSCIOUSNESS"	"10024855"	"30-39 years"	"30-39"	"Unknown cardiac event. Found on sidewalk down. Revived but resulted in extensive neurological damage. Was put in life support. Never came to. Passed away 05/05/2021."
	"1296030-1"	"1296030-1"	"MAGNETIC RESONANCE IMAGING"	"10078223"	"30-39 years"	"30-39"	"Unknown cardiac event. Found on sidewalk down. Revived but resulted in extensive neurological damage. Was put in life support. Never came to. Passed away 05/05/2021."
	"1296030-1"	"1296030-1"	"SCAN BRAIN"	"10061500"	"30-39 years"	"30-39"	"Unknown cardiac event. Found on sidewalk down. Revived but resulted in extensive neurological damage. Was put in life support. Never came to. Passed away 05/05/2021."
	"1297262-1"	"1297262-1"	"ABDOMINAL PAIN UPPER"	"10000087"	"30-39 years"	"30-39"	"The patient had developed a rash, fatigue, difficulty breathing, stomach pain, possible fever and began to cough up blood. He took Tylenol and a Chinese herbal medication called Lianhua Qingwen Jiaonang on 5/5/21. It is unclear when his symptoms began, as he did not share that information with his wife until 5/5/21."
	"1297262-1"	"1297262-1"	"DYSPNOEA"	"10013968"	"30-39 years"	"30-39"	"The patient had developed a rash, fatigue, difficulty breathing, stomach pain, possible fever and began to cough up blood. He took Tylenol and a Chinese herbal medication called Lianhua Qingwen Jiaonang on 5/5/21. It is unclear when his symptoms began, as he did not share that information with his wife until 5/5/21."
	"1297262-1"	"1297262-1"	"FATIGUE"	"10016256"	"30-39 years"	"30-39"	"The patient had developed a rash, fatigue, difficulty breathing, stomach pain, possible fever and began to cough up blood. He took Tylenol and a Chinese herbal medication called Lianhua Qingwen Jiaonang on 5/5/21. It is unclear when his symptoms began, as he did not share that information with his wife until 5/5/21."
	"1297262-1"	"1297262-1"	"HAEMOPTYSIS"	"10018964"	"30-39 years"	"30-39"	"The patient had developed a rash, fatigue, difficulty breathing, stomach pain, possible fever and began to cough up blood. He took Tylenol and a Chinese herbal medication called Lianhua Qingwen Jiaonang on 5/5/21. It is unclear when his symptoms began, as he did not share that information with his wife until 5/5/21."
	"1297262-1"	"1297262-1"	"RASH"	"10037844"	"30-39 years"	"30-39"	"The patient had developed a rash, fatigue, difficulty breathing, stomach pain, possible fever and began to cough up blood. He took Tylenol and a Chinese herbal medication called Lianhua Qingwen Jiaonang on 5/5/21. It is unclear when his symptoms began, as he did not share that information with his wife until 5/5/21."
	"1301355-1"	"1301355-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"She began having shortness of breath after getting her second shot. He parents found her dead in her bed this afternoon. No other known comorbidities."
	"1301355-1"	"1301355-1"	"DYSPNOEA"	"10013968"	"40-49 years"	"40-49"	"She began having shortness of breath after getting her second shot. He parents found her dead in her bed this afternoon. No other known comorbidities."
	"1302383-1"	"1302383-1"	"AUTOPSY"	"10050117"	"40-49 years"	"40-49"	"He felt very bad the night he received the 2nd shot of Pfizer covid-19 vaccine on April 27. He even joked he probably would die that night. He also complained that despite his protest, the person who administered the shot insisted to inject on his shoulder joint.  He developed a bigger-than-quarter-size bruise on his right inner arm the next day. He was feeling tired the following days. On May 4 around 3:30, I heard he was making loud noises. I came to his side immediately. At the time I thought he was making louder than usual snores. I nudged him gently but he didn't respond.  After about 15 seconds, the sound stopped, and he had no breath. I then called 911 within 10 seconds, tried to do CPR on him. It took EMS 6 minutes to arrive even though we live very close to a fire station in a well-accessed urban area. EMS worked on him for about 30 minutes before transported him to hospital. They continued to work on him for a while. He never regained breath."
	"1302383-1"	"1302383-1"	"CARDIAC VALVE DISEASE"	"10061406"	"40-49 years"	"40-49"	"He felt very bad the night he received the 2nd shot of Pfizer covid-19 vaccine on April 27. He even joked he probably would die that night. He also complained that despite his protest, the person who administered the shot insisted to inject on his shoulder joint.  He developed a bigger-than-quarter-size bruise on his right inner arm the next day. He was feeling tired the following days. On May 4 around 3:30, I heard he was making loud noises. I came to his side immediately. At the time I thought he was making louder than usual snores. I nudged him gently but he didn't respond.  After about 15 seconds, the sound stopped, and he had no breath. I then called 911 within 10 seconds, tried to do CPR on him. It took EMS 6 minutes to arrive even though we live very close to a fire station in a well-accessed urban area. EMS worked on him for about 30 minutes before transported him to hospital. They continued to work on him for a while. He never regained breath."
	"1302383-1"	"1302383-1"	"CARDIOMEGALY"	"10007632"	"40-49 years"	"40-49"	"He felt very bad the night he received the 2nd shot of Pfizer covid-19 vaccine on April 27. He even joked he probably would die that night. He also complained that despite his protest, the person who administered the shot insisted to inject on his shoulder joint.  He developed a bigger-than-quarter-size bruise on his right inner arm the next day. He was feeling tired the following days. On May 4 around 3:30, I heard he was making loud noises. I came to his side immediately. At the time I thought he was making louder than usual snores. I nudged him gently but he didn't respond.  After about 15 seconds, the sound stopped, and he had no breath. I then called 911 within 10 seconds, tried to do CPR on him. It took EMS 6 minutes to arrive even though we live very close to a fire station in a well-accessed urban area. EMS worked on him for about 30 minutes before transported him to hospital. They continued to work on him for a while. He never regained breath."
	"1302383-1"	"1302383-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"He felt very bad the night he received the 2nd shot of Pfizer covid-19 vaccine on April 27. He even joked he probably would die that night. He also complained that despite his protest, the person who administered the shot insisted to inject on his shoulder joint.  He developed a bigger-than-quarter-size bruise on his right inner arm the next day. He was feeling tired the following days. On May 4 around 3:30, I heard he was making loud noises. I came to his side immediately. At the time I thought he was making louder than usual snores. I nudged him gently but he didn't respond.  After about 15 seconds, the sound stopped, and he had no breath. I then called 911 within 10 seconds, tried to do CPR on him. It took EMS 6 minutes to arrive even though we live very close to a fire station in a well-accessed urban area. EMS worked on him for about 30 minutes before transported him to hospital. They continued to work on him for a while. He never regained breath."
	"1302383-1"	"1302383-1"	"FATIGUE"	"10016256"	"40-49 years"	"40-49"	"He felt very bad the night he received the 2nd shot of Pfizer covid-19 vaccine on April 27. He even joked he probably would die that night. He also complained that despite his protest, the person who administered the shot insisted to inject on his shoulder joint.  He developed a bigger-than-quarter-size bruise on his right inner arm the next day. He was feeling tired the following days. On May 4 around 3:30, I heard he was making loud noises. I came to his side immediately. At the time I thought he was making louder than usual snores. I nudged him gently but he didn't respond.  After about 15 seconds, the sound stopped, and he had no breath. I then called 911 within 10 seconds, tried to do CPR on him. It took EMS 6 minutes to arrive even though we live very close to a fire station in a well-accessed urban area. EMS worked on him for about 30 minutes before transported him to hospital. They continued to work on him for a while. He never regained breath."
	"1302383-1"	"1302383-1"	"FEELING ABNORMAL"	"10016322"	"40-49 years"	"40-49"	"He felt very bad the night he received the 2nd shot of Pfizer covid-19 vaccine on April 27. He even joked he probably would die that night. He also complained that despite his protest, the person who administered the shot insisted to inject on his shoulder joint.  He developed a bigger-than-quarter-size bruise on his right inner arm the next day. He was feeling tired the following days. On May 4 around 3:30, I heard he was making loud noises. I came to his side immediately. At the time I thought he was making louder than usual snores. I nudged him gently but he didn't respond.  After about 15 seconds, the sound stopped, and he had no breath. I then called 911 within 10 seconds, tried to do CPR on him. It took EMS 6 minutes to arrive even though we live very close to a fire station in a well-accessed urban area. EMS worked on him for about 30 minutes before transported him to hospital. They continued to work on him for a while. He never regained breath."
	"1302383-1"	"1302383-1"	"INJECTION SITE BRUISING"	"10022052"	"40-49 years"	"40-49"	"He felt very bad the night he received the 2nd shot of Pfizer covid-19 vaccine on April 27. He even joked he probably would die that night. He also complained that despite his protest, the person who administered the shot insisted to inject on his shoulder joint.  He developed a bigger-than-quarter-size bruise on his right inner arm the next day. He was feeling tired the following days. On May 4 around 3:30, I heard he was making loud noises. I came to his side immediately. At the time I thought he was making louder than usual snores. I nudged him gently but he didn't respond.  After about 15 seconds, the sound stopped, and he had no breath. I then called 911 within 10 seconds, tried to do CPR on him. It took EMS 6 minutes to arrive even though we live very close to a fire station in a well-accessed urban area. EMS worked on him for about 30 minutes before transported him to hospital. They continued to work on him for a while. He never regained breath."
	"1302383-1"	"1302383-1"	"PRODUCT ADMINISTERED AT INAPPROPRIATE SITE"	"10080753"	"40-49 years"	"40-49"	"He felt very bad the night he received the 2nd shot of Pfizer covid-19 vaccine on April 27. He even joked he probably would die that night. He also complained that despite his protest, the person who administered the shot insisted to inject on his shoulder joint.  He developed a bigger-than-quarter-size bruise on his right inner arm the next day. He was feeling tired the following days. On May 4 around 3:30, I heard he was making loud noises. I came to his side immediately. At the time I thought he was making louder than usual snores. I nudged him gently but he didn't respond.  After about 15 seconds, the sound stopped, and he had no breath. I then called 911 within 10 seconds, tried to do CPR on him. It took EMS 6 minutes to arrive even though we live very close to a fire station in a well-accessed urban area. EMS worked on him for about 30 minutes before transported him to hospital. They continued to work on him for a while. He never regained breath."
	"1302383-1"	"1302383-1"	"RESPIRATORY ARREST"	"10038669"	"40-49 years"	"40-49"	"He felt very bad the night he received the 2nd shot of Pfizer covid-19 vaccine on April 27. He even joked he probably would die that night. He also complained that despite his protest, the person who administered the shot insisted to inject on his shoulder joint.  He developed a bigger-than-quarter-size bruise on his right inner arm the next day. He was feeling tired the following days. On May 4 around 3:30, I heard he was making loud noises. I came to his side immediately. At the time I thought he was making louder than usual snores. I nudged him gently but he didn't respond.  After about 15 seconds, the sound stopped, and he had no breath. I then called 911 within 10 seconds, tried to do CPR on him. It took EMS 6 minutes to arrive even though we live very close to a fire station in a well-accessed urban area. EMS worked on him for about 30 minutes before transported him to hospital. They continued to work on him for a while. He never regained breath."
	"1302383-1"	"1302383-1"	"RESUSCITATION"	"10038749"	"40-49 years"	"40-49"	"He felt very bad the night he received the 2nd shot of Pfizer covid-19 vaccine on April 27. He even joked he probably would die that night. He also complained that despite his protest, the person who administered the shot insisted to inject on his shoulder joint.  He developed a bigger-than-quarter-size bruise on his right inner arm the next day. He was feeling tired the following days. On May 4 around 3:30, I heard he was making loud noises. I came to his side immediately. At the time I thought he was making louder than usual snores. I nudged him gently but he didn't respond.  After about 15 seconds, the sound stopped, and he had no breath. I then called 911 within 10 seconds, tried to do CPR on him. It took EMS 6 minutes to arrive even though we live very close to a fire station in a well-accessed urban area. EMS worked on him for about 30 minutes before transported him to hospital. They continued to work on him for a while. He never regained breath."
	"1302383-1"	"1302383-1"	"SNORING"	"10041235"	"40-49 years"	"40-49"	"He felt very bad the night he received the 2nd shot of Pfizer covid-19 vaccine on April 27. He even joked he probably would die that night. He also complained that despite his protest, the person who administered the shot insisted to inject on his shoulder joint.  He developed a bigger-than-quarter-size bruise on his right inner arm the next day. He was feeling tired the following days. On May 4 around 3:30, I heard he was making loud noises. I came to his side immediately. At the time I thought he was making louder than usual snores. I nudged him gently but he didn't respond.  After about 15 seconds, the sound stopped, and he had no breath. I then called 911 within 10 seconds, tried to do CPR on him. It took EMS 6 minutes to arrive even though we live very close to a fire station in a well-accessed urban area. EMS worked on him for about 30 minutes before transported him to hospital. They continued to work on him for a while. He never regained breath."
	"1302383-1"	"1302383-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"40-49 years"	"40-49"	"He felt very bad the night he received the 2nd shot of Pfizer covid-19 vaccine on April 27. He even joked he probably would die that night. He also complained that despite his protest, the person who administered the shot insisted to inject on his shoulder joint.  He developed a bigger-than-quarter-size bruise on his right inner arm the next day. He was feeling tired the following days. On May 4 around 3:30, I heard he was making loud noises. I came to his side immediately. At the time I thought he was making louder than usual snores. I nudged him gently but he didn't respond.  After about 15 seconds, the sound stopped, and he had no breath. I then called 911 within 10 seconds, tried to do CPR on him. It took EMS 6 minutes to arrive even though we live very close to a fire station in a well-accessed urban area. EMS worked on him for about 30 minutes before transported him to hospital. They continued to work on him for a while. He never regained breath."
	"1302428-1"	"1302428-1"	"APNOEIC ATTACK"	"10002977"	"40-49 years"	"40-49"	"The patient was last seen well at 3:30 PM. He was found unresponsive, face down in his own vomit, cyanotic, apneic by family. Patient was unable to be resusitated. He was pronounced dead at 6:51 PM."
	"1302428-1"	"1302428-1"	"CYANOSIS"	"10011703"	"40-49 years"	"40-49"	"The patient was last seen well at 3:30 PM. He was found unresponsive, face down in his own vomit, cyanotic, apneic by family. Patient was unable to be resusitated. He was pronounced dead at 6:51 PM."
	"1302428-1"	"1302428-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"The patient was last seen well at 3:30 PM. He was found unresponsive, face down in his own vomit, cyanotic, apneic by family. Patient was unable to be resusitated. He was pronounced dead at 6:51 PM."
	"1302428-1"	"1302428-1"	"RESUSCITATION"	"10038749"	"40-49 years"	"40-49"	"The patient was last seen well at 3:30 PM. He was found unresponsive, face down in his own vomit, cyanotic, apneic by family. Patient was unable to be resusitated. He was pronounced dead at 6:51 PM."
	"1302428-1"	"1302428-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"40-49 years"	"40-49"	"The patient was last seen well at 3:30 PM. He was found unresponsive, face down in his own vomit, cyanotic, apneic by family. Patient was unable to be resusitated. He was pronounced dead at 6:51 PM."
	"1302428-1"	"1302428-1"	"VOMITING"	"10047700"	"40-49 years"	"40-49"	"The patient was last seen well at 3:30 PM. He was found unresponsive, face down in his own vomit, cyanotic, apneic by family. Patient was unable to be resusitated. He was pronounced dead at 6:51 PM."
	"1302705-1"	"1302705-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"This 49 year old female received the Covid shot on 4/6 /21    and went to the ED on 5/5 /21 with the following diagnoses listed below and died on 5/5/21."
	"1304434-1"	"1304434-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Patient found dead after receiving vaccine. At 11:44 on 3-30-2021 Medical Investigator was able to return call  after leaving scene where there was no phone service. Police were on the scene requesting Medical Investigator Contact was made between Medical Investigator and member of the police force. Narrative was that the patient, who is handicap with considerable health issues which he was born with, and his parents had been to healthcare facility to receive COVID vaccination. Returning they had traveled in order to arrive at their residence. The decedent had asked to be dropped off close to parents home. The parents arrived at the residence and after waiting ten to fifteen minutes walked searching for the decedent. He was located unresponsive and 911 was initiated."
	"1304434-1"	"1304434-1"	"DISABILITY"	"10013050"	"40-49 years"	"40-49"	"Patient found dead after receiving vaccine. At 11:44 on 3-30-2021 Medical Investigator was able to return call  after leaving scene where there was no phone service. Police were on the scene requesting Medical Investigator Contact was made between Medical Investigator and member of the police force. Narrative was that the patient, who is handicap with considerable health issues which he was born with, and his parents had been to healthcare facility to receive COVID vaccination. Returning they had traveled in order to arrive at their residence. The decedent had asked to be dropped off close to parents home. The parents arrived at the residence and after waiting ten to fifteen minutes walked searching for the decedent. He was located unresponsive and 911 was initiated."
	"1304434-1"	"1304434-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"40-49 years"	"40-49"	"Patient found dead after receiving vaccine. At 11:44 on 3-30-2021 Medical Investigator was able to return call  after leaving scene where there was no phone service. Police were on the scene requesting Medical Investigator Contact was made between Medical Investigator and member of the police force. Narrative was that the patient, who is handicap with considerable health issues which he was born with, and his parents had been to healthcare facility to receive COVID vaccination. Returning they had traveled in order to arrive at their residence. The decedent had asked to be dropped off close to parents home. The parents arrived at the residence and after waiting ten to fifteen minutes walked searching for the decedent. He was located unresponsive and 911 was initiated."
	"1306318-1"	"1306318-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Went back to sleep and never woke up; Arm soreness; Feeling bad; very flushed/looked red; very tired/fatigue/nappy women taking a lot of naps; This spontaneous case was reported by a consumer and describes the occurrence of DEATH (Went back to sleep and never woke up) in a 40-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 009C2117) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Concurrent medical conditions included Neurofibromatosis, type 2 (acoustic neurofibromatosis) (Diagnosed at age 11, had tumor on nerves and all over body.), Blindness (All blind in left eye), Allergy NOS (unspecified allergy), Walker user and Feeding tube user.    On 23-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 23-Apr-2021, the patient experienced DEATH (Went back to sleep and never woke up) (seriousness criterion death), PAIN IN EXTREMITY (Arm soreness), VACCINATION COMPLICATION (Feeling bad), FLUSHING (very flushed/looked red) and FATIGUE (very tired/fatigue/nappy women taking a lot of naps). The patient died on 23-Apr-2021. The cause of death was not reported. It is unknown if an autopsy was performed. At the time of death, PAIN IN EXTREMITY (Arm soreness), VACCINATION COMPLICATION (Feeling bad), FLUSHING (very flushed/looked red) and FATIGUE (very tired/fatigue/nappy women taking a lot of naps) outcome was unknown.            The patient was on a feeding tube, lived independently but had a caretaker who came in every day. The patient had long list of medications for her conditions but concomitant medications were not provided by the reporter. No treatment information was provided. Action taken with mRNA-1273 in response to the events was not applicable.  Regarding the events of Pain in extremity, Fatigue, Flushing, Vaccination related malaise, based on the current available information and temporal association between the use of the product and the start date of these events, a causal relationship cannot be excluded. However, regarding the event of Death,Very limited information regarding this event has been provided at this time.  Further information has been requested.; Sender's Comments: Regarding the events of Pain in extremity, Fatigue, Flushing, Vaccination related malaise, based on the current available information and temporal association between the use of the product and the start date of these events, a causal relationship cannot be excluded. However, regarding the event of Death,Very limited information regarding this event has been provided at this time.  Further information has been requested.; Reported Cause(s) of Death: Unknown cause of death"
	"1306318-1"	"1306318-1"	"FATIGUE"	"10016256"	"40-49 years"	"40-49"	"Went back to sleep and never woke up; Arm soreness; Feeling bad; very flushed/looked red; very tired/fatigue/nappy women taking a lot of naps; This spontaneous case was reported by a consumer and describes the occurrence of DEATH (Went back to sleep and never woke up) in a 40-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 009C2117) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Concurrent medical conditions included Neurofibromatosis, type 2 (acoustic neurofibromatosis) (Diagnosed at age 11, had tumor on nerves and all over body.), Blindness (All blind in left eye), Allergy NOS (unspecified allergy), Walker user and Feeding tube user.    On 23-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 23-Apr-2021, the patient experienced DEATH (Went back to sleep and never woke up) (seriousness criterion death), PAIN IN EXTREMITY (Arm soreness), VACCINATION COMPLICATION (Feeling bad), FLUSHING (very flushed/looked red) and FATIGUE (very tired/fatigue/nappy women taking a lot of naps). The patient died on 23-Apr-2021. The cause of death was not reported. It is unknown if an autopsy was performed. At the time of death, PAIN IN EXTREMITY (Arm soreness), VACCINATION COMPLICATION (Feeling bad), FLUSHING (very flushed/looked red) and FATIGUE (very tired/fatigue/nappy women taking a lot of naps) outcome was unknown.            The patient was on a feeding tube, lived independently but had a caretaker who came in every day. The patient had long list of medications for her conditions but concomitant medications were not provided by the reporter. No treatment information was provided. Action taken with mRNA-1273 in response to the events was not applicable.  Regarding the events of Pain in extremity, Fatigue, Flushing, Vaccination related malaise, based on the current available information and temporal association between the use of the product and the start date of these events, a causal relationship cannot be excluded. However, regarding the event of Death,Very limited information regarding this event has been provided at this time.  Further information has been requested.; Sender's Comments: Regarding the events of Pain in extremity, Fatigue, Flushing, Vaccination related malaise, based on the current available information and temporal association between the use of the product and the start date of these events, a causal relationship cannot be excluded. However, regarding the event of Death,Very limited information regarding this event has been provided at this time.  Further information has been requested.; Reported Cause(s) of Death: Unknown cause of death"
	"1306318-1"	"1306318-1"	"FLUSHING"	"10016825"	"40-49 years"	"40-49"	"Went back to sleep and never woke up; Arm soreness; Feeling bad; very flushed/looked red; very tired/fatigue/nappy women taking a lot of naps; This spontaneous case was reported by a consumer and describes the occurrence of DEATH (Went back to sleep and never woke up) in a 40-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 009C2117) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Concurrent medical conditions included Neurofibromatosis, type 2 (acoustic neurofibromatosis) (Diagnosed at age 11, had tumor on nerves and all over body.), Blindness (All blind in left eye), Allergy NOS (unspecified allergy), Walker user and Feeding tube user.    On 23-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 23-Apr-2021, the patient experienced DEATH (Went back to sleep and never woke up) (seriousness criterion death), PAIN IN EXTREMITY (Arm soreness), VACCINATION COMPLICATION (Feeling bad), FLUSHING (very flushed/looked red) and FATIGUE (very tired/fatigue/nappy women taking a lot of naps). The patient died on 23-Apr-2021. The cause of death was not reported. It is unknown if an autopsy was performed. At the time of death, PAIN IN EXTREMITY (Arm soreness), VACCINATION COMPLICATION (Feeling bad), FLUSHING (very flushed/looked red) and FATIGUE (very tired/fatigue/nappy women taking a lot of naps) outcome was unknown.            The patient was on a feeding tube, lived independently but had a caretaker who came in every day. The patient had long list of medications for her conditions but concomitant medications were not provided by the reporter. No treatment information was provided. Action taken with mRNA-1273 in response to the events was not applicable.  Regarding the events of Pain in extremity, Fatigue, Flushing, Vaccination related malaise, based on the current available information and temporal association between the use of the product and the start date of these events, a causal relationship cannot be excluded. However, regarding the event of Death,Very limited information regarding this event has been provided at this time.  Further information has been requested.; Sender's Comments: Regarding the events of Pain in extremity, Fatigue, Flushing, Vaccination related malaise, based on the current available information and temporal association between the use of the product and the start date of these events, a causal relationship cannot be excluded. However, regarding the event of Death,Very limited information regarding this event has been provided at this time.  Further information has been requested.; Reported Cause(s) of Death: Unknown cause of death"
	"1306318-1"	"1306318-1"	"PAIN IN EXTREMITY"	"10033425"	"40-49 years"	"40-49"	"Went back to sleep and never woke up; Arm soreness; Feeling bad; very flushed/looked red; very tired/fatigue/nappy women taking a lot of naps; This spontaneous case was reported by a consumer and describes the occurrence of DEATH (Went back to sleep and never woke up) in a 40-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 009C2117) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Concurrent medical conditions included Neurofibromatosis, type 2 (acoustic neurofibromatosis) (Diagnosed at age 11, had tumor on nerves and all over body.), Blindness (All blind in left eye), Allergy NOS (unspecified allergy), Walker user and Feeding tube user.    On 23-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 23-Apr-2021, the patient experienced DEATH (Went back to sleep and never woke up) (seriousness criterion death), PAIN IN EXTREMITY (Arm soreness), VACCINATION COMPLICATION (Feeling bad), FLUSHING (very flushed/looked red) and FATIGUE (very tired/fatigue/nappy women taking a lot of naps). The patient died on 23-Apr-2021. The cause of death was not reported. It is unknown if an autopsy was performed. At the time of death, PAIN IN EXTREMITY (Arm soreness), VACCINATION COMPLICATION (Feeling bad), FLUSHING (very flushed/looked red) and FATIGUE (very tired/fatigue/nappy women taking a lot of naps) outcome was unknown.            The patient was on a feeding tube, lived independently but had a caretaker who came in every day. The patient had long list of medications for her conditions but concomitant medications were not provided by the reporter. No treatment information was provided. Action taken with mRNA-1273 in response to the events was not applicable.  Regarding the events of Pain in extremity, Fatigue, Flushing, Vaccination related malaise, based on the current available information and temporal association between the use of the product and the start date of these events, a causal relationship cannot be excluded. However, regarding the event of Death,Very limited information regarding this event has been provided at this time.  Further information has been requested.; Sender's Comments: Regarding the events of Pain in extremity, Fatigue, Flushing, Vaccination related malaise, based on the current available information and temporal association between the use of the product and the start date of these events, a causal relationship cannot be excluded. However, regarding the event of Death,Very limited information regarding this event has been provided at this time.  Further information has been requested.; Reported Cause(s) of Death: Unknown cause of death"
	"1306318-1"	"1306318-1"	"VACCINATION COMPLICATION"	"10046861"	"40-49 years"	"40-49"	"Went back to sleep and never woke up; Arm soreness; Feeling bad; very flushed/looked red; very tired/fatigue/nappy women taking a lot of naps; This spontaneous case was reported by a consumer and describes the occurrence of DEATH (Went back to sleep and never woke up) in a 40-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 009C2117) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Concurrent medical conditions included Neurofibromatosis, type 2 (acoustic neurofibromatosis) (Diagnosed at age 11, had tumor on nerves and all over body.), Blindness (All blind in left eye), Allergy NOS (unspecified allergy), Walker user and Feeding tube user.    On 23-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 23-Apr-2021, the patient experienced DEATH (Went back to sleep and never woke up) (seriousness criterion death), PAIN IN EXTREMITY (Arm soreness), VACCINATION COMPLICATION (Feeling bad), FLUSHING (very flushed/looked red) and FATIGUE (very tired/fatigue/nappy women taking a lot of naps). The patient died on 23-Apr-2021. The cause of death was not reported. It is unknown if an autopsy was performed. At the time of death, PAIN IN EXTREMITY (Arm soreness), VACCINATION COMPLICATION (Feeling bad), FLUSHING (very flushed/looked red) and FATIGUE (very tired/fatigue/nappy women taking a lot of naps) outcome was unknown.            The patient was on a feeding tube, lived independently but had a caretaker who came in every day. The patient had long list of medications for her conditions but concomitant medications were not provided by the reporter. No treatment information was provided. Action taken with mRNA-1273 in response to the events was not applicable.  Regarding the events of Pain in extremity, Fatigue, Flushing, Vaccination related malaise, based on the current available information and temporal association between the use of the product and the start date of these events, a causal relationship cannot be excluded. However, regarding the event of Death,Very limited information regarding this event has been provided at this time.  Further information has been requested.; Sender's Comments: Regarding the events of Pain in extremity, Fatigue, Flushing, Vaccination related malaise, based on the current available information and temporal association between the use of the product and the start date of these events, a causal relationship cannot be excluded. However, regarding the event of Death,Very limited information regarding this event has been provided at this time.  Further information has been requested.; Reported Cause(s) of Death: Unknown cause of death"
	"1306986-1"	"1306986-1"	"ANEURYSM"	"10002329"	"30-39 years"	"30-39"	"Patient expired of probable aneurysm at Hospital on 5/10/2021"
	"1306986-1"	"1306986-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Patient expired of probable aneurysm at Hospital on 5/10/2021"
	"1308207-1"	"1308207-1"	"CARDIAC ARREST"	"10007515"	"40-49 years"	"40-49"	"#2 Moderna Vaccine given on 4/20/21   On 5/7/21  patient became SOB before syncope to cardiac arrest, event was witnessed and CPR started immediately.  Patient expired 45 min later at Medical Center."
	"1308207-1"	"1308207-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"#2 Moderna Vaccine given on 4/20/21   On 5/7/21  patient became SOB before syncope to cardiac arrest, event was witnessed and CPR started immediately.  Patient expired 45 min later at Medical Center."
	"1308207-1"	"1308207-1"	"DYSPNOEA"	"10013968"	"40-49 years"	"40-49"	"#2 Moderna Vaccine given on 4/20/21   On 5/7/21  patient became SOB before syncope to cardiac arrest, event was witnessed and CPR started immediately.  Patient expired 45 min later at Medical Center."
	"1308207-1"	"1308207-1"	"RESUSCITATION"	"10038749"	"40-49 years"	"40-49"	"#2 Moderna Vaccine given on 4/20/21   On 5/7/21  patient became SOB before syncope to cardiac arrest, event was witnessed and CPR started immediately.  Patient expired 45 min later at Medical Center."
	"1308207-1"	"1308207-1"	"SYNCOPE"	"10042772"	"40-49 years"	"40-49"	"#2 Moderna Vaccine given on 4/20/21   On 5/7/21  patient became SOB before syncope to cardiac arrest, event was witnessed and CPR started immediately.  Patient expired 45 min later at Medical Center."
	"1310174-1"	"1310174-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Death on 2 May 2021"
	"1310622-1"	"1310622-1"	"CHEST PAIN"	"10008479"	"40-49 years"	"40-49"	"Developed symptoms around 4/25, presented to ED with complaints of chest pain and something being stuck in his throat. Subsequently died on 4/27."
	"1310622-1"	"1310622-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Developed symptoms around 4/25, presented to ED with complaints of chest pain and something being stuck in his throat. Subsequently died on 4/27."
	"1310622-1"	"1310622-1"	"SENSATION OF FOREIGN BODY"	"10061549"	"40-49 years"	"40-49"	"Developed symptoms around 4/25, presented to ED with complaints of chest pain and something being stuck in his throat. Subsequently died on 4/27."
	"1312456-1"	"1312456-1"	"AUTOPSY"	"10050117"	"30-39 years"	"30-39"	"Death.  While driving patient passed out and was found by County Sheriffs Office.  EMT was called  and could not save patient.  M.E. Declared patient dead at 7:20 PM on May 4, 2021"
	"1312456-1"	"1312456-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Death.  While driving patient passed out and was found by County Sheriffs Office.  EMT was called  and could not save patient.  M.E. Declared patient dead at 7:20 PM on May 4, 2021"
	"1312456-1"	"1312456-1"	"LOSS OF CONSCIOUSNESS"	"10024855"	"30-39 years"	"30-39"	"Death.  While driving patient passed out and was found by County Sheriffs Office.  EMT was called  and could not save patient.  M.E. Declared patient dead at 7:20 PM on May 4, 2021"
	"1313803-1"	"1313803-1"	"ABDOMINAL DISTENSION"	"10000060"	"40-49 years"	"40-49"	"Received vaccine on 5-6-21.  On 5-8-21, complained of headache, bloating, fever, and constipation.  Last seen alive at 9 PM on 5-8.  Found dead at home at 7 PM on 5-9."
	"1313803-1"	"1313803-1"	"AUTOPSY"	"10050117"	"40-49 years"	"40-49"	"Received vaccine on 5-6-21.  On 5-8-21, complained of headache, bloating, fever, and constipation.  Last seen alive at 9 PM on 5-8.  Found dead at home at 7 PM on 5-9."
	"1313803-1"	"1313803-1"	"CONSTIPATION"	"10010774"	"40-49 years"	"40-49"	"Received vaccine on 5-6-21.  On 5-8-21, complained of headache, bloating, fever, and constipation.  Last seen alive at 9 PM on 5-8.  Found dead at home at 7 PM on 5-9."
	"1313803-1"	"1313803-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Received vaccine on 5-6-21.  On 5-8-21, complained of headache, bloating, fever, and constipation.  Last seen alive at 9 PM on 5-8.  Found dead at home at 7 PM on 5-9."
	"1313803-1"	"1313803-1"	"HEADACHE"	"10019211"	"40-49 years"	"40-49"	"Received vaccine on 5-6-21.  On 5-8-21, complained of headache, bloating, fever, and constipation.  Last seen alive at 9 PM on 5-8.  Found dead at home at 7 PM on 5-9."
	"1313803-1"	"1313803-1"	"PYREXIA"	"10037660"	"40-49 years"	"40-49"	"Received vaccine on 5-6-21.  On 5-8-21, complained of headache, bloating, fever, and constipation.  Last seen alive at 9 PM on 5-8.  Found dead at home at 7 PM on 5-9."
	"1313922-1"	"1313922-1"	"AUTOPSY"	"10050117"	"30-39 years"	"30-39"	"PT NO SHOW FOR APPT 5/11 FOR 2ND DOSE -CHECK OF agency system SHOWS PT REPORTED DECEASED 5/14- CHECK OF database SHOWS PT FOUND DECEASED AT HOMEN 5/14/21- AUTOPSY Completed"
	"1313922-1"	"1313922-1"	"COVID-19"	"10084268"	"30-39 years"	"30-39"	"PT NO SHOW FOR APPT 5/11 FOR 2ND DOSE -CHECK OF agency system SHOWS PT REPORTED DECEASED 5/14- CHECK OF database SHOWS PT FOUND DECEASED AT HOMEN 5/14/21- AUTOPSY Completed"
	"1313922-1"	"1313922-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"PT NO SHOW FOR APPT 5/11 FOR 2ND DOSE -CHECK OF agency system SHOWS PT REPORTED DECEASED 5/14- CHECK OF database SHOWS PT FOUND DECEASED AT HOMEN 5/14/21- AUTOPSY Completed"
	"1313922-1"	"1313922-1"	"INFLUENZA A VIRUS TEST NEGATIVE"	"10070417"	"30-39 years"	"30-39"	"PT NO SHOW FOR APPT 5/11 FOR 2ND DOSE -CHECK OF agency system SHOWS PT REPORTED DECEASED 5/14- CHECK OF database SHOWS PT FOUND DECEASED AT HOMEN 5/14/21- AUTOPSY Completed"
	"1313922-1"	"1313922-1"	"INFLUENZA B VIRUS TEST"	"10071544"	"30-39 years"	"30-39"	"PT NO SHOW FOR APPT 5/11 FOR 2ND DOSE -CHECK OF agency system SHOWS PT REPORTED DECEASED 5/14- CHECK OF database SHOWS PT FOUND DECEASED AT HOMEN 5/14/21- AUTOPSY Completed"
	"1313922-1"	"1313922-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"30-39 years"	"30-39"	"PT NO SHOW FOR APPT 5/11 FOR 2ND DOSE -CHECK OF agency system SHOWS PT REPORTED DECEASED 5/14- CHECK OF database SHOWS PT FOUND DECEASED AT HOMEN 5/14/21- AUTOPSY Completed"
	"1314069-1"	"1314069-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"DEATH"
	"1314342-1"	"1314342-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"He died.  He got the shot then several hours later he was found DEAD in his sleep. We are still awaiting coroners reports."
	"1314542-1"	"1314542-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Death"
	"1314542-1"	"1314542-1"	"EJECTION FRACTION DECREASED"	"10050528"	"40-49 years"	"40-49"	"Death"
	"1314846-1"	"1314846-1"	"CEREBRAL HAEMORRHAGE"	"10008111"	"40-49 years"	"40-49"	"5/07 general ill feeling; runny nose, watery eyes. continued until 5/10. Wife denied fever or cough.  continued until 5/10. 5/11 at work, patient collapsed. Was awake but non-responsive, breathing on his own, vomited shortly before EMS arrived. EMS arrived, patient stopped breathing, was bagged until arrival at hospital where he was intubated.   5/12 Patient was extubated and died in early AM 5/13.  Medical records state cerebral brain hemorrhage."
	"1314846-1"	"1314846-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"5/07 general ill feeling; runny nose, watery eyes. continued until 5/10. Wife denied fever or cough.  continued until 5/10. 5/11 at work, patient collapsed. Was awake but non-responsive, breathing on his own, vomited shortly before EMS arrived. EMS arrived, patient stopped breathing, was bagged until arrival at hospital where he was intubated.   5/12 Patient was extubated and died in early AM 5/13.  Medical records state cerebral brain hemorrhage."
	"1314846-1"	"1314846-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"40-49 years"	"40-49"	"5/07 general ill feeling; runny nose, watery eyes. continued until 5/10. Wife denied fever or cough.  continued until 5/10. 5/11 at work, patient collapsed. Was awake but non-responsive, breathing on his own, vomited shortly before EMS arrived. EMS arrived, patient stopped breathing, was bagged until arrival at hospital where he was intubated.   5/12 Patient was extubated and died in early AM 5/13.  Medical records state cerebral brain hemorrhage."
	"1314846-1"	"1314846-1"	"LACRIMATION INCREASED"	"10023644"	"40-49 years"	"40-49"	"5/07 general ill feeling; runny nose, watery eyes. continued until 5/10. Wife denied fever or cough.  continued until 5/10. 5/11 at work, patient collapsed. Was awake but non-responsive, breathing on his own, vomited shortly before EMS arrived. EMS arrived, patient stopped breathing, was bagged until arrival at hospital where he was intubated.   5/12 Patient was extubated and died in early AM 5/13.  Medical records state cerebral brain hemorrhage."
	"1314846-1"	"1314846-1"	"MALAISE"	"10025482"	"40-49 years"	"40-49"	"5/07 general ill feeling; runny nose, watery eyes. continued until 5/10. Wife denied fever or cough.  continued until 5/10. 5/11 at work, patient collapsed. Was awake but non-responsive, breathing on his own, vomited shortly before EMS arrived. EMS arrived, patient stopped breathing, was bagged until arrival at hospital where he was intubated.   5/12 Patient was extubated and died in early AM 5/13.  Medical records state cerebral brain hemorrhage."
	"1314846-1"	"1314846-1"	"RESPIRATORY ARREST"	"10038669"	"40-49 years"	"40-49"	"5/07 general ill feeling; runny nose, watery eyes. continued until 5/10. Wife denied fever or cough.  continued until 5/10. 5/11 at work, patient collapsed. Was awake but non-responsive, breathing on his own, vomited shortly before EMS arrived. EMS arrived, patient stopped breathing, was bagged until arrival at hospital where he was intubated.   5/12 Patient was extubated and died in early AM 5/13.  Medical records state cerebral brain hemorrhage."
	"1314846-1"	"1314846-1"	"RHINORRHOEA"	"10039101"	"40-49 years"	"40-49"	"5/07 general ill feeling; runny nose, watery eyes. continued until 5/10. Wife denied fever or cough.  continued until 5/10. 5/11 at work, patient collapsed. Was awake but non-responsive, breathing on his own, vomited shortly before EMS arrived. EMS arrived, patient stopped breathing, was bagged until arrival at hospital where he was intubated.   5/12 Patient was extubated and died in early AM 5/13.  Medical records state cerebral brain hemorrhage."
	"1314846-1"	"1314846-1"	"SYNCOPE"	"10042772"	"40-49 years"	"40-49"	"5/07 general ill feeling; runny nose, watery eyes. continued until 5/10. Wife denied fever or cough.  continued until 5/10. 5/11 at work, patient collapsed. Was awake but non-responsive, breathing on his own, vomited shortly before EMS arrived. EMS arrived, patient stopped breathing, was bagged until arrival at hospital where he was intubated.   5/12 Patient was extubated and died in early AM 5/13.  Medical records state cerebral brain hemorrhage."
	"1314846-1"	"1314846-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"40-49 years"	"40-49"	"5/07 general ill feeling; runny nose, watery eyes. continued until 5/10. Wife denied fever or cough.  continued until 5/10. 5/11 at work, patient collapsed. Was awake but non-responsive, breathing on his own, vomited shortly before EMS arrived. EMS arrived, patient stopped breathing, was bagged until arrival at hospital where he was intubated.   5/12 Patient was extubated and died in early AM 5/13.  Medical records state cerebral brain hemorrhage."
	"1314846-1"	"1314846-1"	"VOMITING"	"10047700"	"40-49 years"	"40-49"	"5/07 general ill feeling; runny nose, watery eyes. continued until 5/10. Wife denied fever or cough.  continued until 5/10. 5/11 at work, patient collapsed. Was awake but non-responsive, breathing on his own, vomited shortly before EMS arrived. EMS arrived, patient stopped breathing, was bagged until arrival at hospital where he was intubated.   5/12 Patient was extubated and died in early AM 5/13.  Medical records state cerebral brain hemorrhage."
	"1317203-1"	"1317203-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Started having lain in right home on 4/15/2021. On 4/16/2021 complained more about right hip, said feels like he got hit by a truck, and that he felt like he was starting to get a cold. Then he died the night of 4/16/2021."
	"1317203-1"	"1317203-1"	"FEELING ABNORMAL"	"10016322"	"30-39 years"	"30-39"	"Started having lain in right home on 4/15/2021. On 4/16/2021 complained more about right hip, said feels like he got hit by a truck, and that he felt like he was starting to get a cold. Then he died the night of 4/16/2021."
	"1317203-1"	"1317203-1"	"MUSCULOSKELETAL DISCOMFORT"	"10053156"	"30-39 years"	"30-39"	"Started having lain in right home on 4/15/2021. On 4/16/2021 complained more about right hip, said feels like he got hit by a truck, and that he felt like he was starting to get a cold. Then he died the night of 4/16/2021."
	"1317203-1"	"1317203-1"	"NASOPHARYNGITIS"	"10028810"	"30-39 years"	"30-39"	"Started having lain in right home on 4/15/2021. On 4/16/2021 complained more about right hip, said feels like he got hit by a truck, and that he felt like he was starting to get a cold. Then he died the night of 4/16/2021."
	"1322176-1"	"1322176-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"patient passed away ~24-48 hours after time of vaccination"
	"1322310-1"	"1322310-1"	"AUTOPSY"	"10050117"	"30-39 years"	"30-39"	"Death. Coroner said collapsed of unknown cause.  Autopsy performed. Awaiting final report and toxicology report."
	"1322310-1"	"1322310-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Death. Coroner said collapsed of unknown cause.  Autopsy performed. Awaiting final report and toxicology report."
	"1322310-1"	"1322310-1"	"SYNCOPE"	"10042772"	"30-39 years"	"30-39"	"Death. Coroner said collapsed of unknown cause.  Autopsy performed. Awaiting final report and toxicology report."
	"1322310-1"	"1322310-1"	"TOXICOLOGIC TEST"	"10061384"	"30-39 years"	"30-39"	"Death. Coroner said collapsed of unknown cause.  Autopsy performed. Awaiting final report and toxicology report."
	"1322484-1"	"1322484-1"	"AUTOPSY"	"10050117"	"30-39 years"	"30-39"	"About a week after his first dose he developed a skin reaction at the injection site. Redness, swelling, itching. The affected area was about 10 inches by 6 inches.   The day following the second dose of the vaccine he developed chills, sweats, aches, and a low grade fever. He also developed the same skin reaction. He had these symptoms for 2 days (Thurs and fri). By Saturday his condition was improving. Sunday was even better, Monday evening he died. He was 37 with no known medical issues. He just died out of nowhere."
	"1322484-1"	"1322484-1"	"CHILLS"	"10008531"	"30-39 years"	"30-39"	"About a week after his first dose he developed a skin reaction at the injection site. Redness, swelling, itching. The affected area was about 10 inches by 6 inches.   The day following the second dose of the vaccine he developed chills, sweats, aches, and a low grade fever. He also developed the same skin reaction. He had these symptoms for 2 days (Thurs and fri). By Saturday his condition was improving. Sunday was even better, Monday evening he died. He was 37 with no known medical issues. He just died out of nowhere."
	"1322484-1"	"1322484-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"About a week after his first dose he developed a skin reaction at the injection site. Redness, swelling, itching. The affected area was about 10 inches by 6 inches.   The day following the second dose of the vaccine he developed chills, sweats, aches, and a low grade fever. He also developed the same skin reaction. He had these symptoms for 2 days (Thurs and fri). By Saturday his condition was improving. Sunday was even better, Monday evening he died. He was 37 with no known medical issues. He just died out of nowhere."
	"1322484-1"	"1322484-1"	"HYPERHIDROSIS"	"10020642"	"30-39 years"	"30-39"	"About a week after his first dose he developed a skin reaction at the injection site. Redness, swelling, itching. The affected area was about 10 inches by 6 inches.   The day following the second dose of the vaccine he developed chills, sweats, aches, and a low grade fever. He also developed the same skin reaction. He had these symptoms for 2 days (Thurs and fri). By Saturday his condition was improving. Sunday was even better, Monday evening he died. He was 37 with no known medical issues. He just died out of nowhere."
	"1322484-1"	"1322484-1"	"INJECTION SITE ERYTHEMA"	"10022061"	"30-39 years"	"30-39"	"About a week after his first dose he developed a skin reaction at the injection site. Redness, swelling, itching. The affected area was about 10 inches by 6 inches.   The day following the second dose of the vaccine he developed chills, sweats, aches, and a low grade fever. He also developed the same skin reaction. He had these symptoms for 2 days (Thurs and fri). By Saturday his condition was improving. Sunday was even better, Monday evening he died. He was 37 with no known medical issues. He just died out of nowhere."
	"1322484-1"	"1322484-1"	"INJECTION SITE PRURITUS"	"10022093"	"30-39 years"	"30-39"	"About a week after his first dose he developed a skin reaction at the injection site. Redness, swelling, itching. The affected area was about 10 inches by 6 inches.   The day following the second dose of the vaccine he developed chills, sweats, aches, and a low grade fever. He also developed the same skin reaction. He had these symptoms for 2 days (Thurs and fri). By Saturday his condition was improving. Sunday was even better, Monday evening he died. He was 37 with no known medical issues. He just died out of nowhere."
	"1322484-1"	"1322484-1"	"INJECTION SITE REACTION"	"10022095"	"30-39 years"	"30-39"	"About a week after his first dose he developed a skin reaction at the injection site. Redness, swelling, itching. The affected area was about 10 inches by 6 inches.   The day following the second dose of the vaccine he developed chills, sweats, aches, and a low grade fever. He also developed the same skin reaction. He had these symptoms for 2 days (Thurs and fri). By Saturday his condition was improving. Sunday was even better, Monday evening he died. He was 37 with no known medical issues. He just died out of nowhere."
	"1322484-1"	"1322484-1"	"INJECTION SITE SWELLING"	"10053425"	"30-39 years"	"30-39"	"About a week after his first dose he developed a skin reaction at the injection site. Redness, swelling, itching. The affected area was about 10 inches by 6 inches.   The day following the second dose of the vaccine he developed chills, sweats, aches, and a low grade fever. He also developed the same skin reaction. He had these symptoms for 2 days (Thurs and fri). By Saturday his condition was improving. Sunday was even better, Monday evening he died. He was 37 with no known medical issues. He just died out of nowhere."
	"1322484-1"	"1322484-1"	"PAIN"	"10033371"	"30-39 years"	"30-39"	"About a week after his first dose he developed a skin reaction at the injection site. Redness, swelling, itching. The affected area was about 10 inches by 6 inches.   The day following the second dose of the vaccine he developed chills, sweats, aches, and a low grade fever. He also developed the same skin reaction. He had these symptoms for 2 days (Thurs and fri). By Saturday his condition was improving. Sunday was even better, Monday evening he died. He was 37 with no known medical issues. He just died out of nowhere."
	"1322484-1"	"1322484-1"	"PYREXIA"	"10037660"	"30-39 years"	"30-39"	"About a week after his first dose he developed a skin reaction at the injection site. Redness, swelling, itching. The affected area was about 10 inches by 6 inches.   The day following the second dose of the vaccine he developed chills, sweats, aches, and a low grade fever. He also developed the same skin reaction. He had these symptoms for 2 days (Thurs and fri). By Saturday his condition was improving. Sunday was even better, Monday evening he died. He was 37 with no known medical issues. He just died out of nowhere."
	"1322484-1"	"1322484-1"	"SKIN REACTION"	"10040914"	"30-39 years"	"30-39"	"About a week after his first dose he developed a skin reaction at the injection site. Redness, swelling, itching. The affected area was about 10 inches by 6 inches.   The day following the second dose of the vaccine he developed chills, sweats, aches, and a low grade fever. He also developed the same skin reaction. He had these symptoms for 2 days (Thurs and fri). By Saturday his condition was improving. Sunday was even better, Monday evening he died. He was 37 with no known medical issues. He just died out of nowhere."
	"1323392-1"	"1323392-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"None reported"
	"1323719-1"	"1323719-1"	"AIRWAY PATENCY DEVICE INSERTION"	"10081227"	"40-49 years"	"40-49"	"Patient is a 41 y.o. female, reported history of asthma, obesity, polysubstance use, is transferred to the hospital via EMS in cardiac arrest.  Per EMS report, the patient was found in an apartment complex by a neighbor unconscious.  The initial report was that she was breathing however EMS was called back and then told that she was not breathing and not responsive.  Estimated downtime was between 5 and 8 minutes before paramedics arrived and initiated CPR.  Due to the patient's body habitus, it did take approximately 15 minutes to get the patient transported to the hospital.  3 rounds of epinephrine were given in the field.  Her rhythm has been asystole prior to getting to the emergency department.  Intraosseous access is obtained.  There is an OPA in place."
	"1323719-1"	"1323719-1"	"CARDIAC ARREST"	"10007515"	"40-49 years"	"40-49"	"Patient is a 41 y.o. female, reported history of asthma, obesity, polysubstance use, is transferred to the hospital via EMS in cardiac arrest.  Per EMS report, the patient was found in an apartment complex by a neighbor unconscious.  The initial report was that she was breathing however EMS was called back and then told that she was not breathing and not responsive.  Estimated downtime was between 5 and 8 minutes before paramedics arrived and initiated CPR.  Due to the patient's body habitus, it did take approximately 15 minutes to get the patient transported to the hospital.  3 rounds of epinephrine were given in the field.  Her rhythm has been asystole prior to getting to the emergency department.  Intraosseous access is obtained.  There is an OPA in place."
	"1323719-1"	"1323719-1"	"INTRAOSSEOUS ACCESS PLACEMENT"	"10081231"	"40-49 years"	"40-49"	"Patient is a 41 y.o. female, reported history of asthma, obesity, polysubstance use, is transferred to the hospital via EMS in cardiac arrest.  Per EMS report, the patient was found in an apartment complex by a neighbor unconscious.  The initial report was that she was breathing however EMS was called back and then told that she was not breathing and not responsive.  Estimated downtime was between 5 and 8 minutes before paramedics arrived and initiated CPR.  Due to the patient's body habitus, it did take approximately 15 minutes to get the patient transported to the hospital.  3 rounds of epinephrine were given in the field.  Her rhythm has been asystole prior to getting to the emergency department.  Intraosseous access is obtained.  There is an OPA in place."
	"1323719-1"	"1323719-1"	"LOSS OF CONSCIOUSNESS"	"10024855"	"40-49 years"	"40-49"	"Patient is a 41 y.o. female, reported history of asthma, obesity, polysubstance use, is transferred to the hospital via EMS in cardiac arrest.  Per EMS report, the patient was found in an apartment complex by a neighbor unconscious.  The initial report was that she was breathing however EMS was called back and then told that she was not breathing and not responsive.  Estimated downtime was between 5 and 8 minutes before paramedics arrived and initiated CPR.  Due to the patient's body habitus, it did take approximately 15 minutes to get the patient transported to the hospital.  3 rounds of epinephrine were given in the field.  Her rhythm has been asystole prior to getting to the emergency department.  Intraosseous access is obtained.  There is an OPA in place."
	"1323719-1"	"1323719-1"	"RESPIRATORY ARREST"	"10038669"	"40-49 years"	"40-49"	"Patient is a 41 y.o. female, reported history of asthma, obesity, polysubstance use, is transferred to the hospital via EMS in cardiac arrest.  Per EMS report, the patient was found in an apartment complex by a neighbor unconscious.  The initial report was that she was breathing however EMS was called back and then told that she was not breathing and not responsive.  Estimated downtime was between 5 and 8 minutes before paramedics arrived and initiated CPR.  Due to the patient's body habitus, it did take approximately 15 minutes to get the patient transported to the hospital.  3 rounds of epinephrine were given in the field.  Her rhythm has been asystole prior to getting to the emergency department.  Intraosseous access is obtained.  There is an OPA in place."
	"1323719-1"	"1323719-1"	"RESUSCITATION"	"10038749"	"40-49 years"	"40-49"	"Patient is a 41 y.o. female, reported history of asthma, obesity, polysubstance use, is transferred to the hospital via EMS in cardiac arrest.  Per EMS report, the patient was found in an apartment complex by a neighbor unconscious.  The initial report was that she was breathing however EMS was called back and then told that she was not breathing and not responsive.  Estimated downtime was between 5 and 8 minutes before paramedics arrived and initiated CPR.  Due to the patient's body habitus, it did take approximately 15 minutes to get the patient transported to the hospital.  3 rounds of epinephrine were given in the field.  Her rhythm has been asystole prior to getting to the emergency department.  Intraosseous access is obtained.  There is an OPA in place."
	"1323719-1"	"1323719-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"40-49 years"	"40-49"	"Patient is a 41 y.o. female, reported history of asthma, obesity, polysubstance use, is transferred to the hospital via EMS in cardiac arrest.  Per EMS report, the patient was found in an apartment complex by a neighbor unconscious.  The initial report was that she was breathing however EMS was called back and then told that she was not breathing and not responsive.  Estimated downtime was between 5 and 8 minutes before paramedics arrived and initiated CPR.  Due to the patient's body habitus, it did take approximately 15 minutes to get the patient transported to the hospital.  3 rounds of epinephrine were given in the field.  Her rhythm has been asystole prior to getting to the emergency department.  Intraosseous access is obtained.  There is an OPA in place."
	"1327755-1"	"1327755-1"	"COVID-19"	"10084268"	"40-49 years"	"40-49"	"Hospitalized for COVID-19 pneumonia on 4/23, ICU on 5/3, passed on 5/17 of 2021"
	"1327755-1"	"1327755-1"	"COVID-19 PNEUMONIA"	"10084380"	"40-49 years"	"40-49"	"Hospitalized for COVID-19 pneumonia on 4/23, ICU on 5/3, passed on 5/17 of 2021"
	"1327755-1"	"1327755-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Hospitalized for COVID-19 pneumonia on 4/23, ICU on 5/3, passed on 5/17 of 2021"
	"1327755-1"	"1327755-1"	"INTENSIVE CARE"	"10022519"	"40-49 years"	"40-49"	"Hospitalized for COVID-19 pneumonia on 4/23, ICU on 5/3, passed on 5/17 of 2021"
	"1327755-1"	"1327755-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"40-49 years"	"40-49"	"Hospitalized for COVID-19 pneumonia on 4/23, ICU on 5/3, passed on 5/17 of 2021"
	"1328720-1"	"1328720-1"	"INTENSIVE CARE"	"10022519"	"40-49 years"	"40-49"	"Patient was admitted to the hospital on 04/15/2021. He was in the ICU and on a ventilator for majority of the time."
	"1328720-1"	"1328720-1"	"MECHANICAL VENTILATION"	"10067221"	"40-49 years"	"40-49"	"Patient was admitted to the hospital on 04/15/2021. He was in the ICU and on a ventilator for majority of the time."
	"1328722-1"	"1328722-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Was told she died in her sleep.  This is one of 3 nurses in the medical center that passed away suddenly.  Vaccine roll out was December 2020, unknown exact date or type"
	"1328751-1"	"1328751-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"He is a co worker and he passed away in his sleep I heard.  One of 3 nurses that died in the medical center since the vaccine roll out"
	"1330411-1"	"1330411-1"	"COAGULOPATHY"	"10009802"	"40-49 years"	"40-49"	"Within 12-24 hours, patient noted to have altered mental status - transferred to ICU where it was later discovered that patient had an intracranial hemorrhage"
	"1330411-1"	"1330411-1"	"HAEMORRHAGE INTRACRANIAL"	"10018985"	"40-49 years"	"40-49"	"Within 12-24 hours, patient noted to have altered mental status - transferred to ICU where it was later discovered that patient had an intracranial hemorrhage"
	"1330411-1"	"1330411-1"	"INTENSIVE CARE"	"10022519"	"40-49 years"	"40-49"	"Within 12-24 hours, patient noted to have altered mental status - transferred to ICU where it was later discovered that patient had an intracranial hemorrhage"
	"1330411-1"	"1330411-1"	"MENTAL STATUS CHANGES"	"10048294"	"40-49 years"	"40-49"	"Within 12-24 hours, patient noted to have altered mental status - transferred to ICU where it was later discovered that patient had an intracranial hemorrhage"
	"1330552-1"	"1330552-1"	"CEREBRAL THROMBOSIS"	"10008132"	"40-49 years"	"40-49"	"Blood clot in brain causing stroke then death"
	"1330552-1"	"1330552-1"	"CEREBROVASCULAR ACCIDENT"	"10008190"	"40-49 years"	"40-49"	"Blood clot in brain causing stroke then death"
	"1330552-1"	"1330552-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Blood clot in brain causing stroke then death"
	"1330552-1"	"1330552-1"	"LABORATORY TEST"	"10059938"	"40-49 years"	"40-49"	"Blood clot in brain causing stroke then death"
	"1332849-1"	"1332849-1"	"COVID-19"	"10084268"	"30-39 years"	"30-39"	"passed away from COVID (positive test on 24Apr2021); passed away from COVID (positive test on 24Apr2021); This is a spontaneous report from a contactable physician. A 37-years-old female patient received second dose of bnt162b2 (Pfizer-BioNTech COVID-19 Vaccine), at the age of 37-years-old, via an unspecified route of administration on 20Mar2021 (Lot Number: EP7534, also reported as EPT534) as single dose for covid-19 immunisation. Medical history was none. The patient's concomitant medications were not reported. Patient received first dose of bnt162b2 at the age of 37-years-old on 27Feb2021 (Lot Number: EN6205) for covid-19 immunisation. Patient with no comorbidities passed away from COVID (positive test on 24Apr2021) in the ICU on 09May2021. Autopsy is still pending. Patient's family members provided vaccination card and she would like to verify if the lot numbers are from Pfizer Covid-19 vaccine. Added that it is freighting as the patient developed fatal Covid a month after being fully vaccinated. Additionally, she would like to verify if it is possible to know where the vaccines were shipped or any other distribution or facility information she could get from these lots. Stated that the vaccination card has something written on a box from the right hand side. Reporter seriousness for Tested Positive for Covid was Hospitalization, Death. Cause of death: Autopsy Pending, they assume Covid. Autopsy performed, Autopsy details not available. Events outcome was fatal. The patient died on 09May2021.; Sender's Comments: A possible contributory effect of suspect BNT162B2  on reported events cannot be excluded in a context of LOE.  The impact of this report on the benefit/risk profile of the Pfizer drug is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate. ; Reported Cause(s) of Death: passed away from COVID (positive test on 24Apr2021)"
	"1332849-1"	"1332849-1"	"SARS-COV-2 TEST"	"10084354"	"30-39 years"	"30-39"	"passed away from COVID (positive test on 24Apr2021); passed away from COVID (positive test on 24Apr2021); This is a spontaneous report from a contactable physician. A 37-years-old female patient received second dose of bnt162b2 (Pfizer-BioNTech COVID-19 Vaccine), at the age of 37-years-old, via an unspecified route of administration on 20Mar2021 (Lot Number: EP7534, also reported as EPT534) as single dose for covid-19 immunisation. Medical history was none. The patient's concomitant medications were not reported. Patient received first dose of bnt162b2 at the age of 37-years-old on 27Feb2021 (Lot Number: EN6205) for covid-19 immunisation. Patient with no comorbidities passed away from COVID (positive test on 24Apr2021) in the ICU on 09May2021. Autopsy is still pending. Patient's family members provided vaccination card and she would like to verify if the lot numbers are from Pfizer Covid-19 vaccine. Added that it is freighting as the patient developed fatal Covid a month after being fully vaccinated. Additionally, she would like to verify if it is possible to know where the vaccines were shipped or any other distribution or facility information she could get from these lots. Stated that the vaccination card has something written on a box from the right hand side. Reporter seriousness for Tested Positive for Covid was Hospitalization, Death. Cause of death: Autopsy Pending, they assume Covid. Autopsy performed, Autopsy details not available. Events outcome was fatal. The patient died on 09May2021.; Sender's Comments: A possible contributory effect of suspect BNT162B2  on reported events cannot be excluded in a context of LOE.  The impact of this report on the benefit/risk profile of the Pfizer drug is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate. ; Reported Cause(s) of Death: passed away from COVID (positive test on 24Apr2021)"
	"1332849-1"	"1332849-1"	"VACCINATION FAILURE"	"10046862"	"30-39 years"	"30-39"	"passed away from COVID (positive test on 24Apr2021); passed away from COVID (positive test on 24Apr2021); This is a spontaneous report from a contactable physician. A 37-years-old female patient received second dose of bnt162b2 (Pfizer-BioNTech COVID-19 Vaccine), at the age of 37-years-old, via an unspecified route of administration on 20Mar2021 (Lot Number: EP7534, also reported as EPT534) as single dose for covid-19 immunisation. Medical history was none. The patient's concomitant medications were not reported. Patient received first dose of bnt162b2 at the age of 37-years-old on 27Feb2021 (Lot Number: EN6205) for covid-19 immunisation. Patient with no comorbidities passed away from COVID (positive test on 24Apr2021) in the ICU on 09May2021. Autopsy is still pending. Patient's family members provided vaccination card and she would like to verify if the lot numbers are from Pfizer Covid-19 vaccine. Added that it is freighting as the patient developed fatal Covid a month after being fully vaccinated. Additionally, she would like to verify if it is possible to know where the vaccines were shipped or any other distribution or facility information she could get from these lots. Stated that the vaccination card has something written on a box from the right hand side. Reporter seriousness for Tested Positive for Covid was Hospitalization, Death. Cause of death: Autopsy Pending, they assume Covid. Autopsy performed, Autopsy details not available. Events outcome was fatal. The patient died on 09May2021.; Sender's Comments: A possible contributory effect of suspect BNT162B2  on reported events cannot be excluded in a context of LOE.  The impact of this report on the benefit/risk profile of the Pfizer drug is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate. ; Reported Cause(s) of Death: passed away from COVID (positive test on 24Apr2021)"
	"1334174-1"	"1334174-1"	"SUDDEN DEATH"	"10042434"	"40-49 years"	"40-49"	"Health department received notification that patient expired unexpectedly while operating a vehicle. No known link to vaccination at this time, but reported as it occurred on day 13 post-vaccination."
	"1337198-1"	"1337198-1"	"BLOOD URINE PRESENT"	"10018870"	"30-39 years"	"30-39"	"Patient presented to ED after receiving covid vaccination the month prior, with hemoptysis, petechiae, blood in stool and urine, and platelets .  Prior to this, patient presented to the ED on 4/30 with kidney stone, no other significant PMH and prescribed medications mentioned on prior page. Suspected ITP, patient received IVIG x 3 days and prednisone x 4 days while admitted. On morning of 5/11, patient had AMS, became unresponsive and was evaluated for stroke.  Patient had large intra-axial hemorrhage with significant midline shift, transferred to the Hospital and died the same day."
	"1337198-1"	"1337198-1"	"CEREBRAL HAEMORRHAGE"	"10008111"	"30-39 years"	"30-39"	"Patient presented to ED after receiving covid vaccination the month prior, with hemoptysis, petechiae, blood in stool and urine, and platelets .  Prior to this, patient presented to the ED on 4/30 with kidney stone, no other significant PMH and prescribed medications mentioned on prior page. Suspected ITP, patient received IVIG x 3 days and prednisone x 4 days while admitted. On morning of 5/11, patient had AMS, became unresponsive and was evaluated for stroke.  Patient had large intra-axial hemorrhage with significant midline shift, transferred to the Hospital and died the same day."
	"1337198-1"	"1337198-1"	"CEREBRAL MASS EFFECT"	"10067086"	"30-39 years"	"30-39"	"Patient presented to ED after receiving covid vaccination the month prior, with hemoptysis, petechiae, blood in stool and urine, and platelets .  Prior to this, patient presented to the ED on 4/30 with kidney stone, no other significant PMH and prescribed medications mentioned on prior page. Suspected ITP, patient received IVIG x 3 days and prednisone x 4 days while admitted. On morning of 5/11, patient had AMS, became unresponsive and was evaluated for stroke.  Patient had large intra-axial hemorrhage with significant midline shift, transferred to the Hospital and died the same day."
	"1337198-1"	"1337198-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Patient presented to ED after receiving covid vaccination the month prior, with hemoptysis, petechiae, blood in stool and urine, and platelets .  Prior to this, patient presented to the ED on 4/30 with kidney stone, no other significant PMH and prescribed medications mentioned on prior page. Suspected ITP, patient received IVIG x 3 days and prednisone x 4 days while admitted. On morning of 5/11, patient had AMS, became unresponsive and was evaluated for stroke.  Patient had large intra-axial hemorrhage with significant midline shift, transferred to the Hospital and died the same day."
	"1337198-1"	"1337198-1"	"HAEMATOCHEZIA"	"10018836"	"30-39 years"	"30-39"	"Patient presented to ED after receiving covid vaccination the month prior, with hemoptysis, petechiae, blood in stool and urine, and platelets .  Prior to this, patient presented to the ED on 4/30 with kidney stone, no other significant PMH and prescribed medications mentioned on prior page. Suspected ITP, patient received IVIG x 3 days and prednisone x 4 days while admitted. On morning of 5/11, patient had AMS, became unresponsive and was evaluated for stroke.  Patient had large intra-axial hemorrhage with significant midline shift, transferred to the Hospital and died the same day."
	"1337198-1"	"1337198-1"	"HAEMOPTYSIS"	"10018964"	"30-39 years"	"30-39"	"Patient presented to ED after receiving covid vaccination the month prior, with hemoptysis, petechiae, blood in stool and urine, and platelets .  Prior to this, patient presented to the ED on 4/30 with kidney stone, no other significant PMH and prescribed medications mentioned on prior page. Suspected ITP, patient received IVIG x 3 days and prednisone x 4 days while admitted. On morning of 5/11, patient had AMS, became unresponsive and was evaluated for stroke.  Patient had large intra-axial hemorrhage with significant midline shift, transferred to the Hospital and died the same day."
	"1337198-1"	"1337198-1"	"IMMUNE THROMBOCYTOPENIA"	"10083842"	"30-39 years"	"30-39"	"Patient presented to ED after receiving covid vaccination the month prior, with hemoptysis, petechiae, blood in stool and urine, and platelets .  Prior to this, patient presented to the ED on 4/30 with kidney stone, no other significant PMH and prescribed medications mentioned on prior page. Suspected ITP, patient received IVIG x 3 days and prednisone x 4 days while admitted. On morning of 5/11, patient had AMS, became unresponsive and was evaluated for stroke.  Patient had large intra-axial hemorrhage with significant midline shift, transferred to the Hospital and died the same day."
	"1337198-1"	"1337198-1"	"IMMUNOGLOBULIN THERAPY"	"10069534"	"30-39 years"	"30-39"	"Patient presented to ED after receiving covid vaccination the month prior, with hemoptysis, petechiae, blood in stool and urine, and platelets .  Prior to this, patient presented to the ED on 4/30 with kidney stone, no other significant PMH and prescribed medications mentioned on prior page. Suspected ITP, patient received IVIG x 3 days and prednisone x 4 days while admitted. On morning of 5/11, patient had AMS, became unresponsive and was evaluated for stroke.  Patient had large intra-axial hemorrhage with significant midline shift, transferred to the Hospital and died the same day."
	"1337198-1"	"1337198-1"	"MENTAL STATUS CHANGES"	"10048294"	"30-39 years"	"30-39"	"Patient presented to ED after receiving covid vaccination the month prior, with hemoptysis, petechiae, blood in stool and urine, and platelets .  Prior to this, patient presented to the ED on 4/30 with kidney stone, no other significant PMH and prescribed medications mentioned on prior page. Suspected ITP, patient received IVIG x 3 days and prednisone x 4 days while admitted. On morning of 5/11, patient had AMS, became unresponsive and was evaluated for stroke.  Patient had large intra-axial hemorrhage with significant midline shift, transferred to the Hospital and died the same day."
	"1337198-1"	"1337198-1"	"PETECHIAE"	"10034754"	"30-39 years"	"30-39"	"Patient presented to ED after receiving covid vaccination the month prior, with hemoptysis, petechiae, blood in stool and urine, and platelets .  Prior to this, patient presented to the ED on 4/30 with kidney stone, no other significant PMH and prescribed medications mentioned on prior page. Suspected ITP, patient received IVIG x 3 days and prednisone x 4 days while admitted. On morning of 5/11, patient had AMS, became unresponsive and was evaluated for stroke.  Patient had large intra-axial hemorrhage with significant midline shift, transferred to the Hospital and died the same day."
	"1337198-1"	"1337198-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"30-39 years"	"30-39"	"Patient presented to ED after receiving covid vaccination the month prior, with hemoptysis, petechiae, blood in stool and urine, and platelets .  Prior to this, patient presented to the ED on 4/30 with kidney stone, no other significant PMH and prescribed medications mentioned on prior page. Suspected ITP, patient received IVIG x 3 days and prednisone x 4 days while admitted. On morning of 5/11, patient had AMS, became unresponsive and was evaluated for stroke.  Patient had large intra-axial hemorrhage with significant midline shift, transferred to the Hospital and died the same day."
	"1337439-1"	"1337439-1"	"CARDIAC ARREST"	"10007515"	"30-39 years"	"30-39"	"ACCORDING TO DAD, HE GOT THE VACCINE ON 4/28/21. ON MAY 11  HE WAS COMPLAINING OF N/V, LATER HEADACHE AND ALTERED VISION, ENCEPHALOPATHY, CARDIAC  ARREST AND  DEATH.... AFTER MULTIPLE LOCAL ER VISITS. HE NEVER HAD FEVER. I WAS CALLED ON HIS CASE DUE TO CONCERN FOR CNS INFECTION. HE WAS ADMITTED ON 5/18 AND DIED ON 5/20 THIS  MAY OR MAY NOT BE RELATED TO THE COVID VACCINE, BUT IT IS IMPORTANT IT IS REPORTED JUST INCASE IT IS AND MAY HELP SOMEONE."
	"1337439-1"	"1337439-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"ACCORDING TO DAD, HE GOT THE VACCINE ON 4/28/21. ON MAY 11  HE WAS COMPLAINING OF N/V, LATER HEADACHE AND ALTERED VISION, ENCEPHALOPATHY, CARDIAC  ARREST AND  DEATH.... AFTER MULTIPLE LOCAL ER VISITS. HE NEVER HAD FEVER. I WAS CALLED ON HIS CASE DUE TO CONCERN FOR CNS INFECTION. HE WAS ADMITTED ON 5/18 AND DIED ON 5/20 THIS  MAY OR MAY NOT BE RELATED TO THE COVID VACCINE, BUT IT IS IMPORTANT IT IS REPORTED JUST INCASE IT IS AND MAY HELP SOMEONE."
	"1337439-1"	"1337439-1"	"ENCEPHALOPATHY"	"10014625"	"30-39 years"	"30-39"	"ACCORDING TO DAD, HE GOT THE VACCINE ON 4/28/21. ON MAY 11  HE WAS COMPLAINING OF N/V, LATER HEADACHE AND ALTERED VISION, ENCEPHALOPATHY, CARDIAC  ARREST AND  DEATH.... AFTER MULTIPLE LOCAL ER VISITS. HE NEVER HAD FEVER. I WAS CALLED ON HIS CASE DUE TO CONCERN FOR CNS INFECTION. HE WAS ADMITTED ON 5/18 AND DIED ON 5/20 THIS  MAY OR MAY NOT BE RELATED TO THE COVID VACCINE, BUT IT IS IMPORTANT IT IS REPORTED JUST INCASE IT IS AND MAY HELP SOMEONE."
	"1337439-1"	"1337439-1"	"HEADACHE"	"10019211"	"30-39 years"	"30-39"	"ACCORDING TO DAD, HE GOT THE VACCINE ON 4/28/21. ON MAY 11  HE WAS COMPLAINING OF N/V, LATER HEADACHE AND ALTERED VISION, ENCEPHALOPATHY, CARDIAC  ARREST AND  DEATH.... AFTER MULTIPLE LOCAL ER VISITS. HE NEVER HAD FEVER. I WAS CALLED ON HIS CASE DUE TO CONCERN FOR CNS INFECTION. HE WAS ADMITTED ON 5/18 AND DIED ON 5/20 THIS  MAY OR MAY NOT BE RELATED TO THE COVID VACCINE, BUT IT IS IMPORTANT IT IS REPORTED JUST INCASE IT IS AND MAY HELP SOMEONE."
	"1337439-1"	"1337439-1"	"NAUSEA"	"10028813"	"30-39 years"	"30-39"	"ACCORDING TO DAD, HE GOT THE VACCINE ON 4/28/21. ON MAY 11  HE WAS COMPLAINING OF N/V, LATER HEADACHE AND ALTERED VISION, ENCEPHALOPATHY, CARDIAC  ARREST AND  DEATH.... AFTER MULTIPLE LOCAL ER VISITS. HE NEVER HAD FEVER. I WAS CALLED ON HIS CASE DUE TO CONCERN FOR CNS INFECTION. HE WAS ADMITTED ON 5/18 AND DIED ON 5/20 THIS  MAY OR MAY NOT BE RELATED TO THE COVID VACCINE, BUT IT IS IMPORTANT IT IS REPORTED JUST INCASE IT IS AND MAY HELP SOMEONE."
	"1337439-1"	"1337439-1"	"VISUAL IMPAIRMENT"	"10047571"	"30-39 years"	"30-39"	"ACCORDING TO DAD, HE GOT THE VACCINE ON 4/28/21. ON MAY 11  HE WAS COMPLAINING OF N/V, LATER HEADACHE AND ALTERED VISION, ENCEPHALOPATHY, CARDIAC  ARREST AND  DEATH.... AFTER MULTIPLE LOCAL ER VISITS. HE NEVER HAD FEVER. I WAS CALLED ON HIS CASE DUE TO CONCERN FOR CNS INFECTION. HE WAS ADMITTED ON 5/18 AND DIED ON 5/20 THIS  MAY OR MAY NOT BE RELATED TO THE COVID VACCINE, BUT IT IS IMPORTANT IT IS REPORTED JUST INCASE IT IS AND MAY HELP SOMEONE."
	"1337439-1"	"1337439-1"	"VOMITING"	"10047700"	"30-39 years"	"30-39"	"ACCORDING TO DAD, HE GOT THE VACCINE ON 4/28/21. ON MAY 11  HE WAS COMPLAINING OF N/V, LATER HEADACHE AND ALTERED VISION, ENCEPHALOPATHY, CARDIAC  ARREST AND  DEATH.... AFTER MULTIPLE LOCAL ER VISITS. HE NEVER HAD FEVER. I WAS CALLED ON HIS CASE DUE TO CONCERN FOR CNS INFECTION. HE WAS ADMITTED ON 5/18 AND DIED ON 5/20 THIS  MAY OR MAY NOT BE RELATED TO THE COVID VACCINE, BUT IT IS IMPORTANT IT IS REPORTED JUST INCASE IT IS AND MAY HELP SOMEONE."
	"1337723-1"	"1337723-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"PATIENT WAS IMMUNIZED 5/13. PATIENT WAS FOUND DECEASED IN THEIR APARTMENT ON 5/18. FAMILY LAST SAW HIM ON 5/16 WHEN THEY DROPPED HIM OFF AT HIS APARTMENT.  MEDICAL EXAMINER HAS NOT YET DETERMINED CAUSE OF DEATH OR EXACT DATE OF DEATH."
	"1337951-1"	"1337951-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"patient expired 1 day after receiving 2nd dose of Moderna  vaccine"
	"1338394-1"	"1338394-1"	"ACUTE KIDNEY INJURY"	"10069339"	"30-39 years"	"30-39"	"Death N17.9 - Acute kidney failure, unspecified FATIGUE CHEST PAIN NAUSEA"
	"1338394-1"	"1338394-1"	"CHEST PAIN"	"10008479"	"30-39 years"	"30-39"	"Death N17.9 - Acute kidney failure, unspecified FATIGUE CHEST PAIN NAUSEA"
	"1338394-1"	"1338394-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Death N17.9 - Acute kidney failure, unspecified FATIGUE CHEST PAIN NAUSEA"
	"1338394-1"	"1338394-1"	"FATIGUE"	"10016256"	"30-39 years"	"30-39"	"Death N17.9 - Acute kidney failure, unspecified FATIGUE CHEST PAIN NAUSEA"
	"1338394-1"	"1338394-1"	"NAUSEA"	"10028813"	"30-39 years"	"30-39"	"Death N17.9 - Acute kidney failure, unspecified FATIGUE CHEST PAIN NAUSEA"
	"1338625-1"	"1338625-1"	"BODY TEMPERATURE INCREASED"	"10005911"	"30-39 years"	"30-39"	"Outcome: unexpected/unexplained death Had first dose Moderna Vaccine 3/31/21. She described body aches and mild fever ? ?like I had COVID again for a day? ? lasting about 36 hours, and then felt fine.  Had dose # 2 Moderna vaccine about 6:50 PM at Community vaccination site. She was driver, received left deltoid injection from Doctor. During observation period reported no symptoms, was happy and talkative with family and staff.  Family reports later that evening she did not feel well ? ?just not hungry? and wanting to lie down. Slept well, then woke up feeling better except for left arm achiness at injection site. Did not report redness, rash, or any difficulty breathing. Was talkative, walking around, took a shower, and was planning to drive to the grocery store later that day.  Mid morning ? maybe beginning about 11 AM, family said she went in and out of bathroom several times. She told them she had vomited three times and was feeling shaky. Her oral temperature was 101.3.   About 1:30 PM, she was in her room and called out for her mother. When family went into the room, she was shaking ?like she was having a seizure? and then her eyes rolled back and she fell to her side and stopped breathing. Family called 911 and started CPR. CPR was continued by EMT?s once they arrived, but they were not able to resuscitate her."
	"1338625-1"	"1338625-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Outcome: unexpected/unexplained death Had first dose Moderna Vaccine 3/31/21. She described body aches and mild fever ? ?like I had COVID again for a day? ? lasting about 36 hours, and then felt fine.  Had dose # 2 Moderna vaccine about 6:50 PM at Community vaccination site. She was driver, received left deltoid injection from Doctor. During observation period reported no symptoms, was happy and talkative with family and staff.  Family reports later that evening she did not feel well ? ?just not hungry? and wanting to lie down. Slept well, then woke up feeling better except for left arm achiness at injection site. Did not report redness, rash, or any difficulty breathing. Was talkative, walking around, took a shower, and was planning to drive to the grocery store later that day.  Mid morning ? maybe beginning about 11 AM, family said she went in and out of bathroom several times. She told them she had vomited three times and was feeling shaky. Her oral temperature was 101.3.   About 1:30 PM, she was in her room and called out for her mother. When family went into the room, she was shaking ?like she was having a seizure? and then her eyes rolled back and she fell to her side and stopped breathing. Family called 911 and started CPR. CPR was continued by EMT?s once they arrived, but they were not able to resuscitate her."
	"1338625-1"	"1338625-1"	"DECREASED APPETITE"	"10061428"	"30-39 years"	"30-39"	"Outcome: unexpected/unexplained death Had first dose Moderna Vaccine 3/31/21. She described body aches and mild fever ? ?like I had COVID again for a day? ? lasting about 36 hours, and then felt fine.  Had dose # 2 Moderna vaccine about 6:50 PM at Community vaccination site. She was driver, received left deltoid injection from Doctor. During observation period reported no symptoms, was happy and talkative with family and staff.  Family reports later that evening she did not feel well ? ?just not hungry? and wanting to lie down. Slept well, then woke up feeling better except for left arm achiness at injection site. Did not report redness, rash, or any difficulty breathing. Was talkative, walking around, took a shower, and was planning to drive to the grocery store later that day.  Mid morning ? maybe beginning about 11 AM, family said she went in and out of bathroom several times. She told them she had vomited three times and was feeling shaky. Her oral temperature was 101.3.   About 1:30 PM, she was in her room and called out for her mother. When family went into the room, she was shaking ?like she was having a seizure? and then her eyes rolled back and she fell to her side and stopped breathing. Family called 911 and started CPR. CPR was continued by EMT?s once they arrived, but they were not able to resuscitate her."
	"1338625-1"	"1338625-1"	"EYE MOVEMENT DISORDER"	"10061129"	"30-39 years"	"30-39"	"Outcome: unexpected/unexplained death Had first dose Moderna Vaccine 3/31/21. She described body aches and mild fever ? ?like I had COVID again for a day? ? lasting about 36 hours, and then felt fine.  Had dose # 2 Moderna vaccine about 6:50 PM at Community vaccination site. She was driver, received left deltoid injection from Doctor. During observation period reported no symptoms, was happy and talkative with family and staff.  Family reports later that evening she did not feel well ? ?just not hungry? and wanting to lie down. Slept well, then woke up feeling better except for left arm achiness at injection site. Did not report redness, rash, or any difficulty breathing. Was talkative, walking around, took a shower, and was planning to drive to the grocery store later that day.  Mid morning ? maybe beginning about 11 AM, family said she went in and out of bathroom several times. She told them she had vomited three times and was feeling shaky. Her oral temperature was 101.3.   About 1:30 PM, she was in her room and called out for her mother. When family went into the room, she was shaking ?like she was having a seizure? and then her eyes rolled back and she fell to her side and stopped breathing. Family called 911 and started CPR. CPR was continued by EMT?s once they arrived, but they were not able to resuscitate her."
	"1338625-1"	"1338625-1"	"FALL"	"10016173"	"30-39 years"	"30-39"	"Outcome: unexpected/unexplained death Had first dose Moderna Vaccine 3/31/21. She described body aches and mild fever ? ?like I had COVID again for a day? ? lasting about 36 hours, and then felt fine.  Had dose # 2 Moderna vaccine about 6:50 PM at Community vaccination site. She was driver, received left deltoid injection from Doctor. During observation period reported no symptoms, was happy and talkative with family and staff.  Family reports later that evening she did not feel well ? ?just not hungry? and wanting to lie down. Slept well, then woke up feeling better except for left arm achiness at injection site. Did not report redness, rash, or any difficulty breathing. Was talkative, walking around, took a shower, and was planning to drive to the grocery store later that day.  Mid morning ? maybe beginning about 11 AM, family said she went in and out of bathroom several times. She told them she had vomited three times and was feeling shaky. Her oral temperature was 101.3.   About 1:30 PM, she was in her room and called out for her mother. When family went into the room, she was shaking ?like she was having a seizure? and then her eyes rolled back and she fell to her side and stopped breathing. Family called 911 and started CPR. CPR was continued by EMT?s once they arrived, but they were not able to resuscitate her."
	"1338625-1"	"1338625-1"	"INJECTION SITE PAIN"	"10022086"	"30-39 years"	"30-39"	"Outcome: unexpected/unexplained death Had first dose Moderna Vaccine 3/31/21. She described body aches and mild fever ? ?like I had COVID again for a day? ? lasting about 36 hours, and then felt fine.  Had dose # 2 Moderna vaccine about 6:50 PM at Community vaccination site. She was driver, received left deltoid injection from Doctor. During observation period reported no symptoms, was happy and talkative with family and staff.  Family reports later that evening she did not feel well ? ?just not hungry? and wanting to lie down. Slept well, then woke up feeling better except for left arm achiness at injection site. Did not report redness, rash, or any difficulty breathing. Was talkative, walking around, took a shower, and was planning to drive to the grocery store later that day.  Mid morning ? maybe beginning about 11 AM, family said she went in and out of bathroom several times. She told them she had vomited three times and was feeling shaky. Her oral temperature was 101.3.   About 1:30 PM, she was in her room and called out for her mother. When family went into the room, she was shaking ?like she was having a seizure? and then her eyes rolled back and she fell to her side and stopped breathing. Family called 911 and started CPR. CPR was continued by EMT?s once they arrived, but they were not able to resuscitate her."
	"1338625-1"	"1338625-1"	"MALAISE"	"10025482"	"30-39 years"	"30-39"	"Outcome: unexpected/unexplained death Had first dose Moderna Vaccine 3/31/21. She described body aches and mild fever ? ?like I had COVID again for a day? ? lasting about 36 hours, and then felt fine.  Had dose # 2 Moderna vaccine about 6:50 PM at Community vaccination site. She was driver, received left deltoid injection from Doctor. During observation period reported no symptoms, was happy and talkative with family and staff.  Family reports later that evening she did not feel well ? ?just not hungry? and wanting to lie down. Slept well, then woke up feeling better except for left arm achiness at injection site. Did not report redness, rash, or any difficulty breathing. Was talkative, walking around, took a shower, and was planning to drive to the grocery store later that day.  Mid morning ? maybe beginning about 11 AM, family said she went in and out of bathroom several times. She told them she had vomited three times and was feeling shaky. Her oral temperature was 101.3.   About 1:30 PM, she was in her room and called out for her mother. When family went into the room, she was shaking ?like she was having a seizure? and then her eyes rolled back and she fell to her side and stopped breathing. Family called 911 and started CPR. CPR was continued by EMT?s once they arrived, but they were not able to resuscitate her."
	"1338625-1"	"1338625-1"	"NERVOUSNESS"	"10029216"	"30-39 years"	"30-39"	"Outcome: unexpected/unexplained death Had first dose Moderna Vaccine 3/31/21. She described body aches and mild fever ? ?like I had COVID again for a day? ? lasting about 36 hours, and then felt fine.  Had dose # 2 Moderna vaccine about 6:50 PM at Community vaccination site. She was driver, received left deltoid injection from Doctor. During observation period reported no symptoms, was happy and talkative with family and staff.  Family reports later that evening she did not feel well ? ?just not hungry? and wanting to lie down. Slept well, then woke up feeling better except for left arm achiness at injection site. Did not report redness, rash, or any difficulty breathing. Was talkative, walking around, took a shower, and was planning to drive to the grocery store later that day.  Mid morning ? maybe beginning about 11 AM, family said she went in and out of bathroom several times. She told them she had vomited three times and was feeling shaky. Her oral temperature was 101.3.   About 1:30 PM, she was in her room and called out for her mother. When family went into the room, she was shaking ?like she was having a seizure? and then her eyes rolled back and she fell to her side and stopped breathing. Family called 911 and started CPR. CPR was continued by EMT?s once they arrived, but they were not able to resuscitate her."
	"1338625-1"	"1338625-1"	"RESPIRATORY ARREST"	"10038669"	"30-39 years"	"30-39"	"Outcome: unexpected/unexplained death Had first dose Moderna Vaccine 3/31/21. She described body aches and mild fever ? ?like I had COVID again for a day? ? lasting about 36 hours, and then felt fine.  Had dose # 2 Moderna vaccine about 6:50 PM at Community vaccination site. She was driver, received left deltoid injection from Doctor. During observation period reported no symptoms, was happy and talkative with family and staff.  Family reports later that evening she did not feel well ? ?just not hungry? and wanting to lie down. Slept well, then woke up feeling better except for left arm achiness at injection site. Did not report redness, rash, or any difficulty breathing. Was talkative, walking around, took a shower, and was planning to drive to the grocery store later that day.  Mid morning ? maybe beginning about 11 AM, family said she went in and out of bathroom several times. She told them she had vomited three times and was feeling shaky. Her oral temperature was 101.3.   About 1:30 PM, she was in her room and called out for her mother. When family went into the room, she was shaking ?like she was having a seizure? and then her eyes rolled back and she fell to her side and stopped breathing. Family called 911 and started CPR. CPR was continued by EMT?s once they arrived, but they were not able to resuscitate her."
	"1338625-1"	"1338625-1"	"RESUSCITATION"	"10038749"	"30-39 years"	"30-39"	"Outcome: unexpected/unexplained death Had first dose Moderna Vaccine 3/31/21. She described body aches and mild fever ? ?like I had COVID again for a day? ? lasting about 36 hours, and then felt fine.  Had dose # 2 Moderna vaccine about 6:50 PM at Community vaccination site. She was driver, received left deltoid injection from Doctor. During observation period reported no symptoms, was happy and talkative with family and staff.  Family reports later that evening she did not feel well ? ?just not hungry? and wanting to lie down. Slept well, then woke up feeling better except for left arm achiness at injection site. Did not report redness, rash, or any difficulty breathing. Was talkative, walking around, took a shower, and was planning to drive to the grocery store later that day.  Mid morning ? maybe beginning about 11 AM, family said she went in and out of bathroom several times. She told them she had vomited three times and was feeling shaky. Her oral temperature was 101.3.   About 1:30 PM, she was in her room and called out for her mother. When family went into the room, she was shaking ?like she was having a seizure? and then her eyes rolled back and she fell to her side and stopped breathing. Family called 911 and started CPR. CPR was continued by EMT?s once they arrived, but they were not able to resuscitate her."
	"1338625-1"	"1338625-1"	"SEIZURE LIKE PHENOMENA"	"10071048"	"30-39 years"	"30-39"	"Outcome: unexpected/unexplained death Had first dose Moderna Vaccine 3/31/21. She described body aches and mild fever ? ?like I had COVID again for a day? ? lasting about 36 hours, and then felt fine.  Had dose # 2 Moderna vaccine about 6:50 PM at Community vaccination site. She was driver, received left deltoid injection from Doctor. During observation period reported no symptoms, was happy and talkative with family and staff.  Family reports later that evening she did not feel well ? ?just not hungry? and wanting to lie down. Slept well, then woke up feeling better except for left arm achiness at injection site. Did not report redness, rash, or any difficulty breathing. Was talkative, walking around, took a shower, and was planning to drive to the grocery store later that day.  Mid morning ? maybe beginning about 11 AM, family said she went in and out of bathroom several times. She told them she had vomited three times and was feeling shaky. Her oral temperature was 101.3.   About 1:30 PM, she was in her room and called out for her mother. When family went into the room, she was shaking ?like she was having a seizure? and then her eyes rolled back and she fell to her side and stopped breathing. Family called 911 and started CPR. CPR was continued by EMT?s once they arrived, but they were not able to resuscitate her."
	"1338625-1"	"1338625-1"	"VOMITING"	"10047700"	"30-39 years"	"30-39"	"Outcome: unexpected/unexplained death Had first dose Moderna Vaccine 3/31/21. She described body aches and mild fever ? ?like I had COVID again for a day? ? lasting about 36 hours, and then felt fine.  Had dose # 2 Moderna vaccine about 6:50 PM at Community vaccination site. She was driver, received left deltoid injection from Doctor. During observation period reported no symptoms, was happy and talkative with family and staff.  Family reports later that evening she did not feel well ? ?just not hungry? and wanting to lie down. Slept well, then woke up feeling better except for left arm achiness at injection site. Did not report redness, rash, or any difficulty breathing. Was talkative, walking around, took a shower, and was planning to drive to the grocery store later that day.  Mid morning ? maybe beginning about 11 AM, family said she went in and out of bathroom several times. She told them she had vomited three times and was feeling shaky. Her oral temperature was 101.3.   About 1:30 PM, she was in her room and called out for her mother. When family went into the room, she was shaking ?like she was having a seizure? and then her eyes rolled back and she fell to her side and stopped breathing. Family called 911 and started CPR. CPR was continued by EMT?s once they arrived, but they were not able to resuscitate her."
	"1343571-1"	"1343571-1"	"ACUTE RESPIRATORY DISTRESS SYNDROME"	"10001052"	"40-49 years"	"40-49"	"Patient received their J&J vaccination on 4/7/2021. The patient's wife tested positive on 4/12/2021. The patient tested positive on 4/23/2021. The patient presented to the ER with a severe progressive cough (starting one week prior), worsening shortness of breath, a high fever, chills, myalgias, and malaise. The patient was diagnosed with COVID pneumonia and ARDS with hypoxia and given Lovenox, remdesivir, and dexamethasone, tessalon, and Brovana. The patient was admitted on the 23rd and continued to decline until their eventual passing on 4/28/2021."
	"1343571-1"	"1343571-1"	"CHILLS"	"10008531"	"40-49 years"	"40-49"	"Patient received their J&J vaccination on 4/7/2021. The patient's wife tested positive on 4/12/2021. The patient tested positive on 4/23/2021. The patient presented to the ER with a severe progressive cough (starting one week prior), worsening shortness of breath, a high fever, chills, myalgias, and malaise. The patient was diagnosed with COVID pneumonia and ARDS with hypoxia and given Lovenox, remdesivir, and dexamethasone, tessalon, and Brovana. The patient was admitted on the 23rd and continued to decline until their eventual passing on 4/28/2021."
	"1343571-1"	"1343571-1"	"COUGH"	"10011224"	"40-49 years"	"40-49"	"Patient received their J&J vaccination on 4/7/2021. The patient's wife tested positive on 4/12/2021. The patient tested positive on 4/23/2021. The patient presented to the ER with a severe progressive cough (starting one week prior), worsening shortness of breath, a high fever, chills, myalgias, and malaise. The patient was diagnosed with COVID pneumonia and ARDS with hypoxia and given Lovenox, remdesivir, and dexamethasone, tessalon, and Brovana. The patient was admitted on the 23rd and continued to decline until their eventual passing on 4/28/2021."
	"1343571-1"	"1343571-1"	"COVID-19"	"10084268"	"40-49 years"	"40-49"	"Patient received their J&J vaccination on 4/7/2021. The patient's wife tested positive on 4/12/2021. The patient tested positive on 4/23/2021. The patient presented to the ER with a severe progressive cough (starting one week prior), worsening shortness of breath, a high fever, chills, myalgias, and malaise. The patient was diagnosed with COVID pneumonia and ARDS with hypoxia and given Lovenox, remdesivir, and dexamethasone, tessalon, and Brovana. The patient was admitted on the 23rd and continued to decline until their eventual passing on 4/28/2021."
	"1343571-1"	"1343571-1"	"COVID-19 PNEUMONIA"	"10084380"	"40-49 years"	"40-49"	"Patient received their J&J vaccination on 4/7/2021. The patient's wife tested positive on 4/12/2021. The patient tested positive on 4/23/2021. The patient presented to the ER with a severe progressive cough (starting one week prior), worsening shortness of breath, a high fever, chills, myalgias, and malaise. The patient was diagnosed with COVID pneumonia and ARDS with hypoxia and given Lovenox, remdesivir, and dexamethasone, tessalon, and Brovana. The patient was admitted on the 23rd and continued to decline until their eventual passing on 4/28/2021."
	"1343571-1"	"1343571-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Patient received their J&J vaccination on 4/7/2021. The patient's wife tested positive on 4/12/2021. The patient tested positive on 4/23/2021. The patient presented to the ER with a severe progressive cough (starting one week prior), worsening shortness of breath, a high fever, chills, myalgias, and malaise. The patient was diagnosed with COVID pneumonia and ARDS with hypoxia and given Lovenox, remdesivir, and dexamethasone, tessalon, and Brovana. The patient was admitted on the 23rd and continued to decline until their eventual passing on 4/28/2021."
	"1343571-1"	"1343571-1"	"DYSPNOEA"	"10013968"	"40-49 years"	"40-49"	"Patient received their J&J vaccination on 4/7/2021. The patient's wife tested positive on 4/12/2021. The patient tested positive on 4/23/2021. The patient presented to the ER with a severe progressive cough (starting one week prior), worsening shortness of breath, a high fever, chills, myalgias, and malaise. The patient was diagnosed with COVID pneumonia and ARDS with hypoxia and given Lovenox, remdesivir, and dexamethasone, tessalon, and Brovana. The patient was admitted on the 23rd and continued to decline until their eventual passing on 4/28/2021."
	"1343571-1"	"1343571-1"	"EXPOSURE TO SARS-COV-2"	"10084456"	"40-49 years"	"40-49"	"Patient received their J&J vaccination on 4/7/2021. The patient's wife tested positive on 4/12/2021. The patient tested positive on 4/23/2021. The patient presented to the ER with a severe progressive cough (starting one week prior), worsening shortness of breath, a high fever, chills, myalgias, and malaise. The patient was diagnosed with COVID pneumonia and ARDS with hypoxia and given Lovenox, remdesivir, and dexamethasone, tessalon, and Brovana. The patient was admitted on the 23rd and continued to decline until their eventual passing on 4/28/2021."
	"1343571-1"	"1343571-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"40-49 years"	"40-49"	"Patient received their J&J vaccination on 4/7/2021. The patient's wife tested positive on 4/12/2021. The patient tested positive on 4/23/2021. The patient presented to the ER with a severe progressive cough (starting one week prior), worsening shortness of breath, a high fever, chills, myalgias, and malaise. The patient was diagnosed with COVID pneumonia and ARDS with hypoxia and given Lovenox, remdesivir, and dexamethasone, tessalon, and Brovana. The patient was admitted on the 23rd and continued to decline until their eventual passing on 4/28/2021."
	"1343571-1"	"1343571-1"	"HYPOXIA"	"10021143"	"40-49 years"	"40-49"	"Patient received their J&J vaccination on 4/7/2021. The patient's wife tested positive on 4/12/2021. The patient tested positive on 4/23/2021. The patient presented to the ER with a severe progressive cough (starting one week prior), worsening shortness of breath, a high fever, chills, myalgias, and malaise. The patient was diagnosed with COVID pneumonia and ARDS with hypoxia and given Lovenox, remdesivir, and dexamethasone, tessalon, and Brovana. The patient was admitted on the 23rd and continued to decline until their eventual passing on 4/28/2021."
	"1343571-1"	"1343571-1"	"MALAISE"	"10025482"	"40-49 years"	"40-49"	"Patient received their J&J vaccination on 4/7/2021. The patient's wife tested positive on 4/12/2021. The patient tested positive on 4/23/2021. The patient presented to the ER with a severe progressive cough (starting one week prior), worsening shortness of breath, a high fever, chills, myalgias, and malaise. The patient was diagnosed with COVID pneumonia and ARDS with hypoxia and given Lovenox, remdesivir, and dexamethasone, tessalon, and Brovana. The patient was admitted on the 23rd and continued to decline until their eventual passing on 4/28/2021."
	"1343571-1"	"1343571-1"	"MYALGIA"	"10028411"	"40-49 years"	"40-49"	"Patient received their J&J vaccination on 4/7/2021. The patient's wife tested positive on 4/12/2021. The patient tested positive on 4/23/2021. The patient presented to the ER with a severe progressive cough (starting one week prior), worsening shortness of breath, a high fever, chills, myalgias, and malaise. The patient was diagnosed with COVID pneumonia and ARDS with hypoxia and given Lovenox, remdesivir, and dexamethasone, tessalon, and Brovana. The patient was admitted on the 23rd and continued to decline until their eventual passing on 4/28/2021."
	"1343571-1"	"1343571-1"	"PYREXIA"	"10037660"	"40-49 years"	"40-49"	"Patient received their J&J vaccination on 4/7/2021. The patient's wife tested positive on 4/12/2021. The patient tested positive on 4/23/2021. The patient presented to the ER with a severe progressive cough (starting one week prior), worsening shortness of breath, a high fever, chills, myalgias, and malaise. The patient was diagnosed with COVID pneumonia and ARDS with hypoxia and given Lovenox, remdesivir, and dexamethasone, tessalon, and Brovana. The patient was admitted on the 23rd and continued to decline until their eventual passing on 4/28/2021."
	"1343571-1"	"1343571-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"40-49 years"	"40-49"	"Patient received their J&J vaccination on 4/7/2021. The patient's wife tested positive on 4/12/2021. The patient tested positive on 4/23/2021. The patient presented to the ER with a severe progressive cough (starting one week prior), worsening shortness of breath, a high fever, chills, myalgias, and malaise. The patient was diagnosed with COVID pneumonia and ARDS with hypoxia and given Lovenox, remdesivir, and dexamethasone, tessalon, and Brovana. The patient was admitted on the 23rd and continued to decline until their eventual passing on 4/28/2021."
	"1347160-1"	"1347160-1"	"ACUTE MYOCARDIAL INFARCTION"	"10000891"	"30-39 years"	"30-39"	"fall on May 19 and  admitted to ER May 22  with  subacute R MCA stroke resulting in obtundation and left sided hemiparalysis. Complicating his presentation is acute COVID 19 infection with pneumonia along with acute on chronic systolic  congestive heart failure."
	"1347160-1"	"1347160-1"	"ANGIOGRAM CEREBRAL ABNORMAL"	"10052906"	"30-39 years"	"30-39"	"fall on May 19 and  admitted to ER May 22  with  subacute R MCA stroke resulting in obtundation and left sided hemiparalysis. Complicating his presentation is acute COVID 19 infection with pneumonia along with acute on chronic systolic  congestive heart failure."
	"1347160-1"	"1347160-1"	"BRAIN NATRIURETIC PEPTIDE INCREASED"	"10053405"	"30-39 years"	"30-39"	"fall on May 19 and  admitted to ER May 22  with  subacute R MCA stroke resulting in obtundation and left sided hemiparalysis. Complicating his presentation is acute COVID 19 infection with pneumonia along with acute on chronic systolic  congestive heart failure."
	"1347160-1"	"1347160-1"	"CARDIAC FAILURE ACUTE"	"10007556"	"30-39 years"	"30-39"	"fall on May 19 and  admitted to ER May 22  with  subacute R MCA stroke resulting in obtundation and left sided hemiparalysis. Complicating his presentation is acute COVID 19 infection with pneumonia along with acute on chronic systolic  congestive heart failure."
	"1347160-1"	"1347160-1"	"CARDIAC FAILURE CONGESTIVE"	"10007559"	"30-39 years"	"30-39"	"fall on May 19 and  admitted to ER May 22  with  subacute R MCA stroke resulting in obtundation and left sided hemiparalysis. Complicating his presentation is acute COVID 19 infection with pneumonia along with acute on chronic systolic  congestive heart failure."
	"1347160-1"	"1347160-1"	"CEREBRAL HAEMORRHAGE"	"10008111"	"30-39 years"	"30-39"	"fall on May 19 and  admitted to ER May 22  with  subacute R MCA stroke resulting in obtundation and left sided hemiparalysis. Complicating his presentation is acute COVID 19 infection with pneumonia along with acute on chronic systolic  congestive heart failure."
	"1347160-1"	"1347160-1"	"CEREBRAL MASS EFFECT"	"10067086"	"30-39 years"	"30-39"	"fall on May 19 and  admitted to ER May 22  with  subacute R MCA stroke resulting in obtundation and left sided hemiparalysis. Complicating his presentation is acute COVID 19 infection with pneumonia along with acute on chronic systolic  congestive heart failure."
	"1347160-1"	"1347160-1"	"CEREBRAL THROMBOSIS"	"10008132"	"30-39 years"	"30-39"	"fall on May 19 and  admitted to ER May 22  with  subacute R MCA stroke resulting in obtundation and left sided hemiparalysis. Complicating his presentation is acute COVID 19 infection with pneumonia along with acute on chronic systolic  congestive heart failure."
	"1347160-1"	"1347160-1"	"CEREBROVASCULAR ACCIDENT"	"10008190"	"30-39 years"	"30-39"	"fall on May 19 and  admitted to ER May 22  with  subacute R MCA stroke resulting in obtundation and left sided hemiparalysis. Complicating his presentation is acute COVID 19 infection with pneumonia along with acute on chronic systolic  congestive heart failure."
	"1347160-1"	"1347160-1"	"CHEST X-RAY ABNORMAL"	"10008499"	"30-39 years"	"30-39"	"fall on May 19 and  admitted to ER May 22  with  subacute R MCA stroke resulting in obtundation and left sided hemiparalysis. Complicating his presentation is acute COVID 19 infection with pneumonia along with acute on chronic systolic  congestive heart failure."
	"1347160-1"	"1347160-1"	"COMPUTERISED TOMOGRAM HEAD ABNORMAL"	"10072168"	"30-39 years"	"30-39"	"fall on May 19 and  admitted to ER May 22  with  subacute R MCA stroke resulting in obtundation and left sided hemiparalysis. Complicating his presentation is acute COVID 19 infection with pneumonia along with acute on chronic systolic  congestive heart failure."
	"1347160-1"	"1347160-1"	"CONDITION AGGRAVATED"	"10010264"	"30-39 years"	"30-39"	"fall on May 19 and  admitted to ER May 22  with  subacute R MCA stroke resulting in obtundation and left sided hemiparalysis. Complicating his presentation is acute COVID 19 infection with pneumonia along with acute on chronic systolic  congestive heart failure."
	"1347160-1"	"1347160-1"	"COVID-19"	"10084268"	"30-39 years"	"30-39"	"fall on May 19 and  admitted to ER May 22  with  subacute R MCA stroke resulting in obtundation and left sided hemiparalysis. Complicating his presentation is acute COVID 19 infection with pneumonia along with acute on chronic systolic  congestive heart failure."
	"1347160-1"	"1347160-1"	"COVID-19 PNEUMONIA"	"10084380"	"30-39 years"	"30-39"	"fall on May 19 and  admitted to ER May 22  with  subacute R MCA stroke resulting in obtundation and left sided hemiparalysis. Complicating his presentation is acute COVID 19 infection with pneumonia along with acute on chronic systolic  congestive heart failure."
	"1347160-1"	"1347160-1"	"DEPRESSED LEVEL OF CONSCIOUSNESS"	"10012373"	"30-39 years"	"30-39"	"fall on May 19 and  admitted to ER May 22  with  subacute R MCA stroke resulting in obtundation and left sided hemiparalysis. Complicating his presentation is acute COVID 19 infection with pneumonia along with acute on chronic systolic  congestive heart failure."
	"1347160-1"	"1347160-1"	"FALL"	"10016173"	"30-39 years"	"30-39"	"fall on May 19 and  admitted to ER May 22  with  subacute R MCA stroke resulting in obtundation and left sided hemiparalysis. Complicating his presentation is acute COVID 19 infection with pneumonia along with acute on chronic systolic  congestive heart failure."
	"1347160-1"	"1347160-1"	"HEMIPLEGIA"	"10019468"	"30-39 years"	"30-39"	"fall on May 19 and  admitted to ER May 22  with  subacute R MCA stroke resulting in obtundation and left sided hemiparalysis. Complicating his presentation is acute COVID 19 infection with pneumonia along with acute on chronic systolic  congestive heart failure."
	"1347160-1"	"1347160-1"	"LEFT VENTRICULAR FAILURE"	"10024119"	"30-39 years"	"30-39"	"fall on May 19 and  admitted to ER May 22  with  subacute R MCA stroke resulting in obtundation and left sided hemiparalysis. Complicating his presentation is acute COVID 19 infection with pneumonia along with acute on chronic systolic  congestive heart failure."
	"1347160-1"	"1347160-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"30-39 years"	"30-39"	"fall on May 19 and  admitted to ER May 22  with  subacute R MCA stroke resulting in obtundation and left sided hemiparalysis. Complicating his presentation is acute COVID 19 infection with pneumonia along with acute on chronic systolic  congestive heart failure."
	"1347160-1"	"1347160-1"	"TROPONIN INCREASED"	"10058267"	"30-39 years"	"30-39"	"fall on May 19 and  admitted to ER May 22  with  subacute R MCA stroke resulting in obtundation and left sided hemiparalysis. Complicating his presentation is acute COVID 19 infection with pneumonia along with acute on chronic systolic  congestive heart failure."
	"1347808-1"	"1347808-1"	"CARDIAC ARREST"	"10007515"	"40-49 years"	"40-49"	""started with c/o ""feels weird in my chest like a pulled muscle"",  few days later slight short of breath with fatigue, May 2 11:45 cardiac arrest when paramedics placed O2, rounds of CPR and med's, pronounced dead at hospital after attempts of CPR.  Out come on death certificate Bilateral Pulmonary Thromboemboli. Coroner stated there were multiple PE's in bilateral lungs. Positive for Covid 19 (Had in Feb, vaccine in April 20)""
	"1347808-1"	"1347808-1"	"CHEST DISCOMFORT"	"10008469"	"40-49 years"	"40-49"	""started with c/o ""feels weird in my chest like a pulled muscle"",  few days later slight short of breath with fatigue, May 2 11:45 cardiac arrest when paramedics placed O2, rounds of CPR and med's, pronounced dead at hospital after attempts of CPR.  Out come on death certificate Bilateral Pulmonary Thromboemboli. Coroner stated there were multiple PE's in bilateral lungs. Positive for Covid 19 (Had in Feb, vaccine in April 20)""
	"1347808-1"	"1347808-1"	"COVID-19"	"10084268"	"40-49 years"	"40-49"	""started with c/o ""feels weird in my chest like a pulled muscle"",  few days later slight short of breath with fatigue, May 2 11:45 cardiac arrest when paramedics placed O2, rounds of CPR and med's, pronounced dead at hospital after attempts of CPR.  Out come on death certificate Bilateral Pulmonary Thromboemboli. Coroner stated there were multiple PE's in bilateral lungs. Positive for Covid 19 (Had in Feb, vaccine in April 20)""
	"1347808-1"	"1347808-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	""started with c/o ""feels weird in my chest like a pulled muscle"",  few days later slight short of breath with fatigue, May 2 11:45 cardiac arrest when paramedics placed O2, rounds of CPR and med's, pronounced dead at hospital after attempts of CPR.  Out come on death certificate Bilateral Pulmonary Thromboemboli. Coroner stated there were multiple PE's in bilateral lungs. Positive for Covid 19 (Had in Feb, vaccine in April 20)""
	"1347808-1"	"1347808-1"	"DYSPNOEA"	"10013968"	"40-49 years"	"40-49"	""started with c/o ""feels weird in my chest like a pulled muscle"",  few days later slight short of breath with fatigue, May 2 11:45 cardiac arrest when paramedics placed O2, rounds of CPR and med's, pronounced dead at hospital after attempts of CPR.  Out come on death certificate Bilateral Pulmonary Thromboemboli. Coroner stated there were multiple PE's in bilateral lungs. Positive for Covid 19 (Had in Feb, vaccine in April 20)""
	"1347808-1"	"1347808-1"	"FATIGUE"	"10016256"	"40-49 years"	"40-49"	""started with c/o ""feels weird in my chest like a pulled muscle"",  few days later slight short of breath with fatigue, May 2 11:45 cardiac arrest when paramedics placed O2, rounds of CPR and med's, pronounced dead at hospital after attempts of CPR.  Out come on death certificate Bilateral Pulmonary Thromboemboli. Coroner stated there were multiple PE's in bilateral lungs. Positive for Covid 19 (Had in Feb, vaccine in April 20)""
	"1347808-1"	"1347808-1"	"PULMONARY EMBOLISM"	"10037377"	"40-49 years"	"40-49"	""started with c/o ""feels weird in my chest like a pulled muscle"",  few days later slight short of breath with fatigue, May 2 11:45 cardiac arrest when paramedics placed O2, rounds of CPR and med's, pronounced dead at hospital after attempts of CPR.  Out come on death certificate Bilateral Pulmonary Thromboemboli. Coroner stated there were multiple PE's in bilateral lungs. Positive for Covid 19 (Had in Feb, vaccine in April 20)""
	"1347808-1"	"1347808-1"	"RESUSCITATION"	"10038749"	"40-49 years"	"40-49"	""started with c/o ""feels weird in my chest like a pulled muscle"",  few days later slight short of breath with fatigue, May 2 11:45 cardiac arrest when paramedics placed O2, rounds of CPR and med's, pronounced dead at hospital after attempts of CPR.  Out come on death certificate Bilateral Pulmonary Thromboemboli. Coroner stated there were multiple PE's in bilateral lungs. Positive for Covid 19 (Had in Feb, vaccine in April 20)""
	"1347808-1"	"1347808-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"40-49 years"	"40-49"	""started with c/o ""feels weird in my chest like a pulled muscle"",  few days later slight short of breath with fatigue, May 2 11:45 cardiac arrest when paramedics placed O2, rounds of CPR and med's, pronounced dead at hospital after attempts of CPR.  Out come on death certificate Bilateral Pulmonary Thromboemboli. Coroner stated there were multiple PE's in bilateral lungs. Positive for Covid 19 (Had in Feb, vaccine in April 20)""
	"1350670-1"	"1350670-1"	"ASTHENIA"	"10003549"	"40-49 years"	"40-49"	"After first dose her mental status become slightly altered and she leaned to the left a bit when standing up and walking.. From the day of second dose my sisters appetite decreased. She started sleeping more, got weaker to the point I had to bathe her, she had to start using a wheelchair. Mental status much more altered.  She was to weak to go to dialysis on Monday March 22 2021 hospice was called in Tuesday March 23 2021 and she passed away at approximately 4:00 P.M. March 24th 2021."
	"1350670-1"	"1350670-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"After first dose her mental status become slightly altered and she leaned to the left a bit when standing up and walking.. From the day of second dose my sisters appetite decreased. She started sleeping more, got weaker to the point I had to bathe her, she had to start using a wheelchair. Mental status much more altered.  She was to weak to go to dialysis on Monday March 22 2021 hospice was called in Tuesday March 23 2021 and she passed away at approximately 4:00 P.M. March 24th 2021."
	"1350670-1"	"1350670-1"	"DECREASED APPETITE"	"10061428"	"40-49 years"	"40-49"	"After first dose her mental status become slightly altered and she leaned to the left a bit when standing up and walking.. From the day of second dose my sisters appetite decreased. She started sleeping more, got weaker to the point I had to bathe her, she had to start using a wheelchair. Mental status much more altered.  She was to weak to go to dialysis on Monday March 22 2021 hospice was called in Tuesday March 23 2021 and she passed away at approximately 4:00 P.M. March 24th 2021."
	"1350670-1"	"1350670-1"	"HYPERSOMNIA"	"10020765"	"40-49 years"	"40-49"	"After first dose her mental status become slightly altered and she leaned to the left a bit when standing up and walking.. From the day of second dose my sisters appetite decreased. She started sleeping more, got weaker to the point I had to bathe her, she had to start using a wheelchair. Mental status much more altered.  She was to weak to go to dialysis on Monday March 22 2021 hospice was called in Tuesday March 23 2021 and she passed away at approximately 4:00 P.M. March 24th 2021."
	"1350670-1"	"1350670-1"	"LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES"	"10079487"	"40-49 years"	"40-49"	"After first dose her mental status become slightly altered and she leaned to the left a bit when standing up and walking.. From the day of second dose my sisters appetite decreased. She started sleeping more, got weaker to the point I had to bathe her, she had to start using a wheelchair. Mental status much more altered.  She was to weak to go to dialysis on Monday March 22 2021 hospice was called in Tuesday March 23 2021 and she passed away at approximately 4:00 P.M. March 24th 2021."
	"1350670-1"	"1350670-1"	"MENTAL STATUS CHANGES"	"10048294"	"40-49 years"	"40-49"	"After first dose her mental status become slightly altered and she leaned to the left a bit when standing up and walking.. From the day of second dose my sisters appetite decreased. She started sleeping more, got weaker to the point I had to bathe her, she had to start using a wheelchair. Mental status much more altered.  She was to weak to go to dialysis on Monday March 22 2021 hospice was called in Tuesday March 23 2021 and she passed away at approximately 4:00 P.M. March 24th 2021."
	"1350670-1"	"1350670-1"	"POSTURE ABNORMAL"	"10036436"	"40-49 years"	"40-49"	"After first dose her mental status become slightly altered and she leaned to the left a bit when standing up and walking.. From the day of second dose my sisters appetite decreased. She started sleeping more, got weaker to the point I had to bathe her, she had to start using a wheelchair. Mental status much more altered.  She was to weak to go to dialysis on Monday March 22 2021 hospice was called in Tuesday March 23 2021 and she passed away at approximately 4:00 P.M. March 24th 2021."
	"1350670-1"	"1350670-1"	"WHEELCHAIR USER"	"10047920"	"40-49 years"	"40-49"	"After first dose her mental status become slightly altered and she leaned to the left a bit when standing up and walking.. From the day of second dose my sisters appetite decreased. She started sleeping more, got weaker to the point I had to bathe her, she had to start using a wheelchair. Mental status much more altered.  She was to weak to go to dialysis on Monday March 22 2021 hospice was called in Tuesday March 23 2021 and she passed away at approximately 4:00 P.M. March 24th 2021."
	"1351172-1"	"1351172-1"	"AUTOPSY"	"10050117"	"40-49 years"	"40-49"	"Death on 2/18/21. Pulmonary embolism found on autopsy."
	"1351172-1"	"1351172-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Death on 2/18/21. Pulmonary embolism found on autopsy."
	"1351172-1"	"1351172-1"	"PULMONARY EMBOLISM"	"10037377"	"40-49 years"	"40-49"	"Death on 2/18/21. Pulmonary embolism found on autopsy."
	"1354898-1"	"1354898-1"	"ARTHRALGIA"	"10003239"	"40-49 years"	"40-49"	"My brother had his second vaccine shot on 4/30.  When I talked to him on 5/5 he told me he'd had a lot of joint pain and fatigue but thought he would go into work the next day.   Thursday he left work feeling sick with a lot of 'rib pain'.   At some point that night he passed away.   We still do not have an autopsy report, but the timing seems odd."
	"1354898-1"	"1354898-1"	"CONDITION AGGRAVATED"	"10010264"	"40-49 years"	"40-49"	"My brother had his second vaccine shot on 4/30.  When I talked to him on 5/5 he told me he'd had a lot of joint pain and fatigue but thought he would go into work the next day.   Thursday he left work feeling sick with a lot of 'rib pain'.   At some point that night he passed away.   We still do not have an autopsy report, but the timing seems odd."
	"1354898-1"	"1354898-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"My brother had his second vaccine shot on 4/30.  When I talked to him on 5/5 he told me he'd had a lot of joint pain and fatigue but thought he would go into work the next day.   Thursday he left work feeling sick with a lot of 'rib pain'.   At some point that night he passed away.   We still do not have an autopsy report, but the timing seems odd."
	"1354898-1"	"1354898-1"	"FATIGUE"	"10016256"	"40-49 years"	"40-49"	"My brother had his second vaccine shot on 4/30.  When I talked to him on 5/5 he told me he'd had a lot of joint pain and fatigue but thought he would go into work the next day.   Thursday he left work feeling sick with a lot of 'rib pain'.   At some point that night he passed away.   We still do not have an autopsy report, but the timing seems odd."
	"1354898-1"	"1354898-1"	"MALAISE"	"10025482"	"40-49 years"	"40-49"	"My brother had his second vaccine shot on 4/30.  When I talked to him on 5/5 he told me he'd had a lot of joint pain and fatigue but thought he would go into work the next day.   Thursday he left work feeling sick with a lot of 'rib pain'.   At some point that night he passed away.   We still do not have an autopsy report, but the timing seems odd."
	"1354898-1"	"1354898-1"	"MUSCULOSKELETAL CHEST PAIN"	"10050819"	"40-49 years"	"40-49"	"My brother had his second vaccine shot on 4/30.  When I talked to him on 5/5 he told me he'd had a lot of joint pain and fatigue but thought he would go into work the next day.   Thursday he left work feeling sick with a lot of 'rib pain'.   At some point that night he passed away.   We still do not have an autopsy report, but the timing seems odd."
	"1356045-1"	"1356045-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Death. Patient died on 5/3/2021; two days after receiving vaccine."
	"1357362-1"	"1357362-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Patient went to sleep and died within 12 hours of vaccination; feeling sick; This is a spontaneous report from a contactable consumer via Pfizer sales representative. A 45-year-old male patient received BNT162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), via an unspecified route of administration at the age of 45-year-old on 20May2021 (Batch/Lot number was not reported) as single dose for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. It was reported that 45-year-old healthy male patient received Pfizer Covid vaccine in the morning, reported feeling sick by the evening on 20May2021. Patient went to sleep and died within 12 hours of vaccination on 20May2021. Event took place after use of product. The patient died on 20May2021.  It was not reported if an autopsy was performed. The outcome of event feeling sick was unknown. The outcome of event 'Patient went to sleep and died within 12 hours of vaccination' was fatal.   Information on lot number/batch number has been requested.; Reported Cause(s) of Death: Patient went to sleep and died within 12 hours of vaccination"
	"1357362-1"	"1357362-1"	"MALAISE"	"10025482"	"40-49 years"	"40-49"	"Patient went to sleep and died within 12 hours of vaccination; feeling sick; This is a spontaneous report from a contactable consumer via Pfizer sales representative. A 45-year-old male patient received BNT162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), via an unspecified route of administration at the age of 45-year-old on 20May2021 (Batch/Lot number was not reported) as single dose for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. It was reported that 45-year-old healthy male patient received Pfizer Covid vaccine in the morning, reported feeling sick by the evening on 20May2021. Patient went to sleep and died within 12 hours of vaccination on 20May2021. Event took place after use of product. The patient died on 20May2021.  It was not reported if an autopsy was performed. The outcome of event feeling sick was unknown. The outcome of event 'Patient went to sleep and died within 12 hours of vaccination' was fatal.   Information on lot number/batch number has been requested.; Reported Cause(s) of Death: Patient went to sleep and died within 12 hours of vaccination"
	"1357369-1"	"1357369-1"	"PULMONARY EMBOLISM"	"10037377"	"30-39 years"	"30-39"	"Passed away from a Pulmonary Embolism; This is a spontaneous report from a contactable consumer. A 39-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration at the age of 39 years old, on 11Mar2021 (Lot Number: EN6208) as single dose for covid-19 immunisation. Medical history included wolff-parkinson-white syndrome from an unknown date to 15Mar2021. The patient was diagnosed with this later in life, but was told he probably had it his entire life it just hadn't caused any issues for him. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient's concomitant medications were not reported. The patient previously got the flu vaccine for immunization every year with no issues. The patient passed away from a pulmonary embolism on 15Mar2021. The patient was not hospitalized prior to his death.  He died from the pulmonary embolism in his sleep. The reporter denied any medications, labs, testing, or treatments for her husband relevant to these events. The patient died on 15Mar2021. There was a private autopsy performed and they said that the Pfizer Covid Vaccine was one of the contributing factors to the patient's death. The autopsy said the vaccine was a contributing factor. The reporter stated she told them since they said it was the pulmonary embolism that killed him, then that's what it should say. The Medical Examiner was saying that the science for the vaccine is so new, they just don't have the data that they need.; Reported Cause(s) of Death: Pulmonary embolism"
	"1357679-1"	"1357679-1"	"CARDIAC ARREST"	"10007515"	"40-49 years"	"40-49"	"3 days after 2nd dose of moderna patient presented to our er in cardiac arrest; lacking extensive cardiac history other than a-fib; he had reported anginal like symptoms to his wofe during the day and then collapsed in v-fub and was unrecusitatble;  no autopsy or further information; unclear if vaccine is contributory but within 3 days i agreed with patient's wife in that the temporal relation should be reported"
	"1357679-1"	"1357679-1"	"CARDIOVASCULAR SYMPTOM"	"10075534"	"40-49 years"	"40-49"	"3 days after 2nd dose of moderna patient presented to our er in cardiac arrest; lacking extensive cardiac history other than a-fib; he had reported anginal like symptoms to his wofe during the day and then collapsed in v-fub and was unrecusitatble;  no autopsy or further information; unclear if vaccine is contributory but within 3 days i agreed with patient's wife in that the temporal relation should be reported"
	"1357679-1"	"1357679-1"	"FALL"	"10016173"	"40-49 years"	"40-49"	"3 days after 2nd dose of moderna patient presented to our er in cardiac arrest; lacking extensive cardiac history other than a-fib; he had reported anginal like symptoms to his wofe during the day and then collapsed in v-fub and was unrecusitatble;  no autopsy or further information; unclear if vaccine is contributory but within 3 days i agreed with patient's wife in that the temporal relation should be reported"
	"1357679-1"	"1357679-1"	"FULL BLOOD COUNT"	"10017411"	"40-49 years"	"40-49"	"3 days after 2nd dose of moderna patient presented to our er in cardiac arrest; lacking extensive cardiac history other than a-fib; he had reported anginal like symptoms to his wofe during the day and then collapsed in v-fub and was unrecusitatble;  no autopsy or further information; unclear if vaccine is contributory but within 3 days i agreed with patient's wife in that the temporal relation should be reported"
	"1357679-1"	"1357679-1"	"METABOLIC FUNCTION TEST"	"10062191"	"40-49 years"	"40-49"	"3 days after 2nd dose of moderna patient presented to our er in cardiac arrest; lacking extensive cardiac history other than a-fib; he had reported anginal like symptoms to his wofe during the day and then collapsed in v-fub and was unrecusitatble;  no autopsy or further information; unclear if vaccine is contributory but within 3 days i agreed with patient's wife in that the temporal relation should be reported"
	"1357679-1"	"1357679-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"40-49 years"	"40-49"	"3 days after 2nd dose of moderna patient presented to our er in cardiac arrest; lacking extensive cardiac history other than a-fib; he had reported anginal like symptoms to his wofe during the day and then collapsed in v-fub and was unrecusitatble;  no autopsy or further information; unclear if vaccine is contributory but within 3 days i agreed with patient's wife in that the temporal relation should be reported"
	"1358491-1"	"1358491-1"	"CHEST PAIN"	"10008479"	"40-49 years"	"40-49"	"patient called 911 with shortness of breath and chest pain. When squad arrived, he was still oriented and awake and told squad he had Pfizer vaccine the previous day.  Thought was a pulmonary embolism had occurred. Then he lost consciousness and pulses. EMS started CPR.  Despite aggressive ACLS maneuvers, the patient ultimately died."
	"1358491-1"	"1358491-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"patient called 911 with shortness of breath and chest pain. When squad arrived, he was still oriented and awake and told squad he had Pfizer vaccine the previous day.  Thought was a pulmonary embolism had occurred. Then he lost consciousness and pulses. EMS started CPR.  Despite aggressive ACLS maneuvers, the patient ultimately died."
	"1358491-1"	"1358491-1"	"DYSPNOEA"	"10013968"	"40-49 years"	"40-49"	"patient called 911 with shortness of breath and chest pain. When squad arrived, he was still oriented and awake and told squad he had Pfizer vaccine the previous day.  Thought was a pulmonary embolism had occurred. Then he lost consciousness and pulses. EMS started CPR.  Despite aggressive ACLS maneuvers, the patient ultimately died."
	"1358491-1"	"1358491-1"	"LOSS OF CONSCIOUSNESS"	"10024855"	"40-49 years"	"40-49"	"patient called 911 with shortness of breath and chest pain. When squad arrived, he was still oriented and awake and told squad he had Pfizer vaccine the previous day.  Thought was a pulmonary embolism had occurred. Then he lost consciousness and pulses. EMS started CPR.  Despite aggressive ACLS maneuvers, the patient ultimately died."
	"1358491-1"	"1358491-1"	"PULSE ABSENT"	"10037469"	"40-49 years"	"40-49"	"patient called 911 with shortness of breath and chest pain. When squad arrived, he was still oriented and awake and told squad he had Pfizer vaccine the previous day.  Thought was a pulmonary embolism had occurred. Then he lost consciousness and pulses. EMS started CPR.  Despite aggressive ACLS maneuvers, the patient ultimately died."
	"1358491-1"	"1358491-1"	"RESUSCITATION"	"10038749"	"40-49 years"	"40-49"	"patient called 911 with shortness of breath and chest pain. When squad arrived, he was still oriented and awake and told squad he had Pfizer vaccine the previous day.  Thought was a pulmonary embolism had occurred. Then he lost consciousness and pulses. EMS started CPR.  Despite aggressive ACLS maneuvers, the patient ultimately died."
	"1360114-1"	"1360114-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Soarness, low blood pressure and then death."
	"1360114-1"	"1360114-1"	"HYPOTENSION"	"10021097"	"40-49 years"	"40-49"	"Soarness, low blood pressure and then death."
	"1360114-1"	"1360114-1"	"PAIN"	"10033371"	"40-49 years"	"40-49"	"Soarness, low blood pressure and then death."
	"1362539-1"	"1362539-1"	"ABDOMINAL PAIN"	"10000081"	"40-49 years"	"40-49"	"Pt presented to the hospital with abdominal pain and shortness of breath  May 28, 2021 Noted to be thrombocytopenic - had normal platelet 20 days prior Had bruising, melena"
	"1362539-1"	"1362539-1"	"BLOOD FIBRINOGEN DECREASED"	"10005520"	"40-49 years"	"40-49"	"Pt presented to the hospital with abdominal pain and shortness of breath  May 28, 2021 Noted to be thrombocytopenic - had normal platelet 20 days prior Had bruising, melena"
	"1362539-1"	"1362539-1"	"COMPUTERISED TOMOGRAM ABDOMEN ABNORMAL"	"10057798"	"40-49 years"	"40-49"	"Pt presented to the hospital with abdominal pain and shortness of breath  May 28, 2021 Noted to be thrombocytopenic - had normal platelet 20 days prior Had bruising, melena"
	"1362539-1"	"1362539-1"	"COMPUTERISED TOMOGRAM THORAX ABNORMAL"	"10057799"	"40-49 years"	"40-49"	"Pt presented to the hospital with abdominal pain and shortness of breath  May 28, 2021 Noted to be thrombocytopenic - had normal platelet 20 days prior Had bruising, melena"
	"1362539-1"	"1362539-1"	"CONTUSION"	"10050584"	"40-49 years"	"40-49"	"Pt presented to the hospital with abdominal pain and shortness of breath  May 28, 2021 Noted to be thrombocytopenic - had normal platelet 20 days prior Had bruising, melena"
	"1362539-1"	"1362539-1"	"DYSPNOEA"	"10013968"	"40-49 years"	"40-49"	"Pt presented to the hospital with abdominal pain and shortness of breath  May 28, 2021 Noted to be thrombocytopenic - had normal platelet 20 days prior Had bruising, melena"
	"1362539-1"	"1362539-1"	"FIBRIN D DIMER INCREASED"	"10016581"	"40-49 years"	"40-49"	"Pt presented to the hospital with abdominal pain and shortness of breath  May 28, 2021 Noted to be thrombocytopenic - had normal platelet 20 days prior Had bruising, melena"
	"1362539-1"	"1362539-1"	"HAEMOGLOBIN DECREASED"	"10018884"	"40-49 years"	"40-49"	"Pt presented to the hospital with abdominal pain and shortness of breath  May 28, 2021 Noted to be thrombocytopenic - had normal platelet 20 days prior Had bruising, melena"
	"1362539-1"	"1362539-1"	"LUNG INFILTRATION"	"10025102"	"40-49 years"	"40-49"	"Pt presented to the hospital with abdominal pain and shortness of breath  May 28, 2021 Noted to be thrombocytopenic - had normal platelet 20 days prior Had bruising, melena"
	"1362539-1"	"1362539-1"	"LYMPHADENOPATHY MEDIASTINAL"	"10025205"	"40-49 years"	"40-49"	"Pt presented to the hospital with abdominal pain and shortness of breath  May 28, 2021 Noted to be thrombocytopenic - had normal platelet 20 days prior Had bruising, melena"
	"1362539-1"	"1362539-1"	"MELAENA"	"10027141"	"40-49 years"	"40-49"	"Pt presented to the hospital with abdominal pain and shortness of breath  May 28, 2021 Noted to be thrombocytopenic - had normal platelet 20 days prior Had bruising, melena"
	"1362539-1"	"1362539-1"	"PLATELET COUNT DECREASED"	"10035528"	"40-49 years"	"40-49"	"Pt presented to the hospital with abdominal pain and shortness of breath  May 28, 2021 Noted to be thrombocytopenic - had normal platelet 20 days prior Had bruising, melena"
	"1362539-1"	"1362539-1"	"RETROPERITONEAL LYMPHADENOPATHY"	"10067015"	"40-49 years"	"40-49"	"Pt presented to the hospital with abdominal pain and shortness of breath  May 28, 2021 Noted to be thrombocytopenic - had normal platelet 20 days prior Had bruising, melena"
	"1362539-1"	"1362539-1"	"THROMBOCYTOPENIA"	"10043554"	"40-49 years"	"40-49"	"Pt presented to the hospital with abdominal pain and shortness of breath  May 28, 2021 Noted to be thrombocytopenic - had normal platelet 20 days prior Had bruising, melena"
	"1362566-1"	"1362566-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"40-49 years"	"40-49"	"mostly unknown, but partner said patient was unresponsive the next morning the day after receiving her Covid vaccine"
	"1364631-1"	"1364631-1"	"AUTOPSY"	"10050117"	"30-39 years"	"30-39"	""This is reported by his mother.    Around 10:00 AM he got his vaccine.  Mother met him at 12:30 and went to lunch, said he felt OK.  She stayed with him a couple of hours, went home and apparently he went to sleep.  The next day he texted his mother and said that he felt yucky.  She told him to give it a couple of days, and he went to work all week, but said that after he ate he felt ""funny"".  Then on Sunday, Mother's day on 5/9/21 and they face timed and was supposed to meet him at 5:30.  At 12:45 he had finished eating, ate some enchilladas and said that he felt weird.  He said that he was going to be ok to meet him at 5:30.  At 4:37 PM she texted him to say that she was on her way to meet him.  She got at the meeting place at 5:30 and he was usually there before her, this is a normal weekend ritual to exchange his dog.  She waited 9 minutes and she tried to facetime him thinking he was in traffic, and he didn't answer.  She thought he was just not answering.  She then waited 9 more minutes and then called his phone and local Hospital answered the phone and asked who she was, and she answered the questions, and she told her to get to the hospital.  She went to the hospital and the doctor came in and told her that he had the car running and he went to the gas pump to get gas and he stepped out of the car and collapsed.  The person who saw him told the attended that he had collapsed and they called 9-1-1 and he was pronounced dead.  He worked in a warehouse and was doing well and about to be certified to be a forklift driving.  They said that they worked on him and that they could not get his heart started again.   They had to do an autopsy which is against her religion and she will not find out those results for 3-6 months.  She said that he was healthy and looking forward to get tested at work.  They told her that he had an enlarged heart and an enlarged spleen, and had never had any heart issues in the past.    He walked 20,000 steps a day in the warehouse.    He was living in a sober man's facility, he has been clean for 18 months.  He had an addiction to pain pills and Xanax.    She feels that there was something in the vaccine that had something to do with it as he was perfectly healthy before the vaccine.""
	"1364631-1"	"1364631-1"	"CARDIOMEGALY"	"10007632"	"30-39 years"	"30-39"	""This is reported by his mother.    Around 10:00 AM he got his vaccine.  Mother met him at 12:30 and went to lunch, said he felt OK.  She stayed with him a couple of hours, went home and apparently he went to sleep.  The next day he texted his mother and said that he felt yucky.  She told him to give it a couple of days, and he went to work all week, but said that after he ate he felt ""funny"".  Then on Sunday, Mother's day on 5/9/21 and they face timed and was supposed to meet him at 5:30.  At 12:45 he had finished eating, ate some enchilladas and said that he felt weird.  He said that he was going to be ok to meet him at 5:30.  At 4:37 PM she texted him to say that she was on her way to meet him.  She got at the meeting place at 5:30 and he was usually there before her, this is a normal weekend ritual to exchange his dog.  She waited 9 minutes and she tried to facetime him thinking he was in traffic, and he didn't answer.  She thought he was just not answering.  She then waited 9 more minutes and then called his phone and local Hospital answered the phone and asked who she was, and she answered the questions, and she told her to get to the hospital.  She went to the hospital and the doctor came in and told her that he had the car running and he went to the gas pump to get gas and he stepped out of the car and collapsed.  The person who saw him told the attended that he had collapsed and they called 9-1-1 and he was pronounced dead.  He worked in a warehouse and was doing well and about to be certified to be a forklift driving.  They said that they worked on him and that they could not get his heart started again.   They had to do an autopsy which is against her religion and she will not find out those results for 3-6 months.  She said that he was healthy and looking forward to get tested at work.  They told her that he had an enlarged heart and an enlarged spleen, and had never had any heart issues in the past.    He walked 20,000 steps a day in the warehouse.    He was living in a sober man's facility, he has been clean for 18 months.  He had an addiction to pain pills and Xanax.    She feels that there was something in the vaccine that had something to do with it as he was perfectly healthy before the vaccine.""
	"1364631-1"	"1364631-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	""This is reported by his mother.    Around 10:00 AM he got his vaccine.  Mother met him at 12:30 and went to lunch, said he felt OK.  She stayed with him a couple of hours, went home and apparently he went to sleep.  The next day he texted his mother and said that he felt yucky.  She told him to give it a couple of days, and he went to work all week, but said that after he ate he felt ""funny"".  Then on Sunday, Mother's day on 5/9/21 and they face timed and was supposed to meet him at 5:30.  At 12:45 he had finished eating, ate some enchilladas and said that he felt weird.  He said that he was going to be ok to meet him at 5:30.  At 4:37 PM she texted him to say that she was on her way to meet him.  She got at the meeting place at 5:30 and he was usually there before her, this is a normal weekend ritual to exchange his dog.  She waited 9 minutes and she tried to facetime him thinking he was in traffic, and he didn't answer.  She thought he was just not answering.  She then waited 9 more minutes and then called his phone and local Hospital answered the phone and asked who she was, and she answered the questions, and she told her to get to the hospital.  She went to the hospital and the doctor came in and told her that he had the car running and he went to the gas pump to get gas and he stepped out of the car and collapsed.  The person who saw him told the attended that he had collapsed and they called 9-1-1 and he was pronounced dead.  He worked in a warehouse and was doing well and about to be certified to be a forklift driving.  They said that they worked on him and that they could not get his heart started again.   They had to do an autopsy which is against her religion and she will not find out those results for 3-6 months.  She said that he was healthy and looking forward to get tested at work.  They told her that he had an enlarged heart and an enlarged spleen, and had never had any heart issues in the past.    He walked 20,000 steps a day in the warehouse.    He was living in a sober man's facility, he has been clean for 18 months.  He had an addiction to pain pills and Xanax.    She feels that there was something in the vaccine that had something to do with it as he was perfectly healthy before the vaccine.""
	"1364631-1"	"1364631-1"	"FEELING ABNORMAL"	"10016322"	"30-39 years"	"30-39"	""This is reported by his mother.    Around 10:00 AM he got his vaccine.  Mother met him at 12:30 and went to lunch, said he felt OK.  She stayed with him a couple of hours, went home and apparently he went to sleep.  The next day he texted his mother and said that he felt yucky.  She told him to give it a couple of days, and he went to work all week, but said that after he ate he felt ""funny"".  Then on Sunday, Mother's day on 5/9/21 and they face timed and was supposed to meet him at 5:30.  At 12:45 he had finished eating, ate some enchilladas and said that he felt weird.  He said that he was going to be ok to meet him at 5:30.  At 4:37 PM she texted him to say that she was on her way to meet him.  She got at the meeting place at 5:30 and he was usually there before her, this is a normal weekend ritual to exchange his dog.  She waited 9 minutes and she tried to facetime him thinking he was in traffic, and he didn't answer.  She thought he was just not answering.  She then waited 9 more minutes and then called his phone and local Hospital answered the phone and asked who she was, and she answered the questions, and she told her to get to the hospital.  She went to the hospital and the doctor came in and told her that he had the car running and he went to the gas pump to get gas and he stepped out of the car and collapsed.  The person who saw him told the attended that he had collapsed and they called 9-1-1 and he was pronounced dead.  He worked in a warehouse and was doing well and about to be certified to be a forklift driving.  They said that they worked on him and that they could not get his heart started again.   They had to do an autopsy which is against her religion and she will not find out those results for 3-6 months.  She said that he was healthy and looking forward to get tested at work.  They told her that he had an enlarged heart and an enlarged spleen, and had never had any heart issues in the past.    He walked 20,000 steps a day in the warehouse.    He was living in a sober man's facility, he has been clean for 18 months.  He had an addiction to pain pills and Xanax.    She feels that there was something in the vaccine that had something to do with it as he was perfectly healthy before the vaccine.""
	"1364631-1"	"1364631-1"	"SPLENOMEGALY"	"10041660"	"30-39 years"	"30-39"	""This is reported by his mother.    Around 10:00 AM he got his vaccine.  Mother met him at 12:30 and went to lunch, said he felt OK.  She stayed with him a couple of hours, went home and apparently he went to sleep.  The next day he texted his mother and said that he felt yucky.  She told him to give it a couple of days, and he went to work all week, but said that after he ate he felt ""funny"".  Then on Sunday, Mother's day on 5/9/21 and they face timed and was supposed to meet him at 5:30.  At 12:45 he had finished eating, ate some enchilladas and said that he felt weird.  He said that he was going to be ok to meet him at 5:30.  At 4:37 PM she texted him to say that she was on her way to meet him.  She got at the meeting place at 5:30 and he was usually there before her, this is a normal weekend ritual to exchange his dog.  She waited 9 minutes and she tried to facetime him thinking he was in traffic, and he didn't answer.  She thought he was just not answering.  She then waited 9 more minutes and then called his phone and local Hospital answered the phone and asked who she was, and she answered the questions, and she told her to get to the hospital.  She went to the hospital and the doctor came in and told her that he had the car running and he went to the gas pump to get gas and he stepped out of the car and collapsed.  The person who saw him told the attended that he had collapsed and they called 9-1-1 and he was pronounced dead.  He worked in a warehouse and was doing well and about to be certified to be a forklift driving.  They said that they worked on him and that they could not get his heart started again.   They had to do an autopsy which is against her religion and she will not find out those results for 3-6 months.  She said that he was healthy and looking forward to get tested at work.  They told her that he had an enlarged heart and an enlarged spleen, and had never had any heart issues in the past.    He walked 20,000 steps a day in the warehouse.    He was living in a sober man's facility, he has been clean for 18 months.  He had an addiction to pain pills and Xanax.    She feels that there was something in the vaccine that had something to do with it as he was perfectly healthy before the vaccine.""
	"1364631-1"	"1364631-1"	"SYNCOPE"	"10042772"	"30-39 years"	"30-39"	""This is reported by his mother.    Around 10:00 AM he got his vaccine.  Mother met him at 12:30 and went to lunch, said he felt OK.  She stayed with him a couple of hours, went home and apparently he went to sleep.  The next day he texted his mother and said that he felt yucky.  She told him to give it a couple of days, and he went to work all week, but said that after he ate he felt ""funny"".  Then on Sunday, Mother's day on 5/9/21 and they face timed and was supposed to meet him at 5:30.  At 12:45 he had finished eating, ate some enchilladas and said that he felt weird.  He said that he was going to be ok to meet him at 5:30.  At 4:37 PM she texted him to say that she was on her way to meet him.  She got at the meeting place at 5:30 and he was usually there before her, this is a normal weekend ritual to exchange his dog.  She waited 9 minutes and she tried to facetime him thinking he was in traffic, and he didn't answer.  She thought he was just not answering.  She then waited 9 more minutes and then called his phone and local Hospital answered the phone and asked who she was, and she answered the questions, and she told her to get to the hospital.  She went to the hospital and the doctor came in and told her that he had the car running and he went to the gas pump to get gas and he stepped out of the car and collapsed.  The person who saw him told the attended that he had collapsed and they called 9-1-1 and he was pronounced dead.  He worked in a warehouse and was doing well and about to be certified to be a forklift driving.  They said that they worked on him and that they could not get his heart started again.   They had to do an autopsy which is against her religion and she will not find out those results for 3-6 months.  She said that he was healthy and looking forward to get tested at work.  They told her that he had an enlarged heart and an enlarged spleen, and had never had any heart issues in the past.    He walked 20,000 steps a day in the warehouse.    He was living in a sober man's facility, he has been clean for 18 months.  He had an addiction to pain pills and Xanax.    She feels that there was something in the vaccine that had something to do with it as he was perfectly healthy before the vaccine.""
	"1364855-1"	"1364855-1"	"DIZZINESS"	"10013573"	"40-49 years"	"40-49"	"Dizziness, blurred vision, headache, nausea"
	"1364855-1"	"1364855-1"	"HEADACHE"	"10019211"	"40-49 years"	"40-49"	"Dizziness, blurred vision, headache, nausea"
	"1364855-1"	"1364855-1"	"LABORATORY TEST"	"10059938"	"40-49 years"	"40-49"	"Dizziness, blurred vision, headache, nausea"
	"1364855-1"	"1364855-1"	"NAUSEA"	"10028813"	"40-49 years"	"40-49"	"Dizziness, blurred vision, headache, nausea"
	"1364855-1"	"1364855-1"	"VISION BLURRED"	"10047513"	"40-49 years"	"40-49"	"Dizziness, blurred vision, headache, nausea"
	"1365222-1"	"1365222-1"	"SUDDEN DEATH"	"10042434"	"40-49 years"	"40-49"	"Received the shot 5/6 and very unexpectedly died 5/15, autopsy was not performed because foul play was not suspected and family could not pay to have it done"
	"1365485-1"	"1365485-1"	"AUTOPSY"	"10050117"	"30-39 years"	"30-39"	"On 05/27/2021 the decedent began complaining of shortness of breath, cough, fever, chills, and pain at the injection site. On 05/28/2021 the decedent complained of the same symptoms."
	"1365485-1"	"1365485-1"	"CHILLS"	"10008531"	"30-39 years"	"30-39"	"On 05/27/2021 the decedent began complaining of shortness of breath, cough, fever, chills, and pain at the injection site. On 05/28/2021 the decedent complained of the same symptoms."
	"1365485-1"	"1365485-1"	"COUGH"	"10011224"	"30-39 years"	"30-39"	"On 05/27/2021 the decedent began complaining of shortness of breath, cough, fever, chills, and pain at the injection site. On 05/28/2021 the decedent complained of the same symptoms."
	"1365485-1"	"1365485-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"On 05/27/2021 the decedent began complaining of shortness of breath, cough, fever, chills, and pain at the injection site. On 05/28/2021 the decedent complained of the same symptoms."
	"1365485-1"	"1365485-1"	"DYSPNOEA"	"10013968"	"30-39 years"	"30-39"	"On 05/27/2021 the decedent began complaining of shortness of breath, cough, fever, chills, and pain at the injection site. On 05/28/2021 the decedent complained of the same symptoms."
	"1365485-1"	"1365485-1"	"INJECTION SITE PAIN"	"10022086"	"30-39 years"	"30-39"	"On 05/27/2021 the decedent began complaining of shortness of breath, cough, fever, chills, and pain at the injection site. On 05/28/2021 the decedent complained of the same symptoms."
	"1365485-1"	"1365485-1"	"PYREXIA"	"10037660"	"30-39 years"	"30-39"	"On 05/27/2021 the decedent began complaining of shortness of breath, cough, fever, chills, and pain at the injection site. On 05/28/2021 the decedent complained of the same symptoms."
	"1365932-1"	"1365932-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Patient passed away on April 27, 2021, which was two weeks after receiving second dose of Moderna Covid-19 vaccine."
	"1366333-1"	"1366333-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Death"
	"1368271-1"	"1368271-1"	"BRAIN DEATH"	"10049054"	"30-39 years"	"30-39"	"On April 15th, the otherwise healthy 30 year old daughter of my cousin passed away in a hospital from a massive stroke and seizures related to encephalitis of unknown cause.    She recovered easily from Covid19 back in November of 2020, along with several of her close friends and family members with no lingering effects.  On March 30th, she was given a single dose of the Moderna vaccine along with her teaching colleagues at a local high school. She initially complained of mild nausea and vomiting but quickly developed a severe headache prompting her to visit the local ER where she received treatment for a migraine. She returned to the ER at least one more time after no relief from the headache. By April 3rd,Saturday, she no longer recognized her sister nor knew what a mask was for.  Her family rushed her again to the same ER and she was subsequently transferred the following day to a Hospital.   Due to dangerously high intracranial pressure, she suffered a stroke with paralysis of her left side and a seizure.  Multiple lesions were noted on her brain via MRI. A shunt was inserted to relieve the pressure, she was intubated and placed into a deep coma from which she would never awaken.  Despite these medical interventions and pharmacological interventions, the pressure did not subside.  A craniotomy was performed the following Saturday as a last ditch effort to relieve the unrelenting pressure in her brain.  The craniotomy was able to reduce the pressure but it was too late.  There was no longer any brain activity and my cousin's daughter was removed from life support after they were able to say their goodbyes.     The medical examiner will be examining her brain to attempt to find a cause but that report may take 6 months."
	"1368271-1"	"1368271-1"	"CENTRAL NERVOUS SYSTEM LESION"	"10051290"	"30-39 years"	"30-39"	"On April 15th, the otherwise healthy 30 year old daughter of my cousin passed away in a hospital from a massive stroke and seizures related to encephalitis of unknown cause.    She recovered easily from Covid19 back in November of 2020, along with several of her close friends and family members with no lingering effects.  On March 30th, she was given a single dose of the Moderna vaccine along with her teaching colleagues at a local high school. She initially complained of mild nausea and vomiting but quickly developed a severe headache prompting her to visit the local ER where she received treatment for a migraine. She returned to the ER at least one more time after no relief from the headache. By April 3rd,Saturday, she no longer recognized her sister nor knew what a mask was for.  Her family rushed her again to the same ER and she was subsequently transferred the following day to a Hospital.   Due to dangerously high intracranial pressure, she suffered a stroke with paralysis of her left side and a seizure.  Multiple lesions were noted on her brain via MRI. A shunt was inserted to relieve the pressure, she was intubated and placed into a deep coma from which she would never awaken.  Despite these medical interventions and pharmacological interventions, the pressure did not subside.  A craniotomy was performed the following Saturday as a last ditch effort to relieve the unrelenting pressure in her brain.  The craniotomy was able to reduce the pressure but it was too late.  There was no longer any brain activity and my cousin's daughter was removed from life support after they were able to say their goodbyes.     The medical examiner will be examining her brain to attempt to find a cause but that report may take 6 months."
	"1368271-1"	"1368271-1"	"CEREBROVASCULAR ACCIDENT"	"10008190"	"30-39 years"	"30-39"	"On April 15th, the otherwise healthy 30 year old daughter of my cousin passed away in a hospital from a massive stroke and seizures related to encephalitis of unknown cause.    She recovered easily from Covid19 back in November of 2020, along with several of her close friends and family members with no lingering effects.  On March 30th, she was given a single dose of the Moderna vaccine along with her teaching colleagues at a local high school. She initially complained of mild nausea and vomiting but quickly developed a severe headache prompting her to visit the local ER where she received treatment for a migraine. She returned to the ER at least one more time after no relief from the headache. By April 3rd,Saturday, she no longer recognized her sister nor knew what a mask was for.  Her family rushed her again to the same ER and she was subsequently transferred the following day to a Hospital.   Due to dangerously high intracranial pressure, she suffered a stroke with paralysis of her left side and a seizure.  Multiple lesions were noted on her brain via MRI. A shunt was inserted to relieve the pressure, she was intubated and placed into a deep coma from which she would never awaken.  Despite these medical interventions and pharmacological interventions, the pressure did not subside.  A craniotomy was performed the following Saturday as a last ditch effort to relieve the unrelenting pressure in her brain.  The craniotomy was able to reduce the pressure but it was too late.  There was no longer any brain activity and my cousin's daughter was removed from life support after they were able to say their goodbyes.     The medical examiner will be examining her brain to attempt to find a cause but that report may take 6 months."
	"1368271-1"	"1368271-1"	"CRANIOTOMY"	"10011322"	"30-39 years"	"30-39"	"On April 15th, the otherwise healthy 30 year old daughter of my cousin passed away in a hospital from a massive stroke and seizures related to encephalitis of unknown cause.    She recovered easily from Covid19 back in November of 2020, along with several of her close friends and family members with no lingering effects.  On March 30th, she was given a single dose of the Moderna vaccine along with her teaching colleagues at a local high school. She initially complained of mild nausea and vomiting but quickly developed a severe headache prompting her to visit the local ER where she received treatment for a migraine. She returned to the ER at least one more time after no relief from the headache. By April 3rd,Saturday, she no longer recognized her sister nor knew what a mask was for.  Her family rushed her again to the same ER and she was subsequently transferred the following day to a Hospital.   Due to dangerously high intracranial pressure, she suffered a stroke with paralysis of her left side and a seizure.  Multiple lesions were noted on her brain via MRI. A shunt was inserted to relieve the pressure, she was intubated and placed into a deep coma from which she would never awaken.  Despite these medical interventions and pharmacological interventions, the pressure did not subside.  A craniotomy was performed the following Saturday as a last ditch effort to relieve the unrelenting pressure in her brain.  The craniotomy was able to reduce the pressure but it was too late.  There was no longer any brain activity and my cousin's daughter was removed from life support after they were able to say their goodbyes.     The medical examiner will be examining her brain to attempt to find a cause but that report may take 6 months."
	"1368271-1"	"1368271-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"On April 15th, the otherwise healthy 30 year old daughter of my cousin passed away in a hospital from a massive stroke and seizures related to encephalitis of unknown cause.    She recovered easily from Covid19 back in November of 2020, along with several of her close friends and family members with no lingering effects.  On March 30th, she was given a single dose of the Moderna vaccine along with her teaching colleagues at a local high school. She initially complained of mild nausea and vomiting but quickly developed a severe headache prompting her to visit the local ER where she received treatment for a migraine. She returned to the ER at least one more time after no relief from the headache. By April 3rd,Saturday, she no longer recognized her sister nor knew what a mask was for.  Her family rushed her again to the same ER and she was subsequently transferred the following day to a Hospital.   Due to dangerously high intracranial pressure, she suffered a stroke with paralysis of her left side and a seizure.  Multiple lesions were noted on her brain via MRI. A shunt was inserted to relieve the pressure, she was intubated and placed into a deep coma from which she would never awaken.  Despite these medical interventions and pharmacological interventions, the pressure did not subside.  A craniotomy was performed the following Saturday as a last ditch effort to relieve the unrelenting pressure in her brain.  The craniotomy was able to reduce the pressure but it was too late.  There was no longer any brain activity and my cousin's daughter was removed from life support after they were able to say their goodbyes.     The medical examiner will be examining her brain to attempt to find a cause but that report may take 6 months."
	"1368271-1"	"1368271-1"	"ENCEPHALITIS"	"10014581"	"30-39 years"	"30-39"	"On April 15th, the otherwise healthy 30 year old daughter of my cousin passed away in a hospital from a massive stroke and seizures related to encephalitis of unknown cause.    She recovered easily from Covid19 back in November of 2020, along with several of her close friends and family members with no lingering effects.  On March 30th, she was given a single dose of the Moderna vaccine along with her teaching colleagues at a local high school. She initially complained of mild nausea and vomiting but quickly developed a severe headache prompting her to visit the local ER where she received treatment for a migraine. She returned to the ER at least one more time after no relief from the headache. By April 3rd,Saturday, she no longer recognized her sister nor knew what a mask was for.  Her family rushed her again to the same ER and she was subsequently transferred the following day to a Hospital.   Due to dangerously high intracranial pressure, she suffered a stroke with paralysis of her left side and a seizure.  Multiple lesions were noted on her brain via MRI. A shunt was inserted to relieve the pressure, she was intubated and placed into a deep coma from which she would never awaken.  Despite these medical interventions and pharmacological interventions, the pressure did not subside.  A craniotomy was performed the following Saturday as a last ditch effort to relieve the unrelenting pressure in her brain.  The craniotomy was able to reduce the pressure but it was too late.  There was no longer any brain activity and my cousin's daughter was removed from life support after they were able to say their goodbyes.     The medical examiner will be examining her brain to attempt to find a cause but that report may take 6 months."
	"1368271-1"	"1368271-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"30-39 years"	"30-39"	"On April 15th, the otherwise healthy 30 year old daughter of my cousin passed away in a hospital from a massive stroke and seizures related to encephalitis of unknown cause.    She recovered easily from Covid19 back in November of 2020, along with several of her close friends and family members with no lingering effects.  On March 30th, she was given a single dose of the Moderna vaccine along with her teaching colleagues at a local high school. She initially complained of mild nausea and vomiting but quickly developed a severe headache prompting her to visit the local ER where she received treatment for a migraine. She returned to the ER at least one more time after no relief from the headache. By April 3rd,Saturday, she no longer recognized her sister nor knew what a mask was for.  Her family rushed her again to the same ER and she was subsequently transferred the following day to a Hospital.   Due to dangerously high intracranial pressure, she suffered a stroke with paralysis of her left side and a seizure.  Multiple lesions were noted on her brain via MRI. A shunt was inserted to relieve the pressure, she was intubated and placed into a deep coma from which she would never awaken.  Despite these medical interventions and pharmacological interventions, the pressure did not subside.  A craniotomy was performed the following Saturday as a last ditch effort to relieve the unrelenting pressure in her brain.  The craniotomy was able to reduce the pressure but it was too late.  There was no longer any brain activity and my cousin's daughter was removed from life support after they were able to say their goodbyes.     The medical examiner will be examining her brain to attempt to find a cause but that report may take 6 months."
	"1368271-1"	"1368271-1"	"HEADACHE"	"10019211"	"30-39 years"	"30-39"	"On April 15th, the otherwise healthy 30 year old daughter of my cousin passed away in a hospital from a massive stroke and seizures related to encephalitis of unknown cause.    She recovered easily from Covid19 back in November of 2020, along with several of her close friends and family members with no lingering effects.  On March 30th, she was given a single dose of the Moderna vaccine along with her teaching colleagues at a local high school. She initially complained of mild nausea and vomiting but quickly developed a severe headache prompting her to visit the local ER where she received treatment for a migraine. She returned to the ER at least one more time after no relief from the headache. By April 3rd,Saturday, she no longer recognized her sister nor knew what a mask was for.  Her family rushed her again to the same ER and she was subsequently transferred the following day to a Hospital.   Due to dangerously high intracranial pressure, she suffered a stroke with paralysis of her left side and a seizure.  Multiple lesions were noted on her brain via MRI. A shunt was inserted to relieve the pressure, she was intubated and placed into a deep coma from which she would never awaken.  Despite these medical interventions and pharmacological interventions, the pressure did not subside.  A craniotomy was performed the following Saturday as a last ditch effort to relieve the unrelenting pressure in her brain.  The craniotomy was able to reduce the pressure but it was too late.  There was no longer any brain activity and my cousin's daughter was removed from life support after they were able to say their goodbyes.     The medical examiner will be examining her brain to attempt to find a cause but that report may take 6 months."
	"1368271-1"	"1368271-1"	"HEMIPLEGIA"	"10019468"	"30-39 years"	"30-39"	"On April 15th, the otherwise healthy 30 year old daughter of my cousin passed away in a hospital from a massive stroke and seizures related to encephalitis of unknown cause.    She recovered easily from Covid19 back in November of 2020, along with several of her close friends and family members with no lingering effects.  On March 30th, she was given a single dose of the Moderna vaccine along with her teaching colleagues at a local high school. She initially complained of mild nausea and vomiting but quickly developed a severe headache prompting her to visit the local ER where she received treatment for a migraine. She returned to the ER at least one more time after no relief from the headache. By April 3rd,Saturday, she no longer recognized her sister nor knew what a mask was for.  Her family rushed her again to the same ER and she was subsequently transferred the following day to a Hospital.   Due to dangerously high intracranial pressure, she suffered a stroke with paralysis of her left side and a seizure.  Multiple lesions were noted on her brain via MRI. A shunt was inserted to relieve the pressure, she was intubated and placed into a deep coma from which she would never awaken.  Despite these medical interventions and pharmacological interventions, the pressure did not subside.  A craniotomy was performed the following Saturday as a last ditch effort to relieve the unrelenting pressure in her brain.  The craniotomy was able to reduce the pressure but it was too late.  There was no longer any brain activity and my cousin's daughter was removed from life support after they were able to say their goodbyes.     The medical examiner will be examining her brain to attempt to find a cause but that report may take 6 months."
	"1368271-1"	"1368271-1"	"INTRACRANIAL PRESSURE INCREASED"	"10022773"	"30-39 years"	"30-39"	"On April 15th, the otherwise healthy 30 year old daughter of my cousin passed away in a hospital from a massive stroke and seizures related to encephalitis of unknown cause.    She recovered easily from Covid19 back in November of 2020, along with several of her close friends and family members with no lingering effects.  On March 30th, she was given a single dose of the Moderna vaccine along with her teaching colleagues at a local high school. She initially complained of mild nausea and vomiting but quickly developed a severe headache prompting her to visit the local ER where she received treatment for a migraine. She returned to the ER at least one more time after no relief from the headache. By April 3rd,Saturday, she no longer recognized her sister nor knew what a mask was for.  Her family rushed her again to the same ER and she was subsequently transferred the following day to a Hospital.   Due to dangerously high intracranial pressure, she suffered a stroke with paralysis of her left side and a seizure.  Multiple lesions were noted on her brain via MRI. A shunt was inserted to relieve the pressure, she was intubated and placed into a deep coma from which she would never awaken.  Despite these medical interventions and pharmacological interventions, the pressure did not subside.  A craniotomy was performed the following Saturday as a last ditch effort to relieve the unrelenting pressure in her brain.  The craniotomy was able to reduce the pressure but it was too late.  There was no longer any brain activity and my cousin's daughter was removed from life support after they were able to say their goodbyes.     The medical examiner will be examining her brain to attempt to find a cause but that report may take 6 months."
	"1368271-1"	"1368271-1"	"LUMBAR PUNCTURE"	"10024999"	"30-39 years"	"30-39"	"On April 15th, the otherwise healthy 30 year old daughter of my cousin passed away in a hospital from a massive stroke and seizures related to encephalitis of unknown cause.    She recovered easily from Covid19 back in November of 2020, along with several of her close friends and family members with no lingering effects.  On March 30th, she was given a single dose of the Moderna vaccine along with her teaching colleagues at a local high school. She initially complained of mild nausea and vomiting but quickly developed a severe headache prompting her to visit the local ER where she received treatment for a migraine. She returned to the ER at least one more time after no relief from the headache. By April 3rd,Saturday, she no longer recognized her sister nor knew what a mask was for.  Her family rushed her again to the same ER and she was subsequently transferred the following day to a Hospital.   Due to dangerously high intracranial pressure, she suffered a stroke with paralysis of her left side and a seizure.  Multiple lesions were noted on her brain via MRI. A shunt was inserted to relieve the pressure, she was intubated and placed into a deep coma from which she would never awaken.  Despite these medical interventions and pharmacological interventions, the pressure did not subside.  A craniotomy was performed the following Saturday as a last ditch effort to relieve the unrelenting pressure in her brain.  The craniotomy was able to reduce the pressure but it was too late.  There was no longer any brain activity and my cousin's daughter was removed from life support after they were able to say their goodbyes.     The medical examiner will be examining her brain to attempt to find a cause but that report may take 6 months."
	"1368271-1"	"1368271-1"	"MAGNETIC RESONANCE IMAGING HEAD ABNORMAL"	"10085256"	"30-39 years"	"30-39"	"On April 15th, the otherwise healthy 30 year old daughter of my cousin passed away in a hospital from a massive stroke and seizures related to encephalitis of unknown cause.    She recovered easily from Covid19 back in November of 2020, along with several of her close friends and family members with no lingering effects.  On March 30th, she was given a single dose of the Moderna vaccine along with her teaching colleagues at a local high school. She initially complained of mild nausea and vomiting but quickly developed a severe headache prompting her to visit the local ER where she received treatment for a migraine. She returned to the ER at least one more time after no relief from the headache. By April 3rd,Saturday, she no longer recognized her sister nor knew what a mask was for.  Her family rushed her again to the same ER and she was subsequently transferred the following day to a Hospital.   Due to dangerously high intracranial pressure, she suffered a stroke with paralysis of her left side and a seizure.  Multiple lesions were noted on her brain via MRI. A shunt was inserted to relieve the pressure, she was intubated and placed into a deep coma from which she would never awaken.  Despite these medical interventions and pharmacological interventions, the pressure did not subside.  A craniotomy was performed the following Saturday as a last ditch effort to relieve the unrelenting pressure in her brain.  The craniotomy was able to reduce the pressure but it was too late.  There was no longer any brain activity and my cousin's daughter was removed from life support after they were able to say their goodbyes.     The medical examiner will be examining her brain to attempt to find a cause but that report may take 6 months."
	"1368271-1"	"1368271-1"	"MEDICAL INDUCTION OF COMA"	"10070677"	"30-39 years"	"30-39"	"On April 15th, the otherwise healthy 30 year old daughter of my cousin passed away in a hospital from a massive stroke and seizures related to encephalitis of unknown cause.    She recovered easily from Covid19 back in November of 2020, along with several of her close friends and family members with no lingering effects.  On March 30th, she was given a single dose of the Moderna vaccine along with her teaching colleagues at a local high school. She initially complained of mild nausea and vomiting but quickly developed a severe headache prompting her to visit the local ER where she received treatment for a migraine. She returned to the ER at least one more time after no relief from the headache. By April 3rd,Saturday, she no longer recognized her sister nor knew what a mask was for.  Her family rushed her again to the same ER and she was subsequently transferred the following day to a Hospital.   Due to dangerously high intracranial pressure, she suffered a stroke with paralysis of her left side and a seizure.  Multiple lesions were noted on her brain via MRI. A shunt was inserted to relieve the pressure, she was intubated and placed into a deep coma from which she would never awaken.  Despite these medical interventions and pharmacological interventions, the pressure did not subside.  A craniotomy was performed the following Saturday as a last ditch effort to relieve the unrelenting pressure in her brain.  The craniotomy was able to reduce the pressure but it was too late.  There was no longer any brain activity and my cousin's daughter was removed from life support after they were able to say their goodbyes.     The medical examiner will be examining her brain to attempt to find a cause but that report may take 6 months."
	"1368271-1"	"1368271-1"	"MEMORY IMPAIRMENT"	"10027175"	"30-39 years"	"30-39"	"On April 15th, the otherwise healthy 30 year old daughter of my cousin passed away in a hospital from a massive stroke and seizures related to encephalitis of unknown cause.    She recovered easily from Covid19 back in November of 2020, along with several of her close friends and family members with no lingering effects.  On March 30th, she was given a single dose of the Moderna vaccine along with her teaching colleagues at a local high school. She initially complained of mild nausea and vomiting but quickly developed a severe headache prompting her to visit the local ER where she received treatment for a migraine. She returned to the ER at least one more time after no relief from the headache. By April 3rd,Saturday, she no longer recognized her sister nor knew what a mask was for.  Her family rushed her again to the same ER and she was subsequently transferred the following day to a Hospital.   Due to dangerously high intracranial pressure, she suffered a stroke with paralysis of her left side and a seizure.  Multiple lesions were noted on her brain via MRI. A shunt was inserted to relieve the pressure, she was intubated and placed into a deep coma from which she would never awaken.  Despite these medical interventions and pharmacological interventions, the pressure did not subside.  A craniotomy was performed the following Saturday as a last ditch effort to relieve the unrelenting pressure in her brain.  The craniotomy was able to reduce the pressure but it was too late.  There was no longer any brain activity and my cousin's daughter was removed from life support after they were able to say their goodbyes.     The medical examiner will be examining her brain to attempt to find a cause but that report may take 6 months."
	"1368271-1"	"1368271-1"	"MIGRAINE"	"10027599"	"30-39 years"	"30-39"	"On April 15th, the otherwise healthy 30 year old daughter of my cousin passed away in a hospital from a massive stroke and seizures related to encephalitis of unknown cause.    She recovered easily from Covid19 back in November of 2020, along with several of her close friends and family members with no lingering effects.  On March 30th, she was given a single dose of the Moderna vaccine along with her teaching colleagues at a local high school. She initially complained of mild nausea and vomiting but quickly developed a severe headache prompting her to visit the local ER where she received treatment for a migraine. She returned to the ER at least one more time after no relief from the headache. By April 3rd,Saturday, she no longer recognized her sister nor knew what a mask was for.  Her family rushed her again to the same ER and she was subsequently transferred the following day to a Hospital.   Due to dangerously high intracranial pressure, she suffered a stroke with paralysis of her left side and a seizure.  Multiple lesions were noted on her brain via MRI. A shunt was inserted to relieve the pressure, she was intubated and placed into a deep coma from which she would never awaken.  Despite these medical interventions and pharmacological interventions, the pressure did not subside.  A craniotomy was performed the following Saturday as a last ditch effort to relieve the unrelenting pressure in her brain.  The craniotomy was able to reduce the pressure but it was too late.  There was no longer any brain activity and my cousin's daughter was removed from life support after they were able to say their goodbyes.     The medical examiner will be examining her brain to attempt to find a cause but that report may take 6 months."
	"1368271-1"	"1368271-1"	"NAUSEA"	"10028813"	"30-39 years"	"30-39"	"On April 15th, the otherwise healthy 30 year old daughter of my cousin passed away in a hospital from a massive stroke and seizures related to encephalitis of unknown cause.    She recovered easily from Covid19 back in November of 2020, along with several of her close friends and family members with no lingering effects.  On March 30th, she was given a single dose of the Moderna vaccine along with her teaching colleagues at a local high school. She initially complained of mild nausea and vomiting but quickly developed a severe headache prompting her to visit the local ER where she received treatment for a migraine. She returned to the ER at least one more time after no relief from the headache. By April 3rd,Saturday, she no longer recognized her sister nor knew what a mask was for.  Her family rushed her again to the same ER and she was subsequently transferred the following day to a Hospital.   Due to dangerously high intracranial pressure, she suffered a stroke with paralysis of her left side and a seizure.  Multiple lesions were noted on her brain via MRI. A shunt was inserted to relieve the pressure, she was intubated and placed into a deep coma from which she would never awaken.  Despite these medical interventions and pharmacological interventions, the pressure did not subside.  A craniotomy was performed the following Saturday as a last ditch effort to relieve the unrelenting pressure in her brain.  The craniotomy was able to reduce the pressure but it was too late.  There was no longer any brain activity and my cousin's daughter was removed from life support after they were able to say their goodbyes.     The medical examiner will be examining her brain to attempt to find a cause but that report may take 6 months."
	"1368271-1"	"1368271-1"	"SEIZURE"	"10039906"	"30-39 years"	"30-39"	"On April 15th, the otherwise healthy 30 year old daughter of my cousin passed away in a hospital from a massive stroke and seizures related to encephalitis of unknown cause.    She recovered easily from Covid19 back in November of 2020, along with several of her close friends and family members with no lingering effects.  On March 30th, she was given a single dose of the Moderna vaccine along with her teaching colleagues at a local high school. She initially complained of mild nausea and vomiting but quickly developed a severe headache prompting her to visit the local ER where she received treatment for a migraine. She returned to the ER at least one more time after no relief from the headache. By April 3rd,Saturday, she no longer recognized her sister nor knew what a mask was for.  Her family rushed her again to the same ER and she was subsequently transferred the following day to a Hospital.   Due to dangerously high intracranial pressure, she suffered a stroke with paralysis of her left side and a seizure.  Multiple lesions were noted on her brain via MRI. A shunt was inserted to relieve the pressure, she was intubated and placed into a deep coma from which she would never awaken.  Despite these medical interventions and pharmacological interventions, the pressure did not subside.  A craniotomy was performed the following Saturday as a last ditch effort to relieve the unrelenting pressure in her brain.  The craniotomy was able to reduce the pressure but it was too late.  There was no longer any brain activity and my cousin's daughter was removed from life support after they were able to say their goodbyes.     The medical examiner will be examining her brain to attempt to find a cause but that report may take 6 months."
	"1368271-1"	"1368271-1"	"VENTRICULO-PERITONEAL SHUNT"	"10047304"	"30-39 years"	"30-39"	"On April 15th, the otherwise healthy 30 year old daughter of my cousin passed away in a hospital from a massive stroke and seizures related to encephalitis of unknown cause.    She recovered easily from Covid19 back in November of 2020, along with several of her close friends and family members with no lingering effects.  On March 30th, she was given a single dose of the Moderna vaccine along with her teaching colleagues at a local high school. She initially complained of mild nausea and vomiting but quickly developed a severe headache prompting her to visit the local ER where she received treatment for a migraine. She returned to the ER at least one more time after no relief from the headache. By April 3rd,Saturday, she no longer recognized her sister nor knew what a mask was for.  Her family rushed her again to the same ER and she was subsequently transferred the following day to a Hospital.   Due to dangerously high intracranial pressure, she suffered a stroke with paralysis of her left side and a seizure.  Multiple lesions were noted on her brain via MRI. A shunt was inserted to relieve the pressure, she was intubated and placed into a deep coma from which she would never awaken.  Despite these medical interventions and pharmacological interventions, the pressure did not subside.  A craniotomy was performed the following Saturday as a last ditch effort to relieve the unrelenting pressure in her brain.  The craniotomy was able to reduce the pressure but it was too late.  There was no longer any brain activity and my cousin's daughter was removed from life support after they were able to say their goodbyes.     The medical examiner will be examining her brain to attempt to find a cause but that report may take 6 months."
	"1368271-1"	"1368271-1"	"VOMITING"	"10047700"	"30-39 years"	"30-39"	"On April 15th, the otherwise healthy 30 year old daughter of my cousin passed away in a hospital from a massive stroke and seizures related to encephalitis of unknown cause.    She recovered easily from Covid19 back in November of 2020, along with several of her close friends and family members with no lingering effects.  On March 30th, she was given a single dose of the Moderna vaccine along with her teaching colleagues at a local high school. She initially complained of mild nausea and vomiting but quickly developed a severe headache prompting her to visit the local ER where she received treatment for a migraine. She returned to the ER at least one more time after no relief from the headache. By April 3rd,Saturday, she no longer recognized her sister nor knew what a mask was for.  Her family rushed her again to the same ER and she was subsequently transferred the following day to a Hospital.   Due to dangerously high intracranial pressure, she suffered a stroke with paralysis of her left side and a seizure.  Multiple lesions were noted on her brain via MRI. A shunt was inserted to relieve the pressure, she was intubated and placed into a deep coma from which she would never awaken.  Despite these medical interventions and pharmacological interventions, the pressure did not subside.  A craniotomy was performed the following Saturday as a last ditch effort to relieve the unrelenting pressure in her brain.  The craniotomy was able to reduce the pressure but it was too late.  There was no longer any brain activity and my cousin's daughter was removed from life support after they were able to say their goodbyes.     The medical examiner will be examining her brain to attempt to find a cause but that report may take 6 months."
	"1368271-1"	"1368271-1"	"WITHDRAWAL OF LIFE SUPPORT"	"10067595"	"30-39 years"	"30-39"	"On April 15th, the otherwise healthy 30 year old daughter of my cousin passed away in a hospital from a massive stroke and seizures related to encephalitis of unknown cause.    She recovered easily from Covid19 back in November of 2020, along with several of her close friends and family members with no lingering effects.  On March 30th, she was given a single dose of the Moderna vaccine along with her teaching colleagues at a local high school. She initially complained of mild nausea and vomiting but quickly developed a severe headache prompting her to visit the local ER where she received treatment for a migraine. She returned to the ER at least one more time after no relief from the headache. By April 3rd,Saturday, she no longer recognized her sister nor knew what a mask was for.  Her family rushed her again to the same ER and she was subsequently transferred the following day to a Hospital.   Due to dangerously high intracranial pressure, she suffered a stroke with paralysis of her left side and a seizure.  Multiple lesions were noted on her brain via MRI. A shunt was inserted to relieve the pressure, she was intubated and placed into a deep coma from which she would never awaken.  Despite these medical interventions and pharmacological interventions, the pressure did not subside.  A craniotomy was performed the following Saturday as a last ditch effort to relieve the unrelenting pressure in her brain.  The craniotomy was able to reduce the pressure but it was too late.  There was no longer any brain activity and my cousin's daughter was removed from life support after they were able to say their goodbyes.     The medical examiner will be examining her brain to attempt to find a cause but that report may take 6 months."
	"1371338-1"	"1371338-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"32 year old female received vaccines while pregnant with her 3rd child. Pt has asymptomatic Factor V Leiden. She delivered on 5/27/2021 and passed away on 5/31/2021."
	"1371338-1"	"1371338-1"	"DELIVERY"	"10067647"	"30-39 years"	"30-39"	"32 year old female received vaccines while pregnant with her 3rd child. Pt has asymptomatic Factor V Leiden. She delivered on 5/27/2021 and passed away on 5/31/2021."
	"1371338-1"	"1371338-1"	"EXPOSURE DURING PREGNANCY"	"10073513"	"30-39 years"	"30-39"	"32 year old female received vaccines while pregnant with her 3rd child. Pt has asymptomatic Factor V Leiden. She delivered on 5/27/2021 and passed away on 5/31/2021."
	"1372096-1"	"1372096-1"	"PATHOLOGY TEST"	"10068056"	"30-39 years"	"30-39"	"Patient died abruptly 2-3 hours after receiving shot."
	"1372096-1"	"1372096-1"	"SUDDEN DEATH"	"10042434"	"30-39 years"	"30-39"	"Patient died abruptly 2-3 hours after receiving shot."
	"1372112-1"	"1372112-1"	"AUTOPSY"	"10050117"	"30-39 years"	"30-39"	"Pt died of massive pontine hemorrhage and then cardiac arrest two weeks after vaccination."
	"1372112-1"	"1372112-1"	"BRAIN STEM HAEMORRHAGE"	"10006145"	"30-39 years"	"30-39"	"Pt died of massive pontine hemorrhage and then cardiac arrest two weeks after vaccination."
	"1372112-1"	"1372112-1"	"CARDIAC ARREST"	"10007515"	"30-39 years"	"30-39"	"Pt died of massive pontine hemorrhage and then cardiac arrest two weeks after vaccination."
	"1374169-1"	"1374169-1"	"BRAIN COMPRESSION"	"10006112"	"40-49 years"	"40-49"	"became unresponsive, intubated in the field with CT images revealing a diffuse SAH, IVH, cerebral edema, brain compression, possible aspiration pneumonia o Admit to NICU s/o Doctor o Consult Doctor for CC o Neuro checks q1h o SBP < 110 o Mannitol 50g IV x1 stat than 3% HTS for NA goal 145-155 o EVD placement ASAP o Amicar 5g stat o COVID PCR negative o Labs/ medications as ordered o SAH protocol o Plan for cerebral angiogram and possible coiling in am with Doctor."
	"1374169-1"	"1374169-1"	"BRAIN OEDEMA"	"10048962"	"40-49 years"	"40-49"	"became unresponsive, intubated in the field with CT images revealing a diffuse SAH, IVH, cerebral edema, brain compression, possible aspiration pneumonia o Admit to NICU s/o Doctor o Consult Doctor for CC o Neuro checks q1h o SBP < 110 o Mannitol 50g IV x1 stat than 3% HTS for NA goal 145-155 o EVD placement ASAP o Amicar 5g stat o COVID PCR negative o Labs/ medications as ordered o SAH protocol o Plan for cerebral angiogram and possible coiling in am with Doctor."
	"1374169-1"	"1374169-1"	"COMPUTERISED TOMOGRAM ABNORMAL"	"10010235"	"40-49 years"	"40-49"	"became unresponsive, intubated in the field with CT images revealing a diffuse SAH, IVH, cerebral edema, brain compression, possible aspiration pneumonia o Admit to NICU s/o Doctor o Consult Doctor for CC o Neuro checks q1h o SBP < 110 o Mannitol 50g IV x1 stat than 3% HTS for NA goal 145-155 o EVD placement ASAP o Amicar 5g stat o COVID PCR negative o Labs/ medications as ordered o SAH protocol o Plan for cerebral angiogram and possible coiling in am with Doctor."
	"1374169-1"	"1374169-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"40-49 years"	"40-49"	"became unresponsive, intubated in the field with CT images revealing a diffuse SAH, IVH, cerebral edema, brain compression, possible aspiration pneumonia o Admit to NICU s/o Doctor o Consult Doctor for CC o Neuro checks q1h o SBP < 110 o Mannitol 50g IV x1 stat than 3% HTS for NA goal 145-155 o EVD placement ASAP o Amicar 5g stat o COVID PCR negative o Labs/ medications as ordered o SAH protocol o Plan for cerebral angiogram and possible coiling in am with Doctor."
	"1374169-1"	"1374169-1"	"INTENSIVE CARE"	"10022519"	"40-49 years"	"40-49"	"became unresponsive, intubated in the field with CT images revealing a diffuse SAH, IVH, cerebral edema, brain compression, possible aspiration pneumonia o Admit to NICU s/o Doctor o Consult Doctor for CC o Neuro checks q1h o SBP < 110 o Mannitol 50g IV x1 stat than 3% HTS for NA goal 145-155 o EVD placement ASAP o Amicar 5g stat o COVID PCR negative o Labs/ medications as ordered o SAH protocol o Plan for cerebral angiogram and possible coiling in am with Doctor."
	"1374169-1"	"1374169-1"	"INTRAVENTRICULAR HAEMORRHAGE"	"10022840"	"40-49 years"	"40-49"	"became unresponsive, intubated in the field with CT images revealing a diffuse SAH, IVH, cerebral edema, brain compression, possible aspiration pneumonia o Admit to NICU s/o Doctor o Consult Doctor for CC o Neuro checks q1h o SBP < 110 o Mannitol 50g IV x1 stat than 3% HTS for NA goal 145-155 o EVD placement ASAP o Amicar 5g stat o COVID PCR negative o Labs/ medications as ordered o SAH protocol o Plan for cerebral angiogram and possible coiling in am with Doctor."
	"1374169-1"	"1374169-1"	"LABORATORY TEST"	"10059938"	"40-49 years"	"40-49"	"became unresponsive, intubated in the field with CT images revealing a diffuse SAH, IVH, cerebral edema, brain compression, possible aspiration pneumonia o Admit to NICU s/o Doctor o Consult Doctor for CC o Neuro checks q1h o SBP < 110 o Mannitol 50g IV x1 stat than 3% HTS for NA goal 145-155 o EVD placement ASAP o Amicar 5g stat o COVID PCR negative o Labs/ medications as ordered o SAH protocol o Plan for cerebral angiogram and possible coiling in am with Doctor."
	"1374169-1"	"1374169-1"	"SARS-COV-2 TEST NEGATIVE"	"10084273"	"40-49 years"	"40-49"	"became unresponsive, intubated in the field with CT images revealing a diffuse SAH, IVH, cerebral edema, brain compression, possible aspiration pneumonia o Admit to NICU s/o Doctor o Consult Doctor for CC o Neuro checks q1h o SBP < 110 o Mannitol 50g IV x1 stat than 3% HTS for NA goal 145-155 o EVD placement ASAP o Amicar 5g stat o COVID PCR negative o Labs/ medications as ordered o SAH protocol o Plan for cerebral angiogram and possible coiling in am with Doctor."
	"1374169-1"	"1374169-1"	"SUBARACHNOID HAEMORRHAGE"	"10042316"	"40-49 years"	"40-49"	"became unresponsive, intubated in the field with CT images revealing a diffuse SAH, IVH, cerebral edema, brain compression, possible aspiration pneumonia o Admit to NICU s/o Doctor o Consult Doctor for CC o Neuro checks q1h o SBP < 110 o Mannitol 50g IV x1 stat than 3% HTS for NA goal 145-155 o EVD placement ASAP o Amicar 5g stat o COVID PCR negative o Labs/ medications as ordered o SAH protocol o Plan for cerebral angiogram and possible coiling in am with Doctor."
	"1374169-1"	"1374169-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"40-49 years"	"40-49"	"became unresponsive, intubated in the field with CT images revealing a diffuse SAH, IVH, cerebral edema, brain compression, possible aspiration pneumonia o Admit to NICU s/o Doctor o Consult Doctor for CC o Neuro checks q1h o SBP < 110 o Mannitol 50g IV x1 stat than 3% HTS for NA goal 145-155 o EVD placement ASAP o Amicar 5g stat o COVID PCR negative o Labs/ medications as ordered o SAH protocol o Plan for cerebral angiogram and possible coiling in am with Doctor."
	"1374169-1"	"1374169-1"	"VENTRICULAR DRAINAGE"	"10052947"	"40-49 years"	"40-49"	"became unresponsive, intubated in the field with CT images revealing a diffuse SAH, IVH, cerebral edema, brain compression, possible aspiration pneumonia o Admit to NICU s/o Doctor o Consult Doctor for CC o Neuro checks q1h o SBP < 110 o Mannitol 50g IV x1 stat than 3% HTS for NA goal 145-155 o EVD placement ASAP o Amicar 5g stat o COVID PCR negative o Labs/ medications as ordered o SAH protocol o Plan for cerebral angiogram and possible coiling in am with Doctor."
	"1375603-1"	"1375603-1"	"CARDIO-RESPIRATORY ARREST"	"10007617"	"40-49 years"	"40-49"	"Received vaccine at on 5/24/2021. Patient is a 40 y/o male with no significant PMH who initially presented to the hospital after being found down at a restaurant. Was found to have ST segment changes on EKG, somnolent, and hypotensive requiring pressors. Taken to the cath lab where he had equalization of diastolic pressures and subsequently received pericardiocentesis due to concern for tamponade from pericardial effusion. 350 ccs of fluid was drained and his hemodynamics immediately improved and he came off vasopressors. Pericardial drain was placed. Over the next several days he had ongoing workup for the etiology of his pericardial effusion. His pericardial drain output dropped off, was clamped 5/31 and repeat echocardiogram 6/1 did not show significant effusion. Unfortunately, patient went into PEA arrest in the afternoon and was coded for ~40 minutes without return of ROSC. Unclear etiology at this time, no evidence of significant effusion on echocardiogram"
	"1375603-1"	"1375603-1"	"ECHOCARDIOGRAM NORMAL"	"10014115"	"40-49 years"	"40-49"	"Received vaccine at on 5/24/2021. Patient is a 40 y/o male with no significant PMH who initially presented to the hospital after being found down at a restaurant. Was found to have ST segment changes on EKG, somnolent, and hypotensive requiring pressors. Taken to the cath lab where he had equalization of diastolic pressures and subsequently received pericardiocentesis due to concern for tamponade from pericardial effusion. 350 ccs of fluid was drained and his hemodynamics immediately improved and he came off vasopressors. Pericardial drain was placed. Over the next several days he had ongoing workup for the etiology of his pericardial effusion. His pericardial drain output dropped off, was clamped 5/31 and repeat echocardiogram 6/1 did not show significant effusion. Unfortunately, patient went into PEA arrest in the afternoon and was coded for ~40 minutes without return of ROSC. Unclear etiology at this time, no evidence of significant effusion on echocardiogram"
	"1375603-1"	"1375603-1"	"ELECTROCARDIOGRAM"	"10014362"	"40-49 years"	"40-49"	"Received vaccine at on 5/24/2021. Patient is a 40 y/o male with no significant PMH who initially presented to the hospital after being found down at a restaurant. Was found to have ST segment changes on EKG, somnolent, and hypotensive requiring pressors. Taken to the cath lab where he had equalization of diastolic pressures and subsequently received pericardiocentesis due to concern for tamponade from pericardial effusion. 350 ccs of fluid was drained and his hemodynamics immediately improved and he came off vasopressors. Pericardial drain was placed. Over the next several days he had ongoing workup for the etiology of his pericardial effusion. His pericardial drain output dropped off, was clamped 5/31 and repeat echocardiogram 6/1 did not show significant effusion. Unfortunately, patient went into PEA arrest in the afternoon and was coded for ~40 minutes without return of ROSC. Unclear etiology at this time, no evidence of significant effusion on echocardiogram"
	"1375603-1"	"1375603-1"	"ELECTROCARDIOGRAM ST SEGMENT"	"10014389"	"40-49 years"	"40-49"	"Received vaccine at on 5/24/2021. Patient is a 40 y/o male with no significant PMH who initially presented to the hospital after being found down at a restaurant. Was found to have ST segment changes on EKG, somnolent, and hypotensive requiring pressors. Taken to the cath lab where he had equalization of diastolic pressures and subsequently received pericardiocentesis due to concern for tamponade from pericardial effusion. 350 ccs of fluid was drained and his hemodynamics immediately improved and he came off vasopressors. Pericardial drain was placed. Over the next several days he had ongoing workup for the etiology of his pericardial effusion. His pericardial drain output dropped off, was clamped 5/31 and repeat echocardiogram 6/1 did not show significant effusion. Unfortunately, patient went into PEA arrest in the afternoon and was coded for ~40 minutes without return of ROSC. Unclear etiology at this time, no evidence of significant effusion on echocardiogram"
	"1375603-1"	"1375603-1"	"HAEMODYNAMIC TEST"	"10061189"	"40-49 years"	"40-49"	"Received vaccine at on 5/24/2021. Patient is a 40 y/o male with no significant PMH who initially presented to the hospital after being found down at a restaurant. Was found to have ST segment changes on EKG, somnolent, and hypotensive requiring pressors. Taken to the cath lab where he had equalization of diastolic pressures and subsequently received pericardiocentesis due to concern for tamponade from pericardial effusion. 350 ccs of fluid was drained and his hemodynamics immediately improved and he came off vasopressors. Pericardial drain was placed. Over the next several days he had ongoing workup for the etiology of his pericardial effusion. His pericardial drain output dropped off, was clamped 5/31 and repeat echocardiogram 6/1 did not show significant effusion. Unfortunately, patient went into PEA arrest in the afternoon and was coded for ~40 minutes without return of ROSC. Unclear etiology at this time, no evidence of significant effusion on echocardiogram"
	"1375603-1"	"1375603-1"	"HYPOTENSION"	"10021097"	"40-49 years"	"40-49"	"Received vaccine at on 5/24/2021. Patient is a 40 y/o male with no significant PMH who initially presented to the hospital after being found down at a restaurant. Was found to have ST segment changes on EKG, somnolent, and hypotensive requiring pressors. Taken to the cath lab where he had equalization of diastolic pressures and subsequently received pericardiocentesis due to concern for tamponade from pericardial effusion. 350 ccs of fluid was drained and his hemodynamics immediately improved and he came off vasopressors. Pericardial drain was placed. Over the next several days he had ongoing workup for the etiology of his pericardial effusion. His pericardial drain output dropped off, was clamped 5/31 and repeat echocardiogram 6/1 did not show significant effusion. Unfortunately, patient went into PEA arrest in the afternoon and was coded for ~40 minutes without return of ROSC. Unclear etiology at this time, no evidence of significant effusion on echocardiogram"
	"1375603-1"	"1375603-1"	"LABORATORY TEST"	"10059938"	"40-49 years"	"40-49"	"Received vaccine at on 5/24/2021. Patient is a 40 y/o male with no significant PMH who initially presented to the hospital after being found down at a restaurant. Was found to have ST segment changes on EKG, somnolent, and hypotensive requiring pressors. Taken to the cath lab where he had equalization of diastolic pressures and subsequently received pericardiocentesis due to concern for tamponade from pericardial effusion. 350 ccs of fluid was drained and his hemodynamics immediately improved and he came off vasopressors. Pericardial drain was placed. Over the next several days he had ongoing workup for the etiology of his pericardial effusion. His pericardial drain output dropped off, was clamped 5/31 and repeat echocardiogram 6/1 did not show significant effusion. Unfortunately, patient went into PEA arrest in the afternoon and was coded for ~40 minutes without return of ROSC. Unclear etiology at this time, no evidence of significant effusion on echocardiogram"
	"1375603-1"	"1375603-1"	"PERICARDIAL DRAINAGE"	"10034471"	"40-49 years"	"40-49"	"Received vaccine at on 5/24/2021. Patient is a 40 y/o male with no significant PMH who initially presented to the hospital after being found down at a restaurant. Was found to have ST segment changes on EKG, somnolent, and hypotensive requiring pressors. Taken to the cath lab where he had equalization of diastolic pressures and subsequently received pericardiocentesis due to concern for tamponade from pericardial effusion. 350 ccs of fluid was drained and his hemodynamics immediately improved and he came off vasopressors. Pericardial drain was placed. Over the next several days he had ongoing workup for the etiology of his pericardial effusion. His pericardial drain output dropped off, was clamped 5/31 and repeat echocardiogram 6/1 did not show significant effusion. Unfortunately, patient went into PEA arrest in the afternoon and was coded for ~40 minutes without return of ROSC. Unclear etiology at this time, no evidence of significant effusion on echocardiogram"
	"1375603-1"	"1375603-1"	"PERICARDIAL EFFUSION"	"10034474"	"40-49 years"	"40-49"	"Received vaccine at on 5/24/2021. Patient is a 40 y/o male with no significant PMH who initially presented to the hospital after being found down at a restaurant. Was found to have ST segment changes on EKG, somnolent, and hypotensive requiring pressors. Taken to the cath lab where he had equalization of diastolic pressures and subsequently received pericardiocentesis due to concern for tamponade from pericardial effusion. 350 ccs of fluid was drained and his hemodynamics immediately improved and he came off vasopressors. Pericardial drain was placed. Over the next several days he had ongoing workup for the etiology of his pericardial effusion. His pericardial drain output dropped off, was clamped 5/31 and repeat echocardiogram 6/1 did not show significant effusion. Unfortunately, patient went into PEA arrest in the afternoon and was coded for ~40 minutes without return of ROSC. Unclear etiology at this time, no evidence of significant effusion on echocardiogram"
	"1375603-1"	"1375603-1"	"PULSELESS ELECTRICAL ACTIVITY"	"10058151"	"40-49 years"	"40-49"	"Received vaccine at on 5/24/2021. Patient is a 40 y/o male with no significant PMH who initially presented to the hospital after being found down at a restaurant. Was found to have ST segment changes on EKG, somnolent, and hypotensive requiring pressors. Taken to the cath lab where he had equalization of diastolic pressures and subsequently received pericardiocentesis due to concern for tamponade from pericardial effusion. 350 ccs of fluid was drained and his hemodynamics immediately improved and he came off vasopressors. Pericardial drain was placed. Over the next several days he had ongoing workup for the etiology of his pericardial effusion. His pericardial drain output dropped off, was clamped 5/31 and repeat echocardiogram 6/1 did not show significant effusion. Unfortunately, patient went into PEA arrest in the afternoon and was coded for ~40 minutes without return of ROSC. Unclear etiology at this time, no evidence of significant effusion on echocardiogram"
	"1375603-1"	"1375603-1"	"SOMNOLENCE"	"10041349"	"40-49 years"	"40-49"	"Received vaccine at on 5/24/2021. Patient is a 40 y/o male with no significant PMH who initially presented to the hospital after being found down at a restaurant. Was found to have ST segment changes on EKG, somnolent, and hypotensive requiring pressors. Taken to the cath lab where he had equalization of diastolic pressures and subsequently received pericardiocentesis due to concern for tamponade from pericardial effusion. 350 ccs of fluid was drained and his hemodynamics immediately improved and he came off vasopressors. Pericardial drain was placed. Over the next several days he had ongoing workup for the etiology of his pericardial effusion. His pericardial drain output dropped off, was clamped 5/31 and repeat echocardiogram 6/1 did not show significant effusion. Unfortunately, patient went into PEA arrest in the afternoon and was coded for ~40 minutes without return of ROSC. Unclear etiology at this time, no evidence of significant effusion on echocardiogram"
	"1376795-1"	"1376795-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"On June 3 he developed a sore throat. His voice sounded like he had a frog in it. Early on June 4 he had to urinate about 10 - 15 times overnight in about a 6 hour timeframe. Later on Friday he left home and a short time later called 911 saying he couldn?t breath. When the paramedics arrived they couldn?t revive him and he died."
	"1376795-1"	"1376795-1"	"DYSPHONIA"	"10013952"	"40-49 years"	"40-49"	"On June 3 he developed a sore throat. His voice sounded like he had a frog in it. Early on June 4 he had to urinate about 10 - 15 times overnight in about a 6 hour timeframe. Later on Friday he left home and a short time later called 911 saying he couldn?t breath. When the paramedics arrived they couldn?t revive him and he died."
	"1376795-1"	"1376795-1"	"DYSPNOEA"	"10013968"	"40-49 years"	"40-49"	"On June 3 he developed a sore throat. His voice sounded like he had a frog in it. Early on June 4 he had to urinate about 10 - 15 times overnight in about a 6 hour timeframe. Later on Friday he left home and a short time later called 911 saying he couldn?t breath. When the paramedics arrived they couldn?t revive him and he died."
	"1376795-1"	"1376795-1"	"OROPHARYNGEAL PAIN"	"10068319"	"40-49 years"	"40-49"	"On June 3 he developed a sore throat. His voice sounded like he had a frog in it. Early on June 4 he had to urinate about 10 - 15 times overnight in about a 6 hour timeframe. Later on Friday he left home and a short time later called 911 saying he couldn?t breath. When the paramedics arrived they couldn?t revive him and he died."
	"1376795-1"	"1376795-1"	"POLLAKIURIA"	"10036018"	"40-49 years"	"40-49"	"On June 3 he developed a sore throat. His voice sounded like he had a frog in it. Early on June 4 he had to urinate about 10 - 15 times overnight in about a 6 hour timeframe. Later on Friday he left home and a short time later called 911 saying he couldn?t breath. When the paramedics arrived they couldn?t revive him and he died."
	"1377302-1"	"1377302-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"PATIENT WAS FOUND DECEASED 3 DAYS AFTER THE SHOT WAS GIVEN."
	"1378118-1"	"1378118-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Decedent passed 06/05/2021 at 1042 hours. Exam showed bilateral pulmonary emboli."
	"1378118-1"	"1378118-1"	"PULMONARY EMBOLISM"	"10037377"	"30-39 years"	"30-39"	"Decedent passed 06/05/2021 at 1042 hours. Exam showed bilateral pulmonary emboli."
	"1378118-1"	"1378118-1"	"PULMONARY IMAGING PROCEDURE ABNORMAL"	"10082582"	"30-39 years"	"30-39"	"Decedent passed 06/05/2021 at 1042 hours. Exam showed bilateral pulmonary emboli."
	"1381705-1"	"1381705-1"	"AUTOPSY"	"10050117"	"30-39 years"	"30-39"	"First shot  Lot# ER 8732    administered 04/03/2021 Death"
	"1381705-1"	"1381705-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"First shot  Lot# ER 8732    administered 04/03/2021 Death"
	"1383413-1"	"1383413-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Sudden death in sleep"
	"1383413-1"	"1383413-1"	"SUDDEN DEATH"	"10042434"	"40-49 years"	"40-49"	"Sudden death in sleep"
	"1384860-1"	"1384860-1"	"ANGIOGRAM PULMONARY NORMAL"	"10002442"	"40-49 years"	"40-49"	""Pt rec'd 2 doses Pfizer/BioNTech, 2nd dose May 9,2021 at outside facility. Presented to hospital on 06/08/21 after cardiac arrest, sudden collapse at home, refractory PEA with ongoing CPR >4hrs, cardiogenic shock (EF20%), refractory DIC, MOSF and coma. Uncertain antecedent history, pt had tolerated vaccine well w/o untoward reactions, was possibly ""sick"" in the 2 days prior to admission 06/08, but limited history available. SARS2 PCR and resp path PCR panels negative, no clear bacterial source of shock/collapse initially identified, thus concern for primary myocarditis resulting in refractory shock (perhaps also with ischemic CVA); Tpn not c/w type I ACS/MI. Workup negative for PE, hemorrhagic stroke, PTX/tamponade, etc. 6hrs after death (in evening 06/08/21) BCx x2 resulted Grp A strep, thus pt may have had TSS at home then collapsed in PEA, however source of TSS is uncertain.  Notably patient usually healthy, active, no medications, favorable lipid panel, no illicits; + EtOH binge-drinking last several months but no cirrhosis/ESLD previously doubt primarily Etoh-related process.  Pt had ongoing PEA arrests with brief ROSC for approx 7 hrs in field -> ED > ICU until death declared.""
	"1384860-1"	"1384860-1"	"ANTI-ISLET CELL ANTIBODY NEGATIVE"	"10072520"	"40-49 years"	"40-49"	""Pt rec'd 2 doses Pfizer/BioNTech, 2nd dose May 9,2021 at outside facility. Presented to hospital on 06/08/21 after cardiac arrest, sudden collapse at home, refractory PEA with ongoing CPR >4hrs, cardiogenic shock (EF20%), refractory DIC, MOSF and coma. Uncertain antecedent history, pt had tolerated vaccine well w/o untoward reactions, was possibly ""sick"" in the 2 days prior to admission 06/08, but limited history available. SARS2 PCR and resp path PCR panels negative, no clear bacterial source of shock/collapse initially identified, thus concern for primary myocarditis resulting in refractory shock (perhaps also with ischemic CVA); Tpn not c/w type I ACS/MI. Workup negative for PE, hemorrhagic stroke, PTX/tamponade, etc. 6hrs after death (in evening 06/08/21) BCx x2 resulted Grp A strep, thus pt may have had TSS at home then collapsed in PEA, however source of TSS is uncertain.  Notably patient usually healthy, active, no medications, favorable lipid panel, no illicits; + EtOH binge-drinking last several months but no cirrhosis/ESLD previously doubt primarily Etoh-related process.  Pt had ongoing PEA arrests with brief ROSC for approx 7 hrs in field -> ED > ICU until death declared.""
	"1384860-1"	"1384860-1"	"BETA HAEMOLYTIC STREPTOCOCCAL INFECTION"	"10052100"	"40-49 years"	"40-49"	""Pt rec'd 2 doses Pfizer/BioNTech, 2nd dose May 9,2021 at outside facility. Presented to hospital on 06/08/21 after cardiac arrest, sudden collapse at home, refractory PEA with ongoing CPR >4hrs, cardiogenic shock (EF20%), refractory DIC, MOSF and coma. Uncertain antecedent history, pt had tolerated vaccine well w/o untoward reactions, was possibly ""sick"" in the 2 days prior to admission 06/08, but limited history available. SARS2 PCR and resp path PCR panels negative, no clear bacterial source of shock/collapse initially identified, thus concern for primary myocarditis resulting in refractory shock (perhaps also with ischemic CVA); Tpn not c/w type I ACS/MI. Workup negative for PE, hemorrhagic stroke, PTX/tamponade, etc. 6hrs after death (in evening 06/08/21) BCx x2 resulted Grp A strep, thus pt may have had TSS at home then collapsed in PEA, however source of TSS is uncertain.  Notably patient usually healthy, active, no medications, favorable lipid panel, no illicits; + EtOH binge-drinking last several months but no cirrhosis/ESLD previously doubt primarily Etoh-related process.  Pt had ongoing PEA arrests with brief ROSC for approx 7 hrs in field -> ED > ICU until death declared.""
	"1384860-1"	"1384860-1"	"BLOOD CREATININE INCREASED"	"10005483"	"40-49 years"	"40-49"	""Pt rec'd 2 doses Pfizer/BioNTech, 2nd dose May 9,2021 at outside facility. Presented to hospital on 06/08/21 after cardiac arrest, sudden collapse at home, refractory PEA with ongoing CPR >4hrs, cardiogenic shock (EF20%), refractory DIC, MOSF and coma. Uncertain antecedent history, pt had tolerated vaccine well w/o untoward reactions, was possibly ""sick"" in the 2 days prior to admission 06/08, but limited history available. SARS2 PCR and resp path PCR panels negative, no clear bacterial source of shock/collapse initially identified, thus concern for primary myocarditis resulting in refractory shock (perhaps also with ischemic CVA); Tpn not c/w type I ACS/MI. Workup negative for PE, hemorrhagic stroke, PTX/tamponade, etc. 6hrs after death (in evening 06/08/21) BCx x2 resulted Grp A strep, thus pt may have had TSS at home then collapsed in PEA, however source of TSS is uncertain.  Notably patient usually healthy, active, no medications, favorable lipid panel, no illicits; + EtOH binge-drinking last several months but no cirrhosis/ESLD previously doubt primarily Etoh-related process.  Pt had ongoing PEA arrests with brief ROSC for approx 7 hrs in field -> ED > ICU until death declared.""
	"1384860-1"	"1384860-1"	"BLOOD CULTURE POSITIVE"	"10005488"	"40-49 years"	"40-49"	""Pt rec'd 2 doses Pfizer/BioNTech, 2nd dose May 9,2021 at outside facility. Presented to hospital on 06/08/21 after cardiac arrest, sudden collapse at home, refractory PEA with ongoing CPR >4hrs, cardiogenic shock (EF20%), refractory DIC, MOSF and coma. Uncertain antecedent history, pt had tolerated vaccine well w/o untoward reactions, was possibly ""sick"" in the 2 days prior to admission 06/08, but limited history available. SARS2 PCR and resp path PCR panels negative, no clear bacterial source of shock/collapse initially identified, thus concern for primary myocarditis resulting in refractory shock (perhaps also with ischemic CVA); Tpn not c/w type I ACS/MI. Workup negative for PE, hemorrhagic stroke, PTX/tamponade, etc. 6hrs after death (in evening 06/08/21) BCx x2 resulted Grp A strep, thus pt may have had TSS at home then collapsed in PEA, however source of TSS is uncertain.  Notably patient usually healthy, active, no medications, favorable lipid panel, no illicits; + EtOH binge-drinking last several months but no cirrhosis/ESLD previously doubt primarily Etoh-related process.  Pt had ongoing PEA arrests with brief ROSC for approx 7 hrs in field -> ED > ICU until death declared.""
	"1384860-1"	"1384860-1"	"BLOOD GASES"	"10005537"	"40-49 years"	"40-49"	""Pt rec'd 2 doses Pfizer/BioNTech, 2nd dose May 9,2021 at outside facility. Presented to hospital on 06/08/21 after cardiac arrest, sudden collapse at home, refractory PEA with ongoing CPR >4hrs, cardiogenic shock (EF20%), refractory DIC, MOSF and coma. Uncertain antecedent history, pt had tolerated vaccine well w/o untoward reactions, was possibly ""sick"" in the 2 days prior to admission 06/08, but limited history available. SARS2 PCR and resp path PCR panels negative, no clear bacterial source of shock/collapse initially identified, thus concern for primary myocarditis resulting in refractory shock (perhaps also with ischemic CVA); Tpn not c/w type I ACS/MI. Workup negative for PE, hemorrhagic stroke, PTX/tamponade, etc. 6hrs after death (in evening 06/08/21) BCx x2 resulted Grp A strep, thus pt may have had TSS at home then collapsed in PEA, however source of TSS is uncertain.  Notably patient usually healthy, active, no medications, favorable lipid panel, no illicits; + EtOH binge-drinking last several months but no cirrhosis/ESLD previously doubt primarily Etoh-related process.  Pt had ongoing PEA arrests with brief ROSC for approx 7 hrs in field -> ED > ICU until death declared.""
	"1384860-1"	"1384860-1"	"BLOOD GLUCOSE NORMAL"	"10005558"	"40-49 years"	"40-49"	""Pt rec'd 2 doses Pfizer/BioNTech, 2nd dose May 9,2021 at outside facility. Presented to hospital on 06/08/21 after cardiac arrest, sudden collapse at home, refractory PEA with ongoing CPR >4hrs, cardiogenic shock (EF20%), refractory DIC, MOSF and coma. Uncertain antecedent history, pt had tolerated vaccine well w/o untoward reactions, was possibly ""sick"" in the 2 days prior to admission 06/08, but limited history available. SARS2 PCR and resp path PCR panels negative, no clear bacterial source of shock/collapse initially identified, thus concern for primary myocarditis resulting in refractory shock (perhaps also with ischemic CVA); Tpn not c/w type I ACS/MI. Workup negative for PE, hemorrhagic stroke, PTX/tamponade, etc. 6hrs after death (in evening 06/08/21) BCx x2 resulted Grp A strep, thus pt may have had TSS at home then collapsed in PEA, however source of TSS is uncertain.  Notably patient usually healthy, active, no medications, favorable lipid panel, no illicits; + EtOH binge-drinking last several months but no cirrhosis/ESLD previously doubt primarily Etoh-related process.  Pt had ongoing PEA arrests with brief ROSC for approx 7 hrs in field -> ED > ICU until death declared.""
	"1384860-1"	"1384860-1"	"BLOOD LACTIC ACID"	"10005632"	"40-49 years"	"40-49"	""Pt rec'd 2 doses Pfizer/BioNTech, 2nd dose May 9,2021 at outside facility. Presented to hospital on 06/08/21 after cardiac arrest, sudden collapse at home, refractory PEA with ongoing CPR >4hrs, cardiogenic shock (EF20%), refractory DIC, MOSF and coma. Uncertain antecedent history, pt had tolerated vaccine well w/o untoward reactions, was possibly ""sick"" in the 2 days prior to admission 06/08, but limited history available. SARS2 PCR and resp path PCR panels negative, no clear bacterial source of shock/collapse initially identified, thus concern for primary myocarditis resulting in refractory shock (perhaps also with ischemic CVA); Tpn not c/w type I ACS/MI. Workup negative for PE, hemorrhagic stroke, PTX/tamponade, etc. 6hrs after death (in evening 06/08/21) BCx x2 resulted Grp A strep, thus pt may have had TSS at home then collapsed in PEA, however source of TSS is uncertain.  Notably patient usually healthy, active, no medications, favorable lipid panel, no illicits; + EtOH binge-drinking last several months but no cirrhosis/ESLD previously doubt primarily Etoh-related process.  Pt had ongoing PEA arrests with brief ROSC for approx 7 hrs in field -> ED > ICU until death declared.""
	"1384860-1"	"1384860-1"	"BLOOD PHOSPHORUS INCREASED"	"10050196"	"40-49 years"	"40-49"	""Pt rec'd 2 doses Pfizer/BioNTech, 2nd dose May 9,2021 at outside facility. Presented to hospital on 06/08/21 after cardiac arrest, sudden collapse at home, refractory PEA with ongoing CPR >4hrs, cardiogenic shock (EF20%), refractory DIC, MOSF and coma. Uncertain antecedent history, pt had tolerated vaccine well w/o untoward reactions, was possibly ""sick"" in the 2 days prior to admission 06/08, but limited history available. SARS2 PCR and resp path PCR panels negative, no clear bacterial source of shock/collapse initially identified, thus concern for primary myocarditis resulting in refractory shock (perhaps also with ischemic CVA); Tpn not c/w type I ACS/MI. Workup negative for PE, hemorrhagic stroke, PTX/tamponade, etc. 6hrs after death (in evening 06/08/21) BCx x2 resulted Grp A strep, thus pt may have had TSS at home then collapsed in PEA, however source of TSS is uncertain.  Notably patient usually healthy, active, no medications, favorable lipid panel, no illicits; + EtOH binge-drinking last several months but no cirrhosis/ESLD previously doubt primarily Etoh-related process.  Pt had ongoing PEA arrests with brief ROSC for approx 7 hrs in field -> ED > ICU until death declared.""
	"1384860-1"	"1384860-1"	"BLOOD POTASSIUM INCREASED"	"10005725"	"40-49 years"	"40-49"	""Pt rec'd 2 doses Pfizer/BioNTech, 2nd dose May 9,2021 at outside facility. Presented to hospital on 06/08/21 after cardiac arrest, sudden collapse at home, refractory PEA with ongoing CPR >4hrs, cardiogenic shock (EF20%), refractory DIC, MOSF and coma. Uncertain antecedent history, pt had tolerated vaccine well w/o untoward reactions, was possibly ""sick"" in the 2 days prior to admission 06/08, but limited history available. SARS2 PCR and resp path PCR panels negative, no clear bacterial source of shock/collapse initially identified, thus concern for primary myocarditis resulting in refractory shock (perhaps also with ischemic CVA); Tpn not c/w type I ACS/MI. Workup negative for PE, hemorrhagic stroke, PTX/tamponade, etc. 6hrs after death (in evening 06/08/21) BCx x2 resulted Grp A strep, thus pt may have had TSS at home then collapsed in PEA, however source of TSS is uncertain.  Notably patient usually healthy, active, no medications, favorable lipid panel, no illicits; + EtOH binge-drinking last several months but no cirrhosis/ESLD previously doubt primarily Etoh-related process.  Pt had ongoing PEA arrests with brief ROSC for approx 7 hrs in field -> ED > ICU until death declared.""
	"1384860-1"	"1384860-1"	"BLOOD SODIUM DECREASED"	"10005802"	"40-49 years"	"40-49"	""Pt rec'd 2 doses Pfizer/BioNTech, 2nd dose May 9,2021 at outside facility. Presented to hospital on 06/08/21 after cardiac arrest, sudden collapse at home, refractory PEA with ongoing CPR >4hrs, cardiogenic shock (EF20%), refractory DIC, MOSF and coma. Uncertain antecedent history, pt had tolerated vaccine well w/o untoward reactions, was possibly ""sick"" in the 2 days prior to admission 06/08, but limited history available. SARS2 PCR and resp path PCR panels negative, no clear bacterial source of shock/collapse initially identified, thus concern for primary myocarditis resulting in refractory shock (perhaps also with ischemic CVA); Tpn not c/w type I ACS/MI. Workup negative for PE, hemorrhagic stroke, PTX/tamponade, etc. 6hrs after death (in evening 06/08/21) BCx x2 resulted Grp A strep, thus pt may have had TSS at home then collapsed in PEA, however source of TSS is uncertain.  Notably patient usually healthy, active, no medications, favorable lipid panel, no illicits; + EtOH binge-drinking last several months but no cirrhosis/ESLD previously doubt primarily Etoh-related process.  Pt had ongoing PEA arrests with brief ROSC for approx 7 hrs in field -> ED > ICU until death declared.""
	"1384860-1"	"1384860-1"	"BLOOD UREA INCREASED"	"10005851"	"40-49 years"	"40-49"	""Pt rec'd 2 doses Pfizer/BioNTech, 2nd dose May 9,2021 at outside facility. Presented to hospital on 06/08/21 after cardiac arrest, sudden collapse at home, refractory PEA with ongoing CPR >4hrs, cardiogenic shock (EF20%), refractory DIC, MOSF and coma. Uncertain antecedent history, pt had tolerated vaccine well w/o untoward reactions, was possibly ""sick"" in the 2 days prior to admission 06/08, but limited history available. SARS2 PCR and resp path PCR panels negative, no clear bacterial source of shock/collapse initially identified, thus concern for primary myocarditis resulting in refractory shock (perhaps also with ischemic CVA); Tpn not c/w type I ACS/MI. Workup negative for PE, hemorrhagic stroke, PTX/tamponade, etc. 6hrs after death (in evening 06/08/21) BCx x2 resulted Grp A strep, thus pt may have had TSS at home then collapsed in PEA, however source of TSS is uncertain.  Notably patient usually healthy, active, no medications, favorable lipid panel, no illicits; + EtOH binge-drinking last several months but no cirrhosis/ESLD previously doubt primarily Etoh-related process.  Pt had ongoing PEA arrests with brief ROSC for approx 7 hrs in field -> ED > ICU until death declared.""
	"1384860-1"	"1384860-1"	"BRAIN NATRIURETIC PEPTIDE INCREASED"	"10053405"	"40-49 years"	"40-49"	""Pt rec'd 2 doses Pfizer/BioNTech, 2nd dose May 9,2021 at outside facility. Presented to hospital on 06/08/21 after cardiac arrest, sudden collapse at home, refractory PEA with ongoing CPR >4hrs, cardiogenic shock (EF20%), refractory DIC, MOSF and coma. Uncertain antecedent history, pt had tolerated vaccine well w/o untoward reactions, was possibly ""sick"" in the 2 days prior to admission 06/08, but limited history available. SARS2 PCR and resp path PCR panels negative, no clear bacterial source of shock/collapse initially identified, thus concern for primary myocarditis resulting in refractory shock (perhaps also with ischemic CVA); Tpn not c/w type I ACS/MI. Workup negative for PE, hemorrhagic stroke, PTX/tamponade, etc. 6hrs after death (in evening 06/08/21) BCx x2 resulted Grp A strep, thus pt may have had TSS at home then collapsed in PEA, however source of TSS is uncertain.  Notably patient usually healthy, active, no medications, favorable lipid panel, no illicits; + EtOH binge-drinking last several months but no cirrhosis/ESLD previously doubt primarily Etoh-related process.  Pt had ongoing PEA arrests with brief ROSC for approx 7 hrs in field -> ED > ICU until death declared.""
	"1384860-1"	"1384860-1"	"CALCIUM IONISED DECREASED"	"10060898"	"40-49 years"	"40-49"	""Pt rec'd 2 doses Pfizer/BioNTech, 2nd dose May 9,2021 at outside facility. Presented to hospital on 06/08/21 after cardiac arrest, sudden collapse at home, refractory PEA with ongoing CPR >4hrs, cardiogenic shock (EF20%), refractory DIC, MOSF and coma. Uncertain antecedent history, pt had tolerated vaccine well w/o untoward reactions, was possibly ""sick"" in the 2 days prior to admission 06/08, but limited history available. SARS2 PCR and resp path PCR panels negative, no clear bacterial source of shock/collapse initially identified, thus concern for primary myocarditis resulting in refractory shock (perhaps also with ischemic CVA); Tpn not c/w type I ACS/MI. Workup negative for PE, hemorrhagic stroke, PTX/tamponade, etc. 6hrs after death (in evening 06/08/21) BCx x2 resulted Grp A strep, thus pt may have had TSS at home then collapsed in PEA, however source of TSS is uncertain.  Notably patient usually healthy, active, no medications, favorable lipid panel, no illicits; + EtOH binge-drinking last several months but no cirrhosis/ESLD previously doubt primarily Etoh-related process.  Pt had ongoing PEA arrests with brief ROSC for approx 7 hrs in field -> ED > ICU until death declared.""
	"1384860-1"	"1384860-1"	"CARDIAC ARREST"	"10007515"	"40-49 years"	"40-49"	""Pt rec'd 2 doses Pfizer/BioNTech, 2nd dose May 9,2021 at outside facility. Presented to hospital on 06/08/21 after cardiac arrest, sudden collapse at home, refractory PEA with ongoing CPR >4hrs, cardiogenic shock (EF20%), refractory DIC, MOSF and coma. Uncertain antecedent history, pt had tolerated vaccine well w/o untoward reactions, was possibly ""sick"" in the 2 days prior to admission 06/08, but limited history available. SARS2 PCR and resp path PCR panels negative, no clear bacterial source of shock/collapse initially identified, thus concern for primary myocarditis resulting in refractory shock (perhaps also with ischemic CVA); Tpn not c/w type I ACS/MI. Workup negative for PE, hemorrhagic stroke, PTX/tamponade, etc. 6hrs after death (in evening 06/08/21) BCx x2 resulted Grp A strep, thus pt may have had TSS at home then collapsed in PEA, however source of TSS is uncertain.  Notably patient usually healthy, active, no medications, favorable lipid panel, no illicits; + EtOH binge-drinking last several months but no cirrhosis/ESLD previously doubt primarily Etoh-related process.  Pt had ongoing PEA arrests with brief ROSC for approx 7 hrs in field -> ED > ICU until death declared.""
	"1384860-1"	"1384860-1"	"CARDIOGENIC SHOCK"	"10007625"	"40-49 years"	"40-49"	""Pt rec'd 2 doses Pfizer/BioNTech, 2nd dose May 9,2021 at outside facility. Presented to hospital on 06/08/21 after cardiac arrest, sudden collapse at home, refractory PEA with ongoing CPR >4hrs, cardiogenic shock (EF20%), refractory DIC, MOSF and coma. Uncertain antecedent history, pt had tolerated vaccine well w/o untoward reactions, was possibly ""sick"" in the 2 days prior to admission 06/08, but limited history available. SARS2 PCR and resp path PCR panels negative, no clear bacterial source of shock/collapse initially identified, thus concern for primary myocarditis resulting in refractory shock (perhaps also with ischemic CVA); Tpn not c/w type I ACS/MI. Workup negative for PE, hemorrhagic stroke, PTX/tamponade, etc. 6hrs after death (in evening 06/08/21) BCx x2 resulted Grp A strep, thus pt may have had TSS at home then collapsed in PEA, however source of TSS is uncertain.  Notably patient usually healthy, active, no medications, favorable lipid panel, no illicits; + EtOH binge-drinking last several months but no cirrhosis/ESLD previously doubt primarily Etoh-related process.  Pt had ongoing PEA arrests with brief ROSC for approx 7 hrs in field -> ED > ICU until death declared.""
	"1384860-1"	"1384860-1"	"COMA"	"10010071"	"40-49 years"	"40-49"	""Pt rec'd 2 doses Pfizer/BioNTech, 2nd dose May 9,2021 at outside facility. Presented to hospital on 06/08/21 after cardiac arrest, sudden collapse at home, refractory PEA with ongoing CPR >4hrs, cardiogenic shock (EF20%), refractory DIC, MOSF and coma. Uncertain antecedent history, pt had tolerated vaccine well w/o untoward reactions, was possibly ""sick"" in the 2 days prior to admission 06/08, but limited history available. SARS2 PCR and resp path PCR panels negative, no clear bacterial source of shock/collapse initially identified, thus concern for primary myocarditis resulting in refractory shock (perhaps also with ischemic CVA); Tpn not c/w type I ACS/MI. Workup negative for PE, hemorrhagic stroke, PTX/tamponade, etc. 6hrs after death (in evening 06/08/21) BCx x2 resulted Grp A strep, thus pt may have had TSS at home then collapsed in PEA, however source of TSS is uncertain.  Notably patient usually healthy, active, no medications, favorable lipid panel, no illicits; + EtOH binge-drinking last several months but no cirrhosis/ESLD previously doubt primarily Etoh-related process.  Pt had ongoing PEA arrests with brief ROSC for approx 7 hrs in field -> ED > ICU until death declared.""
	"1384860-1"	"1384860-1"	"COMPUTERISED TOMOGRAM HEAD ABNORMAL"	"10072168"	"40-49 years"	"40-49"	""Pt rec'd 2 doses Pfizer/BioNTech, 2nd dose May 9,2021 at outside facility. Presented to hospital on 06/08/21 after cardiac arrest, sudden collapse at home, refractory PEA with ongoing CPR >4hrs, cardiogenic shock (EF20%), refractory DIC, MOSF and coma. Uncertain antecedent history, pt had tolerated vaccine well w/o untoward reactions, was possibly ""sick"" in the 2 days prior to admission 06/08, but limited history available. SARS2 PCR and resp path PCR panels negative, no clear bacterial source of shock/collapse initially identified, thus concern for primary myocarditis resulting in refractory shock (perhaps also with ischemic CVA); Tpn not c/w type I ACS/MI. Workup negative for PE, hemorrhagic stroke, PTX/tamponade, etc. 6hrs after death (in evening 06/08/21) BCx x2 resulted Grp A strep, thus pt may have had TSS at home then collapsed in PEA, however source of TSS is uncertain.  Notably patient usually healthy, active, no medications, favorable lipid panel, no illicits; + EtOH binge-drinking last several months but no cirrhosis/ESLD previously doubt primarily Etoh-related process.  Pt had ongoing PEA arrests with brief ROSC for approx 7 hrs in field -> ED > ICU until death declared.""
	"1384860-1"	"1384860-1"	"COMPUTERISED TOMOGRAM NORMAL"	"10010236"	"40-49 years"	"40-49"	""Pt rec'd 2 doses Pfizer/BioNTech, 2nd dose May 9,2021 at outside facility. Presented to hospital on 06/08/21 after cardiac arrest, sudden collapse at home, refractory PEA with ongoing CPR >4hrs, cardiogenic shock (EF20%), refractory DIC, MOSF and coma. Uncertain antecedent history, pt had tolerated vaccine well w/o untoward reactions, was possibly ""sick"" in the 2 days prior to admission 06/08, but limited history available. SARS2 PCR and resp path PCR panels negative, no clear bacterial source of shock/collapse initially identified, thus concern for primary myocarditis resulting in refractory shock (perhaps also with ischemic CVA); Tpn not c/w type I ACS/MI. Workup negative for PE, hemorrhagic stroke, PTX/tamponade, etc. 6hrs after death (in evening 06/08/21) BCx x2 resulted Grp A strep, thus pt may have had TSS at home then collapsed in PEA, however source of TSS is uncertain.  Notably patient usually healthy, active, no medications, favorable lipid panel, no illicits; + EtOH binge-drinking last several months but no cirrhosis/ESLD previously doubt primarily Etoh-related process.  Pt had ongoing PEA arrests with brief ROSC for approx 7 hrs in field -> ED > ICU until death declared.""
	"1384860-1"	"1384860-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	""Pt rec'd 2 doses Pfizer/BioNTech, 2nd dose May 9,2021 at outside facility. Presented to hospital on 06/08/21 after cardiac arrest, sudden collapse at home, refractory PEA with ongoing CPR >4hrs, cardiogenic shock (EF20%), refractory DIC, MOSF and coma. Uncertain antecedent history, pt had tolerated vaccine well w/o untoward reactions, was possibly ""sick"" in the 2 days prior to admission 06/08, but limited history available. SARS2 PCR and resp path PCR panels negative, no clear bacterial source of shock/collapse initially identified, thus concern for primary myocarditis resulting in refractory shock (perhaps also with ischemic CVA); Tpn not c/w type I ACS/MI. Workup negative for PE, hemorrhagic stroke, PTX/tamponade, etc. 6hrs after death (in evening 06/08/21) BCx x2 resulted Grp A strep, thus pt may have had TSS at home then collapsed in PEA, however source of TSS is uncertain.  Notably patient usually healthy, active, no medications, favorable lipid panel, no illicits; + EtOH binge-drinking last several months but no cirrhosis/ESLD previously doubt primarily Etoh-related process.  Pt had ongoing PEA arrests with brief ROSC for approx 7 hrs in field -> ED > ICU until death declared.""
	"1384860-1"	"1384860-1"	"DISSEMINATED INTRAVASCULAR COAGULATION"	"10013442"	"40-49 years"	"40-49"	""Pt rec'd 2 doses Pfizer/BioNTech, 2nd dose May 9,2021 at outside facility. Presented to hospital on 06/08/21 after cardiac arrest, sudden collapse at home, refractory PEA with ongoing CPR >4hrs, cardiogenic shock (EF20%), refractory DIC, MOSF and coma. Uncertain antecedent history, pt had tolerated vaccine well w/o untoward reactions, was possibly ""sick"" in the 2 days prior to admission 06/08, but limited history available. SARS2 PCR and resp path PCR panels negative, no clear bacterial source of shock/collapse initially identified, thus concern for primary myocarditis resulting in refractory shock (perhaps also with ischemic CVA); Tpn not c/w type I ACS/MI. Workup negative for PE, hemorrhagic stroke, PTX/tamponade, etc. 6hrs after death (in evening 06/08/21) BCx x2 resulted Grp A strep, thus pt may have had TSS at home then collapsed in PEA, however source of TSS is uncertain.  Notably patient usually healthy, active, no medications, favorable lipid panel, no illicits; + EtOH binge-drinking last several months but no cirrhosis/ESLD previously doubt primarily Etoh-related process.  Pt had ongoing PEA arrests with brief ROSC for approx 7 hrs in field -> ED > ICU until death declared.""
	"1384860-1"	"1384860-1"	"ECHOCARDIOGRAM ABNORMAL"	"10061593"	"40-49 years"	"40-49"	""Pt rec'd 2 doses Pfizer/BioNTech, 2nd dose May 9,2021 at outside facility. Presented to hospital on 06/08/21 after cardiac arrest, sudden collapse at home, refractory PEA with ongoing CPR >4hrs, cardiogenic shock (EF20%), refractory DIC, MOSF and coma. Uncertain antecedent history, pt had tolerated vaccine well w/o untoward reactions, was possibly ""sick"" in the 2 days prior to admission 06/08, but limited history available. SARS2 PCR and resp path PCR panels negative, no clear bacterial source of shock/collapse initially identified, thus concern for primary myocarditis resulting in refractory shock (perhaps also with ischemic CVA); Tpn not c/w type I ACS/MI. Workup negative for PE, hemorrhagic stroke, PTX/tamponade, etc. 6hrs after death (in evening 06/08/21) BCx x2 resulted Grp A strep, thus pt may have had TSS at home then collapsed in PEA, however source of TSS is uncertain.  Notably patient usually healthy, active, no medications, favorable lipid panel, no illicits; + EtOH binge-drinking last several months but no cirrhosis/ESLD previously doubt primarily Etoh-related process.  Pt had ongoing PEA arrests with brief ROSC for approx 7 hrs in field -> ED > ICU until death declared.""
	"1384860-1"	"1384860-1"	"EJECTION FRACTION DECREASED"	"10050528"	"40-49 years"	"40-49"	""Pt rec'd 2 doses Pfizer/BioNTech, 2nd dose May 9,2021 at outside facility. Presented to hospital on 06/08/21 after cardiac arrest, sudden collapse at home, refractory PEA with ongoing CPR >4hrs, cardiogenic shock (EF20%), refractory DIC, MOSF and coma. Uncertain antecedent history, pt had tolerated vaccine well w/o untoward reactions, was possibly ""sick"" in the 2 days prior to admission 06/08, but limited history available. SARS2 PCR and resp path PCR panels negative, no clear bacterial source of shock/collapse initially identified, thus concern for primary myocarditis resulting in refractory shock (perhaps also with ischemic CVA); Tpn not c/w type I ACS/MI. Workup negative for PE, hemorrhagic stroke, PTX/tamponade, etc. 6hrs after death (in evening 06/08/21) BCx x2 resulted Grp A strep, thus pt may have had TSS at home then collapsed in PEA, however source of TSS is uncertain.  Notably patient usually healthy, active, no medications, favorable lipid panel, no illicits; + EtOH binge-drinking last several months but no cirrhosis/ESLD previously doubt primarily Etoh-related process.  Pt had ongoing PEA arrests with brief ROSC for approx 7 hrs in field -> ED > ICU until death declared.""
	"1384860-1"	"1384860-1"	"ELECTROCARDIOGRAM ST SEGMENT ELEVATION"	"10014392"	"40-49 years"	"40-49"	""Pt rec'd 2 doses Pfizer/BioNTech, 2nd dose May 9,2021 at outside facility. Presented to hospital on 06/08/21 after cardiac arrest, sudden collapse at home, refractory PEA with ongoing CPR >4hrs, cardiogenic shock (EF20%), refractory DIC, MOSF and coma. Uncertain antecedent history, pt had tolerated vaccine well w/o untoward reactions, was possibly ""sick"" in the 2 days prior to admission 06/08, but limited history available. SARS2 PCR and resp path PCR panels negative, no clear bacterial source of shock/collapse initially identified, thus concern for primary myocarditis resulting in refractory shock (perhaps also with ischemic CVA); Tpn not c/w type I ACS/MI. Workup negative for PE, hemorrhagic stroke, PTX/tamponade, etc. 6hrs after death (in evening 06/08/21) BCx x2 resulted Grp A strep, thus pt may have had TSS at home then collapsed in PEA, however source of TSS is uncertain.  Notably patient usually healthy, active, no medications, favorable lipid panel, no illicits; + EtOH binge-drinking last several months but no cirrhosis/ESLD previously doubt primarily Etoh-related process.  Pt had ongoing PEA arrests with brief ROSC for approx 7 hrs in field -> ED > ICU until death declared.""
	"1384860-1"	"1384860-1"	"HAEMATOCRIT DECREASED"	"10018838"	"40-49 years"	"40-49"	""Pt rec'd 2 doses Pfizer/BioNTech, 2nd dose May 9,2021 at outside facility. Presented to hospital on 06/08/21 after cardiac arrest, sudden collapse at home, refractory PEA with ongoing CPR >4hrs, cardiogenic shock (EF20%), refractory DIC, MOSF and coma. Uncertain antecedent history, pt had tolerated vaccine well w/o untoward reactions, was possibly ""sick"" in the 2 days prior to admission 06/08, but limited history available. SARS2 PCR and resp path PCR panels negative, no clear bacterial source of shock/collapse initially identified, thus concern for primary myocarditis resulting in refractory shock (perhaps also with ischemic CVA); Tpn not c/w type I ACS/MI. Workup negative for PE, hemorrhagic stroke, PTX/tamponade, etc. 6hrs after death (in evening 06/08/21) BCx x2 resulted Grp A strep, thus pt may have had TSS at home then collapsed in PEA, however source of TSS is uncertain.  Notably patient usually healthy, active, no medications, favorable lipid panel, no illicits; + EtOH binge-drinking last several months but no cirrhosis/ESLD previously doubt primarily Etoh-related process.  Pt had ongoing PEA arrests with brief ROSC for approx 7 hrs in field -> ED > ICU until death declared.""
	"1384860-1"	"1384860-1"	"INTENSIVE CARE"	"10022519"	"40-49 years"	"40-49"	""Pt rec'd 2 doses Pfizer/BioNTech, 2nd dose May 9,2021 at outside facility. Presented to hospital on 06/08/21 after cardiac arrest, sudden collapse at home, refractory PEA with ongoing CPR >4hrs, cardiogenic shock (EF20%), refractory DIC, MOSF and coma. Uncertain antecedent history, pt had tolerated vaccine well w/o untoward reactions, was possibly ""sick"" in the 2 days prior to admission 06/08, but limited history available. SARS2 PCR and resp path PCR panels negative, no clear bacterial source of shock/collapse initially identified, thus concern for primary myocarditis resulting in refractory shock (perhaps also with ischemic CVA); Tpn not c/w type I ACS/MI. Workup negative for PE, hemorrhagic stroke, PTX/tamponade, etc. 6hrs after death (in evening 06/08/21) BCx x2 resulted Grp A strep, thus pt may have had TSS at home then collapsed in PEA, however source of TSS is uncertain.  Notably patient usually healthy, active, no medications, favorable lipid panel, no illicits; + EtOH binge-drinking last several months but no cirrhosis/ESLD previously doubt primarily Etoh-related process.  Pt had ongoing PEA arrests with brief ROSC for approx 7 hrs in field -> ED > ICU until death declared.""
	"1384860-1"	"1384860-1"	"MULTIPLE ORGAN DYSFUNCTION SYNDROME"	"10077361"	"40-49 years"	"40-49"	""Pt rec'd 2 doses Pfizer/BioNTech, 2nd dose May 9,2021 at outside facility. Presented to hospital on 06/08/21 after cardiac arrest, sudden collapse at home, refractory PEA with ongoing CPR >4hrs, cardiogenic shock (EF20%), refractory DIC, MOSF and coma. Uncertain antecedent history, pt had tolerated vaccine well w/o untoward reactions, was possibly ""sick"" in the 2 days prior to admission 06/08, but limited history available. SARS2 PCR and resp path PCR panels negative, no clear bacterial source of shock/collapse initially identified, thus concern for primary myocarditis resulting in refractory shock (perhaps also with ischemic CVA); Tpn not c/w type I ACS/MI. Workup negative for PE, hemorrhagic stroke, PTX/tamponade, etc. 6hrs after death (in evening 06/08/21) BCx x2 resulted Grp A strep, thus pt may have had TSS at home then collapsed in PEA, however source of TSS is uncertain.  Notably patient usually healthy, active, no medications, favorable lipid panel, no illicits; + EtOH binge-drinking last several months but no cirrhosis/ESLD previously doubt primarily Etoh-related process.  Pt had ongoing PEA arrests with brief ROSC for approx 7 hrs in field -> ED > ICU until death declared.""
	"1384860-1"	"1384860-1"	"PLATELET COUNT DECREASED"	"10035528"	"40-49 years"	"40-49"	""Pt rec'd 2 doses Pfizer/BioNTech, 2nd dose May 9,2021 at outside facility. Presented to hospital on 06/08/21 after cardiac arrest, sudden collapse at home, refractory PEA with ongoing CPR >4hrs, cardiogenic shock (EF20%), refractory DIC, MOSF and coma. Uncertain antecedent history, pt had tolerated vaccine well w/o untoward reactions, was possibly ""sick"" in the 2 days prior to admission 06/08, but limited history available. SARS2 PCR and resp path PCR panels negative, no clear bacterial source of shock/collapse initially identified, thus concern for primary myocarditis resulting in refractory shock (perhaps also with ischemic CVA); Tpn not c/w type I ACS/MI. Workup negative for PE, hemorrhagic stroke, PTX/tamponade, etc. 6hrs after death (in evening 06/08/21) BCx x2 resulted Grp A strep, thus pt may have had TSS at home then collapsed in PEA, however source of TSS is uncertain.  Notably patient usually healthy, active, no medications, favorable lipid panel, no illicits; + EtOH binge-drinking last several months but no cirrhosis/ESLD previously doubt primarily Etoh-related process.  Pt had ongoing PEA arrests with brief ROSC for approx 7 hrs in field -> ED > ICU until death declared.""
	"1384860-1"	"1384860-1"	"PULSELESS ELECTRICAL ACTIVITY"	"10058151"	"40-49 years"	"40-49"	""Pt rec'd 2 doses Pfizer/BioNTech, 2nd dose May 9,2021 at outside facility. Presented to hospital on 06/08/21 after cardiac arrest, sudden collapse at home, refractory PEA with ongoing CPR >4hrs, cardiogenic shock (EF20%), refractory DIC, MOSF and coma. Uncertain antecedent history, pt had tolerated vaccine well w/o untoward reactions, was possibly ""sick"" in the 2 days prior to admission 06/08, but limited history available. SARS2 PCR and resp path PCR panels negative, no clear bacterial source of shock/collapse initially identified, thus concern for primary myocarditis resulting in refractory shock (perhaps also with ischemic CVA); Tpn not c/w type I ACS/MI. Workup negative for PE, hemorrhagic stroke, PTX/tamponade, etc. 6hrs after death (in evening 06/08/21) BCx x2 resulted Grp A strep, thus pt may have had TSS at home then collapsed in PEA, however source of TSS is uncertain.  Notably patient usually healthy, active, no medications, favorable lipid panel, no illicits; + EtOH binge-drinking last several months but no cirrhosis/ESLD previously doubt primarily Etoh-related process.  Pt had ongoing PEA arrests with brief ROSC for approx 7 hrs in field -> ED > ICU until death declared.""
	"1384860-1"	"1384860-1"	"RESPIRATORY VIRAL PANEL"	"10075165"	"40-49 years"	"40-49"	""Pt rec'd 2 doses Pfizer/BioNTech, 2nd dose May 9,2021 at outside facility. Presented to hospital on 06/08/21 after cardiac arrest, sudden collapse at home, refractory PEA with ongoing CPR >4hrs, cardiogenic shock (EF20%), refractory DIC, MOSF and coma. Uncertain antecedent history, pt had tolerated vaccine well w/o untoward reactions, was possibly ""sick"" in the 2 days prior to admission 06/08, but limited history available. SARS2 PCR and resp path PCR panels negative, no clear bacterial source of shock/collapse initially identified, thus concern for primary myocarditis resulting in refractory shock (perhaps also with ischemic CVA); Tpn not c/w type I ACS/MI. Workup negative for PE, hemorrhagic stroke, PTX/tamponade, etc. 6hrs after death (in evening 06/08/21) BCx x2 resulted Grp A strep, thus pt may have had TSS at home then collapsed in PEA, however source of TSS is uncertain.  Notably patient usually healthy, active, no medications, favorable lipid panel, no illicits; + EtOH binge-drinking last several months but no cirrhosis/ESLD previously doubt primarily Etoh-related process.  Pt had ongoing PEA arrests with brief ROSC for approx 7 hrs in field -> ED > ICU until death declared.""
	"1384860-1"	"1384860-1"	"RESUSCITATION"	"10038749"	"40-49 years"	"40-49"	""Pt rec'd 2 doses Pfizer/BioNTech, 2nd dose May 9,2021 at outside facility. Presented to hospital on 06/08/21 after cardiac arrest, sudden collapse at home, refractory PEA with ongoing CPR >4hrs, cardiogenic shock (EF20%), refractory DIC, MOSF and coma. Uncertain antecedent history, pt had tolerated vaccine well w/o untoward reactions, was possibly ""sick"" in the 2 days prior to admission 06/08, but limited history available. SARS2 PCR and resp path PCR panels negative, no clear bacterial source of shock/collapse initially identified, thus concern for primary myocarditis resulting in refractory shock (perhaps also with ischemic CVA); Tpn not c/w type I ACS/MI. Workup negative for PE, hemorrhagic stroke, PTX/tamponade, etc. 6hrs after death (in evening 06/08/21) BCx x2 resulted Grp A strep, thus pt may have had TSS at home then collapsed in PEA, however source of TSS is uncertain.  Notably patient usually healthy, active, no medications, favorable lipid panel, no illicits; + EtOH binge-drinking last several months but no cirrhosis/ESLD previously doubt primarily Etoh-related process.  Pt had ongoing PEA arrests with brief ROSC for approx 7 hrs in field -> ED > ICU until death declared.""
	"1384860-1"	"1384860-1"	"SARS-COV-2 TEST NEGATIVE"	"10084273"	"40-49 years"	"40-49"	""Pt rec'd 2 doses Pfizer/BioNTech, 2nd dose May 9,2021 at outside facility. Presented to hospital on 06/08/21 after cardiac arrest, sudden collapse at home, refractory PEA with ongoing CPR >4hrs, cardiogenic shock (EF20%), refractory DIC, MOSF and coma. Uncertain antecedent history, pt had tolerated vaccine well w/o untoward reactions, was possibly ""sick"" in the 2 days prior to admission 06/08, but limited history available. SARS2 PCR and resp path PCR panels negative, no clear bacterial source of shock/collapse initially identified, thus concern for primary myocarditis resulting in refractory shock (perhaps also with ischemic CVA); Tpn not c/w type I ACS/MI. Workup negative for PE, hemorrhagic stroke, PTX/tamponade, etc. 6hrs after death (in evening 06/08/21) BCx x2 resulted Grp A strep, thus pt may have had TSS at home then collapsed in PEA, however source of TSS is uncertain.  Notably patient usually healthy, active, no medications, favorable lipid panel, no illicits; + EtOH binge-drinking last several months but no cirrhosis/ESLD previously doubt primarily Etoh-related process.  Pt had ongoing PEA arrests with brief ROSC for approx 7 hrs in field -> ED > ICU until death declared.""
	"1384860-1"	"1384860-1"	"SYNCOPE"	"10042772"	"40-49 years"	"40-49"	""Pt rec'd 2 doses Pfizer/BioNTech, 2nd dose May 9,2021 at outside facility. Presented to hospital on 06/08/21 after cardiac arrest, sudden collapse at home, refractory PEA with ongoing CPR >4hrs, cardiogenic shock (EF20%), refractory DIC, MOSF and coma. Uncertain antecedent history, pt had tolerated vaccine well w/o untoward reactions, was possibly ""sick"" in the 2 days prior to admission 06/08, but limited history available. SARS2 PCR and resp path PCR panels negative, no clear bacterial source of shock/collapse initially identified, thus concern for primary myocarditis resulting in refractory shock (perhaps also with ischemic CVA); Tpn not c/w type I ACS/MI. Workup negative for PE, hemorrhagic stroke, PTX/tamponade, etc. 6hrs after death (in evening 06/08/21) BCx x2 resulted Grp A strep, thus pt may have had TSS at home then collapsed in PEA, however source of TSS is uncertain.  Notably patient usually healthy, active, no medications, favorable lipid panel, no illicits; + EtOH binge-drinking last several months but no cirrhosis/ESLD previously doubt primarily Etoh-related process.  Pt had ongoing PEA arrests with brief ROSC for approx 7 hrs in field -> ED > ICU until death declared.""
	"1384860-1"	"1384860-1"	"TOXIC SHOCK SYNDROME"	"10044248"	"40-49 years"	"40-49"	""Pt rec'd 2 doses Pfizer/BioNTech, 2nd dose May 9,2021 at outside facility. Presented to hospital on 06/08/21 after cardiac arrest, sudden collapse at home, refractory PEA with ongoing CPR >4hrs, cardiogenic shock (EF20%), refractory DIC, MOSF and coma. Uncertain antecedent history, pt had tolerated vaccine well w/o untoward reactions, was possibly ""sick"" in the 2 days prior to admission 06/08, but limited history available. SARS2 PCR and resp path PCR panels negative, no clear bacterial source of shock/collapse initially identified, thus concern for primary myocarditis resulting in refractory shock (perhaps also with ischemic CVA); Tpn not c/w type I ACS/MI. Workup negative for PE, hemorrhagic stroke, PTX/tamponade, etc. 6hrs after death (in evening 06/08/21) BCx x2 resulted Grp A strep, thus pt may have had TSS at home then collapsed in PEA, however source of TSS is uncertain.  Notably patient usually healthy, active, no medications, favorable lipid panel, no illicits; + EtOH binge-drinking last several months but no cirrhosis/ESLD previously doubt primarily Etoh-related process.  Pt had ongoing PEA arrests with brief ROSC for approx 7 hrs in field -> ED > ICU until death declared.""
	"1384860-1"	"1384860-1"	"TROPONIN INCREASED"	"10058267"	"40-49 years"	"40-49"	""Pt rec'd 2 doses Pfizer/BioNTech, 2nd dose May 9,2021 at outside facility. Presented to hospital on 06/08/21 after cardiac arrest, sudden collapse at home, refractory PEA with ongoing CPR >4hrs, cardiogenic shock (EF20%), refractory DIC, MOSF and coma. Uncertain antecedent history, pt had tolerated vaccine well w/o untoward reactions, was possibly ""sick"" in the 2 days prior to admission 06/08, but limited history available. SARS2 PCR and resp path PCR panels negative, no clear bacterial source of shock/collapse initially identified, thus concern for primary myocarditis resulting in refractory shock (perhaps also with ischemic CVA); Tpn not c/w type I ACS/MI. Workup negative for PE, hemorrhagic stroke, PTX/tamponade, etc. 6hrs after death (in evening 06/08/21) BCx x2 resulted Grp A strep, thus pt may have had TSS at home then collapsed in PEA, however source of TSS is uncertain.  Notably patient usually healthy, active, no medications, favorable lipid panel, no illicits; + EtOH binge-drinking last several months but no cirrhosis/ESLD previously doubt primarily Etoh-related process.  Pt had ongoing PEA arrests with brief ROSC for approx 7 hrs in field -> ED > ICU until death declared.""
	"1384860-1"	"1384860-1"	"VENOUS OXYGEN SATURATION"	"10068425"	"40-49 years"	"40-49"	""Pt rec'd 2 doses Pfizer/BioNTech, 2nd dose May 9,2021 at outside facility. Presented to hospital on 06/08/21 after cardiac arrest, sudden collapse at home, refractory PEA with ongoing CPR >4hrs, cardiogenic shock (EF20%), refractory DIC, MOSF and coma. Uncertain antecedent history, pt had tolerated vaccine well w/o untoward reactions, was possibly ""sick"" in the 2 days prior to admission 06/08, but limited history available. SARS2 PCR and resp path PCR panels negative, no clear bacterial source of shock/collapse initially identified, thus concern for primary myocarditis resulting in refractory shock (perhaps also with ischemic CVA); Tpn not c/w type I ACS/MI. Workup negative for PE, hemorrhagic stroke, PTX/tamponade, etc. 6hrs after death (in evening 06/08/21) BCx x2 resulted Grp A strep, thus pt may have had TSS at home then collapsed in PEA, however source of TSS is uncertain.  Notably patient usually healthy, active, no medications, favorable lipid panel, no illicits; + EtOH binge-drinking last several months but no cirrhosis/ESLD previously doubt primarily Etoh-related process.  Pt had ongoing PEA arrests with brief ROSC for approx 7 hrs in field -> ED > ICU until death declared.""
	"1384860-1"	"1384860-1"	"VENTRICULAR HYPOKINESIA"	"10050510"	"40-49 years"	"40-49"	""Pt rec'd 2 doses Pfizer/BioNTech, 2nd dose May 9,2021 at outside facility. Presented to hospital on 06/08/21 after cardiac arrest, sudden collapse at home, refractory PEA with ongoing CPR >4hrs, cardiogenic shock (EF20%), refractory DIC, MOSF and coma. Uncertain antecedent history, pt had tolerated vaccine well w/o untoward reactions, was possibly ""sick"" in the 2 days prior to admission 06/08, but limited history available. SARS2 PCR and resp path PCR panels negative, no clear bacterial source of shock/collapse initially identified, thus concern for primary myocarditis resulting in refractory shock (perhaps also with ischemic CVA); Tpn not c/w type I ACS/MI. Workup negative for PE, hemorrhagic stroke, PTX/tamponade, etc. 6hrs after death (in evening 06/08/21) BCx x2 resulted Grp A strep, thus pt may have had TSS at home then collapsed in PEA, however source of TSS is uncertain.  Notably patient usually healthy, active, no medications, favorable lipid panel, no illicits; + EtOH binge-drinking last several months but no cirrhosis/ESLD previously doubt primarily Etoh-related process.  Pt had ongoing PEA arrests with brief ROSC for approx 7 hrs in field -> ED > ICU until death declared.""
	"1384860-1"	"1384860-1"	"WHITE BLOOD CELL COUNT NORMAL"	"10047944"	"40-49 years"	"40-49"	""Pt rec'd 2 doses Pfizer/BioNTech, 2nd dose May 9,2021 at outside facility. Presented to hospital on 06/08/21 after cardiac arrest, sudden collapse at home, refractory PEA with ongoing CPR >4hrs, cardiogenic shock (EF20%), refractory DIC, MOSF and coma. Uncertain antecedent history, pt had tolerated vaccine well w/o untoward reactions, was possibly ""sick"" in the 2 days prior to admission 06/08, but limited history available. SARS2 PCR and resp path PCR panels negative, no clear bacterial source of shock/collapse initially identified, thus concern for primary myocarditis resulting in refractory shock (perhaps also with ischemic CVA); Tpn not c/w type I ACS/MI. Workup negative for PE, hemorrhagic stroke, PTX/tamponade, etc. 6hrs after death (in evening 06/08/21) BCx x2 resulted Grp A strep, thus pt may have had TSS at home then collapsed in PEA, however source of TSS is uncertain.  Notably patient usually healthy, active, no medications, favorable lipid panel, no illicits; + EtOH binge-drinking last several months but no cirrhosis/ESLD previously doubt primarily Etoh-related process.  Pt had ongoing PEA arrests with brief ROSC for approx 7 hrs in field -> ED > ICU until death declared.""
	"1391006-1"	"1391006-1"	"ANEURYSM RUPTURED"	"10048380"	"30-39 years"	"30-39"	"Ruptured aneurysm with in 12 days of vaccine with no previous symptoms and patient deceased due to brain dead after the surgery  due to rupturing.; Ruptured aneurysm with in 12 days of vaccine with no previous symptoms and patient deceased due to brain dead after the surgery  due to rupturing.; This is a spontaneous report from a contactable reporter consumer wife reporting on behalf of her 35-year-old husband (patient) received the second dose of BNT162B2 (lot number: ER 8731) at single dose for COVID-19 immunisation on 14Apr2021 at 05:15 PM. Relevant history included was unknown. Relevant concomitant drug was not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine.   The patient previously received the first dose of BNT162B2 (lot number: ER 8727) at single dose for COVID-19 immunisation on 22Mar2021 at 04:45 PM.  The patient experienced ruptured aneurysm on 26Apr2021 at 09:00 PM, within 12 days of vaccine with no previous symptoms and patient deceased due to braindead after the surgery due to rupturing.  The event was assessed as serious due to Hospitalization (7 days), Life threatening illness (immediate risk of death from the event), Patient died on 30Apr2021 due to brian anuerysm. No autopsy was performed. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19.; Reported Cause(s) of Death: brain dead; Brian Anuerysm"
	"1391006-1"	"1391006-1"	"BRAIN DEATH"	"10049054"	"30-39 years"	"30-39"	"Ruptured aneurysm with in 12 days of vaccine with no previous symptoms and patient deceased due to brain dead after the surgery  due to rupturing.; Ruptured aneurysm with in 12 days of vaccine with no previous symptoms and patient deceased due to brain dead after the surgery  due to rupturing.; This is a spontaneous report from a contactable reporter consumer wife reporting on behalf of her 35-year-old husband (patient) received the second dose of BNT162B2 (lot number: ER 8731) at single dose for COVID-19 immunisation on 14Apr2021 at 05:15 PM. Relevant history included was unknown. Relevant concomitant drug was not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine.   The patient previously received the first dose of BNT162B2 (lot number: ER 8727) at single dose for COVID-19 immunisation on 22Mar2021 at 04:45 PM.  The patient experienced ruptured aneurysm on 26Apr2021 at 09:00 PM, within 12 days of vaccine with no previous symptoms and patient deceased due to braindead after the surgery due to rupturing.  The event was assessed as serious due to Hospitalization (7 days), Life threatening illness (immediate risk of death from the event), Patient died on 30Apr2021 due to brian anuerysm. No autopsy was performed. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19.; Reported Cause(s) of Death: brain dead; Brian Anuerysm"
	"1391226-1"	"1391226-1"	"CARDIAC ARREST"	"10007515"	"40-49 years"	"40-49"	"My brother started with some swelling in the legs/feet, followed by chest pains that led him into a heart attack, followed by cardiac arrest.   He was shocked back to life where he lay in a coma.  His kidneys stopped functioning followed by his lungs and liver?he was kept alive on life support and dialysis, he died after having 4 more heart attacks back to back on June 4, 2021."
	"1391226-1"	"1391226-1"	"CARDIOVERSION"	"10007661"	"40-49 years"	"40-49"	"My brother started with some swelling in the legs/feet, followed by chest pains that led him into a heart attack, followed by cardiac arrest.   He was shocked back to life where he lay in a coma.  His kidneys stopped functioning followed by his lungs and liver?he was kept alive on life support and dialysis, he died after having 4 more heart attacks back to back on June 4, 2021."
	"1391226-1"	"1391226-1"	"CHEST PAIN"	"10008479"	"40-49 years"	"40-49"	"My brother started with some swelling in the legs/feet, followed by chest pains that led him into a heart attack, followed by cardiac arrest.   He was shocked back to life where he lay in a coma.  His kidneys stopped functioning followed by his lungs and liver?he was kept alive on life support and dialysis, he died after having 4 more heart attacks back to back on June 4, 2021."
	"1391226-1"	"1391226-1"	"COMA"	"10010071"	"40-49 years"	"40-49"	"My brother started with some swelling in the legs/feet, followed by chest pains that led him into a heart attack, followed by cardiac arrest.   He was shocked back to life where he lay in a coma.  His kidneys stopped functioning followed by his lungs and liver?he was kept alive on life support and dialysis, he died after having 4 more heart attacks back to back on June 4, 2021."
	"1391226-1"	"1391226-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"My brother started with some swelling in the legs/feet, followed by chest pains that led him into a heart attack, followed by cardiac arrest.   He was shocked back to life where he lay in a coma.  His kidneys stopped functioning followed by his lungs and liver?he was kept alive on life support and dialysis, he died after having 4 more heart attacks back to back on June 4, 2021."
	"1391226-1"	"1391226-1"	"DIALYSIS"	"10061105"	"40-49 years"	"40-49"	"My brother started with some swelling in the legs/feet, followed by chest pains that led him into a heart attack, followed by cardiac arrest.   He was shocked back to life where he lay in a coma.  His kidneys stopped functioning followed by his lungs and liver?he was kept alive on life support and dialysis, he died after having 4 more heart attacks back to back on June 4, 2021."
	"1391226-1"	"1391226-1"	"HEPATIC FAILURE"	"10019663"	"40-49 years"	"40-49"	"My brother started with some swelling in the legs/feet, followed by chest pains that led him into a heart attack, followed by cardiac arrest.   He was shocked back to life where he lay in a coma.  His kidneys stopped functioning followed by his lungs and liver?he was kept alive on life support and dialysis, he died after having 4 more heart attacks back to back on June 4, 2021."
	"1391226-1"	"1391226-1"	"LABORATORY TEST"	"10059938"	"40-49 years"	"40-49"	"My brother started with some swelling in the legs/feet, followed by chest pains that led him into a heart attack, followed by cardiac arrest.   He was shocked back to life where he lay in a coma.  His kidneys stopped functioning followed by his lungs and liver?he was kept alive on life support and dialysis, he died after having 4 more heart attacks back to back on June 4, 2021."
	"1391226-1"	"1391226-1"	"LIFE SUPPORT"	"10024447"	"40-49 years"	"40-49"	"My brother started with some swelling in the legs/feet, followed by chest pains that led him into a heart attack, followed by cardiac arrest.   He was shocked back to life where he lay in a coma.  His kidneys stopped functioning followed by his lungs and liver?he was kept alive on life support and dialysis, he died after having 4 more heart attacks back to back on June 4, 2021."
	"1391226-1"	"1391226-1"	"MYOCARDIAL INFARCTION"	"10028596"	"40-49 years"	"40-49"	"My brother started with some swelling in the legs/feet, followed by chest pains that led him into a heart attack, followed by cardiac arrest.   He was shocked back to life where he lay in a coma.  His kidneys stopped functioning followed by his lungs and liver?he was kept alive on life support and dialysis, he died after having 4 more heart attacks back to back on June 4, 2021."
	"1391226-1"	"1391226-1"	"PERIPHERAL SWELLING"	"10048959"	"40-49 years"	"40-49"	"My brother started with some swelling in the legs/feet, followed by chest pains that led him into a heart attack, followed by cardiac arrest.   He was shocked back to life where he lay in a coma.  His kidneys stopped functioning followed by his lungs and liver?he was kept alive on life support and dialysis, he died after having 4 more heart attacks back to back on June 4, 2021."
	"1391226-1"	"1391226-1"	"RENAL FAILURE"	"10038435"	"40-49 years"	"40-49"	"My brother started with some swelling in the legs/feet, followed by chest pains that led him into a heart attack, followed by cardiac arrest.   He was shocked back to life where he lay in a coma.  His kidneys stopped functioning followed by his lungs and liver?he was kept alive on life support and dialysis, he died after having 4 more heart attacks back to back on June 4, 2021."
	"1391226-1"	"1391226-1"	"RESPIRATORY FAILURE"	"10038695"	"40-49 years"	"40-49"	"My brother started with some swelling in the legs/feet, followed by chest pains that led him into a heart attack, followed by cardiac arrest.   He was shocked back to life where he lay in a coma.  His kidneys stopped functioning followed by his lungs and liver?he was kept alive on life support and dialysis, he died after having 4 more heart attacks back to back on June 4, 2021."
	"1391864-1"	"1391864-1"	"AORTIC DISSECTION"	"10002895"	"40-49 years"	"40-49"	"About 14  days after the first vaccine dose  ( Pfizer)  patient presented to the ER with severe chest pain. He was sent home after labs, EKG and CT chest were reported as normal. He was told that he had a hiatal hernia. One week later he was found by his wife expired in his bedroom late morning. Patient had no medical problems such as hypertension and never smoked. He was very active  and played sports such as pickle ball."
	"1391864-1"	"1391864-1"	"AUTOPSY"	"10050117"	"40-49 years"	"40-49"	"About 14  days after the first vaccine dose  ( Pfizer)  patient presented to the ER with severe chest pain. He was sent home after labs, EKG and CT chest were reported as normal. He was told that he had a hiatal hernia. One week later he was found by his wife expired in his bedroom late morning. Patient had no medical problems such as hypertension and never smoked. He was very active  and played sports such as pickle ball."
	"1391864-1"	"1391864-1"	"CHEST PAIN"	"10008479"	"40-49 years"	"40-49"	"About 14  days after the first vaccine dose  ( Pfizer)  patient presented to the ER with severe chest pain. He was sent home after labs, EKG and CT chest were reported as normal. He was told that he had a hiatal hernia. One week later he was found by his wife expired in his bedroom late morning. Patient had no medical problems such as hypertension and never smoked. He was very active  and played sports such as pickle ball."
	"1391864-1"	"1391864-1"	"COMPUTERISED TOMOGRAM THORAX NORMAL"	"10057801"	"40-49 years"	"40-49"	"About 14  days after the first vaccine dose  ( Pfizer)  patient presented to the ER with severe chest pain. He was sent home after labs, EKG and CT chest were reported as normal. He was told that he had a hiatal hernia. One week later he was found by his wife expired in his bedroom late morning. Patient had no medical problems such as hypertension and never smoked. He was very active  and played sports such as pickle ball."
	"1391864-1"	"1391864-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"About 14  days after the first vaccine dose  ( Pfizer)  patient presented to the ER with severe chest pain. He was sent home after labs, EKG and CT chest were reported as normal. He was told that he had a hiatal hernia. One week later he was found by his wife expired in his bedroom late morning. Patient had no medical problems such as hypertension and never smoked. He was very active  and played sports such as pickle ball."
	"1391864-1"	"1391864-1"	"ELECTROCARDIOGRAM NORMAL"	"10014373"	"40-49 years"	"40-49"	"About 14  days after the first vaccine dose  ( Pfizer)  patient presented to the ER with severe chest pain. He was sent home after labs, EKG and CT chest were reported as normal. He was told that he had a hiatal hernia. One week later he was found by his wife expired in his bedroom late morning. Patient had no medical problems such as hypertension and never smoked. He was very active  and played sports such as pickle ball."
	"1391864-1"	"1391864-1"	"HIATUS HERNIA"	"10020028"	"40-49 years"	"40-49"	"About 14  days after the first vaccine dose  ( Pfizer)  patient presented to the ER with severe chest pain. He was sent home after labs, EKG and CT chest were reported as normal. He was told that he had a hiatal hernia. One week later he was found by his wife expired in his bedroom late morning. Patient had no medical problems such as hypertension and never smoked. He was very active  and played sports such as pickle ball."
	"1391864-1"	"1391864-1"	"LABORATORY TEST NORMAL"	"10054052"	"40-49 years"	"40-49"	"About 14  days after the first vaccine dose  ( Pfizer)  patient presented to the ER with severe chest pain. He was sent home after labs, EKG and CT chest were reported as normal. He was told that he had a hiatal hernia. One week later he was found by his wife expired in his bedroom late morning. Patient had no medical problems such as hypertension and never smoked. He was very active  and played sports such as pickle ball."
	"1394845-1"	"1394845-1"	"CARDIAC ARREST"	"10007515"	"30-39 years"	"30-39"	"Patient received 2nd Moderna shot on 6/11/21 at 10:32am. Went home after the shot and didn't feel well, so he laid down to rest. His wife checked on him and he was unconscious, so she called 911. Patient was taken to local hospital and died of Cardiac Arrest sometime between his vaccine and 7pm on 6/11/21."
	"1394845-1"	"1394845-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Patient received 2nd Moderna shot on 6/11/21 at 10:32am. Went home after the shot and didn't feel well, so he laid down to rest. His wife checked on him and he was unconscious, so she called 911. Patient was taken to local hospital and died of Cardiac Arrest sometime between his vaccine and 7pm on 6/11/21."
	"1394845-1"	"1394845-1"	"LOSS OF CONSCIOUSNESS"	"10024855"	"30-39 years"	"30-39"	"Patient received 2nd Moderna shot on 6/11/21 at 10:32am. Went home after the shot and didn't feel well, so he laid down to rest. His wife checked on him and he was unconscious, so she called 911. Patient was taken to local hospital and died of Cardiac Arrest sometime between his vaccine and 7pm on 6/11/21."
	"1394845-1"	"1394845-1"	"MALAISE"	"10025482"	"30-39 years"	"30-39"	"Patient received 2nd Moderna shot on 6/11/21 at 10:32am. Went home after the shot and didn't feel well, so he laid down to rest. His wife checked on him and he was unconscious, so she called 911. Patient was taken to local hospital and died of Cardiac Arrest sometime between his vaccine and 7pm on 6/11/21."
	"1396032-1"	"1396032-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Patient had no reaction at time of vaccination; was monitored for 15 minutes prior to leaving clinic.  This nurse was notified today by ER Physician that the patient came into the ER around 8pm (on the night of the same day that he received his vaccine in the early morning hours) with c/o shortness of breath.  It was reported that the patient had taken nebulizer treatments at home with no relief.  Symptoms began around 5:30pm.  Patient ambulated into ER at time of visit but during the visit became unresponsive.  Patient was intubated and coded with time of death called at 9:52pm.  Patient has history of asthma."
	"1396032-1"	"1396032-1"	"DYSPNOEA"	"10013968"	"40-49 years"	"40-49"	"Patient had no reaction at time of vaccination; was monitored for 15 minutes prior to leaving clinic.  This nurse was notified today by ER Physician that the patient came into the ER around 8pm (on the night of the same day that he received his vaccine in the early morning hours) with c/o shortness of breath.  It was reported that the patient had taken nebulizer treatments at home with no relief.  Symptoms began around 5:30pm.  Patient ambulated into ER at time of visit but during the visit became unresponsive.  Patient was intubated and coded with time of death called at 9:52pm.  Patient has history of asthma."
	"1396032-1"	"1396032-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"40-49 years"	"40-49"	"Patient had no reaction at time of vaccination; was monitored for 15 minutes prior to leaving clinic.  This nurse was notified today by ER Physician that the patient came into the ER around 8pm (on the night of the same day that he received his vaccine in the early morning hours) with c/o shortness of breath.  It was reported that the patient had taken nebulizer treatments at home with no relief.  Symptoms began around 5:30pm.  Patient ambulated into ER at time of visit but during the visit became unresponsive.  Patient was intubated and coded with time of death called at 9:52pm.  Patient has history of asthma."
	"1396032-1"	"1396032-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"40-49 years"	"40-49"	"Patient had no reaction at time of vaccination; was monitored for 15 minutes prior to leaving clinic.  This nurse was notified today by ER Physician that the patient came into the ER around 8pm (on the night of the same day that he received his vaccine in the early morning hours) with c/o shortness of breath.  It was reported that the patient had taken nebulizer treatments at home with no relief.  Symptoms began around 5:30pm.  Patient ambulated into ER at time of visit but during the visit became unresponsive.  Patient was intubated and coded with time of death called at 9:52pm.  Patient has history of asthma."
	"1398802-1"	"1398802-1"	"AUTOPSY"	"10050117"	"40-49 years"	"40-49"	"Patient went into cardiac arrest about 14 hours after receiving vaccine and passed"
	"1398802-1"	"1398802-1"	"CARDIAC ARREST"	"10007515"	"40-49 years"	"40-49"	"Patient went into cardiac arrest about 14 hours after receiving vaccine and passed"
	"1398802-1"	"1398802-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Patient went into cardiac arrest about 14 hours after receiving vaccine and passed"
	"1399375-1"	"1399375-1"	"CARDIAC ARREST"	"10007515"	"40-49 years"	"40-49"	"Coroner stated that 3 weeks after patient received 2nd dose of COVID-19 Moderna vaccine, patient collapsed from cardiac arrest, which lead to death."
	"1399375-1"	"1399375-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Coroner stated that 3 weeks after patient received 2nd dose of COVID-19 Moderna vaccine, patient collapsed from cardiac arrest, which lead to death."
	"1399375-1"	"1399375-1"	"SYNCOPE"	"10042772"	"40-49 years"	"40-49"	"Coroner stated that 3 weeks after patient received 2nd dose of COVID-19 Moderna vaccine, patient collapsed from cardiac arrest, which lead to death."
	"1399413-1"	"1399413-1"	"DIARRHOEA"	"10012735"	"30-39 years"	"30-39"	"began with a fever, and slowly starting having nausea and diarrhea. we could not bring down fever with antibiotics"
	"1399413-1"	"1399413-1"	"LABORATORY TEST"	"10059938"	"30-39 years"	"30-39"	"began with a fever, and slowly starting having nausea and diarrhea. we could not bring down fever with antibiotics"
	"1399413-1"	"1399413-1"	"NAUSEA"	"10028813"	"30-39 years"	"30-39"	"began with a fever, and slowly starting having nausea and diarrhea. we could not bring down fever with antibiotics"
	"1399413-1"	"1399413-1"	"PYREXIA"	"10037660"	"30-39 years"	"30-39"	"began with a fever, and slowly starting having nausea and diarrhea. we could not bring down fever with antibiotics"
	"1399516-1"	"1399516-1"	"HYPERHIDROSIS"	"10020642"	"40-49 years"	"40-49"	"Sweating, soreness, vomiting"
	"1399516-1"	"1399516-1"	"PAIN"	"10033371"	"40-49 years"	"40-49"	"Sweating, soreness, vomiting"
	"1399516-1"	"1399516-1"	"THROMBOSIS"	"10043607"	"40-49 years"	"40-49"	"Sweating, soreness, vomiting"
	"1399516-1"	"1399516-1"	"VOMITING"	"10047700"	"40-49 years"	"40-49"	"Sweating, soreness, vomiting"
	"1400337-1"	"1400337-1"	"AUTOPSY"	"10050117"	"40-49 years"	"40-49"	"On May 18, 2021, Patient said he was experiencing severe back pain and that both of his arms had gone numb and he had vomited.  Patient called his mother to come help him with the baby because he wasn't feeling well.  When she got there 30 minutes later he was not breathing.  They were not able to revive him.  He died of a blood clot in the front of his heart."
	"1400337-1"	"1400337-1"	"BACK PAIN"	"10003988"	"40-49 years"	"40-49"	"On May 18, 2021, Patient said he was experiencing severe back pain and that both of his arms had gone numb and he had vomited.  Patient called his mother to come help him with the baby because he wasn't feeling well.  When she got there 30 minutes later he was not breathing.  They were not able to revive him.  He died of a blood clot in the front of his heart."
	"1400337-1"	"1400337-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"On May 18, 2021, Patient said he was experiencing severe back pain and that both of his arms had gone numb and he had vomited.  Patient called his mother to come help him with the baby because he wasn't feeling well.  When she got there 30 minutes later he was not breathing.  They were not able to revive him.  He died of a blood clot in the front of his heart."
	"1400337-1"	"1400337-1"	"HYPOAESTHESIA"	"10020937"	"40-49 years"	"40-49"	"On May 18, 2021, Patient said he was experiencing severe back pain and that both of his arms had gone numb and he had vomited.  Patient called his mother to come help him with the baby because he wasn't feeling well.  When she got there 30 minutes later he was not breathing.  They were not able to revive him.  He died of a blood clot in the front of his heart."
	"1400337-1"	"1400337-1"	"MALAISE"	"10025482"	"40-49 years"	"40-49"	"On May 18, 2021, Patient said he was experiencing severe back pain and that both of his arms had gone numb and he had vomited.  Patient called his mother to come help him with the baby because he wasn't feeling well.  When she got there 30 minutes later he was not breathing.  They were not able to revive him.  He died of a blood clot in the front of his heart."
	"1400337-1"	"1400337-1"	"RESPIRATORY ARREST"	"10038669"	"40-49 years"	"40-49"	"On May 18, 2021, Patient said he was experiencing severe back pain and that both of his arms had gone numb and he had vomited.  Patient called his mother to come help him with the baby because he wasn't feeling well.  When she got there 30 minutes later he was not breathing.  They were not able to revive him.  He died of a blood clot in the front of his heart."
	"1400337-1"	"1400337-1"	"THROMBOSIS"	"10043607"	"40-49 years"	"40-49"	"On May 18, 2021, Patient said he was experiencing severe back pain and that both of his arms had gone numb and he had vomited.  Patient called his mother to come help him with the baby because he wasn't feeling well.  When she got there 30 minutes later he was not breathing.  They were not able to revive him.  He died of a blood clot in the front of his heart."
	"1400337-1"	"1400337-1"	"VOMITING"	"10047700"	"40-49 years"	"40-49"	"On May 18, 2021, Patient said he was experiencing severe back pain and that both of his arms had gone numb and he had vomited.  Patient called his mother to come help him with the baby because he wasn't feeling well.  When she got there 30 minutes later he was not breathing.  They were not able to revive him.  He died of a blood clot in the front of his heart."
	"1403766-1"	"1403766-1"	"AUTOPSY"	"10050117"	"30-39 years"	"30-39"	"Individual passed away within 48 hours of receiving vaccine."
	"1403766-1"	"1403766-1"	"CONDITION AGGRAVATED"	"10010264"	"30-39 years"	"30-39"	"Individual passed away within 48 hours of receiving vaccine."
	"1403766-1"	"1403766-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Individual passed away within 48 hours of receiving vaccine."
	"1403766-1"	"1403766-1"	"HYPERTROPHIC CARDIOMYOPATHY"	"10020871"	"30-39 years"	"30-39"	"Individual passed away within 48 hours of receiving vaccine."
	"1407804-1"	"1407804-1"	"CANDIDA INFECTION"	"10074170"	"40-49 years"	"40-49"	"As per wife's account, patient died approximately 9 days after receiving vaccine on 4/21 of massive, unknown (suspected cardiac) event. Wife explained that patient was diagnosed with Wolff-Parkinson-White (WPW) syndrome prior to being vaccinated. PCP unaware of diagnosis, and patient did not disclose that on vaccine consent form. Patient reported to his wife that he was feeling unwell after receiving vaccine including unable to move legs well. Patient later diagnosed with thrush and supposedly treated by physician. Patient did not discuss concerns regarding vaccine or WPW with physician.  Patient called his wife the day of death and asked her to bring him to the doctor the following day. Wife reported that patient experienced seizures but not concerned as it was similar to childhood seizure. Wife was done at work and drove home after phone call, arriving at house approximately 10-15 minutes after call. Patient supposedly dead when wife arrived. Wife performed CPR for ~15 minutes until EMS arrived, and EMS attempted for another 40 minutes for any electrical activity. Wife declined full autopsy from ME, suspecting that it was massive MI or clot. Wife and patient unaware that WCW could place patient at risk of clots and wondering if the vaccine was partially responsible."
	"1407804-1"	"1407804-1"	"CARDIAC DISORDER"	"10061024"	"40-49 years"	"40-49"	"As per wife's account, patient died approximately 9 days after receiving vaccine on 4/21 of massive, unknown (suspected cardiac) event. Wife explained that patient was diagnosed with Wolff-Parkinson-White (WPW) syndrome prior to being vaccinated. PCP unaware of diagnosis, and patient did not disclose that on vaccine consent form. Patient reported to his wife that he was feeling unwell after receiving vaccine including unable to move legs well. Patient later diagnosed with thrush and supposedly treated by physician. Patient did not discuss concerns regarding vaccine or WPW with physician.  Patient called his wife the day of death and asked her to bring him to the doctor the following day. Wife reported that patient experienced seizures but not concerned as it was similar to childhood seizure. Wife was done at work and drove home after phone call, arriving at house approximately 10-15 minutes after call. Patient supposedly dead when wife arrived. Wife performed CPR for ~15 minutes until EMS arrived, and EMS attempted for another 40 minutes for any electrical activity. Wife declined full autopsy from ME, suspecting that it was massive MI or clot. Wife and patient unaware that WCW could place patient at risk of clots and wondering if the vaccine was partially responsible."
	"1407804-1"	"1407804-1"	"CONDITION AGGRAVATED"	"10010264"	"40-49 years"	"40-49"	"As per wife's account, patient died approximately 9 days after receiving vaccine on 4/21 of massive, unknown (suspected cardiac) event. Wife explained that patient was diagnosed with Wolff-Parkinson-White (WPW) syndrome prior to being vaccinated. PCP unaware of diagnosis, and patient did not disclose that on vaccine consent form. Patient reported to his wife that he was feeling unwell after receiving vaccine including unable to move legs well. Patient later diagnosed with thrush and supposedly treated by physician. Patient did not discuss concerns regarding vaccine or WPW with physician.  Patient called his wife the day of death and asked her to bring him to the doctor the following day. Wife reported that patient experienced seizures but not concerned as it was similar to childhood seizure. Wife was done at work and drove home after phone call, arriving at house approximately 10-15 minutes after call. Patient supposedly dead when wife arrived. Wife performed CPR for ~15 minutes until EMS arrived, and EMS attempted for another 40 minutes for any electrical activity. Wife declined full autopsy from ME, suspecting that it was massive MI or clot. Wife and patient unaware that WCW could place patient at risk of clots and wondering if the vaccine was partially responsible."
	"1407804-1"	"1407804-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"As per wife's account, patient died approximately 9 days after receiving vaccine on 4/21 of massive, unknown (suspected cardiac) event. Wife explained that patient was diagnosed with Wolff-Parkinson-White (WPW) syndrome prior to being vaccinated. PCP unaware of diagnosis, and patient did not disclose that on vaccine consent form. Patient reported to his wife that he was feeling unwell after receiving vaccine including unable to move legs well. Patient later diagnosed with thrush and supposedly treated by physician. Patient did not discuss concerns regarding vaccine or WPW with physician.  Patient called his wife the day of death and asked her to bring him to the doctor the following day. Wife reported that patient experienced seizures but not concerned as it was similar to childhood seizure. Wife was done at work and drove home after phone call, arriving at house approximately 10-15 minutes after call. Patient supposedly dead when wife arrived. Wife performed CPR for ~15 minutes until EMS arrived, and EMS attempted for another 40 minutes for any electrical activity. Wife declined full autopsy from ME, suspecting that it was massive MI or clot. Wife and patient unaware that WCW could place patient at risk of clots and wondering if the vaccine was partially responsible."
	"1407804-1"	"1407804-1"	"MALAISE"	"10025482"	"40-49 years"	"40-49"	"As per wife's account, patient died approximately 9 days after receiving vaccine on 4/21 of massive, unknown (suspected cardiac) event. Wife explained that patient was diagnosed with Wolff-Parkinson-White (WPW) syndrome prior to being vaccinated. PCP unaware of diagnosis, and patient did not disclose that on vaccine consent form. Patient reported to his wife that he was feeling unwell after receiving vaccine including unable to move legs well. Patient later diagnosed with thrush and supposedly treated by physician. Patient did not discuss concerns regarding vaccine or WPW with physician.  Patient called his wife the day of death and asked her to bring him to the doctor the following day. Wife reported that patient experienced seizures but not concerned as it was similar to childhood seizure. Wife was done at work and drove home after phone call, arriving at house approximately 10-15 minutes after call. Patient supposedly dead when wife arrived. Wife performed CPR for ~15 minutes until EMS arrived, and EMS attempted for another 40 minutes for any electrical activity. Wife declined full autopsy from ME, suspecting that it was massive MI or clot. Wife and patient unaware that WCW could place patient at risk of clots and wondering if the vaccine was partially responsible."
	"1407804-1"	"1407804-1"	"MOBILITY DECREASED"	"10048334"	"40-49 years"	"40-49"	"As per wife's account, patient died approximately 9 days after receiving vaccine on 4/21 of massive, unknown (suspected cardiac) event. Wife explained that patient was diagnosed with Wolff-Parkinson-White (WPW) syndrome prior to being vaccinated. PCP unaware of diagnosis, and patient did not disclose that on vaccine consent form. Patient reported to his wife that he was feeling unwell after receiving vaccine including unable to move legs well. Patient later diagnosed with thrush and supposedly treated by physician. Patient did not discuss concerns regarding vaccine or WPW with physician.  Patient called his wife the day of death and asked her to bring him to the doctor the following day. Wife reported that patient experienced seizures but not concerned as it was similar to childhood seizure. Wife was done at work and drove home after phone call, arriving at house approximately 10-15 minutes after call. Patient supposedly dead when wife arrived. Wife performed CPR for ~15 minutes until EMS arrived, and EMS attempted for another 40 minutes for any electrical activity. Wife declined full autopsy from ME, suspecting that it was massive MI or clot. Wife and patient unaware that WCW could place patient at risk of clots and wondering if the vaccine was partially responsible."
	"1407804-1"	"1407804-1"	"MYOCARDIAL INFARCTION"	"10028596"	"40-49 years"	"40-49"	"As per wife's account, patient died approximately 9 days after receiving vaccine on 4/21 of massive, unknown (suspected cardiac) event. Wife explained that patient was diagnosed with Wolff-Parkinson-White (WPW) syndrome prior to being vaccinated. PCP unaware of diagnosis, and patient did not disclose that on vaccine consent form. Patient reported to his wife that he was feeling unwell after receiving vaccine including unable to move legs well. Patient later diagnosed with thrush and supposedly treated by physician. Patient did not discuss concerns regarding vaccine or WPW with physician.  Patient called his wife the day of death and asked her to bring him to the doctor the following day. Wife reported that patient experienced seizures but not concerned as it was similar to childhood seizure. Wife was done at work and drove home after phone call, arriving at house approximately 10-15 minutes after call. Patient supposedly dead when wife arrived. Wife performed CPR for ~15 minutes until EMS arrived, and EMS attempted for another 40 minutes for any electrical activity. Wife declined full autopsy from ME, suspecting that it was massive MI or clot. Wife and patient unaware that WCW could place patient at risk of clots and wondering if the vaccine was partially responsible."
	"1407804-1"	"1407804-1"	"RESUSCITATION"	"10038749"	"40-49 years"	"40-49"	"As per wife's account, patient died approximately 9 days after receiving vaccine on 4/21 of massive, unknown (suspected cardiac) event. Wife explained that patient was diagnosed with Wolff-Parkinson-White (WPW) syndrome prior to being vaccinated. PCP unaware of diagnosis, and patient did not disclose that on vaccine consent form. Patient reported to his wife that he was feeling unwell after receiving vaccine including unable to move legs well. Patient later diagnosed with thrush and supposedly treated by physician. Patient did not discuss concerns regarding vaccine or WPW with physician.  Patient called his wife the day of death and asked her to bring him to the doctor the following day. Wife reported that patient experienced seizures but not concerned as it was similar to childhood seizure. Wife was done at work and drove home after phone call, arriving at house approximately 10-15 minutes after call. Patient supposedly dead when wife arrived. Wife performed CPR for ~15 minutes until EMS arrived, and EMS attempted for another 40 minutes for any electrical activity. Wife declined full autopsy from ME, suspecting that it was massive MI or clot. Wife and patient unaware that WCW could place patient at risk of clots and wondering if the vaccine was partially responsible."
	"1407804-1"	"1407804-1"	"SEIZURE"	"10039906"	"40-49 years"	"40-49"	"As per wife's account, patient died approximately 9 days after receiving vaccine on 4/21 of massive, unknown (suspected cardiac) event. Wife explained that patient was diagnosed with Wolff-Parkinson-White (WPW) syndrome prior to being vaccinated. PCP unaware of diagnosis, and patient did not disclose that on vaccine consent form. Patient reported to his wife that he was feeling unwell after receiving vaccine including unable to move legs well. Patient later diagnosed with thrush and supposedly treated by physician. Patient did not discuss concerns regarding vaccine or WPW with physician.  Patient called his wife the day of death and asked her to bring him to the doctor the following day. Wife reported that patient experienced seizures but not concerned as it was similar to childhood seizure. Wife was done at work and drove home after phone call, arriving at house approximately 10-15 minutes after call. Patient supposedly dead when wife arrived. Wife performed CPR for ~15 minutes until EMS arrived, and EMS attempted for another 40 minutes for any electrical activity. Wife declined full autopsy from ME, suspecting that it was massive MI or clot. Wife and patient unaware that WCW could place patient at risk of clots and wondering if the vaccine was partially responsible."
	"1407804-1"	"1407804-1"	"THROMBOSIS"	"10043607"	"40-49 years"	"40-49"	"As per wife's account, patient died approximately 9 days after receiving vaccine on 4/21 of massive, unknown (suspected cardiac) event. Wife explained that patient was diagnosed with Wolff-Parkinson-White (WPW) syndrome prior to being vaccinated. PCP unaware of diagnosis, and patient did not disclose that on vaccine consent form. Patient reported to his wife that he was feeling unwell after receiving vaccine including unable to move legs well. Patient later diagnosed with thrush and supposedly treated by physician. Patient did not discuss concerns regarding vaccine or WPW with physician.  Patient called his wife the day of death and asked her to bring him to the doctor the following day. Wife reported that patient experienced seizures but not concerned as it was similar to childhood seizure. Wife was done at work and drove home after phone call, arriving at house approximately 10-15 minutes after call. Patient supposedly dead when wife arrived. Wife performed CPR for ~15 minutes until EMS arrived, and EMS attempted for another 40 minutes for any electrical activity. Wife declined full autopsy from ME, suspecting that it was massive MI or clot. Wife and patient unaware that WCW could place patient at risk of clots and wondering if the vaccine was partially responsible."
	"1410110-1"	"1410110-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"death"
	"1410676-1"	"1410676-1"	"ARTERIOSCLEROSIS CORONARY ARTERY"	"10003211"	"30-39 years"	"30-39"	"ACHE, RUNNY NOSE, COUGH, LETHARGIC"
	"1410676-1"	"1410676-1"	"ASTHENIA"	"10003549"	"30-39 years"	"30-39"	"ACHE, RUNNY NOSE, COUGH, LETHARGIC"
	"1410676-1"	"1410676-1"	"BONE PAIN"	"10006002"	"30-39 years"	"30-39"	"ACHE, RUNNY NOSE, COUGH, LETHARGIC"
	"1410676-1"	"1410676-1"	"CHEST PAIN"	"10008479"	"30-39 years"	"30-39"	"ACHE, RUNNY NOSE, COUGH, LETHARGIC"
	"1410676-1"	"1410676-1"	"CONDITION AGGRAVATED"	"10010264"	"30-39 years"	"30-39"	"ACHE, RUNNY NOSE, COUGH, LETHARGIC"
	"1410676-1"	"1410676-1"	"COUGH"	"10011224"	"30-39 years"	"30-39"	"ACHE, RUNNY NOSE, COUGH, LETHARGIC"
	"1410676-1"	"1410676-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"ACHE, RUNNY NOSE, COUGH, LETHARGIC"
	"1410676-1"	"1410676-1"	"FATIGUE"	"10016256"	"30-39 years"	"30-39"	"ACHE, RUNNY NOSE, COUGH, LETHARGIC"
	"1410676-1"	"1410676-1"	"FEELING ABNORMAL"	"10016322"	"30-39 years"	"30-39"	"ACHE, RUNNY NOSE, COUGH, LETHARGIC"
	"1410676-1"	"1410676-1"	"HYPOGLYCAEMIA"	"10020993"	"30-39 years"	"30-39"	"ACHE, RUNNY NOSE, COUGH, LETHARGIC"
	"1410676-1"	"1410676-1"	"LETHARGY"	"10024264"	"30-39 years"	"30-39"	"ACHE, RUNNY NOSE, COUGH, LETHARGIC"
	"1410676-1"	"1410676-1"	"MYOCARDIAL INFARCTION"	"10028596"	"30-39 years"	"30-39"	"ACHE, RUNNY NOSE, COUGH, LETHARGIC"
	"1410676-1"	"1410676-1"	"MYOCARDIAL ISCHAEMIA"	"10028600"	"30-39 years"	"30-39"	"ACHE, RUNNY NOSE, COUGH, LETHARGIC"
	"1410676-1"	"1410676-1"	"PAIN"	"10033371"	"30-39 years"	"30-39"	"ACHE, RUNNY NOSE, COUGH, LETHARGIC"
	"1410676-1"	"1410676-1"	"RESUSCITATION"	"10038749"	"30-39 years"	"30-39"	"ACHE, RUNNY NOSE, COUGH, LETHARGIC"
	"1410676-1"	"1410676-1"	"RHINORRHOEA"	"10039101"	"30-39 years"	"30-39"	"ACHE, RUNNY NOSE, COUGH, LETHARGIC"
	"1410676-1"	"1410676-1"	"SEIZURE"	"10039906"	"30-39 years"	"30-39"	"ACHE, RUNNY NOSE, COUGH, LETHARGIC"
	"1413325-1"	"1413325-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"He said he felt bad and fell over and died."
	"1413325-1"	"1413325-1"	"FALL"	"10016173"	"30-39 years"	"30-39"	"He said he felt bad and fell over and died."
	"1413325-1"	"1413325-1"	"FEELING ABNORMAL"	"10016322"	"30-39 years"	"30-39"	"He said he felt bad and fell over and died."
	"1414536-1"	"1414536-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"This patient was homeless. Partner was with patient on the night of 6/12 when patient complained of not feeling well and attributed it to side effects of his COVID vaccine, which he received two days prior. Patient declined to go to the hospital. When partner woke up the morning of 6/13, the patient was found dead. A coroner's report is expected sometime within the next 4-6 weeks."
	"1414536-1"	"1414536-1"	"MALAISE"	"10025482"	"40-49 years"	"40-49"	"This patient was homeless. Partner was with patient on the night of 6/12 when patient complained of not feeling well and attributed it to side effects of his COVID vaccine, which he received two days prior. Patient declined to go to the hospital. When partner woke up the morning of 6/13, the patient was found dead. A coroner's report is expected sometime within the next 4-6 weeks."
	"1415237-1"	"1415237-1"	"HYPERHIDROSIS"	"10020642"	"40-49 years"	"40-49"	"My dad died after he had symptoms of sweating without doing anything to increase his heart rate. He had stated his heart had been racing recently. He died suddenly and unexpectedly."
	"1415237-1"	"1415237-1"	"PALPITATIONS"	"10033557"	"40-49 years"	"40-49"	"My dad died after he had symptoms of sweating without doing anything to increase his heart rate. He had stated his heart had been racing recently. He died suddenly and unexpectedly."
	"1415237-1"	"1415237-1"	"SUDDEN DEATH"	"10042434"	"40-49 years"	"40-49"	"My dad died after he had symptoms of sweating without doing anything to increase his heart rate. He had stated his heart had been racing recently. He died suddenly and unexpectedly."
	"1416816-1"	"1416816-1"	"CARDIOMYOPATHY"	"10007636"	"30-39 years"	"30-39"	"Woke that morning very lethargic and hard to arouse.  Mom states had been doing very well, exercising and losing weight. States he felt good up until that day.     DEATH"
	"1416816-1"	"1416816-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Woke that morning very lethargic and hard to arouse.  Mom states had been doing very well, exercising and losing weight. States he felt good up until that day.     DEATH"
	"1416816-1"	"1416816-1"	"DEPRESSED LEVEL OF CONSCIOUSNESS"	"10012373"	"30-39 years"	"30-39"	"Woke that morning very lethargic and hard to arouse.  Mom states had been doing very well, exercising and losing weight. States he felt good up until that day.     DEATH"
	"1416816-1"	"1416816-1"	"LETHARGY"	"10024264"	"30-39 years"	"30-39"	"Woke that morning very lethargic and hard to arouse.  Mom states had been doing very well, exercising and losing weight. States he felt good up until that day.     DEATH"
	"1417642-1"	"1417642-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Patient father reported he passed away in his sleep the night of 06-07-21 and was pronounced diseased on 6-8-21"
	"1417790-1"	"1417790-1"	"AUTOPSY"	"10050117"	"30-39 years"	"30-39"	"37 yo woman with a history of epilepsy and medical noncompliance found dead in her bed less than two days after receiving 2nd COVID vaccine (believed to be Pfizer). Reportedly experienced a seizure following the 1st dose approximately 3 weeks prior."
	"1417790-1"	"1417790-1"	"CONDITION AGGRAVATED"	"10010264"	"30-39 years"	"30-39"	"37 yo woman with a history of epilepsy and medical noncompliance found dead in her bed less than two days after receiving 2nd COVID vaccine (believed to be Pfizer). Reportedly experienced a seizure following the 1st dose approximately 3 weeks prior."
	"1417790-1"	"1417790-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"37 yo woman with a history of epilepsy and medical noncompliance found dead in her bed less than two days after receiving 2nd COVID vaccine (believed to be Pfizer). Reportedly experienced a seizure following the 1st dose approximately 3 weeks prior."
	"1417790-1"	"1417790-1"	"EPILEPSY"	"10015037"	"30-39 years"	"30-39"	"37 yo woman with a history of epilepsy and medical noncompliance found dead in her bed less than two days after receiving 2nd COVID vaccine (believed to be Pfizer). Reportedly experienced a seizure following the 1st dose approximately 3 weeks prior."
	"1418055-1"	"1418055-1"	"PULMONARY EMBOLISM"	"10037377"	"40-49 years"	"40-49"	"Pulmonary Embolism"
	"1419805-1"	"1419805-1"	"ASTHENIA"	"10003549"	"40-49 years"	"40-49"	"Died due to heart attack; Lot of blood was on the floor; He fell on bathroom tiles; Feeling weakness/Could not coming out of bed; Fever; Chills; This spontaneous case was reported by a consumer and describes the occurrence of MYOCARDIAL INFARCTION (Died due to heart attack) and HAEMORRHAGE (Lot of blood was on the floor) in a 42-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Concurrent medical conditions included Diabetes (was on anti-diabetic medicine.).    On 20-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 20-Mar-2021, the patient experienced ASTHENIA (Feeling weakness/Could not coming out of bed), PYREXIA (Fever) and CHILLS (Chills). On 23-Mar-2021, the patient experienced MYOCARDIAL INFARCTION (Died due to heart attack) (seriousness criteria death and medically significant), HAEMORRHAGE (Lot of blood was on the floor) (seriousness criterion medically significant) and FALL (He fell on bathroom tiles). The patient died on 23-Mar-2021. The reported cause of death was Heart attack. It is unknown if an autopsy was performed. At the time of death, HAEMORRHAGE (Lot of blood was on the floor), FALL (He fell on bathroom tiles), ASTHENIA (Feeling weakness/Could not coming out of bed), PYREXIA (Fever) and CHILLS (Chills) outcome was unknown.            Concomitant medication included was anti-diabetic medicine. The treatment information was not provided.  Very limited information regarding this events has been provided at this time.  Further information has been requested.; Sender's Comments: Very limited information regarding this events has been provided at this time.  Further information has been requested.; Reported Cause(s) of Death: heart attack"
	"1419805-1"	"1419805-1"	"CHILLS"	"10008531"	"40-49 years"	"40-49"	"Died due to heart attack; Lot of blood was on the floor; He fell on bathroom tiles; Feeling weakness/Could not coming out of bed; Fever; Chills; This spontaneous case was reported by a consumer and describes the occurrence of MYOCARDIAL INFARCTION (Died due to heart attack) and HAEMORRHAGE (Lot of blood was on the floor) in a 42-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Concurrent medical conditions included Diabetes (was on anti-diabetic medicine.).    On 20-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 20-Mar-2021, the patient experienced ASTHENIA (Feeling weakness/Could not coming out of bed), PYREXIA (Fever) and CHILLS (Chills). On 23-Mar-2021, the patient experienced MYOCARDIAL INFARCTION (Died due to heart attack) (seriousness criteria death and medically significant), HAEMORRHAGE (Lot of blood was on the floor) (seriousness criterion medically significant) and FALL (He fell on bathroom tiles). The patient died on 23-Mar-2021. The reported cause of death was Heart attack. It is unknown if an autopsy was performed. At the time of death, HAEMORRHAGE (Lot of blood was on the floor), FALL (He fell on bathroom tiles), ASTHENIA (Feeling weakness/Could not coming out of bed), PYREXIA (Fever) and CHILLS (Chills) outcome was unknown.            Concomitant medication included was anti-diabetic medicine. The treatment information was not provided.  Very limited information regarding this events has been provided at this time.  Further information has been requested.; Sender's Comments: Very limited information regarding this events has been provided at this time.  Further information has been requested.; Reported Cause(s) of Death: heart attack"
	"1419805-1"	"1419805-1"	"FALL"	"10016173"	"40-49 years"	"40-49"	"Died due to heart attack; Lot of blood was on the floor; He fell on bathroom tiles; Feeling weakness/Could not coming out of bed; Fever; Chills; This spontaneous case was reported by a consumer and describes the occurrence of MYOCARDIAL INFARCTION (Died due to heart attack) and HAEMORRHAGE (Lot of blood was on the floor) in a 42-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Concurrent medical conditions included Diabetes (was on anti-diabetic medicine.).    On 20-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 20-Mar-2021, the patient experienced ASTHENIA (Feeling weakness/Could not coming out of bed), PYREXIA (Fever) and CHILLS (Chills). On 23-Mar-2021, the patient experienced MYOCARDIAL INFARCTION (Died due to heart attack) (seriousness criteria death and medically significant), HAEMORRHAGE (Lot of blood was on the floor) (seriousness criterion medically significant) and FALL (He fell on bathroom tiles). The patient died on 23-Mar-2021. The reported cause of death was Heart attack. It is unknown if an autopsy was performed. At the time of death, HAEMORRHAGE (Lot of blood was on the floor), FALL (He fell on bathroom tiles), ASTHENIA (Feeling weakness/Could not coming out of bed), PYREXIA (Fever) and CHILLS (Chills) outcome was unknown.            Concomitant medication included was anti-diabetic medicine. The treatment information was not provided.  Very limited information regarding this events has been provided at this time.  Further information has been requested.; Sender's Comments: Very limited information regarding this events has been provided at this time.  Further information has been requested.; Reported Cause(s) of Death: heart attack"
	"1419805-1"	"1419805-1"	"HAEMORRHAGE"	"10055798"	"40-49 years"	"40-49"	"Died due to heart attack; Lot of blood was on the floor; He fell on bathroom tiles; Feeling weakness/Could not coming out of bed; Fever; Chills; This spontaneous case was reported by a consumer and describes the occurrence of MYOCARDIAL INFARCTION (Died due to heart attack) and HAEMORRHAGE (Lot of blood was on the floor) in a 42-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Concurrent medical conditions included Diabetes (was on anti-diabetic medicine.).    On 20-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 20-Mar-2021, the patient experienced ASTHENIA (Feeling weakness/Could not coming out of bed), PYREXIA (Fever) and CHILLS (Chills). On 23-Mar-2021, the patient experienced MYOCARDIAL INFARCTION (Died due to heart attack) (seriousness criteria death and medically significant), HAEMORRHAGE (Lot of blood was on the floor) (seriousness criterion medically significant) and FALL (He fell on bathroom tiles). The patient died on 23-Mar-2021. The reported cause of death was Heart attack. It is unknown if an autopsy was performed. At the time of death, HAEMORRHAGE (Lot of blood was on the floor), FALL (He fell on bathroom tiles), ASTHENIA (Feeling weakness/Could not coming out of bed), PYREXIA (Fever) and CHILLS (Chills) outcome was unknown.            Concomitant medication included was anti-diabetic medicine. The treatment information was not provided.  Very limited information regarding this events has been provided at this time.  Further information has been requested.; Sender's Comments: Very limited information regarding this events has been provided at this time.  Further information has been requested.; Reported Cause(s) of Death: heart attack"
	"1419805-1"	"1419805-1"	"MYOCARDIAL INFARCTION"	"10028596"	"40-49 years"	"40-49"	"Died due to heart attack; Lot of blood was on the floor; He fell on bathroom tiles; Feeling weakness/Could not coming out of bed; Fever; Chills; This spontaneous case was reported by a consumer and describes the occurrence of MYOCARDIAL INFARCTION (Died due to heart attack) and HAEMORRHAGE (Lot of blood was on the floor) in a 42-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Concurrent medical conditions included Diabetes (was on anti-diabetic medicine.).    On 20-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 20-Mar-2021, the patient experienced ASTHENIA (Feeling weakness/Could not coming out of bed), PYREXIA (Fever) and CHILLS (Chills). On 23-Mar-2021, the patient experienced MYOCARDIAL INFARCTION (Died due to heart attack) (seriousness criteria death and medically significant), HAEMORRHAGE (Lot of blood was on the floor) (seriousness criterion medically significant) and FALL (He fell on bathroom tiles). The patient died on 23-Mar-2021. The reported cause of death was Heart attack. It is unknown if an autopsy was performed. At the time of death, HAEMORRHAGE (Lot of blood was on the floor), FALL (He fell on bathroom tiles), ASTHENIA (Feeling weakness/Could not coming out of bed), PYREXIA (Fever) and CHILLS (Chills) outcome was unknown.            Concomitant medication included was anti-diabetic medicine. The treatment information was not provided.  Very limited information regarding this events has been provided at this time.  Further information has been requested.; Sender's Comments: Very limited information regarding this events has been provided at this time.  Further information has been requested.; Reported Cause(s) of Death: heart attack"
	"1419805-1"	"1419805-1"	"PYREXIA"	"10037660"	"40-49 years"	"40-49"	"Died due to heart attack; Lot of blood was on the floor; He fell on bathroom tiles; Feeling weakness/Could not coming out of bed; Fever; Chills; This spontaneous case was reported by a consumer and describes the occurrence of MYOCARDIAL INFARCTION (Died due to heart attack) and HAEMORRHAGE (Lot of blood was on the floor) in a 42-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Concurrent medical conditions included Diabetes (was on anti-diabetic medicine.).    On 20-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 20-Mar-2021, the patient experienced ASTHENIA (Feeling weakness/Could not coming out of bed), PYREXIA (Fever) and CHILLS (Chills). On 23-Mar-2021, the patient experienced MYOCARDIAL INFARCTION (Died due to heart attack) (seriousness criteria death and medically significant), HAEMORRHAGE (Lot of blood was on the floor) (seriousness criterion medically significant) and FALL (He fell on bathroom tiles). The patient died on 23-Mar-2021. The reported cause of death was Heart attack. It is unknown if an autopsy was performed. At the time of death, HAEMORRHAGE (Lot of blood was on the floor), FALL (He fell on bathroom tiles), ASTHENIA (Feeling weakness/Could not coming out of bed), PYREXIA (Fever) and CHILLS (Chills) outcome was unknown.            Concomitant medication included was anti-diabetic medicine. The treatment information was not provided.  Very limited information regarding this events has been provided at this time.  Further information has been requested.; Sender's Comments: Very limited information regarding this events has been provided at this time.  Further information has been requested.; Reported Cause(s) of Death: heart attack"
	"1420257-1"	"1420257-1"	"COVID-19"	"10084268"	"40-49 years"	"40-49"	"hospitalized with respiratory distress and death"
	"1420257-1"	"1420257-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"hospitalized with respiratory distress and death"
	"1420257-1"	"1420257-1"	"RESPIRATORY DISTRESS"	"10038687"	"40-49 years"	"40-49"	"hospitalized with respiratory distress and death"
	"1420257-1"	"1420257-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"40-49 years"	"40-49"	"hospitalized with respiratory distress and death"
	"1421533-1"	"1421533-1"	"CONFUSIONAL STATE"	"10010305"	"30-39 years"	"30-39"	""Per report from patient's husband, the patient developed a fever to 103 on the evening of 6/21/21. She awoke in the morning and was ""not herself"". He describes her as having difficulty breathing and not being lucid. He took her to the hospital where she was  hospitalized and then he got a call from the hospital in the evening reporting that she had walked to the restroom and then collapsed. Per his report, she had CPR performed for 30 minutes prior to being declared deceased. His phone number is the one included in this report.""
	"1421533-1"	"1421533-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	""Per report from patient's husband, the patient developed a fever to 103 on the evening of 6/21/21. She awoke in the morning and was ""not herself"". He describes her as having difficulty breathing and not being lucid. He took her to the hospital where she was  hospitalized and then he got a call from the hospital in the evening reporting that she had walked to the restroom and then collapsed. Per his report, she had CPR performed for 30 minutes prior to being declared deceased. His phone number is the one included in this report.""
	"1421533-1"	"1421533-1"	"DYSPNOEA"	"10013968"	"30-39 years"	"30-39"	""Per report from patient's husband, the patient developed a fever to 103 on the evening of 6/21/21. She awoke in the morning and was ""not herself"". He describes her as having difficulty breathing and not being lucid. He took her to the hospital where she was  hospitalized and then he got a call from the hospital in the evening reporting that she had walked to the restroom and then collapsed. Per his report, she had CPR performed for 30 minutes prior to being declared deceased. His phone number is the one included in this report.""
	"1421533-1"	"1421533-1"	"FEELING ABNORMAL"	"10016322"	"30-39 years"	"30-39"	""Per report from patient's husband, the patient developed a fever to 103 on the evening of 6/21/21. She awoke in the morning and was ""not herself"". He describes her as having difficulty breathing and not being lucid. He took her to the hospital where she was  hospitalized and then he got a call from the hospital in the evening reporting that she had walked to the restroom and then collapsed. Per his report, she had CPR performed for 30 minutes prior to being declared deceased. His phone number is the one included in this report.""
	"1421533-1"	"1421533-1"	"PYREXIA"	"10037660"	"30-39 years"	"30-39"	""Per report from patient's husband, the patient developed a fever to 103 on the evening of 6/21/21. She awoke in the morning and was ""not herself"". He describes her as having difficulty breathing and not being lucid. He took her to the hospital where she was  hospitalized and then he got a call from the hospital in the evening reporting that she had walked to the restroom and then collapsed. Per his report, she had CPR performed for 30 minutes prior to being declared deceased. His phone number is the one included in this report.""
	"1421533-1"	"1421533-1"	"RESUSCITATION"	"10038749"	"30-39 years"	"30-39"	""Per report from patient's husband, the patient developed a fever to 103 on the evening of 6/21/21. She awoke in the morning and was ""not herself"". He describes her as having difficulty breathing and not being lucid. He took her to the hospital where she was  hospitalized and then he got a call from the hospital in the evening reporting that she had walked to the restroom and then collapsed. Per his report, she had CPR performed for 30 minutes prior to being declared deceased. His phone number is the one included in this report.""
	"1421533-1"	"1421533-1"	"SYNCOPE"	"10042772"	"30-39 years"	"30-39"	""Per report from patient's husband, the patient developed a fever to 103 on the evening of 6/21/21. She awoke in the morning and was ""not herself"". He describes her as having difficulty breathing and not being lucid. He took her to the hospital where she was  hospitalized and then he got a call from the hospital in the evening reporting that she had walked to the restroom and then collapsed. Per his report, she had CPR performed for 30 minutes prior to being declared deceased. His phone number is the one included in this report.""
	"1423308-1"	"1423308-1"	"CARDIAC ARREST"	"10007515"	"30-39 years"	"30-39"	"patient complained of intermittent fevers since the first administration of the Moderna vaccine on 4/7/21.  fevers continued intermittently until second moderna dose on 5/5/21.  Patient developed lymphadenopathy and eventually was hospitalized on 6/6/21 for sepsis symptoms.  Patient was intubated and found to have an acute lymphoproliferative disorder that caused cardiac arrest and the patient expired on 6/8/21.  She has no lab abnormalities suggesting a lymphoproliferative disorder prior to these events."
	"1423308-1"	"1423308-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"patient complained of intermittent fevers since the first administration of the Moderna vaccine on 4/7/21.  fevers continued intermittently until second moderna dose on 5/5/21.  Patient developed lymphadenopathy and eventually was hospitalized on 6/6/21 for sepsis symptoms.  Patient was intubated and found to have an acute lymphoproliferative disorder that caused cardiac arrest and the patient expired on 6/8/21.  She has no lab abnormalities suggesting a lymphoproliferative disorder prior to these events."
	"1423308-1"	"1423308-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"30-39 years"	"30-39"	"patient complained of intermittent fevers since the first administration of the Moderna vaccine on 4/7/21.  fevers continued intermittently until second moderna dose on 5/5/21.  Patient developed lymphadenopathy and eventually was hospitalized on 6/6/21 for sepsis symptoms.  Patient was intubated and found to have an acute lymphoproliferative disorder that caused cardiac arrest and the patient expired on 6/8/21.  She has no lab abnormalities suggesting a lymphoproliferative disorder prior to these events."
	"1423308-1"	"1423308-1"	"LYMPHADENOPATHY"	"10025197"	"30-39 years"	"30-39"	"patient complained of intermittent fevers since the first administration of the Moderna vaccine on 4/7/21.  fevers continued intermittently until second moderna dose on 5/5/21.  Patient developed lymphadenopathy and eventually was hospitalized on 6/6/21 for sepsis symptoms.  Patient was intubated and found to have an acute lymphoproliferative disorder that caused cardiac arrest and the patient expired on 6/8/21.  She has no lab abnormalities suggesting a lymphoproliferative disorder prior to these events."
	"1423308-1"	"1423308-1"	"LYMPHOPROLIFERATIVE DISORDER"	"10061232"	"30-39 years"	"30-39"	"patient complained of intermittent fevers since the first administration of the Moderna vaccine on 4/7/21.  fevers continued intermittently until second moderna dose on 5/5/21.  Patient developed lymphadenopathy and eventually was hospitalized on 6/6/21 for sepsis symptoms.  Patient was intubated and found to have an acute lymphoproliferative disorder that caused cardiac arrest and the patient expired on 6/8/21.  She has no lab abnormalities suggesting a lymphoproliferative disorder prior to these events."
	"1423308-1"	"1423308-1"	"SEPSIS"	"10040047"	"30-39 years"	"30-39"	"patient complained of intermittent fevers since the first administration of the Moderna vaccine on 4/7/21.  fevers continued intermittently until second moderna dose on 5/5/21.  Patient developed lymphadenopathy and eventually was hospitalized on 6/6/21 for sepsis symptoms.  Patient was intubated and found to have an acute lymphoproliferative disorder that caused cardiac arrest and the patient expired on 6/8/21.  She has no lab abnormalities suggesting a lymphoproliferative disorder prior to these events."
	"1423631-1"	"1423631-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"FAMILY PRACTICE was  notified by a County coroner that the  patient died on 12 June 2021. It is unknown to us if this is related to the Moderna vaccine received 19 May 2021.  Dr. had seen this patient one time as a new patient of FAMILY PRACTICE to establish a primary care provider 25 May 2021  FAMILY PRACTICE provided the 1st dose Moderna vaccination 19 May 2021"
	"1424021-1"	"1424021-1"	"ACUTE MYOCARDIAL INFARCTION"	"10000891"	"40-49 years"	"40-49"	"Patient had an acute MI died after within 8 weeks of last vaccine patient had been complaining of dizziness and feeling different since second vaccine"
	"1424021-1"	"1424021-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Patient had an acute MI died after within 8 weeks of last vaccine patient had been complaining of dizziness and feeling different since second vaccine"
	"1424021-1"	"1424021-1"	"DIZZINESS"	"10013573"	"40-49 years"	"40-49"	"Patient had an acute MI died after within 8 weeks of last vaccine patient had been complaining of dizziness and feeling different since second vaccine"
	"1424021-1"	"1424021-1"	"FEELING ABNORMAL"	"10016322"	"40-49 years"	"40-49"	"Patient had an acute MI died after within 8 weeks of last vaccine patient had been complaining of dizziness and feeling different since second vaccine"
	"1425204-1"	"1425204-1"	"CARDIAC ARREST"	"10007515"	"40-49 years"	"40-49"	"Experienced shortness of breathe resulting in death cardiac arrest."
	"1425204-1"	"1425204-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Experienced shortness of breathe resulting in death cardiac arrest."
	"1425204-1"	"1425204-1"	"DYSPNOEA"	"10013968"	"40-49 years"	"40-49"	"Experienced shortness of breathe resulting in death cardiac arrest."
	"1425926-1"	"1425926-1"	"CARDIAC FAILURE CONGESTIVE"	"10007559"	"30-39 years"	"30-39"	"Death:  5/7/2021 Causes of death listed on death certificate: 1) COVID-19  2) Sepsis  3) Sarcoidosis  4) End stage renal disease  Other: Hypertension, Congestive heart failure"
	"1425926-1"	"1425926-1"	"CONDITION AGGRAVATED"	"10010264"	"30-39 years"	"30-39"	"Death:  5/7/2021 Causes of death listed on death certificate: 1) COVID-19  2) Sepsis  3) Sarcoidosis  4) End stage renal disease  Other: Hypertension, Congestive heart failure"
	"1425926-1"	"1425926-1"	"COVID-19"	"10084268"	"30-39 years"	"30-39"	"Death:  5/7/2021 Causes of death listed on death certificate: 1) COVID-19  2) Sepsis  3) Sarcoidosis  4) End stage renal disease  Other: Hypertension, Congestive heart failure"
	"1425926-1"	"1425926-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Death:  5/7/2021 Causes of death listed on death certificate: 1) COVID-19  2) Sepsis  3) Sarcoidosis  4) End stage renal disease  Other: Hypertension, Congestive heart failure"
	"1425926-1"	"1425926-1"	"END STAGE RENAL DISEASE"	"10077512"	"30-39 years"	"30-39"	"Death:  5/7/2021 Causes of death listed on death certificate: 1) COVID-19  2) Sepsis  3) Sarcoidosis  4) End stage renal disease  Other: Hypertension, Congestive heart failure"
	"1425926-1"	"1425926-1"	"HYPERTENSION"	"10020772"	"30-39 years"	"30-39"	"Death:  5/7/2021 Causes of death listed on death certificate: 1) COVID-19  2) Sepsis  3) Sarcoidosis  4) End stage renal disease  Other: Hypertension, Congestive heart failure"
	"1425926-1"	"1425926-1"	"NUCLEIC ACID TEST"	"10083356"	"30-39 years"	"30-39"	"Death:  5/7/2021 Causes of death listed on death certificate: 1) COVID-19  2) Sepsis  3) Sarcoidosis  4) End stage renal disease  Other: Hypertension, Congestive heart failure"
	"1425926-1"	"1425926-1"	"SARCOIDOSIS"	"10039486"	"30-39 years"	"30-39"	"Death:  5/7/2021 Causes of death listed on death certificate: 1) COVID-19  2) Sepsis  3) Sarcoidosis  4) End stage renal disease  Other: Hypertension, Congestive heart failure"
	"1425926-1"	"1425926-1"	"SEPSIS"	"10040047"	"30-39 years"	"30-39"	"Death:  5/7/2021 Causes of death listed on death certificate: 1) COVID-19  2) Sepsis  3) Sarcoidosis  4) End stage renal disease  Other: Hypertension, Congestive heart failure"
	"1427367-1"	"1427367-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"A friend of the patient called us today to inform us that the patient had recently passed away from a brain aneurysm. The friend asked it it were possible that this occurrence was somehow related to patient receiving his covid vaccination. The friend did not have a lot of information about the occurrence; he only stated that the patient's brain aneurysm was about 6 weeks after his 2nd dose of the covid vaccine. Patient was not a regular patient of ours so we have no additional medical history for him. We administered his first Moderna vaccine on 4-2-2021, and he returned for his second dose on 4-30-2021. I assured the friend I would report this to VAERS and thanked him for reaching out to us on behalf of patient."
	"1427367-1"	"1427367-1"	"INTRACRANIAL ANEURYSM"	"10022758"	"40-49 years"	"40-49"	"A friend of the patient called us today to inform us that the patient had recently passed away from a brain aneurysm. The friend asked it it were possible that this occurrence was somehow related to patient receiving his covid vaccination. The friend did not have a lot of information about the occurrence; he only stated that the patient's brain aneurysm was about 6 weeks after his 2nd dose of the covid vaccine. Patient was not a regular patient of ours so we have no additional medical history for him. We administered his first Moderna vaccine on 4-2-2021, and he returned for his second dose on 4-30-2021. I assured the friend I would report this to VAERS and thanked him for reaching out to us on behalf of patient."
	"1427448-1"	"1427448-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Notified on 6/16 /2021 patient died. Death by PE 1 month after prime dose of Moderna-since unexpected- reported to VAERS"
	"1427448-1"	"1427448-1"	"PULMONARY EMBOLISM"	"10037377"	"40-49 years"	"40-49"	"Notified on 6/16 /2021 patient died. Death by PE 1 month after prime dose of Moderna-since unexpected- reported to VAERS"
	"1427998-1"	"1427998-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Patients appointment was either 2:15 or 2:30.  His Apple watch recorded it's last heart beat reading at 3:15 pm, 05/21/2021, within an hour after receiving his second Moderna Covid-19.  His heart rate  increased rapidly from 3:00 to 3:15, reading 104 - 106 - 108 - 116 bpm.  I can provide a photo of these last four readings if you need them.  I don't know other symptoms.  His body was found by police who were called for a well-check three days later, 05/24/2021.  Patient died unattended, at home, alone.  I only know for sure the vaccine was administered at a Target store near his home.  Patient texted me at 2:48pm saying that Target gave him a $5 coupon for getting his vaccine, and he was going to use it to buy Tylenol."
	"1427998-1"	"1427998-1"	"HEART RATE INCREASED"	"10019303"	"40-49 years"	"40-49"	"Patients appointment was either 2:15 or 2:30.  His Apple watch recorded it's last heart beat reading at 3:15 pm, 05/21/2021, within an hour after receiving his second Moderna Covid-19.  His heart rate  increased rapidly from 3:00 to 3:15, reading 104 - 106 - 108 - 116 bpm.  I can provide a photo of these last four readings if you need them.  I don't know other symptoms.  His body was found by police who were called for a well-check three days later, 05/24/2021.  Patient died unattended, at home, alone.  I only know for sure the vaccine was administered at a Target store near his home.  Patient texted me at 2:48pm saying that Target gave him a $5 coupon for getting his vaccine, and he was going to use it to buy Tylenol."
	"1428029-1"	"1428029-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"N/A -- patient was perfectly fine during wait time"
	"1429713-1"	"1429713-1"	"BRAIN OEDEMA"	"10048962"	"30-39 years"	"30-39"	"My son had been complaining of racing heart and became a week after the first dose of Moderna then started vomiting once or twice a week thereafter I tried to get him to go the doctor but he kept saying he was ok. He said he feels like something was wrong but didn?t know what. He received his second dose of moderna 6/13/2021, 5 days later on 6/18/2021 he didn?t feel well laid down around 9 pm was checked on at 9:21 he was unresponsive no heart beat no breathing 911 was called. They resuscitated him after 45 minutes then he was transported to hospital then to medical center. he was in ICU on a  ventilator unresponsive brain swollen , totally unresponsive and organs shutting down. He passed away 9:45 pm June 19"
	"1429713-1"	"1429713-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"My son had been complaining of racing heart and became a week after the first dose of Moderna then started vomiting once or twice a week thereafter I tried to get him to go the doctor but he kept saying he was ok. He said he feels like something was wrong but didn?t know what. He received his second dose of moderna 6/13/2021, 5 days later on 6/18/2021 he didn?t feel well laid down around 9 pm was checked on at 9:21 he was unresponsive no heart beat no breathing 911 was called. They resuscitated him after 45 minutes then he was transported to hospital then to medical center. he was in ICU on a  ventilator unresponsive brain swollen , totally unresponsive and organs shutting down. He passed away 9:45 pm June 19"
	"1429713-1"	"1429713-1"	"INTENSIVE CARE"	"10022519"	"30-39 years"	"30-39"	"My son had been complaining of racing heart and became a week after the first dose of Moderna then started vomiting once or twice a week thereafter I tried to get him to go the doctor but he kept saying he was ok. He said he feels like something was wrong but didn?t know what. He received his second dose of moderna 6/13/2021, 5 days later on 6/18/2021 he didn?t feel well laid down around 9 pm was checked on at 9:21 he was unresponsive no heart beat no breathing 911 was called. They resuscitated him after 45 minutes then he was transported to hospital then to medical center. he was in ICU on a  ventilator unresponsive brain swollen , totally unresponsive and organs shutting down. He passed away 9:45 pm June 19"
	"1429713-1"	"1429713-1"	"MALAISE"	"10025482"	"30-39 years"	"30-39"	"My son had been complaining of racing heart and became a week after the first dose of Moderna then started vomiting once or twice a week thereafter I tried to get him to go the doctor but he kept saying he was ok. He said he feels like something was wrong but didn?t know what. He received his second dose of moderna 6/13/2021, 5 days later on 6/18/2021 he didn?t feel well laid down around 9 pm was checked on at 9:21 he was unresponsive no heart beat no breathing 911 was called. They resuscitated him after 45 minutes then he was transported to hospital then to medical center. he was in ICU on a  ventilator unresponsive brain swollen , totally unresponsive and organs shutting down. He passed away 9:45 pm June 19"
	"1429713-1"	"1429713-1"	"MECHANICAL VENTILATION"	"10067221"	"30-39 years"	"30-39"	"My son had been complaining of racing heart and became a week after the first dose of Moderna then started vomiting once or twice a week thereafter I tried to get him to go the doctor but he kept saying he was ok. He said he feels like something was wrong but didn?t know what. He received his second dose of moderna 6/13/2021, 5 days later on 6/18/2021 he didn?t feel well laid down around 9 pm was checked on at 9:21 he was unresponsive no heart beat no breathing 911 was called. They resuscitated him after 45 minutes then he was transported to hospital then to medical center. he was in ICU on a  ventilator unresponsive brain swollen , totally unresponsive and organs shutting down. He passed away 9:45 pm June 19"
	"1429713-1"	"1429713-1"	"ORGAN FAILURE"	"10053159"	"30-39 years"	"30-39"	"My son had been complaining of racing heart and became a week after the first dose of Moderna then started vomiting once or twice a week thereafter I tried to get him to go the doctor but he kept saying he was ok. He said he feels like something was wrong but didn?t know what. He received his second dose of moderna 6/13/2021, 5 days later on 6/18/2021 he didn?t feel well laid down around 9 pm was checked on at 9:21 he was unresponsive no heart beat no breathing 911 was called. They resuscitated him after 45 minutes then he was transported to hospital then to medical center. he was in ICU on a  ventilator unresponsive brain swollen , totally unresponsive and organs shutting down. He passed away 9:45 pm June 19"
	"1429713-1"	"1429713-1"	"RESPIRATORY ARREST"	"10038669"	"30-39 years"	"30-39"	"My son had been complaining of racing heart and became a week after the first dose of Moderna then started vomiting once or twice a week thereafter I tried to get him to go the doctor but he kept saying he was ok. He said he feels like something was wrong but didn?t know what. He received his second dose of moderna 6/13/2021, 5 days later on 6/18/2021 he didn?t feel well laid down around 9 pm was checked on at 9:21 he was unresponsive no heart beat no breathing 911 was called. They resuscitated him after 45 minutes then he was transported to hospital then to medical center. he was in ICU on a  ventilator unresponsive brain swollen , totally unresponsive and organs shutting down. He passed away 9:45 pm June 19"
	"1429713-1"	"1429713-1"	"RESUSCITATION"	"10038749"	"30-39 years"	"30-39"	"My son had been complaining of racing heart and became a week after the first dose of Moderna then started vomiting once or twice a week thereafter I tried to get him to go the doctor but he kept saying he was ok. He said he feels like something was wrong but didn?t know what. He received his second dose of moderna 6/13/2021, 5 days later on 6/18/2021 he didn?t feel well laid down around 9 pm was checked on at 9:21 he was unresponsive no heart beat no breathing 911 was called. They resuscitated him after 45 minutes then he was transported to hospital then to medical center. he was in ICU on a  ventilator unresponsive brain swollen , totally unresponsive and organs shutting down. He passed away 9:45 pm June 19"
	"1429713-1"	"1429713-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"30-39 years"	"30-39"	"My son had been complaining of racing heart and became a week after the first dose of Moderna then started vomiting once or twice a week thereafter I tried to get him to go the doctor but he kept saying he was ok. He said he feels like something was wrong but didn?t know what. He received his second dose of moderna 6/13/2021, 5 days later on 6/18/2021 he didn?t feel well laid down around 9 pm was checked on at 9:21 he was unresponsive no heart beat no breathing 911 was called. They resuscitated him after 45 minutes then he was transported to hospital then to medical center. he was in ICU on a  ventilator unresponsive brain swollen , totally unresponsive and organs shutting down. He passed away 9:45 pm June 19"
	"1430291-1"	"1430291-1"	"ARTHRALGIA"	"10003239"	"40-49 years"	"40-49"	"Started with body aches, joint pain and weakness, followed by SOB that was aggravated over time- especially after the 2nd dose- Then, she started having increase heart palpitations and chest pressure. Eventually noted ischemic changes with purplish discoloration face, hands and feet. At this time it became great effort to walk due to lack of air- SOB was severe. She was taken to ER at hospital where she was admitted with possible PE, MI or heart failure. After few days no improvement was achieved and patient trans ported to another Hospital to receive more advance care but she was pronounced death in the morning of 5-11-21. The death certificate heart failure as immediate cause of death, preceded by PE and pulmonary hypertension."
	"1430291-1"	"1430291-1"	"ASTHENIA"	"10003549"	"40-49 years"	"40-49"	"Started with body aches, joint pain and weakness, followed by SOB that was aggravated over time- especially after the 2nd dose- Then, she started having increase heart palpitations and chest pressure. Eventually noted ischemic changes with purplish discoloration face, hands and feet. At this time it became great effort to walk due to lack of air- SOB was severe. She was taken to ER at hospital where she was admitted with possible PE, MI or heart failure. After few days no improvement was achieved and patient trans ported to another Hospital to receive more advance care but she was pronounced death in the morning of 5-11-21. The death certificate heart failure as immediate cause of death, preceded by PE and pulmonary hypertension."
	"1430291-1"	"1430291-1"	"CARDIAC FAILURE"	"10007554"	"40-49 years"	"40-49"	"Started with body aches, joint pain and weakness, followed by SOB that was aggravated over time- especially after the 2nd dose- Then, she started having increase heart palpitations and chest pressure. Eventually noted ischemic changes with purplish discoloration face, hands and feet. At this time it became great effort to walk due to lack of air- SOB was severe. She was taken to ER at hospital where she was admitted with possible PE, MI or heart failure. After few days no improvement was achieved and patient trans ported to another Hospital to receive more advance care but she was pronounced death in the morning of 5-11-21. The death certificate heart failure as immediate cause of death, preceded by PE and pulmonary hypertension."
	"1430291-1"	"1430291-1"	"CHEST DISCOMFORT"	"10008469"	"40-49 years"	"40-49"	"Started with body aches, joint pain and weakness, followed by SOB that was aggravated over time- especially after the 2nd dose- Then, she started having increase heart palpitations and chest pressure. Eventually noted ischemic changes with purplish discoloration face, hands and feet. At this time it became great effort to walk due to lack of air- SOB was severe. She was taken to ER at hospital where she was admitted with possible PE, MI or heart failure. After few days no improvement was achieved and patient trans ported to another Hospital to receive more advance care but she was pronounced death in the morning of 5-11-21. The death certificate heart failure as immediate cause of death, preceded by PE and pulmonary hypertension."
	"1430291-1"	"1430291-1"	"CHEST X-RAY"	"10008498"	"40-49 years"	"40-49"	"Started with body aches, joint pain and weakness, followed by SOB that was aggravated over time- especially after the 2nd dose- Then, she started having increase heart palpitations and chest pressure. Eventually noted ischemic changes with purplish discoloration face, hands and feet. At this time it became great effort to walk due to lack of air- SOB was severe. She was taken to ER at hospital where she was admitted with possible PE, MI or heart failure. After few days no improvement was achieved and patient trans ported to another Hospital to receive more advance care but she was pronounced death in the morning of 5-11-21. The death certificate heart failure as immediate cause of death, preceded by PE and pulmonary hypertension."
	"1430291-1"	"1430291-1"	"COMPUTERISED TOMOGRAM"	"10010234"	"40-49 years"	"40-49"	"Started with body aches, joint pain and weakness, followed by SOB that was aggravated over time- especially after the 2nd dose- Then, she started having increase heart palpitations and chest pressure. Eventually noted ischemic changes with purplish discoloration face, hands and feet. At this time it became great effort to walk due to lack of air- SOB was severe. She was taken to ER at hospital where she was admitted with possible PE, MI or heart failure. After few days no improvement was achieved and patient trans ported to another Hospital to receive more advance care but she was pronounced death in the morning of 5-11-21. The death certificate heart failure as immediate cause of death, preceded by PE and pulmonary hypertension."
	"1430291-1"	"1430291-1"	"CONDITION AGGRAVATED"	"10010264"	"40-49 years"	"40-49"	"Started with body aches, joint pain and weakness, followed by SOB that was aggravated over time- especially after the 2nd dose- Then, she started having increase heart palpitations and chest pressure. Eventually noted ischemic changes with purplish discoloration face, hands and feet. At this time it became great effort to walk due to lack of air- SOB was severe. She was taken to ER at hospital where she was admitted with possible PE, MI or heart failure. After few days no improvement was achieved and patient trans ported to another Hospital to receive more advance care but she was pronounced death in the morning of 5-11-21. The death certificate heart failure as immediate cause of death, preceded by PE and pulmonary hypertension."
	"1430291-1"	"1430291-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Started with body aches, joint pain and weakness, followed by SOB that was aggravated over time- especially after the 2nd dose- Then, she started having increase heart palpitations and chest pressure. Eventually noted ischemic changes with purplish discoloration face, hands and feet. At this time it became great effort to walk due to lack of air- SOB was severe. She was taken to ER at hospital where she was admitted with possible PE, MI or heart failure. After few days no improvement was achieved and patient trans ported to another Hospital to receive more advance care but she was pronounced death in the morning of 5-11-21. The death certificate heart failure as immediate cause of death, preceded by PE and pulmonary hypertension."
	"1430291-1"	"1430291-1"	"DYSPNOEA"	"10013968"	"40-49 years"	"40-49"	"Started with body aches, joint pain and weakness, followed by SOB that was aggravated over time- especially after the 2nd dose- Then, she started having increase heart palpitations and chest pressure. Eventually noted ischemic changes with purplish discoloration face, hands and feet. At this time it became great effort to walk due to lack of air- SOB was severe. She was taken to ER at hospital where she was admitted with possible PE, MI or heart failure. After few days no improvement was achieved and patient trans ported to another Hospital to receive more advance care but she was pronounced death in the morning of 5-11-21. The death certificate heart failure as immediate cause of death, preceded by PE and pulmonary hypertension."
	"1430291-1"	"1430291-1"	"ECHOCARDIOGRAM"	"10014113"	"40-49 years"	"40-49"	"Started with body aches, joint pain and weakness, followed by SOB that was aggravated over time- especially after the 2nd dose- Then, she started having increase heart palpitations and chest pressure. Eventually noted ischemic changes with purplish discoloration face, hands and feet. At this time it became great effort to walk due to lack of air- SOB was severe. She was taken to ER at hospital where she was admitted with possible PE, MI or heart failure. After few days no improvement was achieved and patient trans ported to another Hospital to receive more advance care but she was pronounced death in the morning of 5-11-21. The death certificate heart failure as immediate cause of death, preceded by PE and pulmonary hypertension."
	"1430291-1"	"1430291-1"	"ELECTROCARDIOGRAM"	"10014362"	"40-49 years"	"40-49"	"Started with body aches, joint pain and weakness, followed by SOB that was aggravated over time- especially after the 2nd dose- Then, she started having increase heart palpitations and chest pressure. Eventually noted ischemic changes with purplish discoloration face, hands and feet. At this time it became great effort to walk due to lack of air- SOB was severe. She was taken to ER at hospital where she was admitted with possible PE, MI or heart failure. After few days no improvement was achieved and patient trans ported to another Hospital to receive more advance care but she was pronounced death in the morning of 5-11-21. The death certificate heart failure as immediate cause of death, preceded by PE and pulmonary hypertension."
	"1430291-1"	"1430291-1"	"GAIT DISTURBANCE"	"10017577"	"40-49 years"	"40-49"	"Started with body aches, joint pain and weakness, followed by SOB that was aggravated over time- especially after the 2nd dose- Then, she started having increase heart palpitations and chest pressure. Eventually noted ischemic changes with purplish discoloration face, hands and feet. At this time it became great effort to walk due to lack of air- SOB was severe. She was taken to ER at hospital where she was admitted with possible PE, MI or heart failure. After few days no improvement was achieved and patient trans ported to another Hospital to receive more advance care but she was pronounced death in the morning of 5-11-21. The death certificate heart failure as immediate cause of death, preceded by PE and pulmonary hypertension."
	"1430291-1"	"1430291-1"	"LABORATORY TEST"	"10059938"	"40-49 years"	"40-49"	"Started with body aches, joint pain and weakness, followed by SOB that was aggravated over time- especially after the 2nd dose- Then, she started having increase heart palpitations and chest pressure. Eventually noted ischemic changes with purplish discoloration face, hands and feet. At this time it became great effort to walk due to lack of air- SOB was severe. She was taken to ER at hospital where she was admitted with possible PE, MI or heart failure. After few days no improvement was achieved and patient trans ported to another Hospital to receive more advance care but she was pronounced death in the morning of 5-11-21. The death certificate heart failure as immediate cause of death, preceded by PE and pulmonary hypertension."
	"1430291-1"	"1430291-1"	"PAIN"	"10033371"	"40-49 years"	"40-49"	"Started with body aches, joint pain and weakness, followed by SOB that was aggravated over time- especially after the 2nd dose- Then, she started having increase heart palpitations and chest pressure. Eventually noted ischemic changes with purplish discoloration face, hands and feet. At this time it became great effort to walk due to lack of air- SOB was severe. She was taken to ER at hospital where she was admitted with possible PE, MI or heart failure. After few days no improvement was achieved and patient trans ported to another Hospital to receive more advance care but she was pronounced death in the morning of 5-11-21. The death certificate heart failure as immediate cause of death, preceded by PE and pulmonary hypertension."
	"1430291-1"	"1430291-1"	"PALPITATIONS"	"10033557"	"40-49 years"	"40-49"	"Started with body aches, joint pain and weakness, followed by SOB that was aggravated over time- especially after the 2nd dose- Then, she started having increase heart palpitations and chest pressure. Eventually noted ischemic changes with purplish discoloration face, hands and feet. At this time it became great effort to walk due to lack of air- SOB was severe. She was taken to ER at hospital where she was admitted with possible PE, MI or heart failure. After few days no improvement was achieved and patient trans ported to another Hospital to receive more advance care but she was pronounced death in the morning of 5-11-21. The death certificate heart failure as immediate cause of death, preceded by PE and pulmonary hypertension."
	"1430291-1"	"1430291-1"	"PERIPHERAL ISCHAEMIA"	"10034576"	"40-49 years"	"40-49"	"Started with body aches, joint pain and weakness, followed by SOB that was aggravated over time- especially after the 2nd dose- Then, she started having increase heart palpitations and chest pressure. Eventually noted ischemic changes with purplish discoloration face, hands and feet. At this time it became great effort to walk due to lack of air- SOB was severe. She was taken to ER at hospital where she was admitted with possible PE, MI or heart failure. After few days no improvement was achieved and patient trans ported to another Hospital to receive more advance care but she was pronounced death in the morning of 5-11-21. The death certificate heart failure as immediate cause of death, preceded by PE and pulmonary hypertension."
	"1430291-1"	"1430291-1"	"PULMONARY HYPERTENSION"	"10037400"	"40-49 years"	"40-49"	"Started with body aches, joint pain and weakness, followed by SOB that was aggravated over time- especially after the 2nd dose- Then, she started having increase heart palpitations and chest pressure. Eventually noted ischemic changes with purplish discoloration face, hands and feet. At this time it became great effort to walk due to lack of air- SOB was severe. She was taken to ER at hospital where she was admitted with possible PE, MI or heart failure. After few days no improvement was achieved and patient trans ported to another Hospital to receive more advance care but she was pronounced death in the morning of 5-11-21. The death certificate heart failure as immediate cause of death, preceded by PE and pulmonary hypertension."
	"1430291-1"	"1430291-1"	"SKIN DISCOLOURATION"	"10040829"	"40-49 years"	"40-49"	"Started with body aches, joint pain and weakness, followed by SOB that was aggravated over time- especially after the 2nd dose- Then, she started having increase heart palpitations and chest pressure. Eventually noted ischemic changes with purplish discoloration face, hands and feet. At this time it became great effort to walk due to lack of air- SOB was severe. She was taken to ER at hospital where she was admitted with possible PE, MI or heart failure. After few days no improvement was achieved and patient trans ported to another Hospital to receive more advance care but she was pronounced death in the morning of 5-11-21. The death certificate heart failure as immediate cause of death, preceded by PE and pulmonary hypertension."
	"1430291-1"	"1430291-1"	"ULTRASOUND DOPPLER"	"10045412"	"40-49 years"	"40-49"	"Started with body aches, joint pain and weakness, followed by SOB that was aggravated over time- especially after the 2nd dose- Then, she started having increase heart palpitations and chest pressure. Eventually noted ischemic changes with purplish discoloration face, hands and feet. At this time it became great effort to walk due to lack of air- SOB was severe. She was taken to ER at hospital where she was admitted with possible PE, MI or heart failure. After few days no improvement was achieved and patient trans ported to another Hospital to receive more advance care but she was pronounced death in the morning of 5-11-21. The death certificate heart failure as immediate cause of death, preceded by PE and pulmonary hypertension."
	"1430291-1"	"1430291-1"	"VENTILATION/PERFUSION SCAN"	"10047264"	"40-49 years"	"40-49"	"Started with body aches, joint pain and weakness, followed by SOB that was aggravated over time- especially after the 2nd dose- Then, she started having increase heart palpitations and chest pressure. Eventually noted ischemic changes with purplish discoloration face, hands and feet. At this time it became great effort to walk due to lack of air- SOB was severe. She was taken to ER at hospital where she was admitted with possible PE, MI or heart failure. After few days no improvement was achieved and patient trans ported to another Hospital to receive more advance care but she was pronounced death in the morning of 5-11-21. The death certificate heart failure as immediate cause of death, preceded by PE and pulmonary hypertension."
	"1430452-1"	"1430452-1"	"BLOOD TEST"	"10061726"	"30-39 years"	"30-39"	"Fever, pain in thigh, vomiting, diarrhea, sepsis, eventually died two weeks later. Time of death 6-11-21 1am"
	"1430452-1"	"1430452-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Fever, pain in thigh, vomiting, diarrhea, sepsis, eventually died two weeks later. Time of death 6-11-21 1am"
	"1430452-1"	"1430452-1"	"DIARRHOEA"	"10012735"	"30-39 years"	"30-39"	"Fever, pain in thigh, vomiting, diarrhea, sepsis, eventually died two weeks later. Time of death 6-11-21 1am"
	"1430452-1"	"1430452-1"	"LABORATORY TEST"	"10059938"	"30-39 years"	"30-39"	"Fever, pain in thigh, vomiting, diarrhea, sepsis, eventually died two weeks later. Time of death 6-11-21 1am"
	"1430452-1"	"1430452-1"	"PAIN IN EXTREMITY"	"10033425"	"30-39 years"	"30-39"	"Fever, pain in thigh, vomiting, diarrhea, sepsis, eventually died two weeks later. Time of death 6-11-21 1am"
	"1430452-1"	"1430452-1"	"PYREXIA"	"10037660"	"30-39 years"	"30-39"	"Fever, pain in thigh, vomiting, diarrhea, sepsis, eventually died two weeks later. Time of death 6-11-21 1am"
	"1430452-1"	"1430452-1"	"SEPSIS"	"10040047"	"30-39 years"	"30-39"	"Fever, pain in thigh, vomiting, diarrhea, sepsis, eventually died two weeks later. Time of death 6-11-21 1am"
	"1430452-1"	"1430452-1"	"URINE ANALYSIS"	"10046614"	"30-39 years"	"30-39"	"Fever, pain in thigh, vomiting, diarrhea, sepsis, eventually died two weeks later. Time of death 6-11-21 1am"
	"1430452-1"	"1430452-1"	"VOMITING"	"10047700"	"30-39 years"	"30-39"	"Fever, pain in thigh, vomiting, diarrhea, sepsis, eventually died two weeks later. Time of death 6-11-21 1am"
	"1430978-1"	"1430978-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"03/31/2021 received 1st dose of Moderna COVID-19 vaccine 04/01/2021 104 F fever, dizziness, nausea 04/03/2021 symptoms subsided 04/04/2021 case expired as a result of undetermined natural causes per medical examiner final report"
	"1430978-1"	"1430978-1"	"DIZZINESS"	"10013573"	"40-49 years"	"40-49"	"03/31/2021 received 1st dose of Moderna COVID-19 vaccine 04/01/2021 104 F fever, dizziness, nausea 04/03/2021 symptoms subsided 04/04/2021 case expired as a result of undetermined natural causes per medical examiner final report"
	"1430978-1"	"1430978-1"	"NAUSEA"	"10028813"	"40-49 years"	"40-49"	"03/31/2021 received 1st dose of Moderna COVID-19 vaccine 04/01/2021 104 F fever, dizziness, nausea 04/03/2021 symptoms subsided 04/04/2021 case expired as a result of undetermined natural causes per medical examiner final report"
	"1430978-1"	"1430978-1"	"PYREXIA"	"10037660"	"40-49 years"	"40-49"	"03/31/2021 received 1st dose of Moderna COVID-19 vaccine 04/01/2021 104 F fever, dizziness, nausea 04/03/2021 symptoms subsided 04/04/2021 case expired as a result of undetermined natural causes per medical examiner final report"
	"1431067-1"	"1431067-1"	"EXPOSURE DURING PREGNANCY"	"10073513"	"30-39 years"	"30-39"	"Pt died during child birth on 06/24/2021"
	"1431067-1"	"1431067-1"	"MATERNAL DEATH DURING CHILDBIRTH"	"10066376"	"30-39 years"	"30-39"	"Pt died during child birth on 06/24/2021"
	"1431372-1"	"1431372-1"	"AUTOPSY"	"10050117"	"40-49 years"	"40-49"	"13 hours after the patient had had her 2nd covid-19 shot, she was found dead.  She had  indicated that she had no side effects after her shot."
	"1431372-1"	"1431372-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"13 hours after the patient had had her 2nd covid-19 shot, she was found dead.  She had  indicated that she had no side effects after her shot."
	"1437378-1"	"1437378-1"	"COVID-19"	"10084268"	"40-49 years"	"40-49"	"Died of COVID-19 illness on 05/05/2021"
	"1437378-1"	"1437378-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Died of COVID-19 illness on 05/05/2021"
	"1437378-1"	"1437378-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"40-49 years"	"40-49"	"Died of COVID-19 illness on 05/05/2021"
	"1438057-1"	"1438057-1"	"ASTHMA"	"10003553"	"30-39 years"	"30-39"	"Patient died on March 27, 2021. Coroner ruled it Acute Asthma Exacerbation. Because it was only a short time after his shot, his family wants to rule that out as a possible cause of death."
	"1438057-1"	"1438057-1"	"CONDITION AGGRAVATED"	"10010264"	"30-39 years"	"30-39"	"Patient died on March 27, 2021. Coroner ruled it Acute Asthma Exacerbation. Because it was only a short time after his shot, his family wants to rule that out as a possible cause of death."
	"1438057-1"	"1438057-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Patient died on March 27, 2021. Coroner ruled it Acute Asthma Exacerbation. Because it was only a short time after his shot, his family wants to rule that out as a possible cause of death."
	"1440493-1"	"1440493-1"	"ANXIETY"	"10002855"	"40-49 years"	"40-49"	"Pt became severely sick with flu-like symptoms and could not work on April 20-22.  He worked on April 23.   He told people he was sick again on April 24.    He was very anxious and committed suicide some time between April 27-28."
	"1440493-1"	"1440493-1"	"AUTOPSY"	"10050117"	"40-49 years"	"40-49"	"Pt became severely sick with flu-like symptoms and could not work on April 20-22.  He worked on April 23.   He told people he was sick again on April 24.    He was very anxious and committed suicide some time between April 27-28."
	"1440493-1"	"1440493-1"	"COMPLETED SUICIDE"	"10010144"	"40-49 years"	"40-49"	"Pt became severely sick with flu-like symptoms and could not work on April 20-22.  He worked on April 23.   He told people he was sick again on April 24.    He was very anxious and committed suicide some time between April 27-28."
	"1440493-1"	"1440493-1"	"ILLNESS"	"10080284"	"40-49 years"	"40-49"	"Pt became severely sick with flu-like symptoms and could not work on April 20-22.  He worked on April 23.   He told people he was sick again on April 24.    He was very anxious and committed suicide some time between April 27-28."
	"1440493-1"	"1440493-1"	"IMPAIRED WORK ABILITY"	"10052302"	"40-49 years"	"40-49"	"Pt became severely sick with flu-like symptoms and could not work on April 20-22.  He worked on April 23.   He told people he was sick again on April 24.    He was very anxious and committed suicide some time between April 27-28."
	"1440493-1"	"1440493-1"	"INFLUENZA LIKE ILLNESS"	"10022004"	"40-49 years"	"40-49"	"Pt became severely sick with flu-like symptoms and could not work on April 20-22.  He worked on April 23.   He told people he was sick again on April 24.    He was very anxious and committed suicide some time between April 27-28."
	"1443143-1"	"1443143-1"	"ABNORMAL BEHAVIOUR"	"10061422"	"40-49 years"	"40-49"	"48 y/o female with pmh of HTN, HLD, DM2 and bipolar disorder, transferred to ICU from the psychiatric until after cardiac arrest.  The patient was originally admitted on 5/22 for evaluation of bizarre behavior. She was noted to have flight of ideas, emotional instability and multiple attempts to leave the room naked. She was admitted to the floor there with behavioral health consulted for evaluation. She was then transferred to another  unit on 5/27/21 for additional management, with a plan for a 90 day inpatient hold.  While in the unit she was managed with a medication regimen including Thorazine, Lithium and Abilify.  Medicine was consulted for management of hypertension, and Ob-Gyn was following for abnormal vaginal bleeding with work-up unable to be completed due to her mental status.  ECT treatments were also started this week on 6/23, with the patient receiving her second ECT treatment this afternoon.  From review of the pre-procedure note, the planned induction was with etomidate, succinylcholine, glycopyrrolate, and Brevitol (methohexital, barbiturate class); the actual MAR is not up to date with her procedural medications at the time of admission.  Post treatment, the patient was noted to be conversive and in her normal state of health.  This evening, nursing staff heard a loud noise from the patient's room around 1630. Upon arrival, they found her down, unresponsive and without a pulse. An ACT was called  and CPR was initiated for a duration of approximately 30 minutes. Reportedly the AED display showed asystole, followed by PEA.  She received a reported five rounds of epinephrine, one dose of bicarbonate, and one dose of calcium during the event.  The patient was intubated during the code with a large amount of gastric contents present, concerning for aspiration.  A right ankle IO was placed due to significant difficulty securing access elsewhere.  ROSC was obtained with a junctional rhythm, and the patient was transferred for further management.      On arrival the patient is non-responsive without any sedation running.  She became hypotensive by arrival to the ICU requiring norepinephrine.  On later inspection of her IO, there was suspicion for infiltration of fluids and medications around her right ankle.  She has had significant secretions into her ETT since transfer.   HPI as noted above.  ICU course notable for hypoxic respiratory failure with ARDS likely from lung injury from cardiac arrest.  She subsequently developed shock and required vasopressors.  Initially the patient was noted to have brainstem reflexes, however on 6/25 the patient had an exam change with no spontaneous breaths and pupils fixed and dilated.  The initial head CT following arrest was performed which showed diffuse cerebral edema with effacement of the sulci and gray and white matter differentiation consistent with severe anoxic brain injury. There was diminished ventricular size with complete effacement of the fourth ventricle and tonsillar herniation from mass effect.  Neurology was consulted.     The patient remained on vasopressor and mechanical ventilator support. A NM scan was performed to evaluate cerebral blood flow showed absence of effective cerebral perfusion.  Neurology performed an exam and the patient was pronounced deceased at 1802 on 6/27/21 a doctor.   The family was informed of the results. After discussion with family, the patient was removed from mechanical ventilator support and vasoactive medications discontinued with the family at beside."
	"1443143-1"	"1443143-1"	"ACUTE RESPIRATORY DISTRESS SYNDROME"	"10001052"	"40-49 years"	"40-49"	"48 y/o female with pmh of HTN, HLD, DM2 and bipolar disorder, transferred to ICU from the psychiatric until after cardiac arrest.  The patient was originally admitted on 5/22 for evaluation of bizarre behavior. She was noted to have flight of ideas, emotional instability and multiple attempts to leave the room naked. She was admitted to the floor there with behavioral health consulted for evaluation. She was then transferred to another  unit on 5/27/21 for additional management, with a plan for a 90 day inpatient hold.  While in the unit she was managed with a medication regimen including Thorazine, Lithium and Abilify.  Medicine was consulted for management of hypertension, and Ob-Gyn was following for abnormal vaginal bleeding with work-up unable to be completed due to her mental status.  ECT treatments were also started this week on 6/23, with the patient receiving her second ECT treatment this afternoon.  From review of the pre-procedure note, the planned induction was with etomidate, succinylcholine, glycopyrrolate, and Brevitol (methohexital, barbiturate class); the actual MAR is not up to date with her procedural medications at the time of admission.  Post treatment, the patient was noted to be conversive and in her normal state of health.  This evening, nursing staff heard a loud noise from the patient's room around 1630. Upon arrival, they found her down, unresponsive and without a pulse. An ACT was called  and CPR was initiated for a duration of approximately 30 minutes. Reportedly the AED display showed asystole, followed by PEA.  She received a reported five rounds of epinephrine, one dose of bicarbonate, and one dose of calcium during the event.  The patient was intubated during the code with a large amount of gastric contents present, concerning for aspiration.  A right ankle IO was placed due to significant difficulty securing access elsewhere.  ROSC was obtained with a junctional rhythm, and the patient was transferred for further management.      On arrival the patient is non-responsive without any sedation running.  She became hypotensive by arrival to the ICU requiring norepinephrine.  On later inspection of her IO, there was suspicion for infiltration of fluids and medications around her right ankle.  She has had significant secretions into her ETT since transfer.   HPI as noted above.  ICU course notable for hypoxic respiratory failure with ARDS likely from lung injury from cardiac arrest.  She subsequently developed shock and required vasopressors.  Initially the patient was noted to have brainstem reflexes, however on 6/25 the patient had an exam change with no spontaneous breaths and pupils fixed and dilated.  The initial head CT following arrest was performed which showed diffuse cerebral edema with effacement of the sulci and gray and white matter differentiation consistent with severe anoxic brain injury. There was diminished ventricular size with complete effacement of the fourth ventricle and tonsillar herniation from mass effect.  Neurology was consulted.     The patient remained on vasopressor and mechanical ventilator support. A NM scan was performed to evaluate cerebral blood flow showed absence of effective cerebral perfusion.  Neurology performed an exam and the patient was pronounced deceased at 1802 on 6/27/21 a doctor.   The family was informed of the results. After discussion with family, the patient was removed from mechanical ventilator support and vasoactive medications discontinued with the family at beside."
	"1443143-1"	"1443143-1"	"AFFECT LABILITY"	"10054196"	"40-49 years"	"40-49"	"48 y/o female with pmh of HTN, HLD, DM2 and bipolar disorder, transferred to ICU from the psychiatric until after cardiac arrest.  The patient was originally admitted on 5/22 for evaluation of bizarre behavior. She was noted to have flight of ideas, emotional instability and multiple attempts to leave the room naked. She was admitted to the floor there with behavioral health consulted for evaluation. She was then transferred to another  unit on 5/27/21 for additional management, with a plan for a 90 day inpatient hold.  While in the unit she was managed with a medication regimen including Thorazine, Lithium and Abilify.  Medicine was consulted for management of hypertension, and Ob-Gyn was following for abnormal vaginal bleeding with work-up unable to be completed due to her mental status.  ECT treatments were also started this week on 6/23, with the patient receiving her second ECT treatment this afternoon.  From review of the pre-procedure note, the planned induction was with etomidate, succinylcholine, glycopyrrolate, and Brevitol (methohexital, barbiturate class); the actual MAR is not up to date with her procedural medications at the time of admission.  Post treatment, the patient was noted to be conversive and in her normal state of health.  This evening, nursing staff heard a loud noise from the patient's room around 1630. Upon arrival, they found her down, unresponsive and without a pulse. An ACT was called  and CPR was initiated for a duration of approximately 30 minutes. Reportedly the AED display showed asystole, followed by PEA.  She received a reported five rounds of epinephrine, one dose of bicarbonate, and one dose of calcium during the event.  The patient was intubated during the code with a large amount of gastric contents present, concerning for aspiration.  A right ankle IO was placed due to significant difficulty securing access elsewhere.  ROSC was obtained with a junctional rhythm, and the patient was transferred for further management.      On arrival the patient is non-responsive without any sedation running.  She became hypotensive by arrival to the ICU requiring norepinephrine.  On later inspection of her IO, there was suspicion for infiltration of fluids and medications around her right ankle.  She has had significant secretions into her ETT since transfer.   HPI as noted above.  ICU course notable for hypoxic respiratory failure with ARDS likely from lung injury from cardiac arrest.  She subsequently developed shock and required vasopressors.  Initially the patient was noted to have brainstem reflexes, however on 6/25 the patient had an exam change with no spontaneous breaths and pupils fixed and dilated.  The initial head CT following arrest was performed which showed diffuse cerebral edema with effacement of the sulci and gray and white matter differentiation consistent with severe anoxic brain injury. There was diminished ventricular size with complete effacement of the fourth ventricle and tonsillar herniation from mass effect.  Neurology was consulted.     The patient remained on vasopressor and mechanical ventilator support. A NM scan was performed to evaluate cerebral blood flow showed absence of effective cerebral perfusion.  Neurology performed an exam and the patient was pronounced deceased at 1802 on 6/27/21 a doctor.   The family was informed of the results. After discussion with family, the patient was removed from mechanical ventilator support and vasoactive medications discontinued with the family at beside."
	"1443143-1"	"1443143-1"	"BRAIN HERNIATION"	"10006126"	"40-49 years"	"40-49"	"48 y/o female with pmh of HTN, HLD, DM2 and bipolar disorder, transferred to ICU from the psychiatric until after cardiac arrest.  The patient was originally admitted on 5/22 for evaluation of bizarre behavior. She was noted to have flight of ideas, emotional instability and multiple attempts to leave the room naked. She was admitted to the floor there with behavioral health consulted for evaluation. She was then transferred to another  unit on 5/27/21 for additional management, with a plan for a 90 day inpatient hold.  While in the unit she was managed with a medication regimen including Thorazine, Lithium and Abilify.  Medicine was consulted for management of hypertension, and Ob-Gyn was following for abnormal vaginal bleeding with work-up unable to be completed due to her mental status.  ECT treatments were also started this week on 6/23, with the patient receiving her second ECT treatment this afternoon.  From review of the pre-procedure note, the planned induction was with etomidate, succinylcholine, glycopyrrolate, and Brevitol (methohexital, barbiturate class); the actual MAR is not up to date with her procedural medications at the time of admission.  Post treatment, the patient was noted to be conversive and in her normal state of health.  This evening, nursing staff heard a loud noise from the patient's room around 1630. Upon arrival, they found her down, unresponsive and without a pulse. An ACT was called  and CPR was initiated for a duration of approximately 30 minutes. Reportedly the AED display showed asystole, followed by PEA.  She received a reported five rounds of epinephrine, one dose of bicarbonate, and one dose of calcium during the event.  The patient was intubated during the code with a large amount of gastric contents present, concerning for aspiration.  A right ankle IO was placed due to significant difficulty securing access elsewhere.  ROSC was obtained with a junctional rhythm, and the patient was transferred for further management.      On arrival the patient is non-responsive without any sedation running.  She became hypotensive by arrival to the ICU requiring norepinephrine.  On later inspection of her IO, there was suspicion for infiltration of fluids and medications around her right ankle.  She has had significant secretions into her ETT since transfer.   HPI as noted above.  ICU course notable for hypoxic respiratory failure with ARDS likely from lung injury from cardiac arrest.  She subsequently developed shock and required vasopressors.  Initially the patient was noted to have brainstem reflexes, however on 6/25 the patient had an exam change with no spontaneous breaths and pupils fixed and dilated.  The initial head CT following arrest was performed which showed diffuse cerebral edema with effacement of the sulci and gray and white matter differentiation consistent with severe anoxic brain injury. There was diminished ventricular size with complete effacement of the fourth ventricle and tonsillar herniation from mass effect.  Neurology was consulted.     The patient remained on vasopressor and mechanical ventilator support. A NM scan was performed to evaluate cerebral blood flow showed absence of effective cerebral perfusion.  Neurology performed an exam and the patient was pronounced deceased at 1802 on 6/27/21 a doctor.   The family was informed of the results. After discussion with family, the patient was removed from mechanical ventilator support and vasoactive medications discontinued with the family at beside."
	"1443143-1"	"1443143-1"	"BRAIN INJURY"	"10067967"	"40-49 years"	"40-49"	"48 y/o female with pmh of HTN, HLD, DM2 and bipolar disorder, transferred to ICU from the psychiatric until after cardiac arrest.  The patient was originally admitted on 5/22 for evaluation of bizarre behavior. She was noted to have flight of ideas, emotional instability and multiple attempts to leave the room naked. She was admitted to the floor there with behavioral health consulted for evaluation. She was then transferred to another  unit on 5/27/21 for additional management, with a plan for a 90 day inpatient hold.  While in the unit she was managed with a medication regimen including Thorazine, Lithium and Abilify.  Medicine was consulted for management of hypertension, and Ob-Gyn was following for abnormal vaginal bleeding with work-up unable to be completed due to her mental status.  ECT treatments were also started this week on 6/23, with the patient receiving her second ECT treatment this afternoon.  From review of the pre-procedure note, the planned induction was with etomidate, succinylcholine, glycopyrrolate, and Brevitol (methohexital, barbiturate class); the actual MAR is not up to date with her procedural medications at the time of admission.  Post treatment, the patient was noted to be conversive and in her normal state of health.  This evening, nursing staff heard a loud noise from the patient's room around 1630. Upon arrival, they found her down, unresponsive and without a pulse. An ACT was called  and CPR was initiated for a duration of approximately 30 minutes. Reportedly the AED display showed asystole, followed by PEA.  She received a reported five rounds of epinephrine, one dose of bicarbonate, and one dose of calcium during the event.  The patient was intubated during the code with a large amount of gastric contents present, concerning for aspiration.  A right ankle IO was placed due to significant difficulty securing access elsewhere.  ROSC was obtained with a junctional rhythm, and the patient was transferred for further management.      On arrival the patient is non-responsive without any sedation running.  She became hypotensive by arrival to the ICU requiring norepinephrine.  On later inspection of her IO, there was suspicion for infiltration of fluids and medications around her right ankle.  She has had significant secretions into her ETT since transfer.   HPI as noted above.  ICU course notable for hypoxic respiratory failure with ARDS likely from lung injury from cardiac arrest.  She subsequently developed shock and required vasopressors.  Initially the patient was noted to have brainstem reflexes, however on 6/25 the patient had an exam change with no spontaneous breaths and pupils fixed and dilated.  The initial head CT following arrest was performed which showed diffuse cerebral edema with effacement of the sulci and gray and white matter differentiation consistent with severe anoxic brain injury. There was diminished ventricular size with complete effacement of the fourth ventricle and tonsillar herniation from mass effect.  Neurology was consulted.     The patient remained on vasopressor and mechanical ventilator support. A NM scan was performed to evaluate cerebral blood flow showed absence of effective cerebral perfusion.  Neurology performed an exam and the patient was pronounced deceased at 1802 on 6/27/21 a doctor.   The family was informed of the results. After discussion with family, the patient was removed from mechanical ventilator support and vasoactive medications discontinued with the family at beside."
	"1443143-1"	"1443143-1"	"BRAIN OEDEMA"	"10048962"	"40-49 years"	"40-49"	"48 y/o female with pmh of HTN, HLD, DM2 and bipolar disorder, transferred to ICU from the psychiatric until after cardiac arrest.  The patient was originally admitted on 5/22 for evaluation of bizarre behavior. She was noted to have flight of ideas, emotional instability and multiple attempts to leave the room naked. She was admitted to the floor there with behavioral health consulted for evaluation. She was then transferred to another  unit on 5/27/21 for additional management, with a plan for a 90 day inpatient hold.  While in the unit she was managed with a medication regimen including Thorazine, Lithium and Abilify.  Medicine was consulted for management of hypertension, and Ob-Gyn was following for abnormal vaginal bleeding with work-up unable to be completed due to her mental status.  ECT treatments were also started this week on 6/23, with the patient receiving her second ECT treatment this afternoon.  From review of the pre-procedure note, the planned induction was with etomidate, succinylcholine, glycopyrrolate, and Brevitol (methohexital, barbiturate class); the actual MAR is not up to date with her procedural medications at the time of admission.  Post treatment, the patient was noted to be conversive and in her normal state of health.  This evening, nursing staff heard a loud noise from the patient's room around 1630. Upon arrival, they found her down, unresponsive and without a pulse. An ACT was called  and CPR was initiated for a duration of approximately 30 minutes. Reportedly the AED display showed asystole, followed by PEA.  She received a reported five rounds of epinephrine, one dose of bicarbonate, and one dose of calcium during the event.  The patient was intubated during the code with a large amount of gastric contents present, concerning for aspiration.  A right ankle IO was placed due to significant difficulty securing access elsewhere.  ROSC was obtained with a junctional rhythm, and the patient was transferred for further management.      On arrival the patient is non-responsive without any sedation running.  She became hypotensive by arrival to the ICU requiring norepinephrine.  On later inspection of her IO, there was suspicion for infiltration of fluids and medications around her right ankle.  She has had significant secretions into her ETT since transfer.   HPI as noted above.  ICU course notable for hypoxic respiratory failure with ARDS likely from lung injury from cardiac arrest.  She subsequently developed shock and required vasopressors.  Initially the patient was noted to have brainstem reflexes, however on 6/25 the patient had an exam change with no spontaneous breaths and pupils fixed and dilated.  The initial head CT following arrest was performed which showed diffuse cerebral edema with effacement of the sulci and gray and white matter differentiation consistent with severe anoxic brain injury. There was diminished ventricular size with complete effacement of the fourth ventricle and tonsillar herniation from mass effect.  Neurology was consulted.     The patient remained on vasopressor and mechanical ventilator support. A NM scan was performed to evaluate cerebral blood flow showed absence of effective cerebral perfusion.  Neurology performed an exam and the patient was pronounced deceased at 1802 on 6/27/21 a doctor.   The family was informed of the results. After discussion with family, the patient was removed from mechanical ventilator support and vasoactive medications discontinued with the family at beside."
	"1443143-1"	"1443143-1"	"CARDIAC ARREST"	"10007515"	"40-49 years"	"40-49"	"48 y/o female with pmh of HTN, HLD, DM2 and bipolar disorder, transferred to ICU from the psychiatric until after cardiac arrest.  The patient was originally admitted on 5/22 for evaluation of bizarre behavior. She was noted to have flight of ideas, emotional instability and multiple attempts to leave the room naked. She was admitted to the floor there with behavioral health consulted for evaluation. She was then transferred to another  unit on 5/27/21 for additional management, with a plan for a 90 day inpatient hold.  While in the unit she was managed with a medication regimen including Thorazine, Lithium and Abilify.  Medicine was consulted for management of hypertension, and Ob-Gyn was following for abnormal vaginal bleeding with work-up unable to be completed due to her mental status.  ECT treatments were also started this week on 6/23, with the patient receiving her second ECT treatment this afternoon.  From review of the pre-procedure note, the planned induction was with etomidate, succinylcholine, glycopyrrolate, and Brevitol (methohexital, barbiturate class); the actual MAR is not up to date with her procedural medications at the time of admission.  Post treatment, the patient was noted to be conversive and in her normal state of health.  This evening, nursing staff heard a loud noise from the patient's room around 1630. Upon arrival, they found her down, unresponsive and without a pulse. An ACT was called  and CPR was initiated for a duration of approximately 30 minutes. Reportedly the AED display showed asystole, followed by PEA.  She received a reported five rounds of epinephrine, one dose of bicarbonate, and one dose of calcium during the event.  The patient was intubated during the code with a large amount of gastric contents present, concerning for aspiration.  A right ankle IO was placed due to significant difficulty securing access elsewhere.  ROSC was obtained with a junctional rhythm, and the patient was transferred for further management.      On arrival the patient is non-responsive without any sedation running.  She became hypotensive by arrival to the ICU requiring norepinephrine.  On later inspection of her IO, there was suspicion for infiltration of fluids and medications around her right ankle.  She has had significant secretions into her ETT since transfer.   HPI as noted above.  ICU course notable for hypoxic respiratory failure with ARDS likely from lung injury from cardiac arrest.  She subsequently developed shock and required vasopressors.  Initially the patient was noted to have brainstem reflexes, however on 6/25 the patient had an exam change with no spontaneous breaths and pupils fixed and dilated.  The initial head CT following arrest was performed which showed diffuse cerebral edema with effacement of the sulci and gray and white matter differentiation consistent with severe anoxic brain injury. There was diminished ventricular size with complete effacement of the fourth ventricle and tonsillar herniation from mass effect.  Neurology was consulted.     The patient remained on vasopressor and mechanical ventilator support. A NM scan was performed to evaluate cerebral blood flow showed absence of effective cerebral perfusion.  Neurology performed an exam and the patient was pronounced deceased at 1802 on 6/27/21 a doctor.   The family was informed of the results. After discussion with family, the patient was removed from mechanical ventilator support and vasoactive medications discontinued with the family at beside."
	"1443143-1"	"1443143-1"	"CEREBRAL HYPOPERFUSION"	"10065384"	"40-49 years"	"40-49"	"48 y/o female with pmh of HTN, HLD, DM2 and bipolar disorder, transferred to ICU from the psychiatric until after cardiac arrest.  The patient was originally admitted on 5/22 for evaluation of bizarre behavior. She was noted to have flight of ideas, emotional instability and multiple attempts to leave the room naked. She was admitted to the floor there with behavioral health consulted for evaluation. She was then transferred to another  unit on 5/27/21 for additional management, with a plan for a 90 day inpatient hold.  While in the unit she was managed with a medication regimen including Thorazine, Lithium and Abilify.  Medicine was consulted for management of hypertension, and Ob-Gyn was following for abnormal vaginal bleeding with work-up unable to be completed due to her mental status.  ECT treatments were also started this week on 6/23, with the patient receiving her second ECT treatment this afternoon.  From review of the pre-procedure note, the planned induction was with etomidate, succinylcholine, glycopyrrolate, and Brevitol (methohexital, barbiturate class); the actual MAR is not up to date with her procedural medications at the time of admission.  Post treatment, the patient was noted to be conversive and in her normal state of health.  This evening, nursing staff heard a loud noise from the patient's room around 1630. Upon arrival, they found her down, unresponsive and without a pulse. An ACT was called  and CPR was initiated for a duration of approximately 30 minutes. Reportedly the AED display showed asystole, followed by PEA.  She received a reported five rounds of epinephrine, one dose of bicarbonate, and one dose of calcium during the event.  The patient was intubated during the code with a large amount of gastric contents present, concerning for aspiration.  A right ankle IO was placed due to significant difficulty securing access elsewhere.  ROSC was obtained with a junctional rhythm, and the patient was transferred for further management.      On arrival the patient is non-responsive without any sedation running.  She became hypotensive by arrival to the ICU requiring norepinephrine.  On later inspection of her IO, there was suspicion for infiltration of fluids and medications around her right ankle.  She has had significant secretions into her ETT since transfer.   HPI as noted above.  ICU course notable for hypoxic respiratory failure with ARDS likely from lung injury from cardiac arrest.  She subsequently developed shock and required vasopressors.  Initially the patient was noted to have brainstem reflexes, however on 6/25 the patient had an exam change with no spontaneous breaths and pupils fixed and dilated.  The initial head CT following arrest was performed which showed diffuse cerebral edema with effacement of the sulci and gray and white matter differentiation consistent with severe anoxic brain injury. There was diminished ventricular size with complete effacement of the fourth ventricle and tonsillar herniation from mass effect.  Neurology was consulted.     The patient remained on vasopressor and mechanical ventilator support. A NM scan was performed to evaluate cerebral blood flow showed absence of effective cerebral perfusion.  Neurology performed an exam and the patient was pronounced deceased at 1802 on 6/27/21 a doctor.   The family was informed of the results. After discussion with family, the patient was removed from mechanical ventilator support and vasoactive medications discontinued with the family at beside."
	"1443143-1"	"1443143-1"	"CEREBRAL MASS EFFECT"	"10067086"	"40-49 years"	"40-49"	"48 y/o female with pmh of HTN, HLD, DM2 and bipolar disorder, transferred to ICU from the psychiatric until after cardiac arrest.  The patient was originally admitted on 5/22 for evaluation of bizarre behavior. She was noted to have flight of ideas, emotional instability and multiple attempts to leave the room naked. She was admitted to the floor there with behavioral health consulted for evaluation. She was then transferred to another  unit on 5/27/21 for additional management, with a plan for a 90 day inpatient hold.  While in the unit she was managed with a medication regimen including Thorazine, Lithium and Abilify.  Medicine was consulted for management of hypertension, and Ob-Gyn was following for abnormal vaginal bleeding with work-up unable to be completed due to her mental status.  ECT treatments were also started this week on 6/23, with the patient receiving her second ECT treatment this afternoon.  From review of the pre-procedure note, the planned induction was with etomidate, succinylcholine, glycopyrrolate, and Brevitol (methohexital, barbiturate class); the actual MAR is not up to date with her procedural medications at the time of admission.  Post treatment, the patient was noted to be conversive and in her normal state of health.  This evening, nursing staff heard a loud noise from the patient's room around 1630. Upon arrival, they found her down, unresponsive and without a pulse. An ACT was called  and CPR was initiated for a duration of approximately 30 minutes. Reportedly the AED display showed asystole, followed by PEA.  She received a reported five rounds of epinephrine, one dose of bicarbonate, and one dose of calcium during the event.  The patient was intubated during the code with a large amount of gastric contents present, concerning for aspiration.  A right ankle IO was placed due to significant difficulty securing access elsewhere.  ROSC was obtained with a junctional rhythm, and the patient was transferred for further management.      On arrival the patient is non-responsive without any sedation running.  She became hypotensive by arrival to the ICU requiring norepinephrine.  On later inspection of her IO, there was suspicion for infiltration of fluids and medications around her right ankle.  She has had significant secretions into her ETT since transfer.   HPI as noted above.  ICU course notable for hypoxic respiratory failure with ARDS likely from lung injury from cardiac arrest.  She subsequently developed shock and required vasopressors.  Initially the patient was noted to have brainstem reflexes, however on 6/25 the patient had an exam change with no spontaneous breaths and pupils fixed and dilated.  The initial head CT following arrest was performed which showed diffuse cerebral edema with effacement of the sulci and gray and white matter differentiation consistent with severe anoxic brain injury. There was diminished ventricular size with complete effacement of the fourth ventricle and tonsillar herniation from mass effect.  Neurology was consulted.     The patient remained on vasopressor and mechanical ventilator support. A NM scan was performed to evaluate cerebral blood flow showed absence of effective cerebral perfusion.  Neurology performed an exam and the patient was pronounced deceased at 1802 on 6/27/21 a doctor.   The family was informed of the results. After discussion with family, the patient was removed from mechanical ventilator support and vasoactive medications discontinued with the family at beside."
	"1443143-1"	"1443143-1"	"COMPUTERISED TOMOGRAM HEAD ABNORMAL"	"10072168"	"40-49 years"	"40-49"	"48 y/o female with pmh of HTN, HLD, DM2 and bipolar disorder, transferred to ICU from the psychiatric until after cardiac arrest.  The patient was originally admitted on 5/22 for evaluation of bizarre behavior. She was noted to have flight of ideas, emotional instability and multiple attempts to leave the room naked. She was admitted to the floor there with behavioral health consulted for evaluation. She was then transferred to another  unit on 5/27/21 for additional management, with a plan for a 90 day inpatient hold.  While in the unit she was managed with a medication regimen including Thorazine, Lithium and Abilify.  Medicine was consulted for management of hypertension, and Ob-Gyn was following for abnormal vaginal bleeding with work-up unable to be completed due to her mental status.  ECT treatments were also started this week on 6/23, with the patient receiving her second ECT treatment this afternoon.  From review of the pre-procedure note, the planned induction was with etomidate, succinylcholine, glycopyrrolate, and Brevitol (methohexital, barbiturate class); the actual MAR is not up to date with her procedural medications at the time of admission.  Post treatment, the patient was noted to be conversive and in her normal state of health.  This evening, nursing staff heard a loud noise from the patient's room around 1630. Upon arrival, they found her down, unresponsive and without a pulse. An ACT was called  and CPR was initiated for a duration of approximately 30 minutes. Reportedly the AED display showed asystole, followed by PEA.  She received a reported five rounds of epinephrine, one dose of bicarbonate, and one dose of calcium during the event.  The patient was intubated during the code with a large amount of gastric contents present, concerning for aspiration.  A right ankle IO was placed due to significant difficulty securing access elsewhere.  ROSC was obtained with a junctional rhythm, and the patient was transferred for further management.      On arrival the patient is non-responsive without any sedation running.  She became hypotensive by arrival to the ICU requiring norepinephrine.  On later inspection of her IO, there was suspicion for infiltration of fluids and medications around her right ankle.  She has had significant secretions into her ETT since transfer.   HPI as noted above.  ICU course notable for hypoxic respiratory failure with ARDS likely from lung injury from cardiac arrest.  She subsequently developed shock and required vasopressors.  Initially the patient was noted to have brainstem reflexes, however on 6/25 the patient had an exam change with no spontaneous breaths and pupils fixed and dilated.  The initial head CT following arrest was performed which showed diffuse cerebral edema with effacement of the sulci and gray and white matter differentiation consistent with severe anoxic brain injury. There was diminished ventricular size with complete effacement of the fourth ventricle and tonsillar herniation from mass effect.  Neurology was consulted.     The patient remained on vasopressor and mechanical ventilator support. A NM scan was performed to evaluate cerebral blood flow showed absence of effective cerebral perfusion.  Neurology performed an exam and the patient was pronounced deceased at 1802 on 6/27/21 a doctor.   The family was informed of the results. After discussion with family, the patient was removed from mechanical ventilator support and vasoactive medications discontinued with the family at beside."
	"1443143-1"	"1443143-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"48 y/o female with pmh of HTN, HLD, DM2 and bipolar disorder, transferred to ICU from the psychiatric until after cardiac arrest.  The patient was originally admitted on 5/22 for evaluation of bizarre behavior. She was noted to have flight of ideas, emotional instability and multiple attempts to leave the room naked. She was admitted to the floor there with behavioral health consulted for evaluation. She was then transferred to another  unit on 5/27/21 for additional management, with a plan for a 90 day inpatient hold.  While in the unit she was managed with a medication regimen including Thorazine, Lithium and Abilify.  Medicine was consulted for management of hypertension, and Ob-Gyn was following for abnormal vaginal bleeding with work-up unable to be completed due to her mental status.  ECT treatments were also started this week on 6/23, with the patient receiving her second ECT treatment this afternoon.  From review of the pre-procedure note, the planned induction was with etomidate, succinylcholine, glycopyrrolate, and Brevitol (methohexital, barbiturate class); the actual MAR is not up to date with her procedural medications at the time of admission.  Post treatment, the patient was noted to be conversive and in her normal state of health.  This evening, nursing staff heard a loud noise from the patient's room around 1630. Upon arrival, they found her down, unresponsive and without a pulse. An ACT was called  and CPR was initiated for a duration of approximately 30 minutes. Reportedly the AED display showed asystole, followed by PEA.  She received a reported five rounds of epinephrine, one dose of bicarbonate, and one dose of calcium during the event.  The patient was intubated during the code with a large amount of gastric contents present, concerning for aspiration.  A right ankle IO was placed due to significant difficulty securing access elsewhere.  ROSC was obtained with a junctional rhythm, and the patient was transferred for further management.      On arrival the patient is non-responsive without any sedation running.  She became hypotensive by arrival to the ICU requiring norepinephrine.  On later inspection of her IO, there was suspicion for infiltration of fluids and medications around her right ankle.  She has had significant secretions into her ETT since transfer.   HPI as noted above.  ICU course notable for hypoxic respiratory failure with ARDS likely from lung injury from cardiac arrest.  She subsequently developed shock and required vasopressors.  Initially the patient was noted to have brainstem reflexes, however on 6/25 the patient had an exam change with no spontaneous breaths and pupils fixed and dilated.  The initial head CT following arrest was performed which showed diffuse cerebral edema with effacement of the sulci and gray and white matter differentiation consistent with severe anoxic brain injury. There was diminished ventricular size with complete effacement of the fourth ventricle and tonsillar herniation from mass effect.  Neurology was consulted.     The patient remained on vasopressor and mechanical ventilator support. A NM scan was performed to evaluate cerebral blood flow showed absence of effective cerebral perfusion.  Neurology performed an exam and the patient was pronounced deceased at 1802 on 6/27/21 a doctor.   The family was informed of the results. After discussion with family, the patient was removed from mechanical ventilator support and vasoactive medications discontinued with the family at beside."
	"1443143-1"	"1443143-1"	"ELECTROCONVULSIVE THERAPY"	"10014404"	"40-49 years"	"40-49"	"48 y/o female with pmh of HTN, HLD, DM2 and bipolar disorder, transferred to ICU from the psychiatric until after cardiac arrest.  The patient was originally admitted on 5/22 for evaluation of bizarre behavior. She was noted to have flight of ideas, emotional instability and multiple attempts to leave the room naked. She was admitted to the floor there with behavioral health consulted for evaluation. She was then transferred to another  unit on 5/27/21 for additional management, with a plan for a 90 day inpatient hold.  While in the unit she was managed with a medication regimen including Thorazine, Lithium and Abilify.  Medicine was consulted for management of hypertension, and Ob-Gyn was following for abnormal vaginal bleeding with work-up unable to be completed due to her mental status.  ECT treatments were also started this week on 6/23, with the patient receiving her second ECT treatment this afternoon.  From review of the pre-procedure note, the planned induction was with etomidate, succinylcholine, glycopyrrolate, and Brevitol (methohexital, barbiturate class); the actual MAR is not up to date with her procedural medications at the time of admission.  Post treatment, the patient was noted to be conversive and in her normal state of health.  This evening, nursing staff heard a loud noise from the patient's room around 1630. Upon arrival, they found her down, unresponsive and without a pulse. An ACT was called  and CPR was initiated for a duration of approximately 30 minutes. Reportedly the AED display showed asystole, followed by PEA.  She received a reported five rounds of epinephrine, one dose of bicarbonate, and one dose of calcium during the event.  The patient was intubated during the code with a large amount of gastric contents present, concerning for aspiration.  A right ankle IO was placed due to significant difficulty securing access elsewhere.  ROSC was obtained with a junctional rhythm, and the patient was transferred for further management.      On arrival the patient is non-responsive without any sedation running.  She became hypotensive by arrival to the ICU requiring norepinephrine.  On later inspection of her IO, there was suspicion for infiltration of fluids and medications around her right ankle.  She has had significant secretions into her ETT since transfer.   HPI as noted above.  ICU course notable for hypoxic respiratory failure with ARDS likely from lung injury from cardiac arrest.  She subsequently developed shock and required vasopressors.  Initially the patient was noted to have brainstem reflexes, however on 6/25 the patient had an exam change with no spontaneous breaths and pupils fixed and dilated.  The initial head CT following arrest was performed which showed diffuse cerebral edema with effacement of the sulci and gray and white matter differentiation consistent with severe anoxic brain injury. There was diminished ventricular size with complete effacement of the fourth ventricle and tonsillar herniation from mass effect.  Neurology was consulted.     The patient remained on vasopressor and mechanical ventilator support. A NM scan was performed to evaluate cerebral blood flow showed absence of effective cerebral perfusion.  Neurology performed an exam and the patient was pronounced deceased at 1802 on 6/27/21 a doctor.   The family was informed of the results. After discussion with family, the patient was removed from mechanical ventilator support and vasoactive medications discontinued with the family at beside."
	"1443143-1"	"1443143-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"40-49 years"	"40-49"	"48 y/o female with pmh of HTN, HLD, DM2 and bipolar disorder, transferred to ICU from the psychiatric until after cardiac arrest.  The patient was originally admitted on 5/22 for evaluation of bizarre behavior. She was noted to have flight of ideas, emotional instability and multiple attempts to leave the room naked. She was admitted to the floor there with behavioral health consulted for evaluation. She was then transferred to another  unit on 5/27/21 for additional management, with a plan for a 90 day inpatient hold.  While in the unit she was managed with a medication regimen including Thorazine, Lithium and Abilify.  Medicine was consulted for management of hypertension, and Ob-Gyn was following for abnormal vaginal bleeding with work-up unable to be completed due to her mental status.  ECT treatments were also started this week on 6/23, with the patient receiving her second ECT treatment this afternoon.  From review of the pre-procedure note, the planned induction was with etomidate, succinylcholine, glycopyrrolate, and Brevitol (methohexital, barbiturate class); the actual MAR is not up to date with her procedural medications at the time of admission.  Post treatment, the patient was noted to be conversive and in her normal state of health.  This evening, nursing staff heard a loud noise from the patient's room around 1630. Upon arrival, they found her down, unresponsive and without a pulse. An ACT was called  and CPR was initiated for a duration of approximately 30 minutes. Reportedly the AED display showed asystole, followed by PEA.  She received a reported five rounds of epinephrine, one dose of bicarbonate, and one dose of calcium during the event.  The patient was intubated during the code with a large amount of gastric contents present, concerning for aspiration.  A right ankle IO was placed due to significant difficulty securing access elsewhere.  ROSC was obtained with a junctional rhythm, and the patient was transferred for further management.      On arrival the patient is non-responsive without any sedation running.  She became hypotensive by arrival to the ICU requiring norepinephrine.  On later inspection of her IO, there was suspicion for infiltration of fluids and medications around her right ankle.  She has had significant secretions into her ETT since transfer.   HPI as noted above.  ICU course notable for hypoxic respiratory failure with ARDS likely from lung injury from cardiac arrest.  She subsequently developed shock and required vasopressors.  Initially the patient was noted to have brainstem reflexes, however on 6/25 the patient had an exam change with no spontaneous breaths and pupils fixed and dilated.  The initial head CT following arrest was performed which showed diffuse cerebral edema with effacement of the sulci and gray and white matter differentiation consistent with severe anoxic brain injury. There was diminished ventricular size with complete effacement of the fourth ventricle and tonsillar herniation from mass effect.  Neurology was consulted.     The patient remained on vasopressor and mechanical ventilator support. A NM scan was performed to evaluate cerebral blood flow showed absence of effective cerebral perfusion.  Neurology performed an exam and the patient was pronounced deceased at 1802 on 6/27/21 a doctor.   The family was informed of the results. After discussion with family, the patient was removed from mechanical ventilator support and vasoactive medications discontinued with the family at beside."
	"1443143-1"	"1443143-1"	"FALL"	"10016173"	"40-49 years"	"40-49"	"48 y/o female with pmh of HTN, HLD, DM2 and bipolar disorder, transferred to ICU from the psychiatric until after cardiac arrest.  The patient was originally admitted on 5/22 for evaluation of bizarre behavior. She was noted to have flight of ideas, emotional instability and multiple attempts to leave the room naked. She was admitted to the floor there with behavioral health consulted for evaluation. She was then transferred to another  unit on 5/27/21 for additional management, with a plan for a 90 day inpatient hold.  While in the unit she was managed with a medication regimen including Thorazine, Lithium and Abilify.  Medicine was consulted for management of hypertension, and Ob-Gyn was following for abnormal vaginal bleeding with work-up unable to be completed due to her mental status.  ECT treatments were also started this week on 6/23, with the patient receiving her second ECT treatment this afternoon.  From review of the pre-procedure note, the planned induction was with etomidate, succinylcholine, glycopyrrolate, and Brevitol (methohexital, barbiturate class); the actual MAR is not up to date with her procedural medications at the time of admission.  Post treatment, the patient was noted to be conversive and in her normal state of health.  This evening, nursing staff heard a loud noise from the patient's room around 1630. Upon arrival, they found her down, unresponsive and without a pulse. An ACT was called  and CPR was initiated for a duration of approximately 30 minutes. Reportedly the AED display showed asystole, followed by PEA.  She received a reported five rounds of epinephrine, one dose of bicarbonate, and one dose of calcium during the event.  The patient was intubated during the code with a large amount of gastric contents present, concerning for aspiration.  A right ankle IO was placed due to significant difficulty securing access elsewhere.  ROSC was obtained with a junctional rhythm, and the patient was transferred for further management.      On arrival the patient is non-responsive without any sedation running.  She became hypotensive by arrival to the ICU requiring norepinephrine.  On later inspection of her IO, there was suspicion for infiltration of fluids and medications around her right ankle.  She has had significant secretions into her ETT since transfer.   HPI as noted above.  ICU course notable for hypoxic respiratory failure with ARDS likely from lung injury from cardiac arrest.  She subsequently developed shock and required vasopressors.  Initially the patient was noted to have brainstem reflexes, however on 6/25 the patient had an exam change with no spontaneous breaths and pupils fixed and dilated.  The initial head CT following arrest was performed which showed diffuse cerebral edema with effacement of the sulci and gray and white matter differentiation consistent with severe anoxic brain injury. There was diminished ventricular size with complete effacement of the fourth ventricle and tonsillar herniation from mass effect.  Neurology was consulted.     The patient remained on vasopressor and mechanical ventilator support. A NM scan was performed to evaluate cerebral blood flow showed absence of effective cerebral perfusion.  Neurology performed an exam and the patient was pronounced deceased at 1802 on 6/27/21 a doctor.   The family was informed of the results. After discussion with family, the patient was removed from mechanical ventilator support and vasoactive medications discontinued with the family at beside."
	"1443143-1"	"1443143-1"	"FLIGHT OF IDEAS"	"10016777"	"40-49 years"	"40-49"	"48 y/o female with pmh of HTN, HLD, DM2 and bipolar disorder, transferred to ICU from the psychiatric until after cardiac arrest.  The patient was originally admitted on 5/22 for evaluation of bizarre behavior. She was noted to have flight of ideas, emotional instability and multiple attempts to leave the room naked. She was admitted to the floor there with behavioral health consulted for evaluation. She was then transferred to another  unit on 5/27/21 for additional management, with a plan for a 90 day inpatient hold.  While in the unit she was managed with a medication regimen including Thorazine, Lithium and Abilify.  Medicine was consulted for management of hypertension, and Ob-Gyn was following for abnormal vaginal bleeding with work-up unable to be completed due to her mental status.  ECT treatments were also started this week on 6/23, with the patient receiving her second ECT treatment this afternoon.  From review of the pre-procedure note, the planned induction was with etomidate, succinylcholine, glycopyrrolate, and Brevitol (methohexital, barbiturate class); the actual MAR is not up to date with her procedural medications at the time of admission.  Post treatment, the patient was noted to be conversive and in her normal state of health.  This evening, nursing staff heard a loud noise from the patient's room around 1630. Upon arrival, they found her down, unresponsive and without a pulse. An ACT was called  and CPR was initiated for a duration of approximately 30 minutes. Reportedly the AED display showed asystole, followed by PEA.  She received a reported five rounds of epinephrine, one dose of bicarbonate, and one dose of calcium during the event.  The patient was intubated during the code with a large amount of gastric contents present, concerning for aspiration.  A right ankle IO was placed due to significant difficulty securing access elsewhere.  ROSC was obtained with a junctional rhythm, and the patient was transferred for further management.      On arrival the patient is non-responsive without any sedation running.  She became hypotensive by arrival to the ICU requiring norepinephrine.  On later inspection of her IO, there was suspicion for infiltration of fluids and medications around her right ankle.  She has had significant secretions into her ETT since transfer.   HPI as noted above.  ICU course notable for hypoxic respiratory failure with ARDS likely from lung injury from cardiac arrest.  She subsequently developed shock and required vasopressors.  Initially the patient was noted to have brainstem reflexes, however on 6/25 the patient had an exam change with no spontaneous breaths and pupils fixed and dilated.  The initial head CT following arrest was performed which showed diffuse cerebral edema with effacement of the sulci and gray and white matter differentiation consistent with severe anoxic brain injury. There was diminished ventricular size with complete effacement of the fourth ventricle and tonsillar herniation from mass effect.  Neurology was consulted.     The patient remained on vasopressor and mechanical ventilator support. A NM scan was performed to evaluate cerebral blood flow showed absence of effective cerebral perfusion.  Neurology performed an exam and the patient was pronounced deceased at 1802 on 6/27/21 a doctor.   The family was informed of the results. After discussion with family, the patient was removed from mechanical ventilator support and vasoactive medications discontinued with the family at beside."
	"1443143-1"	"1443143-1"	"GASTRIC DISORDER"	"10056819"	"40-49 years"	"40-49"	"48 y/o female with pmh of HTN, HLD, DM2 and bipolar disorder, transferred to ICU from the psychiatric until after cardiac arrest.  The patient was originally admitted on 5/22 for evaluation of bizarre behavior. She was noted to have flight of ideas, emotional instability and multiple attempts to leave the room naked. She was admitted to the floor there with behavioral health consulted for evaluation. She was then transferred to another  unit on 5/27/21 for additional management, with a plan for a 90 day inpatient hold.  While in the unit she was managed with a medication regimen including Thorazine, Lithium and Abilify.  Medicine was consulted for management of hypertension, and Ob-Gyn was following for abnormal vaginal bleeding with work-up unable to be completed due to her mental status.  ECT treatments were also started this week on 6/23, with the patient receiving her second ECT treatment this afternoon.  From review of the pre-procedure note, the planned induction was with etomidate, succinylcholine, glycopyrrolate, and Brevitol (methohexital, barbiturate class); the actual MAR is not up to date with her procedural medications at the time of admission.  Post treatment, the patient was noted to be conversive and in her normal state of health.  This evening, nursing staff heard a loud noise from the patient's room around 1630. Upon arrival, they found her down, unresponsive and without a pulse. An ACT was called  and CPR was initiated for a duration of approximately 30 minutes. Reportedly the AED display showed asystole, followed by PEA.  She received a reported five rounds of epinephrine, one dose of bicarbonate, and one dose of calcium during the event.  The patient was intubated during the code with a large amount of gastric contents present, concerning for aspiration.  A right ankle IO was placed due to significant difficulty securing access elsewhere.  ROSC was obtained with a junctional rhythm, and the patient was transferred for further management.      On arrival the patient is non-responsive without any sedation running.  She became hypotensive by arrival to the ICU requiring norepinephrine.  On later inspection of her IO, there was suspicion for infiltration of fluids and medications around her right ankle.  She has had significant secretions into her ETT since transfer.   HPI as noted above.  ICU course notable for hypoxic respiratory failure with ARDS likely from lung injury from cardiac arrest.  She subsequently developed shock and required vasopressors.  Initially the patient was noted to have brainstem reflexes, however on 6/25 the patient had an exam change with no spontaneous breaths and pupils fixed and dilated.  The initial head CT following arrest was performed which showed diffuse cerebral edema with effacement of the sulci and gray and white matter differentiation consistent with severe anoxic brain injury. There was diminished ventricular size with complete effacement of the fourth ventricle and tonsillar herniation from mass effect.  Neurology was consulted.     The patient remained on vasopressor and mechanical ventilator support. A NM scan was performed to evaluate cerebral blood flow showed absence of effective cerebral perfusion.  Neurology performed an exam and the patient was pronounced deceased at 1802 on 6/27/21 a doctor.   The family was informed of the results. After discussion with family, the patient was removed from mechanical ventilator support and vasoactive medications discontinued with the family at beside."
	"1443143-1"	"1443143-1"	"HYPERREFLEXIA"	"10020745"	"40-49 years"	"40-49"	"48 y/o female with pmh of HTN, HLD, DM2 and bipolar disorder, transferred to ICU from the psychiatric until after cardiac arrest.  The patient was originally admitted on 5/22 for evaluation of bizarre behavior. She was noted to have flight of ideas, emotional instability and multiple attempts to leave the room naked. She was admitted to the floor there with behavioral health consulted for evaluation. She was then transferred to another  unit on 5/27/21 for additional management, with a plan for a 90 day inpatient hold.  While in the unit she was managed with a medication regimen including Thorazine, Lithium and Abilify.  Medicine was consulted for management of hypertension, and Ob-Gyn was following for abnormal vaginal bleeding with work-up unable to be completed due to her mental status.  ECT treatments were also started this week on 6/23, with the patient receiving her second ECT treatment this afternoon.  From review of the pre-procedure note, the planned induction was with etomidate, succinylcholine, glycopyrrolate, and Brevitol (methohexital, barbiturate class); the actual MAR is not up to date with her procedural medications at the time of admission.  Post treatment, the patient was noted to be conversive and in her normal state of health.  This evening, nursing staff heard a loud noise from the patient's room around 1630. Upon arrival, they found her down, unresponsive and without a pulse. An ACT was called  and CPR was initiated for a duration of approximately 30 minutes. Reportedly the AED display showed asystole, followed by PEA.  She received a reported five rounds of epinephrine, one dose of bicarbonate, and one dose of calcium during the event.  The patient was intubated during the code with a large amount of gastric contents present, concerning for aspiration.  A right ankle IO was placed due to significant difficulty securing access elsewhere.  ROSC was obtained with a junctional rhythm, and the patient was transferred for further management.      On arrival the patient is non-responsive without any sedation running.  She became hypotensive by arrival to the ICU requiring norepinephrine.  On later inspection of her IO, there was suspicion for infiltration of fluids and medications around her right ankle.  She has had significant secretions into her ETT since transfer.   HPI as noted above.  ICU course notable for hypoxic respiratory failure with ARDS likely from lung injury from cardiac arrest.  She subsequently developed shock and required vasopressors.  Initially the patient was noted to have brainstem reflexes, however on 6/25 the patient had an exam change with no spontaneous breaths and pupils fixed and dilated.  The initial head CT following arrest was performed which showed diffuse cerebral edema with effacement of the sulci and gray and white matter differentiation consistent with severe anoxic brain injury. There was diminished ventricular size with complete effacement of the fourth ventricle and tonsillar herniation from mass effect.  Neurology was consulted.     The patient remained on vasopressor and mechanical ventilator support. A NM scan was performed to evaluate cerebral blood flow showed absence of effective cerebral perfusion.  Neurology performed an exam and the patient was pronounced deceased at 1802 on 6/27/21 a doctor.   The family was informed of the results. After discussion with family, the patient was removed from mechanical ventilator support and vasoactive medications discontinued with the family at beside."
	"1443143-1"	"1443143-1"	"HYPERTENSION"	"10020772"	"40-49 years"	"40-49"	"48 y/o female with pmh of HTN, HLD, DM2 and bipolar disorder, transferred to ICU from the psychiatric until after cardiac arrest.  The patient was originally admitted on 5/22 for evaluation of bizarre behavior. She was noted to have flight of ideas, emotional instability and multiple attempts to leave the room naked. She was admitted to the floor there with behavioral health consulted for evaluation. She was then transferred to another  unit on 5/27/21 for additional management, with a plan for a 90 day inpatient hold.  While in the unit she was managed with a medication regimen including Thorazine, Lithium and Abilify.  Medicine was consulted for management of hypertension, and Ob-Gyn was following for abnormal vaginal bleeding with work-up unable to be completed due to her mental status.  ECT treatments were also started this week on 6/23, with the patient receiving her second ECT treatment this afternoon.  From review of the pre-procedure note, the planned induction was with etomidate, succinylcholine, glycopyrrolate, and Brevitol (methohexital, barbiturate class); the actual MAR is not up to date with her procedural medications at the time of admission.  Post treatment, the patient was noted to be conversive and in her normal state of health.  This evening, nursing staff heard a loud noise from the patient's room around 1630. Upon arrival, they found her down, unresponsive and without a pulse. An ACT was called  and CPR was initiated for a duration of approximately 30 minutes. Reportedly the AED display showed asystole, followed by PEA.  She received a reported five rounds of epinephrine, one dose of bicarbonate, and one dose of calcium during the event.  The patient was intubated during the code with a large amount of gastric contents present, concerning for aspiration.  A right ankle IO was placed due to significant difficulty securing access elsewhere.  ROSC was obtained with a junctional rhythm, and the patient was transferred for further management.      On arrival the patient is non-responsive without any sedation running.  She became hypotensive by arrival to the ICU requiring norepinephrine.  On later inspection of her IO, there was suspicion for infiltration of fluids and medications around her right ankle.  She has had significant secretions into her ETT since transfer.   HPI as noted above.  ICU course notable for hypoxic respiratory failure with ARDS likely from lung injury from cardiac arrest.  She subsequently developed shock and required vasopressors.  Initially the patient was noted to have brainstem reflexes, however on 6/25 the patient had an exam change with no spontaneous breaths and pupils fixed and dilated.  The initial head CT following arrest was performed which showed diffuse cerebral edema with effacement of the sulci and gray and white matter differentiation consistent with severe anoxic brain injury. There was diminished ventricular size with complete effacement of the fourth ventricle and tonsillar herniation from mass effect.  Neurology was consulted.     The patient remained on vasopressor and mechanical ventilator support. A NM scan was performed to evaluate cerebral blood flow showed absence of effective cerebral perfusion.  Neurology performed an exam and the patient was pronounced deceased at 1802 on 6/27/21 a doctor.   The family was informed of the results. After discussion with family, the patient was removed from mechanical ventilator support and vasoactive medications discontinued with the family at beside."
	"1443143-1"	"1443143-1"	"HYPOTENSION"	"10021097"	"40-49 years"	"40-49"	"48 y/o female with pmh of HTN, HLD, DM2 and bipolar disorder, transferred to ICU from the psychiatric until after cardiac arrest.  The patient was originally admitted on 5/22 for evaluation of bizarre behavior. She was noted to have flight of ideas, emotional instability and multiple attempts to leave the room naked. She was admitted to the floor there with behavioral health consulted for evaluation. She was then transferred to another  unit on 5/27/21 for additional management, with a plan for a 90 day inpatient hold.  While in the unit she was managed with a medication regimen including Thorazine, Lithium and Abilify.  Medicine was consulted for management of hypertension, and Ob-Gyn was following for abnormal vaginal bleeding with work-up unable to be completed due to her mental status.  ECT treatments were also started this week on 6/23, with the patient receiving her second ECT treatment this afternoon.  From review of the pre-procedure note, the planned induction was with etomidate, succinylcholine, glycopyrrolate, and Brevitol (methohexital, barbiturate class); the actual MAR is not up to date with her procedural medications at the time of admission.  Post treatment, the patient was noted to be conversive and in her normal state of health.  This evening, nursing staff heard a loud noise from the patient's room around 1630. Upon arrival, they found her down, unresponsive and without a pulse. An ACT was called  and CPR was initiated for a duration of approximately 30 minutes. Reportedly the AED display showed asystole, followed by PEA.  She received a reported five rounds of epinephrine, one dose of bicarbonate, and one dose of calcium during the event.  The patient was intubated during the code with a large amount of gastric contents present, concerning for aspiration.  A right ankle IO was placed due to significant difficulty securing access elsewhere.  ROSC was obtained with a junctional rhythm, and the patient was transferred for further management.      On arrival the patient is non-responsive without any sedation running.  She became hypotensive by arrival to the ICU requiring norepinephrine.  On later inspection of her IO, there was suspicion for infiltration of fluids and medications around her right ankle.  She has had significant secretions into her ETT since transfer.   HPI as noted above.  ICU course notable for hypoxic respiratory failure with ARDS likely from lung injury from cardiac arrest.  She subsequently developed shock and required vasopressors.  Initially the patient was noted to have brainstem reflexes, however on 6/25 the patient had an exam change with no spontaneous breaths and pupils fixed and dilated.  The initial head CT following arrest was performed which showed diffuse cerebral edema with effacement of the sulci and gray and white matter differentiation consistent with severe anoxic brain injury. There was diminished ventricular size with complete effacement of the fourth ventricle and tonsillar herniation from mass effect.  Neurology was consulted.     The patient remained on vasopressor and mechanical ventilator support. A NM scan was performed to evaluate cerebral blood flow showed absence of effective cerebral perfusion.  Neurology performed an exam and the patient was pronounced deceased at 1802 on 6/27/21 a doctor.   The family was informed of the results. After discussion with family, the patient was removed from mechanical ventilator support and vasoactive medications discontinued with the family at beside."
	"1443143-1"	"1443143-1"	"INTENSIVE CARE"	"10022519"	"40-49 years"	"40-49"	"48 y/o female with pmh of HTN, HLD, DM2 and bipolar disorder, transferred to ICU from the psychiatric until after cardiac arrest.  The patient was originally admitted on 5/22 for evaluation of bizarre behavior. She was noted to have flight of ideas, emotional instability and multiple attempts to leave the room naked. She was admitted to the floor there with behavioral health consulted for evaluation. She was then transferred to another  unit on 5/27/21 for additional management, with a plan for a 90 day inpatient hold.  While in the unit she was managed with a medication regimen including Thorazine, Lithium and Abilify.  Medicine was consulted for management of hypertension, and Ob-Gyn was following for abnormal vaginal bleeding with work-up unable to be completed due to her mental status.  ECT treatments were also started this week on 6/23, with the patient receiving her second ECT treatment this afternoon.  From review of the pre-procedure note, the planned induction was with etomidate, succinylcholine, glycopyrrolate, and Brevitol (methohexital, barbiturate class); the actual MAR is not up to date with her procedural medications at the time of admission.  Post treatment, the patient was noted to be conversive and in her normal state of health.  This evening, nursing staff heard a loud noise from the patient's room around 1630. Upon arrival, they found her down, unresponsive and without a pulse. An ACT was called  and CPR was initiated for a duration of approximately 30 minutes. Reportedly the AED display showed asystole, followed by PEA.  She received a reported five rounds of epinephrine, one dose of bicarbonate, and one dose of calcium during the event.  The patient was intubated during the code with a large amount of gastric contents present, concerning for aspiration.  A right ankle IO was placed due to significant difficulty securing access elsewhere.  ROSC was obtained with a junctional rhythm, and the patient was transferred for further management.      On arrival the patient is non-responsive without any sedation running.  She became hypotensive by arrival to the ICU requiring norepinephrine.  On later inspection of her IO, there was suspicion for infiltration of fluids and medications around her right ankle.  She has had significant secretions into her ETT since transfer.   HPI as noted above.  ICU course notable for hypoxic respiratory failure with ARDS likely from lung injury from cardiac arrest.  She subsequently developed shock and required vasopressors.  Initially the patient was noted to have brainstem reflexes, however on 6/25 the patient had an exam change with no spontaneous breaths and pupils fixed and dilated.  The initial head CT following arrest was performed which showed diffuse cerebral edema with effacement of the sulci and gray and white matter differentiation consistent with severe anoxic brain injury. There was diminished ventricular size with complete effacement of the fourth ventricle and tonsillar herniation from mass effect.  Neurology was consulted.     The patient remained on vasopressor and mechanical ventilator support. A NM scan was performed to evaluate cerebral blood flow showed absence of effective cerebral perfusion.  Neurology performed an exam and the patient was pronounced deceased at 1802 on 6/27/21 a doctor.   The family was informed of the results. After discussion with family, the patient was removed from mechanical ventilator support and vasoactive medications discontinued with the family at beside."
	"1443143-1"	"1443143-1"	"MAGNETIC RESONANCE IMAGING HEAD ABNORMAL"	"10085256"	"40-49 years"	"40-49"	"48 y/o female with pmh of HTN, HLD, DM2 and bipolar disorder, transferred to ICU from the psychiatric until after cardiac arrest.  The patient was originally admitted on 5/22 for evaluation of bizarre behavior. She was noted to have flight of ideas, emotional instability and multiple attempts to leave the room naked. She was admitted to the floor there with behavioral health consulted for evaluation. She was then transferred to another  unit on 5/27/21 for additional management, with a plan for a 90 day inpatient hold.  While in the unit she was managed with a medication regimen including Thorazine, Lithium and Abilify.  Medicine was consulted for management of hypertension, and Ob-Gyn was following for abnormal vaginal bleeding with work-up unable to be completed due to her mental status.  ECT treatments were also started this week on 6/23, with the patient receiving her second ECT treatment this afternoon.  From review of the pre-procedure note, the planned induction was with etomidate, succinylcholine, glycopyrrolate, and Brevitol (methohexital, barbiturate class); the actual MAR is not up to date with her procedural medications at the time of admission.  Post treatment, the patient was noted to be conversive and in her normal state of health.  This evening, nursing staff heard a loud noise from the patient's room around 1630. Upon arrival, they found her down, unresponsive and without a pulse. An ACT was called  and CPR was initiated for a duration of approximately 30 minutes. Reportedly the AED display showed asystole, followed by PEA.  She received a reported five rounds of epinephrine, one dose of bicarbonate, and one dose of calcium during the event.  The patient was intubated during the code with a large amount of gastric contents present, concerning for aspiration.  A right ankle IO was placed due to significant difficulty securing access elsewhere.  ROSC was obtained with a junctional rhythm, and the patient was transferred for further management.      On arrival the patient is non-responsive without any sedation running.  She became hypotensive by arrival to the ICU requiring norepinephrine.  On later inspection of her IO, there was suspicion for infiltration of fluids and medications around her right ankle.  She has had significant secretions into her ETT since transfer.   HPI as noted above.  ICU course notable for hypoxic respiratory failure with ARDS likely from lung injury from cardiac arrest.  She subsequently developed shock and required vasopressors.  Initially the patient was noted to have brainstem reflexes, however on 6/25 the patient had an exam change with no spontaneous breaths and pupils fixed and dilated.  The initial head CT following arrest was performed which showed diffuse cerebral edema with effacement of the sulci and gray and white matter differentiation consistent with severe anoxic brain injury. There was diminished ventricular size with complete effacement of the fourth ventricle and tonsillar herniation from mass effect.  Neurology was consulted.     The patient remained on vasopressor and mechanical ventilator support. A NM scan was performed to evaluate cerebral blood flow showed absence of effective cerebral perfusion.  Neurology performed an exam and the patient was pronounced deceased at 1802 on 6/27/21 a doctor.   The family was informed of the results. After discussion with family, the patient was removed from mechanical ventilator support and vasoactive medications discontinued with the family at beside."
	"1443143-1"	"1443143-1"	"MECHANICAL VENTILATION"	"10067221"	"40-49 years"	"40-49"	"48 y/o female with pmh of HTN, HLD, DM2 and bipolar disorder, transferred to ICU from the psychiatric until after cardiac arrest.  The patient was originally admitted on 5/22 for evaluation of bizarre behavior. She was noted to have flight of ideas, emotional instability and multiple attempts to leave the room naked. She was admitted to the floor there with behavioral health consulted for evaluation. She was then transferred to another  unit on 5/27/21 for additional management, with a plan for a 90 day inpatient hold.  While in the unit she was managed with a medication regimen including Thorazine, Lithium and Abilify.  Medicine was consulted for management of hypertension, and Ob-Gyn was following for abnormal vaginal bleeding with work-up unable to be completed due to her mental status.  ECT treatments were also started this week on 6/23, with the patient receiving her second ECT treatment this afternoon.  From review of the pre-procedure note, the planned induction was with etomidate, succinylcholine, glycopyrrolate, and Brevitol (methohexital, barbiturate class); the actual MAR is not up to date with her procedural medications at the time of admission.  Post treatment, the patient was noted to be conversive and in her normal state of health.  This evening, nursing staff heard a loud noise from the patient's room around 1630. Upon arrival, they found her down, unresponsive and without a pulse. An ACT was called  and CPR was initiated for a duration of approximately 30 minutes. Reportedly the AED display showed asystole, followed by PEA.  She received a reported five rounds of epinephrine, one dose of bicarbonate, and one dose of calcium during the event.  The patient was intubated during the code with a large amount of gastric contents present, concerning for aspiration.  A right ankle IO was placed due to significant difficulty securing access elsewhere.  ROSC was obtained with a junctional rhythm, and the patient was transferred for further management.      On arrival the patient is non-responsive without any sedation running.  She became hypotensive by arrival to the ICU requiring norepinephrine.  On later inspection of her IO, there was suspicion for infiltration of fluids and medications around her right ankle.  She has had significant secretions into her ETT since transfer.   HPI as noted above.  ICU course notable for hypoxic respiratory failure with ARDS likely from lung injury from cardiac arrest.  She subsequently developed shock and required vasopressors.  Initially the patient was noted to have brainstem reflexes, however on 6/25 the patient had an exam change with no spontaneous breaths and pupils fixed and dilated.  The initial head CT following arrest was performed which showed diffuse cerebral edema with effacement of the sulci and gray and white matter differentiation consistent with severe anoxic brain injury. There was diminished ventricular size with complete effacement of the fourth ventricle and tonsillar herniation from mass effect.  Neurology was consulted.     The patient remained on vasopressor and mechanical ventilator support. A NM scan was performed to evaluate cerebral blood flow showed absence of effective cerebral perfusion.  Neurology performed an exam and the patient was pronounced deceased at 1802 on 6/27/21 a doctor.   The family was informed of the results. After discussion with family, the patient was removed from mechanical ventilator support and vasoactive medications discontinued with the family at beside."
	"1443143-1"	"1443143-1"	"MENTAL STATUS CHANGES"	"10048294"	"40-49 years"	"40-49"	"48 y/o female with pmh of HTN, HLD, DM2 and bipolar disorder, transferred to ICU from the psychiatric until after cardiac arrest.  The patient was originally admitted on 5/22 for evaluation of bizarre behavior. She was noted to have flight of ideas, emotional instability and multiple attempts to leave the room naked. She was admitted to the floor there with behavioral health consulted for evaluation. She was then transferred to another  unit on 5/27/21 for additional management, with a plan for a 90 day inpatient hold.  While in the unit she was managed with a medication regimen including Thorazine, Lithium and Abilify.  Medicine was consulted for management of hypertension, and Ob-Gyn was following for abnormal vaginal bleeding with work-up unable to be completed due to her mental status.  ECT treatments were also started this week on 6/23, with the patient receiving her second ECT treatment this afternoon.  From review of the pre-procedure note, the planned induction was with etomidate, succinylcholine, glycopyrrolate, and Brevitol (methohexital, barbiturate class); the actual MAR is not up to date with her procedural medications at the time of admission.  Post treatment, the patient was noted to be conversive and in her normal state of health.  This evening, nursing staff heard a loud noise from the patient's room around 1630. Upon arrival, they found her down, unresponsive and without a pulse. An ACT was called  and CPR was initiated for a duration of approximately 30 minutes. Reportedly the AED display showed asystole, followed by PEA.  She received a reported five rounds of epinephrine, one dose of bicarbonate, and one dose of calcium during the event.  The patient was intubated during the code with a large amount of gastric contents present, concerning for aspiration.  A right ankle IO was placed due to significant difficulty securing access elsewhere.  ROSC was obtained with a junctional rhythm, and the patient was transferred for further management.      On arrival the patient is non-responsive without any sedation running.  She became hypotensive by arrival to the ICU requiring norepinephrine.  On later inspection of her IO, there was suspicion for infiltration of fluids and medications around her right ankle.  She has had significant secretions into her ETT since transfer.   HPI as noted above.  ICU course notable for hypoxic respiratory failure with ARDS likely from lung injury from cardiac arrest.  She subsequently developed shock and required vasopressors.  Initially the patient was noted to have brainstem reflexes, however on 6/25 the patient had an exam change with no spontaneous breaths and pupils fixed and dilated.  The initial head CT following arrest was performed which showed diffuse cerebral edema with effacement of the sulci and gray and white matter differentiation consistent with severe anoxic brain injury. There was diminished ventricular size with complete effacement of the fourth ventricle and tonsillar herniation from mass effect.  Neurology was consulted.     The patient remained on vasopressor and mechanical ventilator support. A NM scan was performed to evaluate cerebral blood flow showed absence of effective cerebral perfusion.  Neurology performed an exam and the patient was pronounced deceased at 1802 on 6/27/21 a doctor.   The family was informed of the results. After discussion with family, the patient was removed from mechanical ventilator support and vasoactive medications discontinued with the family at beside."
	"1443143-1"	"1443143-1"	"NODAL RHYTHM"	"10029470"	"40-49 years"	"40-49"	"48 y/o female with pmh of HTN, HLD, DM2 and bipolar disorder, transferred to ICU from the psychiatric until after cardiac arrest.  The patient was originally admitted on 5/22 for evaluation of bizarre behavior. She was noted to have flight of ideas, emotional instability and multiple attempts to leave the room naked. She was admitted to the floor there with behavioral health consulted for evaluation. She was then transferred to another  unit on 5/27/21 for additional management, with a plan for a 90 day inpatient hold.  While in the unit she was managed with a medication regimen including Thorazine, Lithium and Abilify.  Medicine was consulted for management of hypertension, and Ob-Gyn was following for abnormal vaginal bleeding with work-up unable to be completed due to her mental status.  ECT treatments were also started this week on 6/23, with the patient receiving her second ECT treatment this afternoon.  From review of the pre-procedure note, the planned induction was with etomidate, succinylcholine, glycopyrrolate, and Brevitol (methohexital, barbiturate class); the actual MAR is not up to date with her procedural medications at the time of admission.  Post treatment, the patient was noted to be conversive and in her normal state of health.  This evening, nursing staff heard a loud noise from the patient's room around 1630. Upon arrival, they found her down, unresponsive and without a pulse. An ACT was called  and CPR was initiated for a duration of approximately 30 minutes. Reportedly the AED display showed asystole, followed by PEA.  She received a reported five rounds of epinephrine, one dose of bicarbonate, and one dose of calcium during the event.  The patient was intubated during the code with a large amount of gastric contents present, concerning for aspiration.  A right ankle IO was placed due to significant difficulty securing access elsewhere.  ROSC was obtained with a junctional rhythm, and the patient was transferred for further management.      On arrival the patient is non-responsive without any sedation running.  She became hypotensive by arrival to the ICU requiring norepinephrine.  On later inspection of her IO, there was suspicion for infiltration of fluids and medications around her right ankle.  She has had significant secretions into her ETT since transfer.   HPI as noted above.  ICU course notable for hypoxic respiratory failure with ARDS likely from lung injury from cardiac arrest.  She subsequently developed shock and required vasopressors.  Initially the patient was noted to have brainstem reflexes, however on 6/25 the patient had an exam change with no spontaneous breaths and pupils fixed and dilated.  The initial head CT following arrest was performed which showed diffuse cerebral edema with effacement of the sulci and gray and white matter differentiation consistent with severe anoxic brain injury. There was diminished ventricular size with complete effacement of the fourth ventricle and tonsillar herniation from mass effect.  Neurology was consulted.     The patient remained on vasopressor and mechanical ventilator support. A NM scan was performed to evaluate cerebral blood flow showed absence of effective cerebral perfusion.  Neurology performed an exam and the patient was pronounced deceased at 1802 on 6/27/21 a doctor.   The family was informed of the results. After discussion with family, the patient was removed from mechanical ventilator support and vasoactive medications discontinued with the family at beside."
	"1443143-1"	"1443143-1"	"OEDEMA PERIPHERAL"	"10030124"	"40-49 years"	"40-49"	"48 y/o female with pmh of HTN, HLD, DM2 and bipolar disorder, transferred to ICU from the psychiatric until after cardiac arrest.  The patient was originally admitted on 5/22 for evaluation of bizarre behavior. She was noted to have flight of ideas, emotional instability and multiple attempts to leave the room naked. She was admitted to the floor there with behavioral health consulted for evaluation. She was then transferred to another  unit on 5/27/21 for additional management, with a plan for a 90 day inpatient hold.  While in the unit she was managed with a medication regimen including Thorazine, Lithium and Abilify.  Medicine was consulted for management of hypertension, and Ob-Gyn was following for abnormal vaginal bleeding with work-up unable to be completed due to her mental status.  ECT treatments were also started this week on 6/23, with the patient receiving her second ECT treatment this afternoon.  From review of the pre-procedure note, the planned induction was with etomidate, succinylcholine, glycopyrrolate, and Brevitol (methohexital, barbiturate class); the actual MAR is not up to date with her procedural medications at the time of admission.  Post treatment, the patient was noted to be conversive and in her normal state of health.  This evening, nursing staff heard a loud noise from the patient's room around 1630. Upon arrival, they found her down, unresponsive and without a pulse. An ACT was called  and CPR was initiated for a duration of approximately 30 minutes. Reportedly the AED display showed asystole, followed by PEA.  She received a reported five rounds of epinephrine, one dose of bicarbonate, and one dose of calcium during the event.  The patient was intubated during the code with a large amount of gastric contents present, concerning for aspiration.  A right ankle IO was placed due to significant difficulty securing access elsewhere.  ROSC was obtained with a junctional rhythm, and the patient was transferred for further management.      On arrival the patient is non-responsive without any sedation running.  She became hypotensive by arrival to the ICU requiring norepinephrine.  On later inspection of her IO, there was suspicion for infiltration of fluids and medications around her right ankle.  She has had significant secretions into her ETT since transfer.   HPI as noted above.  ICU course notable for hypoxic respiratory failure with ARDS likely from lung injury from cardiac arrest.  She subsequently developed shock and required vasopressors.  Initially the patient was noted to have brainstem reflexes, however on 6/25 the patient had an exam change with no spontaneous breaths and pupils fixed and dilated.  The initial head CT following arrest was performed which showed diffuse cerebral edema with effacement of the sulci and gray and white matter differentiation consistent with severe anoxic brain injury. There was diminished ventricular size with complete effacement of the fourth ventricle and tonsillar herniation from mass effect.  Neurology was consulted.     The patient remained on vasopressor and mechanical ventilator support. A NM scan was performed to evaluate cerebral blood flow showed absence of effective cerebral perfusion.  Neurology performed an exam and the patient was pronounced deceased at 1802 on 6/27/21 a doctor.   The family was informed of the results. After discussion with family, the patient was removed from mechanical ventilator support and vasoactive medications discontinued with the family at beside."
	"1443143-1"	"1443143-1"	"PROMOTION OF PERIPHERAL CIRCULATION"	"10051897"	"40-49 years"	"40-49"	"48 y/o female with pmh of HTN, HLD, DM2 and bipolar disorder, transferred to ICU from the psychiatric until after cardiac arrest.  The patient was originally admitted on 5/22 for evaluation of bizarre behavior. She was noted to have flight of ideas, emotional instability and multiple attempts to leave the room naked. She was admitted to the floor there with behavioral health consulted for evaluation. She was then transferred to another  unit on 5/27/21 for additional management, with a plan for a 90 day inpatient hold.  While in the unit she was managed with a medication regimen including Thorazine, Lithium and Abilify.  Medicine was consulted for management of hypertension, and Ob-Gyn was following for abnormal vaginal bleeding with work-up unable to be completed due to her mental status.  ECT treatments were also started this week on 6/23, with the patient receiving her second ECT treatment this afternoon.  From review of the pre-procedure note, the planned induction was with etomidate, succinylcholine, glycopyrrolate, and Brevitol (methohexital, barbiturate class); the actual MAR is not up to date with her procedural medications at the time of admission.  Post treatment, the patient was noted to be conversive and in her normal state of health.  This evening, nursing staff heard a loud noise from the patient's room around 1630. Upon arrival, they found her down, unresponsive and without a pulse. An ACT was called  and CPR was initiated for a duration of approximately 30 minutes. Reportedly the AED display showed asystole, followed by PEA.  She received a reported five rounds of epinephrine, one dose of bicarbonate, and one dose of calcium during the event.  The patient was intubated during the code with a large amount of gastric contents present, concerning for aspiration.  A right ankle IO was placed due to significant difficulty securing access elsewhere.  ROSC was obtained with a junctional rhythm, and the patient was transferred for further management.      On arrival the patient is non-responsive without any sedation running.  She became hypotensive by arrival to the ICU requiring norepinephrine.  On later inspection of her IO, there was suspicion for infiltration of fluids and medications around her right ankle.  She has had significant secretions into her ETT since transfer.   HPI as noted above.  ICU course notable for hypoxic respiratory failure with ARDS likely from lung injury from cardiac arrest.  She subsequently developed shock and required vasopressors.  Initially the patient was noted to have brainstem reflexes, however on 6/25 the patient had an exam change with no spontaneous breaths and pupils fixed and dilated.  The initial head CT following arrest was performed which showed diffuse cerebral edema with effacement of the sulci and gray and white matter differentiation consistent with severe anoxic brain injury. There was diminished ventricular size with complete effacement of the fourth ventricle and tonsillar herniation from mass effect.  Neurology was consulted.     The patient remained on vasopressor and mechanical ventilator support. A NM scan was performed to evaluate cerebral blood flow showed absence of effective cerebral perfusion.  Neurology performed an exam and the patient was pronounced deceased at 1802 on 6/27/21 a doctor.   The family was informed of the results. After discussion with family, the patient was removed from mechanical ventilator support and vasoactive medications discontinued with the family at beside."
	"1443143-1"	"1443143-1"	"PULSE ABSENT"	"10037469"	"40-49 years"	"40-49"	"48 y/o female with pmh of HTN, HLD, DM2 and bipolar disorder, transferred to ICU from the psychiatric until after cardiac arrest.  The patient was originally admitted on 5/22 for evaluation of bizarre behavior. She was noted to have flight of ideas, emotional instability and multiple attempts to leave the room naked. She was admitted to the floor there with behavioral health consulted for evaluation. She was then transferred to another  unit on 5/27/21 for additional management, with a plan for a 90 day inpatient hold.  While in the unit she was managed with a medication regimen including Thorazine, Lithium and Abilify.  Medicine was consulted for management of hypertension, and Ob-Gyn was following for abnormal vaginal bleeding with work-up unable to be completed due to her mental status.  ECT treatments were also started this week on 6/23, with the patient receiving her second ECT treatment this afternoon.  From review of the pre-procedure note, the planned induction was with etomidate, succinylcholine, glycopyrrolate, and Brevitol (methohexital, barbiturate class); the actual MAR is not up to date with her procedural medications at the time of admission.  Post treatment, the patient was noted to be conversive and in her normal state of health.  This evening, nursing staff heard a loud noise from the patient's room around 1630. Upon arrival, they found her down, unresponsive and without a pulse. An ACT was called  and CPR was initiated for a duration of approximately 30 minutes. Reportedly the AED display showed asystole, followed by PEA.  She received a reported five rounds of epinephrine, one dose of bicarbonate, and one dose of calcium during the event.  The patient was intubated during the code with a large amount of gastric contents present, concerning for aspiration.  A right ankle IO was placed due to significant difficulty securing access elsewhere.  ROSC was obtained with a junctional rhythm, and the patient was transferred for further management.      On arrival the patient is non-responsive without any sedation running.  She became hypotensive by arrival to the ICU requiring norepinephrine.  On later inspection of her IO, there was suspicion for infiltration of fluids and medications around her right ankle.  She has had significant secretions into her ETT since transfer.   HPI as noted above.  ICU course notable for hypoxic respiratory failure with ARDS likely from lung injury from cardiac arrest.  She subsequently developed shock and required vasopressors.  Initially the patient was noted to have brainstem reflexes, however on 6/25 the patient had an exam change with no spontaneous breaths and pupils fixed and dilated.  The initial head CT following arrest was performed which showed diffuse cerebral edema with effacement of the sulci and gray and white matter differentiation consistent with severe anoxic brain injury. There was diminished ventricular size with complete effacement of the fourth ventricle and tonsillar herniation from mass effect.  Neurology was consulted.     The patient remained on vasopressor and mechanical ventilator support. A NM scan was performed to evaluate cerebral blood flow showed absence of effective cerebral perfusion.  Neurology performed an exam and the patient was pronounced deceased at 1802 on 6/27/21 a doctor.   The family was informed of the results. After discussion with family, the patient was removed from mechanical ventilator support and vasoactive medications discontinued with the family at beside."
	"1443143-1"	"1443143-1"	"PULSELESS ELECTRICAL ACTIVITY"	"10058151"	"40-49 years"	"40-49"	"48 y/o female with pmh of HTN, HLD, DM2 and bipolar disorder, transferred to ICU from the psychiatric until after cardiac arrest.  The patient was originally admitted on 5/22 for evaluation of bizarre behavior. She was noted to have flight of ideas, emotional instability and multiple attempts to leave the room naked. She was admitted to the floor there with behavioral health consulted for evaluation. She was then transferred to another  unit on 5/27/21 for additional management, with a plan for a 90 day inpatient hold.  While in the unit she was managed with a medication regimen including Thorazine, Lithium and Abilify.  Medicine was consulted for management of hypertension, and Ob-Gyn was following for abnormal vaginal bleeding with work-up unable to be completed due to her mental status.  ECT treatments were also started this week on 6/23, with the patient receiving her second ECT treatment this afternoon.  From review of the pre-procedure note, the planned induction was with etomidate, succinylcholine, glycopyrrolate, and Brevitol (methohexital, barbiturate class); the actual MAR is not up to date with her procedural medications at the time of admission.  Post treatment, the patient was noted to be conversive and in her normal state of health.  This evening, nursing staff heard a loud noise from the patient's room around 1630. Upon arrival, they found her down, unresponsive and without a pulse. An ACT was called  and CPR was initiated for a duration of approximately 30 minutes. Reportedly the AED display showed asystole, followed by PEA.  She received a reported five rounds of epinephrine, one dose of bicarbonate, and one dose of calcium during the event.  The patient was intubated during the code with a large amount of gastric contents present, concerning for aspiration.  A right ankle IO was placed due to significant difficulty securing access elsewhere.  ROSC was obtained with a junctional rhythm, and the patient was transferred for further management.      On arrival the patient is non-responsive without any sedation running.  She became hypotensive by arrival to the ICU requiring norepinephrine.  On later inspection of her IO, there was suspicion for infiltration of fluids and medications around her right ankle.  She has had significant secretions into her ETT since transfer.   HPI as noted above.  ICU course notable for hypoxic respiratory failure with ARDS likely from lung injury from cardiac arrest.  She subsequently developed shock and required vasopressors.  Initially the patient was noted to have brainstem reflexes, however on 6/25 the patient had an exam change with no spontaneous breaths and pupils fixed and dilated.  The initial head CT following arrest was performed which showed diffuse cerebral edema with effacement of the sulci and gray and white matter differentiation consistent with severe anoxic brain injury. There was diminished ventricular size with complete effacement of the fourth ventricle and tonsillar herniation from mass effect.  Neurology was consulted.     The patient remained on vasopressor and mechanical ventilator support. A NM scan was performed to evaluate cerebral blood flow showed absence of effective cerebral perfusion.  Neurology performed an exam and the patient was pronounced deceased at 1802 on 6/27/21 a doctor.   The family was informed of the results. After discussion with family, the patient was removed from mechanical ventilator support and vasoactive medications discontinued with the family at beside."
	"1443143-1"	"1443143-1"	"PUPIL FIXED"	"10037515"	"40-49 years"	"40-49"	"48 y/o female with pmh of HTN, HLD, DM2 and bipolar disorder, transferred to ICU from the psychiatric until after cardiac arrest.  The patient was originally admitted on 5/22 for evaluation of bizarre behavior. She was noted to have flight of ideas, emotional instability and multiple attempts to leave the room naked. She was admitted to the floor there with behavioral health consulted for evaluation. She was then transferred to another  unit on 5/27/21 for additional management, with a plan for a 90 day inpatient hold.  While in the unit she was managed with a medication regimen including Thorazine, Lithium and Abilify.  Medicine was consulted for management of hypertension, and Ob-Gyn was following for abnormal vaginal bleeding with work-up unable to be completed due to her mental status.  ECT treatments were also started this week on 6/23, with the patient receiving her second ECT treatment this afternoon.  From review of the pre-procedure note, the planned induction was with etomidate, succinylcholine, glycopyrrolate, and Brevitol (methohexital, barbiturate class); the actual MAR is not up to date with her procedural medications at the time of admission.  Post treatment, the patient was noted to be conversive and in her normal state of health.  This evening, nursing staff heard a loud noise from the patient's room around 1630. Upon arrival, they found her down, unresponsive and without a pulse. An ACT was called  and CPR was initiated for a duration of approximately 30 minutes. Reportedly the AED display showed asystole, followed by PEA.  She received a reported five rounds of epinephrine, one dose of bicarbonate, and one dose of calcium during the event.  The patient was intubated during the code with a large amount of gastric contents present, concerning for aspiration.  A right ankle IO was placed due to significant difficulty securing access elsewhere.  ROSC was obtained with a junctional rhythm, and the patient was transferred for further management.      On arrival the patient is non-responsive without any sedation running.  She became hypotensive by arrival to the ICU requiring norepinephrine.  On later inspection of her IO, there was suspicion for infiltration of fluids and medications around her right ankle.  She has had significant secretions into her ETT since transfer.   HPI as noted above.  ICU course notable for hypoxic respiratory failure with ARDS likely from lung injury from cardiac arrest.  She subsequently developed shock and required vasopressors.  Initially the patient was noted to have brainstem reflexes, however on 6/25 the patient had an exam change with no spontaneous breaths and pupils fixed and dilated.  The initial head CT following arrest was performed which showed diffuse cerebral edema with effacement of the sulci and gray and white matter differentiation consistent with severe anoxic brain injury. There was diminished ventricular size with complete effacement of the fourth ventricle and tonsillar herniation from mass effect.  Neurology was consulted.     The patient remained on vasopressor and mechanical ventilator support. A NM scan was performed to evaluate cerebral blood flow showed absence of effective cerebral perfusion.  Neurology performed an exam and the patient was pronounced deceased at 1802 on 6/27/21 a doctor.   The family was informed of the results. After discussion with family, the patient was removed from mechanical ventilator support and vasoactive medications discontinued with the family at beside."
	"1443143-1"	"1443143-1"	"RESPIRATORY FAILURE"	"10038695"	"40-49 years"	"40-49"	"48 y/o female with pmh of HTN, HLD, DM2 and bipolar disorder, transferred to ICU from the psychiatric until after cardiac arrest.  The patient was originally admitted on 5/22 for evaluation of bizarre behavior. She was noted to have flight of ideas, emotional instability and multiple attempts to leave the room naked. She was admitted to the floor there with behavioral health consulted for evaluation. She was then transferred to another  unit on 5/27/21 for additional management, with a plan for a 90 day inpatient hold.  While in the unit she was managed with a medication regimen including Thorazine, Lithium and Abilify.  Medicine was consulted for management of hypertension, and Ob-Gyn was following for abnormal vaginal bleeding with work-up unable to be completed due to her mental status.  ECT treatments were also started this week on 6/23, with the patient receiving her second ECT treatment this afternoon.  From review of the pre-procedure note, the planned induction was with etomidate, succinylcholine, glycopyrrolate, and Brevitol (methohexital, barbiturate class); the actual MAR is not up to date with her procedural medications at the time of admission.  Post treatment, the patient was noted to be conversive and in her normal state of health.  This evening, nursing staff heard a loud noise from the patient's room around 1630. Upon arrival, they found her down, unresponsive and without a pulse. An ACT was called  and CPR was initiated for a duration of approximately 30 minutes. Reportedly the AED display showed asystole, followed by PEA.  She received a reported five rounds of epinephrine, one dose of bicarbonate, and one dose of calcium during the event.  The patient was intubated during the code with a large amount of gastric contents present, concerning for aspiration.  A right ankle IO was placed due to significant difficulty securing access elsewhere.  ROSC was obtained with a junctional rhythm, and the patient was transferred for further management.      On arrival the patient is non-responsive without any sedation running.  She became hypotensive by arrival to the ICU requiring norepinephrine.  On later inspection of her IO, there was suspicion for infiltration of fluids and medications around her right ankle.  She has had significant secretions into her ETT since transfer.   HPI as noted above.  ICU course notable for hypoxic respiratory failure with ARDS likely from lung injury from cardiac arrest.  She subsequently developed shock and required vasopressors.  Initially the patient was noted to have brainstem reflexes, however on 6/25 the patient had an exam change with no spontaneous breaths and pupils fixed and dilated.  The initial head CT following arrest was performed which showed diffuse cerebral edema with effacement of the sulci and gray and white matter differentiation consistent with severe anoxic brain injury. There was diminished ventricular size with complete effacement of the fourth ventricle and tonsillar herniation from mass effect.  Neurology was consulted.     The patient remained on vasopressor and mechanical ventilator support. A NM scan was performed to evaluate cerebral blood flow showed absence of effective cerebral perfusion.  Neurology performed an exam and the patient was pronounced deceased at 1802 on 6/27/21 a doctor.   The family was informed of the results. After discussion with family, the patient was removed from mechanical ventilator support and vasoactive medications discontinued with the family at beside."
	"1443143-1"	"1443143-1"	"RESUSCITATION"	"10038749"	"40-49 years"	"40-49"	"48 y/o female with pmh of HTN, HLD, DM2 and bipolar disorder, transferred to ICU from the psychiatric until after cardiac arrest.  The patient was originally admitted on 5/22 for evaluation of bizarre behavior. She was noted to have flight of ideas, emotional instability and multiple attempts to leave the room naked. She was admitted to the floor there with behavioral health consulted for evaluation. She was then transferred to another  unit on 5/27/21 for additional management, with a plan for a 90 day inpatient hold.  While in the unit she was managed with a medication regimen including Thorazine, Lithium and Abilify.  Medicine was consulted for management of hypertension, and Ob-Gyn was following for abnormal vaginal bleeding with work-up unable to be completed due to her mental status.  ECT treatments were also started this week on 6/23, with the patient receiving her second ECT treatment this afternoon.  From review of the pre-procedure note, the planned induction was with etomidate, succinylcholine, glycopyrrolate, and Brevitol (methohexital, barbiturate class); the actual MAR is not up to date with her procedural medications at the time of admission.  Post treatment, the patient was noted to be conversive and in her normal state of health.  This evening, nursing staff heard a loud noise from the patient's room around 1630. Upon arrival, they found her down, unresponsive and without a pulse. An ACT was called  and CPR was initiated for a duration of approximately 30 minutes. Reportedly the AED display showed asystole, followed by PEA.  She received a reported five rounds of epinephrine, one dose of bicarbonate, and one dose of calcium during the event.  The patient was intubated during the code with a large amount of gastric contents present, concerning for aspiration.  A right ankle IO was placed due to significant difficulty securing access elsewhere.  ROSC was obtained with a junctional rhythm, and the patient was transferred for further management.      On arrival the patient is non-responsive without any sedation running.  She became hypotensive by arrival to the ICU requiring norepinephrine.  On later inspection of her IO, there was suspicion for infiltration of fluids and medications around her right ankle.  She has had significant secretions into her ETT since transfer.   HPI as noted above.  ICU course notable for hypoxic respiratory failure with ARDS likely from lung injury from cardiac arrest.  She subsequently developed shock and required vasopressors.  Initially the patient was noted to have brainstem reflexes, however on 6/25 the patient had an exam change with no spontaneous breaths and pupils fixed and dilated.  The initial head CT following arrest was performed which showed diffuse cerebral edema with effacement of the sulci and gray and white matter differentiation consistent with severe anoxic brain injury. There was diminished ventricular size with complete effacement of the fourth ventricle and tonsillar herniation from mass effect.  Neurology was consulted.     The patient remained on vasopressor and mechanical ventilator support. A NM scan was performed to evaluate cerebral blood flow showed absence of effective cerebral perfusion.  Neurology performed an exam and the patient was pronounced deceased at 1802 on 6/27/21 a doctor.   The family was informed of the results. After discussion with family, the patient was removed from mechanical ventilator support and vasoactive medications discontinued with the family at beside."
	"1443143-1"	"1443143-1"	"SALIVARY HYPERSECRETION"	"10039424"	"40-49 years"	"40-49"	"48 y/o female with pmh of HTN, HLD, DM2 and bipolar disorder, transferred to ICU from the psychiatric until after cardiac arrest.  The patient was originally admitted on 5/22 for evaluation of bizarre behavior. She was noted to have flight of ideas, emotional instability and multiple attempts to leave the room naked. She was admitted to the floor there with behavioral health consulted for evaluation. She was then transferred to another  unit on 5/27/21 for additional management, with a plan for a 90 day inpatient hold.  While in the unit she was managed with a medication regimen including Thorazine, Lithium and Abilify.  Medicine was consulted for management of hypertension, and Ob-Gyn was following for abnormal vaginal bleeding with work-up unable to be completed due to her mental status.  ECT treatments were also started this week on 6/23, with the patient receiving her second ECT treatment this afternoon.  From review of the pre-procedure note, the planned induction was with etomidate, succinylcholine, glycopyrrolate, and Brevitol (methohexital, barbiturate class); the actual MAR is not up to date with her procedural medications at the time of admission.  Post treatment, the patient was noted to be conversive and in her normal state of health.  This evening, nursing staff heard a loud noise from the patient's room around 1630. Upon arrival, they found her down, unresponsive and without a pulse. An ACT was called  and CPR was initiated for a duration of approximately 30 minutes. Reportedly the AED display showed asystole, followed by PEA.  She received a reported five rounds of epinephrine, one dose of bicarbonate, and one dose of calcium during the event.  The patient was intubated during the code with a large amount of gastric contents present, concerning for aspiration.  A right ankle IO was placed due to significant difficulty securing access elsewhere.  ROSC was obtained with a junctional rhythm, and the patient was transferred for further management.      On arrival the patient is non-responsive without any sedation running.  She became hypotensive by arrival to the ICU requiring norepinephrine.  On later inspection of her IO, there was suspicion for infiltration of fluids and medications around her right ankle.  She has had significant secretions into her ETT since transfer.   HPI as noted above.  ICU course notable for hypoxic respiratory failure with ARDS likely from lung injury from cardiac arrest.  She subsequently developed shock and required vasopressors.  Initially the patient was noted to have brainstem reflexes, however on 6/25 the patient had an exam change with no spontaneous breaths and pupils fixed and dilated.  The initial head CT following arrest was performed which showed diffuse cerebral edema with effacement of the sulci and gray and white matter differentiation consistent with severe anoxic brain injury. There was diminished ventricular size with complete effacement of the fourth ventricle and tonsillar herniation from mass effect.  Neurology was consulted.     The patient remained on vasopressor and mechanical ventilator support. A NM scan was performed to evaluate cerebral blood flow showed absence of effective cerebral perfusion.  Neurology performed an exam and the patient was pronounced deceased at 1802 on 6/27/21 a doctor.   The family was informed of the results. After discussion with family, the patient was removed from mechanical ventilator support and vasoactive medications discontinued with the family at beside."
	"1443143-1"	"1443143-1"	"SHOCK"	"10040560"	"40-49 years"	"40-49"	"48 y/o female with pmh of HTN, HLD, DM2 and bipolar disorder, transferred to ICU from the psychiatric until after cardiac arrest.  The patient was originally admitted on 5/22 for evaluation of bizarre behavior. She was noted to have flight of ideas, emotional instability and multiple attempts to leave the room naked. She was admitted to the floor there with behavioral health consulted for evaluation. She was then transferred to another  unit on 5/27/21 for additional management, with a plan for a 90 day inpatient hold.  While in the unit she was managed with a medication regimen including Thorazine, Lithium and Abilify.  Medicine was consulted for management of hypertension, and Ob-Gyn was following for abnormal vaginal bleeding with work-up unable to be completed due to her mental status.  ECT treatments were also started this week on 6/23, with the patient receiving her second ECT treatment this afternoon.  From review of the pre-procedure note, the planned induction was with etomidate, succinylcholine, glycopyrrolate, and Brevitol (methohexital, barbiturate class); the actual MAR is not up to date with her procedural medications at the time of admission.  Post treatment, the patient was noted to be conversive and in her normal state of health.  This evening, nursing staff heard a loud noise from the patient's room around 1630. Upon arrival, they found her down, unresponsive and without a pulse. An ACT was called  and CPR was initiated for a duration of approximately 30 minutes. Reportedly the AED display showed asystole, followed by PEA.  She received a reported five rounds of epinephrine, one dose of bicarbonate, and one dose of calcium during the event.  The patient was intubated during the code with a large amount of gastric contents present, concerning for aspiration.  A right ankle IO was placed due to significant difficulty securing access elsewhere.  ROSC was obtained with a junctional rhythm, and the patient was transferred for further management.      On arrival the patient is non-responsive without any sedation running.  She became hypotensive by arrival to the ICU requiring norepinephrine.  On later inspection of her IO, there was suspicion for infiltration of fluids and medications around her right ankle.  She has had significant secretions into her ETT since transfer.   HPI as noted above.  ICU course notable for hypoxic respiratory failure with ARDS likely from lung injury from cardiac arrest.  She subsequently developed shock and required vasopressors.  Initially the patient was noted to have brainstem reflexes, however on 6/25 the patient had an exam change with no spontaneous breaths and pupils fixed and dilated.  The initial head CT following arrest was performed which showed diffuse cerebral edema with effacement of the sulci and gray and white matter differentiation consistent with severe anoxic brain injury. There was diminished ventricular size with complete effacement of the fourth ventricle and tonsillar herniation from mass effect.  Neurology was consulted.     The patient remained on vasopressor and mechanical ventilator support. A NM scan was performed to evaluate cerebral blood flow showed absence of effective cerebral perfusion.  Neurology performed an exam and the patient was pronounced deceased at 1802 on 6/27/21 a doctor.   The family was informed of the results. After discussion with family, the patient was removed from mechanical ventilator support and vasoactive medications discontinued with the family at beside."
	"1443143-1"	"1443143-1"	"TRAUMATIC LUNG INJURY"	"10069363"	"40-49 years"	"40-49"	"48 y/o female with pmh of HTN, HLD, DM2 and bipolar disorder, transferred to ICU from the psychiatric until after cardiac arrest.  The patient was originally admitted on 5/22 for evaluation of bizarre behavior. She was noted to have flight of ideas, emotional instability and multiple attempts to leave the room naked. She was admitted to the floor there with behavioral health consulted for evaluation. She was then transferred to another  unit on 5/27/21 for additional management, with a plan for a 90 day inpatient hold.  While in the unit she was managed with a medication regimen including Thorazine, Lithium and Abilify.  Medicine was consulted for management of hypertension, and Ob-Gyn was following for abnormal vaginal bleeding with work-up unable to be completed due to her mental status.  ECT treatments were also started this week on 6/23, with the patient receiving her second ECT treatment this afternoon.  From review of the pre-procedure note, the planned induction was with etomidate, succinylcholine, glycopyrrolate, and Brevitol (methohexital, barbiturate class); the actual MAR is not up to date with her procedural medications at the time of admission.  Post treatment, the patient was noted to be conversive and in her normal state of health.  This evening, nursing staff heard a loud noise from the patient's room around 1630. Upon arrival, they found her down, unresponsive and without a pulse. An ACT was called  and CPR was initiated for a duration of approximately 30 minutes. Reportedly the AED display showed asystole, followed by PEA.  She received a reported five rounds of epinephrine, one dose of bicarbonate, and one dose of calcium during the event.  The patient was intubated during the code with a large amount of gastric contents present, concerning for aspiration.  A right ankle IO was placed due to significant difficulty securing access elsewhere.  ROSC was obtained with a junctional rhythm, and the patient was transferred for further management.      On arrival the patient is non-responsive without any sedation running.  She became hypotensive by arrival to the ICU requiring norepinephrine.  On later inspection of her IO, there was suspicion for infiltration of fluids and medications around her right ankle.  She has had significant secretions into her ETT since transfer.   HPI as noted above.  ICU course notable for hypoxic respiratory failure with ARDS likely from lung injury from cardiac arrest.  She subsequently developed shock and required vasopressors.  Initially the patient was noted to have brainstem reflexes, however on 6/25 the patient had an exam change with no spontaneous breaths and pupils fixed and dilated.  The initial head CT following arrest was performed which showed diffuse cerebral edema with effacement of the sulci and gray and white matter differentiation consistent with severe anoxic brain injury. There was diminished ventricular size with complete effacement of the fourth ventricle and tonsillar herniation from mass effect.  Neurology was consulted.     The patient remained on vasopressor and mechanical ventilator support. A NM scan was performed to evaluate cerebral blood flow showed absence of effective cerebral perfusion.  Neurology performed an exam and the patient was pronounced deceased at 1802 on 6/27/21 a doctor.   The family was informed of the results. After discussion with family, the patient was removed from mechanical ventilator support and vasoactive medications discontinued with the family at beside."
	"1443143-1"	"1443143-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"40-49 years"	"40-49"	"48 y/o female with pmh of HTN, HLD, DM2 and bipolar disorder, transferred to ICU from the psychiatric until after cardiac arrest.  The patient was originally admitted on 5/22 for evaluation of bizarre behavior. She was noted to have flight of ideas, emotional instability and multiple attempts to leave the room naked. She was admitted to the floor there with behavioral health consulted for evaluation. She was then transferred to another  unit on 5/27/21 for additional management, with a plan for a 90 day inpatient hold.  While in the unit she was managed with a medication regimen including Thorazine, Lithium and Abilify.  Medicine was consulted for management of hypertension, and Ob-Gyn was following for abnormal vaginal bleeding with work-up unable to be completed due to her mental status.  ECT treatments were also started this week on 6/23, with the patient receiving her second ECT treatment this afternoon.  From review of the pre-procedure note, the planned induction was with etomidate, succinylcholine, glycopyrrolate, and Brevitol (methohexital, barbiturate class); the actual MAR is not up to date with her procedural medications at the time of admission.  Post treatment, the patient was noted to be conversive and in her normal state of health.  This evening, nursing staff heard a loud noise from the patient's room around 1630. Upon arrival, they found her down, unresponsive and without a pulse. An ACT was called  and CPR was initiated for a duration of approximately 30 minutes. Reportedly the AED display showed asystole, followed by PEA.  She received a reported five rounds of epinephrine, one dose of bicarbonate, and one dose of calcium during the event.  The patient was intubated during the code with a large amount of gastric contents present, concerning for aspiration.  A right ankle IO was placed due to significant difficulty securing access elsewhere.  ROSC was obtained with a junctional rhythm, and the patient was transferred for further management.      On arrival the patient is non-responsive without any sedation running.  She became hypotensive by arrival to the ICU requiring norepinephrine.  On later inspection of her IO, there was suspicion for infiltration of fluids and medications around her right ankle.  She has had significant secretions into her ETT since transfer.   HPI as noted above.  ICU course notable for hypoxic respiratory failure with ARDS likely from lung injury from cardiac arrest.  She subsequently developed shock and required vasopressors.  Initially the patient was noted to have brainstem reflexes, however on 6/25 the patient had an exam change with no spontaneous breaths and pupils fixed and dilated.  The initial head CT following arrest was performed which showed diffuse cerebral edema with effacement of the sulci and gray and white matter differentiation consistent with severe anoxic brain injury. There was diminished ventricular size with complete effacement of the fourth ventricle and tonsillar herniation from mass effect.  Neurology was consulted.     The patient remained on vasopressor and mechanical ventilator support. A NM scan was performed to evaluate cerebral blood flow showed absence of effective cerebral perfusion.  Neurology performed an exam and the patient was pronounced deceased at 1802 on 6/27/21 a doctor.   The family was informed of the results. After discussion with family, the patient was removed from mechanical ventilator support and vasoactive medications discontinued with the family at beside."
	"1443143-1"	"1443143-1"	"VAGINAL HAEMORRHAGE"	"10046910"	"40-49 years"	"40-49"	"48 y/o female with pmh of HTN, HLD, DM2 and bipolar disorder, transferred to ICU from the psychiatric until after cardiac arrest.  The patient was originally admitted on 5/22 for evaluation of bizarre behavior. She was noted to have flight of ideas, emotional instability and multiple attempts to leave the room naked. She was admitted to the floor there with behavioral health consulted for evaluation. She was then transferred to another  unit on 5/27/21 for additional management, with a plan for a 90 day inpatient hold.  While in the unit she was managed with a medication regimen including Thorazine, Lithium and Abilify.  Medicine was consulted for management of hypertension, and Ob-Gyn was following for abnormal vaginal bleeding with work-up unable to be completed due to her mental status.  ECT treatments were also started this week on 6/23, with the patient receiving her second ECT treatment this afternoon.  From review of the pre-procedure note, the planned induction was with etomidate, succinylcholine, glycopyrrolate, and Brevitol (methohexital, barbiturate class); the actual MAR is not up to date with her procedural medications at the time of admission.  Post treatment, the patient was noted to be conversive and in her normal state of health.  This evening, nursing staff heard a loud noise from the patient's room around 1630. Upon arrival, they found her down, unresponsive and without a pulse. An ACT was called  and CPR was initiated for a duration of approximately 30 minutes. Reportedly the AED display showed asystole, followed by PEA.  She received a reported five rounds of epinephrine, one dose of bicarbonate, and one dose of calcium during the event.  The patient was intubated during the code with a large amount of gastric contents present, concerning for aspiration.  A right ankle IO was placed due to significant difficulty securing access elsewhere.  ROSC was obtained with a junctional rhythm, and the patient was transferred for further management.      On arrival the patient is non-responsive without any sedation running.  She became hypotensive by arrival to the ICU requiring norepinephrine.  On later inspection of her IO, there was suspicion for infiltration of fluids and medications around her right ankle.  She has had significant secretions into her ETT since transfer.   HPI as noted above.  ICU course notable for hypoxic respiratory failure with ARDS likely from lung injury from cardiac arrest.  She subsequently developed shock and required vasopressors.  Initially the patient was noted to have brainstem reflexes, however on 6/25 the patient had an exam change with no spontaneous breaths and pupils fixed and dilated.  The initial head CT following arrest was performed which showed diffuse cerebral edema with effacement of the sulci and gray and white matter differentiation consistent with severe anoxic brain injury. There was diminished ventricular size with complete effacement of the fourth ventricle and tonsillar herniation from mass effect.  Neurology was consulted.     The patient remained on vasopressor and mechanical ventilator support. A NM scan was performed to evaluate cerebral blood flow showed absence of effective cerebral perfusion.  Neurology performed an exam and the patient was pronounced deceased at 1802 on 6/27/21 a doctor.   The family was informed of the results. After discussion with family, the patient was removed from mechanical ventilator support and vasoactive medications discontinued with the family at beside."
	"1443143-1"	"1443143-1"	"VENTRICULAR DYSFUNCTION"	"10059056"	"40-49 years"	"40-49"	"48 y/o female with pmh of HTN, HLD, DM2 and bipolar disorder, transferred to ICU from the psychiatric until after cardiac arrest.  The patient was originally admitted on 5/22 for evaluation of bizarre behavior. She was noted to have flight of ideas, emotional instability and multiple attempts to leave the room naked. She was admitted to the floor there with behavioral health consulted for evaluation. She was then transferred to another  unit on 5/27/21 for additional management, with a plan for a 90 day inpatient hold.  While in the unit she was managed with a medication regimen including Thorazine, Lithium and Abilify.  Medicine was consulted for management of hypertension, and Ob-Gyn was following for abnormal vaginal bleeding with work-up unable to be completed due to her mental status.  ECT treatments were also started this week on 6/23, with the patient receiving her second ECT treatment this afternoon.  From review of the pre-procedure note, the planned induction was with etomidate, succinylcholine, glycopyrrolate, and Brevitol (methohexital, barbiturate class); the actual MAR is not up to date with her procedural medications at the time of admission.  Post treatment, the patient was noted to be conversive and in her normal state of health.  This evening, nursing staff heard a loud noise from the patient's room around 1630. Upon arrival, they found her down, unresponsive and without a pulse. An ACT was called  and CPR was initiated for a duration of approximately 30 minutes. Reportedly the AED display showed asystole, followed by PEA.  She received a reported five rounds of epinephrine, one dose of bicarbonate, and one dose of calcium during the event.  The patient was intubated during the code with a large amount of gastric contents present, concerning for aspiration.  A right ankle IO was placed due to significant difficulty securing access elsewhere.  ROSC was obtained with a junctional rhythm, and the patient was transferred for further management.      On arrival the patient is non-responsive without any sedation running.  She became hypotensive by arrival to the ICU requiring norepinephrine.  On later inspection of her IO, there was suspicion for infiltration of fluids and medications around her right ankle.  She has had significant secretions into her ETT since transfer.   HPI as noted above.  ICU course notable for hypoxic respiratory failure with ARDS likely from lung injury from cardiac arrest.  She subsequently developed shock and required vasopressors.  Initially the patient was noted to have brainstem reflexes, however on 6/25 the patient had an exam change with no spontaneous breaths and pupils fixed and dilated.  The initial head CT following arrest was performed which showed diffuse cerebral edema with effacement of the sulci and gray and white matter differentiation consistent with severe anoxic brain injury. There was diminished ventricular size with complete effacement of the fourth ventricle and tonsillar herniation from mass effect.  Neurology was consulted.     The patient remained on vasopressor and mechanical ventilator support. A NM scan was performed to evaluate cerebral blood flow showed absence of effective cerebral perfusion.  Neurology performed an exam and the patient was pronounced deceased at 1802 on 6/27/21 a doctor.   The family was informed of the results. After discussion with family, the patient was removed from mechanical ventilator support and vasoactive medications discontinued with the family at beside."
	"1450252-1"	"1450252-1"	"MYOCARDIAL INFARCTION"	"10028596"	"30-39 years"	"30-39"	"my wife died of a hart attack 4 days after her shot she was only 30 years old,. with no previous symtoms. please explain to me how this could happen."
	"1450252-1"	"1450252-1"	"SUDDEN CARDIAC DEATH"	"10049418"	"30-39 years"	"30-39"	"my wife died of a hart attack 4 days after her shot she was only 30 years old,. with no previous symtoms. please explain to me how this could happen."
	"1458628-1"	"1458628-1"	"CARDIAC FAILURE"	"10007554"	"30-39 years"	"30-39"	""My previously healthy brother received the Pfizer vaccine (1st dose) and 4 days after he was hospitalized with shortness of breath, heart failure, blood clots in his arm, lungs and leg along with a stroke and many medical conditions kept arising as he was hospitalized. He was in the CICU for a week and a half. Unfortunately, my brother passed away from the Pfizer vaccine. Until his last day the doctors still ""didn't know"" what was wrong with him. A lot happened during his hospital stay, but this is just a brief statement. They have been keeping his medical records from me. They tested him repeatedly there from covid and he wa salways negative. They had no other explanation to what was happening and all along they wanted it to be COVID-19 and were so quick to say it was not the vaccine.""
	"1458628-1"	"1458628-1"	"CEREBROVASCULAR ACCIDENT"	"10008190"	"30-39 years"	"30-39"	""My previously healthy brother received the Pfizer vaccine (1st dose) and 4 days after he was hospitalized with shortness of breath, heart failure, blood clots in his arm, lungs and leg along with a stroke and many medical conditions kept arising as he was hospitalized. He was in the CICU for a week and a half. Unfortunately, my brother passed away from the Pfizer vaccine. Until his last day the doctors still ""didn't know"" what was wrong with him. A lot happened during his hospital stay, but this is just a brief statement. They have been keeping his medical records from me. They tested him repeatedly there from covid and he wa salways negative. They had no other explanation to what was happening and all along they wanted it to be COVID-19 and were so quick to say it was not the vaccine.""
	"1458628-1"	"1458628-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	""My previously healthy brother received the Pfizer vaccine (1st dose) and 4 days after he was hospitalized with shortness of breath, heart failure, blood clots in his arm, lungs and leg along with a stroke and many medical conditions kept arising as he was hospitalized. He was in the CICU for a week and a half. Unfortunately, my brother passed away from the Pfizer vaccine. Until his last day the doctors still ""didn't know"" what was wrong with him. A lot happened during his hospital stay, but this is just a brief statement. They have been keeping his medical records from me. They tested him repeatedly there from covid and he wa salways negative. They had no other explanation to what was happening and all along they wanted it to be COVID-19 and were so quick to say it was not the vaccine.""
	"1458628-1"	"1458628-1"	"DYSPNOEA"	"10013968"	"30-39 years"	"30-39"	""My previously healthy brother received the Pfizer vaccine (1st dose) and 4 days after he was hospitalized with shortness of breath, heart failure, blood clots in his arm, lungs and leg along with a stroke and many medical conditions kept arising as he was hospitalized. He was in the CICU for a week and a half. Unfortunately, my brother passed away from the Pfizer vaccine. Until his last day the doctors still ""didn't know"" what was wrong with him. A lot happened during his hospital stay, but this is just a brief statement. They have been keeping his medical records from me. They tested him repeatedly there from covid and he wa salways negative. They had no other explanation to what was happening and all along they wanted it to be COVID-19 and were so quick to say it was not the vaccine.""
	"1458628-1"	"1458628-1"	"INTENSIVE CARE"	"10022519"	"30-39 years"	"30-39"	""My previously healthy brother received the Pfizer vaccine (1st dose) and 4 days after he was hospitalized with shortness of breath, heart failure, blood clots in his arm, lungs and leg along with a stroke and many medical conditions kept arising as he was hospitalized. He was in the CICU for a week and a half. Unfortunately, my brother passed away from the Pfizer vaccine. Until his last day the doctors still ""didn't know"" what was wrong with him. A lot happened during his hospital stay, but this is just a brief statement. They have been keeping his medical records from me. They tested him repeatedly there from covid and he wa salways negative. They had no other explanation to what was happening and all along they wanted it to be COVID-19 and were so quick to say it was not the vaccine.""
	"1458628-1"	"1458628-1"	"LABORATORY TEST"	"10059938"	"30-39 years"	"30-39"	""My previously healthy brother received the Pfizer vaccine (1st dose) and 4 days after he was hospitalized with shortness of breath, heart failure, blood clots in his arm, lungs and leg along with a stroke and many medical conditions kept arising as he was hospitalized. He was in the CICU for a week and a half. Unfortunately, my brother passed away from the Pfizer vaccine. Until his last day the doctors still ""didn't know"" what was wrong with him. A lot happened during his hospital stay, but this is just a brief statement. They have been keeping his medical records from me. They tested him repeatedly there from covid and he wa salways negative. They had no other explanation to what was happening and all along they wanted it to be COVID-19 and were so quick to say it was not the vaccine.""
	"1458628-1"	"1458628-1"	"PULMONARY THROMBOSIS"	"10037437"	"30-39 years"	"30-39"	""My previously healthy brother received the Pfizer vaccine (1st dose) and 4 days after he was hospitalized with shortness of breath, heart failure, blood clots in his arm, lungs and leg along with a stroke and many medical conditions kept arising as he was hospitalized. He was in the CICU for a week and a half. Unfortunately, my brother passed away from the Pfizer vaccine. Until his last day the doctors still ""didn't know"" what was wrong with him. A lot happened during his hospital stay, but this is just a brief statement. They have been keeping his medical records from me. They tested him repeatedly there from covid and he wa salways negative. They had no other explanation to what was happening and all along they wanted it to be COVID-19 and were so quick to say it was not the vaccine.""
	"1458628-1"	"1458628-1"	"SARS-COV-2 TEST NEGATIVE"	"10084273"	"30-39 years"	"30-39"	""My previously healthy brother received the Pfizer vaccine (1st dose) and 4 days after he was hospitalized with shortness of breath, heart failure, blood clots in his arm, lungs and leg along with a stroke and many medical conditions kept arising as he was hospitalized. He was in the CICU for a week and a half. Unfortunately, my brother passed away from the Pfizer vaccine. Until his last day the doctors still ""didn't know"" what was wrong with him. A lot happened during his hospital stay, but this is just a brief statement. They have been keeping his medical records from me. They tested him repeatedly there from covid and he wa salways negative. They had no other explanation to what was happening and all along they wanted it to be COVID-19 and were so quick to say it was not the vaccine.""
	"1458628-1"	"1458628-1"	"THROMBOSIS"	"10043607"	"30-39 years"	"30-39"	""My previously healthy brother received the Pfizer vaccine (1st dose) and 4 days after he was hospitalized with shortness of breath, heart failure, blood clots in his arm, lungs and leg along with a stroke and many medical conditions kept arising as he was hospitalized. He was in the CICU for a week and a half. Unfortunately, my brother passed away from the Pfizer vaccine. Until his last day the doctors still ""didn't know"" what was wrong with him. A lot happened during his hospital stay, but this is just a brief statement. They have been keeping his medical records from me. They tested him repeatedly there from covid and he wa salways negative. They had no other explanation to what was happening and all along they wanted it to be COVID-19 and were so quick to say it was not the vaccine.""
	"1460255-1"	"1460255-1"	"BLOOD ALKALINE PHOSPHATASE INCREASED"	"10059570"	"40-49 years"	"40-49"	"Patient received COVID vaccine on 6/30/21.  She had been experiencing chronic dyspnea, lower extremity edema.  On 7/7 had some nausea, vomiting at home.  Found unconscious by her spouse a few hours later and subsequently died."
	"1460255-1"	"1460255-1"	"CONDITION AGGRAVATED"	"10010264"	"40-49 years"	"40-49"	"Patient received COVID vaccine on 6/30/21.  She had been experiencing chronic dyspnea, lower extremity edema.  On 7/7 had some nausea, vomiting at home.  Found unconscious by her spouse a few hours later and subsequently died."
	"1460255-1"	"1460255-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Patient received COVID vaccine on 6/30/21.  She had been experiencing chronic dyspnea, lower extremity edema.  On 7/7 had some nausea, vomiting at home.  Found unconscious by her spouse a few hours later and subsequently died."
	"1460255-1"	"1460255-1"	"DYSPNOEA"	"10013968"	"40-49 years"	"40-49"	"Patient received COVID vaccine on 6/30/21.  She had been experiencing chronic dyspnea, lower extremity edema.  On 7/7 had some nausea, vomiting at home.  Found unconscious by her spouse a few hours later and subsequently died."
	"1460255-1"	"1460255-1"	"GLYCOSYLATED HAEMOGLOBIN"	"10018480"	"40-49 years"	"40-49"	"Patient received COVID vaccine on 6/30/21.  She had been experiencing chronic dyspnea, lower extremity edema.  On 7/7 had some nausea, vomiting at home.  Found unconscious by her spouse a few hours later and subsequently died."
	"1460255-1"	"1460255-1"	"HAEMOGLOBIN NORMAL"	"10018890"	"40-49 years"	"40-49"	"Patient received COVID vaccine on 6/30/21.  She had been experiencing chronic dyspnea, lower extremity edema.  On 7/7 had some nausea, vomiting at home.  Found unconscious by her spouse a few hours later and subsequently died."
	"1460255-1"	"1460255-1"	"LOSS OF CONSCIOUSNESS"	"10024855"	"40-49 years"	"40-49"	"Patient received COVID vaccine on 6/30/21.  She had been experiencing chronic dyspnea, lower extremity edema.  On 7/7 had some nausea, vomiting at home.  Found unconscious by her spouse a few hours later and subsequently died."
	"1460255-1"	"1460255-1"	"METABOLIC FUNCTION TEST NORMAL"	"10062192"	"40-49 years"	"40-49"	"Patient received COVID vaccine on 6/30/21.  She had been experiencing chronic dyspnea, lower extremity edema.  On 7/7 had some nausea, vomiting at home.  Found unconscious by her spouse a few hours later and subsequently died."
	"1460255-1"	"1460255-1"	"NAUSEA"	"10028813"	"40-49 years"	"40-49"	"Patient received COVID vaccine on 6/30/21.  She had been experiencing chronic dyspnea, lower extremity edema.  On 7/7 had some nausea, vomiting at home.  Found unconscious by her spouse a few hours later and subsequently died."
	"1460255-1"	"1460255-1"	"OEDEMA PERIPHERAL"	"10030124"	"40-49 years"	"40-49"	"Patient received COVID vaccine on 6/30/21.  She had been experiencing chronic dyspnea, lower extremity edema.  On 7/7 had some nausea, vomiting at home.  Found unconscious by her spouse a few hours later and subsequently died."
	"1460255-1"	"1460255-1"	"PLATELET COUNT NORMAL"	"10035530"	"40-49 years"	"40-49"	"Patient received COVID vaccine on 6/30/21.  She had been experiencing chronic dyspnea, lower extremity edema.  On 7/7 had some nausea, vomiting at home.  Found unconscious by her spouse a few hours later and subsequently died."
	"1460255-1"	"1460255-1"	"VOMITING"	"10047700"	"40-49 years"	"40-49"	"Patient received COVID vaccine on 6/30/21.  She had been experiencing chronic dyspnea, lower extremity edema.  On 7/7 had some nausea, vomiting at home.  Found unconscious by her spouse a few hours later and subsequently died."
	"1460255-1"	"1460255-1"	"WHITE BLOOD CELL COUNT INCREASED"	"10047943"	"40-49 years"	"40-49"	"Patient received COVID vaccine on 6/30/21.  She had been experiencing chronic dyspnea, lower extremity edema.  On 7/7 had some nausea, vomiting at home.  Found unconscious by her spouse a few hours later and subsequently died."
	"1461898-1"	"1461898-1"	"AUTOPSY"	"10050117"	"40-49 years"	"40-49"	"Had 2nd vaccine  a few days earlier and died of cardiac arrest. Was healthy and active prior to vaccine with no known health problems."
	"1461898-1"	"1461898-1"	"CARDIAC ARREST"	"10007515"	"40-49 years"	"40-49"	"Had 2nd vaccine  a few days earlier and died of cardiac arrest. Was healthy and active prior to vaccine with no known health problems."
	"1461898-1"	"1461898-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Had 2nd vaccine  a few days earlier and died of cardiac arrest. Was healthy and active prior to vaccine with no known health problems."
	"1463962-1"	"1463962-1"	"AUTOPSY"	"10050117"	"40-49 years"	"40-49"	"Found unresponsive on the floor of her residence; DOA in the ER"
	"1463962-1"	"1463962-1"	"CONNECTIVE TISSUE DISORDER"	"10061087"	"40-49 years"	"40-49"	"Found unresponsive on the floor of her residence; DOA in the ER"
	"1463962-1"	"1463962-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Found unresponsive on the floor of her residence; DOA in the ER"
	"1463962-1"	"1463962-1"	"DISSEMINATED INTRAVASCULAR COAGULATION"	"10013442"	"40-49 years"	"40-49"	"Found unresponsive on the floor of her residence; DOA in the ER"
	"1463962-1"	"1463962-1"	"HAEMORRHAGIC DISORDER"	"10019009"	"40-49 years"	"40-49"	"Found unresponsive on the floor of her residence; DOA in the ER"
	"1463962-1"	"1463962-1"	"HISTOLOGY"	"10062005"	"40-49 years"	"40-49"	"Found unresponsive on the floor of her residence; DOA in the ER"
	"1463962-1"	"1463962-1"	"MYOCARDITIS"	"10028606"	"40-49 years"	"40-49"	"Found unresponsive on the floor of her residence; DOA in the ER"
	"1463962-1"	"1463962-1"	"SARS-COV-2 TEST NEGATIVE"	"10084273"	"40-49 years"	"40-49"	"Found unresponsive on the floor of her residence; DOA in the ER"
	"1463962-1"	"1463962-1"	"SYSTEMIC INFLAMMATORY RESPONSE SYNDROME"	"10051379"	"40-49 years"	"40-49"	"Found unresponsive on the floor of her residence; DOA in the ER"
	"1463962-1"	"1463962-1"	"TOXICOLOGIC TEST"	"10061384"	"40-49 years"	"40-49"	"Found unresponsive on the floor of her residence; DOA in the ER"
	"1463962-1"	"1463962-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"40-49 years"	"40-49"	"Found unresponsive on the floor of her residence; DOA in the ER"
	"1464157-1"	"1464157-1"	"CARDIAC ARREST"	"10007515"	"40-49 years"	"40-49"	"Cardiac arrest, followed by seizure and death.  Pt was hospitalized, undetermined cause of death, case send to a medical examiner.  Case was noted upon chart review by reporter."
	"1464157-1"	"1464157-1"	"CONDITION AGGRAVATED"	"10010264"	"40-49 years"	"40-49"	"Cardiac arrest, followed by seizure and death.  Pt was hospitalized, undetermined cause of death, case send to a medical examiner.  Case was noted upon chart review by reporter."
	"1464157-1"	"1464157-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Cardiac arrest, followed by seizure and death.  Pt was hospitalized, undetermined cause of death, case send to a medical examiner.  Case was noted upon chart review by reporter."
	"1464157-1"	"1464157-1"	"SEIZURE"	"10039906"	"40-49 years"	"40-49"	"Cardiac arrest, followed by seizure and death.  Pt was hospitalized, undetermined cause of death, case send to a medical examiner.  Case was noted upon chart review by reporter."
	"1465112-1"	"1465112-1"	"AUTOPSY"	"10050117"	"30-39 years"	"30-39"	"Patient died we think on March 27th although he wasn't found until March 28th.  We are waiting for the histology report on his cardiac tissue samples. We are suspecting myocarditis."
	"1465112-1"	"1465112-1"	"BIOPSY HEART"	"10004779"	"30-39 years"	"30-39"	"Patient died we think on March 27th although he wasn't found until March 28th.  We are waiting for the histology report on his cardiac tissue samples. We are suspecting myocarditis."
	"1465112-1"	"1465112-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Patient died we think on March 27th although he wasn't found until March 28th.  We are waiting for the histology report on his cardiac tissue samples. We are suspecting myocarditis."
	"1465112-1"	"1465112-1"	"MYOCARDITIS"	"10028606"	"30-39 years"	"30-39"	"Patient died we think on March 27th although he wasn't found until March 28th.  We are waiting for the histology report on his cardiac tissue samples. We are suspecting myocarditis."
	"1465762-1"	"1465762-1"	"AUTOPSY"	"10050117"	"30-39 years"	"30-39"	"Fever, chills, malaise, progressive shortness of breath and sudden collapse"
	"1465762-1"	"1465762-1"	"CHILLS"	"10008531"	"30-39 years"	"30-39"	"Fever, chills, malaise, progressive shortness of breath and sudden collapse"
	"1465762-1"	"1465762-1"	"DYSPNOEA"	"10013968"	"30-39 years"	"30-39"	"Fever, chills, malaise, progressive shortness of breath and sudden collapse"
	"1465762-1"	"1465762-1"	"HISTOLOGY"	"10062005"	"30-39 years"	"30-39"	"Fever, chills, malaise, progressive shortness of breath and sudden collapse"
	"1465762-1"	"1465762-1"	"LABORATORY TEST"	"10059938"	"30-39 years"	"30-39"	"Fever, chills, malaise, progressive shortness of breath and sudden collapse"
	"1465762-1"	"1465762-1"	"MALAISE"	"10025482"	"30-39 years"	"30-39"	"Fever, chills, malaise, progressive shortness of breath and sudden collapse"
	"1465762-1"	"1465762-1"	"PYREXIA"	"10037660"	"30-39 years"	"30-39"	"Fever, chills, malaise, progressive shortness of breath and sudden collapse"
	"1465762-1"	"1465762-1"	"SARS-COV-2 TEST NEGATIVE"	"10084273"	"30-39 years"	"30-39"	"Fever, chills, malaise, progressive shortness of breath and sudden collapse"
	"1465762-1"	"1465762-1"	"SYNCOPE"	"10042772"	"30-39 years"	"30-39"	"Fever, chills, malaise, progressive shortness of breath and sudden collapse"
	"1465762-1"	"1465762-1"	"TOXICOLOGIC TEST"	"10061384"	"30-39 years"	"30-39"	"Fever, chills, malaise, progressive shortness of breath and sudden collapse"
	"1466685-1"	"1466685-1"	"CHEST PAIN"	"10008479"	"30-39 years"	"30-39"	"ARM PAIN, COUGHING, LETHARGIC, CHEST PAIN, CLAMMY,"
	"1466685-1"	"1466685-1"	"COLD SWEAT"	"10009866"	"30-39 years"	"30-39"	"ARM PAIN, COUGHING, LETHARGIC, CHEST PAIN, CLAMMY,"
	"1466685-1"	"1466685-1"	"COUGH"	"10011224"	"30-39 years"	"30-39"	"ARM PAIN, COUGHING, LETHARGIC, CHEST PAIN, CLAMMY,"
	"1466685-1"	"1466685-1"	"LETHARGY"	"10024264"	"30-39 years"	"30-39"	"ARM PAIN, COUGHING, LETHARGIC, CHEST PAIN, CLAMMY,"
	"1466685-1"	"1466685-1"	"PAIN IN EXTREMITY"	"10033425"	"30-39 years"	"30-39"	"ARM PAIN, COUGHING, LETHARGIC, CHEST PAIN, CLAMMY,"
	"1474054-1"	"1474054-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"None stated."
	"1475006-1"	"1475006-1"	"ABNORMAL BEHAVIOUR"	"10061422"	"30-39 years"	"30-39"	"Pt. started coughing Tuesday, June 22, 2021, in the afternoon and it worsened through the rest of day. She also was beginning to be drowsy. Wednesday, June 23, 2021, coughing continued, she became drowsier, she felt warm to the touch (forehead, face, arms, back) and was not acting like herself. Thursday, June 24, 2021, 9am she was at the clinic. The doctor ordered an x-ray and blood work. After results arrived, we were advised to go to the emergency room. There the doctor ordered CT scan. The results showed an abscess and fluid in her left lung and pneumonia. Her lung was drained, was not able to get all of it out. They discussed surgery but needed to send pt. to ER. The discussion for surgery was a daily thing but never happened. They tried multiple procedures, CT scans, etc. On Tuesday, June 29, 2021 there was a meeting called with her doctor to discuss palliative care. The risk of surgery and all the complications following were high risk. Pt. did not understand that she needed to leave the IV and drainage tube in as well as leaving the oxygen on. Based on the complications and pts. quality of life after surgery and the fact that the fluid and pneumonia spread quickly throughout her body - the doctors were leaning towards end-of-life comfort. It all happened so fast! The evening of the 29th, pt. was transported home to end her life on hospice. On Wednesday, June 30, 2021 pt. passed away in the afternoon. Pt. was rarely ever sick. Once in a great while she would get a runny nose or little cough. Everyone around her would catch a virus and she simply would not. We had a member of our family test positive for COVID-19 in November 2020, and pt. never showed any symptoms of being ill.  This was all before she received the COVID-19 Vaccine. About a week or two after she received the second vaccine, on May 27,2021. she had increased behaviors with eating and daily ADLs. But the behaviors were her ?normal? behaviors that would occasionally come and go. Nothing was ever persistent.  Then on Tuesday June 22, 2021 when sick like symptoms started to appear it was less then four weeks after the second vaccine."
	"1475006-1"	"1475006-1"	"ABSCESS DRAINAGE"	"10000279"	"30-39 years"	"30-39"	"Pt. started coughing Tuesday, June 22, 2021, in the afternoon and it worsened through the rest of day. She also was beginning to be drowsy. Wednesday, June 23, 2021, coughing continued, she became drowsier, she felt warm to the touch (forehead, face, arms, back) and was not acting like herself. Thursday, June 24, 2021, 9am she was at the clinic. The doctor ordered an x-ray and blood work. After results arrived, we were advised to go to the emergency room. There the doctor ordered CT scan. The results showed an abscess and fluid in her left lung and pneumonia. Her lung was drained, was not able to get all of it out. They discussed surgery but needed to send pt. to ER. The discussion for surgery was a daily thing but never happened. They tried multiple procedures, CT scans, etc. On Tuesday, June 29, 2021 there was a meeting called with her doctor to discuss palliative care. The risk of surgery and all the complications following were high risk. Pt. did not understand that she needed to leave the IV and drainage tube in as well as leaving the oxygen on. Based on the complications and pts. quality of life after surgery and the fact that the fluid and pneumonia spread quickly throughout her body - the doctors were leaning towards end-of-life comfort. It all happened so fast! The evening of the 29th, pt. was transported home to end her life on hospice. On Wednesday, June 30, 2021 pt. passed away in the afternoon. Pt. was rarely ever sick. Once in a great while she would get a runny nose or little cough. Everyone around her would catch a virus and she simply would not. We had a member of our family test positive for COVID-19 in November 2020, and pt. never showed any symptoms of being ill.  This was all before she received the COVID-19 Vaccine. About a week or two after she received the second vaccine, on May 27,2021. she had increased behaviors with eating and daily ADLs. But the behaviors were her ?normal? behaviors that would occasionally come and go. Nothing was ever persistent.  Then on Tuesday June 22, 2021 when sick like symptoms started to appear it was less then four weeks after the second vaccine."
	"1475006-1"	"1475006-1"	"BLOOD TEST"	"10061726"	"30-39 years"	"30-39"	"Pt. started coughing Tuesday, June 22, 2021, in the afternoon and it worsened through the rest of day. She also was beginning to be drowsy. Wednesday, June 23, 2021, coughing continued, she became drowsier, she felt warm to the touch (forehead, face, arms, back) and was not acting like herself. Thursday, June 24, 2021, 9am she was at the clinic. The doctor ordered an x-ray and blood work. After results arrived, we were advised to go to the emergency room. There the doctor ordered CT scan. The results showed an abscess and fluid in her left lung and pneumonia. Her lung was drained, was not able to get all of it out. They discussed surgery but needed to send pt. to ER. The discussion for surgery was a daily thing but never happened. They tried multiple procedures, CT scans, etc. On Tuesday, June 29, 2021 there was a meeting called with her doctor to discuss palliative care. The risk of surgery and all the complications following were high risk. Pt. did not understand that she needed to leave the IV and drainage tube in as well as leaving the oxygen on. Based on the complications and pts. quality of life after surgery and the fact that the fluid and pneumonia spread quickly throughout her body - the doctors were leaning towards end-of-life comfort. It all happened so fast! The evening of the 29th, pt. was transported home to end her life on hospice. On Wednesday, June 30, 2021 pt. passed away in the afternoon. Pt. was rarely ever sick. Once in a great while she would get a runny nose or little cough. Everyone around her would catch a virus and she simply would not. We had a member of our family test positive for COVID-19 in November 2020, and pt. never showed any symptoms of being ill.  This was all before she received the COVID-19 Vaccine. About a week or two after she received the second vaccine, on May 27,2021. she had increased behaviors with eating and daily ADLs. But the behaviors were her ?normal? behaviors that would occasionally come and go. Nothing was ever persistent.  Then on Tuesday June 22, 2021 when sick like symptoms started to appear it was less then four weeks after the second vaccine."
	"1475006-1"	"1475006-1"	"COMPUTERISED TOMOGRAM THORAX ABNORMAL"	"10057799"	"30-39 years"	"30-39"	"Pt. started coughing Tuesday, June 22, 2021, in the afternoon and it worsened through the rest of day. She also was beginning to be drowsy. Wednesday, June 23, 2021, coughing continued, she became drowsier, she felt warm to the touch (forehead, face, arms, back) and was not acting like herself. Thursday, June 24, 2021, 9am she was at the clinic. The doctor ordered an x-ray and blood work. After results arrived, we were advised to go to the emergency room. There the doctor ordered CT scan. The results showed an abscess and fluid in her left lung and pneumonia. Her lung was drained, was not able to get all of it out. They discussed surgery but needed to send pt. to ER. The discussion for surgery was a daily thing but never happened. They tried multiple procedures, CT scans, etc. On Tuesday, June 29, 2021 there was a meeting called with her doctor to discuss palliative care. The risk of surgery and all the complications following were high risk. Pt. did not understand that she needed to leave the IV and drainage tube in as well as leaving the oxygen on. Based on the complications and pts. quality of life after surgery and the fact that the fluid and pneumonia spread quickly throughout her body - the doctors were leaning towards end-of-life comfort. It all happened so fast! The evening of the 29th, pt. was transported home to end her life on hospice. On Wednesday, June 30, 2021 pt. passed away in the afternoon. Pt. was rarely ever sick. Once in a great while she would get a runny nose or little cough. Everyone around her would catch a virus and she simply would not. We had a member of our family test positive for COVID-19 in November 2020, and pt. never showed any symptoms of being ill.  This was all before she received the COVID-19 Vaccine. About a week or two after she received the second vaccine, on May 27,2021. she had increased behaviors with eating and daily ADLs. But the behaviors were her ?normal? behaviors that would occasionally come and go. Nothing was ever persistent.  Then on Tuesday June 22, 2021 when sick like symptoms started to appear it was less then four weeks after the second vaccine."
	"1475006-1"	"1475006-1"	"COUGH"	"10011224"	"30-39 years"	"30-39"	"Pt. started coughing Tuesday, June 22, 2021, in the afternoon and it worsened through the rest of day. She also was beginning to be drowsy. Wednesday, June 23, 2021, coughing continued, she became drowsier, she felt warm to the touch (forehead, face, arms, back) and was not acting like herself. Thursday, June 24, 2021, 9am she was at the clinic. The doctor ordered an x-ray and blood work. After results arrived, we were advised to go to the emergency room. There the doctor ordered CT scan. The results showed an abscess and fluid in her left lung and pneumonia. Her lung was drained, was not able to get all of it out. They discussed surgery but needed to send pt. to ER. The discussion for surgery was a daily thing but never happened. They tried multiple procedures, CT scans, etc. On Tuesday, June 29, 2021 there was a meeting called with her doctor to discuss palliative care. The risk of surgery and all the complications following were high risk. Pt. did not understand that she needed to leave the IV and drainage tube in as well as leaving the oxygen on. Based on the complications and pts. quality of life after surgery and the fact that the fluid and pneumonia spread quickly throughout her body - the doctors were leaning towards end-of-life comfort. It all happened so fast! The evening of the 29th, pt. was transported home to end her life on hospice. On Wednesday, June 30, 2021 pt. passed away in the afternoon. Pt. was rarely ever sick. Once in a great while she would get a runny nose or little cough. Everyone around her would catch a virus and she simply would not. We had a member of our family test positive for COVID-19 in November 2020, and pt. never showed any symptoms of being ill.  This was all before she received the COVID-19 Vaccine. About a week or two after she received the second vaccine, on May 27,2021. she had increased behaviors with eating and daily ADLs. But the behaviors were her ?normal? behaviors that would occasionally come and go. Nothing was ever persistent.  Then on Tuesday June 22, 2021 when sick like symptoms started to appear it was less then four weeks after the second vaccine."
	"1475006-1"	"1475006-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Pt. started coughing Tuesday, June 22, 2021, in the afternoon and it worsened through the rest of day. She also was beginning to be drowsy. Wednesday, June 23, 2021, coughing continued, she became drowsier, she felt warm to the touch (forehead, face, arms, back) and was not acting like herself. Thursday, June 24, 2021, 9am she was at the clinic. The doctor ordered an x-ray and blood work. After results arrived, we were advised to go to the emergency room. There the doctor ordered CT scan. The results showed an abscess and fluid in her left lung and pneumonia. Her lung was drained, was not able to get all of it out. They discussed surgery but needed to send pt. to ER. The discussion for surgery was a daily thing but never happened. They tried multiple procedures, CT scans, etc. On Tuesday, June 29, 2021 there was a meeting called with her doctor to discuss palliative care. The risk of surgery and all the complications following were high risk. Pt. did not understand that she needed to leave the IV and drainage tube in as well as leaving the oxygen on. Based on the complications and pts. quality of life after surgery and the fact that the fluid and pneumonia spread quickly throughout her body - the doctors were leaning towards end-of-life comfort. It all happened so fast! The evening of the 29th, pt. was transported home to end her life on hospice. On Wednesday, June 30, 2021 pt. passed away in the afternoon. Pt. was rarely ever sick. Once in a great while she would get a runny nose or little cough. Everyone around her would catch a virus and she simply would not. We had a member of our family test positive for COVID-19 in November 2020, and pt. never showed any symptoms of being ill.  This was all before she received the COVID-19 Vaccine. About a week or two after she received the second vaccine, on May 27,2021. she had increased behaviors with eating and daily ADLs. But the behaviors were her ?normal? behaviors that would occasionally come and go. Nothing was ever persistent.  Then on Tuesday June 22, 2021 when sick like symptoms started to appear it was less then four weeks after the second vaccine."
	"1475006-1"	"1475006-1"	"INCREASED APPETITE"	"10021654"	"30-39 years"	"30-39"	"Pt. started coughing Tuesday, June 22, 2021, in the afternoon and it worsened through the rest of day. She also was beginning to be drowsy. Wednesday, June 23, 2021, coughing continued, she became drowsier, she felt warm to the touch (forehead, face, arms, back) and was not acting like herself. Thursday, June 24, 2021, 9am she was at the clinic. The doctor ordered an x-ray and blood work. After results arrived, we were advised to go to the emergency room. There the doctor ordered CT scan. The results showed an abscess and fluid in her left lung and pneumonia. Her lung was drained, was not able to get all of it out. They discussed surgery but needed to send pt. to ER. The discussion for surgery was a daily thing but never happened. They tried multiple procedures, CT scans, etc. On Tuesday, June 29, 2021 there was a meeting called with her doctor to discuss palliative care. The risk of surgery and all the complications following were high risk. Pt. did not understand that she needed to leave the IV and drainage tube in as well as leaving the oxygen on. Based on the complications and pts. quality of life after surgery and the fact that the fluid and pneumonia spread quickly throughout her body - the doctors were leaning towards end-of-life comfort. It all happened so fast! The evening of the 29th, pt. was transported home to end her life on hospice. On Wednesday, June 30, 2021 pt. passed away in the afternoon. Pt. was rarely ever sick. Once in a great while she would get a runny nose or little cough. Everyone around her would catch a virus and she simply would not. We had a member of our family test positive for COVID-19 in November 2020, and pt. never showed any symptoms of being ill.  This was all before she received the COVID-19 Vaccine. About a week or two after she received the second vaccine, on May 27,2021. she had increased behaviors with eating and daily ADLs. But the behaviors were her ?normal? behaviors that would occasionally come and go. Nothing was ever persistent.  Then on Tuesday June 22, 2021 when sick like symptoms started to appear it was less then four weeks after the second vaccine."
	"1475006-1"	"1475006-1"	"LUNG ABSCESS"	"10025028"	"30-39 years"	"30-39"	"Pt. started coughing Tuesday, June 22, 2021, in the afternoon and it worsened through the rest of day. She also was beginning to be drowsy. Wednesday, June 23, 2021, coughing continued, she became drowsier, she felt warm to the touch (forehead, face, arms, back) and was not acting like herself. Thursday, June 24, 2021, 9am she was at the clinic. The doctor ordered an x-ray and blood work. After results arrived, we were advised to go to the emergency room. There the doctor ordered CT scan. The results showed an abscess and fluid in her left lung and pneumonia. Her lung was drained, was not able to get all of it out. They discussed surgery but needed to send pt. to ER. The discussion for surgery was a daily thing but never happened. They tried multiple procedures, CT scans, etc. On Tuesday, June 29, 2021 there was a meeting called with her doctor to discuss palliative care. The risk of surgery and all the complications following were high risk. Pt. did not understand that she needed to leave the IV and drainage tube in as well as leaving the oxygen on. Based on the complications and pts. quality of life after surgery and the fact that the fluid and pneumonia spread quickly throughout her body - the doctors were leaning towards end-of-life comfort. It all happened so fast! The evening of the 29th, pt. was transported home to end her life on hospice. On Wednesday, June 30, 2021 pt. passed away in the afternoon. Pt. was rarely ever sick. Once in a great while she would get a runny nose or little cough. Everyone around her would catch a virus and she simply would not. We had a member of our family test positive for COVID-19 in November 2020, and pt. never showed any symptoms of being ill.  This was all before she received the COVID-19 Vaccine. About a week or two after she received the second vaccine, on May 27,2021. she had increased behaviors with eating and daily ADLs. But the behaviors were her ?normal? behaviors that would occasionally come and go. Nothing was ever persistent.  Then on Tuesday June 22, 2021 when sick like symptoms started to appear it was less then four weeks after the second vaccine."
	"1475006-1"	"1475006-1"	"PNEUMONIA"	"10035664"	"30-39 years"	"30-39"	"Pt. started coughing Tuesday, June 22, 2021, in the afternoon and it worsened through the rest of day. She also was beginning to be drowsy. Wednesday, June 23, 2021, coughing continued, she became drowsier, she felt warm to the touch (forehead, face, arms, back) and was not acting like herself. Thursday, June 24, 2021, 9am she was at the clinic. The doctor ordered an x-ray and blood work. After results arrived, we were advised to go to the emergency room. There the doctor ordered CT scan. The results showed an abscess and fluid in her left lung and pneumonia. Her lung was drained, was not able to get all of it out. They discussed surgery but needed to send pt. to ER. The discussion for surgery was a daily thing but never happened. They tried multiple procedures, CT scans, etc. On Tuesday, June 29, 2021 there was a meeting called with her doctor to discuss palliative care. The risk of surgery and all the complications following were high risk. Pt. did not understand that she needed to leave the IV and drainage tube in as well as leaving the oxygen on. Based on the complications and pts. quality of life after surgery and the fact that the fluid and pneumonia spread quickly throughout her body - the doctors were leaning towards end-of-life comfort. It all happened so fast! The evening of the 29th, pt. was transported home to end her life on hospice. On Wednesday, June 30, 2021 pt. passed away in the afternoon. Pt. was rarely ever sick. Once in a great while she would get a runny nose or little cough. Everyone around her would catch a virus and she simply would not. We had a member of our family test positive for COVID-19 in November 2020, and pt. never showed any symptoms of being ill.  This was all before she received the COVID-19 Vaccine. About a week or two after she received the second vaccine, on May 27,2021. she had increased behaviors with eating and daily ADLs. But the behaviors were her ?normal? behaviors that would occasionally come and go. Nothing was ever persistent.  Then on Tuesday June 22, 2021 when sick like symptoms started to appear it was less then four weeks after the second vaccine."
	"1475006-1"	"1475006-1"	"SKIN WARM"	"10040952"	"30-39 years"	"30-39"	"Pt. started coughing Tuesday, June 22, 2021, in the afternoon and it worsened through the rest of day. She also was beginning to be drowsy. Wednesday, June 23, 2021, coughing continued, she became drowsier, she felt warm to the touch (forehead, face, arms, back) and was not acting like herself. Thursday, June 24, 2021, 9am she was at the clinic. The doctor ordered an x-ray and blood work. After results arrived, we were advised to go to the emergency room. There the doctor ordered CT scan. The results showed an abscess and fluid in her left lung and pneumonia. Her lung was drained, was not able to get all of it out. They discussed surgery but needed to send pt. to ER. The discussion for surgery was a daily thing but never happened. They tried multiple procedures, CT scans, etc. On Tuesday, June 29, 2021 there was a meeting called with her doctor to discuss palliative care. The risk of surgery and all the complications following were high risk. Pt. did not understand that she needed to leave the IV and drainage tube in as well as leaving the oxygen on. Based on the complications and pts. quality of life after surgery and the fact that the fluid and pneumonia spread quickly throughout her body - the doctors were leaning towards end-of-life comfort. It all happened so fast! The evening of the 29th, pt. was transported home to end her life on hospice. On Wednesday, June 30, 2021 pt. passed away in the afternoon. Pt. was rarely ever sick. Once in a great while she would get a runny nose or little cough. Everyone around her would catch a virus and she simply would not. We had a member of our family test positive for COVID-19 in November 2020, and pt. never showed any symptoms of being ill.  This was all before she received the COVID-19 Vaccine. About a week or two after she received the second vaccine, on May 27,2021. she had increased behaviors with eating and daily ADLs. But the behaviors were her ?normal? behaviors that would occasionally come and go. Nothing was ever persistent.  Then on Tuesday June 22, 2021 when sick like symptoms started to appear it was less then four weeks after the second vaccine."
	"1475006-1"	"1475006-1"	"SOMNOLENCE"	"10041349"	"30-39 years"	"30-39"	"Pt. started coughing Tuesday, June 22, 2021, in the afternoon and it worsened through the rest of day. She also was beginning to be drowsy. Wednesday, June 23, 2021, coughing continued, she became drowsier, she felt warm to the touch (forehead, face, arms, back) and was not acting like herself. Thursday, June 24, 2021, 9am she was at the clinic. The doctor ordered an x-ray and blood work. After results arrived, we were advised to go to the emergency room. There the doctor ordered CT scan. The results showed an abscess and fluid in her left lung and pneumonia. Her lung was drained, was not able to get all of it out. They discussed surgery but needed to send pt. to ER. The discussion for surgery was a daily thing but never happened. They tried multiple procedures, CT scans, etc. On Tuesday, June 29, 2021 there was a meeting called with her doctor to discuss palliative care. The risk of surgery and all the complications following were high risk. Pt. did not understand that she needed to leave the IV and drainage tube in as well as leaving the oxygen on. Based on the complications and pts. quality of life after surgery and the fact that the fluid and pneumonia spread quickly throughout her body - the doctors were leaning towards end-of-life comfort. It all happened so fast! The evening of the 29th, pt. was transported home to end her life on hospice. On Wednesday, June 30, 2021 pt. passed away in the afternoon. Pt. was rarely ever sick. Once in a great while she would get a runny nose or little cough. Everyone around her would catch a virus and she simply would not. We had a member of our family test positive for COVID-19 in November 2020, and pt. never showed any symptoms of being ill.  This was all before she received the COVID-19 Vaccine. About a week or two after she received the second vaccine, on May 27,2021. she had increased behaviors with eating and daily ADLs. But the behaviors were her ?normal? behaviors that would occasionally come and go. Nothing was ever persistent.  Then on Tuesday June 22, 2021 when sick like symptoms started to appear it was less then four weeks after the second vaccine."
	"1475006-1"	"1475006-1"	"X-RAY"	"10048064"	"30-39 years"	"30-39"	"Pt. started coughing Tuesday, June 22, 2021, in the afternoon and it worsened through the rest of day. She also was beginning to be drowsy. Wednesday, June 23, 2021, coughing continued, she became drowsier, she felt warm to the touch (forehead, face, arms, back) and was not acting like herself. Thursday, June 24, 2021, 9am she was at the clinic. The doctor ordered an x-ray and blood work. After results arrived, we were advised to go to the emergency room. There the doctor ordered CT scan. The results showed an abscess and fluid in her left lung and pneumonia. Her lung was drained, was not able to get all of it out. They discussed surgery but needed to send pt. to ER. The discussion for surgery was a daily thing but never happened. They tried multiple procedures, CT scans, etc. On Tuesday, June 29, 2021 there was a meeting called with her doctor to discuss palliative care. The risk of surgery and all the complications following were high risk. Pt. did not understand that she needed to leave the IV and drainage tube in as well as leaving the oxygen on. Based on the complications and pts. quality of life after surgery and the fact that the fluid and pneumonia spread quickly throughout her body - the doctors were leaning towards end-of-life comfort. It all happened so fast! The evening of the 29th, pt. was transported home to end her life on hospice. On Wednesday, June 30, 2021 pt. passed away in the afternoon. Pt. was rarely ever sick. Once in a great while she would get a runny nose or little cough. Everyone around her would catch a virus and she simply would not. We had a member of our family test positive for COVID-19 in November 2020, and pt. never showed any symptoms of being ill.  This was all before she received the COVID-19 Vaccine. About a week or two after she received the second vaccine, on May 27,2021. she had increased behaviors with eating and daily ADLs. But the behaviors were her ?normal? behaviors that would occasionally come and go. Nothing was ever persistent.  Then on Tuesday June 22, 2021 when sick like symptoms started to appear it was less then four weeks after the second vaccine."
	"1478327-1"	"1478327-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"PE diagnosed 6/11/21 death 7/4/21"
	"1478327-1"	"1478327-1"	"LABORATORY TEST"	"10059938"	"40-49 years"	"40-49"	"PE diagnosed 6/11/21 death 7/4/21"
	"1478327-1"	"1478327-1"	"PULMONARY EMBOLISM"	"10037377"	"40-49 years"	"40-49"	"PE diagnosed 6/11/21 death 7/4/21"
	"1478393-1"	"1478393-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"PT was found on floor in dining room expired by wife on 6/20/21 at approximately 7:30.  Body was hard and cold.  Called EMS immediately , EMS provided treatment.  Declared dead.  Body taken to coroner for autopsy."
	"1478430-1"	"1478430-1"	"BRAIN OEDEMA"	"10048962"	"30-39 years"	"30-39"	"The lot number for the first dose of vaccine was taken on 04/06/2021is: EW0153, and the lot number for the second dose of vaccine that was taken on 04/25/2021 is: EW0162. He started swelling really bad, and the mortician said all of his organs were very swollen. He was in terrible mental condition, he couldn't think. He had so much swelling that his feet were blue. He was so swollen in his brain he couldn't make basic cognitive  decisions. His chest was so swollen his chest was up to almost double his normal size.  He was under severe mental strain to the point that it took him 14 hours to make a 10 hour drive. He was dealing with maratil strain and shot himself on 05/20/2021."
	"1478430-1"	"1478430-1"	"COGNITIVE DISORDER"	"10057668"	"30-39 years"	"30-39"	"The lot number for the first dose of vaccine was taken on 04/06/2021is: EW0153, and the lot number for the second dose of vaccine that was taken on 04/25/2021 is: EW0162. He started swelling really bad, and the mortician said all of his organs were very swollen. He was in terrible mental condition, he couldn't think. He had so much swelling that his feet were blue. He was so swollen in his brain he couldn't make basic cognitive  decisions. His chest was so swollen his chest was up to almost double his normal size.  He was under severe mental strain to the point that it took him 14 hours to make a 10 hour drive. He was dealing with maratil strain and shot himself on 05/20/2021."
	"1478430-1"	"1478430-1"	"CYANOSIS"	"10011703"	"30-39 years"	"30-39"	"The lot number for the first dose of vaccine was taken on 04/06/2021is: EW0153, and the lot number for the second dose of vaccine that was taken on 04/25/2021 is: EW0162. He started swelling really bad, and the mortician said all of his organs were very swollen. He was in terrible mental condition, he couldn't think. He had so much swelling that his feet were blue. He was so swollen in his brain he couldn't make basic cognitive  decisions. His chest was so swollen his chest was up to almost double his normal size.  He was under severe mental strain to the point that it took him 14 hours to make a 10 hour drive. He was dealing with maratil strain and shot himself on 05/20/2021."
	"1478430-1"	"1478430-1"	"EMOTIONAL DISTRESS"	"10049119"	"30-39 years"	"30-39"	"The lot number for the first dose of vaccine was taken on 04/06/2021is: EW0153, and the lot number for the second dose of vaccine that was taken on 04/25/2021 is: EW0162. He started swelling really bad, and the mortician said all of his organs were very swollen. He was in terrible mental condition, he couldn't think. He had so much swelling that his feet were blue. He was so swollen in his brain he couldn't make basic cognitive  decisions. His chest was so swollen his chest was up to almost double his normal size.  He was under severe mental strain to the point that it took him 14 hours to make a 10 hour drive. He was dealing with maratil strain and shot himself on 05/20/2021."
	"1478430-1"	"1478430-1"	"GUN SHOT WOUND"	"10018794"	"30-39 years"	"30-39"	"The lot number for the first dose of vaccine was taken on 04/06/2021is: EW0153, and the lot number for the second dose of vaccine that was taken on 04/25/2021 is: EW0162. He started swelling really bad, and the mortician said all of his organs were very swollen. He was in terrible mental condition, he couldn't think. He had so much swelling that his feet were blue. He was so swollen in his brain he couldn't make basic cognitive  decisions. His chest was so swollen his chest was up to almost double his normal size.  He was under severe mental strain to the point that it took him 14 hours to make a 10 hour drive. He was dealing with maratil strain and shot himself on 05/20/2021."
	"1478430-1"	"1478430-1"	"IMPAIRED DRIVING ABILITY"	"10049564"	"30-39 years"	"30-39"	"The lot number for the first dose of vaccine was taken on 04/06/2021is: EW0153, and the lot number for the second dose of vaccine that was taken on 04/25/2021 is: EW0162. He started swelling really bad, and the mortician said all of his organs were very swollen. He was in terrible mental condition, he couldn't think. He had so much swelling that his feet were blue. He was so swollen in his brain he couldn't make basic cognitive  decisions. His chest was so swollen his chest was up to almost double his normal size.  He was under severe mental strain to the point that it took him 14 hours to make a 10 hour drive. He was dealing with maratil strain and shot himself on 05/20/2021."
	"1478430-1"	"1478430-1"	"INTENTIONAL SELF-INJURY"	"10022524"	"30-39 years"	"30-39"	"The lot number for the first dose of vaccine was taken on 04/06/2021is: EW0153, and the lot number for the second dose of vaccine that was taken on 04/25/2021 is: EW0162. He started swelling really bad, and the mortician said all of his organs were very swollen. He was in terrible mental condition, he couldn't think. He had so much swelling that his feet were blue. He was so swollen in his brain he couldn't make basic cognitive  decisions. His chest was so swollen his chest was up to almost double his normal size.  He was under severe mental strain to the point that it took him 14 hours to make a 10 hour drive. He was dealing with maratil strain and shot himself on 05/20/2021."
	"1478430-1"	"1478430-1"	"MARITAL PROBLEM"	"10026834"	"30-39 years"	"30-39"	"The lot number for the first dose of vaccine was taken on 04/06/2021is: EW0153, and the lot number for the second dose of vaccine that was taken on 04/25/2021 is: EW0162. He started swelling really bad, and the mortician said all of his organs were very swollen. He was in terrible mental condition, he couldn't think. He had so much swelling that his feet were blue. He was so swollen in his brain he couldn't make basic cognitive  decisions. His chest was so swollen his chest was up to almost double his normal size.  He was under severe mental strain to the point that it took him 14 hours to make a 10 hour drive. He was dealing with maratil strain and shot himself on 05/20/2021."
	"1478430-1"	"1478430-1"	"MENTAL DISORDER"	"10061284"	"30-39 years"	"30-39"	"The lot number for the first dose of vaccine was taken on 04/06/2021is: EW0153, and the lot number for the second dose of vaccine that was taken on 04/25/2021 is: EW0162. He started swelling really bad, and the mortician said all of his organs were very swollen. He was in terrible mental condition, he couldn't think. He had so much swelling that his feet were blue. He was so swollen in his brain he couldn't make basic cognitive  decisions. His chest was so swollen his chest was up to almost double his normal size.  He was under severe mental strain to the point that it took him 14 hours to make a 10 hour drive. He was dealing with maratil strain and shot himself on 05/20/2021."
	"1478430-1"	"1478430-1"	"SWELLING"	"10042674"	"30-39 years"	"30-39"	"The lot number for the first dose of vaccine was taken on 04/06/2021is: EW0153, and the lot number for the second dose of vaccine that was taken on 04/25/2021 is: EW0162. He started swelling really bad, and the mortician said all of his organs were very swollen. He was in terrible mental condition, he couldn't think. He had so much swelling that his feet were blue. He was so swollen in his brain he couldn't make basic cognitive  decisions. His chest was so swollen his chest was up to almost double his normal size.  He was under severe mental strain to the point that it took him 14 hours to make a 10 hour drive. He was dealing with maratil strain and shot himself on 05/20/2021."
	"1478430-1"	"1478430-1"	"THINKING ABNORMAL"	"10043431"	"30-39 years"	"30-39"	"The lot number for the first dose of vaccine was taken on 04/06/2021is: EW0153, and the lot number for the second dose of vaccine that was taken on 04/25/2021 is: EW0162. He started swelling really bad, and the mortician said all of his organs were very swollen. He was in terrible mental condition, he couldn't think. He had so much swelling that his feet were blue. He was so swollen in his brain he couldn't make basic cognitive  decisions. His chest was so swollen his chest was up to almost double his normal size.  He was under severe mental strain to the point that it took him 14 hours to make a 10 hour drive. He was dealing with maratil strain and shot himself on 05/20/2021."
	"1483122-1"	"1483122-1"	"INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION"	"10081572"	"30-39 years"	"30-39"	"Received first dose on 27May2021/ received second dose on 10Jun2021; he had a massive heart attack; This is a spontaneous report from a contactable consumer (patient parent). A 36-year-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) Lot number EW0176, on 10Jun2021 at single dose (at the age of 36-year-old) for COVID-19 immunization. Medical history and concomitant medication were none. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) Lot number : EW0176, on 27May2021 and experienced chest pain. Reporter stated Pfizer drug kill the patient yesterday (28Jun2021). He had a massive heart attack in Jun2021. The outcome of massive heart attack was fatal.  Follow-up attempts are completed. No further information is expected.; Reported Cause(s) of Death: he had a massive heart attack"
	"1483122-1"	"1483122-1"	"MYOCARDIAL INFARCTION"	"10028596"	"30-39 years"	"30-39"	"Received first dose on 27May2021/ received second dose on 10Jun2021; he had a massive heart attack; This is a spontaneous report from a contactable consumer (patient parent). A 36-year-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) Lot number EW0176, on 10Jun2021 at single dose (at the age of 36-year-old) for COVID-19 immunization. Medical history and concomitant medication were none. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) Lot number : EW0176, on 27May2021 and experienced chest pain. Reporter stated Pfizer drug kill the patient yesterday (28Jun2021). He had a massive heart attack in Jun2021. The outcome of massive heart attack was fatal.  Follow-up attempts are completed. No further information is expected.; Reported Cause(s) of Death: he had a massive heart attack"
	"1484524-1"	"1484524-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"death 18 days after vaccine"
	"1484524-1"	"1484524-1"	"SARS-COV-2 TEST"	"10084354"	"30-39 years"	"30-39"	"death 18 days after vaccine"
	"1484736-1"	"1484736-1"	"AUTOPSY"	"10050117"	"30-39 years"	"30-39"	"Pt.'s mother states that after receiving the 2nd dose of Phizer vaccine the Pt. collapsed 05/26/2021 and passed away. Currently waiting for Autopsy results."
	"1484736-1"	"1484736-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Pt.'s mother states that after receiving the 2nd dose of Phizer vaccine the Pt. collapsed 05/26/2021 and passed away. Currently waiting for Autopsy results."
	"1484736-1"	"1484736-1"	"SYNCOPE"	"10042772"	"30-39 years"	"30-39"	"Pt.'s mother states that after receiving the 2nd dose of Phizer vaccine the Pt. collapsed 05/26/2021 and passed away. Currently waiting for Autopsy results."
	"1485423-1"	"1485423-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	""After his office visit with me on Tuesday 7/13, the patient went to get the Moderna COVID vaccine. He received the vaccine on Tuesday evening. On Wednesday, he developed new fevers as high as 104F (measured at home). Fevers improved with Tylenol. He did not report his symptoms, as per his wife, he assumed this was related to the COVID vaccine. By the following morning, his fevers had resolved. He took a nap midday, and shortly after waking, he reported to his wife that he was feeling short of breath. According to his wife, he appeared in respiratory distress and she heard wheezing. He asked to be helped to the ground, and she immediately called EMS. Unfortunately, before they could get him to a hospital, he died. At the hospital, his wife was told that because his death was outside the hospital, it was presumed to be due to ""natural causes"". She was told an autopsy would cost $5000, which she could not afford.""
	"1485423-1"	"1485423-1"	"DYSPNOEA"	"10013968"	"30-39 years"	"30-39"	""After his office visit with me on Tuesday 7/13, the patient went to get the Moderna COVID vaccine. He received the vaccine on Tuesday evening. On Wednesday, he developed new fevers as high as 104F (measured at home). Fevers improved with Tylenol. He did not report his symptoms, as per his wife, he assumed this was related to the COVID vaccine. By the following morning, his fevers had resolved. He took a nap midday, and shortly after waking, he reported to his wife that he was feeling short of breath. According to his wife, he appeared in respiratory distress and she heard wheezing. He asked to be helped to the ground, and she immediately called EMS. Unfortunately, before they could get him to a hospital, he died. At the hospital, his wife was told that because his death was outside the hospital, it was presumed to be due to ""natural causes"". She was told an autopsy would cost $5000, which she could not afford.""
	"1485423-1"	"1485423-1"	"PYREXIA"	"10037660"	"30-39 years"	"30-39"	""After his office visit with me on Tuesday 7/13, the patient went to get the Moderna COVID vaccine. He received the vaccine on Tuesday evening. On Wednesday, he developed new fevers as high as 104F (measured at home). Fevers improved with Tylenol. He did not report his symptoms, as per his wife, he assumed this was related to the COVID vaccine. By the following morning, his fevers had resolved. He took a nap midday, and shortly after waking, he reported to his wife that he was feeling short of breath. According to his wife, he appeared in respiratory distress and she heard wheezing. He asked to be helped to the ground, and she immediately called EMS. Unfortunately, before they could get him to a hospital, he died. At the hospital, his wife was told that because his death was outside the hospital, it was presumed to be due to ""natural causes"". She was told an autopsy would cost $5000, which she could not afford.""
	"1485423-1"	"1485423-1"	"RESPIRATORY DISTRESS"	"10038687"	"30-39 years"	"30-39"	""After his office visit with me on Tuesday 7/13, the patient went to get the Moderna COVID vaccine. He received the vaccine on Tuesday evening. On Wednesday, he developed new fevers as high as 104F (measured at home). Fevers improved with Tylenol. He did not report his symptoms, as per his wife, he assumed this was related to the COVID vaccine. By the following morning, his fevers had resolved. He took a nap midday, and shortly after waking, he reported to his wife that he was feeling short of breath. According to his wife, he appeared in respiratory distress and she heard wheezing. He asked to be helped to the ground, and she immediately called EMS. Unfortunately, before they could get him to a hospital, he died. At the hospital, his wife was told that because his death was outside the hospital, it was presumed to be due to ""natural causes"". She was told an autopsy would cost $5000, which she could not afford.""
	"1485423-1"	"1485423-1"	"WHEEZING"	"10047924"	"30-39 years"	"30-39"	""After his office visit with me on Tuesday 7/13, the patient went to get the Moderna COVID vaccine. He received the vaccine on Tuesday evening. On Wednesday, he developed new fevers as high as 104F (measured at home). Fevers improved with Tylenol. He did not report his symptoms, as per his wife, he assumed this was related to the COVID vaccine. By the following morning, his fevers had resolved. He took a nap midday, and shortly after waking, he reported to his wife that he was feeling short of breath. According to his wife, he appeared in respiratory distress and she heard wheezing. He asked to be helped to the ground, and she immediately called EMS. Unfortunately, before they could get him to a hospital, he died. At the hospital, his wife was told that because his death was outside the hospital, it was presumed to be due to ""natural causes"". She was told an autopsy would cost $5000, which she could not afford.""
	"1486071-1"	"1486071-1"	"CHEST PAIN"	"10008479"	"40-49 years"	"40-49"	"daily fever of 103.3, cough, diarrhea, chest pain, SOB, sore throat"
	"1486071-1"	"1486071-1"	"COUGH"	"10011224"	"40-49 years"	"40-49"	"daily fever of 103.3, cough, diarrhea, chest pain, SOB, sore throat"
	"1486071-1"	"1486071-1"	"DIARRHOEA"	"10012735"	"40-49 years"	"40-49"	"daily fever of 103.3, cough, diarrhea, chest pain, SOB, sore throat"
	"1486071-1"	"1486071-1"	"DYSPNOEA"	"10013968"	"40-49 years"	"40-49"	"daily fever of 103.3, cough, diarrhea, chest pain, SOB, sore throat"
	"1486071-1"	"1486071-1"	"OROPHARYNGEAL PAIN"	"10068319"	"40-49 years"	"40-49"	"daily fever of 103.3, cough, diarrhea, chest pain, SOB, sore throat"
	"1486071-1"	"1486071-1"	"PYREXIA"	"10037660"	"40-49 years"	"40-49"	"daily fever of 103.3, cough, diarrhea, chest pain, SOB, sore throat"
	"1490255-1"	"1490255-1"	"SEIZURE"	"10039906"	"40-49 years"	"40-49"	"Family reported patient had increased seizures after receiving vaccines. No documented hx of seizures prior to vaccines."
	"1490902-1"	"1490902-1"	"BLOOD GLUCOSE NORMAL"	"10005558"	"30-39 years"	"30-39"	""Pfizer COVID vaccine dose #2 administered 15 Jul 2021 @ 07:59.    ED physician documentation on 19 Jul 2021: ""37-year-old female came the emergency department after found down by her husband.  Has a history of attempted overdose in the past,, she was found down by her husband at 545, and unresponsive on scene.  Medic was on scene and patient was noted to be in V. fib and therefore CPR was started, compressions were in progress upon arrival, however the patient remained in cardiac arrest.  Other history was able to be gathered from the patient or family, however EMS stated that they had found that her glucose was 99 on scene, and she been given full dose Narcan as well on scene.  And was shocked 3 times a 200 J, she was given 2 doses of epinephrine, as well as 300 of amiodarone.  They attempted to intubate the patient however the patient was clamped down, and therefore they could not pass any sort of apparatus to control the airway, therefore they placed a nasal trumpet. Pertinent physical exam findings: Jaw clamped shut, pupils fixed, and was obviously cyanotic, no palpable pulses.  No chest rise. EKG as interpreted by me (ED attending): Monitor showed that the patient was in asystole the entire time. Medical Decision making and plan of care: Patient was immediately moved from gurney onto bed, and chest compressions were continued without interruption.  Given that the patient was in V. fib in the field, we did decide to place dual pads for dual sequential defibrillation, is on the plats however, the patient was noted to be in asystole, therefore chest compressions were continued, epinephrine, as well as calcium, as well as bicarb. See code chart for further details. IO was also placed in the patient's left proximal tibia.  Regarding the patient's airway, several attempts were made to pass an ET tube, as well as paralyzed the patient with rocuronium, however tube passing was unsuccessful, and therefore I performed a cricothyrotomy.  Followed by bilateral finger thoracostomies.  See procedure notes below for further details.   Despite 5 rounds of ACLS, with multiple doses of epinephrine, as well as bicarb and calcium carbonate administered, the patient remained in cardiac arrest, death was declared at 1851.""""
	"1490902-1"	"1490902-1"	"CARDIAC ARREST"	"10007515"	"30-39 years"	"30-39"	""Pfizer COVID vaccine dose #2 administered 15 Jul 2021 @ 07:59.    ED physician documentation on 19 Jul 2021: ""37-year-old female came the emergency department after found down by her husband.  Has a history of attempted overdose in the past,, she was found down by her husband at 545, and unresponsive on scene.  Medic was on scene and patient was noted to be in V. fib and therefore CPR was started, compressions were in progress upon arrival, however the patient remained in cardiac arrest.  Other history was able to be gathered from the patient or family, however EMS stated that they had found that her glucose was 99 on scene, and she been given full dose Narcan as well on scene.  And was shocked 3 times a 200 J, she was given 2 doses of epinephrine, as well as 300 of amiodarone.  They attempted to intubate the patient however the patient was clamped down, and therefore they could not pass any sort of apparatus to control the airway, therefore they placed a nasal trumpet. Pertinent physical exam findings: Jaw clamped shut, pupils fixed, and was obviously cyanotic, no palpable pulses.  No chest rise. EKG as interpreted by me (ED attending): Monitor showed that the patient was in asystole the entire time. Medical Decision making and plan of care: Patient was immediately moved from gurney onto bed, and chest compressions were continued without interruption.  Given that the patient was in V. fib in the field, we did decide to place dual pads for dual sequential defibrillation, is on the plats however, the patient was noted to be in asystole, therefore chest compressions were continued, epinephrine, as well as calcium, as well as bicarb. See code chart for further details. IO was also placed in the patient's left proximal tibia.  Regarding the patient's airway, several attempts were made to pass an ET tube, as well as paralyzed the patient with rocuronium, however tube passing was unsuccessful, and therefore I performed a cricothyrotomy.  Followed by bilateral finger thoracostomies.  See procedure notes below for further details.   Despite 5 rounds of ACLS, with multiple doses of epinephrine, as well as bicarb and calcium carbonate administered, the patient remained in cardiac arrest, death was declared at 1851.""""
	"1490902-1"	"1490902-1"	"CARDIOVERSION"	"10007661"	"30-39 years"	"30-39"	""Pfizer COVID vaccine dose #2 administered 15 Jul 2021 @ 07:59.    ED physician documentation on 19 Jul 2021: ""37-year-old female came the emergency department after found down by her husband.  Has a history of attempted overdose in the past,, she was found down by her husband at 545, and unresponsive on scene.  Medic was on scene and patient was noted to be in V. fib and therefore CPR was started, compressions were in progress upon arrival, however the patient remained in cardiac arrest.  Other history was able to be gathered from the patient or family, however EMS stated that they had found that her glucose was 99 on scene, and she been given full dose Narcan as well on scene.  And was shocked 3 times a 200 J, she was given 2 doses of epinephrine, as well as 300 of amiodarone.  They attempted to intubate the patient however the patient was clamped down, and therefore they could not pass any sort of apparatus to control the airway, therefore they placed a nasal trumpet. Pertinent physical exam findings: Jaw clamped shut, pupils fixed, and was obviously cyanotic, no palpable pulses.  No chest rise. EKG as interpreted by me (ED attending): Monitor showed that the patient was in asystole the entire time. Medical Decision making and plan of care: Patient was immediately moved from gurney onto bed, and chest compressions were continued without interruption.  Given that the patient was in V. fib in the field, we did decide to place dual pads for dual sequential defibrillation, is on the plats however, the patient was noted to be in asystole, therefore chest compressions were continued, epinephrine, as well as calcium, as well as bicarb. See code chart for further details. IO was also placed in the patient's left proximal tibia.  Regarding the patient's airway, several attempts were made to pass an ET tube, as well as paralyzed the patient with rocuronium, however tube passing was unsuccessful, and therefore I performed a cricothyrotomy.  Followed by bilateral finger thoracostomies.  See procedure notes below for further details.   Despite 5 rounds of ACLS, with multiple doses of epinephrine, as well as bicarb and calcium carbonate administered, the patient remained in cardiac arrest, death was declared at 1851.""""
	"1490902-1"	"1490902-1"	"CHEST TUBE INSERTION"	"10050522"	"30-39 years"	"30-39"	""Pfizer COVID vaccine dose #2 administered 15 Jul 2021 @ 07:59.    ED physician documentation on 19 Jul 2021: ""37-year-old female came the emergency department after found down by her husband.  Has a history of attempted overdose in the past,, she was found down by her husband at 545, and unresponsive on scene.  Medic was on scene and patient was noted to be in V. fib and therefore CPR was started, compressions were in progress upon arrival, however the patient remained in cardiac arrest.  Other history was able to be gathered from the patient or family, however EMS stated that they had found that her glucose was 99 on scene, and she been given full dose Narcan as well on scene.  And was shocked 3 times a 200 J, she was given 2 doses of epinephrine, as well as 300 of amiodarone.  They attempted to intubate the patient however the patient was clamped down, and therefore they could not pass any sort of apparatus to control the airway, therefore they placed a nasal trumpet. Pertinent physical exam findings: Jaw clamped shut, pupils fixed, and was obviously cyanotic, no palpable pulses.  No chest rise. EKG as interpreted by me (ED attending): Monitor showed that the patient was in asystole the entire time. Medical Decision making and plan of care: Patient was immediately moved from gurney onto bed, and chest compressions were continued without interruption.  Given that the patient was in V. fib in the field, we did decide to place dual pads for dual sequential defibrillation, is on the plats however, the patient was noted to be in asystole, therefore chest compressions were continued, epinephrine, as well as calcium, as well as bicarb. See code chart for further details. IO was also placed in the patient's left proximal tibia.  Regarding the patient's airway, several attempts were made to pass an ET tube, as well as paralyzed the patient with rocuronium, however tube passing was unsuccessful, and therefore I performed a cricothyrotomy.  Followed by bilateral finger thoracostomies.  See procedure notes below for further details.   Despite 5 rounds of ACLS, with multiple doses of epinephrine, as well as bicarb and calcium carbonate administered, the patient remained in cardiac arrest, death was declared at 1851.""""
	"1490902-1"	"1490902-1"	"CYANOSIS"	"10011703"	"30-39 years"	"30-39"	""Pfizer COVID vaccine dose #2 administered 15 Jul 2021 @ 07:59.    ED physician documentation on 19 Jul 2021: ""37-year-old female came the emergency department after found down by her husband.  Has a history of attempted overdose in the past,, she was found down by her husband at 545, and unresponsive on scene.  Medic was on scene and patient was noted to be in V. fib and therefore CPR was started, compressions were in progress upon arrival, however the patient remained in cardiac arrest.  Other history was able to be gathered from the patient or family, however EMS stated that they had found that her glucose was 99 on scene, and she been given full dose Narcan as well on scene.  And was shocked 3 times a 200 J, she was given 2 doses of epinephrine, as well as 300 of amiodarone.  They attempted to intubate the patient however the patient was clamped down, and therefore they could not pass any sort of apparatus to control the airway, therefore they placed a nasal trumpet. Pertinent physical exam findings: Jaw clamped shut, pupils fixed, and was obviously cyanotic, no palpable pulses.  No chest rise. EKG as interpreted by me (ED attending): Monitor showed that the patient was in asystole the entire time. Medical Decision making and plan of care: Patient was immediately moved from gurney onto bed, and chest compressions were continued without interruption.  Given that the patient was in V. fib in the field, we did decide to place dual pads for dual sequential defibrillation, is on the plats however, the patient was noted to be in asystole, therefore chest compressions were continued, epinephrine, as well as calcium, as well as bicarb. See code chart for further details. IO was also placed in the patient's left proximal tibia.  Regarding the patient's airway, several attempts were made to pass an ET tube, as well as paralyzed the patient with rocuronium, however tube passing was unsuccessful, and therefore I performed a cricothyrotomy.  Followed by bilateral finger thoracostomies.  See procedure notes below for further details.   Despite 5 rounds of ACLS, with multiple doses of epinephrine, as well as bicarb and calcium carbonate administered, the patient remained in cardiac arrest, death was declared at 1851.""""
	"1490902-1"	"1490902-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	""Pfizer COVID vaccine dose #2 administered 15 Jul 2021 @ 07:59.    ED physician documentation on 19 Jul 2021: ""37-year-old female came the emergency department after found down by her husband.  Has a history of attempted overdose in the past,, she was found down by her husband at 545, and unresponsive on scene.  Medic was on scene and patient was noted to be in V. fib and therefore CPR was started, compressions were in progress upon arrival, however the patient remained in cardiac arrest.  Other history was able to be gathered from the patient or family, however EMS stated that they had found that her glucose was 99 on scene, and she been given full dose Narcan as well on scene.  And was shocked 3 times a 200 J, she was given 2 doses of epinephrine, as well as 300 of amiodarone.  They attempted to intubate the patient however the patient was clamped down, and therefore they could not pass any sort of apparatus to control the airway, therefore they placed a nasal trumpet. Pertinent physical exam findings: Jaw clamped shut, pupils fixed, and was obviously cyanotic, no palpable pulses.  No chest rise. EKG as interpreted by me (ED attending): Monitor showed that the patient was in asystole the entire time. Medical Decision making and plan of care: Patient was immediately moved from gurney onto bed, and chest compressions were continued without interruption.  Given that the patient was in V. fib in the field, we did decide to place dual pads for dual sequential defibrillation, is on the plats however, the patient was noted to be in asystole, therefore chest compressions were continued, epinephrine, as well as calcium, as well as bicarb. See code chart for further details. IO was also placed in the patient's left proximal tibia.  Regarding the patient's airway, several attempts were made to pass an ET tube, as well as paralyzed the patient with rocuronium, however tube passing was unsuccessful, and therefore I performed a cricothyrotomy.  Followed by bilateral finger thoracostomies.  See procedure notes below for further details.   Despite 5 rounds of ACLS, with multiple doses of epinephrine, as well as bicarb and calcium carbonate administered, the patient remained in cardiac arrest, death was declared at 1851.""""
	"1490902-1"	"1490902-1"	"ELECTROCARDIOGRAM ABNORMAL"	"10014363"	"30-39 years"	"30-39"	""Pfizer COVID vaccine dose #2 administered 15 Jul 2021 @ 07:59.    ED physician documentation on 19 Jul 2021: ""37-year-old female came the emergency department after found down by her husband.  Has a history of attempted overdose in the past,, she was found down by her husband at 545, and unresponsive on scene.  Medic was on scene and patient was noted to be in V. fib and therefore CPR was started, compressions were in progress upon arrival, however the patient remained in cardiac arrest.  Other history was able to be gathered from the patient or family, however EMS stated that they had found that her glucose was 99 on scene, and she been given full dose Narcan as well on scene.  And was shocked 3 times a 200 J, she was given 2 doses of epinephrine, as well as 300 of amiodarone.  They attempted to intubate the patient however the patient was clamped down, and therefore they could not pass any sort of apparatus to control the airway, therefore they placed a nasal trumpet. Pertinent physical exam findings: Jaw clamped shut, pupils fixed, and was obviously cyanotic, no palpable pulses.  No chest rise. EKG as interpreted by me (ED attending): Monitor showed that the patient was in asystole the entire time. Medical Decision making and plan of care: Patient was immediately moved from gurney onto bed, and chest compressions were continued without interruption.  Given that the patient was in V. fib in the field, we did decide to place dual pads for dual sequential defibrillation, is on the plats however, the patient was noted to be in asystole, therefore chest compressions were continued, epinephrine, as well as calcium, as well as bicarb. See code chart for further details. IO was also placed in the patient's left proximal tibia.  Regarding the patient's airway, several attempts were made to pass an ET tube, as well as paralyzed the patient with rocuronium, however tube passing was unsuccessful, and therefore I performed a cricothyrotomy.  Followed by bilateral finger thoracostomies.  See procedure notes below for further details.   Despite 5 rounds of ACLS, with multiple doses of epinephrine, as well as bicarb and calcium carbonate administered, the patient remained in cardiac arrest, death was declared at 1851.""""
	"1490902-1"	"1490902-1"	"ENDOTRACHEAL INTUBATION COMPLICATION"	"10063349"	"30-39 years"	"30-39"	""Pfizer COVID vaccine dose #2 administered 15 Jul 2021 @ 07:59.    ED physician documentation on 19 Jul 2021: ""37-year-old female came the emergency department after found down by her husband.  Has a history of attempted overdose in the past,, she was found down by her husband at 545, and unresponsive on scene.  Medic was on scene and patient was noted to be in V. fib and therefore CPR was started, compressions were in progress upon arrival, however the patient remained in cardiac arrest.  Other history was able to be gathered from the patient or family, however EMS stated that they had found that her glucose was 99 on scene, and she been given full dose Narcan as well on scene.  And was shocked 3 times a 200 J, she was given 2 doses of epinephrine, as well as 300 of amiodarone.  They attempted to intubate the patient however the patient was clamped down, and therefore they could not pass any sort of apparatus to control the airway, therefore they placed a nasal trumpet. Pertinent physical exam findings: Jaw clamped shut, pupils fixed, and was obviously cyanotic, no palpable pulses.  No chest rise. EKG as interpreted by me (ED attending): Monitor showed that the patient was in asystole the entire time. Medical Decision making and plan of care: Patient was immediately moved from gurney onto bed, and chest compressions were continued without interruption.  Given that the patient was in V. fib in the field, we did decide to place dual pads for dual sequential defibrillation, is on the plats however, the patient was noted to be in asystole, therefore chest compressions were continued, epinephrine, as well as calcium, as well as bicarb. See code chart for further details. IO was also placed in the patient's left proximal tibia.  Regarding the patient's airway, several attempts were made to pass an ET tube, as well as paralyzed the patient with rocuronium, however tube passing was unsuccessful, and therefore I performed a cricothyrotomy.  Followed by bilateral finger thoracostomies.  See procedure notes below for further details.   Despite 5 rounds of ACLS, with multiple doses of epinephrine, as well as bicarb and calcium carbonate administered, the patient remained in cardiac arrest, death was declared at 1851.""""
	"1490902-1"	"1490902-1"	"MINI-TRACHEOSTOMY"	"10067205"	"30-39 years"	"30-39"	""Pfizer COVID vaccine dose #2 administered 15 Jul 2021 @ 07:59.    ED physician documentation on 19 Jul 2021: ""37-year-old female came the emergency department after found down by her husband.  Has a history of attempted overdose in the past,, she was found down by her husband at 545, and unresponsive on scene.  Medic was on scene and patient was noted to be in V. fib and therefore CPR was started, compressions were in progress upon arrival, however the patient remained in cardiac arrest.  Other history was able to be gathered from the patient or family, however EMS stated that they had found that her glucose was 99 on scene, and she been given full dose Narcan as well on scene.  And was shocked 3 times a 200 J, she was given 2 doses of epinephrine, as well as 300 of amiodarone.  They attempted to intubate the patient however the patient was clamped down, and therefore they could not pass any sort of apparatus to control the airway, therefore they placed a nasal trumpet. Pertinent physical exam findings: Jaw clamped shut, pupils fixed, and was obviously cyanotic, no palpable pulses.  No chest rise. EKG as interpreted by me (ED attending): Monitor showed that the patient was in asystole the entire time. Medical Decision making and plan of care: Patient was immediately moved from gurney onto bed, and chest compressions were continued without interruption.  Given that the patient was in V. fib in the field, we did decide to place dual pads for dual sequential defibrillation, is on the plats however, the patient was noted to be in asystole, therefore chest compressions were continued, epinephrine, as well as calcium, as well as bicarb. See code chart for further details. IO was also placed in the patient's left proximal tibia.  Regarding the patient's airway, several attempts were made to pass an ET tube, as well as paralyzed the patient with rocuronium, however tube passing was unsuccessful, and therefore I performed a cricothyrotomy.  Followed by bilateral finger thoracostomies.  See procedure notes below for further details.   Despite 5 rounds of ACLS, with multiple doses of epinephrine, as well as bicarb and calcium carbonate administered, the patient remained in cardiac arrest, death was declared at 1851.""""
	"1490902-1"	"1490902-1"	"MUSCLE TIGHTNESS"	"10049816"	"30-39 years"	"30-39"	""Pfizer COVID vaccine dose #2 administered 15 Jul 2021 @ 07:59.    ED physician documentation on 19 Jul 2021: ""37-year-old female came the emergency department after found down by her husband.  Has a history of attempted overdose in the past,, she was found down by her husband at 545, and unresponsive on scene.  Medic was on scene and patient was noted to be in V. fib and therefore CPR was started, compressions were in progress upon arrival, however the patient remained in cardiac arrest.  Other history was able to be gathered from the patient or family, however EMS stated that they had found that her glucose was 99 on scene, and she been given full dose Narcan as well on scene.  And was shocked 3 times a 200 J, she was given 2 doses of epinephrine, as well as 300 of amiodarone.  They attempted to intubate the patient however the patient was clamped down, and therefore they could not pass any sort of apparatus to control the airway, therefore they placed a nasal trumpet. Pertinent physical exam findings: Jaw clamped shut, pupils fixed, and was obviously cyanotic, no palpable pulses.  No chest rise. EKG as interpreted by me (ED attending): Monitor showed that the patient was in asystole the entire time. Medical Decision making and plan of care: Patient was immediately moved from gurney onto bed, and chest compressions were continued without interruption.  Given that the patient was in V. fib in the field, we did decide to place dual pads for dual sequential defibrillation, is on the plats however, the patient was noted to be in asystole, therefore chest compressions were continued, epinephrine, as well as calcium, as well as bicarb. See code chart for further details. IO was also placed in the patient's left proximal tibia.  Regarding the patient's airway, several attempts were made to pass an ET tube, as well as paralyzed the patient with rocuronium, however tube passing was unsuccessful, and therefore I performed a cricothyrotomy.  Followed by bilateral finger thoracostomies.  See procedure notes below for further details.   Despite 5 rounds of ACLS, with multiple doses of epinephrine, as well as bicarb and calcium carbonate administered, the patient remained in cardiac arrest, death was declared at 1851.""""
	"1490902-1"	"1490902-1"	"PULSE ABSENT"	"10037469"	"30-39 years"	"30-39"	""Pfizer COVID vaccine dose #2 administered 15 Jul 2021 @ 07:59.    ED physician documentation on 19 Jul 2021: ""37-year-old female came the emergency department after found down by her husband.  Has a history of attempted overdose in the past,, she was found down by her husband at 545, and unresponsive on scene.  Medic was on scene and patient was noted to be in V. fib and therefore CPR was started, compressions were in progress upon arrival, however the patient remained in cardiac arrest.  Other history was able to be gathered from the patient or family, however EMS stated that they had found that her glucose was 99 on scene, and she been given full dose Narcan as well on scene.  And was shocked 3 times a 200 J, she was given 2 doses of epinephrine, as well as 300 of amiodarone.  They attempted to intubate the patient however the patient was clamped down, and therefore they could not pass any sort of apparatus to control the airway, therefore they placed a nasal trumpet. Pertinent physical exam findings: Jaw clamped shut, pupils fixed, and was obviously cyanotic, no palpable pulses.  No chest rise. EKG as interpreted by me (ED attending): Monitor showed that the patient was in asystole the entire time. Medical Decision making and plan of care: Patient was immediately moved from gurney onto bed, and chest compressions were continued without interruption.  Given that the patient was in V. fib in the field, we did decide to place dual pads for dual sequential defibrillation, is on the plats however, the patient was noted to be in asystole, therefore chest compressions were continued, epinephrine, as well as calcium, as well as bicarb. See code chart for further details. IO was also placed in the patient's left proximal tibia.  Regarding the patient's airway, several attempts were made to pass an ET tube, as well as paralyzed the patient with rocuronium, however tube passing was unsuccessful, and therefore I performed a cricothyrotomy.  Followed by bilateral finger thoracostomies.  See procedure notes below for further details.   Despite 5 rounds of ACLS, with multiple doses of epinephrine, as well as bicarb and calcium carbonate administered, the patient remained in cardiac arrest, death was declared at 1851.""""
	"1490902-1"	"1490902-1"	"PUPIL FIXED"	"10037515"	"30-39 years"	"30-39"	""Pfizer COVID vaccine dose #2 administered 15 Jul 2021 @ 07:59.    ED physician documentation on 19 Jul 2021: ""37-year-old female came the emergency department after found down by her husband.  Has a history of attempted overdose in the past,, she was found down by her husband at 545, and unresponsive on scene.  Medic was on scene and patient was noted to be in V. fib and therefore CPR was started, compressions were in progress upon arrival, however the patient remained in cardiac arrest.  Other history was able to be gathered from the patient or family, however EMS stated that they had found that her glucose was 99 on scene, and she been given full dose Narcan as well on scene.  And was shocked 3 times a 200 J, she was given 2 doses of epinephrine, as well as 300 of amiodarone.  They attempted to intubate the patient however the patient was clamped down, and therefore they could not pass any sort of apparatus to control the airway, therefore they placed a nasal trumpet. Pertinent physical exam findings: Jaw clamped shut, pupils fixed, and was obviously cyanotic, no palpable pulses.  No chest rise. EKG as interpreted by me (ED attending): Monitor showed that the patient was in asystole the entire time. Medical Decision making and plan of care: Patient was immediately moved from gurney onto bed, and chest compressions were continued without interruption.  Given that the patient was in V. fib in the field, we did decide to place dual pads for dual sequential defibrillation, is on the plats however, the patient was noted to be in asystole, therefore chest compressions were continued, epinephrine, as well as calcium, as well as bicarb. See code chart for further details. IO was also placed in the patient's left proximal tibia.  Regarding the patient's airway, several attempts were made to pass an ET tube, as well as paralyzed the patient with rocuronium, however tube passing was unsuccessful, and therefore I performed a cricothyrotomy.  Followed by bilateral finger thoracostomies.  See procedure notes below for further details.   Despite 5 rounds of ACLS, with multiple doses of epinephrine, as well as bicarb and calcium carbonate administered, the patient remained in cardiac arrest, death was declared at 1851.""""
	"1490902-1"	"1490902-1"	"RESUSCITATION"	"10038749"	"30-39 years"	"30-39"	""Pfizer COVID vaccine dose #2 administered 15 Jul 2021 @ 07:59.    ED physician documentation on 19 Jul 2021: ""37-year-old female came the emergency department after found down by her husband.  Has a history of attempted overdose in the past,, she was found down by her husband at 545, and unresponsive on scene.  Medic was on scene and patient was noted to be in V. fib and therefore CPR was started, compressions were in progress upon arrival, however the patient remained in cardiac arrest.  Other history was able to be gathered from the patient or family, however EMS stated that they had found that her glucose was 99 on scene, and she been given full dose Narcan as well on scene.  And was shocked 3 times a 200 J, she was given 2 doses of epinephrine, as well as 300 of amiodarone.  They attempted to intubate the patient however the patient was clamped down, and therefore they could not pass any sort of apparatus to control the airway, therefore they placed a nasal trumpet. Pertinent physical exam findings: Jaw clamped shut, pupils fixed, and was obviously cyanotic, no palpable pulses.  No chest rise. EKG as interpreted by me (ED attending): Monitor showed that the patient was in asystole the entire time. Medical Decision making and plan of care: Patient was immediately moved from gurney onto bed, and chest compressions were continued without interruption.  Given that the patient was in V. fib in the field, we did decide to place dual pads for dual sequential defibrillation, is on the plats however, the patient was noted to be in asystole, therefore chest compressions were continued, epinephrine, as well as calcium, as well as bicarb. See code chart for further details. IO was also placed in the patient's left proximal tibia.  Regarding the patient's airway, several attempts were made to pass an ET tube, as well as paralyzed the patient with rocuronium, however tube passing was unsuccessful, and therefore I performed a cricothyrotomy.  Followed by bilateral finger thoracostomies.  See procedure notes below for further details.   Despite 5 rounds of ACLS, with multiple doses of epinephrine, as well as bicarb and calcium carbonate administered, the patient remained in cardiac arrest, death was declared at 1851.""""
	"1490902-1"	"1490902-1"	"REVERSAL OF OPIATE ACTIVITY"	"10039004"	"30-39 years"	"30-39"	""Pfizer COVID vaccine dose #2 administered 15 Jul 2021 @ 07:59.    ED physician documentation on 19 Jul 2021: ""37-year-old female came the emergency department after found down by her husband.  Has a history of attempted overdose in the past,, she was found down by her husband at 545, and unresponsive on scene.  Medic was on scene and patient was noted to be in V. fib and therefore CPR was started, compressions were in progress upon arrival, however the patient remained in cardiac arrest.  Other history was able to be gathered from the patient or family, however EMS stated that they had found that her glucose was 99 on scene, and she been given full dose Narcan as well on scene.  And was shocked 3 times a 200 J, she was given 2 doses of epinephrine, as well as 300 of amiodarone.  They attempted to intubate the patient however the patient was clamped down, and therefore they could not pass any sort of apparatus to control the airway, therefore they placed a nasal trumpet. Pertinent physical exam findings: Jaw clamped shut, pupils fixed, and was obviously cyanotic, no palpable pulses.  No chest rise. EKG as interpreted by me (ED attending): Monitor showed that the patient was in asystole the entire time. Medical Decision making and plan of care: Patient was immediately moved from gurney onto bed, and chest compressions were continued without interruption.  Given that the patient was in V. fib in the field, we did decide to place dual pads for dual sequential defibrillation, is on the plats however, the patient was noted to be in asystole, therefore chest compressions were continued, epinephrine, as well as calcium, as well as bicarb. See code chart for further details. IO was also placed in the patient's left proximal tibia.  Regarding the patient's airway, several attempts were made to pass an ET tube, as well as paralyzed the patient with rocuronium, however tube passing was unsuccessful, and therefore I performed a cricothyrotomy.  Followed by bilateral finger thoracostomies.  See procedure notes below for further details.   Despite 5 rounds of ACLS, with multiple doses of epinephrine, as well as bicarb and calcium carbonate administered, the patient remained in cardiac arrest, death was declared at 1851.""""
	"1490902-1"	"1490902-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"30-39 years"	"30-39"	""Pfizer COVID vaccine dose #2 administered 15 Jul 2021 @ 07:59.    ED physician documentation on 19 Jul 2021: ""37-year-old female came the emergency department after found down by her husband.  Has a history of attempted overdose in the past,, she was found down by her husband at 545, and unresponsive on scene.  Medic was on scene and patient was noted to be in V. fib and therefore CPR was started, compressions were in progress upon arrival, however the patient remained in cardiac arrest.  Other history was able to be gathered from the patient or family, however EMS stated that they had found that her glucose was 99 on scene, and she been given full dose Narcan as well on scene.  And was shocked 3 times a 200 J, she was given 2 doses of epinephrine, as well as 300 of amiodarone.  They attempted to intubate the patient however the patient was clamped down, and therefore they could not pass any sort of apparatus to control the airway, therefore they placed a nasal trumpet. Pertinent physical exam findings: Jaw clamped shut, pupils fixed, and was obviously cyanotic, no palpable pulses.  No chest rise. EKG as interpreted by me (ED attending): Monitor showed that the patient was in asystole the entire time. Medical Decision making and plan of care: Patient was immediately moved from gurney onto bed, and chest compressions were continued without interruption.  Given that the patient was in V. fib in the field, we did decide to place dual pads for dual sequential defibrillation, is on the plats however, the patient was noted to be in asystole, therefore chest compressions were continued, epinephrine, as well as calcium, as well as bicarb. See code chart for further details. IO was also placed in the patient's left proximal tibia.  Regarding the patient's airway, several attempts were made to pass an ET tube, as well as paralyzed the patient with rocuronium, however tube passing was unsuccessful, and therefore I performed a cricothyrotomy.  Followed by bilateral finger thoracostomies.  See procedure notes below for further details.   Despite 5 rounds of ACLS, with multiple doses of epinephrine, as well as bicarb and calcium carbonate administered, the patient remained in cardiac arrest, death was declared at 1851.""""
	"1490902-1"	"1490902-1"	"VENTRICULAR FIBRILLATION"	"10047290"	"30-39 years"	"30-39"	""Pfizer COVID vaccine dose #2 administered 15 Jul 2021 @ 07:59.    ED physician documentation on 19 Jul 2021: ""37-year-old female came the emergency department after found down by her husband.  Has a history of attempted overdose in the past,, she was found down by her husband at 545, and unresponsive on scene.  Medic was on scene and patient was noted to be in V. fib and therefore CPR was started, compressions were in progress upon arrival, however the patient remained in cardiac arrest.  Other history was able to be gathered from the patient or family, however EMS stated that they had found that her glucose was 99 on scene, and she been given full dose Narcan as well on scene.  And was shocked 3 times a 200 J, she was given 2 doses of epinephrine, as well as 300 of amiodarone.  They attempted to intubate the patient however the patient was clamped down, and therefore they could not pass any sort of apparatus to control the airway, therefore they placed a nasal trumpet. Pertinent physical exam findings: Jaw clamped shut, pupils fixed, and was obviously cyanotic, no palpable pulses.  No chest rise. EKG as interpreted by me (ED attending): Monitor showed that the patient was in asystole the entire time. Medical Decision making and plan of care: Patient was immediately moved from gurney onto bed, and chest compressions were continued without interruption.  Given that the patient was in V. fib in the field, we did decide to place dual pads for dual sequential defibrillation, is on the plats however, the patient was noted to be in asystole, therefore chest compressions were continued, epinephrine, as well as calcium, as well as bicarb. See code chart for further details. IO was also placed in the patient's left proximal tibia.  Regarding the patient's airway, several attempts were made to pass an ET tube, as well as paralyzed the patient with rocuronium, however tube passing was unsuccessful, and therefore I performed a cricothyrotomy.  Followed by bilateral finger thoracostomies.  See procedure notes below for further details.   Despite 5 rounds of ACLS, with multiple doses of epinephrine, as well as bicarb and calcium carbonate administered, the patient remained in cardiac arrest, death was declared at 1851.""""
	"1498078-1"	"1498078-1"	"SUDDEN DEATH"	"10042434"	"30-39 years"	"30-39"	"He passed away in the bathroom very suddenly. Never had any medical issues."
	"1502098-1"	"1502098-1"	"ABDOMINAL DISTENSION"	"10000060"	"40-49 years"	"40-49"	"death D69.6 - Thrombocytopenia, unspecified N93.9 - Vaginal bleeding JAUNDICE BLOATED SHORTNESS OF BREATH"
	"1502098-1"	"1502098-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"death D69.6 - Thrombocytopenia, unspecified N93.9 - Vaginal bleeding JAUNDICE BLOATED SHORTNESS OF BREATH"
	"1502098-1"	"1502098-1"	"DYSPNOEA"	"10013968"	"40-49 years"	"40-49"	"death D69.6 - Thrombocytopenia, unspecified N93.9 - Vaginal bleeding JAUNDICE BLOATED SHORTNESS OF BREATH"
	"1502098-1"	"1502098-1"	"JAUNDICE"	"10023126"	"40-49 years"	"40-49"	"death D69.6 - Thrombocytopenia, unspecified N93.9 - Vaginal bleeding JAUNDICE BLOATED SHORTNESS OF BREATH"
	"1502098-1"	"1502098-1"	"THROMBOCYTOPENIA"	"10043554"	"40-49 years"	"40-49"	"death D69.6 - Thrombocytopenia, unspecified N93.9 - Vaginal bleeding JAUNDICE BLOATED SHORTNESS OF BREATH"
	"1502098-1"	"1502098-1"	"VAGINAL HAEMORRHAGE"	"10046910"	"40-49 years"	"40-49"	"death D69.6 - Thrombocytopenia, unspecified N93.9 - Vaginal bleeding JAUNDICE BLOATED SHORTNESS OF BREATH"
	"1505509-1"	"1505509-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Patient is deceased."
	"1512493-1"	"1512493-1"	"ACUTE CARDIAC EVENT"	"10081099"	"30-39 years"	"30-39"	"She collapsed in her bathroom and her boyfriend immediately began CPR.  Paramedics were unable to revive her.  Cardiac event."
	"1512493-1"	"1512493-1"	"AUTOPSY"	"10050117"	"30-39 years"	"30-39"	"She collapsed in her bathroom and her boyfriend immediately began CPR.  Paramedics were unable to revive her.  Cardiac event."
	"1512493-1"	"1512493-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"She collapsed in her bathroom and her boyfriend immediately began CPR.  Paramedics were unable to revive her.  Cardiac event."
	"1512493-1"	"1512493-1"	"LABORATORY TEST NORMAL"	"10054052"	"30-39 years"	"30-39"	"She collapsed in her bathroom and her boyfriend immediately began CPR.  Paramedics were unable to revive her.  Cardiac event."
	"1512493-1"	"1512493-1"	"PATHOLOGY TEST"	"10068056"	"30-39 years"	"30-39"	"She collapsed in her bathroom and her boyfriend immediately began CPR.  Paramedics were unable to revive her.  Cardiac event."
	"1512493-1"	"1512493-1"	"RESUSCITATION"	"10038749"	"30-39 years"	"30-39"	"She collapsed in her bathroom and her boyfriend immediately began CPR.  Paramedics were unable to revive her.  Cardiac event."
	"1512493-1"	"1512493-1"	"SYNCOPE"	"10042772"	"30-39 years"	"30-39"	"She collapsed in her bathroom and her boyfriend immediately began CPR.  Paramedics were unable to revive her.  Cardiac event."
	"1512561-1"	"1512561-1"	"CARDIO-RESPIRATORY ARREST"	"10007617"	"40-49 years"	"40-49"	"Patient received both doses of the Pfizer vaccine on 2/24/21 and 3/17/21. Patient came to the ER on 5/8/21 with chest pain, where she tested positive for COVID. While patient was receiving a precordial drain she went into V. tach but was successfully resuscitated. She went to ICU but went into cardiopulmonary arrest and died on 5/9/21."
	"1512561-1"	"1512561-1"	"CHEST PAIN"	"10008479"	"40-49 years"	"40-49"	"Patient received both doses of the Pfizer vaccine on 2/24/21 and 3/17/21. Patient came to the ER on 5/8/21 with chest pain, where she tested positive for COVID. While patient was receiving a precordial drain she went into V. tach but was successfully resuscitated. She went to ICU but went into cardiopulmonary arrest and died on 5/9/21."
	"1512561-1"	"1512561-1"	"COVID-19"	"10084268"	"40-49 years"	"40-49"	"Patient received both doses of the Pfizer vaccine on 2/24/21 and 3/17/21. Patient came to the ER on 5/8/21 with chest pain, where she tested positive for COVID. While patient was receiving a precordial drain she went into V. tach but was successfully resuscitated. She went to ICU but went into cardiopulmonary arrest and died on 5/9/21."
	"1512561-1"	"1512561-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Patient received both doses of the Pfizer vaccine on 2/24/21 and 3/17/21. Patient came to the ER on 5/8/21 with chest pain, where she tested positive for COVID. While patient was receiving a precordial drain she went into V. tach but was successfully resuscitated. She went to ICU but went into cardiopulmonary arrest and died on 5/9/21."
	"1512561-1"	"1512561-1"	"INTENSIVE CARE"	"10022519"	"40-49 years"	"40-49"	"Patient received both doses of the Pfizer vaccine on 2/24/21 and 3/17/21. Patient came to the ER on 5/8/21 with chest pain, where she tested positive for COVID. While patient was receiving a precordial drain she went into V. tach but was successfully resuscitated. She went to ICU but went into cardiopulmonary arrest and died on 5/9/21."
	"1512561-1"	"1512561-1"	"PERICARDIAL DRAINAGE"	"10034471"	"40-49 years"	"40-49"	"Patient received both doses of the Pfizer vaccine on 2/24/21 and 3/17/21. Patient came to the ER on 5/8/21 with chest pain, where she tested positive for COVID. While patient was receiving a precordial drain she went into V. tach but was successfully resuscitated. She went to ICU but went into cardiopulmonary arrest and died on 5/9/21."
	"1512561-1"	"1512561-1"	"RESUSCITATION"	"10038749"	"40-49 years"	"40-49"	"Patient received both doses of the Pfizer vaccine on 2/24/21 and 3/17/21. Patient came to the ER on 5/8/21 with chest pain, where she tested positive for COVID. While patient was receiving a precordial drain she went into V. tach but was successfully resuscitated. She went to ICU but went into cardiopulmonary arrest and died on 5/9/21."
	"1512561-1"	"1512561-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"40-49 years"	"40-49"	"Patient received both doses of the Pfizer vaccine on 2/24/21 and 3/17/21. Patient came to the ER on 5/8/21 with chest pain, where she tested positive for COVID. While patient was receiving a precordial drain she went into V. tach but was successfully resuscitated. She went to ICU but went into cardiopulmonary arrest and died on 5/9/21."
	"1512561-1"	"1512561-1"	"VENTRICULAR TACHYCARDIA"	"10047302"	"40-49 years"	"40-49"	"Patient received both doses of the Pfizer vaccine on 2/24/21 and 3/17/21. Patient came to the ER on 5/8/21 with chest pain, where she tested positive for COVID. While patient was receiving a precordial drain she went into V. tach but was successfully resuscitated. She went to ICU but went into cardiopulmonary arrest and died on 5/9/21."
	"1512749-1"	"1512749-1"	"BREATH SOUNDS ABNORMAL"	"10064780"	"30-39 years"	"30-39"	"39 Male tested positive 6/4/2021. Vaccinated with Pfizer 12/22/2021 & 1/12/2021. 6/4/2021 hospital admission for tracheo-esophageal fistula (TEF) transfer from hospital. Diminished breathing sounds, minimally conscious. Removed from ventilator support 6/17/2021. Problems at time of death 6/19/2021 - chronic respiratory failure, COVID-19, history of severe TBI, TEF, trach vent/PEG dependent."
	"1512749-1"	"1512749-1"	"CHRONIC RESPIRATORY FAILURE"	"10009126"	"30-39 years"	"30-39"	"39 Male tested positive 6/4/2021. Vaccinated with Pfizer 12/22/2021 & 1/12/2021. 6/4/2021 hospital admission for tracheo-esophageal fistula (TEF) transfer from hospital. Diminished breathing sounds, minimally conscious. Removed from ventilator support 6/17/2021. Problems at time of death 6/19/2021 - chronic respiratory failure, COVID-19, history of severe TBI, TEF, trach vent/PEG dependent."
	"1512749-1"	"1512749-1"	"CONDITION AGGRAVATED"	"10010264"	"30-39 years"	"30-39"	"39 Male tested positive 6/4/2021. Vaccinated with Pfizer 12/22/2021 & 1/12/2021. 6/4/2021 hospital admission for tracheo-esophageal fistula (TEF) transfer from hospital. Diminished breathing sounds, minimally conscious. Removed from ventilator support 6/17/2021. Problems at time of death 6/19/2021 - chronic respiratory failure, COVID-19, history of severe TBI, TEF, trach vent/PEG dependent."
	"1512749-1"	"1512749-1"	"COVID-19"	"10084268"	"30-39 years"	"30-39"	"39 Male tested positive 6/4/2021. Vaccinated with Pfizer 12/22/2021 & 1/12/2021. 6/4/2021 hospital admission for tracheo-esophageal fistula (TEF) transfer from hospital. Diminished breathing sounds, minimally conscious. Removed from ventilator support 6/17/2021. Problems at time of death 6/19/2021 - chronic respiratory failure, COVID-19, history of severe TBI, TEF, trach vent/PEG dependent."
	"1512749-1"	"1512749-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"39 Male tested positive 6/4/2021. Vaccinated with Pfizer 12/22/2021 & 1/12/2021. 6/4/2021 hospital admission for tracheo-esophageal fistula (TEF) transfer from hospital. Diminished breathing sounds, minimally conscious. Removed from ventilator support 6/17/2021. Problems at time of death 6/19/2021 - chronic respiratory failure, COVID-19, history of severe TBI, TEF, trach vent/PEG dependent."
	"1512749-1"	"1512749-1"	"DEPRESSED LEVEL OF CONSCIOUSNESS"	"10012373"	"30-39 years"	"30-39"	"39 Male tested positive 6/4/2021. Vaccinated with Pfizer 12/22/2021 & 1/12/2021. 6/4/2021 hospital admission for tracheo-esophageal fistula (TEF) transfer from hospital. Diminished breathing sounds, minimally conscious. Removed from ventilator support 6/17/2021. Problems at time of death 6/19/2021 - chronic respiratory failure, COVID-19, history of severe TBI, TEF, trach vent/PEG dependent."
	"1512749-1"	"1512749-1"	"MECHANICAL VENTILATION"	"10067221"	"30-39 years"	"30-39"	"39 Male tested positive 6/4/2021. Vaccinated with Pfizer 12/22/2021 & 1/12/2021. 6/4/2021 hospital admission for tracheo-esophageal fistula (TEF) transfer from hospital. Diminished breathing sounds, minimally conscious. Removed from ventilator support 6/17/2021. Problems at time of death 6/19/2021 - chronic respiratory failure, COVID-19, history of severe TBI, TEF, trach vent/PEG dependent."
	"1512749-1"	"1512749-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"30-39 years"	"30-39"	"39 Male tested positive 6/4/2021. Vaccinated with Pfizer 12/22/2021 & 1/12/2021. 6/4/2021 hospital admission for tracheo-esophageal fistula (TEF) transfer from hospital. Diminished breathing sounds, minimally conscious. Removed from ventilator support 6/17/2021. Problems at time of death 6/19/2021 - chronic respiratory failure, COVID-19, history of severe TBI, TEF, trach vent/PEG dependent."
	"1512749-1"	"1512749-1"	"TRACHEO-OESOPHAGEAL FISTULA"	"10044310"	"30-39 years"	"30-39"	"39 Male tested positive 6/4/2021. Vaccinated with Pfizer 12/22/2021 & 1/12/2021. 6/4/2021 hospital admission for tracheo-esophageal fistula (TEF) transfer from hospital. Diminished breathing sounds, minimally conscious. Removed from ventilator support 6/17/2021. Problems at time of death 6/19/2021 - chronic respiratory failure, COVID-19, history of severe TBI, TEF, trach vent/PEG dependent."
	"1515162-1"	"1515162-1"	"ANGIOGRAM PULMONARY ABNORMAL"	"10002441"	"30-39 years"	"30-39"	"Patient admitted to hospital on 13/07/21, and to Intensive Care on 14/07/21 for nasal high flow oxygen. He received dexamethasone IV. He was intubated on 24/07/21 following deterioration that day, and was proned. On 26/07/21 he had a chest drain inserted for a pneumothorax, and his endotracheal tube was changed due to a kinked tube. He was also started on antibiotics and antifungals to cover for superimposed infection. He passed away on 27/07/21 following further deterioration and ST elevation on ECG."
	"1515162-1"	"1515162-1"	"COVID-19 PNEUMONIA"	"10084380"	"30-39 years"	"30-39"	"Patient admitted to hospital on 13/07/21, and to Intensive Care on 14/07/21 for nasal high flow oxygen. He received dexamethasone IV. He was intubated on 24/07/21 following deterioration that day, and was proned. On 26/07/21 he had a chest drain inserted for a pneumothorax, and his endotracheal tube was changed due to a kinked tube. He was also started on antibiotics and antifungals to cover for superimposed infection. He passed away on 27/07/21 following further deterioration and ST elevation on ECG."
	"1515162-1"	"1515162-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Patient admitted to hospital on 13/07/21, and to Intensive Care on 14/07/21 for nasal high flow oxygen. He received dexamethasone IV. He was intubated on 24/07/21 following deterioration that day, and was proned. On 26/07/21 he had a chest drain inserted for a pneumothorax, and his endotracheal tube was changed due to a kinked tube. He was also started on antibiotics and antifungals to cover for superimposed infection. He passed away on 27/07/21 following further deterioration and ST elevation on ECG."
	"1515162-1"	"1515162-1"	"DRAIN PLACEMENT"	"10072795"	"30-39 years"	"30-39"	"Patient admitted to hospital on 13/07/21, and to Intensive Care on 14/07/21 for nasal high flow oxygen. He received dexamethasone IV. He was intubated on 24/07/21 following deterioration that day, and was proned. On 26/07/21 he had a chest drain inserted for a pneumothorax, and his endotracheal tube was changed due to a kinked tube. He was also started on antibiotics and antifungals to cover for superimposed infection. He passed away on 27/07/21 following further deterioration and ST elevation on ECG."
	"1515162-1"	"1515162-1"	"ECHOCARDIOGRAM"	"10014113"	"30-39 years"	"30-39"	"Patient admitted to hospital on 13/07/21, and to Intensive Care on 14/07/21 for nasal high flow oxygen. He received dexamethasone IV. He was intubated on 24/07/21 following deterioration that day, and was proned. On 26/07/21 he had a chest drain inserted for a pneumothorax, and his endotracheal tube was changed due to a kinked tube. He was also started on antibiotics and antifungals to cover for superimposed infection. He passed away on 27/07/21 following further deterioration and ST elevation on ECG."
	"1515162-1"	"1515162-1"	"ELECTROCARDIOGRAM ST SEGMENT ELEVATION"	"10014392"	"30-39 years"	"30-39"	"Patient admitted to hospital on 13/07/21, and to Intensive Care on 14/07/21 for nasal high flow oxygen. He received dexamethasone IV. He was intubated on 24/07/21 following deterioration that day, and was proned. On 26/07/21 he had a chest drain inserted for a pneumothorax, and his endotracheal tube was changed due to a kinked tube. He was also started on antibiotics and antifungals to cover for superimposed infection. He passed away on 27/07/21 following further deterioration and ST elevation on ECG."
	"1515162-1"	"1515162-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"30-39 years"	"30-39"	"Patient admitted to hospital on 13/07/21, and to Intensive Care on 14/07/21 for nasal high flow oxygen. He received dexamethasone IV. He was intubated on 24/07/21 following deterioration that day, and was proned. On 26/07/21 he had a chest drain inserted for a pneumothorax, and his endotracheal tube was changed due to a kinked tube. He was also started on antibiotics and antifungals to cover for superimposed infection. He passed away on 27/07/21 following further deterioration and ST elevation on ECG."
	"1515162-1"	"1515162-1"	"ENDOTRACHEAL INTUBATION COMPLICATION"	"10063349"	"30-39 years"	"30-39"	"Patient admitted to hospital on 13/07/21, and to Intensive Care on 14/07/21 for nasal high flow oxygen. He received dexamethasone IV. He was intubated on 24/07/21 following deterioration that day, and was proned. On 26/07/21 he had a chest drain inserted for a pneumothorax, and his endotracheal tube was changed due to a kinked tube. He was also started on antibiotics and antifungals to cover for superimposed infection. He passed away on 27/07/21 following further deterioration and ST elevation on ECG."
	"1515162-1"	"1515162-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"30-39 years"	"30-39"	"Patient admitted to hospital on 13/07/21, and to Intensive Care on 14/07/21 for nasal high flow oxygen. He received dexamethasone IV. He was intubated on 24/07/21 following deterioration that day, and was proned. On 26/07/21 he had a chest drain inserted for a pneumothorax, and his endotracheal tube was changed due to a kinked tube. He was also started on antibiotics and antifungals to cover for superimposed infection. He passed away on 27/07/21 following further deterioration and ST elevation on ECG."
	"1515162-1"	"1515162-1"	"INTENSIVE CARE"	"10022519"	"30-39 years"	"30-39"	"Patient admitted to hospital on 13/07/21, and to Intensive Care on 14/07/21 for nasal high flow oxygen. He received dexamethasone IV. He was intubated on 24/07/21 following deterioration that day, and was proned. On 26/07/21 he had a chest drain inserted for a pneumothorax, and his endotracheal tube was changed due to a kinked tube. He was also started on antibiotics and antifungals to cover for superimposed infection. He passed away on 27/07/21 following further deterioration and ST elevation on ECG."
	"1515162-1"	"1515162-1"	"LUNG OPACITY"	"10081792"	"30-39 years"	"30-39"	"Patient admitted to hospital on 13/07/21, and to Intensive Care on 14/07/21 for nasal high flow oxygen. He received dexamethasone IV. He was intubated on 24/07/21 following deterioration that day, and was proned. On 26/07/21 he had a chest drain inserted for a pneumothorax, and his endotracheal tube was changed due to a kinked tube. He was also started on antibiotics and antifungals to cover for superimposed infection. He passed away on 27/07/21 following further deterioration and ST elevation on ECG."
	"1515162-1"	"1515162-1"	"MEDIASTINAL DISORDER"	"10061280"	"30-39 years"	"30-39"	"Patient admitted to hospital on 13/07/21, and to Intensive Care on 14/07/21 for nasal high flow oxygen. He received dexamethasone IV. He was intubated on 24/07/21 following deterioration that day, and was proned. On 26/07/21 he had a chest drain inserted for a pneumothorax, and his endotracheal tube was changed due to a kinked tube. He was also started on antibiotics and antifungals to cover for superimposed infection. He passed away on 27/07/21 following further deterioration and ST elevation on ECG."
	"1515162-1"	"1515162-1"	"PNEUMOTHORAX"	"10035759"	"30-39 years"	"30-39"	"Patient admitted to hospital on 13/07/21, and to Intensive Care on 14/07/21 for nasal high flow oxygen. He received dexamethasone IV. He was intubated on 24/07/21 following deterioration that day, and was proned. On 26/07/21 he had a chest drain inserted for a pneumothorax, and his endotracheal tube was changed due to a kinked tube. He was also started on antibiotics and antifungals to cover for superimposed infection. He passed away on 27/07/21 following further deterioration and ST elevation on ECG."
	"1515162-1"	"1515162-1"	"RIGHT VENTRICULAR DILATATION"	"10074222"	"30-39 years"	"30-39"	"Patient admitted to hospital on 13/07/21, and to Intensive Care on 14/07/21 for nasal high flow oxygen. He received dexamethasone IV. He was intubated on 24/07/21 following deterioration that day, and was proned. On 26/07/21 he had a chest drain inserted for a pneumothorax, and his endotracheal tube was changed due to a kinked tube. He was also started on antibiotics and antifungals to cover for superimposed infection. He passed away on 27/07/21 following further deterioration and ST elevation on ECG."
	"1515162-1"	"1515162-1"	"RIGHT VENTRICULAR FAILURE"	"10039163"	"30-39 years"	"30-39"	"Patient admitted to hospital on 13/07/21, and to Intensive Care on 14/07/21 for nasal high flow oxygen. He received dexamethasone IV. He was intubated on 24/07/21 following deterioration that day, and was proned. On 26/07/21 he had a chest drain inserted for a pneumothorax, and his endotracheal tube was changed due to a kinked tube. He was also started on antibiotics and antifungals to cover for superimposed infection. He passed away on 27/07/21 following further deterioration and ST elevation on ECG."
	"1515162-1"	"1515162-1"	"SUPERINFECTION"	"10042566"	"30-39 years"	"30-39"	"Patient admitted to hospital on 13/07/21, and to Intensive Care on 14/07/21 for nasal high flow oxygen. He received dexamethasone IV. He was intubated on 24/07/21 following deterioration that day, and was proned. On 26/07/21 he had a chest drain inserted for a pneumothorax, and his endotracheal tube was changed due to a kinked tube. He was also started on antibiotics and antifungals to cover for superimposed infection. He passed away on 27/07/21 following further deterioration and ST elevation on ECG."
	"1515162-1"	"1515162-1"	"TACHYCARDIA"	"10043071"	"30-39 years"	"30-39"	"Patient admitted to hospital on 13/07/21, and to Intensive Care on 14/07/21 for nasal high flow oxygen. He received dexamethasone IV. He was intubated on 24/07/21 following deterioration that day, and was proned. On 26/07/21 he had a chest drain inserted for a pneumothorax, and his endotracheal tube was changed due to a kinked tube. He was also started on antibiotics and antifungals to cover for superimposed infection. He passed away on 27/07/21 following further deterioration and ST elevation on ECG."
	"1515497-1"	"1515497-1"	"APALLIC SYNDROME"	"10002941"	"40-49 years"	"40-49"	"ON 7/30/21 @ 0329 AM, RESIDENT BEGAN RUNNING FEVER 104.2 DEGREES WITH A RESPIRATORY RATE OF 60 BPM. B/P 54/30. PULSE RATE OF 74 BPM. O2 SAT OF 88% ON O2 @ 4LPM PER TRACHE COLLAR. RESIDENTS BASLINE COGNITIVE STATUS UNCHANGED FROM PERSISTENT VEGETATIVE STATE. DR. WAS CALLED BY NURSE AND ORDERS WERE GIVEN TO SEND TO ER. UPON ARRIVAL, EMS HAD TO START CPR AS RESIDENT CODED DURING PICKUP. RESIDENT WAS PRONOUNCED DEAD AT 0520."
	"1515497-1"	"1515497-1"	"CARDIO-RESPIRATORY ARREST"	"10007617"	"40-49 years"	"40-49"	"ON 7/30/21 @ 0329 AM, RESIDENT BEGAN RUNNING FEVER 104.2 DEGREES WITH A RESPIRATORY RATE OF 60 BPM. B/P 54/30. PULSE RATE OF 74 BPM. O2 SAT OF 88% ON O2 @ 4LPM PER TRACHE COLLAR. RESIDENTS BASLINE COGNITIVE STATUS UNCHANGED FROM PERSISTENT VEGETATIVE STATE. DR. WAS CALLED BY NURSE AND ORDERS WERE GIVEN TO SEND TO ER. UPON ARRIVAL, EMS HAD TO START CPR AS RESIDENT CODED DURING PICKUP. RESIDENT WAS PRONOUNCED DEAD AT 0520."
	"1515497-1"	"1515497-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"ON 7/30/21 @ 0329 AM, RESIDENT BEGAN RUNNING FEVER 104.2 DEGREES WITH A RESPIRATORY RATE OF 60 BPM. B/P 54/30. PULSE RATE OF 74 BPM. O2 SAT OF 88% ON O2 @ 4LPM PER TRACHE COLLAR. RESIDENTS BASLINE COGNITIVE STATUS UNCHANGED FROM PERSISTENT VEGETATIVE STATE. DR. WAS CALLED BY NURSE AND ORDERS WERE GIVEN TO SEND TO ER. UPON ARRIVAL, EMS HAD TO START CPR AS RESIDENT CODED DURING PICKUP. RESIDENT WAS PRONOUNCED DEAD AT 0520."
	"1515497-1"	"1515497-1"	"PYREXIA"	"10037660"	"40-49 years"	"40-49"	"ON 7/30/21 @ 0329 AM, RESIDENT BEGAN RUNNING FEVER 104.2 DEGREES WITH A RESPIRATORY RATE OF 60 BPM. B/P 54/30. PULSE RATE OF 74 BPM. O2 SAT OF 88% ON O2 @ 4LPM PER TRACHE COLLAR. RESIDENTS BASLINE COGNITIVE STATUS UNCHANGED FROM PERSISTENT VEGETATIVE STATE. DR. WAS CALLED BY NURSE AND ORDERS WERE GIVEN TO SEND TO ER. UPON ARRIVAL, EMS HAD TO START CPR AS RESIDENT CODED DURING PICKUP. RESIDENT WAS PRONOUNCED DEAD AT 0520."
	"1515497-1"	"1515497-1"	"RESUSCITATION"	"10038749"	"40-49 years"	"40-49"	"ON 7/30/21 @ 0329 AM, RESIDENT BEGAN RUNNING FEVER 104.2 DEGREES WITH A RESPIRATORY RATE OF 60 BPM. B/P 54/30. PULSE RATE OF 74 BPM. O2 SAT OF 88% ON O2 @ 4LPM PER TRACHE COLLAR. RESIDENTS BASLINE COGNITIVE STATUS UNCHANGED FROM PERSISTENT VEGETATIVE STATE. DR. WAS CALLED BY NURSE AND ORDERS WERE GIVEN TO SEND TO ER. UPON ARRIVAL, EMS HAD TO START CPR AS RESIDENT CODED DURING PICKUP. RESIDENT WAS PRONOUNCED DEAD AT 0520."
	"1518468-1"	"1518468-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Death. He died within 24 hours of receiving the 1st dose"
	"1518997-1"	"1518997-1"	"BRAIN SCAN ABNORMAL"	"10061943"	"30-39 years"	"30-39"	"After receiving vaccine he was with me (mom), visiting my grandkids, shopping and eating,  for approximately 3 hours at which time I dropped him off at my ex husbands house where he lived.  Within 30 minutes he walked to his dad and grabbed his chest and slumped to the ground.  Emergency Ambulance was called and attempted unsuccessfully to revive him but transfer to hospital where they worked for an hour.  He was placed on life support and transferred to one of their larger facilities.  On 2-14-21 they did the brain activity test ad he was pronounced dead.  Remain on live support until Core could harvest usable organs"
	"1518997-1"	"1518997-1"	"CHEST PAIN"	"10008479"	"30-39 years"	"30-39"	"After receiving vaccine he was with me (mom), visiting my grandkids, shopping and eating,  for approximately 3 hours at which time I dropped him off at my ex husbands house where he lived.  Within 30 minutes he walked to his dad and grabbed his chest and slumped to the ground.  Emergency Ambulance was called and attempted unsuccessfully to revive him but transfer to hospital where they worked for an hour.  He was placed on life support and transferred to one of their larger facilities.  On 2-14-21 they did the brain activity test ad he was pronounced dead.  Remain on live support until Core could harvest usable organs"
	"1518997-1"	"1518997-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"After receiving vaccine he was with me (mom), visiting my grandkids, shopping and eating,  for approximately 3 hours at which time I dropped him off at my ex husbands house where he lived.  Within 30 minutes he walked to his dad and grabbed his chest and slumped to the ground.  Emergency Ambulance was called and attempted unsuccessfully to revive him but transfer to hospital where they worked for an hour.  He was placed on life support and transferred to one of their larger facilities.  On 2-14-21 they did the brain activity test ad he was pronounced dead.  Remain on live support until Core could harvest usable organs"
	"1518997-1"	"1518997-1"	"FALL"	"10016173"	"30-39 years"	"30-39"	"After receiving vaccine he was with me (mom), visiting my grandkids, shopping and eating,  for approximately 3 hours at which time I dropped him off at my ex husbands house where he lived.  Within 30 minutes he walked to his dad and grabbed his chest and slumped to the ground.  Emergency Ambulance was called and attempted unsuccessfully to revive him but transfer to hospital where they worked for an hour.  He was placed on life support and transferred to one of their larger facilities.  On 2-14-21 they did the brain activity test ad he was pronounced dead.  Remain on live support until Core could harvest usable organs"
	"1518997-1"	"1518997-1"	"LIFE SUPPORT"	"10024447"	"30-39 years"	"30-39"	"After receiving vaccine he was with me (mom), visiting my grandkids, shopping and eating,  for approximately 3 hours at which time I dropped him off at my ex husbands house where he lived.  Within 30 minutes he walked to his dad and grabbed his chest and slumped to the ground.  Emergency Ambulance was called and attempted unsuccessfully to revive him but transfer to hospital where they worked for an hour.  He was placed on life support and transferred to one of their larger facilities.  On 2-14-21 they did the brain activity test ad he was pronounced dead.  Remain on live support until Core could harvest usable organs"
	"1518997-1"	"1518997-1"	"ORGAN DONOR"	"10058985"	"30-39 years"	"30-39"	"After receiving vaccine he was with me (mom), visiting my grandkids, shopping and eating,  for approximately 3 hours at which time I dropped him off at my ex husbands house where he lived.  Within 30 minutes he walked to his dad and grabbed his chest and slumped to the ground.  Emergency Ambulance was called and attempted unsuccessfully to revive him but transfer to hospital where they worked for an hour.  He was placed on life support and transferred to one of their larger facilities.  On 2-14-21 they did the brain activity test ad he was pronounced dead.  Remain on live support until Core could harvest usable organs"
	"1518997-1"	"1518997-1"	"SYNCOPE"	"10042772"	"30-39 years"	"30-39"	"After receiving vaccine he was with me (mom), visiting my grandkids, shopping and eating,  for approximately 3 hours at which time I dropped him off at my ex husbands house where he lived.  Within 30 minutes he walked to his dad and grabbed his chest and slumped to the ground.  Emergency Ambulance was called and attempted unsuccessfully to revive him but transfer to hospital where they worked for an hour.  He was placed on life support and transferred to one of their larger facilities.  On 2-14-21 they did the brain activity test ad he was pronounced dead.  Remain on live support until Core could harvest usable organs"
	"1519955-1"	"1519955-1"	"ABDOMINAL DISCOMFORT"	"10000059"	"40-49 years"	"40-49"	"Back Pain & Stomach discomfort/Pain"
	"1519955-1"	"1519955-1"	"ABDOMINAL PAIN UPPER"	"10000087"	"40-49 years"	"40-49"	"Back Pain & Stomach discomfort/Pain"
	"1519955-1"	"1519955-1"	"BACK PAIN"	"10003988"	"40-49 years"	"40-49"	"Back Pain & Stomach discomfort/Pain"
	"1519955-1"	"1519955-1"	"MYOCARDITIS"	"10028606"	"40-49 years"	"40-49"	"Back Pain & Stomach discomfort/Pain"
	"1519955-1"	"1519955-1"	"PATHOLOGY TEST"	"10068056"	"40-49 years"	"40-49"	"Back Pain & Stomach discomfort/Pain"
	"1523422-1"	"1523422-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"7/20/2021 Client received Janssen COVID 19 vaccine in a long term care facility. 8/2/2021 Client died at long term care facility 8/3/2021 Coordinator received email notification of client's death"
	"1525661-1"	"1525661-1"	"INTRACRANIAL ANEURYSM"	"10022758"	"40-49 years"	"40-49"	"Brain nauseum."
	"1525780-1"	"1525780-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"death Other pulmonary embolism without acute cor pulmonale Unspecified convulsions"
	"1525780-1"	"1525780-1"	"PULMONARY EMBOLISM"	"10037377"	"40-49 years"	"40-49"	"death Other pulmonary embolism without acute cor pulmonale Unspecified convulsions"
	"1525780-1"	"1525780-1"	"SEIZURE"	"10039906"	"40-49 years"	"40-49"	"death Other pulmonary embolism without acute cor pulmonale Unspecified convulsions"
	"1529248-1"	"1529248-1"	"CARDIAC ARREST"	"10007515"	"40-49 years"	"40-49"	"Patient presented to the emergency room one day following being vaccinated in cardiac arrest. Patient is deceased."
	"1529248-1"	"1529248-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Patient presented to the emergency room one day following being vaccinated in cardiac arrest. Patient is deceased."
	"1529599-1"	"1529599-1"	"SUDDEN CARDIAC DEATH"	"10049418"	"30-39 years"	"30-39"	"SUDDEN CARDIAC DEATH"
	"1532154-1"	"1532154-1"	"BREAST FEEDING"	"10006247"	"30-39 years"	"30-39"	"On July 17, my baby passed away. I had been breastfeeding my 6 week old baby at the time that I received the first Pfizer vaccine on June 4, 2021.  He became very sick with a high fever about 2 weeks after I got the first Pfizer vaccine on June 21. He was treated for 2 weeks with IV antibiotics for a supposed bacterial infection. However, they never found any specific bacteria, and called his diagnosis culture-negative sepsis. At the end of his hospital stay he tested positive for rhinovirus. After the 14 day course of antibiotics, he was home for one week, but exhibited strange symptoms (e.g. swollen eyelid, strange rashes, vomiting). I took him back to the hospital on July 15, where he presented with what they called an atypical Kawasaki disease. He passed away shortly thereafter from clots in his severely inflamed arteries. I am curious if the spike protein could have gone through the breast milk and caused an inflammatory response in my child. They say Kawasaki disease presents very similarly to the Multi-System Inflammatory Syndrome in children that they are seeing in post Covid infections.   (My baby also had unusual birth circumstances, as he was born at 37 weeks, triggered by a maternal appendicitis.) However, if they know that antibodies go through the breastmilk as a good thing, then why wouldn't the spike protein also go through the breastmilk and potentially cause problems."
	"1532154-1"	"1532154-1"	"DEATH OF RELATIVE"	"10011931"	"30-39 years"	"30-39"	"On July 17, my baby passed away. I had been breastfeeding my 6 week old baby at the time that I received the first Pfizer vaccine on June 4, 2021.  He became very sick with a high fever about 2 weeks after I got the first Pfizer vaccine on June 21. He was treated for 2 weeks with IV antibiotics for a supposed bacterial infection. However, they never found any specific bacteria, and called his diagnosis culture-negative sepsis. At the end of his hospital stay he tested positive for rhinovirus. After the 14 day course of antibiotics, he was home for one week, but exhibited strange symptoms (e.g. swollen eyelid, strange rashes, vomiting). I took him back to the hospital on July 15, where he presented with what they called an atypical Kawasaki disease. He passed away shortly thereafter from clots in his severely inflamed arteries. I am curious if the spike protein could have gone through the breast milk and caused an inflammatory response in my child. They say Kawasaki disease presents very similarly to the Multi-System Inflammatory Syndrome in children that they are seeing in post Covid infections.   (My baby also had unusual birth circumstances, as he was born at 37 weeks, triggered by a maternal appendicitis.) However, if they know that antibodies go through the breastmilk as a good thing, then why wouldn't the spike protein also go through the breastmilk and potentially cause problems."
	"1532167-1"	"1532167-1"	"AUTOPSY"	"10050117"	"30-39 years"	"30-39"	"The patient died of a hemorrhaging cerebral hemangioma 3 weeks after getting the vaccine."
	"1532167-1"	"1532167-1"	"CEREBRAL HAEMANGIOMA"	"10048788"	"30-39 years"	"30-39"	"The patient died of a hemorrhaging cerebral hemangioma 3 weeks after getting the vaccine."
	"1532167-1"	"1532167-1"	"CEREBRAL HAEMORRHAGE"	"10008111"	"30-39 years"	"30-39"	"The patient died of a hemorrhaging cerebral hemangioma 3 weeks after getting the vaccine."
	"1532167-1"	"1532167-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"The patient died of a hemorrhaging cerebral hemangioma 3 weeks after getting the vaccine."
	"1535508-1"	"1535508-1"	"RESPIRATORY FAILURE"	"10038695"	"30-39 years"	"30-39"	"RESPIRATORY FAILURE"
	"1535548-1"	"1535548-1"	"AUTOPSY"	"10050117"	"40-49 years"	"40-49"	"sudden death"
	"1535548-1"	"1535548-1"	"SUDDEN DEATH"	"10042434"	"40-49 years"	"40-49"	"sudden death"
	"1536025-1"	"1536025-1"	"ACUTE KIDNEY INJURY"	"10069339"	"30-39 years"	"30-39"	"Six days after her first vaccine patient became lightheaded. She presented to Hospital where she was found to have bilateral pneumonia with ground glass opacities, AKI and severe hypertension-systolic BP 200. She was admitted and began a steady downhill course intubated 5/5/21. Transferred to another hospital and seen by multiple specialists. On ventilator with kidney  support. Repeated cultures negative for bacterial infection although pressors needed to maintain BP. Kidney biopsy showed vasculitis. Patient died with catastrophic multiorgan failure 5/26/21. Autopsy lists cause of death as pneumonia complicated by antiphospholipid Syndrome."
	"1536025-1"	"1536025-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"30-39 years"	"30-39"	"Six days after her first vaccine patient became lightheaded. She presented to Hospital where she was found to have bilateral pneumonia with ground glass opacities, AKI and severe hypertension-systolic BP 200. She was admitted and began a steady downhill course intubated 5/5/21. Transferred to another hospital and seen by multiple specialists. On ventilator with kidney  support. Repeated cultures negative for bacterial infection although pressors needed to maintain BP. Kidney biopsy showed vasculitis. Patient died with catastrophic multiorgan failure 5/26/21. Autopsy lists cause of death as pneumonia complicated by antiphospholipid Syndrome."
	"1536025-1"	"1536025-1"	"ANTIPHOSPHOLIPID SYNDROME"	"10002817"	"30-39 years"	"30-39"	"Six days after her first vaccine patient became lightheaded. She presented to Hospital where she was found to have bilateral pneumonia with ground glass opacities, AKI and severe hypertension-systolic BP 200. She was admitted and began a steady downhill course intubated 5/5/21. Transferred to another hospital and seen by multiple specialists. On ventilator with kidney  support. Repeated cultures negative for bacterial infection although pressors needed to maintain BP. Kidney biopsy showed vasculitis. Patient died with catastrophic multiorgan failure 5/26/21. Autopsy lists cause of death as pneumonia complicated by antiphospholipid Syndrome."
	"1536025-1"	"1536025-1"	"AUTOPSY"	"10050117"	"30-39 years"	"30-39"	"Six days after her first vaccine patient became lightheaded. She presented to Hospital where she was found to have bilateral pneumonia with ground glass opacities, AKI and severe hypertension-systolic BP 200. She was admitted and began a steady downhill course intubated 5/5/21. Transferred to another hospital and seen by multiple specialists. On ventilator with kidney  support. Repeated cultures negative for bacterial infection although pressors needed to maintain BP. Kidney biopsy showed vasculitis. Patient died with catastrophic multiorgan failure 5/26/21. Autopsy lists cause of death as pneumonia complicated by antiphospholipid Syndrome."
	"1536025-1"	"1536025-1"	"BIOPSY KIDNEY ABNORMAL"	"10004783"	"30-39 years"	"30-39"	"Six days after her first vaccine patient became lightheaded. She presented to Hospital where she was found to have bilateral pneumonia with ground glass opacities, AKI and severe hypertension-systolic BP 200. She was admitted and began a steady downhill course intubated 5/5/21. Transferred to another hospital and seen by multiple specialists. On ventilator with kidney  support. Repeated cultures negative for bacterial infection although pressors needed to maintain BP. Kidney biopsy showed vasculitis. Patient died with catastrophic multiorgan failure 5/26/21. Autopsy lists cause of death as pneumonia complicated by antiphospholipid Syndrome."
	"1536025-1"	"1536025-1"	"BLOOD CULTURE NEGATIVE"	"10005486"	"30-39 years"	"30-39"	"Six days after her first vaccine patient became lightheaded. She presented to Hospital where she was found to have bilateral pneumonia with ground glass opacities, AKI and severe hypertension-systolic BP 200. She was admitted and began a steady downhill course intubated 5/5/21. Transferred to another hospital and seen by multiple specialists. On ventilator with kidney  support. Repeated cultures negative for bacterial infection although pressors needed to maintain BP. Kidney biopsy showed vasculitis. Patient died with catastrophic multiorgan failure 5/26/21. Autopsy lists cause of death as pneumonia complicated by antiphospholipid Syndrome."
	"1536025-1"	"1536025-1"	"BLOOD LACTIC ACID INCREASED"	"10005635"	"30-39 years"	"30-39"	"Six days after her first vaccine patient became lightheaded. She presented to Hospital where she was found to have bilateral pneumonia with ground glass opacities, AKI and severe hypertension-systolic BP 200. She was admitted and began a steady downhill course intubated 5/5/21. Transferred to another hospital and seen by multiple specialists. On ventilator with kidney  support. Repeated cultures negative for bacterial infection although pressors needed to maintain BP. Kidney biopsy showed vasculitis. Patient died with catastrophic multiorgan failure 5/26/21. Autopsy lists cause of death as pneumonia complicated by antiphospholipid Syndrome."
	"1536025-1"	"1536025-1"	"CONDITION AGGRAVATED"	"10010264"	"30-39 years"	"30-39"	"Six days after her first vaccine patient became lightheaded. She presented to Hospital where she was found to have bilateral pneumonia with ground glass opacities, AKI and severe hypertension-systolic BP 200. She was admitted and began a steady downhill course intubated 5/5/21. Transferred to another hospital and seen by multiple specialists. On ventilator with kidney  support. Repeated cultures negative for bacterial infection although pressors needed to maintain BP. Kidney biopsy showed vasculitis. Patient died with catastrophic multiorgan failure 5/26/21. Autopsy lists cause of death as pneumonia complicated by antiphospholipid Syndrome."
	"1536025-1"	"1536025-1"	"CULTURE NEGATIVE"	"10061448"	"30-39 years"	"30-39"	"Six days after her first vaccine patient became lightheaded. She presented to Hospital where she was found to have bilateral pneumonia with ground glass opacities, AKI and severe hypertension-systolic BP 200. She was admitted and began a steady downhill course intubated 5/5/21. Transferred to another hospital and seen by multiple specialists. On ventilator with kidney  support. Repeated cultures negative for bacterial infection although pressors needed to maintain BP. Kidney biopsy showed vasculitis. Patient died with catastrophic multiorgan failure 5/26/21. Autopsy lists cause of death as pneumonia complicated by antiphospholipid Syndrome."
	"1536025-1"	"1536025-1"	"CULTURE URINE NEGATIVE"	"10011639"	"30-39 years"	"30-39"	"Six days after her first vaccine patient became lightheaded. She presented to Hospital where she was found to have bilateral pneumonia with ground glass opacities, AKI and severe hypertension-systolic BP 200. She was admitted and began a steady downhill course intubated 5/5/21. Transferred to another hospital and seen by multiple specialists. On ventilator with kidney  support. Repeated cultures negative for bacterial infection although pressors needed to maintain BP. Kidney biopsy showed vasculitis. Patient died with catastrophic multiorgan failure 5/26/21. Autopsy lists cause of death as pneumonia complicated by antiphospholipid Syndrome."
	"1536025-1"	"1536025-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Six days after her first vaccine patient became lightheaded. She presented to Hospital where she was found to have bilateral pneumonia with ground glass opacities, AKI and severe hypertension-systolic BP 200. She was admitted and began a steady downhill course intubated 5/5/21. Transferred to another hospital and seen by multiple specialists. On ventilator with kidney  support. Repeated cultures negative for bacterial infection although pressors needed to maintain BP. Kidney biopsy showed vasculitis. Patient died with catastrophic multiorgan failure 5/26/21. Autopsy lists cause of death as pneumonia complicated by antiphospholipid Syndrome."
	"1536025-1"	"1536025-1"	"DIZZINESS"	"10013573"	"30-39 years"	"30-39"	"Six days after her first vaccine patient became lightheaded. She presented to Hospital where she was found to have bilateral pneumonia with ground glass opacities, AKI and severe hypertension-systolic BP 200. She was admitted and began a steady downhill course intubated 5/5/21. Transferred to another hospital and seen by multiple specialists. On ventilator with kidney  support. Repeated cultures negative for bacterial infection although pressors needed to maintain BP. Kidney biopsy showed vasculitis. Patient died with catastrophic multiorgan failure 5/26/21. Autopsy lists cause of death as pneumonia complicated by antiphospholipid Syndrome."
	"1536025-1"	"1536025-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"30-39 years"	"30-39"	"Six days after her first vaccine patient became lightheaded. She presented to Hospital where she was found to have bilateral pneumonia with ground glass opacities, AKI and severe hypertension-systolic BP 200. She was admitted and began a steady downhill course intubated 5/5/21. Transferred to another hospital and seen by multiple specialists. On ventilator with kidney  support. Repeated cultures negative for bacterial infection although pressors needed to maintain BP. Kidney biopsy showed vasculitis. Patient died with catastrophic multiorgan failure 5/26/21. Autopsy lists cause of death as pneumonia complicated by antiphospholipid Syndrome."
	"1536025-1"	"1536025-1"	"HAEMOGLOBIN DECREASED"	"10018884"	"30-39 years"	"30-39"	"Six days after her first vaccine patient became lightheaded. She presented to Hospital where she was found to have bilateral pneumonia with ground glass opacities, AKI and severe hypertension-systolic BP 200. She was admitted and began a steady downhill course intubated 5/5/21. Transferred to another hospital and seen by multiple specialists. On ventilator with kidney  support. Repeated cultures negative for bacterial infection although pressors needed to maintain BP. Kidney biopsy showed vasculitis. Patient died with catastrophic multiorgan failure 5/26/21. Autopsy lists cause of death as pneumonia complicated by antiphospholipid Syndrome."
	"1536025-1"	"1536025-1"	"HYPERTENSION"	"10020772"	"30-39 years"	"30-39"	"Six days after her first vaccine patient became lightheaded. She presented to Hospital where she was found to have bilateral pneumonia with ground glass opacities, AKI and severe hypertension-systolic BP 200. She was admitted and began a steady downhill course intubated 5/5/21. Transferred to another hospital and seen by multiple specialists. On ventilator with kidney  support. Repeated cultures negative for bacterial infection although pressors needed to maintain BP. Kidney biopsy showed vasculitis. Patient died with catastrophic multiorgan failure 5/26/21. Autopsy lists cause of death as pneumonia complicated by antiphospholipid Syndrome."
	"1536025-1"	"1536025-1"	"IMMUNOGLOBULIN THERAPY"	"10069534"	"30-39 years"	"30-39"	"Six days after her first vaccine patient became lightheaded. She presented to Hospital where she was found to have bilateral pneumonia with ground glass opacities, AKI and severe hypertension-systolic BP 200. She was admitted and began a steady downhill course intubated 5/5/21. Transferred to another hospital and seen by multiple specialists. On ventilator with kidney  support. Repeated cultures negative for bacterial infection although pressors needed to maintain BP. Kidney biopsy showed vasculitis. Patient died with catastrophic multiorgan failure 5/26/21. Autopsy lists cause of death as pneumonia complicated by antiphospholipid Syndrome."
	"1536025-1"	"1536025-1"	"LACTIC ACIDOSIS"	"10023676"	"30-39 years"	"30-39"	"Six days after her first vaccine patient became lightheaded. She presented to Hospital where she was found to have bilateral pneumonia with ground glass opacities, AKI and severe hypertension-systolic BP 200. She was admitted and began a steady downhill course intubated 5/5/21. Transferred to another hospital and seen by multiple specialists. On ventilator with kidney  support. Repeated cultures negative for bacterial infection although pressors needed to maintain BP. Kidney biopsy showed vasculitis. Patient died with catastrophic multiorgan failure 5/26/21. Autopsy lists cause of death as pneumonia complicated by antiphospholipid Syndrome."
	"1536025-1"	"1536025-1"	"LUNG OPACITY"	"10081792"	"30-39 years"	"30-39"	"Six days after her first vaccine patient became lightheaded. She presented to Hospital where she was found to have bilateral pneumonia with ground glass opacities, AKI and severe hypertension-systolic BP 200. She was admitted and began a steady downhill course intubated 5/5/21. Transferred to another hospital and seen by multiple specialists. On ventilator with kidney  support. Repeated cultures negative for bacterial infection although pressors needed to maintain BP. Kidney biopsy showed vasculitis. Patient died with catastrophic multiorgan failure 5/26/21. Autopsy lists cause of death as pneumonia complicated by antiphospholipid Syndrome."
	"1536025-1"	"1536025-1"	"MECHANICAL VENTILATION"	"10067221"	"30-39 years"	"30-39"	"Six days after her first vaccine patient became lightheaded. She presented to Hospital where she was found to have bilateral pneumonia with ground glass opacities, AKI and severe hypertension-systolic BP 200. She was admitted and began a steady downhill course intubated 5/5/21. Transferred to another hospital and seen by multiple specialists. On ventilator with kidney  support. Repeated cultures negative for bacterial infection although pressors needed to maintain BP. Kidney biopsy showed vasculitis. Patient died with catastrophic multiorgan failure 5/26/21. Autopsy lists cause of death as pneumonia complicated by antiphospholipid Syndrome."
	"1536025-1"	"1536025-1"	"MULTIPLE ORGAN DYSFUNCTION SYNDROME"	"10077361"	"30-39 years"	"30-39"	"Six days after her first vaccine patient became lightheaded. She presented to Hospital where she was found to have bilateral pneumonia with ground glass opacities, AKI and severe hypertension-systolic BP 200. She was admitted and began a steady downhill course intubated 5/5/21. Transferred to another hospital and seen by multiple specialists. On ventilator with kidney  support. Repeated cultures negative for bacterial infection although pressors needed to maintain BP. Kidney biopsy showed vasculitis. Patient died with catastrophic multiorgan failure 5/26/21. Autopsy lists cause of death as pneumonia complicated by antiphospholipid Syndrome."
	"1536025-1"	"1536025-1"	"PLASMAPHERESIS"	"10035486"	"30-39 years"	"30-39"	"Six days after her first vaccine patient became lightheaded. She presented to Hospital where she was found to have bilateral pneumonia with ground glass opacities, AKI and severe hypertension-systolic BP 200. She was admitted and began a steady downhill course intubated 5/5/21. Transferred to another hospital and seen by multiple specialists. On ventilator with kidney  support. Repeated cultures negative for bacterial infection although pressors needed to maintain BP. Kidney biopsy showed vasculitis. Patient died with catastrophic multiorgan failure 5/26/21. Autopsy lists cause of death as pneumonia complicated by antiphospholipid Syndrome."
	"1536025-1"	"1536025-1"	"PNEUMONIA"	"10035664"	"30-39 years"	"30-39"	"Six days after her first vaccine patient became lightheaded. She presented to Hospital where she was found to have bilateral pneumonia with ground glass opacities, AKI and severe hypertension-systolic BP 200. She was admitted and began a steady downhill course intubated 5/5/21. Transferred to another hospital and seen by multiple specialists. On ventilator with kidney  support. Repeated cultures negative for bacterial infection although pressors needed to maintain BP. Kidney biopsy showed vasculitis. Patient died with catastrophic multiorgan failure 5/26/21. Autopsy lists cause of death as pneumonia complicated by antiphospholipid Syndrome."
	"1536025-1"	"1536025-1"	"RENAL REPLACEMENT THERAPY"	"10074746"	"30-39 years"	"30-39"	"Six days after her first vaccine patient became lightheaded. She presented to Hospital where she was found to have bilateral pneumonia with ground glass opacities, AKI and severe hypertension-systolic BP 200. She was admitted and began a steady downhill course intubated 5/5/21. Transferred to another hospital and seen by multiple specialists. On ventilator with kidney  support. Repeated cultures negative for bacterial infection although pressors needed to maintain BP. Kidney biopsy showed vasculitis. Patient died with catastrophic multiorgan failure 5/26/21. Autopsy lists cause of death as pneumonia complicated by antiphospholipid Syndrome."
	"1536025-1"	"1536025-1"	"SARS-COV-2 TEST NEGATIVE"	"10084273"	"30-39 years"	"30-39"	"Six days after her first vaccine patient became lightheaded. She presented to Hospital where she was found to have bilateral pneumonia with ground glass opacities, AKI and severe hypertension-systolic BP 200. She was admitted and began a steady downhill course intubated 5/5/21. Transferred to another hospital and seen by multiple specialists. On ventilator with kidney  support. Repeated cultures negative for bacterial infection although pressors needed to maintain BP. Kidney biopsy showed vasculitis. Patient died with catastrophic multiorgan failure 5/26/21. Autopsy lists cause of death as pneumonia complicated by antiphospholipid Syndrome."
	"1536025-1"	"1536025-1"	"TRANSFUSION"	"10066152"	"30-39 years"	"30-39"	"Six days after her first vaccine patient became lightheaded. She presented to Hospital where she was found to have bilateral pneumonia with ground glass opacities, AKI and severe hypertension-systolic BP 200. She was admitted and began a steady downhill course intubated 5/5/21. Transferred to another hospital and seen by multiple specialists. On ventilator with kidney  support. Repeated cultures negative for bacterial infection although pressors needed to maintain BP. Kidney biopsy showed vasculitis. Patient died with catastrophic multiorgan failure 5/26/21. Autopsy lists cause of death as pneumonia complicated by antiphospholipid Syndrome."
	"1536025-1"	"1536025-1"	"VASCULITIS"	"10047115"	"30-39 years"	"30-39"	"Six days after her first vaccine patient became lightheaded. She presented to Hospital where she was found to have bilateral pneumonia with ground glass opacities, AKI and severe hypertension-systolic BP 200. She was admitted and began a steady downhill course intubated 5/5/21. Transferred to another hospital and seen by multiple specialists. On ventilator with kidney  support. Repeated cultures negative for bacterial infection although pressors needed to maintain BP. Kidney biopsy showed vasculitis. Patient died with catastrophic multiorgan failure 5/26/21. Autopsy lists cause of death as pneumonia complicated by antiphospholipid Syndrome."
	"1542094-1"	"1542094-1"	"RESPIRATORY ARREST"	"10038669"	"40-49 years"	"40-49"	"RESPIRATORY ARREST"
	"1542100-1"	"1542100-1"	"CARDIAC DEATH"	"10049993"	"30-39 years"	"30-39"	"PRESSUMED CARDIAC DEATH"
	"1542839-1"	"1542839-1"	"ACUTE CORONARY SYNDROME"	"10051592"	"40-49 years"	"40-49"	"ACUTE CORONARY SYNDROM"
	"1544991-1"	"1544991-1"	"SEPSIS"	"10040047"	"30-39 years"	"30-39"	"SEPSIS"
	"1545011-1"	"1545011-1"	"AUTOPSY"	"10050117"	"40-49 years"	"40-49"	"Death less than 24 hr after receipt of Pfizer #1 covid vaccine: 43 yo reportedly received her first Pfizer covid vaccine on 7/2302021.  Her agent received a call from Staff to inform  her of this sudden death.  She was reportedly found on her couch deceased on Friday evening, 30 JUL 2021 and law enforcement had her transferred to a Funeral Home pending determination on Autopsy and Family wishes. Presumed cause of death is Heart Failure with Autopsy pending for etiology of Dilated Cardiomyopathy and death. Patient had 1.5 yr hx of  dyspnea on exertion, intermittent chest pain at rest, and palpitations. She was evaluated here for a LBBB and long QT in 2018. Echo at the time was normal and she was cleared.   BP: 118/72; HR: 71; RR: 16; T: 98.6 ¦F (37 ¦C); HT: 66 in (167.64 cm); WT: 155 lbs (70.31 kg); SpO2: 98%; BMI: 25.02; BSA: 1.795 square meters; Tobacco Use: Yes; What type of tobacco product?: menthol; Amount of tobacco product used per day: 2 per day;"
	"1545011-1"	"1545011-1"	"CARDIAC FAILURE"	"10007554"	"40-49 years"	"40-49"	"Death less than 24 hr after receipt of Pfizer #1 covid vaccine: 43 yo reportedly received her first Pfizer covid vaccine on 7/2302021.  Her agent received a call from Staff to inform  her of this sudden death.  She was reportedly found on her couch deceased on Friday evening, 30 JUL 2021 and law enforcement had her transferred to a Funeral Home pending determination on Autopsy and Family wishes. Presumed cause of death is Heart Failure with Autopsy pending for etiology of Dilated Cardiomyopathy and death. Patient had 1.5 yr hx of  dyspnea on exertion, intermittent chest pain at rest, and palpitations. She was evaluated here for a LBBB and long QT in 2018. Echo at the time was normal and she was cleared.   BP: 118/72; HR: 71; RR: 16; T: 98.6 ¦F (37 ¦C); HT: 66 in (167.64 cm); WT: 155 lbs (70.31 kg); SpO2: 98%; BMI: 25.02; BSA: 1.795 square meters; Tobacco Use: Yes; What type of tobacco product?: menthol; Amount of tobacco product used per day: 2 per day;"
	"1545011-1"	"1545011-1"	"CONGESTIVE CARDIOMYOPATHY"	"10056370"	"40-49 years"	"40-49"	"Death less than 24 hr after receipt of Pfizer #1 covid vaccine: 43 yo reportedly received her first Pfizer covid vaccine on 7/2302021.  Her agent received a call from Staff to inform  her of this sudden death.  She was reportedly found on her couch deceased on Friday evening, 30 JUL 2021 and law enforcement had her transferred to a Funeral Home pending determination on Autopsy and Family wishes. Presumed cause of death is Heart Failure with Autopsy pending for etiology of Dilated Cardiomyopathy and death. Patient had 1.5 yr hx of  dyspnea on exertion, intermittent chest pain at rest, and palpitations. She was evaluated here for a LBBB and long QT in 2018. Echo at the time was normal and she was cleared.   BP: 118/72; HR: 71; RR: 16; T: 98.6 ¦F (37 ¦C); HT: 66 in (167.64 cm); WT: 155 lbs (70.31 kg); SpO2: 98%; BMI: 25.02; BSA: 1.795 square meters; Tobacco Use: Yes; What type of tobacco product?: menthol; Amount of tobacco product used per day: 2 per day;"
	"1545011-1"	"1545011-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Death less than 24 hr after receipt of Pfizer #1 covid vaccine: 43 yo reportedly received her first Pfizer covid vaccine on 7/2302021.  Her agent received a call from Staff to inform  her of this sudden death.  She was reportedly found on her couch deceased on Friday evening, 30 JUL 2021 and law enforcement had her transferred to a Funeral Home pending determination on Autopsy and Family wishes. Presumed cause of death is Heart Failure with Autopsy pending for etiology of Dilated Cardiomyopathy and death. Patient had 1.5 yr hx of  dyspnea on exertion, intermittent chest pain at rest, and palpitations. She was evaluated here for a LBBB and long QT in 2018. Echo at the time was normal and she was cleared.   BP: 118/72; HR: 71; RR: 16; T: 98.6 ¦F (37 ¦C); HT: 66 in (167.64 cm); WT: 155 lbs (70.31 kg); SpO2: 98%; BMI: 25.02; BSA: 1.795 square meters; Tobacco Use: Yes; What type of tobacco product?: menthol; Amount of tobacco product used per day: 2 per day;"
	"1545011-1"	"1545011-1"	"SUDDEN DEATH"	"10042434"	"40-49 years"	"40-49"	"Death less than 24 hr after receipt of Pfizer #1 covid vaccine: 43 yo reportedly received her first Pfizer covid vaccine on 7/2302021.  Her agent received a call from Staff to inform  her of this sudden death.  She was reportedly found on her couch deceased on Friday evening, 30 JUL 2021 and law enforcement had her transferred to a Funeral Home pending determination on Autopsy and Family wishes. Presumed cause of death is Heart Failure with Autopsy pending for etiology of Dilated Cardiomyopathy and death. Patient had 1.5 yr hx of  dyspnea on exertion, intermittent chest pain at rest, and palpitations. She was evaluated here for a LBBB and long QT in 2018. Echo at the time was normal and she was cleared.   BP: 118/72; HR: 71; RR: 16; T: 98.6 ¦F (37 ¦C); HT: 66 in (167.64 cm); WT: 155 lbs (70.31 kg); SpO2: 98%; BMI: 25.02; BSA: 1.795 square meters; Tobacco Use: Yes; What type of tobacco product?: menthol; Amount of tobacco product used per day: 2 per day;"
	"1549046-1"	"1549046-1"	"ACUTE KIDNEY INJURY"	"10069339"	"40-49 years"	"40-49"	"Admitted 07/24/07/27 for weakness in legs, found to have O2 sat of 50% on room air. COVID test positive on 7/24 and pt diagnosed with acute hypoxemic respiratory failure due to COVID-19 . She was also found to be in acute renal failure. Pt was intubated, placed on vent and started on CRRT. She received Moderna vaccine, 2nd dose on May 15, 2021.  On admission, pt denied  any shortness of breath, body aches, headache, fever or chills. Patient condition deteriorated. was made comfort care on 7/27 and expired 7/27/21."
	"1549046-1"	"1549046-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"40-49 years"	"40-49"	"Admitted 07/24/07/27 for weakness in legs, found to have O2 sat of 50% on room air. COVID test positive on 7/24 and pt diagnosed with acute hypoxemic respiratory failure due to COVID-19 . She was also found to be in acute renal failure. Pt was intubated, placed on vent and started on CRRT. She received Moderna vaccine, 2nd dose on May 15, 2021.  On admission, pt denied  any shortness of breath, body aches, headache, fever or chills. Patient condition deteriorated. was made comfort care on 7/27 and expired 7/27/21."
	"1549046-1"	"1549046-1"	"COVID-19"	"10084268"	"40-49 years"	"40-49"	"Admitted 07/24/07/27 for weakness in legs, found to have O2 sat of 50% on room air. COVID test positive on 7/24 and pt diagnosed with acute hypoxemic respiratory failure due to COVID-19 . She was also found to be in acute renal failure. Pt was intubated, placed on vent and started on CRRT. She received Moderna vaccine, 2nd dose on May 15, 2021.  On admission, pt denied  any shortness of breath, body aches, headache, fever or chills. Patient condition deteriorated. was made comfort care on 7/27 and expired 7/27/21."
	"1549046-1"	"1549046-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Admitted 07/24/07/27 for weakness in legs, found to have O2 sat of 50% on room air. COVID test positive on 7/24 and pt diagnosed with acute hypoxemic respiratory failure due to COVID-19 . She was also found to be in acute renal failure. Pt was intubated, placed on vent and started on CRRT. She received Moderna vaccine, 2nd dose on May 15, 2021.  On admission, pt denied  any shortness of breath, body aches, headache, fever or chills. Patient condition deteriorated. was made comfort care on 7/27 and expired 7/27/21."
	"1549046-1"	"1549046-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"40-49 years"	"40-49"	"Admitted 07/24/07/27 for weakness in legs, found to have O2 sat of 50% on room air. COVID test positive on 7/24 and pt diagnosed with acute hypoxemic respiratory failure due to COVID-19 . She was also found to be in acute renal failure. Pt was intubated, placed on vent and started on CRRT. She received Moderna vaccine, 2nd dose on May 15, 2021.  On admission, pt denied  any shortness of breath, body aches, headache, fever or chills. Patient condition deteriorated. was made comfort care on 7/27 and expired 7/27/21."
	"1549046-1"	"1549046-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"40-49 years"	"40-49"	"Admitted 07/24/07/27 for weakness in legs, found to have O2 sat of 50% on room air. COVID test positive on 7/24 and pt diagnosed with acute hypoxemic respiratory failure due to COVID-19 . She was also found to be in acute renal failure. Pt was intubated, placed on vent and started on CRRT. She received Moderna vaccine, 2nd dose on May 15, 2021.  On admission, pt denied  any shortness of breath, body aches, headache, fever or chills. Patient condition deteriorated. was made comfort care on 7/27 and expired 7/27/21."
	"1549046-1"	"1549046-1"	"MECHANICAL VENTILATION"	"10067221"	"40-49 years"	"40-49"	"Admitted 07/24/07/27 for weakness in legs, found to have O2 sat of 50% on room air. COVID test positive on 7/24 and pt diagnosed with acute hypoxemic respiratory failure due to COVID-19 . She was also found to be in acute renal failure. Pt was intubated, placed on vent and started on CRRT. She received Moderna vaccine, 2nd dose on May 15, 2021.  On admission, pt denied  any shortness of breath, body aches, headache, fever or chills. Patient condition deteriorated. was made comfort care on 7/27 and expired 7/27/21."
	"1549046-1"	"1549046-1"	"MUSCULAR WEAKNESS"	"10028372"	"40-49 years"	"40-49"	"Admitted 07/24/07/27 for weakness in legs, found to have O2 sat of 50% on room air. COVID test positive on 7/24 and pt diagnosed with acute hypoxemic respiratory failure due to COVID-19 . She was also found to be in acute renal failure. Pt was intubated, placed on vent and started on CRRT. She received Moderna vaccine, 2nd dose on May 15, 2021.  On admission, pt denied  any shortness of breath, body aches, headache, fever or chills. Patient condition deteriorated. was made comfort care on 7/27 and expired 7/27/21."
	"1549046-1"	"1549046-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"40-49 years"	"40-49"	"Admitted 07/24/07/27 for weakness in legs, found to have O2 sat of 50% on room air. COVID test positive on 7/24 and pt diagnosed with acute hypoxemic respiratory failure due to COVID-19 . She was also found to be in acute renal failure. Pt was intubated, placed on vent and started on CRRT. She received Moderna vaccine, 2nd dose on May 15, 2021.  On admission, pt denied  any shortness of breath, body aches, headache, fever or chills. Patient condition deteriorated. was made comfort care on 7/27 and expired 7/27/21."
	"1549612-1"	"1549612-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Dealth"
	"1553645-1"	"1553645-1"	"ACUTE CHEST SYNDROME"	"10051895"	"30-39 years"	"30-39"	"The patient is a 36 y.o. female with a past medical history notable for Hemolytic anemia on Rituxin monthly, Follows with Dr., chronic pain, depression, hypertension, migraines, sickle cell disorder, and thyroid disease who presents as a transfer from ER due to sickle cell crisis. Patient presented to ER with AMS, family reported finding patient unresponsive at home this am. Per record GCS was 5-7 when EMS arrived. Her sats were in the 60s. Patient was found to have a fentanyl patch which she is prescribed. She did not appear to be improving. She was subsequently intubated. She was somewhat difficult to oxygenate. Bronchoscopy showed copious edema bilaterally. Chest x-ray showed diffuse pulmonary edema. Her hemoglobin was found to be 4.9. She was noted to have some vaginal bleeding. Occult blood testing was positive. Per report patient's pulse bradied down into the 30s. It was unclear if she had a pulse so CPR was started. She quickly regained ROSC. Her heart rate improved to the 90s. She was given 1 unit of blood, started on propofol and epinephrine. Creatinine was 1.2. Potassium was 3.2, and it was replaced. WBC 10,Initial head CT scan was nondiagnostic due to limited patient cooperation. Repeat CT head was negative for acute abnormality. Patient was started on cefepime. She was transferred here for higher level of care. She is subsequently being transferred to another facility for further evaluation. On arrival here patient is intubated, sedated on propofol, in no distress. Vital signs stable. Patient tested positive for COVID-19. Started on Decadron and remdesivir. Critical care consulted. Has developed hypertriglyceridemia. Additionally, sputum culture growing MSSA consistent with superimposed MSSA pneumonia. Patient on cefepime. Patient had general worsening of her condition with worsening respiratory issues. On the night of 810, patient coded multiple times. Family visually made the decision to make patient DNR. Hemoglobin dropped consistent with acute chest syndrome. Lactic acid was greater than 18. Patient coded 1 more time and expired early this morning."
	"1553645-1"	"1553645-1"	"BLOOD CREATININE INCREASED"	"10005483"	"30-39 years"	"30-39"	"The patient is a 36 y.o. female with a past medical history notable for Hemolytic anemia on Rituxin monthly, Follows with Dr., chronic pain, depression, hypertension, migraines, sickle cell disorder, and thyroid disease who presents as a transfer from ER due to sickle cell crisis. Patient presented to ER with AMS, family reported finding patient unresponsive at home this am. Per record GCS was 5-7 when EMS arrived. Her sats were in the 60s. Patient was found to have a fentanyl patch which she is prescribed. She did not appear to be improving. She was subsequently intubated. She was somewhat difficult to oxygenate. Bronchoscopy showed copious edema bilaterally. Chest x-ray showed diffuse pulmonary edema. Her hemoglobin was found to be 4.9. She was noted to have some vaginal bleeding. Occult blood testing was positive. Per report patient's pulse bradied down into the 30s. It was unclear if she had a pulse so CPR was started. She quickly regained ROSC. Her heart rate improved to the 90s. She was given 1 unit of blood, started on propofol and epinephrine. Creatinine was 1.2. Potassium was 3.2, and it was replaced. WBC 10,Initial head CT scan was nondiagnostic due to limited patient cooperation. Repeat CT head was negative for acute abnormality. Patient was started on cefepime. She was transferred here for higher level of care. She is subsequently being transferred to another facility for further evaluation. On arrival here patient is intubated, sedated on propofol, in no distress. Vital signs stable. Patient tested positive for COVID-19. Started on Decadron and remdesivir. Critical care consulted. Has developed hypertriglyceridemia. Additionally, sputum culture growing MSSA consistent with superimposed MSSA pneumonia. Patient on cefepime. Patient had general worsening of her condition with worsening respiratory issues. On the night of 810, patient coded multiple times. Family visually made the decision to make patient DNR. Hemoglobin dropped consistent with acute chest syndrome. Lactic acid was greater than 18. Patient coded 1 more time and expired early this morning."
	"1553645-1"	"1553645-1"	"BLOOD LACTIC ACID INCREASED"	"10005635"	"30-39 years"	"30-39"	"The patient is a 36 y.o. female with a past medical history notable for Hemolytic anemia on Rituxin monthly, Follows with Dr., chronic pain, depression, hypertension, migraines, sickle cell disorder, and thyroid disease who presents as a transfer from ER due to sickle cell crisis. Patient presented to ER with AMS, family reported finding patient unresponsive at home this am. Per record GCS was 5-7 when EMS arrived. Her sats were in the 60s. Patient was found to have a fentanyl patch which she is prescribed. She did not appear to be improving. She was subsequently intubated. She was somewhat difficult to oxygenate. Bronchoscopy showed copious edema bilaterally. Chest x-ray showed diffuse pulmonary edema. Her hemoglobin was found to be 4.9. She was noted to have some vaginal bleeding. Occult blood testing was positive. Per report patient's pulse bradied down into the 30s. It was unclear if she had a pulse so CPR was started. She quickly regained ROSC. Her heart rate improved to the 90s. She was given 1 unit of blood, started on propofol and epinephrine. Creatinine was 1.2. Potassium was 3.2, and it was replaced. WBC 10,Initial head CT scan was nondiagnostic due to limited patient cooperation. Repeat CT head was negative for acute abnormality. Patient was started on cefepime. She was transferred here for higher level of care. She is subsequently being transferred to another facility for further evaluation. On arrival here patient is intubated, sedated on propofol, in no distress. Vital signs stable. Patient tested positive for COVID-19. Started on Decadron and remdesivir. Critical care consulted. Has developed hypertriglyceridemia. Additionally, sputum culture growing MSSA consistent with superimposed MSSA pneumonia. Patient on cefepime. Patient had general worsening of her condition with worsening respiratory issues. On the night of 810, patient coded multiple times. Family visually made the decision to make patient DNR. Hemoglobin dropped consistent with acute chest syndrome. Lactic acid was greater than 18. Patient coded 1 more time and expired early this morning."
	"1553645-1"	"1553645-1"	"BLOOD POTASSIUM DECREASED"	"10005724"	"30-39 years"	"30-39"	"The patient is a 36 y.o. female with a past medical history notable for Hemolytic anemia on Rituxin monthly, Follows with Dr., chronic pain, depression, hypertension, migraines, sickle cell disorder, and thyroid disease who presents as a transfer from ER due to sickle cell crisis. Patient presented to ER with AMS, family reported finding patient unresponsive at home this am. Per record GCS was 5-7 when EMS arrived. Her sats were in the 60s. Patient was found to have a fentanyl patch which she is prescribed. She did not appear to be improving. She was subsequently intubated. She was somewhat difficult to oxygenate. Bronchoscopy showed copious edema bilaterally. Chest x-ray showed diffuse pulmonary edema. Her hemoglobin was found to be 4.9. She was noted to have some vaginal bleeding. Occult blood testing was positive. Per report patient's pulse bradied down into the 30s. It was unclear if she had a pulse so CPR was started. She quickly regained ROSC. Her heart rate improved to the 90s. She was given 1 unit of blood, started on propofol and epinephrine. Creatinine was 1.2. Potassium was 3.2, and it was replaced. WBC 10,Initial head CT scan was nondiagnostic due to limited patient cooperation. Repeat CT head was negative for acute abnormality. Patient was started on cefepime. She was transferred here for higher level of care. She is subsequently being transferred to another facility for further evaluation. On arrival here patient is intubated, sedated on propofol, in no distress. Vital signs stable. Patient tested positive for COVID-19. Started on Decadron and remdesivir. Critical care consulted. Has developed hypertriglyceridemia. Additionally, sputum culture growing MSSA consistent with superimposed MSSA pneumonia. Patient on cefepime. Patient had general worsening of her condition with worsening respiratory issues. On the night of 810, patient coded multiple times. Family visually made the decision to make patient DNR. Hemoglobin dropped consistent with acute chest syndrome. Lactic acid was greater than 18. Patient coded 1 more time and expired early this morning."
	"1553645-1"	"1553645-1"	"BRADYCARDIA"	"10006093"	"30-39 years"	"30-39"	"The patient is a 36 y.o. female with a past medical history notable for Hemolytic anemia on Rituxin monthly, Follows with Dr., chronic pain, depression, hypertension, migraines, sickle cell disorder, and thyroid disease who presents as a transfer from ER due to sickle cell crisis. Patient presented to ER with AMS, family reported finding patient unresponsive at home this am. Per record GCS was 5-7 when EMS arrived. Her sats were in the 60s. Patient was found to have a fentanyl patch which she is prescribed. She did not appear to be improving. She was subsequently intubated. She was somewhat difficult to oxygenate. Bronchoscopy showed copious edema bilaterally. Chest x-ray showed diffuse pulmonary edema. Her hemoglobin was found to be 4.9. She was noted to have some vaginal bleeding. Occult blood testing was positive. Per report patient's pulse bradied down into the 30s. It was unclear if she had a pulse so CPR was started. She quickly regained ROSC. Her heart rate improved to the 90s. She was given 1 unit of blood, started on propofol and epinephrine. Creatinine was 1.2. Potassium was 3.2, and it was replaced. WBC 10,Initial head CT scan was nondiagnostic due to limited patient cooperation. Repeat CT head was negative for acute abnormality. Patient was started on cefepime. She was transferred here for higher level of care. She is subsequently being transferred to another facility for further evaluation. On arrival here patient is intubated, sedated on propofol, in no distress. Vital signs stable. Patient tested positive for COVID-19. Started on Decadron and remdesivir. Critical care consulted. Has developed hypertriglyceridemia. Additionally, sputum culture growing MSSA consistent with superimposed MSSA pneumonia. Patient on cefepime. Patient had general worsening of her condition with worsening respiratory issues. On the night of 810, patient coded multiple times. Family visually made the decision to make patient DNR. Hemoglobin dropped consistent with acute chest syndrome. Lactic acid was greater than 18. Patient coded 1 more time and expired early this morning."
	"1553645-1"	"1553645-1"	"BRONCHOSCOPY ABNORMAL"	"10006480"	"30-39 years"	"30-39"	"The patient is a 36 y.o. female with a past medical history notable for Hemolytic anemia on Rituxin monthly, Follows with Dr., chronic pain, depression, hypertension, migraines, sickle cell disorder, and thyroid disease who presents as a transfer from ER due to sickle cell crisis. Patient presented to ER with AMS, family reported finding patient unresponsive at home this am. Per record GCS was 5-7 when EMS arrived. Her sats were in the 60s. Patient was found to have a fentanyl patch which she is prescribed. She did not appear to be improving. She was subsequently intubated. She was somewhat difficult to oxygenate. Bronchoscopy showed copious edema bilaterally. Chest x-ray showed diffuse pulmonary edema. Her hemoglobin was found to be 4.9. She was noted to have some vaginal bleeding. Occult blood testing was positive. Per report patient's pulse bradied down into the 30s. It was unclear if she had a pulse so CPR was started. She quickly regained ROSC. Her heart rate improved to the 90s. She was given 1 unit of blood, started on propofol and epinephrine. Creatinine was 1.2. Potassium was 3.2, and it was replaced. WBC 10,Initial head CT scan was nondiagnostic due to limited patient cooperation. Repeat CT head was negative for acute abnormality. Patient was started on cefepime. She was transferred here for higher level of care. She is subsequently being transferred to another facility for further evaluation. On arrival here patient is intubated, sedated on propofol, in no distress. Vital signs stable. Patient tested positive for COVID-19. Started on Decadron and remdesivir. Critical care consulted. Has developed hypertriglyceridemia. Additionally, sputum culture growing MSSA consistent with superimposed MSSA pneumonia. Patient on cefepime. Patient had general worsening of her condition with worsening respiratory issues. On the night of 810, patient coded multiple times. Family visually made the decision to make patient DNR. Hemoglobin dropped consistent with acute chest syndrome. Lactic acid was greater than 18. Patient coded 1 more time and expired early this morning."
	"1553645-1"	"1553645-1"	"CARDIO-RESPIRATORY ARREST"	"10007617"	"30-39 years"	"30-39"	"The patient is a 36 y.o. female with a past medical history notable for Hemolytic anemia on Rituxin monthly, Follows with Dr., chronic pain, depression, hypertension, migraines, sickle cell disorder, and thyroid disease who presents as a transfer from ER due to sickle cell crisis. Patient presented to ER with AMS, family reported finding patient unresponsive at home this am. Per record GCS was 5-7 when EMS arrived. Her sats were in the 60s. Patient was found to have a fentanyl patch which she is prescribed. She did not appear to be improving. She was subsequently intubated. She was somewhat difficult to oxygenate. Bronchoscopy showed copious edema bilaterally. Chest x-ray showed diffuse pulmonary edema. Her hemoglobin was found to be 4.9. She was noted to have some vaginal bleeding. Occult blood testing was positive. Per report patient's pulse bradied down into the 30s. It was unclear if she had a pulse so CPR was started. She quickly regained ROSC. Her heart rate improved to the 90s. She was given 1 unit of blood, started on propofol and epinephrine. Creatinine was 1.2. Potassium was 3.2, and it was replaced. WBC 10,Initial head CT scan was nondiagnostic due to limited patient cooperation. Repeat CT head was negative for acute abnormality. Patient was started on cefepime. She was transferred here for higher level of care. She is subsequently being transferred to another facility for further evaluation. On arrival here patient is intubated, sedated on propofol, in no distress. Vital signs stable. Patient tested positive for COVID-19. Started on Decadron and remdesivir. Critical care consulted. Has developed hypertriglyceridemia. Additionally, sputum culture growing MSSA consistent with superimposed MSSA pneumonia. Patient on cefepime. Patient had general worsening of her condition with worsening respiratory issues. On the night of 810, patient coded multiple times. Family visually made the decision to make patient DNR. Hemoglobin dropped consistent with acute chest syndrome. Lactic acid was greater than 18. Patient coded 1 more time and expired early this morning."
	"1553645-1"	"1553645-1"	"CHEST X-RAY ABNORMAL"	"10008499"	"30-39 years"	"30-39"	"The patient is a 36 y.o. female with a past medical history notable for Hemolytic anemia on Rituxin monthly, Follows with Dr., chronic pain, depression, hypertension, migraines, sickle cell disorder, and thyroid disease who presents as a transfer from ER due to sickle cell crisis. Patient presented to ER with AMS, family reported finding patient unresponsive at home this am. Per record GCS was 5-7 when EMS arrived. Her sats were in the 60s. Patient was found to have a fentanyl patch which she is prescribed. She did not appear to be improving. She was subsequently intubated. She was somewhat difficult to oxygenate. Bronchoscopy showed copious edema bilaterally. Chest x-ray showed diffuse pulmonary edema. Her hemoglobin was found to be 4.9. She was noted to have some vaginal bleeding. Occult blood testing was positive. Per report patient's pulse bradied down into the 30s. It was unclear if she had a pulse so CPR was started. She quickly regained ROSC. Her heart rate improved to the 90s. She was given 1 unit of blood, started on propofol and epinephrine. Creatinine was 1.2. Potassium was 3.2, and it was replaced. WBC 10,Initial head CT scan was nondiagnostic due to limited patient cooperation. Repeat CT head was negative for acute abnormality. Patient was started on cefepime. She was transferred here for higher level of care. She is subsequently being transferred to another facility for further evaluation. On arrival here patient is intubated, sedated on propofol, in no distress. Vital signs stable. Patient tested positive for COVID-19. Started on Decadron and remdesivir. Critical care consulted. Has developed hypertriglyceridemia. Additionally, sputum culture growing MSSA consistent with superimposed MSSA pneumonia. Patient on cefepime. Patient had general worsening of her condition with worsening respiratory issues. On the night of 810, patient coded multiple times. Family visually made the decision to make patient DNR. Hemoglobin dropped consistent with acute chest syndrome. Lactic acid was greater than 18. Patient coded 1 more time and expired early this morning."
	"1553645-1"	"1553645-1"	"COMA SCALE ABNORMAL"	"10069709"	"30-39 years"	"30-39"	"The patient is a 36 y.o. female with a past medical history notable for Hemolytic anemia on Rituxin monthly, Follows with Dr., chronic pain, depression, hypertension, migraines, sickle cell disorder, and thyroid disease who presents as a transfer from ER due to sickle cell crisis. Patient presented to ER with AMS, family reported finding patient unresponsive at home this am. Per record GCS was 5-7 when EMS arrived. Her sats were in the 60s. Patient was found to have a fentanyl patch which she is prescribed. She did not appear to be improving. She was subsequently intubated. She was somewhat difficult to oxygenate. Bronchoscopy showed copious edema bilaterally. Chest x-ray showed diffuse pulmonary edema. Her hemoglobin was found to be 4.9. She was noted to have some vaginal bleeding. Occult blood testing was positive. Per report patient's pulse bradied down into the 30s. It was unclear if she had a pulse so CPR was started. She quickly regained ROSC. Her heart rate improved to the 90s. She was given 1 unit of blood, started on propofol and epinephrine. Creatinine was 1.2. Potassium was 3.2, and it was replaced. WBC 10,Initial head CT scan was nondiagnostic due to limited patient cooperation. Repeat CT head was negative for acute abnormality. Patient was started on cefepime. She was transferred here for higher level of care. She is subsequently being transferred to another facility for further evaluation. On arrival here patient is intubated, sedated on propofol, in no distress. Vital signs stable. Patient tested positive for COVID-19. Started on Decadron and remdesivir. Critical care consulted. Has developed hypertriglyceridemia. Additionally, sputum culture growing MSSA consistent with superimposed MSSA pneumonia. Patient on cefepime. Patient had general worsening of her condition with worsening respiratory issues. On the night of 810, patient coded multiple times. Family visually made the decision to make patient DNR. Hemoglobin dropped consistent with acute chest syndrome. Lactic acid was greater than 18. Patient coded 1 more time and expired early this morning."
	"1553645-1"	"1553645-1"	"COMPUTERISED TOMOGRAM HEAD NORMAL"	"10072167"	"30-39 years"	"30-39"	"The patient is a 36 y.o. female with a past medical history notable for Hemolytic anemia on Rituxin monthly, Follows with Dr., chronic pain, depression, hypertension, migraines, sickle cell disorder, and thyroid disease who presents as a transfer from ER due to sickle cell crisis. Patient presented to ER with AMS, family reported finding patient unresponsive at home this am. Per record GCS was 5-7 when EMS arrived. Her sats were in the 60s. Patient was found to have a fentanyl patch which she is prescribed. She did not appear to be improving. She was subsequently intubated. She was somewhat difficult to oxygenate. Bronchoscopy showed copious edema bilaterally. Chest x-ray showed diffuse pulmonary edema. Her hemoglobin was found to be 4.9. She was noted to have some vaginal bleeding. Occult blood testing was positive. Per report patient's pulse bradied down into the 30s. It was unclear if she had a pulse so CPR was started. She quickly regained ROSC. Her heart rate improved to the 90s. She was given 1 unit of blood, started on propofol and epinephrine. Creatinine was 1.2. Potassium was 3.2, and it was replaced. WBC 10,Initial head CT scan was nondiagnostic due to limited patient cooperation. Repeat CT head was negative for acute abnormality. Patient was started on cefepime. She was transferred here for higher level of care. She is subsequently being transferred to another facility for further evaluation. On arrival here patient is intubated, sedated on propofol, in no distress. Vital signs stable. Patient tested positive for COVID-19. Started on Decadron and remdesivir. Critical care consulted. Has developed hypertriglyceridemia. Additionally, sputum culture growing MSSA consistent with superimposed MSSA pneumonia. Patient on cefepime. Patient had general worsening of her condition with worsening respiratory issues. On the night of 810, patient coded multiple times. Family visually made the decision to make patient DNR. Hemoglobin dropped consistent with acute chest syndrome. Lactic acid was greater than 18. Patient coded 1 more time and expired early this morning."
	"1553645-1"	"1553645-1"	"COVID-19"	"10084268"	"30-39 years"	"30-39"	"The patient is a 36 y.o. female with a past medical history notable for Hemolytic anemia on Rituxin monthly, Follows with Dr., chronic pain, depression, hypertension, migraines, sickle cell disorder, and thyroid disease who presents as a transfer from ER due to sickle cell crisis. Patient presented to ER with AMS, family reported finding patient unresponsive at home this am. Per record GCS was 5-7 when EMS arrived. Her sats were in the 60s. Patient was found to have a fentanyl patch which she is prescribed. She did not appear to be improving. She was subsequently intubated. She was somewhat difficult to oxygenate. Bronchoscopy showed copious edema bilaterally. Chest x-ray showed diffuse pulmonary edema. Her hemoglobin was found to be 4.9. She was noted to have some vaginal bleeding. Occult blood testing was positive. Per report patient's pulse bradied down into the 30s. It was unclear if she had a pulse so CPR was started. She quickly regained ROSC. Her heart rate improved to the 90s. She was given 1 unit of blood, started on propofol and epinephrine. Creatinine was 1.2. Potassium was 3.2, and it was replaced. WBC 10,Initial head CT scan was nondiagnostic due to limited patient cooperation. Repeat CT head was negative for acute abnormality. Patient was started on cefepime. She was transferred here for higher level of care. She is subsequently being transferred to another facility for further evaluation. On arrival here patient is intubated, sedated on propofol, in no distress. Vital signs stable. Patient tested positive for COVID-19. Started on Decadron and remdesivir. Critical care consulted. Has developed hypertriglyceridemia. Additionally, sputum culture growing MSSA consistent with superimposed MSSA pneumonia. Patient on cefepime. Patient had general worsening of her condition with worsening respiratory issues. On the night of 810, patient coded multiple times. Family visually made the decision to make patient DNR. Hemoglobin dropped consistent with acute chest syndrome. Lactic acid was greater than 18. Patient coded 1 more time and expired early this morning."
	"1553645-1"	"1553645-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"The patient is a 36 y.o. female with a past medical history notable for Hemolytic anemia on Rituxin monthly, Follows with Dr., chronic pain, depression, hypertension, migraines, sickle cell disorder, and thyroid disease who presents as a transfer from ER due to sickle cell crisis. Patient presented to ER with AMS, family reported finding patient unresponsive at home this am. Per record GCS was 5-7 when EMS arrived. Her sats were in the 60s. Patient was found to have a fentanyl patch which she is prescribed. She did not appear to be improving. She was subsequently intubated. She was somewhat difficult to oxygenate. Bronchoscopy showed copious edema bilaterally. Chest x-ray showed diffuse pulmonary edema. Her hemoglobin was found to be 4.9. She was noted to have some vaginal bleeding. Occult blood testing was positive. Per report patient's pulse bradied down into the 30s. It was unclear if she had a pulse so CPR was started. She quickly regained ROSC. Her heart rate improved to the 90s. She was given 1 unit of blood, started on propofol and epinephrine. Creatinine was 1.2. Potassium was 3.2, and it was replaced. WBC 10,Initial head CT scan was nondiagnostic due to limited patient cooperation. Repeat CT head was negative for acute abnormality. Patient was started on cefepime. She was transferred here for higher level of care. She is subsequently being transferred to another facility for further evaluation. On arrival here patient is intubated, sedated on propofol, in no distress. Vital signs stable. Patient tested positive for COVID-19. Started on Decadron and remdesivir. Critical care consulted. Has developed hypertriglyceridemia. Additionally, sputum culture growing MSSA consistent with superimposed MSSA pneumonia. Patient on cefepime. Patient had general worsening of her condition with worsening respiratory issues. On the night of 810, patient coded multiple times. Family visually made the decision to make patient DNR. Hemoglobin dropped consistent with acute chest syndrome. Lactic acid was greater than 18. Patient coded 1 more time and expired early this morning."
	"1553645-1"	"1553645-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"30-39 years"	"30-39"	"The patient is a 36 y.o. female with a past medical history notable for Hemolytic anemia on Rituxin monthly, Follows with Dr., chronic pain, depression, hypertension, migraines, sickle cell disorder, and thyroid disease who presents as a transfer from ER due to sickle cell crisis. Patient presented to ER with AMS, family reported finding patient unresponsive at home this am. Per record GCS was 5-7 when EMS arrived. Her sats were in the 60s. Patient was found to have a fentanyl patch which she is prescribed. She did not appear to be improving. She was subsequently intubated. She was somewhat difficult to oxygenate. Bronchoscopy showed copious edema bilaterally. Chest x-ray showed diffuse pulmonary edema. Her hemoglobin was found to be 4.9. She was noted to have some vaginal bleeding. Occult blood testing was positive. Per report patient's pulse bradied down into the 30s. It was unclear if she had a pulse so CPR was started. She quickly regained ROSC. Her heart rate improved to the 90s. She was given 1 unit of blood, started on propofol and epinephrine. Creatinine was 1.2. Potassium was 3.2, and it was replaced. WBC 10,Initial head CT scan was nondiagnostic due to limited patient cooperation. Repeat CT head was negative for acute abnormality. Patient was started on cefepime. She was transferred here for higher level of care. She is subsequently being transferred to another facility for further evaluation. On arrival here patient is intubated, sedated on propofol, in no distress. Vital signs stable. Patient tested positive for COVID-19. Started on Decadron and remdesivir. Critical care consulted. Has developed hypertriglyceridemia. Additionally, sputum culture growing MSSA consistent with superimposed MSSA pneumonia. Patient on cefepime. Patient had general worsening of her condition with worsening respiratory issues. On the night of 810, patient coded multiple times. Family visually made the decision to make patient DNR. Hemoglobin dropped consistent with acute chest syndrome. Lactic acid was greater than 18. Patient coded 1 more time and expired early this morning."
	"1553645-1"	"1553645-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"30-39 years"	"30-39"	"The patient is a 36 y.o. female with a past medical history notable for Hemolytic anemia on Rituxin monthly, Follows with Dr., chronic pain, depression, hypertension, migraines, sickle cell disorder, and thyroid disease who presents as a transfer from ER due to sickle cell crisis. Patient presented to ER with AMS, family reported finding patient unresponsive at home this am. Per record GCS was 5-7 when EMS arrived. Her sats were in the 60s. Patient was found to have a fentanyl patch which she is prescribed. She did not appear to be improving. She was subsequently intubated. She was somewhat difficult to oxygenate. Bronchoscopy showed copious edema bilaterally. Chest x-ray showed diffuse pulmonary edema. Her hemoglobin was found to be 4.9. She was noted to have some vaginal bleeding. Occult blood testing was positive. Per report patient's pulse bradied down into the 30s. It was unclear if she had a pulse so CPR was started. She quickly regained ROSC. Her heart rate improved to the 90s. She was given 1 unit of blood, started on propofol and epinephrine. Creatinine was 1.2. Potassium was 3.2, and it was replaced. WBC 10,Initial head CT scan was nondiagnostic due to limited patient cooperation. Repeat CT head was negative for acute abnormality. Patient was started on cefepime. She was transferred here for higher level of care. She is subsequently being transferred to another facility for further evaluation. On arrival here patient is intubated, sedated on propofol, in no distress. Vital signs stable. Patient tested positive for COVID-19. Started on Decadron and remdesivir. Critical care consulted. Has developed hypertriglyceridemia. Additionally, sputum culture growing MSSA consistent with superimposed MSSA pneumonia. Patient on cefepime. Patient had general worsening of her condition with worsening respiratory issues. On the night of 810, patient coded multiple times. Family visually made the decision to make patient DNR. Hemoglobin dropped consistent with acute chest syndrome. Lactic acid was greater than 18. Patient coded 1 more time and expired early this morning."
	"1553645-1"	"1553645-1"	"HAEMOGLOBIN DECREASED"	"10018884"	"30-39 years"	"30-39"	"The patient is a 36 y.o. female with a past medical history notable for Hemolytic anemia on Rituxin monthly, Follows with Dr., chronic pain, depression, hypertension, migraines, sickle cell disorder, and thyroid disease who presents as a transfer from ER due to sickle cell crisis. Patient presented to ER with AMS, family reported finding patient unresponsive at home this am. Per record GCS was 5-7 when EMS arrived. Her sats were in the 60s. Patient was found to have a fentanyl patch which she is prescribed. She did not appear to be improving. She was subsequently intubated. She was somewhat difficult to oxygenate. Bronchoscopy showed copious edema bilaterally. Chest x-ray showed diffuse pulmonary edema. Her hemoglobin was found to be 4.9. She was noted to have some vaginal bleeding. Occult blood testing was positive. Per report patient's pulse bradied down into the 30s. It was unclear if she had a pulse so CPR was started. She quickly regained ROSC. Her heart rate improved to the 90s. She was given 1 unit of blood, started on propofol and epinephrine. Creatinine was 1.2. Potassium was 3.2, and it was replaced. WBC 10,Initial head CT scan was nondiagnostic due to limited patient cooperation. Repeat CT head was negative for acute abnormality. Patient was started on cefepime. She was transferred here for higher level of care. She is subsequently being transferred to another facility for further evaluation. On arrival here patient is intubated, sedated on propofol, in no distress. Vital signs stable. Patient tested positive for COVID-19. Started on Decadron and remdesivir. Critical care consulted. Has developed hypertriglyceridemia. Additionally, sputum culture growing MSSA consistent with superimposed MSSA pneumonia. Patient on cefepime. Patient had general worsening of her condition with worsening respiratory issues. On the night of 810, patient coded multiple times. Family visually made the decision to make patient DNR. Hemoglobin dropped consistent with acute chest syndrome. Lactic acid was greater than 18. Patient coded 1 more time and expired early this morning."
	"1553645-1"	"1553645-1"	"HEART RATE DECREASED"	"10019301"	"30-39 years"	"30-39"	"The patient is a 36 y.o. female with a past medical history notable for Hemolytic anemia on Rituxin monthly, Follows with Dr., chronic pain, depression, hypertension, migraines, sickle cell disorder, and thyroid disease who presents as a transfer from ER due to sickle cell crisis. Patient presented to ER with AMS, family reported finding patient unresponsive at home this am. Per record GCS was 5-7 when EMS arrived. Her sats were in the 60s. Patient was found to have a fentanyl patch which she is prescribed. She did not appear to be improving. She was subsequently intubated. She was somewhat difficult to oxygenate. Bronchoscopy showed copious edema bilaterally. Chest x-ray showed diffuse pulmonary edema. Her hemoglobin was found to be 4.9. She was noted to have some vaginal bleeding. Occult blood testing was positive. Per report patient's pulse bradied down into the 30s. It was unclear if she had a pulse so CPR was started. She quickly regained ROSC. Her heart rate improved to the 90s. She was given 1 unit of blood, started on propofol and epinephrine. Creatinine was 1.2. Potassium was 3.2, and it was replaced. WBC 10,Initial head CT scan was nondiagnostic due to limited patient cooperation. Repeat CT head was negative for acute abnormality. Patient was started on cefepime. She was transferred here for higher level of care. She is subsequently being transferred to another facility for further evaluation. On arrival here patient is intubated, sedated on propofol, in no distress. Vital signs stable. Patient tested positive for COVID-19. Started on Decadron and remdesivir. Critical care consulted. Has developed hypertriglyceridemia. Additionally, sputum culture growing MSSA consistent with superimposed MSSA pneumonia. Patient on cefepime. Patient had general worsening of her condition with worsening respiratory issues. On the night of 810, patient coded multiple times. Family visually made the decision to make patient DNR. Hemoglobin dropped consistent with acute chest syndrome. Lactic acid was greater than 18. Patient coded 1 more time and expired early this morning."
	"1553645-1"	"1553645-1"	"HYPERTRIGLYCERIDAEMIA"	"10020869"	"30-39 years"	"30-39"	"The patient is a 36 y.o. female with a past medical history notable for Hemolytic anemia on Rituxin monthly, Follows with Dr., chronic pain, depression, hypertension, migraines, sickle cell disorder, and thyroid disease who presents as a transfer from ER due to sickle cell crisis. Patient presented to ER with AMS, family reported finding patient unresponsive at home this am. Per record GCS was 5-7 when EMS arrived. Her sats were in the 60s. Patient was found to have a fentanyl patch which she is prescribed. She did not appear to be improving. She was subsequently intubated. She was somewhat difficult to oxygenate. Bronchoscopy showed copious edema bilaterally. Chest x-ray showed diffuse pulmonary edema. Her hemoglobin was found to be 4.9. She was noted to have some vaginal bleeding. Occult blood testing was positive. Per report patient's pulse bradied down into the 30s. It was unclear if she had a pulse so CPR was started. She quickly regained ROSC. Her heart rate improved to the 90s. She was given 1 unit of blood, started on propofol and epinephrine. Creatinine was 1.2. Potassium was 3.2, and it was replaced. WBC 10,Initial head CT scan was nondiagnostic due to limited patient cooperation. Repeat CT head was negative for acute abnormality. Patient was started on cefepime. She was transferred here for higher level of care. She is subsequently being transferred to another facility for further evaluation. On arrival here patient is intubated, sedated on propofol, in no distress. Vital signs stable. Patient tested positive for COVID-19. Started on Decadron and remdesivir. Critical care consulted. Has developed hypertriglyceridemia. Additionally, sputum culture growing MSSA consistent with superimposed MSSA pneumonia. Patient on cefepime. Patient had general worsening of her condition with worsening respiratory issues. On the night of 810, patient coded multiple times. Family visually made the decision to make patient DNR. Hemoglobin dropped consistent with acute chest syndrome. Lactic acid was greater than 18. Patient coded 1 more time and expired early this morning."
	"1553645-1"	"1553645-1"	"MENTAL STATUS CHANGES"	"10048294"	"30-39 years"	"30-39"	"The patient is a 36 y.o. female with a past medical history notable for Hemolytic anemia on Rituxin monthly, Follows with Dr., chronic pain, depression, hypertension, migraines, sickle cell disorder, and thyroid disease who presents as a transfer from ER due to sickle cell crisis. Patient presented to ER with AMS, family reported finding patient unresponsive at home this am. Per record GCS was 5-7 when EMS arrived. Her sats were in the 60s. Patient was found to have a fentanyl patch which she is prescribed. She did not appear to be improving. She was subsequently intubated. She was somewhat difficult to oxygenate. Bronchoscopy showed copious edema bilaterally. Chest x-ray showed diffuse pulmonary edema. Her hemoglobin was found to be 4.9. She was noted to have some vaginal bleeding. Occult blood testing was positive. Per report patient's pulse bradied down into the 30s. It was unclear if she had a pulse so CPR was started. She quickly regained ROSC. Her heart rate improved to the 90s. She was given 1 unit of blood, started on propofol and epinephrine. Creatinine was 1.2. Potassium was 3.2, and it was replaced. WBC 10,Initial head CT scan was nondiagnostic due to limited patient cooperation. Repeat CT head was negative for acute abnormality. Patient was started on cefepime. She was transferred here for higher level of care. She is subsequently being transferred to another facility for further evaluation. On arrival here patient is intubated, sedated on propofol, in no distress. Vital signs stable. Patient tested positive for COVID-19. Started on Decadron and remdesivir. Critical care consulted. Has developed hypertriglyceridemia. Additionally, sputum culture growing MSSA consistent with superimposed MSSA pneumonia. Patient on cefepime. Patient had general worsening of her condition with worsening respiratory issues. On the night of 810, patient coded multiple times. Family visually made the decision to make patient DNR. Hemoglobin dropped consistent with acute chest syndrome. Lactic acid was greater than 18. Patient coded 1 more time and expired early this morning."
	"1553645-1"	"1553645-1"	"OCCULT BLOOD POSITIVE"	"10061880"	"30-39 years"	"30-39"	"The patient is a 36 y.o. female with a past medical history notable for Hemolytic anemia on Rituxin monthly, Follows with Dr., chronic pain, depression, hypertension, migraines, sickle cell disorder, and thyroid disease who presents as a transfer from ER due to sickle cell crisis. Patient presented to ER with AMS, family reported finding patient unresponsive at home this am. Per record GCS was 5-7 when EMS arrived. Her sats were in the 60s. Patient was found to have a fentanyl patch which she is prescribed. She did not appear to be improving. She was subsequently intubated. She was somewhat difficult to oxygenate. Bronchoscopy showed copious edema bilaterally. Chest x-ray showed diffuse pulmonary edema. Her hemoglobin was found to be 4.9. She was noted to have some vaginal bleeding. Occult blood testing was positive. Per report patient's pulse bradied down into the 30s. It was unclear if she had a pulse so CPR was started. She quickly regained ROSC. Her heart rate improved to the 90s. She was given 1 unit of blood, started on propofol and epinephrine. Creatinine was 1.2. Potassium was 3.2, and it was replaced. WBC 10,Initial head CT scan was nondiagnostic due to limited patient cooperation. Repeat CT head was negative for acute abnormality. Patient was started on cefepime. She was transferred here for higher level of care. She is subsequently being transferred to another facility for further evaluation. On arrival here patient is intubated, sedated on propofol, in no distress. Vital signs stable. Patient tested positive for COVID-19. Started on Decadron and remdesivir. Critical care consulted. Has developed hypertriglyceridemia. Additionally, sputum culture growing MSSA consistent with superimposed MSSA pneumonia. Patient on cefepime. Patient had general worsening of her condition with worsening respiratory issues. On the night of 810, patient coded multiple times. Family visually made the decision to make patient DNR. Hemoglobin dropped consistent with acute chest syndrome. Lactic acid was greater than 18. Patient coded 1 more time and expired early this morning."
	"1553645-1"	"1553645-1"	"OXYGEN SATURATION DECREASED"	"10033318"	"30-39 years"	"30-39"	"The patient is a 36 y.o. female with a past medical history notable for Hemolytic anemia on Rituxin monthly, Follows with Dr., chronic pain, depression, hypertension, migraines, sickle cell disorder, and thyroid disease who presents as a transfer from ER due to sickle cell crisis. Patient presented to ER with AMS, family reported finding patient unresponsive at home this am. Per record GCS was 5-7 when EMS arrived. Her sats were in the 60s. Patient was found to have a fentanyl patch which she is prescribed. She did not appear to be improving. She was subsequently intubated. She was somewhat difficult to oxygenate. Bronchoscopy showed copious edema bilaterally. Chest x-ray showed diffuse pulmonary edema. Her hemoglobin was found to be 4.9. She was noted to have some vaginal bleeding. Occult blood testing was positive. Per report patient's pulse bradied down into the 30s. It was unclear if she had a pulse so CPR was started. She quickly regained ROSC. Her heart rate improved to the 90s. She was given 1 unit of blood, started on propofol and epinephrine. Creatinine was 1.2. Potassium was 3.2, and it was replaced. WBC 10,Initial head CT scan was nondiagnostic due to limited patient cooperation. Repeat CT head was negative for acute abnormality. Patient was started on cefepime. She was transferred here for higher level of care. She is subsequently being transferred to another facility for further evaluation. On arrival here patient is intubated, sedated on propofol, in no distress. Vital signs stable. Patient tested positive for COVID-19. Started on Decadron and remdesivir. Critical care consulted. Has developed hypertriglyceridemia. Additionally, sputum culture growing MSSA consistent with superimposed MSSA pneumonia. Patient on cefepime. Patient had general worsening of her condition with worsening respiratory issues. On the night of 810, patient coded multiple times. Family visually made the decision to make patient DNR. Hemoglobin dropped consistent with acute chest syndrome. Lactic acid was greater than 18. Patient coded 1 more time and expired early this morning."
	"1553645-1"	"1553645-1"	"PNEUMONIA STAPHYLOCOCCAL"	"10035734"	"30-39 years"	"30-39"	"The patient is a 36 y.o. female with a past medical history notable for Hemolytic anemia on Rituxin monthly, Follows with Dr., chronic pain, depression, hypertension, migraines, sickle cell disorder, and thyroid disease who presents as a transfer from ER due to sickle cell crisis. Patient presented to ER with AMS, family reported finding patient unresponsive at home this am. Per record GCS was 5-7 when EMS arrived. Her sats were in the 60s. Patient was found to have a fentanyl patch which she is prescribed. She did not appear to be improving. She was subsequently intubated. She was somewhat difficult to oxygenate. Bronchoscopy showed copious edema bilaterally. Chest x-ray showed diffuse pulmonary edema. Her hemoglobin was found to be 4.9. She was noted to have some vaginal bleeding. Occult blood testing was positive. Per report patient's pulse bradied down into the 30s. It was unclear if she had a pulse so CPR was started. She quickly regained ROSC. Her heart rate improved to the 90s. She was given 1 unit of blood, started on propofol and epinephrine. Creatinine was 1.2. Potassium was 3.2, and it was replaced. WBC 10,Initial head CT scan was nondiagnostic due to limited patient cooperation. Repeat CT head was negative for acute abnormality. Patient was started on cefepime. She was transferred here for higher level of care. She is subsequently being transferred to another facility for further evaluation. On arrival here patient is intubated, sedated on propofol, in no distress. Vital signs stable. Patient tested positive for COVID-19. Started on Decadron and remdesivir. Critical care consulted. Has developed hypertriglyceridemia. Additionally, sputum culture growing MSSA consistent with superimposed MSSA pneumonia. Patient on cefepime. Patient had general worsening of her condition with worsening respiratory issues. On the night of 810, patient coded multiple times. Family visually made the decision to make patient DNR. Hemoglobin dropped consistent with acute chest syndrome. Lactic acid was greater than 18. Patient coded 1 more time and expired early this morning."
	"1553645-1"	"1553645-1"	"PULMONARY OEDEMA"	"10037423"	"30-39 years"	"30-39"	"The patient is a 36 y.o. female with a past medical history notable for Hemolytic anemia on Rituxin monthly, Follows with Dr., chronic pain, depression, hypertension, migraines, sickle cell disorder, and thyroid disease who presents as a transfer from ER due to sickle cell crisis. Patient presented to ER with AMS, family reported finding patient unresponsive at home this am. Per record GCS was 5-7 when EMS arrived. Her sats were in the 60s. Patient was found to have a fentanyl patch which she is prescribed. She did not appear to be improving. She was subsequently intubated. She was somewhat difficult to oxygenate. Bronchoscopy showed copious edema bilaterally. Chest x-ray showed diffuse pulmonary edema. Her hemoglobin was found to be 4.9. She was noted to have some vaginal bleeding. Occult blood testing was positive. Per report patient's pulse bradied down into the 30s. It was unclear if she had a pulse so CPR was started. She quickly regained ROSC. Her heart rate improved to the 90s. She was given 1 unit of blood, started on propofol and epinephrine. Creatinine was 1.2. Potassium was 3.2, and it was replaced. WBC 10,Initial head CT scan was nondiagnostic due to limited patient cooperation. Repeat CT head was negative for acute abnormality. Patient was started on cefepime. She was transferred here for higher level of care. She is subsequently being transferred to another facility for further evaluation. On arrival here patient is intubated, sedated on propofol, in no distress. Vital signs stable. Patient tested positive for COVID-19. Started on Decadron and remdesivir. Critical care consulted. Has developed hypertriglyceridemia. Additionally, sputum culture growing MSSA consistent with superimposed MSSA pneumonia. Patient on cefepime. Patient had general worsening of her condition with worsening respiratory issues. On the night of 810, patient coded multiple times. Family visually made the decision to make patient DNR. Hemoglobin dropped consistent with acute chest syndrome. Lactic acid was greater than 18. Patient coded 1 more time and expired early this morning."
	"1553645-1"	"1553645-1"	"PULSE ABSENT"	"10037469"	"30-39 years"	"30-39"	"The patient is a 36 y.o. female with a past medical history notable for Hemolytic anemia on Rituxin monthly, Follows with Dr., chronic pain, depression, hypertension, migraines, sickle cell disorder, and thyroid disease who presents as a transfer from ER due to sickle cell crisis. Patient presented to ER with AMS, family reported finding patient unresponsive at home this am. Per record GCS was 5-7 when EMS arrived. Her sats were in the 60s. Patient was found to have a fentanyl patch which she is prescribed. She did not appear to be improving. She was subsequently intubated. She was somewhat difficult to oxygenate. Bronchoscopy showed copious edema bilaterally. Chest x-ray showed diffuse pulmonary edema. Her hemoglobin was found to be 4.9. She was noted to have some vaginal bleeding. Occult blood testing was positive. Per report patient's pulse bradied down into the 30s. It was unclear if she had a pulse so CPR was started. She quickly regained ROSC. Her heart rate improved to the 90s. She was given 1 unit of blood, started on propofol and epinephrine. Creatinine was 1.2. Potassium was 3.2, and it was replaced. WBC 10,Initial head CT scan was nondiagnostic due to limited patient cooperation. Repeat CT head was negative for acute abnormality. Patient was started on cefepime. She was transferred here for higher level of care. She is subsequently being transferred to another facility for further evaluation. On arrival here patient is intubated, sedated on propofol, in no distress. Vital signs stable. Patient tested positive for COVID-19. Started on Decadron and remdesivir. Critical care consulted. Has developed hypertriglyceridemia. Additionally, sputum culture growing MSSA consistent with superimposed MSSA pneumonia. Patient on cefepime. Patient had general worsening of her condition with worsening respiratory issues. On the night of 810, patient coded multiple times. Family visually made the decision to make patient DNR. Hemoglobin dropped consistent with acute chest syndrome. Lactic acid was greater than 18. Patient coded 1 more time and expired early this morning."
	"1553645-1"	"1553645-1"	"RESPIRATORY FAILURE"	"10038695"	"30-39 years"	"30-39"	"The patient is a 36 y.o. female with a past medical history notable for Hemolytic anemia on Rituxin monthly, Follows with Dr., chronic pain, depression, hypertension, migraines, sickle cell disorder, and thyroid disease who presents as a transfer from ER due to sickle cell crisis. Patient presented to ER with AMS, family reported finding patient unresponsive at home this am. Per record GCS was 5-7 when EMS arrived. Her sats were in the 60s. Patient was found to have a fentanyl patch which she is prescribed. She did not appear to be improving. She was subsequently intubated. She was somewhat difficult to oxygenate. Bronchoscopy showed copious edema bilaterally. Chest x-ray showed diffuse pulmonary edema. Her hemoglobin was found to be 4.9. She was noted to have some vaginal bleeding. Occult blood testing was positive. Per report patient's pulse bradied down into the 30s. It was unclear if she had a pulse so CPR was started. She quickly regained ROSC. Her heart rate improved to the 90s. She was given 1 unit of blood, started on propofol and epinephrine. Creatinine was 1.2. Potassium was 3.2, and it was replaced. WBC 10,Initial head CT scan was nondiagnostic due to limited patient cooperation. Repeat CT head was negative for acute abnormality. Patient was started on cefepime. She was transferred here for higher level of care. She is subsequently being transferred to another facility for further evaluation. On arrival here patient is intubated, sedated on propofol, in no distress. Vital signs stable. Patient tested positive for COVID-19. Started on Decadron and remdesivir. Critical care consulted. Has developed hypertriglyceridemia. Additionally, sputum culture growing MSSA consistent with superimposed MSSA pneumonia. Patient on cefepime. Patient had general worsening of her condition with worsening respiratory issues. On the night of 810, patient coded multiple times. Family visually made the decision to make patient DNR. Hemoglobin dropped consistent with acute chest syndrome. Lactic acid was greater than 18. Patient coded 1 more time and expired early this morning."
	"1553645-1"	"1553645-1"	"RESUSCITATION"	"10038749"	"30-39 years"	"30-39"	"The patient is a 36 y.o. female with a past medical history notable for Hemolytic anemia on Rituxin monthly, Follows with Dr., chronic pain, depression, hypertension, migraines, sickle cell disorder, and thyroid disease who presents as a transfer from ER due to sickle cell crisis. Patient presented to ER with AMS, family reported finding patient unresponsive at home this am. Per record GCS was 5-7 when EMS arrived. Her sats were in the 60s. Patient was found to have a fentanyl patch which she is prescribed. She did not appear to be improving. She was subsequently intubated. She was somewhat difficult to oxygenate. Bronchoscopy showed copious edema bilaterally. Chest x-ray showed diffuse pulmonary edema. Her hemoglobin was found to be 4.9. She was noted to have some vaginal bleeding. Occult blood testing was positive. Per report patient's pulse bradied down into the 30s. It was unclear if she had a pulse so CPR was started. She quickly regained ROSC. Her heart rate improved to the 90s. She was given 1 unit of blood, started on propofol and epinephrine. Creatinine was 1.2. Potassium was 3.2, and it was replaced. WBC 10,Initial head CT scan was nondiagnostic due to limited patient cooperation. Repeat CT head was negative for acute abnormality. Patient was started on cefepime. She was transferred here for higher level of care. She is subsequently being transferred to another facility for further evaluation. On arrival here patient is intubated, sedated on propofol, in no distress. Vital signs stable. Patient tested positive for COVID-19. Started on Decadron and remdesivir. Critical care consulted. Has developed hypertriglyceridemia. Additionally, sputum culture growing MSSA consistent with superimposed MSSA pneumonia. Patient on cefepime. Patient had general worsening of her condition with worsening respiratory issues. On the night of 810, patient coded multiple times. Family visually made the decision to make patient DNR. Hemoglobin dropped consistent with acute chest syndrome. Lactic acid was greater than 18. Patient coded 1 more time and expired early this morning."
	"1553645-1"	"1553645-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"30-39 years"	"30-39"	"The patient is a 36 y.o. female with a past medical history notable for Hemolytic anemia on Rituxin monthly, Follows with Dr., chronic pain, depression, hypertension, migraines, sickle cell disorder, and thyroid disease who presents as a transfer from ER due to sickle cell crisis. Patient presented to ER with AMS, family reported finding patient unresponsive at home this am. Per record GCS was 5-7 when EMS arrived. Her sats were in the 60s. Patient was found to have a fentanyl patch which she is prescribed. She did not appear to be improving. She was subsequently intubated. She was somewhat difficult to oxygenate. Bronchoscopy showed copious edema bilaterally. Chest x-ray showed diffuse pulmonary edema. Her hemoglobin was found to be 4.9. She was noted to have some vaginal bleeding. Occult blood testing was positive. Per report patient's pulse bradied down into the 30s. It was unclear if she had a pulse so CPR was started. She quickly regained ROSC. Her heart rate improved to the 90s. She was given 1 unit of blood, started on propofol and epinephrine. Creatinine was 1.2. Potassium was 3.2, and it was replaced. WBC 10,Initial head CT scan was nondiagnostic due to limited patient cooperation. Repeat CT head was negative for acute abnormality. Patient was started on cefepime. She was transferred here for higher level of care. She is subsequently being transferred to another facility for further evaluation. On arrival here patient is intubated, sedated on propofol, in no distress. Vital signs stable. Patient tested positive for COVID-19. Started on Decadron and remdesivir. Critical care consulted. Has developed hypertriglyceridemia. Additionally, sputum culture growing MSSA consistent with superimposed MSSA pneumonia. Patient on cefepime. Patient had general worsening of her condition with worsening respiratory issues. On the night of 810, patient coded multiple times. Family visually made the decision to make patient DNR. Hemoglobin dropped consistent with acute chest syndrome. Lactic acid was greater than 18. Patient coded 1 more time and expired early this morning."
	"1553645-1"	"1553645-1"	"SICKLE CELL ANAEMIA WITH CRISIS"	"10040642"	"30-39 years"	"30-39"	"The patient is a 36 y.o. female with a past medical history notable for Hemolytic anemia on Rituxin monthly, Follows with Dr., chronic pain, depression, hypertension, migraines, sickle cell disorder, and thyroid disease who presents as a transfer from ER due to sickle cell crisis. Patient presented to ER with AMS, family reported finding patient unresponsive at home this am. Per record GCS was 5-7 when EMS arrived. Her sats were in the 60s. Patient was found to have a fentanyl patch which she is prescribed. She did not appear to be improving. She was subsequently intubated. She was somewhat difficult to oxygenate. Bronchoscopy showed copious edema bilaterally. Chest x-ray showed diffuse pulmonary edema. Her hemoglobin was found to be 4.9. She was noted to have some vaginal bleeding. Occult blood testing was positive. Per report patient's pulse bradied down into the 30s. It was unclear if she had a pulse so CPR was started. She quickly regained ROSC. Her heart rate improved to the 90s. She was given 1 unit of blood, started on propofol and epinephrine. Creatinine was 1.2. Potassium was 3.2, and it was replaced. WBC 10,Initial head CT scan was nondiagnostic due to limited patient cooperation. Repeat CT head was negative for acute abnormality. Patient was started on cefepime. She was transferred here for higher level of care. She is subsequently being transferred to another facility for further evaluation. On arrival here patient is intubated, sedated on propofol, in no distress. Vital signs stable. Patient tested positive for COVID-19. Started on Decadron and remdesivir. Critical care consulted. Has developed hypertriglyceridemia. Additionally, sputum culture growing MSSA consistent with superimposed MSSA pneumonia. Patient on cefepime. Patient had general worsening of her condition with worsening respiratory issues. On the night of 810, patient coded multiple times. Family visually made the decision to make patient DNR. Hemoglobin dropped consistent with acute chest syndrome. Lactic acid was greater than 18. Patient coded 1 more time and expired early this morning."
	"1553645-1"	"1553645-1"	"SPUTUM CULTURE POSITIVE"	"10051612"	"30-39 years"	"30-39"	"The patient is a 36 y.o. female with a past medical history notable for Hemolytic anemia on Rituxin monthly, Follows with Dr., chronic pain, depression, hypertension, migraines, sickle cell disorder, and thyroid disease who presents as a transfer from ER due to sickle cell crisis. Patient presented to ER with AMS, family reported finding patient unresponsive at home this am. Per record GCS was 5-7 when EMS arrived. Her sats were in the 60s. Patient was found to have a fentanyl patch which she is prescribed. She did not appear to be improving. She was subsequently intubated. She was somewhat difficult to oxygenate. Bronchoscopy showed copious edema bilaterally. Chest x-ray showed diffuse pulmonary edema. Her hemoglobin was found to be 4.9. She was noted to have some vaginal bleeding. Occult blood testing was positive. Per report patient's pulse bradied down into the 30s. It was unclear if she had a pulse so CPR was started. She quickly regained ROSC. Her heart rate improved to the 90s. She was given 1 unit of blood, started on propofol and epinephrine. Creatinine was 1.2. Potassium was 3.2, and it was replaced. WBC 10,Initial head CT scan was nondiagnostic due to limited patient cooperation. Repeat CT head was negative for acute abnormality. Patient was started on cefepime. She was transferred here for higher level of care. She is subsequently being transferred to another facility for further evaluation. On arrival here patient is intubated, sedated on propofol, in no distress. Vital signs stable. Patient tested positive for COVID-19. Started on Decadron and remdesivir. Critical care consulted. Has developed hypertriglyceridemia. Additionally, sputum culture growing MSSA consistent with superimposed MSSA pneumonia. Patient on cefepime. Patient had general worsening of her condition with worsening respiratory issues. On the night of 810, patient coded multiple times. Family visually made the decision to make patient DNR. Hemoglobin dropped consistent with acute chest syndrome. Lactic acid was greater than 18. Patient coded 1 more time and expired early this morning."
	"1553645-1"	"1553645-1"	"TRANSFUSION"	"10066152"	"30-39 years"	"30-39"	"The patient is a 36 y.o. female with a past medical history notable for Hemolytic anemia on Rituxin monthly, Follows with Dr., chronic pain, depression, hypertension, migraines, sickle cell disorder, and thyroid disease who presents as a transfer from ER due to sickle cell crisis. Patient presented to ER with AMS, family reported finding patient unresponsive at home this am. Per record GCS was 5-7 when EMS arrived. Her sats were in the 60s. Patient was found to have a fentanyl patch which she is prescribed. She did not appear to be improving. She was subsequently intubated. She was somewhat difficult to oxygenate. Bronchoscopy showed copious edema bilaterally. Chest x-ray showed diffuse pulmonary edema. Her hemoglobin was found to be 4.9. She was noted to have some vaginal bleeding. Occult blood testing was positive. Per report patient's pulse bradied down into the 30s. It was unclear if she had a pulse so CPR was started. She quickly regained ROSC. Her heart rate improved to the 90s. She was given 1 unit of blood, started on propofol and epinephrine. Creatinine was 1.2. Potassium was 3.2, and it was replaced. WBC 10,Initial head CT scan was nondiagnostic due to limited patient cooperation. Repeat CT head was negative for acute abnormality. Patient was started on cefepime. She was transferred here for higher level of care. She is subsequently being transferred to another facility for further evaluation. On arrival here patient is intubated, sedated on propofol, in no distress. Vital signs stable. Patient tested positive for COVID-19. Started on Decadron and remdesivir. Critical care consulted. Has developed hypertriglyceridemia. Additionally, sputum culture growing MSSA consistent with superimposed MSSA pneumonia. Patient on cefepime. Patient had general worsening of her condition with worsening respiratory issues. On the night of 810, patient coded multiple times. Family visually made the decision to make patient DNR. Hemoglobin dropped consistent with acute chest syndrome. Lactic acid was greater than 18. Patient coded 1 more time and expired early this morning."
	"1553645-1"	"1553645-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"30-39 years"	"30-39"	"The patient is a 36 y.o. female with a past medical history notable for Hemolytic anemia on Rituxin monthly, Follows with Dr., chronic pain, depression, hypertension, migraines, sickle cell disorder, and thyroid disease who presents as a transfer from ER due to sickle cell crisis. Patient presented to ER with AMS, family reported finding patient unresponsive at home this am. Per record GCS was 5-7 when EMS arrived. Her sats were in the 60s. Patient was found to have a fentanyl patch which she is prescribed. She did not appear to be improving. She was subsequently intubated. She was somewhat difficult to oxygenate. Bronchoscopy showed copious edema bilaterally. Chest x-ray showed diffuse pulmonary edema. Her hemoglobin was found to be 4.9. She was noted to have some vaginal bleeding. Occult blood testing was positive. Per report patient's pulse bradied down into the 30s. It was unclear if she had a pulse so CPR was started. She quickly regained ROSC. Her heart rate improved to the 90s. She was given 1 unit of blood, started on propofol and epinephrine. Creatinine was 1.2. Potassium was 3.2, and it was replaced. WBC 10,Initial head CT scan was nondiagnostic due to limited patient cooperation. Repeat CT head was negative for acute abnormality. Patient was started on cefepime. She was transferred here for higher level of care. She is subsequently being transferred to another facility for further evaluation. On arrival here patient is intubated, sedated on propofol, in no distress. Vital signs stable. Patient tested positive for COVID-19. Started on Decadron and remdesivir. Critical care consulted. Has developed hypertriglyceridemia. Additionally, sputum culture growing MSSA consistent with superimposed MSSA pneumonia. Patient on cefepime. Patient had general worsening of her condition with worsening respiratory issues. On the night of 810, patient coded multiple times. Family visually made the decision to make patient DNR. Hemoglobin dropped consistent with acute chest syndrome. Lactic acid was greater than 18. Patient coded 1 more time and expired early this morning."
	"1553645-1"	"1553645-1"	"VAGINAL HAEMORRHAGE"	"10046910"	"30-39 years"	"30-39"	"The patient is a 36 y.o. female with a past medical history notable for Hemolytic anemia on Rituxin monthly, Follows with Dr., chronic pain, depression, hypertension, migraines, sickle cell disorder, and thyroid disease who presents as a transfer from ER due to sickle cell crisis. Patient presented to ER with AMS, family reported finding patient unresponsive at home this am. Per record GCS was 5-7 when EMS arrived. Her sats were in the 60s. Patient was found to have a fentanyl patch which she is prescribed. She did not appear to be improving. She was subsequently intubated. She was somewhat difficult to oxygenate. Bronchoscopy showed copious edema bilaterally. Chest x-ray showed diffuse pulmonary edema. Her hemoglobin was found to be 4.9. She was noted to have some vaginal bleeding. Occult blood testing was positive. Per report patient's pulse bradied down into the 30s. It was unclear if she had a pulse so CPR was started. She quickly regained ROSC. Her heart rate improved to the 90s. She was given 1 unit of blood, started on propofol and epinephrine. Creatinine was 1.2. Potassium was 3.2, and it was replaced. WBC 10,Initial head CT scan was nondiagnostic due to limited patient cooperation. Repeat CT head was negative for acute abnormality. Patient was started on cefepime. She was transferred here for higher level of care. She is subsequently being transferred to another facility for further evaluation. On arrival here patient is intubated, sedated on propofol, in no distress. Vital signs stable. Patient tested positive for COVID-19. Started on Decadron and remdesivir. Critical care consulted. Has developed hypertriglyceridemia. Additionally, sputum culture growing MSSA consistent with superimposed MSSA pneumonia. Patient on cefepime. Patient had general worsening of her condition with worsening respiratory issues. On the night of 810, patient coded multiple times. Family visually made the decision to make patient DNR. Hemoglobin dropped consistent with acute chest syndrome. Lactic acid was greater than 18. Patient coded 1 more time and expired early this morning."
	"1553645-1"	"1553645-1"	"WHITE BLOOD CELL COUNT NORMAL"	"10047944"	"30-39 years"	"30-39"	"The patient is a 36 y.o. female with a past medical history notable for Hemolytic anemia on Rituxin monthly, Follows with Dr., chronic pain, depression, hypertension, migraines, sickle cell disorder, and thyroid disease who presents as a transfer from ER due to sickle cell crisis. Patient presented to ER with AMS, family reported finding patient unresponsive at home this am. Per record GCS was 5-7 when EMS arrived. Her sats were in the 60s. Patient was found to have a fentanyl patch which she is prescribed. She did not appear to be improving. She was subsequently intubated. She was somewhat difficult to oxygenate. Bronchoscopy showed copious edema bilaterally. Chest x-ray showed diffuse pulmonary edema. Her hemoglobin was found to be 4.9. She was noted to have some vaginal bleeding. Occult blood testing was positive. Per report patient's pulse bradied down into the 30s. It was unclear if she had a pulse so CPR was started. She quickly regained ROSC. Her heart rate improved to the 90s. She was given 1 unit of blood, started on propofol and epinephrine. Creatinine was 1.2. Potassium was 3.2, and it was replaced. WBC 10,Initial head CT scan was nondiagnostic due to limited patient cooperation. Repeat CT head was negative for acute abnormality. Patient was started on cefepime. She was transferred here for higher level of care. She is subsequently being transferred to another facility for further evaluation. On arrival here patient is intubated, sedated on propofol, in no distress. Vital signs stable. Patient tested positive for COVID-19. Started on Decadron and remdesivir. Critical care consulted. Has developed hypertriglyceridemia. Additionally, sputum culture growing MSSA consistent with superimposed MSSA pneumonia. Patient on cefepime. Patient had general worsening of her condition with worsening respiratory issues. On the night of 810, patient coded multiple times. Family visually made the decision to make patient DNR. Hemoglobin dropped consistent with acute chest syndrome. Lactic acid was greater than 18. Patient coded 1 more time and expired early this morning."
	"1554378-1"	"1554378-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Death"
	"1558346-1"	"1558346-1"	"CHEST PAIN"	"10008479"	"40-49 years"	"40-49"	"Was very tired and wanted to stay in bed from short time after receiving the vaccine. Experienced some chest pain.  Was found deceased in house at night 14 days later."
	"1558346-1"	"1558346-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Was very tired and wanted to stay in bed from short time after receiving the vaccine. Experienced some chest pain.  Was found deceased in house at night 14 days later."
	"1558346-1"	"1558346-1"	"FATIGUE"	"10016256"	"40-49 years"	"40-49"	"Was very tired and wanted to stay in bed from short time after receiving the vaccine. Experienced some chest pain.  Was found deceased in house at night 14 days later."
	"1573992-1"	"1573992-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Death"
	"1574415-1"	"1574415-1"	"AUTOPSY"	"10050117"	"40-49 years"	"40-49"	""Called from Medical Examiner's office that record of vaccination was needed on a deceased person.  Upon talking to local Fire Chief states, ""patient received Moderna COVID 19 vaccination on 8/10/21 complained of chest pain on 8/11/21 and deceased on 8/12/21.  Fire Chief reports that patient was overweight and had hypertension.""
	"1574415-1"	"1574415-1"	"CHEST PAIN"	"10008479"	"40-49 years"	"40-49"	""Called from Medical Examiner's office that record of vaccination was needed on a deceased person.  Upon talking to local Fire Chief states, ""patient received Moderna COVID 19 vaccination on 8/10/21 complained of chest pain on 8/11/21 and deceased on 8/12/21.  Fire Chief reports that patient was overweight and had hypertension.""
	"1574415-1"	"1574415-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	""Called from Medical Examiner's office that record of vaccination was needed on a deceased person.  Upon talking to local Fire Chief states, ""patient received Moderna COVID 19 vaccination on 8/10/21 complained of chest pain on 8/11/21 and deceased on 8/12/21.  Fire Chief reports that patient was overweight and had hypertension.""
	"1578593-1"	"1578593-1"	"AUTOPSY"	"10050117"	"30-39 years"	"30-39"	"Died June 25th after cardiac arrest on June 23rd, 8 days after his vaccine."
	"1578593-1"	"1578593-1"	"CARDIAC ARREST"	"10007515"	"30-39 years"	"30-39"	"Died June 25th after cardiac arrest on June 23rd, 8 days after his vaccine."
	"1578593-1"	"1578593-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Died June 25th after cardiac arrest on June 23rd, 8 days after his vaccine."
	"1578593-1"	"1578593-1"	"VACCINATION COMPLICATION"	"10046861"	"30-39 years"	"30-39"	"Died June 25th after cardiac arrest on June 23rd, 8 days after his vaccine."
	"1582152-1"	"1582152-1"	"ACUTE MYOCARDIAL INFARCTION"	"10000891"	"40-49 years"	"40-49"	"I21.4 - Non-ST elevation (NSTEMI) myocardial infarction J18.9 - Pneumonia, unspecified organism"
	"1582152-1"	"1582152-1"	"PNEUMONIA"	"10035664"	"40-49 years"	"40-49"	"I21.4 - Non-ST elevation (NSTEMI) myocardial infarction J18.9 - Pneumonia, unspecified organism"
	"1583179-1"	"1583179-1"	"SUDDEN DEATH"	"10042434"	"40-49 years"	"40-49"	"Patient passed away suddenly and unexpectedly on 5/7/21.  Cause of death on death certificate states ventricular fibrillation"
	"1583179-1"	"1583179-1"	"VENTRICULAR FIBRILLATION"	"10047290"	"40-49 years"	"40-49"	"Patient passed away suddenly and unexpectedly on 5/7/21.  Cause of death on death certificate states ventricular fibrillation"
	"1591198-1"	"1591198-1"	"AUTOPSY"	"10050117"	"40-49 years"	"40-49"	"I have minimal information but wanted to report as patient's wife is unsure if patient's death is related to his vaccine. Patients wife, called me and was very hard to understand but was able to tell me that her seemingly healthy 42 year old husband died out of nowhere on Wednesday August 18th, 13 days after receiving his second dose of the Pfizer vaccine. They are not sure what the patient died from, the wife states everything happened so fast and she said she wasn't sure if he was having a seizure or a heart attack. According to the wife an autopsy is being performed to discover cause of death. Patient had no complaints after his first dose, and only had normal possible side effects after his first dose."
	"1591198-1"	"1591198-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"I have minimal information but wanted to report as patient's wife is unsure if patient's death is related to his vaccine. Patients wife, called me and was very hard to understand but was able to tell me that her seemingly healthy 42 year old husband died out of nowhere on Wednesday August 18th, 13 days after receiving his second dose of the Pfizer vaccine. They are not sure what the patient died from, the wife states everything happened so fast and she said she wasn't sure if he was having a seizure or a heart attack. According to the wife an autopsy is being performed to discover cause of death. Patient had no complaints after his first dose, and only had normal possible side effects after his first dose."
	"1592025-1"	"1592025-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Death"
	"1592078-1"	"1592078-1"	"ACTIVATED PARTIAL THROMBOPLASTIN TIME"	"10000630"	"40-49 years"	"40-49"	"HX: Prior to event pt reported weakness for 5 days post vaccine.  On 06/17 c/o chest pain throughout the day.  Pt experienced syncopal episode on EMS arrival at home.  Afib- Asystole- Cardiac Arrest.  Shocked and cowated, transport - ed.  Tarry black stool on arrival to ED.  Cardiac arrest in ED, CPR initiated- ACLS algorithm followed.   Lab h/h 2.8/10.4, APTT 5635, PT 17.5, INR 1.4, BNP POCT 308, LACTIC ACID 20.00 /Patient died at 8:00 pm 06/21/21. ME accepted the case."
	"1592078-1"	"1592078-1"	"ASTHENIA"	"10003549"	"40-49 years"	"40-49"	"HX: Prior to event pt reported weakness for 5 days post vaccine.  On 06/17 c/o chest pain throughout the day.  Pt experienced syncopal episode on EMS arrival at home.  Afib- Asystole- Cardiac Arrest.  Shocked and cowated, transport - ed.  Tarry black stool on arrival to ED.  Cardiac arrest in ED, CPR initiated- ACLS algorithm followed.   Lab h/h 2.8/10.4, APTT 5635, PT 17.5, INR 1.4, BNP POCT 308, LACTIC ACID 20.00 /Patient died at 8:00 pm 06/21/21. ME accepted the case."
	"1592078-1"	"1592078-1"	"ATRIAL FIBRILLATION"	"10003658"	"40-49 years"	"40-49"	"HX: Prior to event pt reported weakness for 5 days post vaccine.  On 06/17 c/o chest pain throughout the day.  Pt experienced syncopal episode on EMS arrival at home.  Afib- Asystole- Cardiac Arrest.  Shocked and cowated, transport - ed.  Tarry black stool on arrival to ED.  Cardiac arrest in ED, CPR initiated- ACLS algorithm followed.   Lab h/h 2.8/10.4, APTT 5635, PT 17.5, INR 1.4, BNP POCT 308, LACTIC ACID 20.00 /Patient died at 8:00 pm 06/21/21. ME accepted the case."
	"1592078-1"	"1592078-1"	"BLOOD LACTIC ACID"	"10005632"	"40-49 years"	"40-49"	"HX: Prior to event pt reported weakness for 5 days post vaccine.  On 06/17 c/o chest pain throughout the day.  Pt experienced syncopal episode on EMS arrival at home.  Afib- Asystole- Cardiac Arrest.  Shocked and cowated, transport - ed.  Tarry black stool on arrival to ED.  Cardiac arrest in ED, CPR initiated- ACLS algorithm followed.   Lab h/h 2.8/10.4, APTT 5635, PT 17.5, INR 1.4, BNP POCT 308, LACTIC ACID 20.00 /Patient died at 8:00 pm 06/21/21. ME accepted the case."
	"1592078-1"	"1592078-1"	"BRAIN NATRIURETIC PEPTIDE INCREASED"	"10053405"	"40-49 years"	"40-49"	"HX: Prior to event pt reported weakness for 5 days post vaccine.  On 06/17 c/o chest pain throughout the day.  Pt experienced syncopal episode on EMS arrival at home.  Afib- Asystole- Cardiac Arrest.  Shocked and cowated, transport - ed.  Tarry black stool on arrival to ED.  Cardiac arrest in ED, CPR initiated- ACLS algorithm followed.   Lab h/h 2.8/10.4, APTT 5635, PT 17.5, INR 1.4, BNP POCT 308, LACTIC ACID 20.00 /Patient died at 8:00 pm 06/21/21. ME accepted the case."
	"1592078-1"	"1592078-1"	"CARDIAC ARREST"	"10007515"	"40-49 years"	"40-49"	"HX: Prior to event pt reported weakness for 5 days post vaccine.  On 06/17 c/o chest pain throughout the day.  Pt experienced syncopal episode on EMS arrival at home.  Afib- Asystole- Cardiac Arrest.  Shocked and cowated, transport - ed.  Tarry black stool on arrival to ED.  Cardiac arrest in ED, CPR initiated- ACLS algorithm followed.   Lab h/h 2.8/10.4, APTT 5635, PT 17.5, INR 1.4, BNP POCT 308, LACTIC ACID 20.00 /Patient died at 8:00 pm 06/21/21. ME accepted the case."
	"1592078-1"	"1592078-1"	"CHEST PAIN"	"10008479"	"40-49 years"	"40-49"	"HX: Prior to event pt reported weakness for 5 days post vaccine.  On 06/17 c/o chest pain throughout the day.  Pt experienced syncopal episode on EMS arrival at home.  Afib- Asystole- Cardiac Arrest.  Shocked and cowated, transport - ed.  Tarry black stool on arrival to ED.  Cardiac arrest in ED, CPR initiated- ACLS algorithm followed.   Lab h/h 2.8/10.4, APTT 5635, PT 17.5, INR 1.4, BNP POCT 308, LACTIC ACID 20.00 /Patient died at 8:00 pm 06/21/21. ME accepted the case."
	"1592078-1"	"1592078-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"HX: Prior to event pt reported weakness for 5 days post vaccine.  On 06/17 c/o chest pain throughout the day.  Pt experienced syncopal episode on EMS arrival at home.  Afib- Asystole- Cardiac Arrest.  Shocked and cowated, transport - ed.  Tarry black stool on arrival to ED.  Cardiac arrest in ED, CPR initiated- ACLS algorithm followed.   Lab h/h 2.8/10.4, APTT 5635, PT 17.5, INR 1.4, BNP POCT 308, LACTIC ACID 20.00 /Patient died at 8:00 pm 06/21/21. ME accepted the case."
	"1592078-1"	"1592078-1"	"FAECES DISCOLOURED"	"10016100"	"40-49 years"	"40-49"	"HX: Prior to event pt reported weakness for 5 days post vaccine.  On 06/17 c/o chest pain throughout the day.  Pt experienced syncopal episode on EMS arrival at home.  Afib- Asystole- Cardiac Arrest.  Shocked and cowated, transport - ed.  Tarry black stool on arrival to ED.  Cardiac arrest in ED, CPR initiated- ACLS algorithm followed.   Lab h/h 2.8/10.4, APTT 5635, PT 17.5, INR 1.4, BNP POCT 308, LACTIC ACID 20.00 /Patient died at 8:00 pm 06/21/21. ME accepted the case."
	"1592078-1"	"1592078-1"	"HAEMATOCRIT DECREASED"	"10018838"	"40-49 years"	"40-49"	"HX: Prior to event pt reported weakness for 5 days post vaccine.  On 06/17 c/o chest pain throughout the day.  Pt experienced syncopal episode on EMS arrival at home.  Afib- Asystole- Cardiac Arrest.  Shocked and cowated, transport - ed.  Tarry black stool on arrival to ED.  Cardiac arrest in ED, CPR initiated- ACLS algorithm followed.   Lab h/h 2.8/10.4, APTT 5635, PT 17.5, INR 1.4, BNP POCT 308, LACTIC ACID 20.00 /Patient died at 8:00 pm 06/21/21. ME accepted the case."
	"1592078-1"	"1592078-1"	"HAEMOGLOBIN DECREASED"	"10018884"	"40-49 years"	"40-49"	"HX: Prior to event pt reported weakness for 5 days post vaccine.  On 06/17 c/o chest pain throughout the day.  Pt experienced syncopal episode on EMS arrival at home.  Afib- Asystole- Cardiac Arrest.  Shocked and cowated, transport - ed.  Tarry black stool on arrival to ED.  Cardiac arrest in ED, CPR initiated- ACLS algorithm followed.   Lab h/h 2.8/10.4, APTT 5635, PT 17.5, INR 1.4, BNP POCT 308, LACTIC ACID 20.00 /Patient died at 8:00 pm 06/21/21. ME accepted the case."
	"1592078-1"	"1592078-1"	"INTERNATIONAL NORMALISED RATIO INCREASED"	"10022595"	"40-49 years"	"40-49"	"HX: Prior to event pt reported weakness for 5 days post vaccine.  On 06/17 c/o chest pain throughout the day.  Pt experienced syncopal episode on EMS arrival at home.  Afib- Asystole- Cardiac Arrest.  Shocked and cowated, transport - ed.  Tarry black stool on arrival to ED.  Cardiac arrest in ED, CPR initiated- ACLS algorithm followed.   Lab h/h 2.8/10.4, APTT 5635, PT 17.5, INR 1.4, BNP POCT 308, LACTIC ACID 20.00 /Patient died at 8:00 pm 06/21/21. ME accepted the case."
	"1592078-1"	"1592078-1"	"MELAENA"	"10027141"	"40-49 years"	"40-49"	"HX: Prior to event pt reported weakness for 5 days post vaccine.  On 06/17 c/o chest pain throughout the day.  Pt experienced syncopal episode on EMS arrival at home.  Afib- Asystole- Cardiac Arrest.  Shocked and cowated, transport - ed.  Tarry black stool on arrival to ED.  Cardiac arrest in ED, CPR initiated- ACLS algorithm followed.   Lab h/h 2.8/10.4, APTT 5635, PT 17.5, INR 1.4, BNP POCT 308, LACTIC ACID 20.00 /Patient died at 8:00 pm 06/21/21. ME accepted the case."
	"1592078-1"	"1592078-1"	"PROTHROMBIN TIME PROLONGED"	"10037063"	"40-49 years"	"40-49"	"HX: Prior to event pt reported weakness for 5 days post vaccine.  On 06/17 c/o chest pain throughout the day.  Pt experienced syncopal episode on EMS arrival at home.  Afib- Asystole- Cardiac Arrest.  Shocked and cowated, transport - ed.  Tarry black stool on arrival to ED.  Cardiac arrest in ED, CPR initiated- ACLS algorithm followed.   Lab h/h 2.8/10.4, APTT 5635, PT 17.5, INR 1.4, BNP POCT 308, LACTIC ACID 20.00 /Patient died at 8:00 pm 06/21/21. ME accepted the case."
	"1592078-1"	"1592078-1"	"RESUSCITATION"	"10038749"	"40-49 years"	"40-49"	"HX: Prior to event pt reported weakness for 5 days post vaccine.  On 06/17 c/o chest pain throughout the day.  Pt experienced syncopal episode on EMS arrival at home.  Afib- Asystole- Cardiac Arrest.  Shocked and cowated, transport - ed.  Tarry black stool on arrival to ED.  Cardiac arrest in ED, CPR initiated- ACLS algorithm followed.   Lab h/h 2.8/10.4, APTT 5635, PT 17.5, INR 1.4, BNP POCT 308, LACTIC ACID 20.00 /Patient died at 8:00 pm 06/21/21. ME accepted the case."
	"1592078-1"	"1592078-1"	"SYNCOPE"	"10042772"	"40-49 years"	"40-49"	"HX: Prior to event pt reported weakness for 5 days post vaccine.  On 06/17 c/o chest pain throughout the day.  Pt experienced syncopal episode on EMS arrival at home.  Afib- Asystole- Cardiac Arrest.  Shocked and cowated, transport - ed.  Tarry black stool on arrival to ED.  Cardiac arrest in ED, CPR initiated- ACLS algorithm followed.   Lab h/h 2.8/10.4, APTT 5635, PT 17.5, INR 1.4, BNP POCT 308, LACTIC ACID 20.00 /Patient died at 8:00 pm 06/21/21. ME accepted the case."
	"1592139-1"	"1592139-1"	"AUTOPSY"	"10050117"	"40-49 years"	"40-49"	"Died of aspiration pneumonia due to  Diaphragmatic inflammatory myopathy/myositis Systemic inflammatory response  Found and pronounced days after the actual death, which probably occurred approximately 5 days after the first shot."
	"1592139-1"	"1592139-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Died of aspiration pneumonia due to  Diaphragmatic inflammatory myopathy/myositis Systemic inflammatory response  Found and pronounced days after the actual death, which probably occurred approximately 5 days after the first shot."
	"1592139-1"	"1592139-1"	"DIAPHRAGMATIC DISORDER"	"10061106"	"40-49 years"	"40-49"	"Died of aspiration pneumonia due to  Diaphragmatic inflammatory myopathy/myositis Systemic inflammatory response  Found and pronounced days after the actual death, which probably occurred approximately 5 days after the first shot."
	"1592139-1"	"1592139-1"	"MYOPATHY"	"10028641"	"40-49 years"	"40-49"	"Died of aspiration pneumonia due to  Diaphragmatic inflammatory myopathy/myositis Systemic inflammatory response  Found and pronounced days after the actual death, which probably occurred approximately 5 days after the first shot."
	"1592139-1"	"1592139-1"	"MYOSITIS"	"10028653"	"40-49 years"	"40-49"	"Died of aspiration pneumonia due to  Diaphragmatic inflammatory myopathy/myositis Systemic inflammatory response  Found and pronounced days after the actual death, which probably occurred approximately 5 days after the first shot."
	"1592139-1"	"1592139-1"	"PNEUMONIA ASPIRATION"	"10035669"	"40-49 years"	"40-49"	"Died of aspiration pneumonia due to  Diaphragmatic inflammatory myopathy/myositis Systemic inflammatory response  Found and pronounced days after the actual death, which probably occurred approximately 5 days after the first shot."
	"1592139-1"	"1592139-1"	"SYSTEMIC INFLAMMATORY RESPONSE SYNDROME"	"10051379"	"40-49 years"	"40-49"	"Died of aspiration pneumonia due to  Diaphragmatic inflammatory myopathy/myositis Systemic inflammatory response  Found and pronounced days after the actual death, which probably occurred approximately 5 days after the first shot."
	"1617434-1"	"1617434-1"	"ASTHENIA"	"10003549"	"40-49 years"	"40-49"	"Patient required hospitalization due to breakthrough infection. She received J&J vaccine on 05/25/21. Hospitalized from 07/23/21 - 08/21/21 (death). Below is copied from discharge (death) summary:   Patient 47 y.o. female with PMH of asthma, MAC PNA, and MRSA PNA (treatment course above) admitted to Hospital on 07/24/2021 for evaluation of progressive fatigue of 2 weeks, generalized weakness limiting activities of daily living. Found to be COVID positive. She recived J&J COVID-19 vaccination 5/25/21. Pt also noted to have a fever of 101, chills, and sore throat. Patient has been followed by pulmonary service for pulmonary cavitary lesions, MRSA, and MAC. Pt went to PCP and told her to go to ED. Patient admitted to Hospital North campus. Pulm and ID consulted this admission. CT chest with mycetomas noted. IV abx given per ID recs. BAL done 07/27 cx growing MRSA put on Bactrim, which was transitioned to Vanc, Zosyn, and minocycline given worsening thrombocytopenia. MICU consulted for worsening respiratory status and increasing oxygen requirements. 8/10/2021 ED Intubated in the setting of respiratory failure and transferred to MICU for further management. On 8/12 CT Head showed 3.4mm thickness subdural hematoma in the R frontal with occipital infarcts. S/p BAL with MRSA, started on linezold. 8/15 Transitioned from Zyvox to Bactrim due to rash, for treatment of superimposed pneumonia with MRSA on BAL. Pt transitioned to PS 8/16 and tolerated well. After discussion w family, they would like to proceed with tracheostomy.  Pt has increasing WBC this AM. Respiratory cultures.  Tracheostomy placed 8/20 with minimal blood loss   8/20, 95/39 MAP 59 200mcg phenylephrine given plus 100 more   Pt was found to be bleeding through her tracheostomy tube, surgery consulted and placed sutures, bleeding slightly decrease   Hbg 6.8 1U blood trans   8/21/2021: Patient's family visited at bedside, and then proceeded to the family counseling room. After an extensive discussion regarding the patients status and prognosis, the family (Pt's mother, father, and daughter) decided to compassionately wean the patient.  A morphine drip was started, pressors, and O2 were weaned. The patient expired shortly after."
	"1617434-1"	"1617434-1"	"BACTERIAL TEST POSITIVE"	"10059421"	"40-49 years"	"40-49"	"Patient required hospitalization due to breakthrough infection. She received J&J vaccine on 05/25/21. Hospitalized from 07/23/21 - 08/21/21 (death). Below is copied from discharge (death) summary:   Patient 47 y.o. female with PMH of asthma, MAC PNA, and MRSA PNA (treatment course above) admitted to Hospital on 07/24/2021 for evaluation of progressive fatigue of 2 weeks, generalized weakness limiting activities of daily living. Found to be COVID positive. She recived J&J COVID-19 vaccination 5/25/21. Pt also noted to have a fever of 101, chills, and sore throat. Patient has been followed by pulmonary service for pulmonary cavitary lesions, MRSA, and MAC. Pt went to PCP and told her to go to ED. Patient admitted to Hospital North campus. Pulm and ID consulted this admission. CT chest with mycetomas noted. IV abx given per ID recs. BAL done 07/27 cx growing MRSA put on Bactrim, which was transitioned to Vanc, Zosyn, and minocycline given worsening thrombocytopenia. MICU consulted for worsening respiratory status and increasing oxygen requirements. 8/10/2021 ED Intubated in the setting of respiratory failure and transferred to MICU for further management. On 8/12 CT Head showed 3.4mm thickness subdural hematoma in the R frontal with occipital infarcts. S/p BAL with MRSA, started on linezold. 8/15 Transitioned from Zyvox to Bactrim due to rash, for treatment of superimposed pneumonia with MRSA on BAL. Pt transitioned to PS 8/16 and tolerated well. After discussion w family, they would like to proceed with tracheostomy.  Pt has increasing WBC this AM. Respiratory cultures.  Tracheostomy placed 8/20 with minimal blood loss   8/20, 95/39 MAP 59 200mcg phenylephrine given plus 100 more   Pt was found to be bleeding through her tracheostomy tube, surgery consulted and placed sutures, bleeding slightly decrease   Hbg 6.8 1U blood trans   8/21/2021: Patient's family visited at bedside, and then proceeded to the family counseling room. After an extensive discussion regarding the patients status and prognosis, the family (Pt's mother, father, and daughter) decided to compassionately wean the patient.  A morphine drip was started, pressors, and O2 were weaned. The patient expired shortly after."
	"1617434-1"	"1617434-1"	"CEREBRAL INFARCTION"	"10008118"	"40-49 years"	"40-49"	"Patient required hospitalization due to breakthrough infection. She received J&J vaccine on 05/25/21. Hospitalized from 07/23/21 - 08/21/21 (death). Below is copied from discharge (death) summary:   Patient 47 y.o. female with PMH of asthma, MAC PNA, and MRSA PNA (treatment course above) admitted to Hospital on 07/24/2021 for evaluation of progressive fatigue of 2 weeks, generalized weakness limiting activities of daily living. Found to be COVID positive. She recived J&J COVID-19 vaccination 5/25/21. Pt also noted to have a fever of 101, chills, and sore throat. Patient has been followed by pulmonary service for pulmonary cavitary lesions, MRSA, and MAC. Pt went to PCP and told her to go to ED. Patient admitted to Hospital North campus. Pulm and ID consulted this admission. CT chest with mycetomas noted. IV abx given per ID recs. BAL done 07/27 cx growing MRSA put on Bactrim, which was transitioned to Vanc, Zosyn, and minocycline given worsening thrombocytopenia. MICU consulted for worsening respiratory status and increasing oxygen requirements. 8/10/2021 ED Intubated in the setting of respiratory failure and transferred to MICU for further management. On 8/12 CT Head showed 3.4mm thickness subdural hematoma in the R frontal with occipital infarcts. S/p BAL with MRSA, started on linezold. 8/15 Transitioned from Zyvox to Bactrim due to rash, for treatment of superimposed pneumonia with MRSA on BAL. Pt transitioned to PS 8/16 and tolerated well. After discussion w family, they would like to proceed with tracheostomy.  Pt has increasing WBC this AM. Respiratory cultures.  Tracheostomy placed 8/20 with minimal blood loss   8/20, 95/39 MAP 59 200mcg phenylephrine given plus 100 more   Pt was found to be bleeding through her tracheostomy tube, surgery consulted and placed sutures, bleeding slightly decrease   Hbg 6.8 1U blood trans   8/21/2021: Patient's family visited at bedside, and then proceeded to the family counseling room. After an extensive discussion regarding the patients status and prognosis, the family (Pt's mother, father, and daughter) decided to compassionately wean the patient.  A morphine drip was started, pressors, and O2 were weaned. The patient expired shortly after."
	"1617434-1"	"1617434-1"	"CHILLS"	"10008531"	"40-49 years"	"40-49"	"Patient required hospitalization due to breakthrough infection. She received J&J vaccine on 05/25/21. Hospitalized from 07/23/21 - 08/21/21 (death). Below is copied from discharge (death) summary:   Patient 47 y.o. female with PMH of asthma, MAC PNA, and MRSA PNA (treatment course above) admitted to Hospital on 07/24/2021 for evaluation of progressive fatigue of 2 weeks, generalized weakness limiting activities of daily living. Found to be COVID positive. She recived J&J COVID-19 vaccination 5/25/21. Pt also noted to have a fever of 101, chills, and sore throat. Patient has been followed by pulmonary service for pulmonary cavitary lesions, MRSA, and MAC. Pt went to PCP and told her to go to ED. Patient admitted to Hospital North campus. Pulm and ID consulted this admission. CT chest with mycetomas noted. IV abx given per ID recs. BAL done 07/27 cx growing MRSA put on Bactrim, which was transitioned to Vanc, Zosyn, and minocycline given worsening thrombocytopenia. MICU consulted for worsening respiratory status and increasing oxygen requirements. 8/10/2021 ED Intubated in the setting of respiratory failure and transferred to MICU for further management. On 8/12 CT Head showed 3.4mm thickness subdural hematoma in the R frontal with occipital infarcts. S/p BAL with MRSA, started on linezold. 8/15 Transitioned from Zyvox to Bactrim due to rash, for treatment of superimposed pneumonia with MRSA on BAL. Pt transitioned to PS 8/16 and tolerated well. After discussion w family, they would like to proceed with tracheostomy.  Pt has increasing WBC this AM. Respiratory cultures.  Tracheostomy placed 8/20 with minimal blood loss   8/20, 95/39 MAP 59 200mcg phenylephrine given plus 100 more   Pt was found to be bleeding through her tracheostomy tube, surgery consulted and placed sutures, bleeding slightly decrease   Hbg 6.8 1U blood trans   8/21/2021: Patient's family visited at bedside, and then proceeded to the family counseling room. After an extensive discussion regarding the patients status and prognosis, the family (Pt's mother, father, and daughter) decided to compassionately wean the patient.  A morphine drip was started, pressors, and O2 were weaned. The patient expired shortly after."
	"1617434-1"	"1617434-1"	"COMPUTERISED TOMOGRAM HEAD ABNORMAL"	"10072168"	"40-49 years"	"40-49"	"Patient required hospitalization due to breakthrough infection. She received J&J vaccine on 05/25/21. Hospitalized from 07/23/21 - 08/21/21 (death). Below is copied from discharge (death) summary:   Patient 47 y.o. female with PMH of asthma, MAC PNA, and MRSA PNA (treatment course above) admitted to Hospital on 07/24/2021 for evaluation of progressive fatigue of 2 weeks, generalized weakness limiting activities of daily living. Found to be COVID positive. She recived J&J COVID-19 vaccination 5/25/21. Pt also noted to have a fever of 101, chills, and sore throat. Patient has been followed by pulmonary service for pulmonary cavitary lesions, MRSA, and MAC. Pt went to PCP and told her to go to ED. Patient admitted to Hospital North campus. Pulm and ID consulted this admission. CT chest with mycetomas noted. IV abx given per ID recs. BAL done 07/27 cx growing MRSA put on Bactrim, which was transitioned to Vanc, Zosyn, and minocycline given worsening thrombocytopenia. MICU consulted for worsening respiratory status and increasing oxygen requirements. 8/10/2021 ED Intubated in the setting of respiratory failure and transferred to MICU for further management. On 8/12 CT Head showed 3.4mm thickness subdural hematoma in the R frontal with occipital infarcts. S/p BAL with MRSA, started on linezold. 8/15 Transitioned from Zyvox to Bactrim due to rash, for treatment of superimposed pneumonia with MRSA on BAL. Pt transitioned to PS 8/16 and tolerated well. After discussion w family, they would like to proceed with tracheostomy.  Pt has increasing WBC this AM. Respiratory cultures.  Tracheostomy placed 8/20 with minimal blood loss   8/20, 95/39 MAP 59 200mcg phenylephrine given plus 100 more   Pt was found to be bleeding through her tracheostomy tube, surgery consulted and placed sutures, bleeding slightly decrease   Hbg 6.8 1U blood trans   8/21/2021: Patient's family visited at bedside, and then proceeded to the family counseling room. After an extensive discussion regarding the patients status and prognosis, the family (Pt's mother, father, and daughter) decided to compassionately wean the patient.  A morphine drip was started, pressors, and O2 were weaned. The patient expired shortly after."
	"1617434-1"	"1617434-1"	"COMPUTERISED TOMOGRAM THORAX NORMAL"	"10057801"	"40-49 years"	"40-49"	"Patient required hospitalization due to breakthrough infection. She received J&J vaccine on 05/25/21. Hospitalized from 07/23/21 - 08/21/21 (death). Below is copied from discharge (death) summary:   Patient 47 y.o. female with PMH of asthma, MAC PNA, and MRSA PNA (treatment course above) admitted to Hospital on 07/24/2021 for evaluation of progressive fatigue of 2 weeks, generalized weakness limiting activities of daily living. Found to be COVID positive. She recived J&J COVID-19 vaccination 5/25/21. Pt also noted to have a fever of 101, chills, and sore throat. Patient has been followed by pulmonary service for pulmonary cavitary lesions, MRSA, and MAC. Pt went to PCP and told her to go to ED. Patient admitted to Hospital North campus. Pulm and ID consulted this admission. CT chest with mycetomas noted. IV abx given per ID recs. BAL done 07/27 cx growing MRSA put on Bactrim, which was transitioned to Vanc, Zosyn, and minocycline given worsening thrombocytopenia. MICU consulted for worsening respiratory status and increasing oxygen requirements. 8/10/2021 ED Intubated in the setting of respiratory failure and transferred to MICU for further management. On 8/12 CT Head showed 3.4mm thickness subdural hematoma in the R frontal with occipital infarcts. S/p BAL with MRSA, started on linezold. 8/15 Transitioned from Zyvox to Bactrim due to rash, for treatment of superimposed pneumonia with MRSA on BAL. Pt transitioned to PS 8/16 and tolerated well. After discussion w family, they would like to proceed with tracheostomy.  Pt has increasing WBC this AM. Respiratory cultures.  Tracheostomy placed 8/20 with minimal blood loss   8/20, 95/39 MAP 59 200mcg phenylephrine given plus 100 more   Pt was found to be bleeding through her tracheostomy tube, surgery consulted and placed sutures, bleeding slightly decrease   Hbg 6.8 1U blood trans   8/21/2021: Patient's family visited at bedside, and then proceeded to the family counseling room. After an extensive discussion regarding the patients status and prognosis, the family (Pt's mother, father, and daughter) decided to compassionately wean the patient.  A morphine drip was started, pressors, and O2 were weaned. The patient expired shortly after."
	"1617434-1"	"1617434-1"	"COVID-19"	"10084268"	"40-49 years"	"40-49"	"Patient required hospitalization due to breakthrough infection. She received J&J vaccine on 05/25/21. Hospitalized from 07/23/21 - 08/21/21 (death). Below is copied from discharge (death) summary:   Patient 47 y.o. female with PMH of asthma, MAC PNA, and MRSA PNA (treatment course above) admitted to Hospital on 07/24/2021 for evaluation of progressive fatigue of 2 weeks, generalized weakness limiting activities of daily living. Found to be COVID positive. She recived J&J COVID-19 vaccination 5/25/21. Pt also noted to have a fever of 101, chills, and sore throat. Patient has been followed by pulmonary service for pulmonary cavitary lesions, MRSA, and MAC. Pt went to PCP and told her to go to ED. Patient admitted to Hospital North campus. Pulm and ID consulted this admission. CT chest with mycetomas noted. IV abx given per ID recs. BAL done 07/27 cx growing MRSA put on Bactrim, which was transitioned to Vanc, Zosyn, and minocycline given worsening thrombocytopenia. MICU consulted for worsening respiratory status and increasing oxygen requirements. 8/10/2021 ED Intubated in the setting of respiratory failure and transferred to MICU for further management. On 8/12 CT Head showed 3.4mm thickness subdural hematoma in the R frontal with occipital infarcts. S/p BAL with MRSA, started on linezold. 8/15 Transitioned from Zyvox to Bactrim due to rash, for treatment of superimposed pneumonia with MRSA on BAL. Pt transitioned to PS 8/16 and tolerated well. After discussion w family, they would like to proceed with tracheostomy.  Pt has increasing WBC this AM. Respiratory cultures.  Tracheostomy placed 8/20 with minimal blood loss   8/20, 95/39 MAP 59 200mcg phenylephrine given plus 100 more   Pt was found to be bleeding through her tracheostomy tube, surgery consulted and placed sutures, bleeding slightly decrease   Hbg 6.8 1U blood trans   8/21/2021: Patient's family visited at bedside, and then proceeded to the family counseling room. After an extensive discussion regarding the patients status and prognosis, the family (Pt's mother, father, and daughter) decided to compassionately wean the patient.  A morphine drip was started, pressors, and O2 were weaned. The patient expired shortly after."
	"1617434-1"	"1617434-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Patient required hospitalization due to breakthrough infection. She received J&J vaccine on 05/25/21. Hospitalized from 07/23/21 - 08/21/21 (death). Below is copied from discharge (death) summary:   Patient 47 y.o. female with PMH of asthma, MAC PNA, and MRSA PNA (treatment course above) admitted to Hospital on 07/24/2021 for evaluation of progressive fatigue of 2 weeks, generalized weakness limiting activities of daily living. Found to be COVID positive. She recived J&J COVID-19 vaccination 5/25/21. Pt also noted to have a fever of 101, chills, and sore throat. Patient has been followed by pulmonary service for pulmonary cavitary lesions, MRSA, and MAC. Pt went to PCP and told her to go to ED. Patient admitted to Hospital North campus. Pulm and ID consulted this admission. CT chest with mycetomas noted. IV abx given per ID recs. BAL done 07/27 cx growing MRSA put on Bactrim, which was transitioned to Vanc, Zosyn, and minocycline given worsening thrombocytopenia. MICU consulted for worsening respiratory status and increasing oxygen requirements. 8/10/2021 ED Intubated in the setting of respiratory failure and transferred to MICU for further management. On 8/12 CT Head showed 3.4mm thickness subdural hematoma in the R frontal with occipital infarcts. S/p BAL with MRSA, started on linezold. 8/15 Transitioned from Zyvox to Bactrim due to rash, for treatment of superimposed pneumonia with MRSA on BAL. Pt transitioned to PS 8/16 and tolerated well. After discussion w family, they would like to proceed with tracheostomy.  Pt has increasing WBC this AM. Respiratory cultures.  Tracheostomy placed 8/20 with minimal blood loss   8/20, 95/39 MAP 59 200mcg phenylephrine given plus 100 more   Pt was found to be bleeding through her tracheostomy tube, surgery consulted and placed sutures, bleeding slightly decrease   Hbg 6.8 1U blood trans   8/21/2021: Patient's family visited at bedside, and then proceeded to the family counseling room. After an extensive discussion regarding the patients status and prognosis, the family (Pt's mother, father, and daughter) decided to compassionately wean the patient.  A morphine drip was started, pressors, and O2 were weaned. The patient expired shortly after."
	"1617434-1"	"1617434-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"40-49 years"	"40-49"	"Patient required hospitalization due to breakthrough infection. She received J&J vaccine on 05/25/21. Hospitalized from 07/23/21 - 08/21/21 (death). Below is copied from discharge (death) summary:   Patient 47 y.o. female with PMH of asthma, MAC PNA, and MRSA PNA (treatment course above) admitted to Hospital on 07/24/2021 for evaluation of progressive fatigue of 2 weeks, generalized weakness limiting activities of daily living. Found to be COVID positive. She recived J&J COVID-19 vaccination 5/25/21. Pt also noted to have a fever of 101, chills, and sore throat. Patient has been followed by pulmonary service for pulmonary cavitary lesions, MRSA, and MAC. Pt went to PCP and told her to go to ED. Patient admitted to Hospital North campus. Pulm and ID consulted this admission. CT chest with mycetomas noted. IV abx given per ID recs. BAL done 07/27 cx growing MRSA put on Bactrim, which was transitioned to Vanc, Zosyn, and minocycline given worsening thrombocytopenia. MICU consulted for worsening respiratory status and increasing oxygen requirements. 8/10/2021 ED Intubated in the setting of respiratory failure and transferred to MICU for further management. On 8/12 CT Head showed 3.4mm thickness subdural hematoma in the R frontal with occipital infarcts. S/p BAL with MRSA, started on linezold. 8/15 Transitioned from Zyvox to Bactrim due to rash, for treatment of superimposed pneumonia with MRSA on BAL. Pt transitioned to PS 8/16 and tolerated well. After discussion w family, they would like to proceed with tracheostomy.  Pt has increasing WBC this AM. Respiratory cultures.  Tracheostomy placed 8/20 with minimal blood loss   8/20, 95/39 MAP 59 200mcg phenylephrine given plus 100 more   Pt was found to be bleeding through her tracheostomy tube, surgery consulted and placed sutures, bleeding slightly decrease   Hbg 6.8 1U blood trans   8/21/2021: Patient's family visited at bedside, and then proceeded to the family counseling room. After an extensive discussion regarding the patients status and prognosis, the family (Pt's mother, father, and daughter) decided to compassionately wean the patient.  A morphine drip was started, pressors, and O2 were weaned. The patient expired shortly after."
	"1617434-1"	"1617434-1"	"FATIGUE"	"10016256"	"40-49 years"	"40-49"	"Patient required hospitalization due to breakthrough infection. She received J&J vaccine on 05/25/21. Hospitalized from 07/23/21 - 08/21/21 (death). Below is copied from discharge (death) summary:   Patient 47 y.o. female with PMH of asthma, MAC PNA, and MRSA PNA (treatment course above) admitted to Hospital on 07/24/2021 for evaluation of progressive fatigue of 2 weeks, generalized weakness limiting activities of daily living. Found to be COVID positive. She recived J&J COVID-19 vaccination 5/25/21. Pt also noted to have a fever of 101, chills, and sore throat. Patient has been followed by pulmonary service for pulmonary cavitary lesions, MRSA, and MAC. Pt went to PCP and told her to go to ED. Patient admitted to Hospital North campus. Pulm and ID consulted this admission. CT chest with mycetomas noted. IV abx given per ID recs. BAL done 07/27 cx growing MRSA put on Bactrim, which was transitioned to Vanc, Zosyn, and minocycline given worsening thrombocytopenia. MICU consulted for worsening respiratory status and increasing oxygen requirements. 8/10/2021 ED Intubated in the setting of respiratory failure and transferred to MICU for further management. On 8/12 CT Head showed 3.4mm thickness subdural hematoma in the R frontal with occipital infarcts. S/p BAL with MRSA, started on linezold. 8/15 Transitioned from Zyvox to Bactrim due to rash, for treatment of superimposed pneumonia with MRSA on BAL. Pt transitioned to PS 8/16 and tolerated well. After discussion w family, they would like to proceed with tracheostomy.  Pt has increasing WBC this AM. Respiratory cultures.  Tracheostomy placed 8/20 with minimal blood loss   8/20, 95/39 MAP 59 200mcg phenylephrine given plus 100 more   Pt was found to be bleeding through her tracheostomy tube, surgery consulted and placed sutures, bleeding slightly decrease   Hbg 6.8 1U blood trans   8/21/2021: Patient's family visited at bedside, and then proceeded to the family counseling room. After an extensive discussion regarding the patients status and prognosis, the family (Pt's mother, father, and daughter) decided to compassionately wean the patient.  A morphine drip was started, pressors, and O2 were weaned. The patient expired shortly after."
	"1617434-1"	"1617434-1"	"HAEMOGLOBIN DECREASED"	"10018884"	"40-49 years"	"40-49"	"Patient required hospitalization due to breakthrough infection. She received J&J vaccine on 05/25/21. Hospitalized from 07/23/21 - 08/21/21 (death). Below is copied from discharge (death) summary:   Patient 47 y.o. female with PMH of asthma, MAC PNA, and MRSA PNA (treatment course above) admitted to Hospital on 07/24/2021 for evaluation of progressive fatigue of 2 weeks, generalized weakness limiting activities of daily living. Found to be COVID positive. She recived J&J COVID-19 vaccination 5/25/21. Pt also noted to have a fever of 101, chills, and sore throat. Patient has been followed by pulmonary service for pulmonary cavitary lesions, MRSA, and MAC. Pt went to PCP and told her to go to ED. Patient admitted to Hospital North campus. Pulm and ID consulted this admission. CT chest with mycetomas noted. IV abx given per ID recs. BAL done 07/27 cx growing MRSA put on Bactrim, which was transitioned to Vanc, Zosyn, and minocycline given worsening thrombocytopenia. MICU consulted for worsening respiratory status and increasing oxygen requirements. 8/10/2021 ED Intubated in the setting of respiratory failure and transferred to MICU for further management. On 8/12 CT Head showed 3.4mm thickness subdural hematoma in the R frontal with occipital infarcts. S/p BAL with MRSA, started on linezold. 8/15 Transitioned from Zyvox to Bactrim due to rash, for treatment of superimposed pneumonia with MRSA on BAL. Pt transitioned to PS 8/16 and tolerated well. After discussion w family, they would like to proceed with tracheostomy.  Pt has increasing WBC this AM. Respiratory cultures.  Tracheostomy placed 8/20 with minimal blood loss   8/20, 95/39 MAP 59 200mcg phenylephrine given plus 100 more   Pt was found to be bleeding through her tracheostomy tube, surgery consulted and placed sutures, bleeding slightly decrease   Hbg 6.8 1U blood trans   8/21/2021: Patient's family visited at bedside, and then proceeded to the family counseling room. After an extensive discussion regarding the patients status and prognosis, the family (Pt's mother, father, and daughter) decided to compassionately wean the patient.  A morphine drip was started, pressors, and O2 were weaned. The patient expired shortly after."
	"1617434-1"	"1617434-1"	"INFECTION"	"10021789"	"40-49 years"	"40-49"	"Patient required hospitalization due to breakthrough infection. She received J&J vaccine on 05/25/21. Hospitalized from 07/23/21 - 08/21/21 (death). Below is copied from discharge (death) summary:   Patient 47 y.o. female with PMH of asthma, MAC PNA, and MRSA PNA (treatment course above) admitted to Hospital on 07/24/2021 for evaluation of progressive fatigue of 2 weeks, generalized weakness limiting activities of daily living. Found to be COVID positive. She recived J&J COVID-19 vaccination 5/25/21. Pt also noted to have a fever of 101, chills, and sore throat. Patient has been followed by pulmonary service for pulmonary cavitary lesions, MRSA, and MAC. Pt went to PCP and told her to go to ED. Patient admitted to Hospital North campus. Pulm and ID consulted this admission. CT chest with mycetomas noted. IV abx given per ID recs. BAL done 07/27 cx growing MRSA put on Bactrim, which was transitioned to Vanc, Zosyn, and minocycline given worsening thrombocytopenia. MICU consulted for worsening respiratory status and increasing oxygen requirements. 8/10/2021 ED Intubated in the setting of respiratory failure and transferred to MICU for further management. On 8/12 CT Head showed 3.4mm thickness subdural hematoma in the R frontal with occipital infarcts. S/p BAL with MRSA, started on linezold. 8/15 Transitioned from Zyvox to Bactrim due to rash, for treatment of superimposed pneumonia with MRSA on BAL. Pt transitioned to PS 8/16 and tolerated well. After discussion w family, they would like to proceed with tracheostomy.  Pt has increasing WBC this AM. Respiratory cultures.  Tracheostomy placed 8/20 with minimal blood loss   8/20, 95/39 MAP 59 200mcg phenylephrine given plus 100 more   Pt was found to be bleeding through her tracheostomy tube, surgery consulted and placed sutures, bleeding slightly decrease   Hbg 6.8 1U blood trans   8/21/2021: Patient's family visited at bedside, and then proceeded to the family counseling room. After an extensive discussion regarding the patients status and prognosis, the family (Pt's mother, father, and daughter) decided to compassionately wean the patient.  A morphine drip was started, pressors, and O2 were weaned. The patient expired shortly after."
	"1617434-1"	"1617434-1"	"INTENSIVE CARE"	"10022519"	"40-49 years"	"40-49"	"Patient required hospitalization due to breakthrough infection. She received J&J vaccine on 05/25/21. Hospitalized from 07/23/21 - 08/21/21 (death). Below is copied from discharge (death) summary:   Patient 47 y.o. female with PMH of asthma, MAC PNA, and MRSA PNA (treatment course above) admitted to Hospital on 07/24/2021 for evaluation of progressive fatigue of 2 weeks, generalized weakness limiting activities of daily living. Found to be COVID positive. She recived J&J COVID-19 vaccination 5/25/21. Pt also noted to have a fever of 101, chills, and sore throat. Patient has been followed by pulmonary service for pulmonary cavitary lesions, MRSA, and MAC. Pt went to PCP and told her to go to ED. Patient admitted to Hospital North campus. Pulm and ID consulted this admission. CT chest with mycetomas noted. IV abx given per ID recs. BAL done 07/27 cx growing MRSA put on Bactrim, which was transitioned to Vanc, Zosyn, and minocycline given worsening thrombocytopenia. MICU consulted for worsening respiratory status and increasing oxygen requirements. 8/10/2021 ED Intubated in the setting of respiratory failure and transferred to MICU for further management. On 8/12 CT Head showed 3.4mm thickness subdural hematoma in the R frontal with occipital infarcts. S/p BAL with MRSA, started on linezold. 8/15 Transitioned from Zyvox to Bactrim due to rash, for treatment of superimposed pneumonia with MRSA on BAL. Pt transitioned to PS 8/16 and tolerated well. After discussion w family, they would like to proceed with tracheostomy.  Pt has increasing WBC this AM. Respiratory cultures.  Tracheostomy placed 8/20 with minimal blood loss   8/20, 95/39 MAP 59 200mcg phenylephrine given plus 100 more   Pt was found to be bleeding through her tracheostomy tube, surgery consulted and placed sutures, bleeding slightly decrease   Hbg 6.8 1U blood trans   8/21/2021: Patient's family visited at bedside, and then proceeded to the family counseling room. After an extensive discussion regarding the patients status and prognosis, the family (Pt's mother, father, and daughter) decided to compassionately wean the patient.  A morphine drip was started, pressors, and O2 were weaned. The patient expired shortly after."
	"1617434-1"	"1617434-1"	"LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES"	"10079487"	"40-49 years"	"40-49"	"Patient required hospitalization due to breakthrough infection. She received J&J vaccine on 05/25/21. Hospitalized from 07/23/21 - 08/21/21 (death). Below is copied from discharge (death) summary:   Patient 47 y.o. female with PMH of asthma, MAC PNA, and MRSA PNA (treatment course above) admitted to Hospital on 07/24/2021 for evaluation of progressive fatigue of 2 weeks, generalized weakness limiting activities of daily living. Found to be COVID positive. She recived J&J COVID-19 vaccination 5/25/21. Pt also noted to have a fever of 101, chills, and sore throat. Patient has been followed by pulmonary service for pulmonary cavitary lesions, MRSA, and MAC. Pt went to PCP and told her to go to ED. Patient admitted to Hospital North campus. Pulm and ID consulted this admission. CT chest with mycetomas noted. IV abx given per ID recs. BAL done 07/27 cx growing MRSA put on Bactrim, which was transitioned to Vanc, Zosyn, and minocycline given worsening thrombocytopenia. MICU consulted for worsening respiratory status and increasing oxygen requirements. 8/10/2021 ED Intubated in the setting of respiratory failure and transferred to MICU for further management. On 8/12 CT Head showed 3.4mm thickness subdural hematoma in the R frontal with occipital infarcts. S/p BAL with MRSA, started on linezold. 8/15 Transitioned from Zyvox to Bactrim due to rash, for treatment of superimposed pneumonia with MRSA on BAL. Pt transitioned to PS 8/16 and tolerated well. After discussion w family, they would like to proceed with tracheostomy.  Pt has increasing WBC this AM. Respiratory cultures.  Tracheostomy placed 8/20 with minimal blood loss   8/20, 95/39 MAP 59 200mcg phenylephrine given plus 100 more   Pt was found to be bleeding through her tracheostomy tube, surgery consulted and placed sutures, bleeding slightly decrease   Hbg 6.8 1U blood trans   8/21/2021: Patient's family visited at bedside, and then proceeded to the family counseling room. After an extensive discussion regarding the patients status and prognosis, the family (Pt's mother, father, and daughter) decided to compassionately wean the patient.  A morphine drip was started, pressors, and O2 were weaned. The patient expired shortly after."
	"1617434-1"	"1617434-1"	"LUNG DISORDER"	"10025082"	"40-49 years"	"40-49"	"Patient required hospitalization due to breakthrough infection. She received J&J vaccine on 05/25/21. Hospitalized from 07/23/21 - 08/21/21 (death). Below is copied from discharge (death) summary:   Patient 47 y.o. female with PMH of asthma, MAC PNA, and MRSA PNA (treatment course above) admitted to Hospital on 07/24/2021 for evaluation of progressive fatigue of 2 weeks, generalized weakness limiting activities of daily living. Found to be COVID positive. She recived J&J COVID-19 vaccination 5/25/21. Pt also noted to have a fever of 101, chills, and sore throat. Patient has been followed by pulmonary service for pulmonary cavitary lesions, MRSA, and MAC. Pt went to PCP and told her to go to ED. Patient admitted to Hospital North campus. Pulm and ID consulted this admission. CT chest with mycetomas noted. IV abx given per ID recs. BAL done 07/27 cx growing MRSA put on Bactrim, which was transitioned to Vanc, Zosyn, and minocycline given worsening thrombocytopenia. MICU consulted for worsening respiratory status and increasing oxygen requirements. 8/10/2021 ED Intubated in the setting of respiratory failure and transferred to MICU for further management. On 8/12 CT Head showed 3.4mm thickness subdural hematoma in the R frontal with occipital infarcts. S/p BAL with MRSA, started on linezold. 8/15 Transitioned from Zyvox to Bactrim due to rash, for treatment of superimposed pneumonia with MRSA on BAL. Pt transitioned to PS 8/16 and tolerated well. After discussion w family, they would like to proceed with tracheostomy.  Pt has increasing WBC this AM. Respiratory cultures.  Tracheostomy placed 8/20 with minimal blood loss   8/20, 95/39 MAP 59 200mcg phenylephrine given plus 100 more   Pt was found to be bleeding through her tracheostomy tube, surgery consulted and placed sutures, bleeding slightly decrease   Hbg 6.8 1U blood trans   8/21/2021: Patient's family visited at bedside, and then proceeded to the family counseling room. After an extensive discussion regarding the patients status and prognosis, the family (Pt's mother, father, and daughter) decided to compassionately wean the patient.  A morphine drip was started, pressors, and O2 were weaned. The patient expired shortly after."
	"1617434-1"	"1617434-1"	"MYCETOMA MYCOTIC"	"10028426"	"40-49 years"	"40-49"	"Patient required hospitalization due to breakthrough infection. She received J&J vaccine on 05/25/21. Hospitalized from 07/23/21 - 08/21/21 (death). Below is copied from discharge (death) summary:   Patient 47 y.o. female with PMH of asthma, MAC PNA, and MRSA PNA (treatment course above) admitted to Hospital on 07/24/2021 for evaluation of progressive fatigue of 2 weeks, generalized weakness limiting activities of daily living. Found to be COVID positive. She recived J&J COVID-19 vaccination 5/25/21. Pt also noted to have a fever of 101, chills, and sore throat. Patient has been followed by pulmonary service for pulmonary cavitary lesions, MRSA, and MAC. Pt went to PCP and told her to go to ED. Patient admitted to Hospital North campus. Pulm and ID consulted this admission. CT chest with mycetomas noted. IV abx given per ID recs. BAL done 07/27 cx growing MRSA put on Bactrim, which was transitioned to Vanc, Zosyn, and minocycline given worsening thrombocytopenia. MICU consulted for worsening respiratory status and increasing oxygen requirements. 8/10/2021 ED Intubated in the setting of respiratory failure and transferred to MICU for further management. On 8/12 CT Head showed 3.4mm thickness subdural hematoma in the R frontal with occipital infarcts. S/p BAL with MRSA, started on linezold. 8/15 Transitioned from Zyvox to Bactrim due to rash, for treatment of superimposed pneumonia with MRSA on BAL. Pt transitioned to PS 8/16 and tolerated well. After discussion w family, they would like to proceed with tracheostomy.  Pt has increasing WBC this AM. Respiratory cultures.  Tracheostomy placed 8/20 with minimal blood loss   8/20, 95/39 MAP 59 200mcg phenylephrine given plus 100 more   Pt was found to be bleeding through her tracheostomy tube, surgery consulted and placed sutures, bleeding slightly decrease   Hbg 6.8 1U blood trans   8/21/2021: Patient's family visited at bedside, and then proceeded to the family counseling room. After an extensive discussion regarding the patients status and prognosis, the family (Pt's mother, father, and daughter) decided to compassionately wean the patient.  A morphine drip was started, pressors, and O2 were weaned. The patient expired shortly after."
	"1617434-1"	"1617434-1"	"OROPHARYNGEAL PAIN"	"10068319"	"40-49 years"	"40-49"	"Patient required hospitalization due to breakthrough infection. She received J&J vaccine on 05/25/21. Hospitalized from 07/23/21 - 08/21/21 (death). Below is copied from discharge (death) summary:   Patient 47 y.o. female with PMH of asthma, MAC PNA, and MRSA PNA (treatment course above) admitted to Hospital on 07/24/2021 for evaluation of progressive fatigue of 2 weeks, generalized weakness limiting activities of daily living. Found to be COVID positive. She recived J&J COVID-19 vaccination 5/25/21. Pt also noted to have a fever of 101, chills, and sore throat. Patient has been followed by pulmonary service for pulmonary cavitary lesions, MRSA, and MAC. Pt went to PCP and told her to go to ED. Patient admitted to Hospital North campus. Pulm and ID consulted this admission. CT chest with mycetomas noted. IV abx given per ID recs. BAL done 07/27 cx growing MRSA put on Bactrim, which was transitioned to Vanc, Zosyn, and minocycline given worsening thrombocytopenia. MICU consulted for worsening respiratory status and increasing oxygen requirements. 8/10/2021 ED Intubated in the setting of respiratory failure and transferred to MICU for further management. On 8/12 CT Head showed 3.4mm thickness subdural hematoma in the R frontal with occipital infarcts. S/p BAL with MRSA, started on linezold. 8/15 Transitioned from Zyvox to Bactrim due to rash, for treatment of superimposed pneumonia with MRSA on BAL. Pt transitioned to PS 8/16 and tolerated well. After discussion w family, they would like to proceed with tracheostomy.  Pt has increasing WBC this AM. Respiratory cultures.  Tracheostomy placed 8/20 with minimal blood loss   8/20, 95/39 MAP 59 200mcg phenylephrine given plus 100 more   Pt was found to be bleeding through her tracheostomy tube, surgery consulted and placed sutures, bleeding slightly decrease   Hbg 6.8 1U blood trans   8/21/2021: Patient's family visited at bedside, and then proceeded to the family counseling room. After an extensive discussion regarding the patients status and prognosis, the family (Pt's mother, father, and daughter) decided to compassionately wean the patient.  A morphine drip was started, pressors, and O2 were weaned. The patient expired shortly after."
	"1617434-1"	"1617434-1"	"PNEUMONIA"	"10035664"	"40-49 years"	"40-49"	"Patient required hospitalization due to breakthrough infection. She received J&J vaccine on 05/25/21. Hospitalized from 07/23/21 - 08/21/21 (death). Below is copied from discharge (death) summary:   Patient 47 y.o. female with PMH of asthma, MAC PNA, and MRSA PNA (treatment course above) admitted to Hospital on 07/24/2021 for evaluation of progressive fatigue of 2 weeks, generalized weakness limiting activities of daily living. Found to be COVID positive. She recived J&J COVID-19 vaccination 5/25/21. Pt also noted to have a fever of 101, chills, and sore throat. Patient has been followed by pulmonary service for pulmonary cavitary lesions, MRSA, and MAC. Pt went to PCP and told her to go to ED. Patient admitted to Hospital North campus. Pulm and ID consulted this admission. CT chest with mycetomas noted. IV abx given per ID recs. BAL done 07/27 cx growing MRSA put on Bactrim, which was transitioned to Vanc, Zosyn, and minocycline given worsening thrombocytopenia. MICU consulted for worsening respiratory status and increasing oxygen requirements. 8/10/2021 ED Intubated in the setting of respiratory failure and transferred to MICU for further management. On 8/12 CT Head showed 3.4mm thickness subdural hematoma in the R frontal with occipital infarcts. S/p BAL with MRSA, started on linezold. 8/15 Transitioned from Zyvox to Bactrim due to rash, for treatment of superimposed pneumonia with MRSA on BAL. Pt transitioned to PS 8/16 and tolerated well. After discussion w family, they would like to proceed with tracheostomy.  Pt has increasing WBC this AM. Respiratory cultures.  Tracheostomy placed 8/20 with minimal blood loss   8/20, 95/39 MAP 59 200mcg phenylephrine given plus 100 more   Pt was found to be bleeding through her tracheostomy tube, surgery consulted and placed sutures, bleeding slightly decrease   Hbg 6.8 1U blood trans   8/21/2021: Patient's family visited at bedside, and then proceeded to the family counseling room. After an extensive discussion regarding the patients status and prognosis, the family (Pt's mother, father, and daughter) decided to compassionately wean the patient.  A morphine drip was started, pressors, and O2 were weaned. The patient expired shortly after."
	"1617434-1"	"1617434-1"	"POST PROCEDURAL HAEMORRHAGE"	"10051077"	"40-49 years"	"40-49"	"Patient required hospitalization due to breakthrough infection. She received J&J vaccine on 05/25/21. Hospitalized from 07/23/21 - 08/21/21 (death). Below is copied from discharge (death) summary:   Patient 47 y.o. female with PMH of asthma, MAC PNA, and MRSA PNA (treatment course above) admitted to Hospital on 07/24/2021 for evaluation of progressive fatigue of 2 weeks, generalized weakness limiting activities of daily living. Found to be COVID positive. She recived J&J COVID-19 vaccination 5/25/21. Pt also noted to have a fever of 101, chills, and sore throat. Patient has been followed by pulmonary service for pulmonary cavitary lesions, MRSA, and MAC. Pt went to PCP and told her to go to ED. Patient admitted to Hospital North campus. Pulm and ID consulted this admission. CT chest with mycetomas noted. IV abx given per ID recs. BAL done 07/27 cx growing MRSA put on Bactrim, which was transitioned to Vanc, Zosyn, and minocycline given worsening thrombocytopenia. MICU consulted for worsening respiratory status and increasing oxygen requirements. 8/10/2021 ED Intubated in the setting of respiratory failure and transferred to MICU for further management. On 8/12 CT Head showed 3.4mm thickness subdural hematoma in the R frontal with occipital infarcts. S/p BAL with MRSA, started on linezold. 8/15 Transitioned from Zyvox to Bactrim due to rash, for treatment of superimposed pneumonia with MRSA on BAL. Pt transitioned to PS 8/16 and tolerated well. After discussion w family, they would like to proceed with tracheostomy.  Pt has increasing WBC this AM. Respiratory cultures.  Tracheostomy placed 8/20 with minimal blood loss   8/20, 95/39 MAP 59 200mcg phenylephrine given plus 100 more   Pt was found to be bleeding through her tracheostomy tube, surgery consulted and placed sutures, bleeding slightly decrease   Hbg 6.8 1U blood trans   8/21/2021: Patient's family visited at bedside, and then proceeded to the family counseling room. After an extensive discussion regarding the patients status and prognosis, the family (Pt's mother, father, and daughter) decided to compassionately wean the patient.  A morphine drip was started, pressors, and O2 were weaned. The patient expired shortly after."
	"1617434-1"	"1617434-1"	"PYREXIA"	"10037660"	"40-49 years"	"40-49"	"Patient required hospitalization due to breakthrough infection. She received J&J vaccine on 05/25/21. Hospitalized from 07/23/21 - 08/21/21 (death). Below is copied from discharge (death) summary:   Patient 47 y.o. female with PMH of asthma, MAC PNA, and MRSA PNA (treatment course above) admitted to Hospital on 07/24/2021 for evaluation of progressive fatigue of 2 weeks, generalized weakness limiting activities of daily living. Found to be COVID positive. She recived J&J COVID-19 vaccination 5/25/21. Pt also noted to have a fever of 101, chills, and sore throat. Patient has been followed by pulmonary service for pulmonary cavitary lesions, MRSA, and MAC. Pt went to PCP and told her to go to ED. Patient admitted to Hospital North campus. Pulm and ID consulted this admission. CT chest with mycetomas noted. IV abx given per ID recs. BAL done 07/27 cx growing MRSA put on Bactrim, which was transitioned to Vanc, Zosyn, and minocycline given worsening thrombocytopenia. MICU consulted for worsening respiratory status and increasing oxygen requirements. 8/10/2021 ED Intubated in the setting of respiratory failure and transferred to MICU for further management. On 8/12 CT Head showed 3.4mm thickness subdural hematoma in the R frontal with occipital infarcts. S/p BAL with MRSA, started on linezold. 8/15 Transitioned from Zyvox to Bactrim due to rash, for treatment of superimposed pneumonia with MRSA on BAL. Pt transitioned to PS 8/16 and tolerated well. After discussion w family, they would like to proceed with tracheostomy.  Pt has increasing WBC this AM. Respiratory cultures.  Tracheostomy placed 8/20 with minimal blood loss   8/20, 95/39 MAP 59 200mcg phenylephrine given plus 100 more   Pt was found to be bleeding through her tracheostomy tube, surgery consulted and placed sutures, bleeding slightly decrease   Hbg 6.8 1U blood trans   8/21/2021: Patient's family visited at bedside, and then proceeded to the family counseling room. After an extensive discussion regarding the patients status and prognosis, the family (Pt's mother, father, and daughter) decided to compassionately wean the patient.  A morphine drip was started, pressors, and O2 were weaned. The patient expired shortly after."
	"1617434-1"	"1617434-1"	"RASH"	"10037844"	"40-49 years"	"40-49"	"Patient required hospitalization due to breakthrough infection. She received J&J vaccine on 05/25/21. Hospitalized from 07/23/21 - 08/21/21 (death). Below is copied from discharge (death) summary:   Patient 47 y.o. female with PMH of asthma, MAC PNA, and MRSA PNA (treatment course above) admitted to Hospital on 07/24/2021 for evaluation of progressive fatigue of 2 weeks, generalized weakness limiting activities of daily living. Found to be COVID positive. She recived J&J COVID-19 vaccination 5/25/21. Pt also noted to have a fever of 101, chills, and sore throat. Patient has been followed by pulmonary service for pulmonary cavitary lesions, MRSA, and MAC. Pt went to PCP and told her to go to ED. Patient admitted to Hospital North campus. Pulm and ID consulted this admission. CT chest with mycetomas noted. IV abx given per ID recs. BAL done 07/27 cx growing MRSA put on Bactrim, which was transitioned to Vanc, Zosyn, and minocycline given worsening thrombocytopenia. MICU consulted for worsening respiratory status and increasing oxygen requirements. 8/10/2021 ED Intubated in the setting of respiratory failure and transferred to MICU for further management. On 8/12 CT Head showed 3.4mm thickness subdural hematoma in the R frontal with occipital infarcts. S/p BAL with MRSA, started on linezold. 8/15 Transitioned from Zyvox to Bactrim due to rash, for treatment of superimposed pneumonia with MRSA on BAL. Pt transitioned to PS 8/16 and tolerated well. After discussion w family, they would like to proceed with tracheostomy.  Pt has increasing WBC this AM. Respiratory cultures.  Tracheostomy placed 8/20 with minimal blood loss   8/20, 95/39 MAP 59 200mcg phenylephrine given plus 100 more   Pt was found to be bleeding through her tracheostomy tube, surgery consulted and placed sutures, bleeding slightly decrease   Hbg 6.8 1U blood trans   8/21/2021: Patient's family visited at bedside, and then proceeded to the family counseling room. After an extensive discussion regarding the patients status and prognosis, the family (Pt's mother, father, and daughter) decided to compassionately wean the patient.  A morphine drip was started, pressors, and O2 were weaned. The patient expired shortly after."
	"1617434-1"	"1617434-1"	"RESPIRATORY FAILURE"	"10038695"	"40-49 years"	"40-49"	"Patient required hospitalization due to breakthrough infection. She received J&J vaccine on 05/25/21. Hospitalized from 07/23/21 - 08/21/21 (death). Below is copied from discharge (death) summary:   Patient 47 y.o. female with PMH of asthma, MAC PNA, and MRSA PNA (treatment course above) admitted to Hospital on 07/24/2021 for evaluation of progressive fatigue of 2 weeks, generalized weakness limiting activities of daily living. Found to be COVID positive. She recived J&J COVID-19 vaccination 5/25/21. Pt also noted to have a fever of 101, chills, and sore throat. Patient has been followed by pulmonary service for pulmonary cavitary lesions, MRSA, and MAC. Pt went to PCP and told her to go to ED. Patient admitted to Hospital North campus. Pulm and ID consulted this admission. CT chest with mycetomas noted. IV abx given per ID recs. BAL done 07/27 cx growing MRSA put on Bactrim, which was transitioned to Vanc, Zosyn, and minocycline given worsening thrombocytopenia. MICU consulted for worsening respiratory status and increasing oxygen requirements. 8/10/2021 ED Intubated in the setting of respiratory failure and transferred to MICU for further management. On 8/12 CT Head showed 3.4mm thickness subdural hematoma in the R frontal with occipital infarcts. S/p BAL with MRSA, started on linezold. 8/15 Transitioned from Zyvox to Bactrim due to rash, for treatment of superimposed pneumonia with MRSA on BAL. Pt transitioned to PS 8/16 and tolerated well. After discussion w family, they would like to proceed with tracheostomy.  Pt has increasing WBC this AM. Respiratory cultures.  Tracheostomy placed 8/20 with minimal blood loss   8/20, 95/39 MAP 59 200mcg phenylephrine given plus 100 more   Pt was found to be bleeding through her tracheostomy tube, surgery consulted and placed sutures, bleeding slightly decrease   Hbg 6.8 1U blood trans   8/21/2021: Patient's family visited at bedside, and then proceeded to the family counseling room. After an extensive discussion regarding the patients status and prognosis, the family (Pt's mother, father, and daughter) decided to compassionately wean the patient.  A morphine drip was started, pressors, and O2 were weaned. The patient expired shortly after."
	"1617434-1"	"1617434-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"40-49 years"	"40-49"	"Patient required hospitalization due to breakthrough infection. She received J&J vaccine on 05/25/21. Hospitalized from 07/23/21 - 08/21/21 (death). Below is copied from discharge (death) summary:   Patient 47 y.o. female with PMH of asthma, MAC PNA, and MRSA PNA (treatment course above) admitted to Hospital on 07/24/2021 for evaluation of progressive fatigue of 2 weeks, generalized weakness limiting activities of daily living. Found to be COVID positive. She recived J&J COVID-19 vaccination 5/25/21. Pt also noted to have a fever of 101, chills, and sore throat. Patient has been followed by pulmonary service for pulmonary cavitary lesions, MRSA, and MAC. Pt went to PCP and told her to go to ED. Patient admitted to Hospital North campus. Pulm and ID consulted this admission. CT chest with mycetomas noted. IV abx given per ID recs. BAL done 07/27 cx growing MRSA put on Bactrim, which was transitioned to Vanc, Zosyn, and minocycline given worsening thrombocytopenia. MICU consulted for worsening respiratory status and increasing oxygen requirements. 8/10/2021 ED Intubated in the setting of respiratory failure and transferred to MICU for further management. On 8/12 CT Head showed 3.4mm thickness subdural hematoma in the R frontal with occipital infarcts. S/p BAL with MRSA, started on linezold. 8/15 Transitioned from Zyvox to Bactrim due to rash, for treatment of superimposed pneumonia with MRSA on BAL. Pt transitioned to PS 8/16 and tolerated well. After discussion w family, they would like to proceed with tracheostomy.  Pt has increasing WBC this AM. Respiratory cultures.  Tracheostomy placed 8/20 with minimal blood loss   8/20, 95/39 MAP 59 200mcg phenylephrine given plus 100 more   Pt was found to be bleeding through her tracheostomy tube, surgery consulted and placed sutures, bleeding slightly decrease   Hbg 6.8 1U blood trans   8/21/2021: Patient's family visited at bedside, and then proceeded to the family counseling room. After an extensive discussion regarding the patients status and prognosis, the family (Pt's mother, father, and daughter) decided to compassionately wean the patient.  A morphine drip was started, pressors, and O2 were weaned. The patient expired shortly after."
	"1617434-1"	"1617434-1"	"STAPHYLOCOCCAL INFECTION"	"10058080"	"40-49 years"	"40-49"	"Patient required hospitalization due to breakthrough infection. She received J&J vaccine on 05/25/21. Hospitalized from 07/23/21 - 08/21/21 (death). Below is copied from discharge (death) summary:   Patient 47 y.o. female with PMH of asthma, MAC PNA, and MRSA PNA (treatment course above) admitted to Hospital on 07/24/2021 for evaluation of progressive fatigue of 2 weeks, generalized weakness limiting activities of daily living. Found to be COVID positive. She recived J&J COVID-19 vaccination 5/25/21. Pt also noted to have a fever of 101, chills, and sore throat. Patient has been followed by pulmonary service for pulmonary cavitary lesions, MRSA, and MAC. Pt went to PCP and told her to go to ED. Patient admitted to Hospital North campus. Pulm and ID consulted this admission. CT chest with mycetomas noted. IV abx given per ID recs. BAL done 07/27 cx growing MRSA put on Bactrim, which was transitioned to Vanc, Zosyn, and minocycline given worsening thrombocytopenia. MICU consulted for worsening respiratory status and increasing oxygen requirements. 8/10/2021 ED Intubated in the setting of respiratory failure and transferred to MICU for further management. On 8/12 CT Head showed 3.4mm thickness subdural hematoma in the R frontal with occipital infarcts. S/p BAL with MRSA, started on linezold. 8/15 Transitioned from Zyvox to Bactrim due to rash, for treatment of superimposed pneumonia with MRSA on BAL. Pt transitioned to PS 8/16 and tolerated well. After discussion w family, they would like to proceed with tracheostomy.  Pt has increasing WBC this AM. Respiratory cultures.  Tracheostomy placed 8/20 with minimal blood loss   8/20, 95/39 MAP 59 200mcg phenylephrine given plus 100 more   Pt was found to be bleeding through her tracheostomy tube, surgery consulted and placed sutures, bleeding slightly decrease   Hbg 6.8 1U blood trans   8/21/2021: Patient's family visited at bedside, and then proceeded to the family counseling room. After an extensive discussion regarding the patients status and prognosis, the family (Pt's mother, father, and daughter) decided to compassionately wean the patient.  A morphine drip was started, pressors, and O2 were weaned. The patient expired shortly after."
	"1617434-1"	"1617434-1"	"SUBDURAL HAEMATOMA"	"10042361"	"40-49 years"	"40-49"	"Patient required hospitalization due to breakthrough infection. She received J&J vaccine on 05/25/21. Hospitalized from 07/23/21 - 08/21/21 (death). Below is copied from discharge (death) summary:   Patient 47 y.o. female with PMH of asthma, MAC PNA, and MRSA PNA (treatment course above) admitted to Hospital on 07/24/2021 for evaluation of progressive fatigue of 2 weeks, generalized weakness limiting activities of daily living. Found to be COVID positive. She recived J&J COVID-19 vaccination 5/25/21. Pt also noted to have a fever of 101, chills, and sore throat. Patient has been followed by pulmonary service for pulmonary cavitary lesions, MRSA, and MAC. Pt went to PCP and told her to go to ED. Patient admitted to Hospital North campus. Pulm and ID consulted this admission. CT chest with mycetomas noted. IV abx given per ID recs. BAL done 07/27 cx growing MRSA put on Bactrim, which was transitioned to Vanc, Zosyn, and minocycline given worsening thrombocytopenia. MICU consulted for worsening respiratory status and increasing oxygen requirements. 8/10/2021 ED Intubated in the setting of respiratory failure and transferred to MICU for further management. On 8/12 CT Head showed 3.4mm thickness subdural hematoma in the R frontal with occipital infarcts. S/p BAL with MRSA, started on linezold. 8/15 Transitioned from Zyvox to Bactrim due to rash, for treatment of superimposed pneumonia with MRSA on BAL. Pt transitioned to PS 8/16 and tolerated well. After discussion w family, they would like to proceed with tracheostomy.  Pt has increasing WBC this AM. Respiratory cultures.  Tracheostomy placed 8/20 with minimal blood loss   8/20, 95/39 MAP 59 200mcg phenylephrine given plus 100 more   Pt was found to be bleeding through her tracheostomy tube, surgery consulted and placed sutures, bleeding slightly decrease   Hbg 6.8 1U blood trans   8/21/2021: Patient's family visited at bedside, and then proceeded to the family counseling room. After an extensive discussion regarding the patients status and prognosis, the family (Pt's mother, father, and daughter) decided to compassionately wean the patient.  A morphine drip was started, pressors, and O2 were weaned. The patient expired shortly after."
	"1617434-1"	"1617434-1"	"SUTURE INSERTION"	"10052665"	"40-49 years"	"40-49"	"Patient required hospitalization due to breakthrough infection. She received J&J vaccine on 05/25/21. Hospitalized from 07/23/21 - 08/21/21 (death). Below is copied from discharge (death) summary:   Patient 47 y.o. female with PMH of asthma, MAC PNA, and MRSA PNA (treatment course above) admitted to Hospital on 07/24/2021 for evaluation of progressive fatigue of 2 weeks, generalized weakness limiting activities of daily living. Found to be COVID positive. She recived J&J COVID-19 vaccination 5/25/21. Pt also noted to have a fever of 101, chills, and sore throat. Patient has been followed by pulmonary service for pulmonary cavitary lesions, MRSA, and MAC. Pt went to PCP and told her to go to ED. Patient admitted to Hospital North campus. Pulm and ID consulted this admission. CT chest with mycetomas noted. IV abx given per ID recs. BAL done 07/27 cx growing MRSA put on Bactrim, which was transitioned to Vanc, Zosyn, and minocycline given worsening thrombocytopenia. MICU consulted for worsening respiratory status and increasing oxygen requirements. 8/10/2021 ED Intubated in the setting of respiratory failure and transferred to MICU for further management. On 8/12 CT Head showed 3.4mm thickness subdural hematoma in the R frontal with occipital infarcts. S/p BAL with MRSA, started on linezold. 8/15 Transitioned from Zyvox to Bactrim due to rash, for treatment of superimposed pneumonia with MRSA on BAL. Pt transitioned to PS 8/16 and tolerated well. After discussion w family, they would like to proceed with tracheostomy.  Pt has increasing WBC this AM. Respiratory cultures.  Tracheostomy placed 8/20 with minimal blood loss   8/20, 95/39 MAP 59 200mcg phenylephrine given plus 100 more   Pt was found to be bleeding through her tracheostomy tube, surgery consulted and placed sutures, bleeding slightly decrease   Hbg 6.8 1U blood trans   8/21/2021: Patient's family visited at bedside, and then proceeded to the family counseling room. After an extensive discussion regarding the patients status and prognosis, the family (Pt's mother, father, and daughter) decided to compassionately wean the patient.  A morphine drip was started, pressors, and O2 were weaned. The patient expired shortly after."
	"1617434-1"	"1617434-1"	"THROMBOCYTOPENIA"	"10043554"	"40-49 years"	"40-49"	"Patient required hospitalization due to breakthrough infection. She received J&J vaccine on 05/25/21. Hospitalized from 07/23/21 - 08/21/21 (death). Below is copied from discharge (death) summary:   Patient 47 y.o. female with PMH of asthma, MAC PNA, and MRSA PNA (treatment course above) admitted to Hospital on 07/24/2021 for evaluation of progressive fatigue of 2 weeks, generalized weakness limiting activities of daily living. Found to be COVID positive. She recived J&J COVID-19 vaccination 5/25/21. Pt also noted to have a fever of 101, chills, and sore throat. Patient has been followed by pulmonary service for pulmonary cavitary lesions, MRSA, and MAC. Pt went to PCP and told her to go to ED. Patient admitted to Hospital North campus. Pulm and ID consulted this admission. CT chest with mycetomas noted. IV abx given per ID recs. BAL done 07/27 cx growing MRSA put on Bactrim, which was transitioned to Vanc, Zosyn, and minocycline given worsening thrombocytopenia. MICU consulted for worsening respiratory status and increasing oxygen requirements. 8/10/2021 ED Intubated in the setting of respiratory failure and transferred to MICU for further management. On 8/12 CT Head showed 3.4mm thickness subdural hematoma in the R frontal with occipital infarcts. S/p BAL with MRSA, started on linezold. 8/15 Transitioned from Zyvox to Bactrim due to rash, for treatment of superimposed pneumonia with MRSA on BAL. Pt transitioned to PS 8/16 and tolerated well. After discussion w family, they would like to proceed with tracheostomy.  Pt has increasing WBC this AM. Respiratory cultures.  Tracheostomy placed 8/20 with minimal blood loss   8/20, 95/39 MAP 59 200mcg phenylephrine given plus 100 more   Pt was found to be bleeding through her tracheostomy tube, surgery consulted and placed sutures, bleeding slightly decrease   Hbg 6.8 1U blood trans   8/21/2021: Patient's family visited at bedside, and then proceeded to the family counseling room. After an extensive discussion regarding the patients status and prognosis, the family (Pt's mother, father, and daughter) decided to compassionately wean the patient.  A morphine drip was started, pressors, and O2 were weaned. The patient expired shortly after."
	"1617434-1"	"1617434-1"	"TRACHEOSTOMY"	"10044320"	"40-49 years"	"40-49"	"Patient required hospitalization due to breakthrough infection. She received J&J vaccine on 05/25/21. Hospitalized from 07/23/21 - 08/21/21 (death). Below is copied from discharge (death) summary:   Patient 47 y.o. female with PMH of asthma, MAC PNA, and MRSA PNA (treatment course above) admitted to Hospital on 07/24/2021 for evaluation of progressive fatigue of 2 weeks, generalized weakness limiting activities of daily living. Found to be COVID positive. She recived J&J COVID-19 vaccination 5/25/21. Pt also noted to have a fever of 101, chills, and sore throat. Patient has been followed by pulmonary service for pulmonary cavitary lesions, MRSA, and MAC. Pt went to PCP and told her to go to ED. Patient admitted to Hospital North campus. Pulm and ID consulted this admission. CT chest with mycetomas noted. IV abx given per ID recs. BAL done 07/27 cx growing MRSA put on Bactrim, which was transitioned to Vanc, Zosyn, and minocycline given worsening thrombocytopenia. MICU consulted for worsening respiratory status and increasing oxygen requirements. 8/10/2021 ED Intubated in the setting of respiratory failure and transferred to MICU for further management. On 8/12 CT Head showed 3.4mm thickness subdural hematoma in the R frontal with occipital infarcts. S/p BAL with MRSA, started on linezold. 8/15 Transitioned from Zyvox to Bactrim due to rash, for treatment of superimposed pneumonia with MRSA on BAL. Pt transitioned to PS 8/16 and tolerated well. After discussion w family, they would like to proceed with tracheostomy.  Pt has increasing WBC this AM. Respiratory cultures.  Tracheostomy placed 8/20 with minimal blood loss   8/20, 95/39 MAP 59 200mcg phenylephrine given plus 100 more   Pt was found to be bleeding through her tracheostomy tube, surgery consulted and placed sutures, bleeding slightly decrease   Hbg 6.8 1U blood trans   8/21/2021: Patient's family visited at bedside, and then proceeded to the family counseling room. After an extensive discussion regarding the patients status and prognosis, the family (Pt's mother, father, and daughter) decided to compassionately wean the patient.  A morphine drip was started, pressors, and O2 were weaned. The patient expired shortly after."
	"1617434-1"	"1617434-1"	"TRANSFUSION"	"10066152"	"40-49 years"	"40-49"	"Patient required hospitalization due to breakthrough infection. She received J&J vaccine on 05/25/21. Hospitalized from 07/23/21 - 08/21/21 (death). Below is copied from discharge (death) summary:   Patient 47 y.o. female with PMH of asthma, MAC PNA, and MRSA PNA (treatment course above) admitted to Hospital on 07/24/2021 for evaluation of progressive fatigue of 2 weeks, generalized weakness limiting activities of daily living. Found to be COVID positive. She recived J&J COVID-19 vaccination 5/25/21. Pt also noted to have a fever of 101, chills, and sore throat. Patient has been followed by pulmonary service for pulmonary cavitary lesions, MRSA, and MAC. Pt went to PCP and told her to go to ED. Patient admitted to Hospital North campus. Pulm and ID consulted this admission. CT chest with mycetomas noted. IV abx given per ID recs. BAL done 07/27 cx growing MRSA put on Bactrim, which was transitioned to Vanc, Zosyn, and minocycline given worsening thrombocytopenia. MICU consulted for worsening respiratory status and increasing oxygen requirements. 8/10/2021 ED Intubated in the setting of respiratory failure and transferred to MICU for further management. On 8/12 CT Head showed 3.4mm thickness subdural hematoma in the R frontal with occipital infarcts. S/p BAL with MRSA, started on linezold. 8/15 Transitioned from Zyvox to Bactrim due to rash, for treatment of superimposed pneumonia with MRSA on BAL. Pt transitioned to PS 8/16 and tolerated well. After discussion w family, they would like to proceed with tracheostomy.  Pt has increasing WBC this AM. Respiratory cultures.  Tracheostomy placed 8/20 with minimal blood loss   8/20, 95/39 MAP 59 200mcg phenylephrine given plus 100 more   Pt was found to be bleeding through her tracheostomy tube, surgery consulted and placed sutures, bleeding slightly decrease   Hbg 6.8 1U blood trans   8/21/2021: Patient's family visited at bedside, and then proceeded to the family counseling room. After an extensive discussion regarding the patients status and prognosis, the family (Pt's mother, father, and daughter) decided to compassionately wean the patient.  A morphine drip was started, pressors, and O2 were weaned. The patient expired shortly after."
	"1617434-1"	"1617434-1"	"WHITE BLOOD CELL COUNT INCREASED"	"10047943"	"40-49 years"	"40-49"	"Patient required hospitalization due to breakthrough infection. She received J&J vaccine on 05/25/21. Hospitalized from 07/23/21 - 08/21/21 (death). Below is copied from discharge (death) summary:   Patient 47 y.o. female with PMH of asthma, MAC PNA, and MRSA PNA (treatment course above) admitted to Hospital on 07/24/2021 for evaluation of progressive fatigue of 2 weeks, generalized weakness limiting activities of daily living. Found to be COVID positive. She recived J&J COVID-19 vaccination 5/25/21. Pt also noted to have a fever of 101, chills, and sore throat. Patient has been followed by pulmonary service for pulmonary cavitary lesions, MRSA, and MAC. Pt went to PCP and told her to go to ED. Patient admitted to Hospital North campus. Pulm and ID consulted this admission. CT chest with mycetomas noted. IV abx given per ID recs. BAL done 07/27 cx growing MRSA put on Bactrim, which was transitioned to Vanc, Zosyn, and minocycline given worsening thrombocytopenia. MICU consulted for worsening respiratory status and increasing oxygen requirements. 8/10/2021 ED Intubated in the setting of respiratory failure and transferred to MICU for further management. On 8/12 CT Head showed 3.4mm thickness subdural hematoma in the R frontal with occipital infarcts. S/p BAL with MRSA, started on linezold. 8/15 Transitioned from Zyvox to Bactrim due to rash, for treatment of superimposed pneumonia with MRSA on BAL. Pt transitioned to PS 8/16 and tolerated well. After discussion w family, they would like to proceed with tracheostomy.  Pt has increasing WBC this AM. Respiratory cultures.  Tracheostomy placed 8/20 with minimal blood loss   8/20, 95/39 MAP 59 200mcg phenylephrine given plus 100 more   Pt was found to be bleeding through her tracheostomy tube, surgery consulted and placed sutures, bleeding slightly decrease   Hbg 6.8 1U blood trans   8/21/2021: Patient's family visited at bedside, and then proceeded to the family counseling room. After an extensive discussion regarding the patients status and prognosis, the family (Pt's mother, father, and daughter) decided to compassionately wean the patient.  A morphine drip was started, pressors, and O2 were weaned. The patient expired shortly after."
	"1617585-1"	"1617585-1"	"AUTOPSY"	"10050117"	"40-49 years"	"40-49"	"Dilated cardiomyopathy- right ventricle. CAUSED DEATH!!!!  Complained of a headache and tired two hours prior."
	"1617585-1"	"1617585-1"	"CONGESTIVE CARDIOMYOPATHY"	"10056370"	"40-49 years"	"40-49"	"Dilated cardiomyopathy- right ventricle. CAUSED DEATH!!!!  Complained of a headache and tired two hours prior."
	"1617585-1"	"1617585-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Dilated cardiomyopathy- right ventricle. CAUSED DEATH!!!!  Complained of a headache and tired two hours prior."
	"1617585-1"	"1617585-1"	"FATIGUE"	"10016256"	"40-49 years"	"40-49"	"Dilated cardiomyopathy- right ventricle. CAUSED DEATH!!!!  Complained of a headache and tired two hours prior."
	"1617585-1"	"1617585-1"	"HEADACHE"	"10019211"	"40-49 years"	"40-49"	"Dilated cardiomyopathy- right ventricle. CAUSED DEATH!!!!  Complained of a headache and tired two hours prior."
	"1628054-1"	"1628054-1"	"BRAIN DEATH"	"10049054"	"30-39 years"	"30-39"	"3-4 days after receiving the vaccine, patient developed shortness of breath, loss of appetite, and fatigue. Patient believed that symptoms were a result of seasonal allergies and contacted PCP for treatment. PCP prescribed prednisone and albuterol. Patient took medication for 4 days without change in symptoms. Follow-up appointment with PCP found patient with low blood oxygen levels and low blood pressure, possible mild fever. patient was sent to ER on 5/21. Patient was admitted with pneumonia of unknown origin. Patient spent 1 week on general care floor with worsening conditions, possible ARDS. Patient was admitted to ICU and put on a ventilator on 5/28. Patient continued to worsen until MRI lead to a diagnosis of Myositis with ILD. Patient was transferred on 6/4 and put on ECMO. Patient health continued to decline (kidney failure) and was pronounced brain dead on morning of 6/7 and family decided to remove patient from life support."
	"1628054-1"	"1628054-1"	"CONDITION AGGRAVATED"	"10010264"	"30-39 years"	"30-39"	"3-4 days after receiving the vaccine, patient developed shortness of breath, loss of appetite, and fatigue. Patient believed that symptoms were a result of seasonal allergies and contacted PCP for treatment. PCP prescribed prednisone and albuterol. Patient took medication for 4 days without change in symptoms. Follow-up appointment with PCP found patient with low blood oxygen levels and low blood pressure, possible mild fever. patient was sent to ER on 5/21. Patient was admitted with pneumonia of unknown origin. Patient spent 1 week on general care floor with worsening conditions, possible ARDS. Patient was admitted to ICU and put on a ventilator on 5/28. Patient continued to worsen until MRI lead to a diagnosis of Myositis with ILD. Patient was transferred on 6/4 and put on ECMO. Patient health continued to decline (kidney failure) and was pronounced brain dead on morning of 6/7 and family decided to remove patient from life support."
	"1628054-1"	"1628054-1"	"DECREASED APPETITE"	"10061428"	"30-39 years"	"30-39"	"3-4 days after receiving the vaccine, patient developed shortness of breath, loss of appetite, and fatigue. Patient believed that symptoms were a result of seasonal allergies and contacted PCP for treatment. PCP prescribed prednisone and albuterol. Patient took medication for 4 days without change in symptoms. Follow-up appointment with PCP found patient with low blood oxygen levels and low blood pressure, possible mild fever. patient was sent to ER on 5/21. Patient was admitted with pneumonia of unknown origin. Patient spent 1 week on general care floor with worsening conditions, possible ARDS. Patient was admitted to ICU and put on a ventilator on 5/28. Patient continued to worsen until MRI lead to a diagnosis of Myositis with ILD. Patient was transferred on 6/4 and put on ECMO. Patient health continued to decline (kidney failure) and was pronounced brain dead on morning of 6/7 and family decided to remove patient from life support."
	"1628054-1"	"1628054-1"	"DYSPNOEA"	"10013968"	"30-39 years"	"30-39"	"3-4 days after receiving the vaccine, patient developed shortness of breath, loss of appetite, and fatigue. Patient believed that symptoms were a result of seasonal allergies and contacted PCP for treatment. PCP prescribed prednisone and albuterol. Patient took medication for 4 days without change in symptoms. Follow-up appointment with PCP found patient with low blood oxygen levels and low blood pressure, possible mild fever. patient was sent to ER on 5/21. Patient was admitted with pneumonia of unknown origin. Patient spent 1 week on general care floor with worsening conditions, possible ARDS. Patient was admitted to ICU and put on a ventilator on 5/28. Patient continued to worsen until MRI lead to a diagnosis of Myositis with ILD. Patient was transferred on 6/4 and put on ECMO. Patient health continued to decline (kidney failure) and was pronounced brain dead on morning of 6/7 and family decided to remove patient from life support."
	"1628054-1"	"1628054-1"	"FATIGUE"	"10016256"	"30-39 years"	"30-39"	"3-4 days after receiving the vaccine, patient developed shortness of breath, loss of appetite, and fatigue. Patient believed that symptoms were a result of seasonal allergies and contacted PCP for treatment. PCP prescribed prednisone and albuterol. Patient took medication for 4 days without change in symptoms. Follow-up appointment with PCP found patient with low blood oxygen levels and low blood pressure, possible mild fever. patient was sent to ER on 5/21. Patient was admitted with pneumonia of unknown origin. Patient spent 1 week on general care floor with worsening conditions, possible ARDS. Patient was admitted to ICU and put on a ventilator on 5/28. Patient continued to worsen until MRI lead to a diagnosis of Myositis with ILD. Patient was transferred on 6/4 and put on ECMO. Patient health continued to decline (kidney failure) and was pronounced brain dead on morning of 6/7 and family decided to remove patient from life support."
	"1628054-1"	"1628054-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"30-39 years"	"30-39"	"3-4 days after receiving the vaccine, patient developed shortness of breath, loss of appetite, and fatigue. Patient believed that symptoms were a result of seasonal allergies and contacted PCP for treatment. PCP prescribed prednisone and albuterol. Patient took medication for 4 days without change in symptoms. Follow-up appointment with PCP found patient with low blood oxygen levels and low blood pressure, possible mild fever. patient was sent to ER on 5/21. Patient was admitted with pneumonia of unknown origin. Patient spent 1 week on general care floor with worsening conditions, possible ARDS. Patient was admitted to ICU and put on a ventilator on 5/28. Patient continued to worsen until MRI lead to a diagnosis of Myositis with ILD. Patient was transferred on 6/4 and put on ECMO. Patient health continued to decline (kidney failure) and was pronounced brain dead on morning of 6/7 and family decided to remove patient from life support."
	"1628054-1"	"1628054-1"	"HYPOTENSION"	"10021097"	"30-39 years"	"30-39"	"3-4 days after receiving the vaccine, patient developed shortness of breath, loss of appetite, and fatigue. Patient believed that symptoms were a result of seasonal allergies and contacted PCP for treatment. PCP prescribed prednisone and albuterol. Patient took medication for 4 days without change in symptoms. Follow-up appointment with PCP found patient with low blood oxygen levels and low blood pressure, possible mild fever. patient was sent to ER on 5/21. Patient was admitted with pneumonia of unknown origin. Patient spent 1 week on general care floor with worsening conditions, possible ARDS. Patient was admitted to ICU and put on a ventilator on 5/28. Patient continued to worsen until MRI lead to a diagnosis of Myositis with ILD. Patient was transferred on 6/4 and put on ECMO. Patient health continued to decline (kidney failure) and was pronounced brain dead on morning of 6/7 and family decided to remove patient from life support."
	"1628054-1"	"1628054-1"	"INTENSIVE CARE"	"10022519"	"30-39 years"	"30-39"	"3-4 days after receiving the vaccine, patient developed shortness of breath, loss of appetite, and fatigue. Patient believed that symptoms were a result of seasonal allergies and contacted PCP for treatment. PCP prescribed prednisone and albuterol. Patient took medication for 4 days without change in symptoms. Follow-up appointment with PCP found patient with low blood oxygen levels and low blood pressure, possible mild fever. patient was sent to ER on 5/21. Patient was admitted with pneumonia of unknown origin. Patient spent 1 week on general care floor with worsening conditions, possible ARDS. Patient was admitted to ICU and put on a ventilator on 5/28. Patient continued to worsen until MRI lead to a diagnosis of Myositis with ILD. Patient was transferred on 6/4 and put on ECMO. Patient health continued to decline (kidney failure) and was pronounced brain dead on morning of 6/7 and family decided to remove patient from life support."
	"1628054-1"	"1628054-1"	"LUNG ASSIST DEVICE THERAPY"	"10082527"	"30-39 years"	"30-39"	"3-4 days after receiving the vaccine, patient developed shortness of breath, loss of appetite, and fatigue. Patient believed that symptoms were a result of seasonal allergies and contacted PCP for treatment. PCP prescribed prednisone and albuterol. Patient took medication for 4 days without change in symptoms. Follow-up appointment with PCP found patient with low blood oxygen levels and low blood pressure, possible mild fever. patient was sent to ER on 5/21. Patient was admitted with pneumonia of unknown origin. Patient spent 1 week on general care floor with worsening conditions, possible ARDS. Patient was admitted to ICU and put on a ventilator on 5/28. Patient continued to worsen until MRI lead to a diagnosis of Myositis with ILD. Patient was transferred on 6/4 and put on ECMO. Patient health continued to decline (kidney failure) and was pronounced brain dead on morning of 6/7 and family decided to remove patient from life support."
	"1628054-1"	"1628054-1"	"MAGNETIC RESONANCE IMAGING THORACIC ABNORMAL"	"10083143"	"30-39 years"	"30-39"	"3-4 days after receiving the vaccine, patient developed shortness of breath, loss of appetite, and fatigue. Patient believed that symptoms were a result of seasonal allergies and contacted PCP for treatment. PCP prescribed prednisone and albuterol. Patient took medication for 4 days without change in symptoms. Follow-up appointment with PCP found patient with low blood oxygen levels and low blood pressure, possible mild fever. patient was sent to ER on 5/21. Patient was admitted with pneumonia of unknown origin. Patient spent 1 week on general care floor with worsening conditions, possible ARDS. Patient was admitted to ICU and put on a ventilator on 5/28. Patient continued to worsen until MRI lead to a diagnosis of Myositis with ILD. Patient was transferred on 6/4 and put on ECMO. Patient health continued to decline (kidney failure) and was pronounced brain dead on morning of 6/7 and family decided to remove patient from life support."
	"1628054-1"	"1628054-1"	"MECHANICAL VENTILATION"	"10067221"	"30-39 years"	"30-39"	"3-4 days after receiving the vaccine, patient developed shortness of breath, loss of appetite, and fatigue. Patient believed that symptoms were a result of seasonal allergies and contacted PCP for treatment. PCP prescribed prednisone and albuterol. Patient took medication for 4 days without change in symptoms. Follow-up appointment with PCP found patient with low blood oxygen levels and low blood pressure, possible mild fever. patient was sent to ER on 5/21. Patient was admitted with pneumonia of unknown origin. Patient spent 1 week on general care floor with worsening conditions, possible ARDS. Patient was admitted to ICU and put on a ventilator on 5/28. Patient continued to worsen until MRI lead to a diagnosis of Myositis with ILD. Patient was transferred on 6/4 and put on ECMO. Patient health continued to decline (kidney failure) and was pronounced brain dead on morning of 6/7 and family decided to remove patient from life support."
	"1628054-1"	"1628054-1"	"MYOSITIS"	"10028653"	"30-39 years"	"30-39"	"3-4 days after receiving the vaccine, patient developed shortness of breath, loss of appetite, and fatigue. Patient believed that symptoms were a result of seasonal allergies and contacted PCP for treatment. PCP prescribed prednisone and albuterol. Patient took medication for 4 days without change in symptoms. Follow-up appointment with PCP found patient with low blood oxygen levels and low blood pressure, possible mild fever. patient was sent to ER on 5/21. Patient was admitted with pneumonia of unknown origin. Patient spent 1 week on general care floor with worsening conditions, possible ARDS. Patient was admitted to ICU and put on a ventilator on 5/28. Patient continued to worsen until MRI lead to a diagnosis of Myositis with ILD. Patient was transferred on 6/4 and put on ECMO. Patient health continued to decline (kidney failure) and was pronounced brain dead on morning of 6/7 and family decided to remove patient from life support."
	"1628054-1"	"1628054-1"	"OXYGEN SATURATION DECREASED"	"10033318"	"30-39 years"	"30-39"	"3-4 days after receiving the vaccine, patient developed shortness of breath, loss of appetite, and fatigue. Patient believed that symptoms were a result of seasonal allergies and contacted PCP for treatment. PCP prescribed prednisone and albuterol. Patient took medication for 4 days without change in symptoms. Follow-up appointment with PCP found patient with low blood oxygen levels and low blood pressure, possible mild fever. patient was sent to ER on 5/21. Patient was admitted with pneumonia of unknown origin. Patient spent 1 week on general care floor with worsening conditions, possible ARDS. Patient was admitted to ICU and put on a ventilator on 5/28. Patient continued to worsen until MRI lead to a diagnosis of Myositis with ILD. Patient was transferred on 6/4 and put on ECMO. Patient health continued to decline (kidney failure) and was pronounced brain dead on morning of 6/7 and family decided to remove patient from life support."
	"1628054-1"	"1628054-1"	"PNEUMONIA"	"10035664"	"30-39 years"	"30-39"	"3-4 days after receiving the vaccine, patient developed shortness of breath, loss of appetite, and fatigue. Patient believed that symptoms were a result of seasonal allergies and contacted PCP for treatment. PCP prescribed prednisone and albuterol. Patient took medication for 4 days without change in symptoms. Follow-up appointment with PCP found patient with low blood oxygen levels and low blood pressure, possible mild fever. patient was sent to ER on 5/21. Patient was admitted with pneumonia of unknown origin. Patient spent 1 week on general care floor with worsening conditions, possible ARDS. Patient was admitted to ICU and put on a ventilator on 5/28. Patient continued to worsen until MRI lead to a diagnosis of Myositis with ILD. Patient was transferred on 6/4 and put on ECMO. Patient health continued to decline (kidney failure) and was pronounced brain dead on morning of 6/7 and family decided to remove patient from life support."
	"1628054-1"	"1628054-1"	"RENAL FAILURE"	"10038435"	"30-39 years"	"30-39"	"3-4 days after receiving the vaccine, patient developed shortness of breath, loss of appetite, and fatigue. Patient believed that symptoms were a result of seasonal allergies and contacted PCP for treatment. PCP prescribed prednisone and albuterol. Patient took medication for 4 days without change in symptoms. Follow-up appointment with PCP found patient with low blood oxygen levels and low blood pressure, possible mild fever. patient was sent to ER on 5/21. Patient was admitted with pneumonia of unknown origin. Patient spent 1 week on general care floor with worsening conditions, possible ARDS. Patient was admitted to ICU and put on a ventilator on 5/28. Patient continued to worsen until MRI lead to a diagnosis of Myositis with ILD. Patient was transferred on 6/4 and put on ECMO. Patient health continued to decline (kidney failure) and was pronounced brain dead on morning of 6/7 and family decided to remove patient from life support."
	"1628054-1"	"1628054-1"	"WITHDRAWAL OF LIFE SUPPORT"	"10067595"	"30-39 years"	"30-39"	"3-4 days after receiving the vaccine, patient developed shortness of breath, loss of appetite, and fatigue. Patient believed that symptoms were a result of seasonal allergies and contacted PCP for treatment. PCP prescribed prednisone and albuterol. Patient took medication for 4 days without change in symptoms. Follow-up appointment with PCP found patient with low blood oxygen levels and low blood pressure, possible mild fever. patient was sent to ER on 5/21. Patient was admitted with pneumonia of unknown origin. Patient spent 1 week on general care floor with worsening conditions, possible ARDS. Patient was admitted to ICU and put on a ventilator on 5/28. Patient continued to worsen until MRI lead to a diagnosis of Myositis with ILD. Patient was transferred on 6/4 and put on ECMO. Patient health continued to decline (kidney failure) and was pronounced brain dead on morning of 6/7 and family decided to remove patient from life support."
	"1628279-1"	"1628279-1"	"AUTOPSY"	"10050117"	"40-49 years"	"40-49"	"Death 4-12 hours after 1st dose administered on 7/26/21. Body discovered on 7/28/21 at approximately 9:30 am"
	"1628279-1"	"1628279-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Death 4-12 hours after 1st dose administered on 7/26/21. Body discovered on 7/28/21 at approximately 9:30 am"
	"1637159-1"	"1637159-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Case received Moderna vaccine x 2 with last dose on 6/18/2021. Was admitted to Medical Center on 8/20/2021. Case expired at hospital 8/21/2021."
	"1641668-1"	"1641668-1"	"CEREBRAL HYPOPERFUSION"	"10065384"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccines on 3/18/2021 and 4/14/2021. Patient presented on 8/14/21 via EMS with shortness of breath and AMS. Per EMS, patient was found unresponsive and short of breath by family member for an unknown duration. EMS was called, with SpO2 of approximately 50%. EMS reports administering 20L O2 by NC and nonrebreather which improved SpO2 to 94% with improved mental status. Per chart review patient symptoms began around 8/5/21 and she tested positive 8/11/21. On admission, patient knew name, responded to pain, and followed commands- otherwise, was unable to communicate. MRI revealed Bilateral globus pallidi infarcts probably related to hypoxic ischemic injury, possibly due to hypoxia from COVID pneumonia. Based on irreversible state of mental status, patient was recommended to hospice team. Patient was transferred to inpatient hospice care on 8/19/21. Patient expired on 8/20/21."
	"1641668-1"	"1641668-1"	"COVID-19 PNEUMONIA"	"10084380"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccines on 3/18/2021 and 4/14/2021. Patient presented on 8/14/21 via EMS with shortness of breath and AMS. Per EMS, patient was found unresponsive and short of breath by family member for an unknown duration. EMS was called, with SpO2 of approximately 50%. EMS reports administering 20L O2 by NC and nonrebreather which improved SpO2 to 94% with improved mental status. Per chart review patient symptoms began around 8/5/21 and she tested positive 8/11/21. On admission, patient knew name, responded to pain, and followed commands- otherwise, was unable to communicate. MRI revealed Bilateral globus pallidi infarcts probably related to hypoxic ischemic injury, possibly due to hypoxia from COVID pneumonia. Based on irreversible state of mental status, patient was recommended to hospice team. Patient was transferred to inpatient hospice care on 8/19/21. Patient expired on 8/20/21."
	"1641668-1"	"1641668-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccines on 3/18/2021 and 4/14/2021. Patient presented on 8/14/21 via EMS with shortness of breath and AMS. Per EMS, patient was found unresponsive and short of breath by family member for an unknown duration. EMS was called, with SpO2 of approximately 50%. EMS reports administering 20L O2 by NC and nonrebreather which improved SpO2 to 94% with improved mental status. Per chart review patient symptoms began around 8/5/21 and she tested positive 8/11/21. On admission, patient knew name, responded to pain, and followed commands- otherwise, was unable to communicate. MRI revealed Bilateral globus pallidi infarcts probably related to hypoxic ischemic injury, possibly due to hypoxia from COVID pneumonia. Based on irreversible state of mental status, patient was recommended to hospice team. Patient was transferred to inpatient hospice care on 8/19/21. Patient expired on 8/20/21."
	"1641668-1"	"1641668-1"	"DYSPNOEA"	"10013968"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccines on 3/18/2021 and 4/14/2021. Patient presented on 8/14/21 via EMS with shortness of breath and AMS. Per EMS, patient was found unresponsive and short of breath by family member for an unknown duration. EMS was called, with SpO2 of approximately 50%. EMS reports administering 20L O2 by NC and nonrebreather which improved SpO2 to 94% with improved mental status. Per chart review patient symptoms began around 8/5/21 and she tested positive 8/11/21. On admission, patient knew name, responded to pain, and followed commands- otherwise, was unable to communicate. MRI revealed Bilateral globus pallidi infarcts probably related to hypoxic ischemic injury, possibly due to hypoxia from COVID pneumonia. Based on irreversible state of mental status, patient was recommended to hospice team. Patient was transferred to inpatient hospice care on 8/19/21. Patient expired on 8/20/21."
	"1641668-1"	"1641668-1"	"HYPOXIA"	"10021143"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccines on 3/18/2021 and 4/14/2021. Patient presented on 8/14/21 via EMS with shortness of breath and AMS. Per EMS, patient was found unresponsive and short of breath by family member for an unknown duration. EMS was called, with SpO2 of approximately 50%. EMS reports administering 20L O2 by NC and nonrebreather which improved SpO2 to 94% with improved mental status. Per chart review patient symptoms began around 8/5/21 and she tested positive 8/11/21. On admission, patient knew name, responded to pain, and followed commands- otherwise, was unable to communicate. MRI revealed Bilateral globus pallidi infarcts probably related to hypoxic ischemic injury, possibly due to hypoxia from COVID pneumonia. Based on irreversible state of mental status, patient was recommended to hospice team. Patient was transferred to inpatient hospice care on 8/19/21. Patient expired on 8/20/21."
	"1641668-1"	"1641668-1"	"MAGNETIC RESONANCE IMAGING HEAD ABNORMAL"	"10085256"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccines on 3/18/2021 and 4/14/2021. Patient presented on 8/14/21 via EMS with shortness of breath and AMS. Per EMS, patient was found unresponsive and short of breath by family member for an unknown duration. EMS was called, with SpO2 of approximately 50%. EMS reports administering 20L O2 by NC and nonrebreather which improved SpO2 to 94% with improved mental status. Per chart review patient symptoms began around 8/5/21 and she tested positive 8/11/21. On admission, patient knew name, responded to pain, and followed commands- otherwise, was unable to communicate. MRI revealed Bilateral globus pallidi infarcts probably related to hypoxic ischemic injury, possibly due to hypoxia from COVID pneumonia. Based on irreversible state of mental status, patient was recommended to hospice team. Patient was transferred to inpatient hospice care on 8/19/21. Patient expired on 8/20/21."
	"1641668-1"	"1641668-1"	"MENTAL STATUS CHANGES"	"10048294"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccines on 3/18/2021 and 4/14/2021. Patient presented on 8/14/21 via EMS with shortness of breath and AMS. Per EMS, patient was found unresponsive and short of breath by family member for an unknown duration. EMS was called, with SpO2 of approximately 50%. EMS reports administering 20L O2 by NC and nonrebreather which improved SpO2 to 94% with improved mental status. Per chart review patient symptoms began around 8/5/21 and she tested positive 8/11/21. On admission, patient knew name, responded to pain, and followed commands- otherwise, was unable to communicate. MRI revealed Bilateral globus pallidi infarcts probably related to hypoxic ischemic injury, possibly due to hypoxia from COVID pneumonia. Based on irreversible state of mental status, patient was recommended to hospice team. Patient was transferred to inpatient hospice care on 8/19/21. Patient expired on 8/20/21."
	"1641668-1"	"1641668-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccines on 3/18/2021 and 4/14/2021. Patient presented on 8/14/21 via EMS with shortness of breath and AMS. Per EMS, patient was found unresponsive and short of breath by family member for an unknown duration. EMS was called, with SpO2 of approximately 50%. EMS reports administering 20L O2 by NC and nonrebreather which improved SpO2 to 94% with improved mental status. Per chart review patient symptoms began around 8/5/21 and she tested positive 8/11/21. On admission, patient knew name, responded to pain, and followed commands- otherwise, was unable to communicate. MRI revealed Bilateral globus pallidi infarcts probably related to hypoxic ischemic injury, possibly due to hypoxia from COVID pneumonia. Based on irreversible state of mental status, patient was recommended to hospice team. Patient was transferred to inpatient hospice care on 8/19/21. Patient expired on 8/20/21."
	"1641668-1"	"1641668-1"	"SPEECH DISORDER"	"10041466"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccines on 3/18/2021 and 4/14/2021. Patient presented on 8/14/21 via EMS with shortness of breath and AMS. Per EMS, patient was found unresponsive and short of breath by family member for an unknown duration. EMS was called, with SpO2 of approximately 50%. EMS reports administering 20L O2 by NC and nonrebreather which improved SpO2 to 94% with improved mental status. Per chart review patient symptoms began around 8/5/21 and she tested positive 8/11/21. On admission, patient knew name, responded to pain, and followed commands- otherwise, was unable to communicate. MRI revealed Bilateral globus pallidi infarcts probably related to hypoxic ischemic injury, possibly due to hypoxia from COVID pneumonia. Based on irreversible state of mental status, patient was recommended to hospice team. Patient was transferred to inpatient hospice care on 8/19/21. Patient expired on 8/20/21."
	"1641668-1"	"1641668-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccines on 3/18/2021 and 4/14/2021. Patient presented on 8/14/21 via EMS with shortness of breath and AMS. Per EMS, patient was found unresponsive and short of breath by family member for an unknown duration. EMS was called, with SpO2 of approximately 50%. EMS reports administering 20L O2 by NC and nonrebreather which improved SpO2 to 94% with improved mental status. Per chart review patient symptoms began around 8/5/21 and she tested positive 8/11/21. On admission, patient knew name, responded to pain, and followed commands- otherwise, was unable to communicate. MRI revealed Bilateral globus pallidi infarcts probably related to hypoxic ischemic injury, possibly due to hypoxia from COVID pneumonia. Based on irreversible state of mental status, patient was recommended to hospice team. Patient was transferred to inpatient hospice care on 8/19/21. Patient expired on 8/20/21."
	"1645034-1"	"1645034-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Very very sick; In bed for several days; flu-like symptoms; Headache; Fatigue; Died in their sleep; This spontaneous case was reported by an other health care professional and describes the occurrence of DEATH (Died in their sleep) in a 41-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 078C21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     No Medical History information was reported.   On 22-Jun-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 16-Jul-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient experienced ILLNESS (Very very sick), MOBILITY DECREASED (In bed for several days), INFLUENZA LIKE ILLNESS (flu-like symptoms), HEADACHE (Headache) and FATIGUE (Fatigue). The patient died on 30-Jul-2021. The cause of death was not reported. It is unknown if an autopsy was performed. At the time of death, ILLNESS (Very very sick), MOBILITY DECREASED (In bed for several days), INFLUENZA LIKE ILLNESS (flu-like symptoms), HEADACHE (Headache) and FATIGUE (Fatigue) outcome was unknown.        For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown Route), the reporter did not provide any causality assessments.   Concomitant medication information not provided.  Treatment information not provided.  The caller was calling on behalf of their son who died on 30Jul2021.  The patient received first dose of Moderna COVID-19 vaccine on 22Jun2021 and second on 16Jul2021. The caller stated the patient received the second dose early. The caller did not know which arm the vaccine was given in.  The caller stated after receiving the second dose the patient became very very sick, the patient was in bed for several days, they had flu-like symptoms, a headache, and fatigue.  The caller confirmed patient seemed to get better however then the patient died in their sleep on 30Jul2021.  The caller did not know if the patient took anything to help with the symptoms experienced and confirmed the patient was not taking any daily medications.  Very limited information regarding this events has been provided at this time. However, based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.   This case was linked to MOD-2021-286489 (Patient Link).; Sender's Comments: Very limited information regarding this events has been provided at this time. However, based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.; Reported Cause(s) of Death: Unknown cause of death"
	"1645034-1"	"1645034-1"	"FATIGUE"	"10016256"	"40-49 years"	"40-49"	"Very very sick; In bed for several days; flu-like symptoms; Headache; Fatigue; Died in their sleep; This spontaneous case was reported by an other health care professional and describes the occurrence of DEATH (Died in their sleep) in a 41-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 078C21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     No Medical History information was reported.   On 22-Jun-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 16-Jul-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient experienced ILLNESS (Very very sick), MOBILITY DECREASED (In bed for several days), INFLUENZA LIKE ILLNESS (flu-like symptoms), HEADACHE (Headache) and FATIGUE (Fatigue). The patient died on 30-Jul-2021. The cause of death was not reported. It is unknown if an autopsy was performed. At the time of death, ILLNESS (Very very sick), MOBILITY DECREASED (In bed for several days), INFLUENZA LIKE ILLNESS (flu-like symptoms), HEADACHE (Headache) and FATIGUE (Fatigue) outcome was unknown.        For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown Route), the reporter did not provide any causality assessments.   Concomitant medication information not provided.  Treatment information not provided.  The caller was calling on behalf of their son who died on 30Jul2021.  The patient received first dose of Moderna COVID-19 vaccine on 22Jun2021 and second on 16Jul2021. The caller stated the patient received the second dose early. The caller did not know which arm the vaccine was given in.  The caller stated after receiving the second dose the patient became very very sick, the patient was in bed for several days, they had flu-like symptoms, a headache, and fatigue.  The caller confirmed patient seemed to get better however then the patient died in their sleep on 30Jul2021.  The caller did not know if the patient took anything to help with the symptoms experienced and confirmed the patient was not taking any daily medications.  Very limited information regarding this events has been provided at this time. However, based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.   This case was linked to MOD-2021-286489 (Patient Link).; Sender's Comments: Very limited information regarding this events has been provided at this time. However, based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.; Reported Cause(s) of Death: Unknown cause of death"
	"1645034-1"	"1645034-1"	"HEADACHE"	"10019211"	"40-49 years"	"40-49"	"Very very sick; In bed for several days; flu-like symptoms; Headache; Fatigue; Died in their sleep; This spontaneous case was reported by an other health care professional and describes the occurrence of DEATH (Died in their sleep) in a 41-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 078C21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     No Medical History information was reported.   On 22-Jun-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 16-Jul-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient experienced ILLNESS (Very very sick), MOBILITY DECREASED (In bed for several days), INFLUENZA LIKE ILLNESS (flu-like symptoms), HEADACHE (Headache) and FATIGUE (Fatigue). The patient died on 30-Jul-2021. The cause of death was not reported. It is unknown if an autopsy was performed. At the time of death, ILLNESS (Very very sick), MOBILITY DECREASED (In bed for several days), INFLUENZA LIKE ILLNESS (flu-like symptoms), HEADACHE (Headache) and FATIGUE (Fatigue) outcome was unknown.        For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown Route), the reporter did not provide any causality assessments.   Concomitant medication information not provided.  Treatment information not provided.  The caller was calling on behalf of their son who died on 30Jul2021.  The patient received first dose of Moderna COVID-19 vaccine on 22Jun2021 and second on 16Jul2021. The caller stated the patient received the second dose early. The caller did not know which arm the vaccine was given in.  The caller stated after receiving the second dose the patient became very very sick, the patient was in bed for several days, they had flu-like symptoms, a headache, and fatigue.  The caller confirmed patient seemed to get better however then the patient died in their sleep on 30Jul2021.  The caller did not know if the patient took anything to help with the symptoms experienced and confirmed the patient was not taking any daily medications.  Very limited information regarding this events has been provided at this time. However, based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.   This case was linked to MOD-2021-286489 (Patient Link).; Sender's Comments: Very limited information regarding this events has been provided at this time. However, based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.; Reported Cause(s) of Death: Unknown cause of death"
	"1645034-1"	"1645034-1"	"ILLNESS"	"10080284"	"40-49 years"	"40-49"	"Very very sick; In bed for several days; flu-like symptoms; Headache; Fatigue; Died in their sleep; This spontaneous case was reported by an other health care professional and describes the occurrence of DEATH (Died in their sleep) in a 41-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 078C21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     No Medical History information was reported.   On 22-Jun-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 16-Jul-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient experienced ILLNESS (Very very sick), MOBILITY DECREASED (In bed for several days), INFLUENZA LIKE ILLNESS (flu-like symptoms), HEADACHE (Headache) and FATIGUE (Fatigue). The patient died on 30-Jul-2021. The cause of death was not reported. It is unknown if an autopsy was performed. At the time of death, ILLNESS (Very very sick), MOBILITY DECREASED (In bed for several days), INFLUENZA LIKE ILLNESS (flu-like symptoms), HEADACHE (Headache) and FATIGUE (Fatigue) outcome was unknown.        For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown Route), the reporter did not provide any causality assessments.   Concomitant medication information not provided.  Treatment information not provided.  The caller was calling on behalf of their son who died on 30Jul2021.  The patient received first dose of Moderna COVID-19 vaccine on 22Jun2021 and second on 16Jul2021. The caller stated the patient received the second dose early. The caller did not know which arm the vaccine was given in.  The caller stated after receiving the second dose the patient became very very sick, the patient was in bed for several days, they had flu-like symptoms, a headache, and fatigue.  The caller confirmed patient seemed to get better however then the patient died in their sleep on 30Jul2021.  The caller did not know if the patient took anything to help with the symptoms experienced and confirmed the patient was not taking any daily medications.  Very limited information regarding this events has been provided at this time. However, based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.   This case was linked to MOD-2021-286489 (Patient Link).; Sender's Comments: Very limited information regarding this events has been provided at this time. However, based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.; Reported Cause(s) of Death: Unknown cause of death"
	"1645034-1"	"1645034-1"	"INFLUENZA LIKE ILLNESS"	"10022004"	"40-49 years"	"40-49"	"Very very sick; In bed for several days; flu-like symptoms; Headache; Fatigue; Died in their sleep; This spontaneous case was reported by an other health care professional and describes the occurrence of DEATH (Died in their sleep) in a 41-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 078C21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     No Medical History information was reported.   On 22-Jun-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 16-Jul-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient experienced ILLNESS (Very very sick), MOBILITY DECREASED (In bed for several days), INFLUENZA LIKE ILLNESS (flu-like symptoms), HEADACHE (Headache) and FATIGUE (Fatigue). The patient died on 30-Jul-2021. The cause of death was not reported. It is unknown if an autopsy was performed. At the time of death, ILLNESS (Very very sick), MOBILITY DECREASED (In bed for several days), INFLUENZA LIKE ILLNESS (flu-like symptoms), HEADACHE (Headache) and FATIGUE (Fatigue) outcome was unknown.        For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown Route), the reporter did not provide any causality assessments.   Concomitant medication information not provided.  Treatment information not provided.  The caller was calling on behalf of their son who died on 30Jul2021.  The patient received first dose of Moderna COVID-19 vaccine on 22Jun2021 and second on 16Jul2021. The caller stated the patient received the second dose early. The caller did not know which arm the vaccine was given in.  The caller stated after receiving the second dose the patient became very very sick, the patient was in bed for several days, they had flu-like symptoms, a headache, and fatigue.  The caller confirmed patient seemed to get better however then the patient died in their sleep on 30Jul2021.  The caller did not know if the patient took anything to help with the symptoms experienced and confirmed the patient was not taking any daily medications.  Very limited information regarding this events has been provided at this time. However, based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.   This case was linked to MOD-2021-286489 (Patient Link).; Sender's Comments: Very limited information regarding this events has been provided at this time. However, based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.; Reported Cause(s) of Death: Unknown cause of death"
	"1645034-1"	"1645034-1"	"MOBILITY DECREASED"	"10048334"	"40-49 years"	"40-49"	"Very very sick; In bed for several days; flu-like symptoms; Headache; Fatigue; Died in their sleep; This spontaneous case was reported by an other health care professional and describes the occurrence of DEATH (Died in their sleep) in a 41-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 078C21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     No Medical History information was reported.   On 22-Jun-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 16-Jul-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient experienced ILLNESS (Very very sick), MOBILITY DECREASED (In bed for several days), INFLUENZA LIKE ILLNESS (flu-like symptoms), HEADACHE (Headache) and FATIGUE (Fatigue). The patient died on 30-Jul-2021. The cause of death was not reported. It is unknown if an autopsy was performed. At the time of death, ILLNESS (Very very sick), MOBILITY DECREASED (In bed for several days), INFLUENZA LIKE ILLNESS (flu-like symptoms), HEADACHE (Headache) and FATIGUE (Fatigue) outcome was unknown.        For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown Route), the reporter did not provide any causality assessments.   Concomitant medication information not provided.  Treatment information not provided.  The caller was calling on behalf of their son who died on 30Jul2021.  The patient received first dose of Moderna COVID-19 vaccine on 22Jun2021 and second on 16Jul2021. The caller stated the patient received the second dose early. The caller did not know which arm the vaccine was given in.  The caller stated after receiving the second dose the patient became very very sick, the patient was in bed for several days, they had flu-like symptoms, a headache, and fatigue.  The caller confirmed patient seemed to get better however then the patient died in their sleep on 30Jul2021.  The caller did not know if the patient took anything to help with the symptoms experienced and confirmed the patient was not taking any daily medications.  Very limited information regarding this events has been provided at this time. However, based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.   This case was linked to MOD-2021-286489 (Patient Link).; Sender's Comments: Very limited information regarding this events has been provided at this time. However, based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.; Reported Cause(s) of Death: Unknown cause of death"
	"1651415-1"	"1651415-1"	"AUTOPSY"	"10050117"	"40-49 years"	"40-49"	""Patient felt unwell - dizzy and tired on the evening of April 5, 2021.  She went to bed and died in her sleep, likely early in the morning April 6, 2021.  Medical Examiner recorded her cause of death ""Sudden Cardiac Death associated with Mitral Valve Prolapse""
	"1651415-1"	"1651415-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	""Patient felt unwell - dizzy and tired on the evening of April 5, 2021.  She went to bed and died in her sleep, likely early in the morning April 6, 2021.  Medical Examiner recorded her cause of death ""Sudden Cardiac Death associated with Mitral Valve Prolapse""
	"1651415-1"	"1651415-1"	"DIZZINESS"	"10013573"	"40-49 years"	"40-49"	""Patient felt unwell - dizzy and tired on the evening of April 5, 2021.  She went to bed and died in her sleep, likely early in the morning April 6, 2021.  Medical Examiner recorded her cause of death ""Sudden Cardiac Death associated with Mitral Valve Prolapse""
	"1651415-1"	"1651415-1"	"FATIGUE"	"10016256"	"40-49 years"	"40-49"	""Patient felt unwell - dizzy and tired on the evening of April 5, 2021.  She went to bed and died in her sleep, likely early in the morning April 6, 2021.  Medical Examiner recorded her cause of death ""Sudden Cardiac Death associated with Mitral Valve Prolapse""
	"1651415-1"	"1651415-1"	"MALAISE"	"10025482"	"40-49 years"	"40-49"	""Patient felt unwell - dizzy and tired on the evening of April 5, 2021.  She went to bed and died in her sleep, likely early in the morning April 6, 2021.  Medical Examiner recorded her cause of death ""Sudden Cardiac Death associated with Mitral Valve Prolapse""
	"1651415-1"	"1651415-1"	"MITRAL VALVE PROLAPSE"	"10027730"	"40-49 years"	"40-49"	""Patient felt unwell - dizzy and tired on the evening of April 5, 2021.  She went to bed and died in her sleep, likely early in the morning April 6, 2021.  Medical Examiner recorded her cause of death ""Sudden Cardiac Death associated with Mitral Valve Prolapse""
	"1651415-1"	"1651415-1"	"SUDDEN CARDIAC DEATH"	"10049418"	"40-49 years"	"40-49"	""Patient felt unwell - dizzy and tired on the evening of April 5, 2021.  She went to bed and died in her sleep, likely early in the morning April 6, 2021.  Medical Examiner recorded her cause of death ""Sudden Cardiac Death associated with Mitral Valve Prolapse""
	"1655136-1"	"1655136-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"He was found dead in his home by friends who went looking for him after he didn't show up for work... possible suicide?"
	"1655728-1"	"1655728-1"	"ACUTE CARDIAC EVENT"	"10081099"	"40-49 years"	"40-49"	"Pt.'s Brother states that after receiving the 2nd dose of Phizer (May Unknown), started experiencing symptoms of chest pains shortly after. EKG 06/28/2021 preformed. Cardiac Event, Heart Enlargement 3x ( Passed Away 08/22/2021 ). Undetermined cause of Death."
	"1655728-1"	"1655728-1"	"CARDIOMEGALY"	"10007632"	"40-49 years"	"40-49"	"Pt.'s Brother states that after receiving the 2nd dose of Phizer (May Unknown), started experiencing symptoms of chest pains shortly after. EKG 06/28/2021 preformed. Cardiac Event, Heart Enlargement 3x ( Passed Away 08/22/2021 ). Undetermined cause of Death."
	"1655728-1"	"1655728-1"	"CHEST PAIN"	"10008479"	"40-49 years"	"40-49"	"Pt.'s Brother states that after receiving the 2nd dose of Phizer (May Unknown), started experiencing symptoms of chest pains shortly after. EKG 06/28/2021 preformed. Cardiac Event, Heart Enlargement 3x ( Passed Away 08/22/2021 ). Undetermined cause of Death."
	"1655728-1"	"1655728-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Pt.'s Brother states that after receiving the 2nd dose of Phizer (May Unknown), started experiencing symptoms of chest pains shortly after. EKG 06/28/2021 preformed. Cardiac Event, Heart Enlargement 3x ( Passed Away 08/22/2021 ). Undetermined cause of Death."
	"1655728-1"	"1655728-1"	"ELECTROCARDIOGRAM ABNORMAL"	"10014363"	"40-49 years"	"40-49"	"Pt.'s Brother states that after receiving the 2nd dose of Phizer (May Unknown), started experiencing symptoms of chest pains shortly after. EKG 06/28/2021 preformed. Cardiac Event, Heart Enlargement 3x ( Passed Away 08/22/2021 ). Undetermined cause of Death."
	"1656401-1"	"1656401-1"	"AUTOPSY"	"10050117"	"40-49 years"	"40-49"	"Pt died on July 11, 2021"
	"1656401-1"	"1656401-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Pt died on July 11, 2021"
	"1658364-1"	"1658364-1"	"COVID-19 PNEUMONIA"	"10084380"	"40-49 years"	"40-49"	"Death from Covid Pneumonia"
	"1658364-1"	"1658364-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Death from Covid Pneumonia"
	"1658364-1"	"1658364-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"40-49 years"	"40-49"	"Death from Covid Pneumonia"
	"1661247-1"	"1661247-1"	"ATRIAL FIBRILLATION"	"10003658"	"30-39 years"	"30-39"	"foggy brain; atrial fibrillation; facial paralysis; This is a spontaneous report from a contactable Nurse. This contactable 36-year-old female Nurse (patient) reported for herself that:  A 36-years-old non-pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on Mar2021 (at the age of 36-years-old) as DOSE NUMBER UNKNOWN, SINGLE for covid-19 immunisation. Medical history included nervous system disorder from an unknown date, hay fever, environmental allergies, known allergies hay fever, environmental allergies. Patient had no concomitant medications. Patient received any other vaccines within 4 weeks prior to the COVID vaccine was unknown. Patient had not received any other vaccines within 2 weeks. Prior to vaccination, patient was not diagnosed with COVID-19. Post vaccination, the patient was tested for COVID-19On Mar2021 at 15:45, the patient experienced facial paralysis, foggy brain, atrial fibrillation. The patient underwent lab tests and procedures which included Nasal Swab: negative on Mar2021. The patient died on Mar2021. It was not reported if an autopsy was performed.  No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.; Sender's Comments: Based on the information provided, known drug safety profile and plausible temporal association, the causality between BNT162B2 and the events Facial paralysis, Feeling abnormal, Atrial fibrillation cannot be completely excluded. The impact of this report on the benefit-risk profile of the Pfizer product and on the conduct of the study is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to regulatory authorities, ethics committees. and investigators, as appropriate.; Reported Cause(s) of Death: side effect of Covid-19 inoculation"
	"1661247-1"	"1661247-1"	"FACIAL PARALYSIS"	"10016062"	"30-39 years"	"30-39"	"foggy brain; atrial fibrillation; facial paralysis; This is a spontaneous report from a contactable Nurse. This contactable 36-year-old female Nurse (patient) reported for herself that:  A 36-years-old non-pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on Mar2021 (at the age of 36-years-old) as DOSE NUMBER UNKNOWN, SINGLE for covid-19 immunisation. Medical history included nervous system disorder from an unknown date, hay fever, environmental allergies, known allergies hay fever, environmental allergies. Patient had no concomitant medications. Patient received any other vaccines within 4 weeks prior to the COVID vaccine was unknown. Patient had not received any other vaccines within 2 weeks. Prior to vaccination, patient was not diagnosed with COVID-19. Post vaccination, the patient was tested for COVID-19On Mar2021 at 15:45, the patient experienced facial paralysis, foggy brain, atrial fibrillation. The patient underwent lab tests and procedures which included Nasal Swab: negative on Mar2021. The patient died on Mar2021. It was not reported if an autopsy was performed.  No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.; Sender's Comments: Based on the information provided, known drug safety profile and plausible temporal association, the causality between BNT162B2 and the events Facial paralysis, Feeling abnormal, Atrial fibrillation cannot be completely excluded. The impact of this report on the benefit-risk profile of the Pfizer product and on the conduct of the study is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to regulatory authorities, ethics committees. and investigators, as appropriate.; Reported Cause(s) of Death: side effect of Covid-19 inoculation"
	"1661247-1"	"1661247-1"	"FEELING ABNORMAL"	"10016322"	"30-39 years"	"30-39"	"foggy brain; atrial fibrillation; facial paralysis; This is a spontaneous report from a contactable Nurse. This contactable 36-year-old female Nurse (patient) reported for herself that:  A 36-years-old non-pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on Mar2021 (at the age of 36-years-old) as DOSE NUMBER UNKNOWN, SINGLE for covid-19 immunisation. Medical history included nervous system disorder from an unknown date, hay fever, environmental allergies, known allergies hay fever, environmental allergies. Patient had no concomitant medications. Patient received any other vaccines within 4 weeks prior to the COVID vaccine was unknown. Patient had not received any other vaccines within 2 weeks. Prior to vaccination, patient was not diagnosed with COVID-19. Post vaccination, the patient was tested for COVID-19On Mar2021 at 15:45, the patient experienced facial paralysis, foggy brain, atrial fibrillation. The patient underwent lab tests and procedures which included Nasal Swab: negative on Mar2021. The patient died on Mar2021. It was not reported if an autopsy was performed.  No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.; Sender's Comments: Based on the information provided, known drug safety profile and plausible temporal association, the causality between BNT162B2 and the events Facial paralysis, Feeling abnormal, Atrial fibrillation cannot be completely excluded. The impact of this report on the benefit-risk profile of the Pfizer product and on the conduct of the study is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to regulatory authorities, ethics committees. and investigators, as appropriate.; Reported Cause(s) of Death: side effect of Covid-19 inoculation"
	"1661247-1"	"1661247-1"	"SARS-COV-2 TEST NEGATIVE"	"10084273"	"30-39 years"	"30-39"	"foggy brain; atrial fibrillation; facial paralysis; This is a spontaneous report from a contactable Nurse. This contactable 36-year-old female Nurse (patient) reported for herself that:  A 36-years-old non-pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on Mar2021 (at the age of 36-years-old) as DOSE NUMBER UNKNOWN, SINGLE for covid-19 immunisation. Medical history included nervous system disorder from an unknown date, hay fever, environmental allergies, known allergies hay fever, environmental allergies. Patient had no concomitant medications. Patient received any other vaccines within 4 weeks prior to the COVID vaccine was unknown. Patient had not received any other vaccines within 2 weeks. Prior to vaccination, patient was not diagnosed with COVID-19. Post vaccination, the patient was tested for COVID-19On Mar2021 at 15:45, the patient experienced facial paralysis, foggy brain, atrial fibrillation. The patient underwent lab tests and procedures which included Nasal Swab: negative on Mar2021. The patient died on Mar2021. It was not reported if an autopsy was performed.  No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.; Sender's Comments: Based on the information provided, known drug safety profile and plausible temporal association, the causality between BNT162B2 and the events Facial paralysis, Feeling abnormal, Atrial fibrillation cannot be completely excluded. The impact of this report on the benefit-risk profile of the Pfizer product and on the conduct of the study is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to regulatory authorities, ethics committees. and investigators, as appropriate.; Reported Cause(s) of Death: side effect of Covid-19 inoculation"
	"1662542-1"	"1662542-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Patient recieved her 2nd moderna dose here on 8/31/21 at about 5:20pm. I recieved a call from my HCP asking us to fill out the Vaers report, she informed me that the patient had reported to hospital last night and had passed away."
	"1669875-1"	"1669875-1"	"ACUTE MYELOID LEUKAEMIA"	"10000880"	"30-39 years"	"30-39"	"Pregnancy history: G2P1001. Patient had the Pfizer COVID vaccine on 8/6/21 at 33 3/7 weeks gestation (EDD 9/21/21). Presented 8/15/21 at 34 5/7 weeks gestation with preterm labor. CBC with differential found to have significant abnormalities. Twins were delivered via C-section. Twin A birth weight 5lb 2.5oz and twin B birth weight 6lb 1.4oz. Oncology consulted and bone marrow biopsy diagnosed patient with AML. Induction chemotherapy with 7+3 given 8/17-8/23/21 with resulting pancytopenia necessitating daily blood/platelet transfusions. On 9/1/21, had a catastrophic intracranial hemorrhage and patient died on 9/2/21."
	"1669875-1"	"1669875-1"	"BIOPSY BONE MARROW ABNORMAL"	"10004738"	"30-39 years"	"30-39"	"Pregnancy history: G2P1001. Patient had the Pfizer COVID vaccine on 8/6/21 at 33 3/7 weeks gestation (EDD 9/21/21). Presented 8/15/21 at 34 5/7 weeks gestation with preterm labor. CBC with differential found to have significant abnormalities. Twins were delivered via C-section. Twin A birth weight 5lb 2.5oz and twin B birth weight 6lb 1.4oz. Oncology consulted and bone marrow biopsy diagnosed patient with AML. Induction chemotherapy with 7+3 given 8/17-8/23/21 with resulting pancytopenia necessitating daily blood/platelet transfusions. On 9/1/21, had a catastrophic intracranial hemorrhage and patient died on 9/2/21."
	"1669875-1"	"1669875-1"	"BLAST CELLS"	"10061700"	"30-39 years"	"30-39"	"Pregnancy history: G2P1001. Patient had the Pfizer COVID vaccine on 8/6/21 at 33 3/7 weeks gestation (EDD 9/21/21). Presented 8/15/21 at 34 5/7 weeks gestation with preterm labor. CBC with differential found to have significant abnormalities. Twins were delivered via C-section. Twin A birth weight 5lb 2.5oz and twin B birth weight 6lb 1.4oz. Oncology consulted and bone marrow biopsy diagnosed patient with AML. Induction chemotherapy with 7+3 given 8/17-8/23/21 with resulting pancytopenia necessitating daily blood/platelet transfusions. On 9/1/21, had a catastrophic intracranial hemorrhage and patient died on 9/2/21."
	"1669875-1"	"1669875-1"	"BONE MARROW FAILURE"	"10065553"	"30-39 years"	"30-39"	"Pregnancy history: G2P1001. Patient had the Pfizer COVID vaccine on 8/6/21 at 33 3/7 weeks gestation (EDD 9/21/21). Presented 8/15/21 at 34 5/7 weeks gestation with preterm labor. CBC with differential found to have significant abnormalities. Twins were delivered via C-section. Twin A birth weight 5lb 2.5oz and twin B birth weight 6lb 1.4oz. Oncology consulted and bone marrow biopsy diagnosed patient with AML. Induction chemotherapy with 7+3 given 8/17-8/23/21 with resulting pancytopenia necessitating daily blood/platelet transfusions. On 9/1/21, had a catastrophic intracranial hemorrhage and patient died on 9/2/21."
	"1669875-1"	"1669875-1"	"CAESAREAN SECTION"	"10006924"	"30-39 years"	"30-39"	"Pregnancy history: G2P1001. Patient had the Pfizer COVID vaccine on 8/6/21 at 33 3/7 weeks gestation (EDD 9/21/21). Presented 8/15/21 at 34 5/7 weeks gestation with preterm labor. CBC with differential found to have significant abnormalities. Twins were delivered via C-section. Twin A birth weight 5lb 2.5oz and twin B birth weight 6lb 1.4oz. Oncology consulted and bone marrow biopsy diagnosed patient with AML. Induction chemotherapy with 7+3 given 8/17-8/23/21 with resulting pancytopenia necessitating daily blood/platelet transfusions. On 9/1/21, had a catastrophic intracranial hemorrhage and patient died on 9/2/21."
	"1669875-1"	"1669875-1"	"CHEMOTHERAPY"	"10061758"	"30-39 years"	"30-39"	"Pregnancy history: G2P1001. Patient had the Pfizer COVID vaccine on 8/6/21 at 33 3/7 weeks gestation (EDD 9/21/21). Presented 8/15/21 at 34 5/7 weeks gestation with preterm labor. CBC with differential found to have significant abnormalities. Twins were delivered via C-section. Twin A birth weight 5lb 2.5oz and twin B birth weight 6lb 1.4oz. Oncology consulted and bone marrow biopsy diagnosed patient with AML. Induction chemotherapy with 7+3 given 8/17-8/23/21 with resulting pancytopenia necessitating daily blood/platelet transfusions. On 9/1/21, had a catastrophic intracranial hemorrhage and patient died on 9/2/21."
	"1669875-1"	"1669875-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Pregnancy history: G2P1001. Patient had the Pfizer COVID vaccine on 8/6/21 at 33 3/7 weeks gestation (EDD 9/21/21). Presented 8/15/21 at 34 5/7 weeks gestation with preterm labor. CBC with differential found to have significant abnormalities. Twins were delivered via C-section. Twin A birth weight 5lb 2.5oz and twin B birth weight 6lb 1.4oz. Oncology consulted and bone marrow biopsy diagnosed patient with AML. Induction chemotherapy with 7+3 given 8/17-8/23/21 with resulting pancytopenia necessitating daily blood/platelet transfusions. On 9/1/21, had a catastrophic intracranial hemorrhage and patient died on 9/2/21."
	"1669875-1"	"1669875-1"	"EXPOSURE DURING PREGNANCY"	"10073513"	"30-39 years"	"30-39"	"Pregnancy history: G2P1001. Patient had the Pfizer COVID vaccine on 8/6/21 at 33 3/7 weeks gestation (EDD 9/21/21). Presented 8/15/21 at 34 5/7 weeks gestation with preterm labor. CBC with differential found to have significant abnormalities. Twins were delivered via C-section. Twin A birth weight 5lb 2.5oz and twin B birth weight 6lb 1.4oz. Oncology consulted and bone marrow biopsy diagnosed patient with AML. Induction chemotherapy with 7+3 given 8/17-8/23/21 with resulting pancytopenia necessitating daily blood/platelet transfusions. On 9/1/21, had a catastrophic intracranial hemorrhage and patient died on 9/2/21."
	"1669875-1"	"1669875-1"	"FULL BLOOD COUNT"	"10017411"	"30-39 years"	"30-39"	"Pregnancy history: G2P1001. Patient had the Pfizer COVID vaccine on 8/6/21 at 33 3/7 weeks gestation (EDD 9/21/21). Presented 8/15/21 at 34 5/7 weeks gestation with preterm labor. CBC with differential found to have significant abnormalities. Twins were delivered via C-section. Twin A birth weight 5lb 2.5oz and twin B birth weight 6lb 1.4oz. Oncology consulted and bone marrow biopsy diagnosed patient with AML. Induction chemotherapy with 7+3 given 8/17-8/23/21 with resulting pancytopenia necessitating daily blood/platelet transfusions. On 9/1/21, had a catastrophic intracranial hemorrhage and patient died on 9/2/21."
	"1669875-1"	"1669875-1"	"HAEMORRHAGE INTRACRANIAL"	"10018985"	"30-39 years"	"30-39"	"Pregnancy history: G2P1001. Patient had the Pfizer COVID vaccine on 8/6/21 at 33 3/7 weeks gestation (EDD 9/21/21). Presented 8/15/21 at 34 5/7 weeks gestation with preterm labor. CBC with differential found to have significant abnormalities. Twins were delivered via C-section. Twin A birth weight 5lb 2.5oz and twin B birth weight 6lb 1.4oz. Oncology consulted and bone marrow biopsy diagnosed patient with AML. Induction chemotherapy with 7+3 given 8/17-8/23/21 with resulting pancytopenia necessitating daily blood/platelet transfusions. On 9/1/21, had a catastrophic intracranial hemorrhage and patient died on 9/2/21."
	"1669875-1"	"1669875-1"	"MYELOSUPPRESSION"	"10028584"	"30-39 years"	"30-39"	"Pregnancy history: G2P1001. Patient had the Pfizer COVID vaccine on 8/6/21 at 33 3/7 weeks gestation (EDD 9/21/21). Presented 8/15/21 at 34 5/7 weeks gestation with preterm labor. CBC with differential found to have significant abnormalities. Twins were delivered via C-section. Twin A birth weight 5lb 2.5oz and twin B birth weight 6lb 1.4oz. Oncology consulted and bone marrow biopsy diagnosed patient with AML. Induction chemotherapy with 7+3 given 8/17-8/23/21 with resulting pancytopenia necessitating daily blood/platelet transfusions. On 9/1/21, had a catastrophic intracranial hemorrhage and patient died on 9/2/21."
	"1669875-1"	"1669875-1"	"NEUTROPHIL COUNT DECREASED"	"10029366"	"30-39 years"	"30-39"	"Pregnancy history: G2P1001. Patient had the Pfizer COVID vaccine on 8/6/21 at 33 3/7 weeks gestation (EDD 9/21/21). Presented 8/15/21 at 34 5/7 weeks gestation with preterm labor. CBC with differential found to have significant abnormalities. Twins were delivered via C-section. Twin A birth weight 5lb 2.5oz and twin B birth weight 6lb 1.4oz. Oncology consulted and bone marrow biopsy diagnosed patient with AML. Induction chemotherapy with 7+3 given 8/17-8/23/21 with resulting pancytopenia necessitating daily blood/platelet transfusions. On 9/1/21, had a catastrophic intracranial hemorrhage and patient died on 9/2/21."
	"1669875-1"	"1669875-1"	"PANCYTOPENIA"	"10033661"	"30-39 years"	"30-39"	"Pregnancy history: G2P1001. Patient had the Pfizer COVID vaccine on 8/6/21 at 33 3/7 weeks gestation (EDD 9/21/21). Presented 8/15/21 at 34 5/7 weeks gestation with preterm labor. CBC with differential found to have significant abnormalities. Twins were delivered via C-section. Twin A birth weight 5lb 2.5oz and twin B birth weight 6lb 1.4oz. Oncology consulted and bone marrow biopsy diagnosed patient with AML. Induction chemotherapy with 7+3 given 8/17-8/23/21 with resulting pancytopenia necessitating daily blood/platelet transfusions. On 9/1/21, had a catastrophic intracranial hemorrhage and patient died on 9/2/21."
	"1669875-1"	"1669875-1"	"PLATELET COUNT DECREASED"	"10035528"	"30-39 years"	"30-39"	"Pregnancy history: G2P1001. Patient had the Pfizer COVID vaccine on 8/6/21 at 33 3/7 weeks gestation (EDD 9/21/21). Presented 8/15/21 at 34 5/7 weeks gestation with preterm labor. CBC with differential found to have significant abnormalities. Twins were delivered via C-section. Twin A birth weight 5lb 2.5oz and twin B birth weight 6lb 1.4oz. Oncology consulted and bone marrow biopsy diagnosed patient with AML. Induction chemotherapy with 7+3 given 8/17-8/23/21 with resulting pancytopenia necessitating daily blood/platelet transfusions. On 9/1/21, had a catastrophic intracranial hemorrhage and patient died on 9/2/21."
	"1669875-1"	"1669875-1"	"PLATELET TRANSFUSION"	"10035543"	"30-39 years"	"30-39"	"Pregnancy history: G2P1001. Patient had the Pfizer COVID vaccine on 8/6/21 at 33 3/7 weeks gestation (EDD 9/21/21). Presented 8/15/21 at 34 5/7 weeks gestation with preterm labor. CBC with differential found to have significant abnormalities. Twins were delivered via C-section. Twin A birth weight 5lb 2.5oz and twin B birth weight 6lb 1.4oz. Oncology consulted and bone marrow biopsy diagnosed patient with AML. Induction chemotherapy with 7+3 given 8/17-8/23/21 with resulting pancytopenia necessitating daily blood/platelet transfusions. On 9/1/21, had a catastrophic intracranial hemorrhage and patient died on 9/2/21."
	"1669875-1"	"1669875-1"	"PREMATURE LABOUR"	"10036600"	"30-39 years"	"30-39"	"Pregnancy history: G2P1001. Patient had the Pfizer COVID vaccine on 8/6/21 at 33 3/7 weeks gestation (EDD 9/21/21). Presented 8/15/21 at 34 5/7 weeks gestation with preterm labor. CBC with differential found to have significant abnormalities. Twins were delivered via C-section. Twin A birth weight 5lb 2.5oz and twin B birth weight 6lb 1.4oz. Oncology consulted and bone marrow biopsy diagnosed patient with AML. Induction chemotherapy with 7+3 given 8/17-8/23/21 with resulting pancytopenia necessitating daily blood/platelet transfusions. On 9/1/21, had a catastrophic intracranial hemorrhage and patient died on 9/2/21."
	"1669875-1"	"1669875-1"	"TRANSFUSION"	"10066152"	"30-39 years"	"30-39"	"Pregnancy history: G2P1001. Patient had the Pfizer COVID vaccine on 8/6/21 at 33 3/7 weeks gestation (EDD 9/21/21). Presented 8/15/21 at 34 5/7 weeks gestation with preterm labor. CBC with differential found to have significant abnormalities. Twins were delivered via C-section. Twin A birth weight 5lb 2.5oz and twin B birth weight 6lb 1.4oz. Oncology consulted and bone marrow biopsy diagnosed patient with AML. Induction chemotherapy with 7+3 given 8/17-8/23/21 with resulting pancytopenia necessitating daily blood/platelet transfusions. On 9/1/21, had a catastrophic intracranial hemorrhage and patient died on 9/2/21."
	"1669875-1"	"1669875-1"	"TWIN PREGNANCY"	"10045188"	"30-39 years"	"30-39"	"Pregnancy history: G2P1001. Patient had the Pfizer COVID vaccine on 8/6/21 at 33 3/7 weeks gestation (EDD 9/21/21). Presented 8/15/21 at 34 5/7 weeks gestation with preterm labor. CBC with differential found to have significant abnormalities. Twins were delivered via C-section. Twin A birth weight 5lb 2.5oz and twin B birth weight 6lb 1.4oz. Oncology consulted and bone marrow biopsy diagnosed patient with AML. Induction chemotherapy with 7+3 given 8/17-8/23/21 with resulting pancytopenia necessitating daily blood/platelet transfusions. On 9/1/21, had a catastrophic intracranial hemorrhage and patient died on 9/2/21."
	"1669875-1"	"1669875-1"	"WHITE BLOOD CELL COUNT INCREASED"	"10047943"	"30-39 years"	"30-39"	"Pregnancy history: G2P1001. Patient had the Pfizer COVID vaccine on 8/6/21 at 33 3/7 weeks gestation (EDD 9/21/21). Presented 8/15/21 at 34 5/7 weeks gestation with preterm labor. CBC with differential found to have significant abnormalities. Twins were delivered via C-section. Twin A birth weight 5lb 2.5oz and twin B birth weight 6lb 1.4oz. Oncology consulted and bone marrow biopsy diagnosed patient with AML. Induction chemotherapy with 7+3 given 8/17-8/23/21 with resulting pancytopenia necessitating daily blood/platelet transfusions. On 9/1/21, had a catastrophic intracranial hemorrhage and patient died on 9/2/21."
	"1677294-1"	"1677294-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"arm was sore; felt really sick; dizziness; once he got the shot he just went downhill; nauseous; extremely fatigued; died on 28JUL2021, 4 days after receiving the vaccine, passed away; This spontaneous case was reported by a consumer and describes the occurrence of DEATH (died on 28JUL2021, 4 days after receiving the vaccine, passed away) in a 31-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included Cirrhosis liver, Acute kidney failure, Hypertension, Immune system disorder (weak immune system) and Hospitalization from 03-May-2021 to 11-May-2021.    On 24-Jul-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced PAIN IN EXTREMITY (arm was sore), ILLNESS (felt really sick), DIZZINESS (dizziness), MALAISE (once he got the shot he just went downhill), NAUSEA (nauseous) and FATIGUE (extremely fatigued). The patient died on 28-Jul-2021. The cause of death was not reported. It is unknown if an autopsy was performed. At the time of death, PAIN IN EXTREMITY (arm was sore), ILLNESS (felt really sick), DIZZINESS (dizziness), MALAISE (once he got the shot he just went downhill), NAUSEA (nauseous) and FATIGUE (extremely fatigued) outcome was unknown.            He had medications for his chronic illnesses. The patient had recent hospitalization from 03-May-2021 to 11-May-2021. No treatment information was reported.  Company Comment: Very limited information regarding this event has been provided at this time. Further information has been requested. Patient¦s underlying Cirrhosis , Acute kidney failure, Hypertension and Immune system disorder could be confounding factors for the case.; Sender's Comments: Very limited information regarding this event has been provided at this time. Further information has been requested. Patient¦s underlying Cirrhosis , Acute kidney failure, Hypertension and Immune system disorder could be confounding factors for the case.; Reported Cause(s) of Death: Unknown cause of death"
	"1677294-1"	"1677294-1"	"DIZZINESS"	"10013573"	"30-39 years"	"30-39"	"arm was sore; felt really sick; dizziness; once he got the shot he just went downhill; nauseous; extremely fatigued; died on 28JUL2021, 4 days after receiving the vaccine, passed away; This spontaneous case was reported by a consumer and describes the occurrence of DEATH (died on 28JUL2021, 4 days after receiving the vaccine, passed away) in a 31-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included Cirrhosis liver, Acute kidney failure, Hypertension, Immune system disorder (weak immune system) and Hospitalization from 03-May-2021 to 11-May-2021.    On 24-Jul-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced PAIN IN EXTREMITY (arm was sore), ILLNESS (felt really sick), DIZZINESS (dizziness), MALAISE (once he got the shot he just went downhill), NAUSEA (nauseous) and FATIGUE (extremely fatigued). The patient died on 28-Jul-2021. The cause of death was not reported. It is unknown if an autopsy was performed. At the time of death, PAIN IN EXTREMITY (arm was sore), ILLNESS (felt really sick), DIZZINESS (dizziness), MALAISE (once he got the shot he just went downhill), NAUSEA (nauseous) and FATIGUE (extremely fatigued) outcome was unknown.            He had medications for his chronic illnesses. The patient had recent hospitalization from 03-May-2021 to 11-May-2021. No treatment information was reported.  Company Comment: Very limited information regarding this event has been provided at this time. Further information has been requested. Patient¦s underlying Cirrhosis , Acute kidney failure, Hypertension and Immune system disorder could be confounding factors for the case.; Sender's Comments: Very limited information regarding this event has been provided at this time. Further information has been requested. Patient¦s underlying Cirrhosis , Acute kidney failure, Hypertension and Immune system disorder could be confounding factors for the case.; Reported Cause(s) of Death: Unknown cause of death"
	"1677294-1"	"1677294-1"	"FATIGUE"	"10016256"	"30-39 years"	"30-39"	"arm was sore; felt really sick; dizziness; once he got the shot he just went downhill; nauseous; extremely fatigued; died on 28JUL2021, 4 days after receiving the vaccine, passed away; This spontaneous case was reported by a consumer and describes the occurrence of DEATH (died on 28JUL2021, 4 days after receiving the vaccine, passed away) in a 31-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included Cirrhosis liver, Acute kidney failure, Hypertension, Immune system disorder (weak immune system) and Hospitalization from 03-May-2021 to 11-May-2021.    On 24-Jul-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced PAIN IN EXTREMITY (arm was sore), ILLNESS (felt really sick), DIZZINESS (dizziness), MALAISE (once he got the shot he just went downhill), NAUSEA (nauseous) and FATIGUE (extremely fatigued). The patient died on 28-Jul-2021. The cause of death was not reported. It is unknown if an autopsy was performed. At the time of death, PAIN IN EXTREMITY (arm was sore), ILLNESS (felt really sick), DIZZINESS (dizziness), MALAISE (once he got the shot he just went downhill), NAUSEA (nauseous) and FATIGUE (extremely fatigued) outcome was unknown.            He had medications for his chronic illnesses. The patient had recent hospitalization from 03-May-2021 to 11-May-2021. No treatment information was reported.  Company Comment: Very limited information regarding this event has been provided at this time. Further information has been requested. Patient¦s underlying Cirrhosis , Acute kidney failure, Hypertension and Immune system disorder could be confounding factors for the case.; Sender's Comments: Very limited information regarding this event has been provided at this time. Further information has been requested. Patient¦s underlying Cirrhosis , Acute kidney failure, Hypertension and Immune system disorder could be confounding factors for the case.; Reported Cause(s) of Death: Unknown cause of death"
	"1677294-1"	"1677294-1"	"ILLNESS"	"10080284"	"30-39 years"	"30-39"	"arm was sore; felt really sick; dizziness; once he got the shot he just went downhill; nauseous; extremely fatigued; died on 28JUL2021, 4 days after receiving the vaccine, passed away; This spontaneous case was reported by a consumer and describes the occurrence of DEATH (died on 28JUL2021, 4 days after receiving the vaccine, passed away) in a 31-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included Cirrhosis liver, Acute kidney failure, Hypertension, Immune system disorder (weak immune system) and Hospitalization from 03-May-2021 to 11-May-2021.    On 24-Jul-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced PAIN IN EXTREMITY (arm was sore), ILLNESS (felt really sick), DIZZINESS (dizziness), MALAISE (once he got the shot he just went downhill), NAUSEA (nauseous) and FATIGUE (extremely fatigued). The patient died on 28-Jul-2021. The cause of death was not reported. It is unknown if an autopsy was performed. At the time of death, PAIN IN EXTREMITY (arm was sore), ILLNESS (felt really sick), DIZZINESS (dizziness), MALAISE (once he got the shot he just went downhill), NAUSEA (nauseous) and FATIGUE (extremely fatigued) outcome was unknown.            He had medications for his chronic illnesses. The patient had recent hospitalization from 03-May-2021 to 11-May-2021. No treatment information was reported.  Company Comment: Very limited information regarding this event has been provided at this time. Further information has been requested. Patient¦s underlying Cirrhosis , Acute kidney failure, Hypertension and Immune system disorder could be confounding factors for the case.; Sender's Comments: Very limited information regarding this event has been provided at this time. Further information has been requested. Patient¦s underlying Cirrhosis , Acute kidney failure, Hypertension and Immune system disorder could be confounding factors for the case.; Reported Cause(s) of Death: Unknown cause of death"
	"1677294-1"	"1677294-1"	"MALAISE"	"10025482"	"30-39 years"	"30-39"	"arm was sore; felt really sick; dizziness; once he got the shot he just went downhill; nauseous; extremely fatigued; died on 28JUL2021, 4 days after receiving the vaccine, passed away; This spontaneous case was reported by a consumer and describes the occurrence of DEATH (died on 28JUL2021, 4 days after receiving the vaccine, passed away) in a 31-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included Cirrhosis liver, Acute kidney failure, Hypertension, Immune system disorder (weak immune system) and Hospitalization from 03-May-2021 to 11-May-2021.    On 24-Jul-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced PAIN IN EXTREMITY (arm was sore), ILLNESS (felt really sick), DIZZINESS (dizziness), MALAISE (once he got the shot he just went downhill), NAUSEA (nauseous) and FATIGUE (extremely fatigued). The patient died on 28-Jul-2021. The cause of death was not reported. It is unknown if an autopsy was performed. At the time of death, PAIN IN EXTREMITY (arm was sore), ILLNESS (felt really sick), DIZZINESS (dizziness), MALAISE (once he got the shot he just went downhill), NAUSEA (nauseous) and FATIGUE (extremely fatigued) outcome was unknown.            He had medications for his chronic illnesses. The patient had recent hospitalization from 03-May-2021 to 11-May-2021. No treatment information was reported.  Company Comment: Very limited information regarding this event has been provided at this time. Further information has been requested. Patient¦s underlying Cirrhosis , Acute kidney failure, Hypertension and Immune system disorder could be confounding factors for the case.; Sender's Comments: Very limited information regarding this event has been provided at this time. Further information has been requested. Patient¦s underlying Cirrhosis , Acute kidney failure, Hypertension and Immune system disorder could be confounding factors for the case.; Reported Cause(s) of Death: Unknown cause of death"
	"1677294-1"	"1677294-1"	"NAUSEA"	"10028813"	"30-39 years"	"30-39"	"arm was sore; felt really sick; dizziness; once he got the shot he just went downhill; nauseous; extremely fatigued; died on 28JUL2021, 4 days after receiving the vaccine, passed away; This spontaneous case was reported by a consumer and describes the occurrence of DEATH (died on 28JUL2021, 4 days after receiving the vaccine, passed away) in a 31-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included Cirrhosis liver, Acute kidney failure, Hypertension, Immune system disorder (weak immune system) and Hospitalization from 03-May-2021 to 11-May-2021.    On 24-Jul-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced PAIN IN EXTREMITY (arm was sore), ILLNESS (felt really sick), DIZZINESS (dizziness), MALAISE (once he got the shot he just went downhill), NAUSEA (nauseous) and FATIGUE (extremely fatigued). The patient died on 28-Jul-2021. The cause of death was not reported. It is unknown if an autopsy was performed. At the time of death, PAIN IN EXTREMITY (arm was sore), ILLNESS (felt really sick), DIZZINESS (dizziness), MALAISE (once he got the shot he just went downhill), NAUSEA (nauseous) and FATIGUE (extremely fatigued) outcome was unknown.            He had medications for his chronic illnesses. The patient had recent hospitalization from 03-May-2021 to 11-May-2021. No treatment information was reported.  Company Comment: Very limited information regarding this event has been provided at this time. Further information has been requested. Patient¦s underlying Cirrhosis , Acute kidney failure, Hypertension and Immune system disorder could be confounding factors for the case.; Sender's Comments: Very limited information regarding this event has been provided at this time. Further information has been requested. Patient¦s underlying Cirrhosis , Acute kidney failure, Hypertension and Immune system disorder could be confounding factors for the case.; Reported Cause(s) of Death: Unknown cause of death"
	"1677294-1"	"1677294-1"	"PAIN IN EXTREMITY"	"10033425"	"30-39 years"	"30-39"	"arm was sore; felt really sick; dizziness; once he got the shot he just went downhill; nauseous; extremely fatigued; died on 28JUL2021, 4 days after receiving the vaccine, passed away; This spontaneous case was reported by a consumer and describes the occurrence of DEATH (died on 28JUL2021, 4 days after receiving the vaccine, passed away) in a 31-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient's past medical history included Cirrhosis liver, Acute kidney failure, Hypertension, Immune system disorder (weak immune system) and Hospitalization from 03-May-2021 to 11-May-2021.    On 24-Jul-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced PAIN IN EXTREMITY (arm was sore), ILLNESS (felt really sick), DIZZINESS (dizziness), MALAISE (once he got the shot he just went downhill), NAUSEA (nauseous) and FATIGUE (extremely fatigued). The patient died on 28-Jul-2021. The cause of death was not reported. It is unknown if an autopsy was performed. At the time of death, PAIN IN EXTREMITY (arm was sore), ILLNESS (felt really sick), DIZZINESS (dizziness), MALAISE (once he got the shot he just went downhill), NAUSEA (nauseous) and FATIGUE (extremely fatigued) outcome was unknown.            He had medications for his chronic illnesses. The patient had recent hospitalization from 03-May-2021 to 11-May-2021. No treatment information was reported.  Company Comment: Very limited information regarding this event has been provided at this time. Further information has been requested. Patient¦s underlying Cirrhosis , Acute kidney failure, Hypertension and Immune system disorder could be confounding factors for the case.; Sender's Comments: Very limited information regarding this event has been provided at this time. Further information has been requested. Patient¦s underlying Cirrhosis , Acute kidney failure, Hypertension and Immune system disorder could be confounding factors for the case.; Reported Cause(s) of Death: Unknown cause of death"
	"1679133-1"	"1679133-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"The patient's husband informed the pharmacy that the patient passed away the day following vaccination.  He stated he was unaware of the cause of death at this time."
	"1682403-1"	"1682403-1"	"COVID-19"	"10084268"	"40-49 years"	"40-49"	"Patient tested positive for COVID-19 and is now deceased"
	"1682403-1"	"1682403-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Patient tested positive for COVID-19 and is now deceased"
	"1682403-1"	"1682403-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"40-49 years"	"40-49"	"Patient tested positive for COVID-19 and is now deceased"
	"1682874-1"	"1682874-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Death one day after vaccine."
	"1683142-1"	"1683142-1"	"AUTOPSY"	"10050117"	"30-39 years"	"30-39"	"Patient died within 12 hours after vaccination. Sudden death without prodrome. Only complaints after administration were soreness at the vaccine site. Autopsy performed and no obvious evidence vaccine played a role. Dilated cardiomyopathy at examination. No evidence of anaphylaxis, or pulmonary emboli."
	"1683142-1"	"1683142-1"	"CONGESTIVE CARDIOMYOPATHY"	"10056370"	"30-39 years"	"30-39"	"Patient died within 12 hours after vaccination. Sudden death without prodrome. Only complaints after administration were soreness at the vaccine site. Autopsy performed and no obvious evidence vaccine played a role. Dilated cardiomyopathy at examination. No evidence of anaphylaxis, or pulmonary emboli."
	"1683142-1"	"1683142-1"	"SUDDEN DEATH"	"10042434"	"30-39 years"	"30-39"	"Patient died within 12 hours after vaccination. Sudden death without prodrome. Only complaints after administration were soreness at the vaccine site. Autopsy performed and no obvious evidence vaccine played a role. Dilated cardiomyopathy at examination. No evidence of anaphylaxis, or pulmonary emboli."
	"1683142-1"	"1683142-1"	"TOXICOLOGIC TEST"	"10061384"	"30-39 years"	"30-39"	"Patient died within 12 hours after vaccination. Sudden death without prodrome. Only complaints after administration were soreness at the vaccine site. Autopsy performed and no obvious evidence vaccine played a role. Dilated cardiomyopathy at examination. No evidence of anaphylaxis, or pulmonary emboli."
	"1683142-1"	"1683142-1"	"VACCINATION SITE PAIN"	"10068879"	"30-39 years"	"30-39"	"Patient died within 12 hours after vaccination. Sudden death without prodrome. Only complaints after administration were soreness at the vaccine site. Autopsy performed and no obvious evidence vaccine played a role. Dilated cardiomyopathy at examination. No evidence of anaphylaxis, or pulmonary emboli."
	"1683324-1"	"1683324-1"	"ABDOMINAL PAIN"	"10000081"	"30-39 years"	"30-39"	"Patient presented to the ED around 10pm on 4/21, ~one week after her J&J COVID vaccine (exact date of initial vaccination not confirmed but was reportedly 1 week prior) with abdominal pain and headache. She was found to have thrombocytopenia (Plt 38) on presentation as well as renal and ovarian vein thrombosis. CT head showed a large right frontal intraparenchymal hemorrhage. She was taken for urgent craniotomy on 9/5 with EVD placement. Brain tissue was noted to have bleeding spots unresponsive to cautery and requiring local hemostatic agents. Repeat imaging showed worsening infarction. She had continued elevated intracranial pressures, so was taken back to the OR on the morning of 9/6 for bilateral EVD placement to help relieve pressure. Given her thrombocytopenia, thrombosis, significantly elevated D-dimer, low fibrinogen, and +HIT Ab test, she was diagnosed with vaccine-induced thrombocytopenia and thrombosis (VITT). She was started on IVIG 1g/kg daily  x 2 days,  bivalirudin with supportive transfusions to maintain goal plts >50K, fibrinogen > 150. Despite this, her neurologic status deteriorated due to elevated pressures, clotting off of her EVDs, and ultimately was declared brain dead in the afternoon on 9/7.  Family withdrew supportive care and patient passed at 3:57PM on 9/7/21."
	"1683324-1"	"1683324-1"	"ACTIVATED PARTIAL THROMBOPLASTIN TIME SHORTENED"	"10000637"	"30-39 years"	"30-39"	"Patient presented to the ED around 10pm on 4/21, ~one week after her J&J COVID vaccine (exact date of initial vaccination not confirmed but was reportedly 1 week prior) with abdominal pain and headache. She was found to have thrombocytopenia (Plt 38) on presentation as well as renal and ovarian vein thrombosis. CT head showed a large right frontal intraparenchymal hemorrhage. She was taken for urgent craniotomy on 9/5 with EVD placement. Brain tissue was noted to have bleeding spots unresponsive to cautery and requiring local hemostatic agents. Repeat imaging showed worsening infarction. She had continued elevated intracranial pressures, so was taken back to the OR on the morning of 9/6 for bilateral EVD placement to help relieve pressure. Given her thrombocytopenia, thrombosis, significantly elevated D-dimer, low fibrinogen, and +HIT Ab test, she was diagnosed with vaccine-induced thrombocytopenia and thrombosis (VITT). She was started on IVIG 1g/kg daily  x 2 days,  bivalirudin with supportive transfusions to maintain goal plts >50K, fibrinogen > 150. Despite this, her neurologic status deteriorated due to elevated pressures, clotting off of her EVDs, and ultimately was declared brain dead in the afternoon on 9/7.  Family withdrew supportive care and patient passed at 3:57PM on 9/7/21."
	"1683324-1"	"1683324-1"	"ANTIBODY TEST POSITIVE"	"10061427"	"30-39 years"	"30-39"	"Patient presented to the ED around 10pm on 4/21, ~one week after her J&J COVID vaccine (exact date of initial vaccination not confirmed but was reportedly 1 week prior) with abdominal pain and headache. She was found to have thrombocytopenia (Plt 38) on presentation as well as renal and ovarian vein thrombosis. CT head showed a large right frontal intraparenchymal hemorrhage. She was taken for urgent craniotomy on 9/5 with EVD placement. Brain tissue was noted to have bleeding spots unresponsive to cautery and requiring local hemostatic agents. Repeat imaging showed worsening infarction. She had continued elevated intracranial pressures, so was taken back to the OR on the morning of 9/6 for bilateral EVD placement to help relieve pressure. Given her thrombocytopenia, thrombosis, significantly elevated D-dimer, low fibrinogen, and +HIT Ab test, she was diagnosed with vaccine-induced thrombocytopenia and thrombosis (VITT). She was started on IVIG 1g/kg daily  x 2 days,  bivalirudin with supportive transfusions to maintain goal plts >50K, fibrinogen > 150. Despite this, her neurologic status deteriorated due to elevated pressures, clotting off of her EVDs, and ultimately was declared brain dead in the afternoon on 9/7.  Family withdrew supportive care and patient passed at 3:57PM on 9/7/21."
	"1683324-1"	"1683324-1"	"ANTICOAGULANT THERAPY"	"10053468"	"30-39 years"	"30-39"	"Patient presented to the ED around 10pm on 4/21, ~one week after her J&J COVID vaccine (exact date of initial vaccination not confirmed but was reportedly 1 week prior) with abdominal pain and headache. She was found to have thrombocytopenia (Plt 38) on presentation as well as renal and ovarian vein thrombosis. CT head showed a large right frontal intraparenchymal hemorrhage. She was taken for urgent craniotomy on 9/5 with EVD placement. Brain tissue was noted to have bleeding spots unresponsive to cautery and requiring local hemostatic agents. Repeat imaging showed worsening infarction. She had continued elevated intracranial pressures, so was taken back to the OR on the morning of 9/6 for bilateral EVD placement to help relieve pressure. Given her thrombocytopenia, thrombosis, significantly elevated D-dimer, low fibrinogen, and +HIT Ab test, she was diagnosed with vaccine-induced thrombocytopenia and thrombosis (VITT). She was started on IVIG 1g/kg daily  x 2 days,  bivalirudin with supportive transfusions to maintain goal plts >50K, fibrinogen > 150. Despite this, her neurologic status deteriorated due to elevated pressures, clotting off of her EVDs, and ultimately was declared brain dead in the afternoon on 9/7.  Family withdrew supportive care and patient passed at 3:57PM on 9/7/21."
	"1683324-1"	"1683324-1"	"BLOOD FIBRINOGEN DECREASED"	"10005520"	"30-39 years"	"30-39"	"Patient presented to the ED around 10pm on 4/21, ~one week after her J&J COVID vaccine (exact date of initial vaccination not confirmed but was reportedly 1 week prior) with abdominal pain and headache. She was found to have thrombocytopenia (Plt 38) on presentation as well as renal and ovarian vein thrombosis. CT head showed a large right frontal intraparenchymal hemorrhage. She was taken for urgent craniotomy on 9/5 with EVD placement. Brain tissue was noted to have bleeding spots unresponsive to cautery and requiring local hemostatic agents. Repeat imaging showed worsening infarction. She had continued elevated intracranial pressures, so was taken back to the OR on the morning of 9/6 for bilateral EVD placement to help relieve pressure. Given her thrombocytopenia, thrombosis, significantly elevated D-dimer, low fibrinogen, and +HIT Ab test, she was diagnosed with vaccine-induced thrombocytopenia and thrombosis (VITT). She was started on IVIG 1g/kg daily  x 2 days,  bivalirudin with supportive transfusions to maintain goal plts >50K, fibrinogen > 150. Despite this, her neurologic status deteriorated due to elevated pressures, clotting off of her EVDs, and ultimately was declared brain dead in the afternoon on 9/7.  Family withdrew supportive care and patient passed at 3:57PM on 9/7/21."
	"1683324-1"	"1683324-1"	"BLOOD LACTATE DEHYDROGENASE NORMAL"	"10005631"	"30-39 years"	"30-39"	"Patient presented to the ED around 10pm on 4/21, ~one week after her J&J COVID vaccine (exact date of initial vaccination not confirmed but was reportedly 1 week prior) with abdominal pain and headache. She was found to have thrombocytopenia (Plt 38) on presentation as well as renal and ovarian vein thrombosis. CT head showed a large right frontal intraparenchymal hemorrhage. She was taken for urgent craniotomy on 9/5 with EVD placement. Brain tissue was noted to have bleeding spots unresponsive to cautery and requiring local hemostatic agents. Repeat imaging showed worsening infarction. She had continued elevated intracranial pressures, so was taken back to the OR on the morning of 9/6 for bilateral EVD placement to help relieve pressure. Given her thrombocytopenia, thrombosis, significantly elevated D-dimer, low fibrinogen, and +HIT Ab test, she was diagnosed with vaccine-induced thrombocytopenia and thrombosis (VITT). She was started on IVIG 1g/kg daily  x 2 days,  bivalirudin with supportive transfusions to maintain goal plts >50K, fibrinogen > 150. Despite this, her neurologic status deteriorated due to elevated pressures, clotting off of her EVDs, and ultimately was declared brain dead in the afternoon on 9/7.  Family withdrew supportive care and patient passed at 3:57PM on 9/7/21."
	"1683324-1"	"1683324-1"	"BRAIN DEATH"	"10049054"	"30-39 years"	"30-39"	"Patient presented to the ED around 10pm on 4/21, ~one week after her J&J COVID vaccine (exact date of initial vaccination not confirmed but was reportedly 1 week prior) with abdominal pain and headache. She was found to have thrombocytopenia (Plt 38) on presentation as well as renal and ovarian vein thrombosis. CT head showed a large right frontal intraparenchymal hemorrhage. She was taken for urgent craniotomy on 9/5 with EVD placement. Brain tissue was noted to have bleeding spots unresponsive to cautery and requiring local hemostatic agents. Repeat imaging showed worsening infarction. She had continued elevated intracranial pressures, so was taken back to the OR on the morning of 9/6 for bilateral EVD placement to help relieve pressure. Given her thrombocytopenia, thrombosis, significantly elevated D-dimer, low fibrinogen, and +HIT Ab test, she was diagnosed with vaccine-induced thrombocytopenia and thrombosis (VITT). She was started on IVIG 1g/kg daily  x 2 days,  bivalirudin with supportive transfusions to maintain goal plts >50K, fibrinogen > 150. Despite this, her neurologic status deteriorated due to elevated pressures, clotting off of her EVDs, and ultimately was declared brain dead in the afternoon on 9/7.  Family withdrew supportive care and patient passed at 3:57PM on 9/7/21."
	"1683324-1"	"1683324-1"	"CEREBRAL HAEMORRHAGE"	"10008111"	"30-39 years"	"30-39"	"Patient presented to the ED around 10pm on 4/21, ~one week after her J&J COVID vaccine (exact date of initial vaccination not confirmed but was reportedly 1 week prior) with abdominal pain and headache. She was found to have thrombocytopenia (Plt 38) on presentation as well as renal and ovarian vein thrombosis. CT head showed a large right frontal intraparenchymal hemorrhage. She was taken for urgent craniotomy on 9/5 with EVD placement. Brain tissue was noted to have bleeding spots unresponsive to cautery and requiring local hemostatic agents. Repeat imaging showed worsening infarction. She had continued elevated intracranial pressures, so was taken back to the OR on the morning of 9/6 for bilateral EVD placement to help relieve pressure. Given her thrombocytopenia, thrombosis, significantly elevated D-dimer, low fibrinogen, and +HIT Ab test, she was diagnosed with vaccine-induced thrombocytopenia and thrombosis (VITT). She was started on IVIG 1g/kg daily  x 2 days,  bivalirudin with supportive transfusions to maintain goal plts >50K, fibrinogen > 150. Despite this, her neurologic status deteriorated due to elevated pressures, clotting off of her EVDs, and ultimately was declared brain dead in the afternoon on 9/7.  Family withdrew supportive care and patient passed at 3:57PM on 9/7/21."
	"1683324-1"	"1683324-1"	"COMPUTERISED TOMOGRAM HEAD ABNORMAL"	"10072168"	"30-39 years"	"30-39"	"Patient presented to the ED around 10pm on 4/21, ~one week after her J&J COVID vaccine (exact date of initial vaccination not confirmed but was reportedly 1 week prior) with abdominal pain and headache. She was found to have thrombocytopenia (Plt 38) on presentation as well as renal and ovarian vein thrombosis. CT head showed a large right frontal intraparenchymal hemorrhage. She was taken for urgent craniotomy on 9/5 with EVD placement. Brain tissue was noted to have bleeding spots unresponsive to cautery and requiring local hemostatic agents. Repeat imaging showed worsening infarction. She had continued elevated intracranial pressures, so was taken back to the OR on the morning of 9/6 for bilateral EVD placement to help relieve pressure. Given her thrombocytopenia, thrombosis, significantly elevated D-dimer, low fibrinogen, and +HIT Ab test, she was diagnosed with vaccine-induced thrombocytopenia and thrombosis (VITT). She was started on IVIG 1g/kg daily  x 2 days,  bivalirudin with supportive transfusions to maintain goal plts >50K, fibrinogen > 150. Despite this, her neurologic status deteriorated due to elevated pressures, clotting off of her EVDs, and ultimately was declared brain dead in the afternoon on 9/7.  Family withdrew supportive care and patient passed at 3:57PM on 9/7/21."
	"1683324-1"	"1683324-1"	"CRANIOTOMY"	"10011322"	"30-39 years"	"30-39"	"Patient presented to the ED around 10pm on 4/21, ~one week after her J&J COVID vaccine (exact date of initial vaccination not confirmed but was reportedly 1 week prior) with abdominal pain and headache. She was found to have thrombocytopenia (Plt 38) on presentation as well as renal and ovarian vein thrombosis. CT head showed a large right frontal intraparenchymal hemorrhage. She was taken for urgent craniotomy on 9/5 with EVD placement. Brain tissue was noted to have bleeding spots unresponsive to cautery and requiring local hemostatic agents. Repeat imaging showed worsening infarction. She had continued elevated intracranial pressures, so was taken back to the OR on the morning of 9/6 for bilateral EVD placement to help relieve pressure. Given her thrombocytopenia, thrombosis, significantly elevated D-dimer, low fibrinogen, and +HIT Ab test, she was diagnosed with vaccine-induced thrombocytopenia and thrombosis (VITT). She was started on IVIG 1g/kg daily  x 2 days,  bivalirudin with supportive transfusions to maintain goal plts >50K, fibrinogen > 150. Despite this, her neurologic status deteriorated due to elevated pressures, clotting off of her EVDs, and ultimately was declared brain dead in the afternoon on 9/7.  Family withdrew supportive care and patient passed at 3:57PM on 9/7/21."
	"1683324-1"	"1683324-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Patient presented to the ED around 10pm on 4/21, ~one week after her J&J COVID vaccine (exact date of initial vaccination not confirmed but was reportedly 1 week prior) with abdominal pain and headache. She was found to have thrombocytopenia (Plt 38) on presentation as well as renal and ovarian vein thrombosis. CT head showed a large right frontal intraparenchymal hemorrhage. She was taken for urgent craniotomy on 9/5 with EVD placement. Brain tissue was noted to have bleeding spots unresponsive to cautery and requiring local hemostatic agents. Repeat imaging showed worsening infarction. She had continued elevated intracranial pressures, so was taken back to the OR on the morning of 9/6 for bilateral EVD placement to help relieve pressure. Given her thrombocytopenia, thrombosis, significantly elevated D-dimer, low fibrinogen, and +HIT Ab test, she was diagnosed with vaccine-induced thrombocytopenia and thrombosis (VITT). She was started on IVIG 1g/kg daily  x 2 days,  bivalirudin with supportive transfusions to maintain goal plts >50K, fibrinogen > 150. Despite this, her neurologic status deteriorated due to elevated pressures, clotting off of her EVDs, and ultimately was declared brain dead in the afternoon on 9/7.  Family withdrew supportive care and patient passed at 3:57PM on 9/7/21."
	"1683324-1"	"1683324-1"	"FIBRIN D DIMER INCREASED"	"10016581"	"30-39 years"	"30-39"	"Patient presented to the ED around 10pm on 4/21, ~one week after her J&J COVID vaccine (exact date of initial vaccination not confirmed but was reportedly 1 week prior) with abdominal pain and headache. She was found to have thrombocytopenia (Plt 38) on presentation as well as renal and ovarian vein thrombosis. CT head showed a large right frontal intraparenchymal hemorrhage. She was taken for urgent craniotomy on 9/5 with EVD placement. Brain tissue was noted to have bleeding spots unresponsive to cautery and requiring local hemostatic agents. Repeat imaging showed worsening infarction. She had continued elevated intracranial pressures, so was taken back to the OR on the morning of 9/6 for bilateral EVD placement to help relieve pressure. Given her thrombocytopenia, thrombosis, significantly elevated D-dimer, low fibrinogen, and +HIT Ab test, she was diagnosed with vaccine-induced thrombocytopenia and thrombosis (VITT). She was started on IVIG 1g/kg daily  x 2 days,  bivalirudin with supportive transfusions to maintain goal plts >50K, fibrinogen > 150. Despite this, her neurologic status deteriorated due to elevated pressures, clotting off of her EVDs, and ultimately was declared brain dead in the afternoon on 9/7.  Family withdrew supportive care and patient passed at 3:57PM on 9/7/21."
	"1683324-1"	"1683324-1"	"HAEMOGLOBIN NORMAL"	"10018890"	"30-39 years"	"30-39"	"Patient presented to the ED around 10pm on 4/21, ~one week after her J&J COVID vaccine (exact date of initial vaccination not confirmed but was reportedly 1 week prior) with abdominal pain and headache. She was found to have thrombocytopenia (Plt 38) on presentation as well as renal and ovarian vein thrombosis. CT head showed a large right frontal intraparenchymal hemorrhage. She was taken for urgent craniotomy on 9/5 with EVD placement. Brain tissue was noted to have bleeding spots unresponsive to cautery and requiring local hemostatic agents. Repeat imaging showed worsening infarction. She had continued elevated intracranial pressures, so was taken back to the OR on the morning of 9/6 for bilateral EVD placement to help relieve pressure. Given her thrombocytopenia, thrombosis, significantly elevated D-dimer, low fibrinogen, and +HIT Ab test, she was diagnosed with vaccine-induced thrombocytopenia and thrombosis (VITT). She was started on IVIG 1g/kg daily  x 2 days,  bivalirudin with supportive transfusions to maintain goal plts >50K, fibrinogen > 150. Despite this, her neurologic status deteriorated due to elevated pressures, clotting off of her EVDs, and ultimately was declared brain dead in the afternoon on 9/7.  Family withdrew supportive care and patient passed at 3:57PM on 9/7/21."
	"1683324-1"	"1683324-1"	"HAEMOSTASIS"	"10067439"	"30-39 years"	"30-39"	"Patient presented to the ED around 10pm on 4/21, ~one week after her J&J COVID vaccine (exact date of initial vaccination not confirmed but was reportedly 1 week prior) with abdominal pain and headache. She was found to have thrombocytopenia (Plt 38) on presentation as well as renal and ovarian vein thrombosis. CT head showed a large right frontal intraparenchymal hemorrhage. She was taken for urgent craniotomy on 9/5 with EVD placement. Brain tissue was noted to have bleeding spots unresponsive to cautery and requiring local hemostatic agents. Repeat imaging showed worsening infarction. She had continued elevated intracranial pressures, so was taken back to the OR on the morning of 9/6 for bilateral EVD placement to help relieve pressure. Given her thrombocytopenia, thrombosis, significantly elevated D-dimer, low fibrinogen, and +HIT Ab test, she was diagnosed with vaccine-induced thrombocytopenia and thrombosis (VITT). She was started on IVIG 1g/kg daily  x 2 days,  bivalirudin with supportive transfusions to maintain goal plts >50K, fibrinogen > 150. Despite this, her neurologic status deteriorated due to elevated pressures, clotting off of her EVDs, and ultimately was declared brain dead in the afternoon on 9/7.  Family withdrew supportive care and patient passed at 3:57PM on 9/7/21."
	"1683324-1"	"1683324-1"	"HAPTOGLOBIN NORMAL"	"10019154"	"30-39 years"	"30-39"	"Patient presented to the ED around 10pm on 4/21, ~one week after her J&J COVID vaccine (exact date of initial vaccination not confirmed but was reportedly 1 week prior) with abdominal pain and headache. She was found to have thrombocytopenia (Plt 38) on presentation as well as renal and ovarian vein thrombosis. CT head showed a large right frontal intraparenchymal hemorrhage. She was taken for urgent craniotomy on 9/5 with EVD placement. Brain tissue was noted to have bleeding spots unresponsive to cautery and requiring local hemostatic agents. Repeat imaging showed worsening infarction. She had continued elevated intracranial pressures, so was taken back to the OR on the morning of 9/6 for bilateral EVD placement to help relieve pressure. Given her thrombocytopenia, thrombosis, significantly elevated D-dimer, low fibrinogen, and +HIT Ab test, she was diagnosed with vaccine-induced thrombocytopenia and thrombosis (VITT). She was started on IVIG 1g/kg daily  x 2 days,  bivalirudin with supportive transfusions to maintain goal plts >50K, fibrinogen > 150. Despite this, her neurologic status deteriorated due to elevated pressures, clotting off of her EVDs, and ultimately was declared brain dead in the afternoon on 9/7.  Family withdrew supportive care and patient passed at 3:57PM on 9/7/21."
	"1683324-1"	"1683324-1"	"HEADACHE"	"10019211"	"30-39 years"	"30-39"	"Patient presented to the ED around 10pm on 4/21, ~one week after her J&J COVID vaccine (exact date of initial vaccination not confirmed but was reportedly 1 week prior) with abdominal pain and headache. She was found to have thrombocytopenia (Plt 38) on presentation as well as renal and ovarian vein thrombosis. CT head showed a large right frontal intraparenchymal hemorrhage. She was taken for urgent craniotomy on 9/5 with EVD placement. Brain tissue was noted to have bleeding spots unresponsive to cautery and requiring local hemostatic agents. Repeat imaging showed worsening infarction. She had continued elevated intracranial pressures, so was taken back to the OR on the morning of 9/6 for bilateral EVD placement to help relieve pressure. Given her thrombocytopenia, thrombosis, significantly elevated D-dimer, low fibrinogen, and +HIT Ab test, she was diagnosed with vaccine-induced thrombocytopenia and thrombosis (VITT). She was started on IVIG 1g/kg daily  x 2 days,  bivalirudin with supportive transfusions to maintain goal plts >50K, fibrinogen > 150. Despite this, her neurologic status deteriorated due to elevated pressures, clotting off of her EVDs, and ultimately was declared brain dead in the afternoon on 9/7.  Family withdrew supportive care and patient passed at 3:57PM on 9/7/21."
	"1683324-1"	"1683324-1"	"HEPARIN-INDUCED THROMBOCYTOPENIA TEST POSITIVE"	"10070664"	"30-39 years"	"30-39"	"Patient presented to the ED around 10pm on 4/21, ~one week after her J&J COVID vaccine (exact date of initial vaccination not confirmed but was reportedly 1 week prior) with abdominal pain and headache. She was found to have thrombocytopenia (Plt 38) on presentation as well as renal and ovarian vein thrombosis. CT head showed a large right frontal intraparenchymal hemorrhage. She was taken for urgent craniotomy on 9/5 with EVD placement. Brain tissue was noted to have bleeding spots unresponsive to cautery and requiring local hemostatic agents. Repeat imaging showed worsening infarction. She had continued elevated intracranial pressures, so was taken back to the OR on the morning of 9/6 for bilateral EVD placement to help relieve pressure. Given her thrombocytopenia, thrombosis, significantly elevated D-dimer, low fibrinogen, and +HIT Ab test, she was diagnosed with vaccine-induced thrombocytopenia and thrombosis (VITT). She was started on IVIG 1g/kg daily  x 2 days,  bivalirudin with supportive transfusions to maintain goal plts >50K, fibrinogen > 150. Despite this, her neurologic status deteriorated due to elevated pressures, clotting off of her EVDs, and ultimately was declared brain dead in the afternoon on 9/7.  Family withdrew supportive care and patient passed at 3:57PM on 9/7/21."
	"1683324-1"	"1683324-1"	"IMMUNOGLOBULIN THERAPY"	"10069534"	"30-39 years"	"30-39"	"Patient presented to the ED around 10pm on 4/21, ~one week after her J&J COVID vaccine (exact date of initial vaccination not confirmed but was reportedly 1 week prior) with abdominal pain and headache. She was found to have thrombocytopenia (Plt 38) on presentation as well as renal and ovarian vein thrombosis. CT head showed a large right frontal intraparenchymal hemorrhage. She was taken for urgent craniotomy on 9/5 with EVD placement. Brain tissue was noted to have bleeding spots unresponsive to cautery and requiring local hemostatic agents. Repeat imaging showed worsening infarction. She had continued elevated intracranial pressures, so was taken back to the OR on the morning of 9/6 for bilateral EVD placement to help relieve pressure. Given her thrombocytopenia, thrombosis, significantly elevated D-dimer, low fibrinogen, and +HIT Ab test, she was diagnosed with vaccine-induced thrombocytopenia and thrombosis (VITT). She was started on IVIG 1g/kg daily  x 2 days,  bivalirudin with supportive transfusions to maintain goal plts >50K, fibrinogen > 150. Despite this, her neurologic status deteriorated due to elevated pressures, clotting off of her EVDs, and ultimately was declared brain dead in the afternoon on 9/7.  Family withdrew supportive care and patient passed at 3:57PM on 9/7/21."
	"1683324-1"	"1683324-1"	"INFARCTION"	"10061216"	"30-39 years"	"30-39"	"Patient presented to the ED around 10pm on 4/21, ~one week after her J&J COVID vaccine (exact date of initial vaccination not confirmed but was reportedly 1 week prior) with abdominal pain and headache. She was found to have thrombocytopenia (Plt 38) on presentation as well as renal and ovarian vein thrombosis. CT head showed a large right frontal intraparenchymal hemorrhage. She was taken for urgent craniotomy on 9/5 with EVD placement. Brain tissue was noted to have bleeding spots unresponsive to cautery and requiring local hemostatic agents. Repeat imaging showed worsening infarction. She had continued elevated intracranial pressures, so was taken back to the OR on the morning of 9/6 for bilateral EVD placement to help relieve pressure. Given her thrombocytopenia, thrombosis, significantly elevated D-dimer, low fibrinogen, and +HIT Ab test, she was diagnosed with vaccine-induced thrombocytopenia and thrombosis (VITT). She was started on IVIG 1g/kg daily  x 2 days,  bivalirudin with supportive transfusions to maintain goal plts >50K, fibrinogen > 150. Despite this, her neurologic status deteriorated due to elevated pressures, clotting off of her EVDs, and ultimately was declared brain dead in the afternoon on 9/7.  Family withdrew supportive care and patient passed at 3:57PM on 9/7/21."
	"1683324-1"	"1683324-1"	"INTERNATIONAL NORMALISED RATIO INCREASED"	"10022595"	"30-39 years"	"30-39"	"Patient presented to the ED around 10pm on 4/21, ~one week after her J&J COVID vaccine (exact date of initial vaccination not confirmed but was reportedly 1 week prior) with abdominal pain and headache. She was found to have thrombocytopenia (Plt 38) on presentation as well as renal and ovarian vein thrombosis. CT head showed a large right frontal intraparenchymal hemorrhage. She was taken for urgent craniotomy on 9/5 with EVD placement. Brain tissue was noted to have bleeding spots unresponsive to cautery and requiring local hemostatic agents. Repeat imaging showed worsening infarction. She had continued elevated intracranial pressures, so was taken back to the OR on the morning of 9/6 for bilateral EVD placement to help relieve pressure. Given her thrombocytopenia, thrombosis, significantly elevated D-dimer, low fibrinogen, and +HIT Ab test, she was diagnosed with vaccine-induced thrombocytopenia and thrombosis (VITT). She was started on IVIG 1g/kg daily  x 2 days,  bivalirudin with supportive transfusions to maintain goal plts >50K, fibrinogen > 150. Despite this, her neurologic status deteriorated due to elevated pressures, clotting off of her EVDs, and ultimately was declared brain dead in the afternoon on 9/7.  Family withdrew supportive care and patient passed at 3:57PM on 9/7/21."
	"1683324-1"	"1683324-1"	"INTRACRANIAL PRESSURE INCREASED"	"10022773"	"30-39 years"	"30-39"	"Patient presented to the ED around 10pm on 4/21, ~one week after her J&J COVID vaccine (exact date of initial vaccination not confirmed but was reportedly 1 week prior) with abdominal pain and headache. She was found to have thrombocytopenia (Plt 38) on presentation as well as renal and ovarian vein thrombosis. CT head showed a large right frontal intraparenchymal hemorrhage. She was taken for urgent craniotomy on 9/5 with EVD placement. Brain tissue was noted to have bleeding spots unresponsive to cautery and requiring local hemostatic agents. Repeat imaging showed worsening infarction. She had continued elevated intracranial pressures, so was taken back to the OR on the morning of 9/6 for bilateral EVD placement to help relieve pressure. Given her thrombocytopenia, thrombosis, significantly elevated D-dimer, low fibrinogen, and +HIT Ab test, she was diagnosed with vaccine-induced thrombocytopenia and thrombosis (VITT). She was started on IVIG 1g/kg daily  x 2 days,  bivalirudin with supportive transfusions to maintain goal plts >50K, fibrinogen > 150. Despite this, her neurologic status deteriorated due to elevated pressures, clotting off of her EVDs, and ultimately was declared brain dead in the afternoon on 9/7.  Family withdrew supportive care and patient passed at 3:57PM on 9/7/21."
	"1683324-1"	"1683324-1"	"NEUROLOGICAL DECOMPENSATION"	"10068357"	"30-39 years"	"30-39"	"Patient presented to the ED around 10pm on 4/21, ~one week after her J&J COVID vaccine (exact date of initial vaccination not confirmed but was reportedly 1 week prior) with abdominal pain and headache. She was found to have thrombocytopenia (Plt 38) on presentation as well as renal and ovarian vein thrombosis. CT head showed a large right frontal intraparenchymal hemorrhage. She was taken for urgent craniotomy on 9/5 with EVD placement. Brain tissue was noted to have bleeding spots unresponsive to cautery and requiring local hemostatic agents. Repeat imaging showed worsening infarction. She had continued elevated intracranial pressures, so was taken back to the OR on the morning of 9/6 for bilateral EVD placement to help relieve pressure. Given her thrombocytopenia, thrombosis, significantly elevated D-dimer, low fibrinogen, and +HIT Ab test, she was diagnosed with vaccine-induced thrombocytopenia and thrombosis (VITT). She was started on IVIG 1g/kg daily  x 2 days,  bivalirudin with supportive transfusions to maintain goal plts >50K, fibrinogen > 150. Despite this, her neurologic status deteriorated due to elevated pressures, clotting off of her EVDs, and ultimately was declared brain dead in the afternoon on 9/7.  Family withdrew supportive care and patient passed at 3:57PM on 9/7/21."
	"1683324-1"	"1683324-1"	"OVARIAN VEIN THROMBOSIS"	"10072059"	"30-39 years"	"30-39"	"Patient presented to the ED around 10pm on 4/21, ~one week after her J&J COVID vaccine (exact date of initial vaccination not confirmed but was reportedly 1 week prior) with abdominal pain and headache. She was found to have thrombocytopenia (Plt 38) on presentation as well as renal and ovarian vein thrombosis. CT head showed a large right frontal intraparenchymal hemorrhage. She was taken for urgent craniotomy on 9/5 with EVD placement. Brain tissue was noted to have bleeding spots unresponsive to cautery and requiring local hemostatic agents. Repeat imaging showed worsening infarction. She had continued elevated intracranial pressures, so was taken back to the OR on the morning of 9/6 for bilateral EVD placement to help relieve pressure. Given her thrombocytopenia, thrombosis, significantly elevated D-dimer, low fibrinogen, and +HIT Ab test, she was diagnosed with vaccine-induced thrombocytopenia and thrombosis (VITT). She was started on IVIG 1g/kg daily  x 2 days,  bivalirudin with supportive transfusions to maintain goal plts >50K, fibrinogen > 150. Despite this, her neurologic status deteriorated due to elevated pressures, clotting off of her EVDs, and ultimately was declared brain dead in the afternoon on 9/7.  Family withdrew supportive care and patient passed at 3:57PM on 9/7/21."
	"1683324-1"	"1683324-1"	"PLATELET COUNT DECREASED"	"10035528"	"30-39 years"	"30-39"	"Patient presented to the ED around 10pm on 4/21, ~one week after her J&J COVID vaccine (exact date of initial vaccination not confirmed but was reportedly 1 week prior) with abdominal pain and headache. She was found to have thrombocytopenia (Plt 38) on presentation as well as renal and ovarian vein thrombosis. CT head showed a large right frontal intraparenchymal hemorrhage. She was taken for urgent craniotomy on 9/5 with EVD placement. Brain tissue was noted to have bleeding spots unresponsive to cautery and requiring local hemostatic agents. Repeat imaging showed worsening infarction. She had continued elevated intracranial pressures, so was taken back to the OR on the morning of 9/6 for bilateral EVD placement to help relieve pressure. Given her thrombocytopenia, thrombosis, significantly elevated D-dimer, low fibrinogen, and +HIT Ab test, she was diagnosed with vaccine-induced thrombocytopenia and thrombosis (VITT). She was started on IVIG 1g/kg daily  x 2 days,  bivalirudin with supportive transfusions to maintain goal plts >50K, fibrinogen > 150. Despite this, her neurologic status deteriorated due to elevated pressures, clotting off of her EVDs, and ultimately was declared brain dead in the afternoon on 9/7.  Family withdrew supportive care and patient passed at 3:57PM on 9/7/21."
	"1683324-1"	"1683324-1"	"PROTHROMBIN TIME PROLONGED"	"10037063"	"30-39 years"	"30-39"	"Patient presented to the ED around 10pm on 4/21, ~one week after her J&J COVID vaccine (exact date of initial vaccination not confirmed but was reportedly 1 week prior) with abdominal pain and headache. She was found to have thrombocytopenia (Plt 38) on presentation as well as renal and ovarian vein thrombosis. CT head showed a large right frontal intraparenchymal hemorrhage. She was taken for urgent craniotomy on 9/5 with EVD placement. Brain tissue was noted to have bleeding spots unresponsive to cautery and requiring local hemostatic agents. Repeat imaging showed worsening infarction. She had continued elevated intracranial pressures, so was taken back to the OR on the morning of 9/6 for bilateral EVD placement to help relieve pressure. Given her thrombocytopenia, thrombosis, significantly elevated D-dimer, low fibrinogen, and +HIT Ab test, she was diagnosed with vaccine-induced thrombocytopenia and thrombosis (VITT). She was started on IVIG 1g/kg daily  x 2 days,  bivalirudin with supportive transfusions to maintain goal plts >50K, fibrinogen > 150. Despite this, her neurologic status deteriorated due to elevated pressures, clotting off of her EVDs, and ultimately was declared brain dead in the afternoon on 9/7.  Family withdrew supportive care and patient passed at 3:57PM on 9/7/21."
	"1683324-1"	"1683324-1"	"RENAL VEIN THROMBOSIS"	"10038548"	"30-39 years"	"30-39"	"Patient presented to the ED around 10pm on 4/21, ~one week after her J&J COVID vaccine (exact date of initial vaccination not confirmed but was reportedly 1 week prior) with abdominal pain and headache. She was found to have thrombocytopenia (Plt 38) on presentation as well as renal and ovarian vein thrombosis. CT head showed a large right frontal intraparenchymal hemorrhage. She was taken for urgent craniotomy on 9/5 with EVD placement. Brain tissue was noted to have bleeding spots unresponsive to cautery and requiring local hemostatic agents. Repeat imaging showed worsening infarction. She had continued elevated intracranial pressures, so was taken back to the OR on the morning of 9/6 for bilateral EVD placement to help relieve pressure. Given her thrombocytopenia, thrombosis, significantly elevated D-dimer, low fibrinogen, and +HIT Ab test, she was diagnosed with vaccine-induced thrombocytopenia and thrombosis (VITT). She was started on IVIG 1g/kg daily  x 2 days,  bivalirudin with supportive transfusions to maintain goal plts >50K, fibrinogen > 150. Despite this, her neurologic status deteriorated due to elevated pressures, clotting off of her EVDs, and ultimately was declared brain dead in the afternoon on 9/7.  Family withdrew supportive care and patient passed at 3:57PM on 9/7/21."
	"1683324-1"	"1683324-1"	"THROMBOCYTOPENIA"	"10043554"	"30-39 years"	"30-39"	"Patient presented to the ED around 10pm on 4/21, ~one week after her J&J COVID vaccine (exact date of initial vaccination not confirmed but was reportedly 1 week prior) with abdominal pain and headache. She was found to have thrombocytopenia (Plt 38) on presentation as well as renal and ovarian vein thrombosis. CT head showed a large right frontal intraparenchymal hemorrhage. She was taken for urgent craniotomy on 9/5 with EVD placement. Brain tissue was noted to have bleeding spots unresponsive to cautery and requiring local hemostatic agents. Repeat imaging showed worsening infarction. She had continued elevated intracranial pressures, so was taken back to the OR on the morning of 9/6 for bilateral EVD placement to help relieve pressure. Given her thrombocytopenia, thrombosis, significantly elevated D-dimer, low fibrinogen, and +HIT Ab test, she was diagnosed with vaccine-induced thrombocytopenia and thrombosis (VITT). She was started on IVIG 1g/kg daily  x 2 days,  bivalirudin with supportive transfusions to maintain goal plts >50K, fibrinogen > 150. Despite this, her neurologic status deteriorated due to elevated pressures, clotting off of her EVDs, and ultimately was declared brain dead in the afternoon on 9/7.  Family withdrew supportive care and patient passed at 3:57PM on 9/7/21."
	"1683324-1"	"1683324-1"	"TRANSFUSION"	"10066152"	"30-39 years"	"30-39"	"Patient presented to the ED around 10pm on 4/21, ~one week after her J&J COVID vaccine (exact date of initial vaccination not confirmed but was reportedly 1 week prior) with abdominal pain and headache. She was found to have thrombocytopenia (Plt 38) on presentation as well as renal and ovarian vein thrombosis. CT head showed a large right frontal intraparenchymal hemorrhage. She was taken for urgent craniotomy on 9/5 with EVD placement. Brain tissue was noted to have bleeding spots unresponsive to cautery and requiring local hemostatic agents. Repeat imaging showed worsening infarction. She had continued elevated intracranial pressures, so was taken back to the OR on the morning of 9/6 for bilateral EVD placement to help relieve pressure. Given her thrombocytopenia, thrombosis, significantly elevated D-dimer, low fibrinogen, and +HIT Ab test, she was diagnosed with vaccine-induced thrombocytopenia and thrombosis (VITT). She was started on IVIG 1g/kg daily  x 2 days,  bivalirudin with supportive transfusions to maintain goal plts >50K, fibrinogen > 150. Despite this, her neurologic status deteriorated due to elevated pressures, clotting off of her EVDs, and ultimately was declared brain dead in the afternoon on 9/7.  Family withdrew supportive care and patient passed at 3:57PM on 9/7/21."
	"1683324-1"	"1683324-1"	"VENTRICULAR DRAINAGE"	"10052947"	"30-39 years"	"30-39"	"Patient presented to the ED around 10pm on 4/21, ~one week after her J&J COVID vaccine (exact date of initial vaccination not confirmed but was reportedly 1 week prior) with abdominal pain and headache. She was found to have thrombocytopenia (Plt 38) on presentation as well as renal and ovarian vein thrombosis. CT head showed a large right frontal intraparenchymal hemorrhage. She was taken for urgent craniotomy on 9/5 with EVD placement. Brain tissue was noted to have bleeding spots unresponsive to cautery and requiring local hemostatic agents. Repeat imaging showed worsening infarction. She had continued elevated intracranial pressures, so was taken back to the OR on the morning of 9/6 for bilateral EVD placement to help relieve pressure. Given her thrombocytopenia, thrombosis, significantly elevated D-dimer, low fibrinogen, and +HIT Ab test, she was diagnosed with vaccine-induced thrombocytopenia and thrombosis (VITT). She was started on IVIG 1g/kg daily  x 2 days,  bivalirudin with supportive transfusions to maintain goal plts >50K, fibrinogen > 150. Despite this, her neurologic status deteriorated due to elevated pressures, clotting off of her EVDs, and ultimately was declared brain dead in the afternoon on 9/7.  Family withdrew supportive care and patient passed at 3:57PM on 9/7/21."
	"1683324-1"	"1683324-1"	"WHITE BLOOD CELL COUNT INCREASED"	"10047943"	"30-39 years"	"30-39"	"Patient presented to the ED around 10pm on 4/21, ~one week after her J&J COVID vaccine (exact date of initial vaccination not confirmed but was reportedly 1 week prior) with abdominal pain and headache. She was found to have thrombocytopenia (Plt 38) on presentation as well as renal and ovarian vein thrombosis. CT head showed a large right frontal intraparenchymal hemorrhage. She was taken for urgent craniotomy on 9/5 with EVD placement. Brain tissue was noted to have bleeding spots unresponsive to cautery and requiring local hemostatic agents. Repeat imaging showed worsening infarction. She had continued elevated intracranial pressures, so was taken back to the OR on the morning of 9/6 for bilateral EVD placement to help relieve pressure. Given her thrombocytopenia, thrombosis, significantly elevated D-dimer, low fibrinogen, and +HIT Ab test, she was diagnosed with vaccine-induced thrombocytopenia and thrombosis (VITT). She was started on IVIG 1g/kg daily  x 2 days,  bivalirudin with supportive transfusions to maintain goal plts >50K, fibrinogen > 150. Despite this, her neurologic status deteriorated due to elevated pressures, clotting off of her EVDs, and ultimately was declared brain dead in the afternoon on 9/7.  Family withdrew supportive care and patient passed at 3:57PM on 9/7/21."
	"1683324-1"	"1683324-1"	"WITHDRAWAL OF LIFE SUPPORT"	"10067595"	"30-39 years"	"30-39"	"Patient presented to the ED around 10pm on 4/21, ~one week after her J&J COVID vaccine (exact date of initial vaccination not confirmed but was reportedly 1 week prior) with abdominal pain and headache. She was found to have thrombocytopenia (Plt 38) on presentation as well as renal and ovarian vein thrombosis. CT head showed a large right frontal intraparenchymal hemorrhage. She was taken for urgent craniotomy on 9/5 with EVD placement. Brain tissue was noted to have bleeding spots unresponsive to cautery and requiring local hemostatic agents. Repeat imaging showed worsening infarction. She had continued elevated intracranial pressures, so was taken back to the OR on the morning of 9/6 for bilateral EVD placement to help relieve pressure. Given her thrombocytopenia, thrombosis, significantly elevated D-dimer, low fibrinogen, and +HIT Ab test, she was diagnosed with vaccine-induced thrombocytopenia and thrombosis (VITT). She was started on IVIG 1g/kg daily  x 2 days,  bivalirudin with supportive transfusions to maintain goal plts >50K, fibrinogen > 150. Despite this, her neurologic status deteriorated due to elevated pressures, clotting off of her EVDs, and ultimately was declared brain dead in the afternoon on 9/7.  Family withdrew supportive care and patient passed at 3:57PM on 9/7/21."
	"1683354-1"	"1683354-1"	"ACIDOSIS"	"10000486"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 5/1/2021 and 5/29/2021. Presented to ED on 8/11/2021 with complaints of worsening symptoms over the past 10-11 days including generalized fatigue, body aches, weakness, decreased appetite, nausea, vomiting, diarrhea, dyspnea, and cough. Intubated 8/19.  His course was complicated by L pneumothorax requiring Left chest tube placement X 2.  He was given Decadron 10 d through 8/21. Completed course of Remdesevir 5 days. Course complicated by MSSA pneumonia and concern for fungal pneumonia. Was being treated with Ancef and Micafungin. However he rapidly declined on 9/2. The patient was with significant.  hypotension and bradycardia, despite vasopressin and levophed gtts. Atropine x 1 given.  Patient with full cardiac arrest at 1255 and CPR was initiated. Epinephrine 1mg given.  1257 pulse check revealed a pulse that progressed into vtach at 1259, shock x 1 at 200J with PEA and subsequent sinus tachycardia. 1303 patient again went into vtach and another shock x 1 at 200J given and amiodarone bolus of 150mg administered. Return of sinus tachycardia.  ABG revealed acidosis and 3 amps of bicarb were administered. At that time the patient's family was called and the wife and daughter arrived at bedside. The family decided at that time to make the patient comfort care. He was taken off the ventilator and passed at 1350."
	"1683354-1"	"1683354-1"	"ASTHENIA"	"10003549"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 5/1/2021 and 5/29/2021. Presented to ED on 8/11/2021 with complaints of worsening symptoms over the past 10-11 days including generalized fatigue, body aches, weakness, decreased appetite, nausea, vomiting, diarrhea, dyspnea, and cough. Intubated 8/19.  His course was complicated by L pneumothorax requiring Left chest tube placement X 2.  He was given Decadron 10 d through 8/21. Completed course of Remdesevir 5 days. Course complicated by MSSA pneumonia and concern for fungal pneumonia. Was being treated with Ancef and Micafungin. However he rapidly declined on 9/2. The patient was with significant.  hypotension and bradycardia, despite vasopressin and levophed gtts. Atropine x 1 given.  Patient with full cardiac arrest at 1255 and CPR was initiated. Epinephrine 1mg given.  1257 pulse check revealed a pulse that progressed into vtach at 1259, shock x 1 at 200J with PEA and subsequent sinus tachycardia. 1303 patient again went into vtach and another shock x 1 at 200J given and amiodarone bolus of 150mg administered. Return of sinus tachycardia.  ABG revealed acidosis and 3 amps of bicarb were administered. At that time the patient's family was called and the wife and daughter arrived at bedside. The family decided at that time to make the patient comfort care. He was taken off the ventilator and passed at 1350."
	"1683354-1"	"1683354-1"	"BLOOD ANTIDIURETIC HORMONE"	"10005331"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 5/1/2021 and 5/29/2021. Presented to ED on 8/11/2021 with complaints of worsening symptoms over the past 10-11 days including generalized fatigue, body aches, weakness, decreased appetite, nausea, vomiting, diarrhea, dyspnea, and cough. Intubated 8/19.  His course was complicated by L pneumothorax requiring Left chest tube placement X 2.  He was given Decadron 10 d through 8/21. Completed course of Remdesevir 5 days. Course complicated by MSSA pneumonia and concern for fungal pneumonia. Was being treated with Ancef and Micafungin. However he rapidly declined on 9/2. The patient was with significant.  hypotension and bradycardia, despite vasopressin and levophed gtts. Atropine x 1 given.  Patient with full cardiac arrest at 1255 and CPR was initiated. Epinephrine 1mg given.  1257 pulse check revealed a pulse that progressed into vtach at 1259, shock x 1 at 200J with PEA and subsequent sinus tachycardia. 1303 patient again went into vtach and another shock x 1 at 200J given and amiodarone bolus of 150mg administered. Return of sinus tachycardia.  ABG revealed acidosis and 3 amps of bicarb were administered. At that time the patient's family was called and the wife and daughter arrived at bedside. The family decided at that time to make the patient comfort care. He was taken off the ventilator and passed at 1350."
	"1683354-1"	"1683354-1"	"BLOOD GASES ABNORMAL"	"10005539"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 5/1/2021 and 5/29/2021. Presented to ED on 8/11/2021 with complaints of worsening symptoms over the past 10-11 days including generalized fatigue, body aches, weakness, decreased appetite, nausea, vomiting, diarrhea, dyspnea, and cough. Intubated 8/19.  His course was complicated by L pneumothorax requiring Left chest tube placement X 2.  He was given Decadron 10 d through 8/21. Completed course of Remdesevir 5 days. Course complicated by MSSA pneumonia and concern for fungal pneumonia. Was being treated with Ancef and Micafungin. However he rapidly declined on 9/2. The patient was with significant.  hypotension and bradycardia, despite vasopressin and levophed gtts. Atropine x 1 given.  Patient with full cardiac arrest at 1255 and CPR was initiated. Epinephrine 1mg given.  1257 pulse check revealed a pulse that progressed into vtach at 1259, shock x 1 at 200J with PEA and subsequent sinus tachycardia. 1303 patient again went into vtach and another shock x 1 at 200J given and amiodarone bolus of 150mg administered. Return of sinus tachycardia.  ABG revealed acidosis and 3 amps of bicarb were administered. At that time the patient's family was called and the wife and daughter arrived at bedside. The family decided at that time to make the patient comfort care. He was taken off the ventilator and passed at 1350."
	"1683354-1"	"1683354-1"	"BRADYCARDIA"	"10006093"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 5/1/2021 and 5/29/2021. Presented to ED on 8/11/2021 with complaints of worsening symptoms over the past 10-11 days including generalized fatigue, body aches, weakness, decreased appetite, nausea, vomiting, diarrhea, dyspnea, and cough. Intubated 8/19.  His course was complicated by L pneumothorax requiring Left chest tube placement X 2.  He was given Decadron 10 d through 8/21. Completed course of Remdesevir 5 days. Course complicated by MSSA pneumonia and concern for fungal pneumonia. Was being treated with Ancef and Micafungin. However he rapidly declined on 9/2. The patient was with significant.  hypotension and bradycardia, despite vasopressin and levophed gtts. Atropine x 1 given.  Patient with full cardiac arrest at 1255 and CPR was initiated. Epinephrine 1mg given.  1257 pulse check revealed a pulse that progressed into vtach at 1259, shock x 1 at 200J with PEA and subsequent sinus tachycardia. 1303 patient again went into vtach and another shock x 1 at 200J given and amiodarone bolus of 150mg administered. Return of sinus tachycardia.  ABG revealed acidosis and 3 amps of bicarb were administered. At that time the patient's family was called and the wife and daughter arrived at bedside. The family decided at that time to make the patient comfort care. He was taken off the ventilator and passed at 1350."
	"1683354-1"	"1683354-1"	"CARDIAC ARREST"	"10007515"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 5/1/2021 and 5/29/2021. Presented to ED on 8/11/2021 with complaints of worsening symptoms over the past 10-11 days including generalized fatigue, body aches, weakness, decreased appetite, nausea, vomiting, diarrhea, dyspnea, and cough. Intubated 8/19.  His course was complicated by L pneumothorax requiring Left chest tube placement X 2.  He was given Decadron 10 d through 8/21. Completed course of Remdesevir 5 days. Course complicated by MSSA pneumonia and concern for fungal pneumonia. Was being treated with Ancef and Micafungin. However he rapidly declined on 9/2. The patient was with significant.  hypotension and bradycardia, despite vasopressin and levophed gtts. Atropine x 1 given.  Patient with full cardiac arrest at 1255 and CPR was initiated. Epinephrine 1mg given.  1257 pulse check revealed a pulse that progressed into vtach at 1259, shock x 1 at 200J with PEA and subsequent sinus tachycardia. 1303 patient again went into vtach and another shock x 1 at 200J given and amiodarone bolus of 150mg administered. Return of sinus tachycardia.  ABG revealed acidosis and 3 amps of bicarb were administered. At that time the patient's family was called and the wife and daughter arrived at bedside. The family decided at that time to make the patient comfort care. He was taken off the ventilator and passed at 1350."
	"1683354-1"	"1683354-1"	"CHEST TUBE INSERTION"	"10050522"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 5/1/2021 and 5/29/2021. Presented to ED on 8/11/2021 with complaints of worsening symptoms over the past 10-11 days including generalized fatigue, body aches, weakness, decreased appetite, nausea, vomiting, diarrhea, dyspnea, and cough. Intubated 8/19.  His course was complicated by L pneumothorax requiring Left chest tube placement X 2.  He was given Decadron 10 d through 8/21. Completed course of Remdesevir 5 days. Course complicated by MSSA pneumonia and concern for fungal pneumonia. Was being treated with Ancef and Micafungin. However he rapidly declined on 9/2. The patient was with significant.  hypotension and bradycardia, despite vasopressin and levophed gtts. Atropine x 1 given.  Patient with full cardiac arrest at 1255 and CPR was initiated. Epinephrine 1mg given.  1257 pulse check revealed a pulse that progressed into vtach at 1259, shock x 1 at 200J with PEA and subsequent sinus tachycardia. 1303 patient again went into vtach and another shock x 1 at 200J given and amiodarone bolus of 150mg administered. Return of sinus tachycardia.  ABG revealed acidosis and 3 amps of bicarb were administered. At that time the patient's family was called and the wife and daughter arrived at bedside. The family decided at that time to make the patient comfort care. He was taken off the ventilator and passed at 1350."
	"1683354-1"	"1683354-1"	"COUGH"	"10011224"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 5/1/2021 and 5/29/2021. Presented to ED on 8/11/2021 with complaints of worsening symptoms over the past 10-11 days including generalized fatigue, body aches, weakness, decreased appetite, nausea, vomiting, diarrhea, dyspnea, and cough. Intubated 8/19.  His course was complicated by L pneumothorax requiring Left chest tube placement X 2.  He was given Decadron 10 d through 8/21. Completed course of Remdesevir 5 days. Course complicated by MSSA pneumonia and concern for fungal pneumonia. Was being treated with Ancef and Micafungin. However he rapidly declined on 9/2. The patient was with significant.  hypotension and bradycardia, despite vasopressin and levophed gtts. Atropine x 1 given.  Patient with full cardiac arrest at 1255 and CPR was initiated. Epinephrine 1mg given.  1257 pulse check revealed a pulse that progressed into vtach at 1259, shock x 1 at 200J with PEA and subsequent sinus tachycardia. 1303 patient again went into vtach and another shock x 1 at 200J given and amiodarone bolus of 150mg administered. Return of sinus tachycardia.  ABG revealed acidosis and 3 amps of bicarb were administered. At that time the patient's family was called and the wife and daughter arrived at bedside. The family decided at that time to make the patient comfort care. He was taken off the ventilator and passed at 1350."
	"1683354-1"	"1683354-1"	"COVID-19"	"10084268"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 5/1/2021 and 5/29/2021. Presented to ED on 8/11/2021 with complaints of worsening symptoms over the past 10-11 days including generalized fatigue, body aches, weakness, decreased appetite, nausea, vomiting, diarrhea, dyspnea, and cough. Intubated 8/19.  His course was complicated by L pneumothorax requiring Left chest tube placement X 2.  He was given Decadron 10 d through 8/21. Completed course of Remdesevir 5 days. Course complicated by MSSA pneumonia and concern for fungal pneumonia. Was being treated with Ancef and Micafungin. However he rapidly declined on 9/2. The patient was with significant.  hypotension and bradycardia, despite vasopressin and levophed gtts. Atropine x 1 given.  Patient with full cardiac arrest at 1255 and CPR was initiated. Epinephrine 1mg given.  1257 pulse check revealed a pulse that progressed into vtach at 1259, shock x 1 at 200J with PEA and subsequent sinus tachycardia. 1303 patient again went into vtach and another shock x 1 at 200J given and amiodarone bolus of 150mg administered. Return of sinus tachycardia.  ABG revealed acidosis and 3 amps of bicarb were administered. At that time the patient's family was called and the wife and daughter arrived at bedside. The family decided at that time to make the patient comfort care. He was taken off the ventilator and passed at 1350."
	"1683354-1"	"1683354-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 5/1/2021 and 5/29/2021. Presented to ED on 8/11/2021 with complaints of worsening symptoms over the past 10-11 days including generalized fatigue, body aches, weakness, decreased appetite, nausea, vomiting, diarrhea, dyspnea, and cough. Intubated 8/19.  His course was complicated by L pneumothorax requiring Left chest tube placement X 2.  He was given Decadron 10 d through 8/21. Completed course of Remdesevir 5 days. Course complicated by MSSA pneumonia and concern for fungal pneumonia. Was being treated with Ancef and Micafungin. However he rapidly declined on 9/2. The patient was with significant.  hypotension and bradycardia, despite vasopressin and levophed gtts. Atropine x 1 given.  Patient with full cardiac arrest at 1255 and CPR was initiated. Epinephrine 1mg given.  1257 pulse check revealed a pulse that progressed into vtach at 1259, shock x 1 at 200J with PEA and subsequent sinus tachycardia. 1303 patient again went into vtach and another shock x 1 at 200J given and amiodarone bolus of 150mg administered. Return of sinus tachycardia.  ABG revealed acidosis and 3 amps of bicarb were administered. At that time the patient's family was called and the wife and daughter arrived at bedside. The family decided at that time to make the patient comfort care. He was taken off the ventilator and passed at 1350."
	"1683354-1"	"1683354-1"	"DECREASED APPETITE"	"10061428"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 5/1/2021 and 5/29/2021. Presented to ED on 8/11/2021 with complaints of worsening symptoms over the past 10-11 days including generalized fatigue, body aches, weakness, decreased appetite, nausea, vomiting, diarrhea, dyspnea, and cough. Intubated 8/19.  His course was complicated by L pneumothorax requiring Left chest tube placement X 2.  He was given Decadron 10 d through 8/21. Completed course of Remdesevir 5 days. Course complicated by MSSA pneumonia and concern for fungal pneumonia. Was being treated with Ancef and Micafungin. However he rapidly declined on 9/2. The patient was with significant.  hypotension and bradycardia, despite vasopressin and levophed gtts. Atropine x 1 given.  Patient with full cardiac arrest at 1255 and CPR was initiated. Epinephrine 1mg given.  1257 pulse check revealed a pulse that progressed into vtach at 1259, shock x 1 at 200J with PEA and subsequent sinus tachycardia. 1303 patient again went into vtach and another shock x 1 at 200J given and amiodarone bolus of 150mg administered. Return of sinus tachycardia.  ABG revealed acidosis and 3 amps of bicarb were administered. At that time the patient's family was called and the wife and daughter arrived at bedside. The family decided at that time to make the patient comfort care. He was taken off the ventilator and passed at 1350."
	"1683354-1"	"1683354-1"	"DIARRHOEA"	"10012735"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 5/1/2021 and 5/29/2021. Presented to ED on 8/11/2021 with complaints of worsening symptoms over the past 10-11 days including generalized fatigue, body aches, weakness, decreased appetite, nausea, vomiting, diarrhea, dyspnea, and cough. Intubated 8/19.  His course was complicated by L pneumothorax requiring Left chest tube placement X 2.  He was given Decadron 10 d through 8/21. Completed course of Remdesevir 5 days. Course complicated by MSSA pneumonia and concern for fungal pneumonia. Was being treated with Ancef and Micafungin. However he rapidly declined on 9/2. The patient was with significant.  hypotension and bradycardia, despite vasopressin and levophed gtts. Atropine x 1 given.  Patient with full cardiac arrest at 1255 and CPR was initiated. Epinephrine 1mg given.  1257 pulse check revealed a pulse that progressed into vtach at 1259, shock x 1 at 200J with PEA and subsequent sinus tachycardia. 1303 patient again went into vtach and another shock x 1 at 200J given and amiodarone bolus of 150mg administered. Return of sinus tachycardia.  ABG revealed acidosis and 3 amps of bicarb were administered. At that time the patient's family was called and the wife and daughter arrived at bedside. The family decided at that time to make the patient comfort care. He was taken off the ventilator and passed at 1350."
	"1683354-1"	"1683354-1"	"DYSPNOEA"	"10013968"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 5/1/2021 and 5/29/2021. Presented to ED on 8/11/2021 with complaints of worsening symptoms over the past 10-11 days including generalized fatigue, body aches, weakness, decreased appetite, nausea, vomiting, diarrhea, dyspnea, and cough. Intubated 8/19.  His course was complicated by L pneumothorax requiring Left chest tube placement X 2.  He was given Decadron 10 d through 8/21. Completed course of Remdesevir 5 days. Course complicated by MSSA pneumonia and concern for fungal pneumonia. Was being treated with Ancef and Micafungin. However he rapidly declined on 9/2. The patient was with significant.  hypotension and bradycardia, despite vasopressin and levophed gtts. Atropine x 1 given.  Patient with full cardiac arrest at 1255 and CPR was initiated. Epinephrine 1mg given.  1257 pulse check revealed a pulse that progressed into vtach at 1259, shock x 1 at 200J with PEA and subsequent sinus tachycardia. 1303 patient again went into vtach and another shock x 1 at 200J given and amiodarone bolus of 150mg administered. Return of sinus tachycardia.  ABG revealed acidosis and 3 amps of bicarb were administered. At that time the patient's family was called and the wife and daughter arrived at bedside. The family decided at that time to make the patient comfort care. He was taken off the ventilator and passed at 1350."
	"1683354-1"	"1683354-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 5/1/2021 and 5/29/2021. Presented to ED on 8/11/2021 with complaints of worsening symptoms over the past 10-11 days including generalized fatigue, body aches, weakness, decreased appetite, nausea, vomiting, diarrhea, dyspnea, and cough. Intubated 8/19.  His course was complicated by L pneumothorax requiring Left chest tube placement X 2.  He was given Decadron 10 d through 8/21. Completed course of Remdesevir 5 days. Course complicated by MSSA pneumonia and concern for fungal pneumonia. Was being treated with Ancef and Micafungin. However he rapidly declined on 9/2. The patient was with significant.  hypotension and bradycardia, despite vasopressin and levophed gtts. Atropine x 1 given.  Patient with full cardiac arrest at 1255 and CPR was initiated. Epinephrine 1mg given.  1257 pulse check revealed a pulse that progressed into vtach at 1259, shock x 1 at 200J with PEA and subsequent sinus tachycardia. 1303 patient again went into vtach and another shock x 1 at 200J given and amiodarone bolus of 150mg administered. Return of sinus tachycardia.  ABG revealed acidosis and 3 amps of bicarb were administered. At that time the patient's family was called and the wife and daughter arrived at bedside. The family decided at that time to make the patient comfort care. He was taken off the ventilator and passed at 1350."
	"1683354-1"	"1683354-1"	"FATIGUE"	"10016256"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 5/1/2021 and 5/29/2021. Presented to ED on 8/11/2021 with complaints of worsening symptoms over the past 10-11 days including generalized fatigue, body aches, weakness, decreased appetite, nausea, vomiting, diarrhea, dyspnea, and cough. Intubated 8/19.  His course was complicated by L pneumothorax requiring Left chest tube placement X 2.  He was given Decadron 10 d through 8/21. Completed course of Remdesevir 5 days. Course complicated by MSSA pneumonia and concern for fungal pneumonia. Was being treated with Ancef and Micafungin. However he rapidly declined on 9/2. The patient was with significant.  hypotension and bradycardia, despite vasopressin and levophed gtts. Atropine x 1 given.  Patient with full cardiac arrest at 1255 and CPR was initiated. Epinephrine 1mg given.  1257 pulse check revealed a pulse that progressed into vtach at 1259, shock x 1 at 200J with PEA and subsequent sinus tachycardia. 1303 patient again went into vtach and another shock x 1 at 200J given and amiodarone bolus of 150mg administered. Return of sinus tachycardia.  ABG revealed acidosis and 3 amps of bicarb were administered. At that time the patient's family was called and the wife and daughter arrived at bedside. The family decided at that time to make the patient comfort care. He was taken off the ventilator and passed at 1350."
	"1683354-1"	"1683354-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 5/1/2021 and 5/29/2021. Presented to ED on 8/11/2021 with complaints of worsening symptoms over the past 10-11 days including generalized fatigue, body aches, weakness, decreased appetite, nausea, vomiting, diarrhea, dyspnea, and cough. Intubated 8/19.  His course was complicated by L pneumothorax requiring Left chest tube placement X 2.  He was given Decadron 10 d through 8/21. Completed course of Remdesevir 5 days. Course complicated by MSSA pneumonia and concern for fungal pneumonia. Was being treated with Ancef and Micafungin. However he rapidly declined on 9/2. The patient was with significant.  hypotension and bradycardia, despite vasopressin and levophed gtts. Atropine x 1 given.  Patient with full cardiac arrest at 1255 and CPR was initiated. Epinephrine 1mg given.  1257 pulse check revealed a pulse that progressed into vtach at 1259, shock x 1 at 200J with PEA and subsequent sinus tachycardia. 1303 patient again went into vtach and another shock x 1 at 200J given and amiodarone bolus of 150mg administered. Return of sinus tachycardia.  ABG revealed acidosis and 3 amps of bicarb were administered. At that time the patient's family was called and the wife and daughter arrived at bedside. The family decided at that time to make the patient comfort care. He was taken off the ventilator and passed at 1350."
	"1683354-1"	"1683354-1"	"HYPOTENSION"	"10021097"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 5/1/2021 and 5/29/2021. Presented to ED on 8/11/2021 with complaints of worsening symptoms over the past 10-11 days including generalized fatigue, body aches, weakness, decreased appetite, nausea, vomiting, diarrhea, dyspnea, and cough. Intubated 8/19.  His course was complicated by L pneumothorax requiring Left chest tube placement X 2.  He was given Decadron 10 d through 8/21. Completed course of Remdesevir 5 days. Course complicated by MSSA pneumonia and concern for fungal pneumonia. Was being treated with Ancef and Micafungin. However he rapidly declined on 9/2. The patient was with significant.  hypotension and bradycardia, despite vasopressin and levophed gtts. Atropine x 1 given.  Patient with full cardiac arrest at 1255 and CPR was initiated. Epinephrine 1mg given.  1257 pulse check revealed a pulse that progressed into vtach at 1259, shock x 1 at 200J with PEA and subsequent sinus tachycardia. 1303 patient again went into vtach and another shock x 1 at 200J given and amiodarone bolus of 150mg administered. Return of sinus tachycardia.  ABG revealed acidosis and 3 amps of bicarb were administered. At that time the patient's family was called and the wife and daughter arrived at bedside. The family decided at that time to make the patient comfort care. He was taken off the ventilator and passed at 1350."
	"1683354-1"	"1683354-1"	"INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION"	"10081572"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 5/1/2021 and 5/29/2021. Presented to ED on 8/11/2021 with complaints of worsening symptoms over the past 10-11 days including generalized fatigue, body aches, weakness, decreased appetite, nausea, vomiting, diarrhea, dyspnea, and cough. Intubated 8/19.  His course was complicated by L pneumothorax requiring Left chest tube placement X 2.  He was given Decadron 10 d through 8/21. Completed course of Remdesevir 5 days. Course complicated by MSSA pneumonia and concern for fungal pneumonia. Was being treated with Ancef and Micafungin. However he rapidly declined on 9/2. The patient was with significant.  hypotension and bradycardia, despite vasopressin and levophed gtts. Atropine x 1 given.  Patient with full cardiac arrest at 1255 and CPR was initiated. Epinephrine 1mg given.  1257 pulse check revealed a pulse that progressed into vtach at 1259, shock x 1 at 200J with PEA and subsequent sinus tachycardia. 1303 patient again went into vtach and another shock x 1 at 200J given and amiodarone bolus of 150mg administered. Return of sinus tachycardia.  ABG revealed acidosis and 3 amps of bicarb were administered. At that time the patient's family was called and the wife and daughter arrived at bedside. The family decided at that time to make the patient comfort care. He was taken off the ventilator and passed at 1350."
	"1683354-1"	"1683354-1"	"MECHANICAL VENTILATION"	"10067221"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 5/1/2021 and 5/29/2021. Presented to ED on 8/11/2021 with complaints of worsening symptoms over the past 10-11 days including generalized fatigue, body aches, weakness, decreased appetite, nausea, vomiting, diarrhea, dyspnea, and cough. Intubated 8/19.  His course was complicated by L pneumothorax requiring Left chest tube placement X 2.  He was given Decadron 10 d through 8/21. Completed course of Remdesevir 5 days. Course complicated by MSSA pneumonia and concern for fungal pneumonia. Was being treated with Ancef and Micafungin. However he rapidly declined on 9/2. The patient was with significant.  hypotension and bradycardia, despite vasopressin and levophed gtts. Atropine x 1 given.  Patient with full cardiac arrest at 1255 and CPR was initiated. Epinephrine 1mg given.  1257 pulse check revealed a pulse that progressed into vtach at 1259, shock x 1 at 200J with PEA and subsequent sinus tachycardia. 1303 patient again went into vtach and another shock x 1 at 200J given and amiodarone bolus of 150mg administered. Return of sinus tachycardia.  ABG revealed acidosis and 3 amps of bicarb were administered. At that time the patient's family was called and the wife and daughter arrived at bedside. The family decided at that time to make the patient comfort care. He was taken off the ventilator and passed at 1350."
	"1683354-1"	"1683354-1"	"NAUSEA"	"10028813"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 5/1/2021 and 5/29/2021. Presented to ED on 8/11/2021 with complaints of worsening symptoms over the past 10-11 days including generalized fatigue, body aches, weakness, decreased appetite, nausea, vomiting, diarrhea, dyspnea, and cough. Intubated 8/19.  His course was complicated by L pneumothorax requiring Left chest tube placement X 2.  He was given Decadron 10 d through 8/21. Completed course of Remdesevir 5 days. Course complicated by MSSA pneumonia and concern for fungal pneumonia. Was being treated with Ancef and Micafungin. However he rapidly declined on 9/2. The patient was with significant.  hypotension and bradycardia, despite vasopressin and levophed gtts. Atropine x 1 given.  Patient with full cardiac arrest at 1255 and CPR was initiated. Epinephrine 1mg given.  1257 pulse check revealed a pulse that progressed into vtach at 1259, shock x 1 at 200J with PEA and subsequent sinus tachycardia. 1303 patient again went into vtach and another shock x 1 at 200J given and amiodarone bolus of 150mg administered. Return of sinus tachycardia.  ABG revealed acidosis and 3 amps of bicarb were administered. At that time the patient's family was called and the wife and daughter arrived at bedside. The family decided at that time to make the patient comfort care. He was taken off the ventilator and passed at 1350."
	"1683354-1"	"1683354-1"	"PAIN"	"10033371"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 5/1/2021 and 5/29/2021. Presented to ED on 8/11/2021 with complaints of worsening symptoms over the past 10-11 days including generalized fatigue, body aches, weakness, decreased appetite, nausea, vomiting, diarrhea, dyspnea, and cough. Intubated 8/19.  His course was complicated by L pneumothorax requiring Left chest tube placement X 2.  He was given Decadron 10 d through 8/21. Completed course of Remdesevir 5 days. Course complicated by MSSA pneumonia and concern for fungal pneumonia. Was being treated with Ancef and Micafungin. However he rapidly declined on 9/2. The patient was with significant.  hypotension and bradycardia, despite vasopressin and levophed gtts. Atropine x 1 given.  Patient with full cardiac arrest at 1255 and CPR was initiated. Epinephrine 1mg given.  1257 pulse check revealed a pulse that progressed into vtach at 1259, shock x 1 at 200J with PEA and subsequent sinus tachycardia. 1303 patient again went into vtach and another shock x 1 at 200J given and amiodarone bolus of 150mg administered. Return of sinus tachycardia.  ABG revealed acidosis and 3 amps of bicarb were administered. At that time the patient's family was called and the wife and daughter arrived at bedside. The family decided at that time to make the patient comfort care. He was taken off the ventilator and passed at 1350."
	"1683354-1"	"1683354-1"	"PNEUMONIA STAPHYLOCOCCAL"	"10035734"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 5/1/2021 and 5/29/2021. Presented to ED on 8/11/2021 with complaints of worsening symptoms over the past 10-11 days including generalized fatigue, body aches, weakness, decreased appetite, nausea, vomiting, diarrhea, dyspnea, and cough. Intubated 8/19.  His course was complicated by L pneumothorax requiring Left chest tube placement X 2.  He was given Decadron 10 d through 8/21. Completed course of Remdesevir 5 days. Course complicated by MSSA pneumonia and concern for fungal pneumonia. Was being treated with Ancef and Micafungin. However he rapidly declined on 9/2. The patient was with significant.  hypotension and bradycardia, despite vasopressin and levophed gtts. Atropine x 1 given.  Patient with full cardiac arrest at 1255 and CPR was initiated. Epinephrine 1mg given.  1257 pulse check revealed a pulse that progressed into vtach at 1259, shock x 1 at 200J with PEA and subsequent sinus tachycardia. 1303 patient again went into vtach and another shock x 1 at 200J given and amiodarone bolus of 150mg administered. Return of sinus tachycardia.  ABG revealed acidosis and 3 amps of bicarb were administered. At that time the patient's family was called and the wife and daughter arrived at bedside. The family decided at that time to make the patient comfort care. He was taken off the ventilator and passed at 1350."
	"1683354-1"	"1683354-1"	"PNEUMOTHORAX"	"10035759"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 5/1/2021 and 5/29/2021. Presented to ED on 8/11/2021 with complaints of worsening symptoms over the past 10-11 days including generalized fatigue, body aches, weakness, decreased appetite, nausea, vomiting, diarrhea, dyspnea, and cough. Intubated 8/19.  His course was complicated by L pneumothorax requiring Left chest tube placement X 2.  He was given Decadron 10 d through 8/21. Completed course of Remdesevir 5 days. Course complicated by MSSA pneumonia and concern for fungal pneumonia. Was being treated with Ancef and Micafungin. However he rapidly declined on 9/2. The patient was with significant.  hypotension and bradycardia, despite vasopressin and levophed gtts. Atropine x 1 given.  Patient with full cardiac arrest at 1255 and CPR was initiated. Epinephrine 1mg given.  1257 pulse check revealed a pulse that progressed into vtach at 1259, shock x 1 at 200J with PEA and subsequent sinus tachycardia. 1303 patient again went into vtach and another shock x 1 at 200J given and amiodarone bolus of 150mg administered. Return of sinus tachycardia.  ABG revealed acidosis and 3 amps of bicarb were administered. At that time the patient's family was called and the wife and daughter arrived at bedside. The family decided at that time to make the patient comfort care. He was taken off the ventilator and passed at 1350."
	"1683354-1"	"1683354-1"	"PULSELESS ELECTRICAL ACTIVITY"	"10058151"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 5/1/2021 and 5/29/2021. Presented to ED on 8/11/2021 with complaints of worsening symptoms over the past 10-11 days including generalized fatigue, body aches, weakness, decreased appetite, nausea, vomiting, diarrhea, dyspnea, and cough. Intubated 8/19.  His course was complicated by L pneumothorax requiring Left chest tube placement X 2.  He was given Decadron 10 d through 8/21. Completed course of Remdesevir 5 days. Course complicated by MSSA pneumonia and concern for fungal pneumonia. Was being treated with Ancef and Micafungin. However he rapidly declined on 9/2. The patient was with significant.  hypotension and bradycardia, despite vasopressin and levophed gtts. Atropine x 1 given.  Patient with full cardiac arrest at 1255 and CPR was initiated. Epinephrine 1mg given.  1257 pulse check revealed a pulse that progressed into vtach at 1259, shock x 1 at 200J with PEA and subsequent sinus tachycardia. 1303 patient again went into vtach and another shock x 1 at 200J given and amiodarone bolus of 150mg administered. Return of sinus tachycardia.  ABG revealed acidosis and 3 amps of bicarb were administered. At that time the patient's family was called and the wife and daughter arrived at bedside. The family decided at that time to make the patient comfort care. He was taken off the ventilator and passed at 1350."
	"1683354-1"	"1683354-1"	"RESUSCITATION"	"10038749"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 5/1/2021 and 5/29/2021. Presented to ED on 8/11/2021 with complaints of worsening symptoms over the past 10-11 days including generalized fatigue, body aches, weakness, decreased appetite, nausea, vomiting, diarrhea, dyspnea, and cough. Intubated 8/19.  His course was complicated by L pneumothorax requiring Left chest tube placement X 2.  He was given Decadron 10 d through 8/21. Completed course of Remdesevir 5 days. Course complicated by MSSA pneumonia and concern for fungal pneumonia. Was being treated with Ancef and Micafungin. However he rapidly declined on 9/2. The patient was with significant.  hypotension and bradycardia, despite vasopressin and levophed gtts. Atropine x 1 given.  Patient with full cardiac arrest at 1255 and CPR was initiated. Epinephrine 1mg given.  1257 pulse check revealed a pulse that progressed into vtach at 1259, shock x 1 at 200J with PEA and subsequent sinus tachycardia. 1303 patient again went into vtach and another shock x 1 at 200J given and amiodarone bolus of 150mg administered. Return of sinus tachycardia.  ABG revealed acidosis and 3 amps of bicarb were administered. At that time the patient's family was called and the wife and daughter arrived at bedside. The family decided at that time to make the patient comfort care. He was taken off the ventilator and passed at 1350."
	"1683354-1"	"1683354-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 5/1/2021 and 5/29/2021. Presented to ED on 8/11/2021 with complaints of worsening symptoms over the past 10-11 days including generalized fatigue, body aches, weakness, decreased appetite, nausea, vomiting, diarrhea, dyspnea, and cough. Intubated 8/19.  His course was complicated by L pneumothorax requiring Left chest tube placement X 2.  He was given Decadron 10 d through 8/21. Completed course of Remdesevir 5 days. Course complicated by MSSA pneumonia and concern for fungal pneumonia. Was being treated with Ancef and Micafungin. However he rapidly declined on 9/2. The patient was with significant.  hypotension and bradycardia, despite vasopressin and levophed gtts. Atropine x 1 given.  Patient with full cardiac arrest at 1255 and CPR was initiated. Epinephrine 1mg given.  1257 pulse check revealed a pulse that progressed into vtach at 1259, shock x 1 at 200J with PEA and subsequent sinus tachycardia. 1303 patient again went into vtach and another shock x 1 at 200J given and amiodarone bolus of 150mg administered. Return of sinus tachycardia.  ABG revealed acidosis and 3 amps of bicarb were administered. At that time the patient's family was called and the wife and daughter arrived at bedside. The family decided at that time to make the patient comfort care. He was taken off the ventilator and passed at 1350."
	"1683354-1"	"1683354-1"	"SINUS TACHYCARDIA"	"10040752"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 5/1/2021 and 5/29/2021. Presented to ED on 8/11/2021 with complaints of worsening symptoms over the past 10-11 days including generalized fatigue, body aches, weakness, decreased appetite, nausea, vomiting, diarrhea, dyspnea, and cough. Intubated 8/19.  His course was complicated by L pneumothorax requiring Left chest tube placement X 2.  He was given Decadron 10 d through 8/21. Completed course of Remdesevir 5 days. Course complicated by MSSA pneumonia and concern for fungal pneumonia. Was being treated with Ancef and Micafungin. However he rapidly declined on 9/2. The patient was with significant.  hypotension and bradycardia, despite vasopressin and levophed gtts. Atropine x 1 given.  Patient with full cardiac arrest at 1255 and CPR was initiated. Epinephrine 1mg given.  1257 pulse check revealed a pulse that progressed into vtach at 1259, shock x 1 at 200J with PEA and subsequent sinus tachycardia. 1303 patient again went into vtach and another shock x 1 at 200J given and amiodarone bolus of 150mg administered. Return of sinus tachycardia.  ABG revealed acidosis and 3 amps of bicarb were administered. At that time the patient's family was called and the wife and daughter arrived at bedside. The family decided at that time to make the patient comfort care. He was taken off the ventilator and passed at 1350."
	"1683354-1"	"1683354-1"	"VENTRICULAR TACHYCARDIA"	"10047302"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 5/1/2021 and 5/29/2021. Presented to ED on 8/11/2021 with complaints of worsening symptoms over the past 10-11 days including generalized fatigue, body aches, weakness, decreased appetite, nausea, vomiting, diarrhea, dyspnea, and cough. Intubated 8/19.  His course was complicated by L pneumothorax requiring Left chest tube placement X 2.  He was given Decadron 10 d through 8/21. Completed course of Remdesevir 5 days. Course complicated by MSSA pneumonia and concern for fungal pneumonia. Was being treated with Ancef and Micafungin. However he rapidly declined on 9/2. The patient was with significant.  hypotension and bradycardia, despite vasopressin and levophed gtts. Atropine x 1 given.  Patient with full cardiac arrest at 1255 and CPR was initiated. Epinephrine 1mg given.  1257 pulse check revealed a pulse that progressed into vtach at 1259, shock x 1 at 200J with PEA and subsequent sinus tachycardia. 1303 patient again went into vtach and another shock x 1 at 200J given and amiodarone bolus of 150mg administered. Return of sinus tachycardia.  ABG revealed acidosis and 3 amps of bicarb were administered. At that time the patient's family was called and the wife and daughter arrived at bedside. The family decided at that time to make the patient comfort care. He was taken off the ventilator and passed at 1350."
	"1683354-1"	"1683354-1"	"VOMITING"	"10047700"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 5/1/2021 and 5/29/2021. Presented to ED on 8/11/2021 with complaints of worsening symptoms over the past 10-11 days including generalized fatigue, body aches, weakness, decreased appetite, nausea, vomiting, diarrhea, dyspnea, and cough. Intubated 8/19.  His course was complicated by L pneumothorax requiring Left chest tube placement X 2.  He was given Decadron 10 d through 8/21. Completed course of Remdesevir 5 days. Course complicated by MSSA pneumonia and concern for fungal pneumonia. Was being treated with Ancef and Micafungin. However he rapidly declined on 9/2. The patient was with significant.  hypotension and bradycardia, despite vasopressin and levophed gtts. Atropine x 1 given.  Patient with full cardiac arrest at 1255 and CPR was initiated. Epinephrine 1mg given.  1257 pulse check revealed a pulse that progressed into vtach at 1259, shock x 1 at 200J with PEA and subsequent sinus tachycardia. 1303 patient again went into vtach and another shock x 1 at 200J given and amiodarone bolus of 150mg administered. Return of sinus tachycardia.  ABG revealed acidosis and 3 amps of bicarb were administered. At that time the patient's family was called and the wife and daughter arrived at bedside. The family decided at that time to make the patient comfort care. He was taken off the ventilator and passed at 1350."
	"1684121-1"	"1684121-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Death"
	"1685011-1"	"1685011-1"	"ASTHENIA"	"10003549"	"30-39 years"	"30-39"	"SOB, FEVER, WEAKNESS, POSITIVE COVID TEST, RESPIRATORY FAILURE, CARDIAC ARREST"
	"1685011-1"	"1685011-1"	"CARDIAC ARREST"	"10007515"	"30-39 years"	"30-39"	"SOB, FEVER, WEAKNESS, POSITIVE COVID TEST, RESPIRATORY FAILURE, CARDIAC ARREST"
	"1685011-1"	"1685011-1"	"COVID-19"	"10084268"	"30-39 years"	"30-39"	"SOB, FEVER, WEAKNESS, POSITIVE COVID TEST, RESPIRATORY FAILURE, CARDIAC ARREST"
	"1685011-1"	"1685011-1"	"DYSPNOEA"	"10013968"	"30-39 years"	"30-39"	"SOB, FEVER, WEAKNESS, POSITIVE COVID TEST, RESPIRATORY FAILURE, CARDIAC ARREST"
	"1685011-1"	"1685011-1"	"PYREXIA"	"10037660"	"30-39 years"	"30-39"	"SOB, FEVER, WEAKNESS, POSITIVE COVID TEST, RESPIRATORY FAILURE, CARDIAC ARREST"
	"1685011-1"	"1685011-1"	"RESPIRATORY FAILURE"	"10038695"	"30-39 years"	"30-39"	"SOB, FEVER, WEAKNESS, POSITIVE COVID TEST, RESPIRATORY FAILURE, CARDIAC ARREST"
	"1685011-1"	"1685011-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"30-39 years"	"30-39"	"SOB, FEVER, WEAKNESS, POSITIVE COVID TEST, RESPIRATORY FAILURE, CARDIAC ARREST"
	"1688944-1"	"1688944-1"	"ABDOMINAL PAIN"	"10000081"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccine on 05/20/2021 and 06/17/2021. Presented to ED on 8/14 with complaints of shortness of breath and coughing. Noticed symptoms of chills, nausea, and abdominal pain on 8/11.  In ED pt was febrile, tachycardic, and tachypneic. CXR showed bilateral infiltrates. Patient required HFNC at 75-90% and Non-rebreather. Patient was proned. During stay, patient received zosyn, vacomycin,prednisone, ceftriaxone, and decadron. Renal disease precluded use of remdesivir.  Patient continued to decline and expired on 8/28/21."
	"1688944-1"	"1688944-1"	"CHEST X-RAY ABNORMAL"	"10008499"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccine on 05/20/2021 and 06/17/2021. Presented to ED on 8/14 with complaints of shortness of breath and coughing. Noticed symptoms of chills, nausea, and abdominal pain on 8/11.  In ED pt was febrile, tachycardic, and tachypneic. CXR showed bilateral infiltrates. Patient required HFNC at 75-90% and Non-rebreather. Patient was proned. During stay, patient received zosyn, vacomycin,prednisone, ceftriaxone, and decadron. Renal disease precluded use of remdesivir.  Patient continued to decline and expired on 8/28/21."
	"1688944-1"	"1688944-1"	"CHILLS"	"10008531"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccine on 05/20/2021 and 06/17/2021. Presented to ED on 8/14 with complaints of shortness of breath and coughing. Noticed symptoms of chills, nausea, and abdominal pain on 8/11.  In ED pt was febrile, tachycardic, and tachypneic. CXR showed bilateral infiltrates. Patient required HFNC at 75-90% and Non-rebreather. Patient was proned. During stay, patient received zosyn, vacomycin,prednisone, ceftriaxone, and decadron. Renal disease precluded use of remdesivir.  Patient continued to decline and expired on 8/28/21."
	"1688944-1"	"1688944-1"	"COUGH"	"10011224"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccine on 05/20/2021 and 06/17/2021. Presented to ED on 8/14 with complaints of shortness of breath and coughing. Noticed symptoms of chills, nausea, and abdominal pain on 8/11.  In ED pt was febrile, tachycardic, and tachypneic. CXR showed bilateral infiltrates. Patient required HFNC at 75-90% and Non-rebreather. Patient was proned. During stay, patient received zosyn, vacomycin,prednisone, ceftriaxone, and decadron. Renal disease precluded use of remdesivir.  Patient continued to decline and expired on 8/28/21."
	"1688944-1"	"1688944-1"	"COVID-19"	"10084268"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccine on 05/20/2021 and 06/17/2021. Presented to ED on 8/14 with complaints of shortness of breath and coughing. Noticed symptoms of chills, nausea, and abdominal pain on 8/11.  In ED pt was febrile, tachycardic, and tachypneic. CXR showed bilateral infiltrates. Patient required HFNC at 75-90% and Non-rebreather. Patient was proned. During stay, patient received zosyn, vacomycin,prednisone, ceftriaxone, and decadron. Renal disease precluded use of remdesivir.  Patient continued to decline and expired on 8/28/21."
	"1688944-1"	"1688944-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccine on 05/20/2021 and 06/17/2021. Presented to ED on 8/14 with complaints of shortness of breath and coughing. Noticed symptoms of chills, nausea, and abdominal pain on 8/11.  In ED pt was febrile, tachycardic, and tachypneic. CXR showed bilateral infiltrates. Patient required HFNC at 75-90% and Non-rebreather. Patient was proned. During stay, patient received zosyn, vacomycin,prednisone, ceftriaxone, and decadron. Renal disease precluded use of remdesivir.  Patient continued to decline and expired on 8/28/21."
	"1688944-1"	"1688944-1"	"DYSPNOEA"	"10013968"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccine on 05/20/2021 and 06/17/2021. Presented to ED on 8/14 with complaints of shortness of breath and coughing. Noticed symptoms of chills, nausea, and abdominal pain on 8/11.  In ED pt was febrile, tachycardic, and tachypneic. CXR showed bilateral infiltrates. Patient required HFNC at 75-90% and Non-rebreather. Patient was proned. During stay, patient received zosyn, vacomycin,prednisone, ceftriaxone, and decadron. Renal disease precluded use of remdesivir.  Patient continued to decline and expired on 8/28/21."
	"1688944-1"	"1688944-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccine on 05/20/2021 and 06/17/2021. Presented to ED on 8/14 with complaints of shortness of breath and coughing. Noticed symptoms of chills, nausea, and abdominal pain on 8/11.  In ED pt was febrile, tachycardic, and tachypneic. CXR showed bilateral infiltrates. Patient required HFNC at 75-90% and Non-rebreather. Patient was proned. During stay, patient received zosyn, vacomycin,prednisone, ceftriaxone, and decadron. Renal disease precluded use of remdesivir.  Patient continued to decline and expired on 8/28/21."
	"1688944-1"	"1688944-1"	"LUNG INFILTRATION"	"10025102"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccine on 05/20/2021 and 06/17/2021. Presented to ED on 8/14 with complaints of shortness of breath and coughing. Noticed symptoms of chills, nausea, and abdominal pain on 8/11.  In ED pt was febrile, tachycardic, and tachypneic. CXR showed bilateral infiltrates. Patient required HFNC at 75-90% and Non-rebreather. Patient was proned. During stay, patient received zosyn, vacomycin,prednisone, ceftriaxone, and decadron. Renal disease precluded use of remdesivir.  Patient continued to decline and expired on 8/28/21."
	"1688944-1"	"1688944-1"	"NAUSEA"	"10028813"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccine on 05/20/2021 and 06/17/2021. Presented to ED on 8/14 with complaints of shortness of breath and coughing. Noticed symptoms of chills, nausea, and abdominal pain on 8/11.  In ED pt was febrile, tachycardic, and tachypneic. CXR showed bilateral infiltrates. Patient required HFNC at 75-90% and Non-rebreather. Patient was proned. During stay, patient received zosyn, vacomycin,prednisone, ceftriaxone, and decadron. Renal disease precluded use of remdesivir.  Patient continued to decline and expired on 8/28/21."
	"1688944-1"	"1688944-1"	"NEPHROPATHY"	"10029151"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccine on 05/20/2021 and 06/17/2021. Presented to ED on 8/14 with complaints of shortness of breath and coughing. Noticed symptoms of chills, nausea, and abdominal pain on 8/11.  In ED pt was febrile, tachycardic, and tachypneic. CXR showed bilateral infiltrates. Patient required HFNC at 75-90% and Non-rebreather. Patient was proned. During stay, patient received zosyn, vacomycin,prednisone, ceftriaxone, and decadron. Renal disease precluded use of remdesivir.  Patient continued to decline and expired on 8/28/21."
	"1688944-1"	"1688944-1"	"NUCLEIC ACID TEST"	"10083356"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccine on 05/20/2021 and 06/17/2021. Presented to ED on 8/14 with complaints of shortness of breath and coughing. Noticed symptoms of chills, nausea, and abdominal pain on 8/11.  In ED pt was febrile, tachycardic, and tachypneic. CXR showed bilateral infiltrates. Patient required HFNC at 75-90% and Non-rebreather. Patient was proned. During stay, patient received zosyn, vacomycin,prednisone, ceftriaxone, and decadron. Renal disease precluded use of remdesivir.  Patient continued to decline and expired on 8/28/21."
	"1688944-1"	"1688944-1"	"PYREXIA"	"10037660"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccine on 05/20/2021 and 06/17/2021. Presented to ED on 8/14 with complaints of shortness of breath and coughing. Noticed symptoms of chills, nausea, and abdominal pain on 8/11.  In ED pt was febrile, tachycardic, and tachypneic. CXR showed bilateral infiltrates. Patient required HFNC at 75-90% and Non-rebreather. Patient was proned. During stay, patient received zosyn, vacomycin,prednisone, ceftriaxone, and decadron. Renal disease precluded use of remdesivir.  Patient continued to decline and expired on 8/28/21."
	"1688944-1"	"1688944-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccine on 05/20/2021 and 06/17/2021. Presented to ED on 8/14 with complaints of shortness of breath and coughing. Noticed symptoms of chills, nausea, and abdominal pain on 8/11.  In ED pt was febrile, tachycardic, and tachypneic. CXR showed bilateral infiltrates. Patient required HFNC at 75-90% and Non-rebreather. Patient was proned. During stay, patient received zosyn, vacomycin,prednisone, ceftriaxone, and decadron. Renal disease precluded use of remdesivir.  Patient continued to decline and expired on 8/28/21."
	"1688944-1"	"1688944-1"	"TACHYCARDIA"	"10043071"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccine on 05/20/2021 and 06/17/2021. Presented to ED on 8/14 with complaints of shortness of breath and coughing. Noticed symptoms of chills, nausea, and abdominal pain on 8/11.  In ED pt was febrile, tachycardic, and tachypneic. CXR showed bilateral infiltrates. Patient required HFNC at 75-90% and Non-rebreather. Patient was proned. During stay, patient received zosyn, vacomycin,prednisone, ceftriaxone, and decadron. Renal disease precluded use of remdesivir.  Patient continued to decline and expired on 8/28/21."
	"1688944-1"	"1688944-1"	"TACHYPNOEA"	"10043089"	"40-49 years"	"40-49"	"Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccine on 05/20/2021 and 06/17/2021. Presented to ED on 8/14 with complaints of shortness of breath and coughing. Noticed symptoms of chills, nausea, and abdominal pain on 8/11.  In ED pt was febrile, tachycardic, and tachypneic. CXR showed bilateral infiltrates. Patient required HFNC at 75-90% and Non-rebreather. Patient was proned. During stay, patient received zosyn, vacomycin,prednisone, ceftriaxone, and decadron. Renal disease precluded use of remdesivir.  Patient continued to decline and expired on 8/28/21."
	"1690161-1"	"1690161-1"	"AUTOPSY"	"10050117"	"30-39 years"	"30-39"	"Patient passed away on 05/06/2021, 16 days after the first Pfizer injection. He was a healthy 34 year old. Autopsy report showed no organ or other physical abnormalities. The autopsy report stated his cause of death was an hemopericardium (acute dissection of proximal thoracic aorta / fatal cardiac tamponade / rupture into pericardial sac)."
	"1690161-1"	"1690161-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Patient passed away on 05/06/2021, 16 days after the first Pfizer injection. He was a healthy 34 year old. Autopsy report showed no organ or other physical abnormalities. The autopsy report stated his cause of death was an hemopericardium (acute dissection of proximal thoracic aorta / fatal cardiac tamponade / rupture into pericardial sac)."
	"1690161-1"	"1690161-1"	"GENE MUTATION IDENTIFICATION TEST NEGATIVE"	"10063479"	"30-39 years"	"30-39"	"Patient passed away on 05/06/2021, 16 days after the first Pfizer injection. He was a healthy 34 year old. Autopsy report showed no organ or other physical abnormalities. The autopsy report stated his cause of death was an hemopericardium (acute dissection of proximal thoracic aorta / fatal cardiac tamponade / rupture into pericardial sac)."
	"1690161-1"	"1690161-1"	"PERICARDIAL HAEMORRHAGE"	"10034476"	"30-39 years"	"30-39"	"Patient passed away on 05/06/2021, 16 days after the first Pfizer injection. He was a healthy 34 year old. Autopsy report showed no organ or other physical abnormalities. The autopsy report stated his cause of death was an hemopericardium (acute dissection of proximal thoracic aorta / fatal cardiac tamponade / rupture into pericardial sac)."
	"1690161-1"	"1690161-1"	"TOXICOLOGIC TEST NORMAL"	"10061383"	"30-39 years"	"30-39"	"Patient passed away on 05/06/2021, 16 days after the first Pfizer injection. He was a healthy 34 year old. Autopsy report showed no organ or other physical abnormalities. The autopsy report stated his cause of death was an hemopericardium (acute dissection of proximal thoracic aorta / fatal cardiac tamponade / rupture into pericardial sac)."
	"1694567-1"	"1694567-1"	"SUDDEN DEATH"	"10042434"	"40-49 years"	"40-49"	"Pt.'s sister states that after receiving the 2nd dose of Phizer 06/24/2021, Pt. passed away suddenly 08/21/2021. Unknown Autopsy preformed."
	"1696501-1"	"1696501-1"	"ASTHMA"	"10003553"	"40-49 years"	"40-49"	"Received the the 1st  Pfizer COVID vaccine on 08/12/2021 and the 2nd Pfizer COVID vaccine on 09/02/2021.  The Decedent's wife had told Police that the Decedent was complaining about not feeling well ever since he got the 2nd vaccine.   09/12/2021 -- Decedent had an Asthma attack at 0400 hours. Per the Decedent's wife, the Decedent did at least 10 Albuterol and Nebulizer treatments before calling for an ambulance at 1857 hours.  While in the ambulance, the Decedent went unresponsive and then into Cardiac Arrest. EMS started CPR & ACLS procedures, and worked the Decedent for 1 hour before calling Time of Death at 2015 hours."
	"1696501-1"	"1696501-1"	"CARDIAC ARREST"	"10007515"	"40-49 years"	"40-49"	"Received the the 1st  Pfizer COVID vaccine on 08/12/2021 and the 2nd Pfizer COVID vaccine on 09/02/2021.  The Decedent's wife had told Police that the Decedent was complaining about not feeling well ever since he got the 2nd vaccine.   09/12/2021 -- Decedent had an Asthma attack at 0400 hours. Per the Decedent's wife, the Decedent did at least 10 Albuterol and Nebulizer treatments before calling for an ambulance at 1857 hours.  While in the ambulance, the Decedent went unresponsive and then into Cardiac Arrest. EMS started CPR & ACLS procedures, and worked the Decedent for 1 hour before calling Time of Death at 2015 hours."
	"1696501-1"	"1696501-1"	"CONDITION AGGRAVATED"	"10010264"	"40-49 years"	"40-49"	"Received the the 1st  Pfizer COVID vaccine on 08/12/2021 and the 2nd Pfizer COVID vaccine on 09/02/2021.  The Decedent's wife had told Police that the Decedent was complaining about not feeling well ever since he got the 2nd vaccine.   09/12/2021 -- Decedent had an Asthma attack at 0400 hours. Per the Decedent's wife, the Decedent did at least 10 Albuterol and Nebulizer treatments before calling for an ambulance at 1857 hours.  While in the ambulance, the Decedent went unresponsive and then into Cardiac Arrest. EMS started CPR & ACLS procedures, and worked the Decedent for 1 hour before calling Time of Death at 2015 hours."
	"1696501-1"	"1696501-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Received the the 1st  Pfizer COVID vaccine on 08/12/2021 and the 2nd Pfizer COVID vaccine on 09/02/2021.  The Decedent's wife had told Police that the Decedent was complaining about not feeling well ever since he got the 2nd vaccine.   09/12/2021 -- Decedent had an Asthma attack at 0400 hours. Per the Decedent's wife, the Decedent did at least 10 Albuterol and Nebulizer treatments before calling for an ambulance at 1857 hours.  While in the ambulance, the Decedent went unresponsive and then into Cardiac Arrest. EMS started CPR & ACLS procedures, and worked the Decedent for 1 hour before calling Time of Death at 2015 hours."
	"1696501-1"	"1696501-1"	"LIFE SUPPORT"	"10024447"	"40-49 years"	"40-49"	"Received the the 1st  Pfizer COVID vaccine on 08/12/2021 and the 2nd Pfizer COVID vaccine on 09/02/2021.  The Decedent's wife had told Police that the Decedent was complaining about not feeling well ever since he got the 2nd vaccine.   09/12/2021 -- Decedent had an Asthma attack at 0400 hours. Per the Decedent's wife, the Decedent did at least 10 Albuterol and Nebulizer treatments before calling for an ambulance at 1857 hours.  While in the ambulance, the Decedent went unresponsive and then into Cardiac Arrest. EMS started CPR & ACLS procedures, and worked the Decedent for 1 hour before calling Time of Death at 2015 hours."
	"1696501-1"	"1696501-1"	"MALAISE"	"10025482"	"40-49 years"	"40-49"	"Received the the 1st  Pfizer COVID vaccine on 08/12/2021 and the 2nd Pfizer COVID vaccine on 09/02/2021.  The Decedent's wife had told Police that the Decedent was complaining about not feeling well ever since he got the 2nd vaccine.   09/12/2021 -- Decedent had an Asthma attack at 0400 hours. Per the Decedent's wife, the Decedent did at least 10 Albuterol and Nebulizer treatments before calling for an ambulance at 1857 hours.  While in the ambulance, the Decedent went unresponsive and then into Cardiac Arrest. EMS started CPR & ACLS procedures, and worked the Decedent for 1 hour before calling Time of Death at 2015 hours."
	"1696501-1"	"1696501-1"	"RESUSCITATION"	"10038749"	"40-49 years"	"40-49"	"Received the the 1st  Pfizer COVID vaccine on 08/12/2021 and the 2nd Pfizer COVID vaccine on 09/02/2021.  The Decedent's wife had told Police that the Decedent was complaining about not feeling well ever since he got the 2nd vaccine.   09/12/2021 -- Decedent had an Asthma attack at 0400 hours. Per the Decedent's wife, the Decedent did at least 10 Albuterol and Nebulizer treatments before calling for an ambulance at 1857 hours.  While in the ambulance, the Decedent went unresponsive and then into Cardiac Arrest. EMS started CPR & ACLS procedures, and worked the Decedent for 1 hour before calling Time of Death at 2015 hours."
	"1696501-1"	"1696501-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"40-49 years"	"40-49"	"Received the the 1st  Pfizer COVID vaccine on 08/12/2021 and the 2nd Pfizer COVID vaccine on 09/02/2021.  The Decedent's wife had told Police that the Decedent was complaining about not feeling well ever since he got the 2nd vaccine.   09/12/2021 -- Decedent had an Asthma attack at 0400 hours. Per the Decedent's wife, the Decedent did at least 10 Albuterol and Nebulizer treatments before calling for an ambulance at 1857 hours.  While in the ambulance, the Decedent went unresponsive and then into Cardiac Arrest. EMS started CPR & ACLS procedures, and worked the Decedent for 1 hour before calling Time of Death at 2015 hours."
	"1697353-1"	"1697353-1"	"ARTERIOSCLEROSIS"	"10003210"	"40-49 years"	"40-49"	"Complained of feeling very fatigued in the weeks following following the vaccination, but was heathy prior to the injection.  Died of a massive heart attack exactly 3 months after the date of vaccination.  Death certificate notes Atherosclerotic Cardiovascular Disease as the immediate cause of death."
	"1697353-1"	"1697353-1"	"AUTOPSY"	"10050117"	"40-49 years"	"40-49"	"Complained of feeling very fatigued in the weeks following following the vaccination, but was heathy prior to the injection.  Died of a massive heart attack exactly 3 months after the date of vaccination.  Death certificate notes Atherosclerotic Cardiovascular Disease as the immediate cause of death."
	"1697353-1"	"1697353-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Complained of feeling very fatigued in the weeks following following the vaccination, but was heathy prior to the injection.  Died of a massive heart attack exactly 3 months after the date of vaccination.  Death certificate notes Atherosclerotic Cardiovascular Disease as the immediate cause of death."
	"1697353-1"	"1697353-1"	"FATIGUE"	"10016256"	"40-49 years"	"40-49"	"Complained of feeling very fatigued in the weeks following following the vaccination, but was heathy prior to the injection.  Died of a massive heart attack exactly 3 months after the date of vaccination.  Death certificate notes Atherosclerotic Cardiovascular Disease as the immediate cause of death."
	"1697353-1"	"1697353-1"	"MYOCARDIAL INFARCTION"	"10028596"	"40-49 years"	"40-49"	"Complained of feeling very fatigued in the weeks following following the vaccination, but was heathy prior to the injection.  Died of a massive heart attack exactly 3 months after the date of vaccination.  Death certificate notes Atherosclerotic Cardiovascular Disease as the immediate cause of death."
	"1700088-1"	"1700088-1"	"COVID-19"	"10084268"	"40-49 years"	"40-49"	"Case had covid vaccine x 2. Last dose on 1/15/2021. Tested positive for COVId 19 on 8/13/2021. Was admitted to medical center on 8/30/2021 with COVID Pneumonia. Case expired while still hospitalized on 9/9/2021."
	"1700088-1"	"1700088-1"	"COVID-19 PNEUMONIA"	"10084380"	"40-49 years"	"40-49"	"Case had covid vaccine x 2. Last dose on 1/15/2021. Tested positive for COVId 19 on 8/13/2021. Was admitted to medical center on 8/30/2021 with COVID Pneumonia. Case expired while still hospitalized on 9/9/2021."
	"1700088-1"	"1700088-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Case had covid vaccine x 2. Last dose on 1/15/2021. Tested positive for COVId 19 on 8/13/2021. Was admitted to medical center on 8/30/2021 with COVID Pneumonia. Case expired while still hospitalized on 9/9/2021."
	"1700088-1"	"1700088-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"40-49 years"	"40-49"	"Case had covid vaccine x 2. Last dose on 1/15/2021. Tested positive for COVId 19 on 8/13/2021. Was admitted to medical center on 8/30/2021 with COVID Pneumonia. Case expired while still hospitalized on 9/9/2021."
	"1700902-1"	"1700902-1"	"ACIDOSIS"	"10000486"	"40-49 years"	"40-49"	""Patient had no outstanding medical history but anxiety. Per her husband, patient rapidly declined since receiving the first dose of Moderna COVID19 vaccine on 9/2/21. Patient was seen falling to the ground and having a ""seizure"" and then becoming unresponsive on 9/14/21. EMS found the patient to be in ventricular fibrillation cardiac arrest. Patient was brought to ED with CPR in progress. At ED, 45 minutes of resuscitative effort was done without ROSC. Time of death called at 1504.""
	"1700902-1"	"1700902-1"	"ALANINE AMINOTRANSFERASE INCREASED"	"10001551"	"40-49 years"	"40-49"	""Patient had no outstanding medical history but anxiety. Per her husband, patient rapidly declined since receiving the first dose of Moderna COVID19 vaccine on 9/2/21. Patient was seen falling to the ground and having a ""seizure"" and then becoming unresponsive on 9/14/21. EMS found the patient to be in ventricular fibrillation cardiac arrest. Patient was brought to ED with CPR in progress. At ED, 45 minutes of resuscitative effort was done without ROSC. Time of death called at 1504.""
	"1700902-1"	"1700902-1"	"ANION GAP"	"10002522"	"40-49 years"	"40-49"	""Patient had no outstanding medical history but anxiety. Per her husband, patient rapidly declined since receiving the first dose of Moderna COVID19 vaccine on 9/2/21. Patient was seen falling to the ground and having a ""seizure"" and then becoming unresponsive on 9/14/21. EMS found the patient to be in ventricular fibrillation cardiac arrest. Patient was brought to ED with CPR in progress. At ED, 45 minutes of resuscitative effort was done without ROSC. Time of death called at 1504.""
	"1700902-1"	"1700902-1"	"ASPARTATE AMINOTRANSFERASE INCREASED"	"10003481"	"40-49 years"	"40-49"	""Patient had no outstanding medical history but anxiety. Per her husband, patient rapidly declined since receiving the first dose of Moderna COVID19 vaccine on 9/2/21. Patient was seen falling to the ground and having a ""seizure"" and then becoming unresponsive on 9/14/21. EMS found the patient to be in ventricular fibrillation cardiac arrest. Patient was brought to ED with CPR in progress. At ED, 45 minutes of resuscitative effort was done without ROSC. Time of death called at 1504.""
	"1700902-1"	"1700902-1"	"BLOOD GLUCOSE INCREASED"	"10005557"	"40-49 years"	"40-49"	""Patient had no outstanding medical history but anxiety. Per her husband, patient rapidly declined since receiving the first dose of Moderna COVID19 vaccine on 9/2/21. Patient was seen falling to the ground and having a ""seizure"" and then becoming unresponsive on 9/14/21. EMS found the patient to be in ventricular fibrillation cardiac arrest. Patient was brought to ED with CPR in progress. At ED, 45 minutes of resuscitative effort was done without ROSC. Time of death called at 1504.""
	"1700902-1"	"1700902-1"	"BLOOD POTASSIUM DECREASED"	"10005724"	"40-49 years"	"40-49"	""Patient had no outstanding medical history but anxiety. Per her husband, patient rapidly declined since receiving the first dose of Moderna COVID19 vaccine on 9/2/21. Patient was seen falling to the ground and having a ""seizure"" and then becoming unresponsive on 9/14/21. EMS found the patient to be in ventricular fibrillation cardiac arrest. Patient was brought to ED with CPR in progress. At ED, 45 minutes of resuscitative effort was done without ROSC. Time of death called at 1504.""
	"1700902-1"	"1700902-1"	"CARBON DIOXIDE DECREASED"	"10007223"	"40-49 years"	"40-49"	""Patient had no outstanding medical history but anxiety. Per her husband, patient rapidly declined since receiving the first dose of Moderna COVID19 vaccine on 9/2/21. Patient was seen falling to the ground and having a ""seizure"" and then becoming unresponsive on 9/14/21. EMS found the patient to be in ventricular fibrillation cardiac arrest. Patient was brought to ED with CPR in progress. At ED, 45 minutes of resuscitative effort was done without ROSC. Time of death called at 1504.""
	"1700902-1"	"1700902-1"	"CARDIAC ARREST"	"10007515"	"40-49 years"	"40-49"	""Patient had no outstanding medical history but anxiety. Per her husband, patient rapidly declined since receiving the first dose of Moderna COVID19 vaccine on 9/2/21. Patient was seen falling to the ground and having a ""seizure"" and then becoming unresponsive on 9/14/21. EMS found the patient to be in ventricular fibrillation cardiac arrest. Patient was brought to ED with CPR in progress. At ED, 45 minutes of resuscitative effort was done without ROSC. Time of death called at 1504.""
	"1700902-1"	"1700902-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	""Patient had no outstanding medical history but anxiety. Per her husband, patient rapidly declined since receiving the first dose of Moderna COVID19 vaccine on 9/2/21. Patient was seen falling to the ground and having a ""seizure"" and then becoming unresponsive on 9/14/21. EMS found the patient to be in ventricular fibrillation cardiac arrest. Patient was brought to ED with CPR in progress. At ED, 45 minutes of resuscitative effort was done without ROSC. Time of death called at 1504.""
	"1700902-1"	"1700902-1"	"FALL"	"10016173"	"40-49 years"	"40-49"	""Patient had no outstanding medical history but anxiety. Per her husband, patient rapidly declined since receiving the first dose of Moderna COVID19 vaccine on 9/2/21. Patient was seen falling to the ground and having a ""seizure"" and then becoming unresponsive on 9/14/21. EMS found the patient to be in ventricular fibrillation cardiac arrest. Patient was brought to ED with CPR in progress. At ED, 45 minutes of resuscitative effort was done without ROSC. Time of death called at 1504.""
	"1700902-1"	"1700902-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"40-49 years"	"40-49"	""Patient had no outstanding medical history but anxiety. Per her husband, patient rapidly declined since receiving the first dose of Moderna COVID19 vaccine on 9/2/21. Patient was seen falling to the ground and having a ""seizure"" and then becoming unresponsive on 9/14/21. EMS found the patient to be in ventricular fibrillation cardiac arrest. Patient was brought to ED with CPR in progress. At ED, 45 minutes of resuscitative effort was done without ROSC. Time of death called at 1504.""
	"1700902-1"	"1700902-1"	"HEPATIC ENZYME INCREASED"	"10060795"	"40-49 years"	"40-49"	""Patient had no outstanding medical history but anxiety. Per her husband, patient rapidly declined since receiving the first dose of Moderna COVID19 vaccine on 9/2/21. Patient was seen falling to the ground and having a ""seizure"" and then becoming unresponsive on 9/14/21. EMS found the patient to be in ventricular fibrillation cardiac arrest. Patient was brought to ED with CPR in progress. At ED, 45 minutes of resuscitative effort was done without ROSC. Time of death called at 1504.""
	"1700902-1"	"1700902-1"	"RESUSCITATION"	"10038749"	"40-49 years"	"40-49"	""Patient had no outstanding medical history but anxiety. Per her husband, patient rapidly declined since receiving the first dose of Moderna COVID19 vaccine on 9/2/21. Patient was seen falling to the ground and having a ""seizure"" and then becoming unresponsive on 9/14/21. EMS found the patient to be in ventricular fibrillation cardiac arrest. Patient was brought to ED with CPR in progress. At ED, 45 minutes of resuscitative effort was done without ROSC. Time of death called at 1504.""
	"1700902-1"	"1700902-1"	"SEIZURE"	"10039906"	"40-49 years"	"40-49"	""Patient had no outstanding medical history but anxiety. Per her husband, patient rapidly declined since receiving the first dose of Moderna COVID19 vaccine on 9/2/21. Patient was seen falling to the ground and having a ""seizure"" and then becoming unresponsive on 9/14/21. EMS found the patient to be in ventricular fibrillation cardiac arrest. Patient was brought to ED with CPR in progress. At ED, 45 minutes of resuscitative effort was done without ROSC. Time of death called at 1504.""
	"1700902-1"	"1700902-1"	"TROPONIN"	"10061576"	"40-49 years"	"40-49"	""Patient had no outstanding medical history but anxiety. Per her husband, patient rapidly declined since receiving the first dose of Moderna COVID19 vaccine on 9/2/21. Patient was seen falling to the ground and having a ""seizure"" and then becoming unresponsive on 9/14/21. EMS found the patient to be in ventricular fibrillation cardiac arrest. Patient was brought to ED with CPR in progress. At ED, 45 minutes of resuscitative effort was done without ROSC. Time of death called at 1504.""
	"1700902-1"	"1700902-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"40-49 years"	"40-49"	""Patient had no outstanding medical history but anxiety. Per her husband, patient rapidly declined since receiving the first dose of Moderna COVID19 vaccine on 9/2/21. Patient was seen falling to the ground and having a ""seizure"" and then becoming unresponsive on 9/14/21. EMS found the patient to be in ventricular fibrillation cardiac arrest. Patient was brought to ED with CPR in progress. At ED, 45 minutes of resuscitative effort was done without ROSC. Time of death called at 1504.""
	"1700902-1"	"1700902-1"	"VENTRICULAR FIBRILLATION"	"10047290"	"40-49 years"	"40-49"	""Patient had no outstanding medical history but anxiety. Per her husband, patient rapidly declined since receiving the first dose of Moderna COVID19 vaccine on 9/2/21. Patient was seen falling to the ground and having a ""seizure"" and then becoming unresponsive on 9/14/21. EMS found the patient to be in ventricular fibrillation cardiac arrest. Patient was brought to ED with CPR in progress. At ED, 45 minutes of resuscitative effort was done without ROSC. Time of death called at 1504.""
	"1700902-1"	"1700902-1"	"WHITE BLOOD CELL COUNT INCREASED"	"10047943"	"40-49 years"	"40-49"	""Patient had no outstanding medical history but anxiety. Per her husband, patient rapidly declined since receiving the first dose of Moderna COVID19 vaccine on 9/2/21. Patient was seen falling to the ground and having a ""seizure"" and then becoming unresponsive on 9/14/21. EMS found the patient to be in ventricular fibrillation cardiac arrest. Patient was brought to ED with CPR in progress. At ED, 45 minutes of resuscitative effort was done without ROSC. Time of death called at 1504.""
	"1703909-1"	"1703909-1"	"CARDIAC ARREST"	"10007515"	"40-49 years"	"40-49"	"Patient received vaccine about 130pm on 9/16/21. After the vaccine, the patient waited in the pharmacy for 15 minutes to make sure she did not have a reaction. After that time, she went next door to the restaurant for lunch. About 7pm, the fire marshall came into the pharmacy requesting information about the patient. He was aware that she had just received the vaccine at our pharmacy and was inquiring because she went into cardiac arrest while at restaurant. After life-saving measures by EMT, patient was brought in to Medical Center and shortly after, passed away"
	"1703909-1"	"1703909-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Patient received vaccine about 130pm on 9/16/21. After the vaccine, the patient waited in the pharmacy for 15 minutes to make sure she did not have a reaction. After that time, she went next door to the restaurant for lunch. About 7pm, the fire marshall came into the pharmacy requesting information about the patient. He was aware that she had just received the vaccine at our pharmacy and was inquiring because she went into cardiac arrest while at restaurant. After life-saving measures by EMT, patient was brought in to Medical Center and shortly after, passed away"
	"1703960-1"	"1703960-1"	"PAIN IN EXTREMITY"	"10033425"	"30-39 years"	"30-39"	"Bilateral leg pain, history of venous thrombosis."
	"1708406-1"	"1708406-1"	"COUGH"	"10011224"	"40-49 years"	"40-49"	"Patient was fully vaccinated. he PUI says that the only symptom that he has had was a cough. The PUI is currently in the hospital but it is not covid related. Patient died due to COVID-19 on 8/30/2021."
	"1708406-1"	"1708406-1"	"COVID-19"	"10084268"	"40-49 years"	"40-49"	"Patient was fully vaccinated. he PUI says that the only symptom that he has had was a cough. The PUI is currently in the hospital but it is not covid related. Patient died due to COVID-19 on 8/30/2021."
	"1708406-1"	"1708406-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Patient was fully vaccinated. he PUI says that the only symptom that he has had was a cough. The PUI is currently in the hospital but it is not covid related. Patient died due to COVID-19 on 8/30/2021."
	"1709467-1"	"1709467-1"	"ASTHMA"	"10003553"	"30-39 years"	"30-39"	"Patient came in after an ER visit for a reported intentional opioid overdose. She was doing ok at the visit, some minor wheezes on exam. She had requested refills on meds and reported having worsening asthma after her first shot but no ER visits.  We decided to give her the second moderna shot due to her high risk should she contract covid 19 and sent her home with a course of prednisone in case of exacerbation. RN administered injection and had her wait in the room after the visit per protocol, patient was  doing fine and was sent home. We found out several days later she passed away at home according to a coroners report of reported possible asthma exacerbation versus drug overdose, still being investigated. coroner reported finding drug paraphernalia at the scene and case is pending tox screen results."
	"1709467-1"	"1709467-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Patient came in after an ER visit for a reported intentional opioid overdose. She was doing ok at the visit, some minor wheezes on exam. She had requested refills on meds and reported having worsening asthma after her first shot but no ER visits.  We decided to give her the second moderna shot due to her high risk should she contract covid 19 and sent her home with a course of prednisone in case of exacerbation. RN administered injection and had her wait in the room after the visit per protocol, patient was  doing fine and was sent home. We found out several days later she passed away at home according to a coroners report of reported possible asthma exacerbation versus drug overdose, still being investigated. coroner reported finding drug paraphernalia at the scene and case is pending tox screen results."
	"1709850-1"	"1709850-1"	"NO ADVERSE EVENT"	"10067482"	"40-49 years"	"40-49"	"No symptoms"
	"1713242-1"	"1713242-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"two days breathing problems, then boom - dead"
	"1713242-1"	"1713242-1"	"DYSPNOEA"	"10013968"	"30-39 years"	"30-39"	"two days breathing problems, then boom - dead"
	"1713447-1"	"1713447-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	""Patients boyfriend came into the pharmacy on 09/18/21 asking when she received her 2nd dose of the vaccine. I asked if it was because she lost her card and he said ""No, she died a few days after and I'm trying to figure out if it was from the vaccine"". Date of death/causes/symptoms of death unknown.""
	"1715299-1"	"1715299-1"	"ASTHENIA"	"10003549"	"30-39 years"	"30-39"	"Short of breath, weak, lost consciousness,  eventually lead to cardiac arrest, death"
	"1715299-1"	"1715299-1"	"CARDIAC ARREST"	"10007515"	"30-39 years"	"30-39"	"Short of breath, weak, lost consciousness,  eventually lead to cardiac arrest, death"
	"1715299-1"	"1715299-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Short of breath, weak, lost consciousness,  eventually lead to cardiac arrest, death"
	"1715299-1"	"1715299-1"	"DYSPNOEA"	"10013968"	"30-39 years"	"30-39"	"Short of breath, weak, lost consciousness,  eventually lead to cardiac arrest, death"
	"1715299-1"	"1715299-1"	"LOSS OF CONSCIOUSNESS"	"10024855"	"30-39 years"	"30-39"	"Short of breath, weak, lost consciousness,  eventually lead to cardiac arrest, death"
	"1718725-1"	"1718725-1"	"CARDIAC ARREST"	"10007515"	"30-39 years"	"30-39"	"Sudden death by cardiac arrest"
	"1718725-1"	"1718725-1"	"SUDDEN DEATH"	"10042434"	"30-39 years"	"30-39"	"Sudden death by cardiac arrest"
	"1718832-1"	"1718832-1"	"COMPUTERISED TOMOGRAM ABDOMEN"	"10053876"	"40-49 years"	"40-49"	"She had reportedly received a Johnson and Johnson (Janssen) COVID-19 vaccine on 05/14/2021 and had essentially never been well since. The following week, she was diagnosed with pneumonia (thought to possibly be COVID-related due to ?ground-glass? appearance of lungs on radiologic exam); however, a follow-up COVID-19 test was negative. She was treated with short-term steroids and antibiotics."
	"1718832-1"	"1718832-1"	"COMPUTERISED TOMOGRAM ABNORMAL"	"10010235"	"40-49 years"	"40-49"	"She had reportedly received a Johnson and Johnson (Janssen) COVID-19 vaccine on 05/14/2021 and had essentially never been well since. The following week, she was diagnosed with pneumonia (thought to possibly be COVID-related due to ?ground-glass? appearance of lungs on radiologic exam); however, a follow-up COVID-19 test was negative. She was treated with short-term steroids and antibiotics."
	"1718832-1"	"1718832-1"	"LUNG INFILTRATION"	"10025102"	"40-49 years"	"40-49"	"She had reportedly received a Johnson and Johnson (Janssen) COVID-19 vaccine on 05/14/2021 and had essentially never been well since. The following week, she was diagnosed with pneumonia (thought to possibly be COVID-related due to ?ground-glass? appearance of lungs on radiologic exam); however, a follow-up COVID-19 test was negative. She was treated with short-term steroids and antibiotics."
	"1718832-1"	"1718832-1"	"LUNG OPACITY"	"10081792"	"40-49 years"	"40-49"	"She had reportedly received a Johnson and Johnson (Janssen) COVID-19 vaccine on 05/14/2021 and had essentially never been well since. The following week, she was diagnosed with pneumonia (thought to possibly be COVID-related due to ?ground-glass? appearance of lungs on radiologic exam); however, a follow-up COVID-19 test was negative. She was treated with short-term steroids and antibiotics."
	"1718832-1"	"1718832-1"	"MALAISE"	"10025482"	"40-49 years"	"40-49"	"She had reportedly received a Johnson and Johnson (Janssen) COVID-19 vaccine on 05/14/2021 and had essentially never been well since. The following week, she was diagnosed with pneumonia (thought to possibly be COVID-related due to ?ground-glass? appearance of lungs on radiologic exam); however, a follow-up COVID-19 test was negative. She was treated with short-term steroids and antibiotics."
	"1718832-1"	"1718832-1"	"PNEUMONIA"	"10035664"	"40-49 years"	"40-49"	"She had reportedly received a Johnson and Johnson (Janssen) COVID-19 vaccine on 05/14/2021 and had essentially never been well since. The following week, she was diagnosed with pneumonia (thought to possibly be COVID-related due to ?ground-glass? appearance of lungs on radiologic exam); however, a follow-up COVID-19 test was negative. She was treated with short-term steroids and antibiotics."
	"1718832-1"	"1718832-1"	"SARS-COV-2 TEST NEGATIVE"	"10084273"	"40-49 years"	"40-49"	"She had reportedly received a Johnson and Johnson (Janssen) COVID-19 vaccine on 05/14/2021 and had essentially never been well since. The following week, she was diagnosed with pneumonia (thought to possibly be COVID-related due to ?ground-glass? appearance of lungs on radiologic exam); however, a follow-up COVID-19 test was negative. She was treated with short-term steroids and antibiotics."
	"1718927-1"	"1718927-1"	"ACUTE MYOCARDIAL INFARCTION"	"10000891"	"40-49 years"	"40-49"	"Pt came to ER c/o SOB, chest pain, and feeling of knots all through his back.   EKG done STEMI alert activated."
	"1718927-1"	"1718927-1"	"CHEST PAIN"	"10008479"	"40-49 years"	"40-49"	"Pt came to ER c/o SOB, chest pain, and feeling of knots all through his back.   EKG done STEMI alert activated."
	"1718927-1"	"1718927-1"	"CHEST X-RAY"	"10008498"	"40-49 years"	"40-49"	"Pt came to ER c/o SOB, chest pain, and feeling of knots all through his back.   EKG done STEMI alert activated."
	"1718927-1"	"1718927-1"	"DYSPNOEA"	"10013968"	"40-49 years"	"40-49"	"Pt came to ER c/o SOB, chest pain, and feeling of knots all through his back.   EKG done STEMI alert activated."
	"1718927-1"	"1718927-1"	"ELECTROCARDIOGRAM ABNORMAL"	"10014363"	"40-49 years"	"40-49"	"Pt came to ER c/o SOB, chest pain, and feeling of knots all through his back.   EKG done STEMI alert activated."
	"1718927-1"	"1718927-1"	"LABORATORY TEST"	"10059938"	"40-49 years"	"40-49"	"Pt came to ER c/o SOB, chest pain, and feeling of knots all through his back.   EKG done STEMI alert activated."
	"1718927-1"	"1718927-1"	"MUSCULOSKELETAL DISCOMFORT"	"10053156"	"40-49 years"	"40-49"	"Pt came to ER c/o SOB, chest pain, and feeling of knots all through his back.   EKG done STEMI alert activated."
	"1718927-1"	"1718927-1"	"SARS-COV-2 TEST"	"10084354"	"40-49 years"	"40-49"	"Pt came to ER c/o SOB, chest pain, and feeling of knots all through his back.   EKG done STEMI alert activated."
	"1722510-1"	"1722510-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"The decedent received his initial Pfizer vaccine on 07/29/2021; and the second Pfizer vaccine on 09/14/2021.  On 09/18/2021, the decedent reported to his mother that he was vomiting blood.  On 09/19/2021, the decedent was found deceased in his residence."
	"1722510-1"	"1722510-1"	"HAEMATEMESIS"	"10018830"	"30-39 years"	"30-39"	"The decedent received his initial Pfizer vaccine on 07/29/2021; and the second Pfizer vaccine on 09/14/2021.  On 09/18/2021, the decedent reported to his mother that he was vomiting blood.  On 09/19/2021, the decedent was found deceased in his residence."
	"1722510-1"	"1722510-1"	"INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION"	"10081572"	"30-39 years"	"30-39"	"The decedent received his initial Pfizer vaccine on 07/29/2021; and the second Pfizer vaccine on 09/14/2021.  On 09/18/2021, the decedent reported to his mother that he was vomiting blood.  On 09/19/2021, the decedent was found deceased in his residence."
	"1722922-1"	"1722922-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Pt with complaints of headache, painful legs, fatigue and died within 48 hrs of taking 2nd dose. Found in her bed."
	"1722922-1"	"1722922-1"	"FATIGUE"	"10016256"	"40-49 years"	"40-49"	"Pt with complaints of headache, painful legs, fatigue and died within 48 hrs of taking 2nd dose. Found in her bed."
	"1722922-1"	"1722922-1"	"HEADACHE"	"10019211"	"40-49 years"	"40-49"	"Pt with complaints of headache, painful legs, fatigue and died within 48 hrs of taking 2nd dose. Found in her bed."
	"1722922-1"	"1722922-1"	"PAIN IN EXTREMITY"	"10033425"	"40-49 years"	"40-49"	"Pt with complaints of headache, painful legs, fatigue and died within 48 hrs of taking 2nd dose. Found in her bed."
	"1723053-1"	"1723053-1"	"AUTOPSY"	"10050117"	"40-49 years"	"40-49"	"This individual is now deceased due to a myocardial infarction secondary to a thrombus.  He was alone at the time of the event, therefore no immediate details are known.  His family reported that the 2 days prior, they were all hiking  and he had no problems.   He is suspected to have actually died on 03/20/2021; however, it took some time to find him, therefore the autopsy indicates date of death to be 03/21/2021 due to that's when he was located, already deceased."
	"1723053-1"	"1723053-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"This individual is now deceased due to a myocardial infarction secondary to a thrombus.  He was alone at the time of the event, therefore no immediate details are known.  His family reported that the 2 days prior, they were all hiking  and he had no problems.   He is suspected to have actually died on 03/20/2021; however, it took some time to find him, therefore the autopsy indicates date of death to be 03/21/2021 due to that's when he was located, already deceased."
	"1723053-1"	"1723053-1"	"MYOCARDIAL INFARCTION"	"10028596"	"40-49 years"	"40-49"	"This individual is now deceased due to a myocardial infarction secondary to a thrombus.  He was alone at the time of the event, therefore no immediate details are known.  His family reported that the 2 days prior, they were all hiking  and he had no problems.   He is suspected to have actually died on 03/20/2021; however, it took some time to find him, therefore the autopsy indicates date of death to be 03/21/2021 due to that's when he was located, already deceased."
	"1723053-1"	"1723053-1"	"THROMBOSIS"	"10043607"	"40-49 years"	"40-49"	"This individual is now deceased due to a myocardial infarction secondary to a thrombus.  He was alone at the time of the event, therefore no immediate details are known.  His family reported that the 2 days prior, they were all hiking  and he had no problems.   He is suspected to have actually died on 03/20/2021; however, it took some time to find him, therefore the autopsy indicates date of death to be 03/21/2021 due to that's when he was located, already deceased."
	"1726211-1"	"1726211-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Patient died on 9/13/2021. Verbally to be reported from a Pulmonary Embolism."
	"1726211-1"	"1726211-1"	"PULMONARY EMBOLISM"	"10037377"	"40-49 years"	"40-49"	"Patient died on 9/13/2021. Verbally to be reported from a Pulmonary Embolism."
	"1727109-1"	"1727109-1"	"ACTIVATED PARTIAL THROMBOPLASTIN TIME"	"10000630"	"30-39 years"	"30-39"	"obese 35yoM who presents with acute SOB which was found in the ED due to acute COVID 19. He is diaphoretic, and speaks in only short sentences, frequently expressing varying preference for BPAP or facemask. He received the Moderna vaccine series several months prior, and had been in his usual state of good health prior to the abrupt onset of symptoms. He takes medication for hypertension.  DISCHARGE DIAGNOSIS: 1. Acute hypoxic respiratory failure secondary to COVID- 19 pneumonia 2. COVID- 19 pneumonia with super-imposed bacterial pneumonia 3. Sepsis secondary to above on pressor support 4. Obesity with body mass index 57 5. Elevated D-dimer He was started on NRB and BPAP, as well as all COVID therapies of steroids, anticoagulation, Colchicine, and Ivermectin. He was also started on broad spectrum antibiotics for possible super-imposed bacterial pneumonia. His oxygenation worsened and he was intubated on 8/8. His O2 levels remained difficult to control and the AM of 8/9 he was proned with increasing PEEP. His oxygenation improved and he appeared to be overall stabilizing by 8/10. The afternoon of 8/10, he was getting suctioned by RT and was noted to become bradycardic, however, this quickly resolved with Atropine and was attributed to increased vasovagal tone secondary to prone positioning and increased PEEP. He remained HD stable and his O2 remained 90s (Last recorded VS HR 61, RR 24, BP 111/67, and O2 99%). Unfortunately, at approximately 2117 the patient developed an irregular heart rate before going into ventricular tachycardia and then asystole. He was started on medical management as per guidelines and CPR was initiated as soon as possible under the direction of Dr. was never obtained and Dr called at 2150. The patient's family was informed of his passing and all questions were answered. Cause of death appears to be cardiac arrest secondary to ventricular tachycardia secondary to hypoxic respiratory failure secondary to COVID- 19 pneumonia."
	"1727109-1"	"1727109-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"30-39 years"	"30-39"	"obese 35yoM who presents with acute SOB which was found in the ED due to acute COVID 19. He is diaphoretic, and speaks in only short sentences, frequently expressing varying preference for BPAP or facemask. He received the Moderna vaccine series several months prior, and had been in his usual state of good health prior to the abrupt onset of symptoms. He takes medication for hypertension.  DISCHARGE DIAGNOSIS: 1. Acute hypoxic respiratory failure secondary to COVID- 19 pneumonia 2. COVID- 19 pneumonia with super-imposed bacterial pneumonia 3. Sepsis secondary to above on pressor support 4. Obesity with body mass index 57 5. Elevated D-dimer He was started on NRB and BPAP, as well as all COVID therapies of steroids, anticoagulation, Colchicine, and Ivermectin. He was also started on broad spectrum antibiotics for possible super-imposed bacterial pneumonia. His oxygenation worsened and he was intubated on 8/8. His O2 levels remained difficult to control and the AM of 8/9 he was proned with increasing PEEP. His oxygenation improved and he appeared to be overall stabilizing by 8/10. The afternoon of 8/10, he was getting suctioned by RT and was noted to become bradycardic, however, this quickly resolved with Atropine and was attributed to increased vasovagal tone secondary to prone positioning and increased PEEP. He remained HD stable and his O2 remained 90s (Last recorded VS HR 61, RR 24, BP 111/67, and O2 99%). Unfortunately, at approximately 2117 the patient developed an irregular heart rate before going into ventricular tachycardia and then asystole. He was started on medical management as per guidelines and CPR was initiated as soon as possible under the direction of Dr. was never obtained and Dr called at 2150. The patient's family was informed of his passing and all questions were answered. Cause of death appears to be cardiac arrest secondary to ventricular tachycardia secondary to hypoxic respiratory failure secondary to COVID- 19 pneumonia."
	"1727109-1"	"1727109-1"	"ANTICOAGULANT THERAPY"	"10053468"	"30-39 years"	"30-39"	"obese 35yoM who presents with acute SOB which was found in the ED due to acute COVID 19. He is diaphoretic, and speaks in only short sentences, frequently expressing varying preference for BPAP or facemask. He received the Moderna vaccine series several months prior, and had been in his usual state of good health prior to the abrupt onset of symptoms. He takes medication for hypertension.  DISCHARGE DIAGNOSIS: 1. Acute hypoxic respiratory failure secondary to COVID- 19 pneumonia 2. COVID- 19 pneumonia with super-imposed bacterial pneumonia 3. Sepsis secondary to above on pressor support 4. Obesity with body mass index 57 5. Elevated D-dimer He was started on NRB and BPAP, as well as all COVID therapies of steroids, anticoagulation, Colchicine, and Ivermectin. He was also started on broad spectrum antibiotics for possible super-imposed bacterial pneumonia. His oxygenation worsened and he was intubated on 8/8. His O2 levels remained difficult to control and the AM of 8/9 he was proned with increasing PEEP. His oxygenation improved and he appeared to be overall stabilizing by 8/10. The afternoon of 8/10, he was getting suctioned by RT and was noted to become bradycardic, however, this quickly resolved with Atropine and was attributed to increased vasovagal tone secondary to prone positioning and increased PEEP. He remained HD stable and his O2 remained 90s (Last recorded VS HR 61, RR 24, BP 111/67, and O2 99%). Unfortunately, at approximately 2117 the patient developed an irregular heart rate before going into ventricular tachycardia and then asystole. He was started on medical management as per guidelines and CPR was initiated as soon as possible under the direction of Dr. was never obtained and Dr called at 2150. The patient's family was informed of his passing and all questions were answered. Cause of death appears to be cardiac arrest secondary to ventricular tachycardia secondary to hypoxic respiratory failure secondary to COVID- 19 pneumonia."
	"1727109-1"	"1727109-1"	"BLOOD FIBRINOGEN"	"10005517"	"30-39 years"	"30-39"	"obese 35yoM who presents with acute SOB which was found in the ED due to acute COVID 19. He is diaphoretic, and speaks in only short sentences, frequently expressing varying preference for BPAP or facemask. He received the Moderna vaccine series several months prior, and had been in his usual state of good health prior to the abrupt onset of symptoms. He takes medication for hypertension.  DISCHARGE DIAGNOSIS: 1. Acute hypoxic respiratory failure secondary to COVID- 19 pneumonia 2. COVID- 19 pneumonia with super-imposed bacterial pneumonia 3. Sepsis secondary to above on pressor support 4. Obesity with body mass index 57 5. Elevated D-dimer He was started on NRB and BPAP, as well as all COVID therapies of steroids, anticoagulation, Colchicine, and Ivermectin. He was also started on broad spectrum antibiotics for possible super-imposed bacterial pneumonia. His oxygenation worsened and he was intubated on 8/8. His O2 levels remained difficult to control and the AM of 8/9 he was proned with increasing PEEP. His oxygenation improved and he appeared to be overall stabilizing by 8/10. The afternoon of 8/10, he was getting suctioned by RT and was noted to become bradycardic, however, this quickly resolved with Atropine and was attributed to increased vasovagal tone secondary to prone positioning and increased PEEP. He remained HD stable and his O2 remained 90s (Last recorded VS HR 61, RR 24, BP 111/67, and O2 99%). Unfortunately, at approximately 2117 the patient developed an irregular heart rate before going into ventricular tachycardia and then asystole. He was started on medical management as per guidelines and CPR was initiated as soon as possible under the direction of Dr. was never obtained and Dr called at 2150. The patient's family was informed of his passing and all questions were answered. Cause of death appears to be cardiac arrest secondary to ventricular tachycardia secondary to hypoxic respiratory failure secondary to COVID- 19 pneumonia."
	"1727109-1"	"1727109-1"	"BLOOD GASES"	"10005537"	"30-39 years"	"30-39"	"obese 35yoM who presents with acute SOB which was found in the ED due to acute COVID 19. He is diaphoretic, and speaks in only short sentences, frequently expressing varying preference for BPAP or facemask. He received the Moderna vaccine series several months prior, and had been in his usual state of good health prior to the abrupt onset of symptoms. He takes medication for hypertension.  DISCHARGE DIAGNOSIS: 1. Acute hypoxic respiratory failure secondary to COVID- 19 pneumonia 2. COVID- 19 pneumonia with super-imposed bacterial pneumonia 3. Sepsis secondary to above on pressor support 4. Obesity with body mass index 57 5. Elevated D-dimer He was started on NRB and BPAP, as well as all COVID therapies of steroids, anticoagulation, Colchicine, and Ivermectin. He was also started on broad spectrum antibiotics for possible super-imposed bacterial pneumonia. His oxygenation worsened and he was intubated on 8/8. His O2 levels remained difficult to control and the AM of 8/9 he was proned with increasing PEEP. His oxygenation improved and he appeared to be overall stabilizing by 8/10. The afternoon of 8/10, he was getting suctioned by RT and was noted to become bradycardic, however, this quickly resolved with Atropine and was attributed to increased vasovagal tone secondary to prone positioning and increased PEEP. He remained HD stable and his O2 remained 90s (Last recorded VS HR 61, RR 24, BP 111/67, and O2 99%). Unfortunately, at approximately 2117 the patient developed an irregular heart rate before going into ventricular tachycardia and then asystole. He was started on medical management as per guidelines and CPR was initiated as soon as possible under the direction of Dr. was never obtained and Dr called at 2150. The patient's family was informed of his passing and all questions were answered. Cause of death appears to be cardiac arrest secondary to ventricular tachycardia secondary to hypoxic respiratory failure secondary to COVID- 19 pneumonia."
	"1727109-1"	"1727109-1"	"BLOOD LACTATE DEHYDROGENASE"	"10005626"	"30-39 years"	"30-39"	"obese 35yoM who presents with acute SOB which was found in the ED due to acute COVID 19. He is diaphoretic, and speaks in only short sentences, frequently expressing varying preference for BPAP or facemask. He received the Moderna vaccine series several months prior, and had been in his usual state of good health prior to the abrupt onset of symptoms. He takes medication for hypertension.  DISCHARGE DIAGNOSIS: 1. Acute hypoxic respiratory failure secondary to COVID- 19 pneumonia 2. COVID- 19 pneumonia with super-imposed bacterial pneumonia 3. Sepsis secondary to above on pressor support 4. Obesity with body mass index 57 5. Elevated D-dimer He was started on NRB and BPAP, as well as all COVID therapies of steroids, anticoagulation, Colchicine, and Ivermectin. He was also started on broad spectrum antibiotics for possible super-imposed bacterial pneumonia. His oxygenation worsened and he was intubated on 8/8. His O2 levels remained difficult to control and the AM of 8/9 he was proned with increasing PEEP. His oxygenation improved and he appeared to be overall stabilizing by 8/10. The afternoon of 8/10, he was getting suctioned by RT and was noted to become bradycardic, however, this quickly resolved with Atropine and was attributed to increased vasovagal tone secondary to prone positioning and increased PEEP. He remained HD stable and his O2 remained 90s (Last recorded VS HR 61, RR 24, BP 111/67, and O2 99%). Unfortunately, at approximately 2117 the patient developed an irregular heart rate before going into ventricular tachycardia and then asystole. He was started on medical management as per guidelines and CPR was initiated as soon as possible under the direction of Dr. was never obtained and Dr called at 2150. The patient's family was informed of his passing and all questions were answered. Cause of death appears to be cardiac arrest secondary to ventricular tachycardia secondary to hypoxic respiratory failure secondary to COVID- 19 pneumonia."
	"1727109-1"	"1727109-1"	"BLOOD MAGNESIUM"	"10005651"	"30-39 years"	"30-39"	"obese 35yoM who presents with acute SOB which was found in the ED due to acute COVID 19. He is diaphoretic, and speaks in only short sentences, frequently expressing varying preference for BPAP or facemask. He received the Moderna vaccine series several months prior, and had been in his usual state of good health prior to the abrupt onset of symptoms. He takes medication for hypertension.  DISCHARGE DIAGNOSIS: 1. Acute hypoxic respiratory failure secondary to COVID- 19 pneumonia 2. COVID- 19 pneumonia with super-imposed bacterial pneumonia 3. Sepsis secondary to above on pressor support 4. Obesity with body mass index 57 5. Elevated D-dimer He was started on NRB and BPAP, as well as all COVID therapies of steroids, anticoagulation, Colchicine, and Ivermectin. He was also started on broad spectrum antibiotics for possible super-imposed bacterial pneumonia. His oxygenation worsened and he was intubated on 8/8. His O2 levels remained difficult to control and the AM of 8/9 he was proned with increasing PEEP. His oxygenation improved and he appeared to be overall stabilizing by 8/10. The afternoon of 8/10, he was getting suctioned by RT and was noted to become bradycardic, however, this quickly resolved with Atropine and was attributed to increased vasovagal tone secondary to prone positioning and increased PEEP. He remained HD stable and his O2 remained 90s (Last recorded VS HR 61, RR 24, BP 111/67, and O2 99%). Unfortunately, at approximately 2117 the patient developed an irregular heart rate before going into ventricular tachycardia and then asystole. He was started on medical management as per guidelines and CPR was initiated as soon as possible under the direction of Dr. was never obtained and Dr called at 2150. The patient's family was informed of his passing and all questions were answered. Cause of death appears to be cardiac arrest secondary to ventricular tachycardia secondary to hypoxic respiratory failure secondary to COVID- 19 pneumonia."
	"1727109-1"	"1727109-1"	"BRADYCARDIA"	"10006093"	"30-39 years"	"30-39"	"obese 35yoM who presents with acute SOB which was found in the ED due to acute COVID 19. He is diaphoretic, and speaks in only short sentences, frequently expressing varying preference for BPAP or facemask. He received the Moderna vaccine series several months prior, and had been in his usual state of good health prior to the abrupt onset of symptoms. He takes medication for hypertension.  DISCHARGE DIAGNOSIS: 1. Acute hypoxic respiratory failure secondary to COVID- 19 pneumonia 2. COVID- 19 pneumonia with super-imposed bacterial pneumonia 3. Sepsis secondary to above on pressor support 4. Obesity with body mass index 57 5. Elevated D-dimer He was started on NRB and BPAP, as well as all COVID therapies of steroids, anticoagulation, Colchicine, and Ivermectin. He was also started on broad spectrum antibiotics for possible super-imposed bacterial pneumonia. His oxygenation worsened and he was intubated on 8/8. His O2 levels remained difficult to control and the AM of 8/9 he was proned with increasing PEEP. His oxygenation improved and he appeared to be overall stabilizing by 8/10. The afternoon of 8/10, he was getting suctioned by RT and was noted to become bradycardic, however, this quickly resolved with Atropine and was attributed to increased vasovagal tone secondary to prone positioning and increased PEEP. He remained HD stable and his O2 remained 90s (Last recorded VS HR 61, RR 24, BP 111/67, and O2 99%). Unfortunately, at approximately 2117 the patient developed an irregular heart rate before going into ventricular tachycardia and then asystole. He was started on medical management as per guidelines and CPR was initiated as soon as possible under the direction of Dr. was never obtained and Dr called at 2150. The patient's family was informed of his passing and all questions were answered. Cause of death appears to be cardiac arrest secondary to ventricular tachycardia secondary to hypoxic respiratory failure secondary to COVID- 19 pneumonia."
	"1727109-1"	"1727109-1"	"C-REACTIVE PROTEIN"	"10006824"	"30-39 years"	"30-39"	"obese 35yoM who presents with acute SOB which was found in the ED due to acute COVID 19. He is diaphoretic, and speaks in only short sentences, frequently expressing varying preference for BPAP or facemask. He received the Moderna vaccine series several months prior, and had been in his usual state of good health prior to the abrupt onset of symptoms. He takes medication for hypertension.  DISCHARGE DIAGNOSIS: 1. Acute hypoxic respiratory failure secondary to COVID- 19 pneumonia 2. COVID- 19 pneumonia with super-imposed bacterial pneumonia 3. Sepsis secondary to above on pressor support 4. Obesity with body mass index 57 5. Elevated D-dimer He was started on NRB and BPAP, as well as all COVID therapies of steroids, anticoagulation, Colchicine, and Ivermectin. He was also started on broad spectrum antibiotics for possible super-imposed bacterial pneumonia. His oxygenation worsened and he was intubated on 8/8. His O2 levels remained difficult to control and the AM of 8/9 he was proned with increasing PEEP. His oxygenation improved and he appeared to be overall stabilizing by 8/10. The afternoon of 8/10, he was getting suctioned by RT and was noted to become bradycardic, however, this quickly resolved with Atropine and was attributed to increased vasovagal tone secondary to prone positioning and increased PEEP. He remained HD stable and his O2 remained 90s (Last recorded VS HR 61, RR 24, BP 111/67, and O2 99%). Unfortunately, at approximately 2117 the patient developed an irregular heart rate before going into ventricular tachycardia and then asystole. He was started on medical management as per guidelines and CPR was initiated as soon as possible under the direction of Dr. was never obtained and Dr called at 2150. The patient's family was informed of his passing and all questions were answered. Cause of death appears to be cardiac arrest secondary to ventricular tachycardia secondary to hypoxic respiratory failure secondary to COVID- 19 pneumonia."
	"1727109-1"	"1727109-1"	"CARDIAC ARREST"	"10007515"	"30-39 years"	"30-39"	"obese 35yoM who presents with acute SOB which was found in the ED due to acute COVID 19. He is diaphoretic, and speaks in only short sentences, frequently expressing varying preference for BPAP or facemask. He received the Moderna vaccine series several months prior, and had been in his usual state of good health prior to the abrupt onset of symptoms. He takes medication for hypertension.  DISCHARGE DIAGNOSIS: 1. Acute hypoxic respiratory failure secondary to COVID- 19 pneumonia 2. COVID- 19 pneumonia with super-imposed bacterial pneumonia 3. Sepsis secondary to above on pressor support 4. Obesity with body mass index 57 5. Elevated D-dimer He was started on NRB and BPAP, as well as all COVID therapies of steroids, anticoagulation, Colchicine, and Ivermectin. He was also started on broad spectrum antibiotics for possible super-imposed bacterial pneumonia. His oxygenation worsened and he was intubated on 8/8. His O2 levels remained difficult to control and the AM of 8/9 he was proned with increasing PEEP. His oxygenation improved and he appeared to be overall stabilizing by 8/10. The afternoon of 8/10, he was getting suctioned by RT and was noted to become bradycardic, however, this quickly resolved with Atropine and was attributed to increased vasovagal tone secondary to prone positioning and increased PEEP. He remained HD stable and his O2 remained 90s (Last recorded VS HR 61, RR 24, BP 111/67, and O2 99%). Unfortunately, at approximately 2117 the patient developed an irregular heart rate before going into ventricular tachycardia and then asystole. He was started on medical management as per guidelines and CPR was initiated as soon as possible under the direction of Dr. was never obtained and Dr called at 2150. The patient's family was informed of his passing and all questions were answered. Cause of death appears to be cardiac arrest secondary to ventricular tachycardia secondary to hypoxic respiratory failure secondary to COVID- 19 pneumonia."
	"1727109-1"	"1727109-1"	"CHEST X-RAY ABNORMAL"	"10008499"	"30-39 years"	"30-39"	"obese 35yoM who presents with acute SOB which was found in the ED due to acute COVID 19. He is diaphoretic, and speaks in only short sentences, frequently expressing varying preference for BPAP or facemask. He received the Moderna vaccine series several months prior, and had been in his usual state of good health prior to the abrupt onset of symptoms. He takes medication for hypertension.  DISCHARGE DIAGNOSIS: 1. Acute hypoxic respiratory failure secondary to COVID- 19 pneumonia 2. COVID- 19 pneumonia with super-imposed bacterial pneumonia 3. Sepsis secondary to above on pressor support 4. Obesity with body mass index 57 5. Elevated D-dimer He was started on NRB and BPAP, as well as all COVID therapies of steroids, anticoagulation, Colchicine, and Ivermectin. He was also started on broad spectrum antibiotics for possible super-imposed bacterial pneumonia. His oxygenation worsened and he was intubated on 8/8. His O2 levels remained difficult to control and the AM of 8/9 he was proned with increasing PEEP. His oxygenation improved and he appeared to be overall stabilizing by 8/10. The afternoon of 8/10, he was getting suctioned by RT and was noted to become bradycardic, however, this quickly resolved with Atropine and was attributed to increased vasovagal tone secondary to prone positioning and increased PEEP. He remained HD stable and his O2 remained 90s (Last recorded VS HR 61, RR 24, BP 111/67, and O2 99%). Unfortunately, at approximately 2117 the patient developed an irregular heart rate before going into ventricular tachycardia and then asystole. He was started on medical management as per guidelines and CPR was initiated as soon as possible under the direction of Dr. was never obtained and Dr called at 2150. The patient's family was informed of his passing and all questions were answered. Cause of death appears to be cardiac arrest secondary to ventricular tachycardia secondary to hypoxic respiratory failure secondary to COVID- 19 pneumonia."
	"1727109-1"	"1727109-1"	"COMPUTERISED TOMOGRAM THORAX ABNORMAL"	"10057799"	"30-39 years"	"30-39"	"obese 35yoM who presents with acute SOB which was found in the ED due to acute COVID 19. He is diaphoretic, and speaks in only short sentences, frequently expressing varying preference for BPAP or facemask. He received the Moderna vaccine series several months prior, and had been in his usual state of good health prior to the abrupt onset of symptoms. He takes medication for hypertension.  DISCHARGE DIAGNOSIS: 1. Acute hypoxic respiratory failure secondary to COVID- 19 pneumonia 2. COVID- 19 pneumonia with super-imposed bacterial pneumonia 3. Sepsis secondary to above on pressor support 4. Obesity with body mass index 57 5. Elevated D-dimer He was started on NRB and BPAP, as well as all COVID therapies of steroids, anticoagulation, Colchicine, and Ivermectin. He was also started on broad spectrum antibiotics for possible super-imposed bacterial pneumonia. His oxygenation worsened and he was intubated on 8/8. His O2 levels remained difficult to control and the AM of 8/9 he was proned with increasing PEEP. His oxygenation improved and he appeared to be overall stabilizing by 8/10. The afternoon of 8/10, he was getting suctioned by RT and was noted to become bradycardic, however, this quickly resolved with Atropine and was attributed to increased vasovagal tone secondary to prone positioning and increased PEEP. He remained HD stable and his O2 remained 90s (Last recorded VS HR 61, RR 24, BP 111/67, and O2 99%). Unfortunately, at approximately 2117 the patient developed an irregular heart rate before going into ventricular tachycardia and then asystole. He was started on medical management as per guidelines and CPR was initiated as soon as possible under the direction of Dr. was never obtained and Dr called at 2150. The patient's family was informed of his passing and all questions were answered. Cause of death appears to be cardiac arrest secondary to ventricular tachycardia secondary to hypoxic respiratory failure secondary to COVID- 19 pneumonia."
	"1727109-1"	"1727109-1"	"COVID-19"	"10084268"	"30-39 years"	"30-39"	"obese 35yoM who presents with acute SOB which was found in the ED due to acute COVID 19. He is diaphoretic, and speaks in only short sentences, frequently expressing varying preference for BPAP or facemask. He received the Moderna vaccine series several months prior, and had been in his usual state of good health prior to the abrupt onset of symptoms. He takes medication for hypertension.  DISCHARGE DIAGNOSIS: 1. Acute hypoxic respiratory failure secondary to COVID- 19 pneumonia 2. COVID- 19 pneumonia with super-imposed bacterial pneumonia 3. Sepsis secondary to above on pressor support 4. Obesity with body mass index 57 5. Elevated D-dimer He was started on NRB and BPAP, as well as all COVID therapies of steroids, anticoagulation, Colchicine, and Ivermectin. He was also started on broad spectrum antibiotics for possible super-imposed bacterial pneumonia. His oxygenation worsened and he was intubated on 8/8. His O2 levels remained difficult to control and the AM of 8/9 he was proned with increasing PEEP. His oxygenation improved and he appeared to be overall stabilizing by 8/10. The afternoon of 8/10, he was getting suctioned by RT and was noted to become bradycardic, however, this quickly resolved with Atropine and was attributed to increased vasovagal tone secondary to prone positioning and increased PEEP. He remained HD stable and his O2 remained 90s (Last recorded VS HR 61, RR 24, BP 111/67, and O2 99%). Unfortunately, at approximately 2117 the patient developed an irregular heart rate before going into ventricular tachycardia and then asystole. He was started on medical management as per guidelines and CPR was initiated as soon as possible under the direction of Dr. was never obtained and Dr called at 2150. The patient's family was informed of his passing and all questions were answered. Cause of death appears to be cardiac arrest secondary to ventricular tachycardia secondary to hypoxic respiratory failure secondary to COVID- 19 pneumonia."
	"1727109-1"	"1727109-1"	"COVID-19 PNEUMONIA"	"10084380"	"30-39 years"	"30-39"	"obese 35yoM who presents with acute SOB which was found in the ED due to acute COVID 19. He is diaphoretic, and speaks in only short sentences, frequently expressing varying preference for BPAP or facemask. He received the Moderna vaccine series several months prior, and had been in his usual state of good health prior to the abrupt onset of symptoms. He takes medication for hypertension.  DISCHARGE DIAGNOSIS: 1. Acute hypoxic respiratory failure secondary to COVID- 19 pneumonia 2. COVID- 19 pneumonia with super-imposed bacterial pneumonia 3. Sepsis secondary to above on pressor support 4. Obesity with body mass index 57 5. Elevated D-dimer He was started on NRB and BPAP, as well as all COVID therapies of steroids, anticoagulation, Colchicine, and Ivermectin. He was also started on broad spectrum antibiotics for possible super-imposed bacterial pneumonia. His oxygenation worsened and he was intubated on 8/8. His O2 levels remained difficult to control and the AM of 8/9 he was proned with increasing PEEP. His oxygenation improved and he appeared to be overall stabilizing by 8/10. The afternoon of 8/10, he was getting suctioned by RT and was noted to become bradycardic, however, this quickly resolved with Atropine and was attributed to increased vasovagal tone secondary to prone positioning and increased PEEP. He remained HD stable and his O2 remained 90s (Last recorded VS HR 61, RR 24, BP 111/67, and O2 99%). Unfortunately, at approximately 2117 the patient developed an irregular heart rate before going into ventricular tachycardia and then asystole. He was started on medical management as per guidelines and CPR was initiated as soon as possible under the direction of Dr. was never obtained and Dr called at 2150. The patient's family was informed of his passing and all questions were answered. Cause of death appears to be cardiac arrest secondary to ventricular tachycardia secondary to hypoxic respiratory failure secondary to COVID- 19 pneumonia."
	"1727109-1"	"1727109-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"obese 35yoM who presents with acute SOB which was found in the ED due to acute COVID 19. He is diaphoretic, and speaks in only short sentences, frequently expressing varying preference for BPAP or facemask. He received the Moderna vaccine series several months prior, and had been in his usual state of good health prior to the abrupt onset of symptoms. He takes medication for hypertension.  DISCHARGE DIAGNOSIS: 1. Acute hypoxic respiratory failure secondary to COVID- 19 pneumonia 2. COVID- 19 pneumonia with super-imposed bacterial pneumonia 3. Sepsis secondary to above on pressor support 4. Obesity with body mass index 57 5. Elevated D-dimer He was started on NRB and BPAP, as well as all COVID therapies of steroids, anticoagulation, Colchicine, and Ivermectin. He was also started on broad spectrum antibiotics for possible super-imposed bacterial pneumonia. His oxygenation worsened and he was intubated on 8/8. His O2 levels remained difficult to control and the AM of 8/9 he was proned with increasing PEEP. His oxygenation improved and he appeared to be overall stabilizing by 8/10. The afternoon of 8/10, he was getting suctioned by RT and was noted to become bradycardic, however, this quickly resolved with Atropine and was attributed to increased vasovagal tone secondary to prone positioning and increased PEEP. He remained HD stable and his O2 remained 90s (Last recorded VS HR 61, RR 24, BP 111/67, and O2 99%). Unfortunately, at approximately 2117 the patient developed an irregular heart rate before going into ventricular tachycardia and then asystole. He was started on medical management as per guidelines and CPR was initiated as soon as possible under the direction of Dr. was never obtained and Dr called at 2150. The patient's family was informed of his passing and all questions were answered. Cause of death appears to be cardiac arrest secondary to ventricular tachycardia secondary to hypoxic respiratory failure secondary to COVID- 19 pneumonia."
	"1727109-1"	"1727109-1"	"DYSPNOEA"	"10013968"	"30-39 years"	"30-39"	"obese 35yoM who presents with acute SOB which was found in the ED due to acute COVID 19. He is diaphoretic, and speaks in only short sentences, frequently expressing varying preference for BPAP or facemask. He received the Moderna vaccine series several months prior, and had been in his usual state of good health prior to the abrupt onset of symptoms. He takes medication for hypertension.  DISCHARGE DIAGNOSIS: 1. Acute hypoxic respiratory failure secondary to COVID- 19 pneumonia 2. COVID- 19 pneumonia with super-imposed bacterial pneumonia 3. Sepsis secondary to above on pressor support 4. Obesity with body mass index 57 5. Elevated D-dimer He was started on NRB and BPAP, as well as all COVID therapies of steroids, anticoagulation, Colchicine, and Ivermectin. He was also started on broad spectrum antibiotics for possible super-imposed bacterial pneumonia. His oxygenation worsened and he was intubated on 8/8. His O2 levels remained difficult to control and the AM of 8/9 he was proned with increasing PEEP. His oxygenation improved and he appeared to be overall stabilizing by 8/10. The afternoon of 8/10, he was getting suctioned by RT and was noted to become bradycardic, however, this quickly resolved with Atropine and was attributed to increased vasovagal tone secondary to prone positioning and increased PEEP. He remained HD stable and his O2 remained 90s (Last recorded VS HR 61, RR 24, BP 111/67, and O2 99%). Unfortunately, at approximately 2117 the patient developed an irregular heart rate before going into ventricular tachycardia and then asystole. He was started on medical management as per guidelines and CPR was initiated as soon as possible under the direction of Dr. was never obtained and Dr called at 2150. The patient's family was informed of his passing and all questions were answered. Cause of death appears to be cardiac arrest secondary to ventricular tachycardia secondary to hypoxic respiratory failure secondary to COVID- 19 pneumonia."
	"1727109-1"	"1727109-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"30-39 years"	"30-39"	"obese 35yoM who presents with acute SOB which was found in the ED due to acute COVID 19. He is diaphoretic, and speaks in only short sentences, frequently expressing varying preference for BPAP or facemask. He received the Moderna vaccine series several months prior, and had been in his usual state of good health prior to the abrupt onset of symptoms. He takes medication for hypertension.  DISCHARGE DIAGNOSIS: 1. Acute hypoxic respiratory failure secondary to COVID- 19 pneumonia 2. COVID- 19 pneumonia with super-imposed bacterial pneumonia 3. Sepsis secondary to above on pressor support 4. Obesity with body mass index 57 5. Elevated D-dimer He was started on NRB and BPAP, as well as all COVID therapies of steroids, anticoagulation, Colchicine, and Ivermectin. He was also started on broad spectrum antibiotics for possible super-imposed bacterial pneumonia. His oxygenation worsened and he was intubated on 8/8. His O2 levels remained difficult to control and the AM of 8/9 he was proned with increasing PEEP. His oxygenation improved and he appeared to be overall stabilizing by 8/10. The afternoon of 8/10, he was getting suctioned by RT and was noted to become bradycardic, however, this quickly resolved with Atropine and was attributed to increased vasovagal tone secondary to prone positioning and increased PEEP. He remained HD stable and his O2 remained 90s (Last recorded VS HR 61, RR 24, BP 111/67, and O2 99%). Unfortunately, at approximately 2117 the patient developed an irregular heart rate before going into ventricular tachycardia and then asystole. He was started on medical management as per guidelines and CPR was initiated as soon as possible under the direction of Dr. was never obtained and Dr called at 2150. The patient's family was informed of his passing and all questions were answered. Cause of death appears to be cardiac arrest secondary to ventricular tachycardia secondary to hypoxic respiratory failure secondary to COVID- 19 pneumonia."
	"1727109-1"	"1727109-1"	"FIBRIN D DIMER INCREASED"	"10016581"	"30-39 years"	"30-39"	"obese 35yoM who presents with acute SOB which was found in the ED due to acute COVID 19. He is diaphoretic, and speaks in only short sentences, frequently expressing varying preference for BPAP or facemask. He received the Moderna vaccine series several months prior, and had been in his usual state of good health prior to the abrupt onset of symptoms. He takes medication for hypertension.  DISCHARGE DIAGNOSIS: 1. Acute hypoxic respiratory failure secondary to COVID- 19 pneumonia 2. COVID- 19 pneumonia with super-imposed bacterial pneumonia 3. Sepsis secondary to above on pressor support 4. Obesity with body mass index 57 5. Elevated D-dimer He was started on NRB and BPAP, as well as all COVID therapies of steroids, anticoagulation, Colchicine, and Ivermectin. He was also started on broad spectrum antibiotics for possible super-imposed bacterial pneumonia. His oxygenation worsened and he was intubated on 8/8. His O2 levels remained difficult to control and the AM of 8/9 he was proned with increasing PEEP. His oxygenation improved and he appeared to be overall stabilizing by 8/10. The afternoon of 8/10, he was getting suctioned by RT and was noted to become bradycardic, however, this quickly resolved with Atropine and was attributed to increased vasovagal tone secondary to prone positioning and increased PEEP. He remained HD stable and his O2 remained 90s (Last recorded VS HR 61, RR 24, BP 111/67, and O2 99%). Unfortunately, at approximately 2117 the patient developed an irregular heart rate before going into ventricular tachycardia and then asystole. He was started on medical management as per guidelines and CPR was initiated as soon as possible under the direction of Dr. was never obtained and Dr called at 2150. The patient's family was informed of his passing and all questions were answered. Cause of death appears to be cardiac arrest secondary to ventricular tachycardia secondary to hypoxic respiratory failure secondary to COVID- 19 pneumonia."
	"1727109-1"	"1727109-1"	"FULL BLOOD COUNT"	"10017411"	"30-39 years"	"30-39"	"obese 35yoM who presents with acute SOB which was found in the ED due to acute COVID 19. He is diaphoretic, and speaks in only short sentences, frequently expressing varying preference for BPAP or facemask. He received the Moderna vaccine series several months prior, and had been in his usual state of good health prior to the abrupt onset of symptoms. He takes medication for hypertension.  DISCHARGE DIAGNOSIS: 1. Acute hypoxic respiratory failure secondary to COVID- 19 pneumonia 2. COVID- 19 pneumonia with super-imposed bacterial pneumonia 3. Sepsis secondary to above on pressor support 4. Obesity with body mass index 57 5. Elevated D-dimer He was started on NRB and BPAP, as well as all COVID therapies of steroids, anticoagulation, Colchicine, and Ivermectin. He was also started on broad spectrum antibiotics for possible super-imposed bacterial pneumonia. His oxygenation worsened and he was intubated on 8/8. His O2 levels remained difficult to control and the AM of 8/9 he was proned with increasing PEEP. His oxygenation improved and he appeared to be overall stabilizing by 8/10. The afternoon of 8/10, he was getting suctioned by RT and was noted to become bradycardic, however, this quickly resolved with Atropine and was attributed to increased vasovagal tone secondary to prone positioning and increased PEEP. He remained HD stable and his O2 remained 90s (Last recorded VS HR 61, RR 24, BP 111/67, and O2 99%). Unfortunately, at approximately 2117 the patient developed an irregular heart rate before going into ventricular tachycardia and then asystole. He was started on medical management as per guidelines and CPR was initiated as soon as possible under the direction of Dr. was never obtained and Dr called at 2150. The patient's family was informed of his passing and all questions were answered. Cause of death appears to be cardiac arrest secondary to ventricular tachycardia secondary to hypoxic respiratory failure secondary to COVID- 19 pneumonia."
	"1727109-1"	"1727109-1"	"HEART RATE IRREGULAR"	"10019304"	"30-39 years"	"30-39"	"obese 35yoM who presents with acute SOB which was found in the ED due to acute COVID 19. He is diaphoretic, and speaks in only short sentences, frequently expressing varying preference for BPAP or facemask. He received the Moderna vaccine series several months prior, and had been in his usual state of good health prior to the abrupt onset of symptoms. He takes medication for hypertension.  DISCHARGE DIAGNOSIS: 1. Acute hypoxic respiratory failure secondary to COVID- 19 pneumonia 2. COVID- 19 pneumonia with super-imposed bacterial pneumonia 3. Sepsis secondary to above on pressor support 4. Obesity with body mass index 57 5. Elevated D-dimer He was started on NRB and BPAP, as well as all COVID therapies of steroids, anticoagulation, Colchicine, and Ivermectin. He was also started on broad spectrum antibiotics for possible super-imposed bacterial pneumonia. His oxygenation worsened and he was intubated on 8/8. His O2 levels remained difficult to control and the AM of 8/9 he was proned with increasing PEEP. His oxygenation improved and he appeared to be overall stabilizing by 8/10. The afternoon of 8/10, he was getting suctioned by RT and was noted to become bradycardic, however, this quickly resolved with Atropine and was attributed to increased vasovagal tone secondary to prone positioning and increased PEEP. He remained HD stable and his O2 remained 90s (Last recorded VS HR 61, RR 24, BP 111/67, and O2 99%). Unfortunately, at approximately 2117 the patient developed an irregular heart rate before going into ventricular tachycardia and then asystole. He was started on medical management as per guidelines and CPR was initiated as soon as possible under the direction of Dr. was never obtained and Dr called at 2150. The patient's family was informed of his passing and all questions were answered. Cause of death appears to be cardiac arrest secondary to ventricular tachycardia secondary to hypoxic respiratory failure secondary to COVID- 19 pneumonia."
	"1727109-1"	"1727109-1"	"HYPERHIDROSIS"	"10020642"	"30-39 years"	"30-39"	"obese 35yoM who presents with acute SOB which was found in the ED due to acute COVID 19. He is diaphoretic, and speaks in only short sentences, frequently expressing varying preference for BPAP or facemask. He received the Moderna vaccine series several months prior, and had been in his usual state of good health prior to the abrupt onset of symptoms. He takes medication for hypertension.  DISCHARGE DIAGNOSIS: 1. Acute hypoxic respiratory failure secondary to COVID- 19 pneumonia 2. COVID- 19 pneumonia with super-imposed bacterial pneumonia 3. Sepsis secondary to above on pressor support 4. Obesity with body mass index 57 5. Elevated D-dimer He was started on NRB and BPAP, as well as all COVID therapies of steroids, anticoagulation, Colchicine, and Ivermectin. He was also started on broad spectrum antibiotics for possible super-imposed bacterial pneumonia. His oxygenation worsened and he was intubated on 8/8. His O2 levels remained difficult to control and the AM of 8/9 he was proned with increasing PEEP. His oxygenation improved and he appeared to be overall stabilizing by 8/10. The afternoon of 8/10, he was getting suctioned by RT and was noted to become bradycardic, however, this quickly resolved with Atropine and was attributed to increased vasovagal tone secondary to prone positioning and increased PEEP. He remained HD stable and his O2 remained 90s (Last recorded VS HR 61, RR 24, BP 111/67, and O2 99%). Unfortunately, at approximately 2117 the patient developed an irregular heart rate before going into ventricular tachycardia and then asystole. He was started on medical management as per guidelines and CPR was initiated as soon as possible under the direction of Dr. was never obtained and Dr called at 2150. The patient's family was informed of his passing and all questions were answered. Cause of death appears to be cardiac arrest secondary to ventricular tachycardia secondary to hypoxic respiratory failure secondary to COVID- 19 pneumonia."
	"1727109-1"	"1727109-1"	"LIVER FUNCTION TEST"	"10060105"	"30-39 years"	"30-39"	"obese 35yoM who presents with acute SOB which was found in the ED due to acute COVID 19. He is diaphoretic, and speaks in only short sentences, frequently expressing varying preference for BPAP or facemask. He received the Moderna vaccine series several months prior, and had been in his usual state of good health prior to the abrupt onset of symptoms. He takes medication for hypertension.  DISCHARGE DIAGNOSIS: 1. Acute hypoxic respiratory failure secondary to COVID- 19 pneumonia 2. COVID- 19 pneumonia with super-imposed bacterial pneumonia 3. Sepsis secondary to above on pressor support 4. Obesity with body mass index 57 5. Elevated D-dimer He was started on NRB and BPAP, as well as all COVID therapies of steroids, anticoagulation, Colchicine, and Ivermectin. He was also started on broad spectrum antibiotics for possible super-imposed bacterial pneumonia. His oxygenation worsened and he was intubated on 8/8. His O2 levels remained difficult to control and the AM of 8/9 he was proned with increasing PEEP. His oxygenation improved and he appeared to be overall stabilizing by 8/10. The afternoon of 8/10, he was getting suctioned by RT and was noted to become bradycardic, however, this quickly resolved with Atropine and was attributed to increased vasovagal tone secondary to prone positioning and increased PEEP. He remained HD stable and his O2 remained 90s (Last recorded VS HR 61, RR 24, BP 111/67, and O2 99%). Unfortunately, at approximately 2117 the patient developed an irregular heart rate before going into ventricular tachycardia and then asystole. He was started on medical management as per guidelines and CPR was initiated as soon as possible under the direction of Dr. was never obtained and Dr called at 2150. The patient's family was informed of his passing and all questions were answered. Cause of death appears to be cardiac arrest secondary to ventricular tachycardia secondary to hypoxic respiratory failure secondary to COVID- 19 pneumonia."
	"1727109-1"	"1727109-1"	"METABOLIC FUNCTION TEST"	"10062191"	"30-39 years"	"30-39"	"obese 35yoM who presents with acute SOB which was found in the ED due to acute COVID 19. He is diaphoretic, and speaks in only short sentences, frequently expressing varying preference for BPAP or facemask. He received the Moderna vaccine series several months prior, and had been in his usual state of good health prior to the abrupt onset of symptoms. He takes medication for hypertension.  DISCHARGE DIAGNOSIS: 1. Acute hypoxic respiratory failure secondary to COVID- 19 pneumonia 2. COVID- 19 pneumonia with super-imposed bacterial pneumonia 3. Sepsis secondary to above on pressor support 4. Obesity with body mass index 57 5. Elevated D-dimer He was started on NRB and BPAP, as well as all COVID therapies of steroids, anticoagulation, Colchicine, and Ivermectin. He was also started on broad spectrum antibiotics for possible super-imposed bacterial pneumonia. His oxygenation worsened and he was intubated on 8/8. His O2 levels remained difficult to control and the AM of 8/9 he was proned with increasing PEEP. His oxygenation improved and he appeared to be overall stabilizing by 8/10. The afternoon of 8/10, he was getting suctioned by RT and was noted to become bradycardic, however, this quickly resolved with Atropine and was attributed to increased vasovagal tone secondary to prone positioning and increased PEEP. He remained HD stable and his O2 remained 90s (Last recorded VS HR 61, RR 24, BP 111/67, and O2 99%). Unfortunately, at approximately 2117 the patient developed an irregular heart rate before going into ventricular tachycardia and then asystole. He was started on medical management as per guidelines and CPR was initiated as soon as possible under the direction of Dr. was never obtained and Dr called at 2150. The patient's family was informed of his passing and all questions were answered. Cause of death appears to be cardiac arrest secondary to ventricular tachycardia secondary to hypoxic respiratory failure secondary to COVID- 19 pneumonia."
	"1727109-1"	"1727109-1"	"PNEUMONIA BACTERIAL"	"10060946"	"30-39 years"	"30-39"	"obese 35yoM who presents with acute SOB which was found in the ED due to acute COVID 19. He is diaphoretic, and speaks in only short sentences, frequently expressing varying preference for BPAP or facemask. He received the Moderna vaccine series several months prior, and had been in his usual state of good health prior to the abrupt onset of symptoms. He takes medication for hypertension.  DISCHARGE DIAGNOSIS: 1. Acute hypoxic respiratory failure secondary to COVID- 19 pneumonia 2. COVID- 19 pneumonia with super-imposed bacterial pneumonia 3. Sepsis secondary to above on pressor support 4. Obesity with body mass index 57 5. Elevated D-dimer He was started on NRB and BPAP, as well as all COVID therapies of steroids, anticoagulation, Colchicine, and Ivermectin. He was also started on broad spectrum antibiotics for possible super-imposed bacterial pneumonia. His oxygenation worsened and he was intubated on 8/8. His O2 levels remained difficult to control and the AM of 8/9 he was proned with increasing PEEP. His oxygenation improved and he appeared to be overall stabilizing by 8/10. The afternoon of 8/10, he was getting suctioned by RT and was noted to become bradycardic, however, this quickly resolved with Atropine and was attributed to increased vasovagal tone secondary to prone positioning and increased PEEP. He remained HD stable and his O2 remained 90s (Last recorded VS HR 61, RR 24, BP 111/67, and O2 99%). Unfortunately, at approximately 2117 the patient developed an irregular heart rate before going into ventricular tachycardia and then asystole. He was started on medical management as per guidelines and CPR was initiated as soon as possible under the direction of Dr. was never obtained and Dr called at 2150. The patient's family was informed of his passing and all questions were answered. Cause of death appears to be cardiac arrest secondary to ventricular tachycardia secondary to hypoxic respiratory failure secondary to COVID- 19 pneumonia."
	"1727109-1"	"1727109-1"	"POSITIVE AIRWAY PRESSURE THERAPY"	"10086397"	"30-39 years"	"30-39"	"obese 35yoM who presents with acute SOB which was found in the ED due to acute COVID 19. He is diaphoretic, and speaks in only short sentences, frequently expressing varying preference for BPAP or facemask. He received the Moderna vaccine series several months prior, and had been in his usual state of good health prior to the abrupt onset of symptoms. He takes medication for hypertension.  DISCHARGE DIAGNOSIS: 1. Acute hypoxic respiratory failure secondary to COVID- 19 pneumonia 2. COVID- 19 pneumonia with super-imposed bacterial pneumonia 3. Sepsis secondary to above on pressor support 4. Obesity with body mass index 57 5. Elevated D-dimer He was started on NRB and BPAP, as well as all COVID therapies of steroids, anticoagulation, Colchicine, and Ivermectin. He was also started on broad spectrum antibiotics for possible super-imposed bacterial pneumonia. His oxygenation worsened and he was intubated on 8/8. His O2 levels remained difficult to control and the AM of 8/9 he was proned with increasing PEEP. His oxygenation improved and he appeared to be overall stabilizing by 8/10. The afternoon of 8/10, he was getting suctioned by RT and was noted to become bradycardic, however, this quickly resolved with Atropine and was attributed to increased vasovagal tone secondary to prone positioning and increased PEEP. He remained HD stable and his O2 remained 90s (Last recorded VS HR 61, RR 24, BP 111/67, and O2 99%). Unfortunately, at approximately 2117 the patient developed an irregular heart rate before going into ventricular tachycardia and then asystole. He was started on medical management as per guidelines and CPR was initiated as soon as possible under the direction of Dr. was never obtained and Dr called at 2150. The patient's family was informed of his passing and all questions were answered. Cause of death appears to be cardiac arrest secondary to ventricular tachycardia secondary to hypoxic respiratory failure secondary to COVID- 19 pneumonia."
	"1727109-1"	"1727109-1"	"POSITIVE END-EXPIRATORY PRESSURE"	"10059890"	"30-39 years"	"30-39"	"obese 35yoM who presents with acute SOB which was found in the ED due to acute COVID 19. He is diaphoretic, and speaks in only short sentences, frequently expressing varying preference for BPAP or facemask. He received the Moderna vaccine series several months prior, and had been in his usual state of good health prior to the abrupt onset of symptoms. He takes medication for hypertension.  DISCHARGE DIAGNOSIS: 1. Acute hypoxic respiratory failure secondary to COVID- 19 pneumonia 2. COVID- 19 pneumonia with super-imposed bacterial pneumonia 3. Sepsis secondary to above on pressor support 4. Obesity with body mass index 57 5. Elevated D-dimer He was started on NRB and BPAP, as well as all COVID therapies of steroids, anticoagulation, Colchicine, and Ivermectin. He was also started on broad spectrum antibiotics for possible super-imposed bacterial pneumonia. His oxygenation worsened and he was intubated on 8/8. His O2 levels remained difficult to control and the AM of 8/9 he was proned with increasing PEEP. His oxygenation improved and he appeared to be overall stabilizing by 8/10. The afternoon of 8/10, he was getting suctioned by RT and was noted to become bradycardic, however, this quickly resolved with Atropine and was attributed to increased vasovagal tone secondary to prone positioning and increased PEEP. He remained HD stable and his O2 remained 90s (Last recorded VS HR 61, RR 24, BP 111/67, and O2 99%). Unfortunately, at approximately 2117 the patient developed an irregular heart rate before going into ventricular tachycardia and then asystole. He was started on medical management as per guidelines and CPR was initiated as soon as possible under the direction of Dr. was never obtained and Dr called at 2150. The patient's family was informed of his passing and all questions were answered. Cause of death appears to be cardiac arrest secondary to ventricular tachycardia secondary to hypoxic respiratory failure secondary to COVID- 19 pneumonia."
	"1727109-1"	"1727109-1"	"PROTHROMBIN TIME"	"10037056"	"30-39 years"	"30-39"	"obese 35yoM who presents with acute SOB which was found in the ED due to acute COVID 19. He is diaphoretic, and speaks in only short sentences, frequently expressing varying preference for BPAP or facemask. He received the Moderna vaccine series several months prior, and had been in his usual state of good health prior to the abrupt onset of symptoms. He takes medication for hypertension.  DISCHARGE DIAGNOSIS: 1. Acute hypoxic respiratory failure secondary to COVID- 19 pneumonia 2. COVID- 19 pneumonia with super-imposed bacterial pneumonia 3. Sepsis secondary to above on pressor support 4. Obesity with body mass index 57 5. Elevated D-dimer He was started on NRB and BPAP, as well as all COVID therapies of steroids, anticoagulation, Colchicine, and Ivermectin. He was also started on broad spectrum antibiotics for possible super-imposed bacterial pneumonia. His oxygenation worsened and he was intubated on 8/8. His O2 levels remained difficult to control and the AM of 8/9 he was proned with increasing PEEP. His oxygenation improved and he appeared to be overall stabilizing by 8/10. The afternoon of 8/10, he was getting suctioned by RT and was noted to become bradycardic, however, this quickly resolved with Atropine and was attributed to increased vasovagal tone secondary to prone positioning and increased PEEP. He remained HD stable and his O2 remained 90s (Last recorded VS HR 61, RR 24, BP 111/67, and O2 99%). Unfortunately, at approximately 2117 the patient developed an irregular heart rate before going into ventricular tachycardia and then asystole. He was started on medical management as per guidelines and CPR was initiated as soon as possible under the direction of Dr. was never obtained and Dr called at 2150. The patient's family was informed of his passing and all questions were answered. Cause of death appears to be cardiac arrest secondary to ventricular tachycardia secondary to hypoxic respiratory failure secondary to COVID- 19 pneumonia."
	"1727109-1"	"1727109-1"	"RESUSCITATION"	"10038749"	"30-39 years"	"30-39"	"obese 35yoM who presents with acute SOB which was found in the ED due to acute COVID 19. He is diaphoretic, and speaks in only short sentences, frequently expressing varying preference for BPAP or facemask. He received the Moderna vaccine series several months prior, and had been in his usual state of good health prior to the abrupt onset of symptoms. He takes medication for hypertension.  DISCHARGE DIAGNOSIS: 1. Acute hypoxic respiratory failure secondary to COVID- 19 pneumonia 2. COVID- 19 pneumonia with super-imposed bacterial pneumonia 3. Sepsis secondary to above on pressor support 4. Obesity with body mass index 57 5. Elevated D-dimer He was started on NRB and BPAP, as well as all COVID therapies of steroids, anticoagulation, Colchicine, and Ivermectin. He was also started on broad spectrum antibiotics for possible super-imposed bacterial pneumonia. His oxygenation worsened and he was intubated on 8/8. His O2 levels remained difficult to control and the AM of 8/9 he was proned with increasing PEEP. His oxygenation improved and he appeared to be overall stabilizing by 8/10. The afternoon of 8/10, he was getting suctioned by RT and was noted to become bradycardic, however, this quickly resolved with Atropine and was attributed to increased vasovagal tone secondary to prone positioning and increased PEEP. He remained HD stable and his O2 remained 90s (Last recorded VS HR 61, RR 24, BP 111/67, and O2 99%). Unfortunately, at approximately 2117 the patient developed an irregular heart rate before going into ventricular tachycardia and then asystole. He was started on medical management as per guidelines and CPR was initiated as soon as possible under the direction of Dr. was never obtained and Dr called at 2150. The patient's family was informed of his passing and all questions were answered. Cause of death appears to be cardiac arrest secondary to ventricular tachycardia secondary to hypoxic respiratory failure secondary to COVID- 19 pneumonia."
	"1727109-1"	"1727109-1"	"SEPSIS"	"10040047"	"30-39 years"	"30-39"	"obese 35yoM who presents with acute SOB which was found in the ED due to acute COVID 19. He is diaphoretic, and speaks in only short sentences, frequently expressing varying preference for BPAP or facemask. He received the Moderna vaccine series several months prior, and had been in his usual state of good health prior to the abrupt onset of symptoms. He takes medication for hypertension.  DISCHARGE DIAGNOSIS: 1. Acute hypoxic respiratory failure secondary to COVID- 19 pneumonia 2. COVID- 19 pneumonia with super-imposed bacterial pneumonia 3. Sepsis secondary to above on pressor support 4. Obesity with body mass index 57 5. Elevated D-dimer He was started on NRB and BPAP, as well as all COVID therapies of steroids, anticoagulation, Colchicine, and Ivermectin. He was also started on broad spectrum antibiotics for possible super-imposed bacterial pneumonia. His oxygenation worsened and he was intubated on 8/8. His O2 levels remained difficult to control and the AM of 8/9 he was proned with increasing PEEP. His oxygenation improved and he appeared to be overall stabilizing by 8/10. The afternoon of 8/10, he was getting suctioned by RT and was noted to become bradycardic, however, this quickly resolved with Atropine and was attributed to increased vasovagal tone secondary to prone positioning and increased PEEP. He remained HD stable and his O2 remained 90s (Last recorded VS HR 61, RR 24, BP 111/67, and O2 99%). Unfortunately, at approximately 2117 the patient developed an irregular heart rate before going into ventricular tachycardia and then asystole. He was started on medical management as per guidelines and CPR was initiated as soon as possible under the direction of Dr. was never obtained and Dr called at 2150. The patient's family was informed of his passing and all questions were answered. Cause of death appears to be cardiac arrest secondary to ventricular tachycardia secondary to hypoxic respiratory failure secondary to COVID- 19 pneumonia."
	"1727109-1"	"1727109-1"	"SERUM FERRITIN"	"10040246"	"30-39 years"	"30-39"	"obese 35yoM who presents with acute SOB which was found in the ED due to acute COVID 19. He is diaphoretic, and speaks in only short sentences, frequently expressing varying preference for BPAP or facemask. He received the Moderna vaccine series several months prior, and had been in his usual state of good health prior to the abrupt onset of symptoms. He takes medication for hypertension.  DISCHARGE DIAGNOSIS: 1. Acute hypoxic respiratory failure secondary to COVID- 19 pneumonia 2. COVID- 19 pneumonia with super-imposed bacterial pneumonia 3. Sepsis secondary to above on pressor support 4. Obesity with body mass index 57 5. Elevated D-dimer He was started on NRB and BPAP, as well as all COVID therapies of steroids, anticoagulation, Colchicine, and Ivermectin. He was also started on broad spectrum antibiotics for possible super-imposed bacterial pneumonia. His oxygenation worsened and he was intubated on 8/8. His O2 levels remained difficult to control and the AM of 8/9 he was proned with increasing PEEP. His oxygenation improved and he appeared to be overall stabilizing by 8/10. The afternoon of 8/10, he was getting suctioned by RT and was noted to become bradycardic, however, this quickly resolved with Atropine and was attributed to increased vasovagal tone secondary to prone positioning and increased PEEP. He remained HD stable and his O2 remained 90s (Last recorded VS HR 61, RR 24, BP 111/67, and O2 99%). Unfortunately, at approximately 2117 the patient developed an irregular heart rate before going into ventricular tachycardia and then asystole. He was started on medical management as per guidelines and CPR was initiated as soon as possible under the direction of Dr. was never obtained and Dr called at 2150. The patient's family was informed of his passing and all questions were answered. Cause of death appears to be cardiac arrest secondary to ventricular tachycardia secondary to hypoxic respiratory failure secondary to COVID- 19 pneumonia."
	"1727109-1"	"1727109-1"	"VENTRICULAR TACHYCARDIA"	"10047302"	"30-39 years"	"30-39"	"obese 35yoM who presents with acute SOB which was found in the ED due to acute COVID 19. He is diaphoretic, and speaks in only short sentences, frequently expressing varying preference for BPAP or facemask. He received the Moderna vaccine series several months prior, and had been in his usual state of good health prior to the abrupt onset of symptoms. He takes medication for hypertension.  DISCHARGE DIAGNOSIS: 1. Acute hypoxic respiratory failure secondary to COVID- 19 pneumonia 2. COVID- 19 pneumonia with super-imposed bacterial pneumonia 3. Sepsis secondary to above on pressor support 4. Obesity with body mass index 57 5. Elevated D-dimer He was started on NRB and BPAP, as well as all COVID therapies of steroids, anticoagulation, Colchicine, and Ivermectin. He was also started on broad spectrum antibiotics for possible super-imposed bacterial pneumonia. His oxygenation worsened and he was intubated on 8/8. His O2 levels remained difficult to control and the AM of 8/9 he was proned with increasing PEEP. His oxygenation improved and he appeared to be overall stabilizing by 8/10. The afternoon of 8/10, he was getting suctioned by RT and was noted to become bradycardic, however, this quickly resolved with Atropine and was attributed to increased vasovagal tone secondary to prone positioning and increased PEEP. He remained HD stable and his O2 remained 90s (Last recorded VS HR 61, RR 24, BP 111/67, and O2 99%). Unfortunately, at approximately 2117 the patient developed an irregular heart rate before going into ventricular tachycardia and then asystole. He was started on medical management as per guidelines and CPR was initiated as soon as possible under the direction of Dr. was never obtained and Dr called at 2150. The patient's family was informed of his passing and all questions were answered. Cause of death appears to be cardiac arrest secondary to ventricular tachycardia secondary to hypoxic respiratory failure secondary to COVID- 19 pneumonia."
	"1736146-1"	"1736146-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Death"
	"1736739-1"	"1736739-1"	"CHEST X-RAY ABNORMAL"	"10008499"	"40-49 years"	"40-49"	"Pfizer-BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 2/6/2021 and 2/27/2021. Patient stated he received a third COVID vaccine around the 1st of September 2021 but unable to verify with documentation. Patient presented to ED on 9/9/2021 for hypoxia. Hospitalized for COVID pneumonia. Dexamethasone, levofloxacin, zosyn, vancomycin, and remdesivir were administered. Patient continued to decompensate throughout hospitalization. Patient was transitioned to comfort care on 9/20/2021 and expired at 1734 on 9/20/2021."
	"1736739-1"	"1736739-1"	"COVID-19 PNEUMONIA"	"10084380"	"40-49 years"	"40-49"	"Pfizer-BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 2/6/2021 and 2/27/2021. Patient stated he received a third COVID vaccine around the 1st of September 2021 but unable to verify with documentation. Patient presented to ED on 9/9/2021 for hypoxia. Hospitalized for COVID pneumonia. Dexamethasone, levofloxacin, zosyn, vancomycin, and remdesivir were administered. Patient continued to decompensate throughout hospitalization. Patient was transitioned to comfort care on 9/20/2021 and expired at 1734 on 9/20/2021."
	"1736739-1"	"1736739-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Pfizer-BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 2/6/2021 and 2/27/2021. Patient stated he received a third COVID vaccine around the 1st of September 2021 but unable to verify with documentation. Patient presented to ED on 9/9/2021 for hypoxia. Hospitalized for COVID pneumonia. Dexamethasone, levofloxacin, zosyn, vancomycin, and remdesivir were administered. Patient continued to decompensate throughout hospitalization. Patient was transitioned to comfort care on 9/20/2021 and expired at 1734 on 9/20/2021."
	"1736739-1"	"1736739-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"40-49 years"	"40-49"	"Pfizer-BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 2/6/2021 and 2/27/2021. Patient stated he received a third COVID vaccine around the 1st of September 2021 but unable to verify with documentation. Patient presented to ED on 9/9/2021 for hypoxia. Hospitalized for COVID pneumonia. Dexamethasone, levofloxacin, zosyn, vancomycin, and remdesivir were administered. Patient continued to decompensate throughout hospitalization. Patient was transitioned to comfort care on 9/20/2021 and expired at 1734 on 9/20/2021."
	"1736739-1"	"1736739-1"	"HYPOXIA"	"10021143"	"40-49 years"	"40-49"	"Pfizer-BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 2/6/2021 and 2/27/2021. Patient stated he received a third COVID vaccine around the 1st of September 2021 but unable to verify with documentation. Patient presented to ED on 9/9/2021 for hypoxia. Hospitalized for COVID pneumonia. Dexamethasone, levofloxacin, zosyn, vancomycin, and remdesivir were administered. Patient continued to decompensate throughout hospitalization. Patient was transitioned to comfort care on 9/20/2021 and expired at 1734 on 9/20/2021."
	"1736739-1"	"1736739-1"	"LUNG CONSOLIDATION"	"10025080"	"40-49 years"	"40-49"	"Pfizer-BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 2/6/2021 and 2/27/2021. Patient stated he received a third COVID vaccine around the 1st of September 2021 but unable to verify with documentation. Patient presented to ED on 9/9/2021 for hypoxia. Hospitalized for COVID pneumonia. Dexamethasone, levofloxacin, zosyn, vancomycin, and remdesivir were administered. Patient continued to decompensate throughout hospitalization. Patient was transitioned to comfort care on 9/20/2021 and expired at 1734 on 9/20/2021."
	"1736739-1"	"1736739-1"	"LYMPHADENOPATHY"	"10025197"	"40-49 years"	"40-49"	"Pfizer-BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 2/6/2021 and 2/27/2021. Patient stated he received a third COVID vaccine around the 1st of September 2021 but unable to verify with documentation. Patient presented to ED on 9/9/2021 for hypoxia. Hospitalized for COVID pneumonia. Dexamethasone, levofloxacin, zosyn, vancomycin, and remdesivir were administered. Patient continued to decompensate throughout hospitalization. Patient was transitioned to comfort care on 9/20/2021 and expired at 1734 on 9/20/2021."
	"1736739-1"	"1736739-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"40-49 years"	"40-49"	"Pfizer-BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 2/6/2021 and 2/27/2021. Patient stated he received a third COVID vaccine around the 1st of September 2021 but unable to verify with documentation. Patient presented to ED on 9/9/2021 for hypoxia. Hospitalized for COVID pneumonia. Dexamethasone, levofloxacin, zosyn, vancomycin, and remdesivir were administered. Patient continued to decompensate throughout hospitalization. Patient was transitioned to comfort care on 9/20/2021 and expired at 1734 on 9/20/2021."
	"1736821-1"	"1736821-1"	"ACUTE KIDNEY INJURY"	"10069339"	"40-49 years"	"40-49"	"42-year-old lady with a history of obesity who was recently admitted to outside hospital with COVID-19 pneumonia and associated complications including acute hypoxemic respiratory failure, ARDS, and AKI.  During the course of her hospitalization, she was treated with dexamethasone, remdesivir, tofacitinib, Plaquenil, and ivermectin.  She required intubation on 9/10 and developed cardiac arrest after a prolonged period of hypoxia on 9/12.  She was transferred for higher level care and treatment with CRRT.  She had a vascular catheter placed on 9/15 initiated dialysis that same night.  She had an echocardiogram on 9/15 that most notably showed RV was mildly dilated with moderately reduced function therefore she was started on therapeutic heparin given the concern for possible PE in the setting of Covid.  Patient underwent dialysis again on 9/17.  Lower extremity Dopplers were negative for DVTs on 9/16. From a respiratory standpoint, she is being treated with flolan and has been continued on zosyn and zyvox since admission. She was started on voriconazole on 9/17 and fungal labs (fungitel, galactomannan, blaso/histo Ag) were ordered for concern of possible underlying fungal infection. CT PE studay showed two RV thrombus. Therapeutic heparin was changed to argatroban to reduce fluid intake.  Unfortunately, despite our best efforts including maximizing ventilator settings and multiple rounds of hemodialysis patient continued to decline without improvement.  After discussion with family on 9/22 decision was made to transition patient to comfort care but to keep her on the ventilator.  On the morning of 9/23 at 0655 patient lost pulse and was pronounced dead."
	"1736821-1"	"1736821-1"	"ACUTE RESPIRATORY DISTRESS SYNDROME"	"10001052"	"40-49 years"	"40-49"	"42-year-old lady with a history of obesity who was recently admitted to outside hospital with COVID-19 pneumonia and associated complications including acute hypoxemic respiratory failure, ARDS, and AKI.  During the course of her hospitalization, she was treated with dexamethasone, remdesivir, tofacitinib, Plaquenil, and ivermectin.  She required intubation on 9/10 and developed cardiac arrest after a prolonged period of hypoxia on 9/12.  She was transferred for higher level care and treatment with CRRT.  She had a vascular catheter placed on 9/15 initiated dialysis that same night.  She had an echocardiogram on 9/15 that most notably showed RV was mildly dilated with moderately reduced function therefore she was started on therapeutic heparin given the concern for possible PE in the setting of Covid.  Patient underwent dialysis again on 9/17.  Lower extremity Dopplers were negative for DVTs on 9/16. From a respiratory standpoint, she is being treated with flolan and has been continued on zosyn and zyvox since admission. She was started on voriconazole on 9/17 and fungal labs (fungitel, galactomannan, blaso/histo Ag) were ordered for concern of possible underlying fungal infection. CT PE studay showed two RV thrombus. Therapeutic heparin was changed to argatroban to reduce fluid intake.  Unfortunately, despite our best efforts including maximizing ventilator settings and multiple rounds of hemodialysis patient continued to decline without improvement.  After discussion with family on 9/22 decision was made to transition patient to comfort care but to keep her on the ventilator.  On the morning of 9/23 at 0655 patient lost pulse and was pronounced dead."
	"1736821-1"	"1736821-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"40-49 years"	"40-49"	"42-year-old lady with a history of obesity who was recently admitted to outside hospital with COVID-19 pneumonia and associated complications including acute hypoxemic respiratory failure, ARDS, and AKI.  During the course of her hospitalization, she was treated with dexamethasone, remdesivir, tofacitinib, Plaquenil, and ivermectin.  She required intubation on 9/10 and developed cardiac arrest after a prolonged period of hypoxia on 9/12.  She was transferred for higher level care and treatment with CRRT.  She had a vascular catheter placed on 9/15 initiated dialysis that same night.  She had an echocardiogram on 9/15 that most notably showed RV was mildly dilated with moderately reduced function therefore she was started on therapeutic heparin given the concern for possible PE in the setting of Covid.  Patient underwent dialysis again on 9/17.  Lower extremity Dopplers were negative for DVTs on 9/16. From a respiratory standpoint, she is being treated with flolan and has been continued on zosyn and zyvox since admission. She was started on voriconazole on 9/17 and fungal labs (fungitel, galactomannan, blaso/histo Ag) were ordered for concern of possible underlying fungal infection. CT PE studay showed two RV thrombus. Therapeutic heparin was changed to argatroban to reduce fluid intake.  Unfortunately, despite our best efforts including maximizing ventilator settings and multiple rounds of hemodialysis patient continued to decline without improvement.  After discussion with family on 9/22 decision was made to transition patient to comfort care but to keep her on the ventilator.  On the morning of 9/23 at 0655 patient lost pulse and was pronounced dead."
	"1736821-1"	"1736821-1"	"ANTICOAGULANT THERAPY"	"10053468"	"40-49 years"	"40-49"	"42-year-old lady with a history of obesity who was recently admitted to outside hospital with COVID-19 pneumonia and associated complications including acute hypoxemic respiratory failure, ARDS, and AKI.  During the course of her hospitalization, she was treated with dexamethasone, remdesivir, tofacitinib, Plaquenil, and ivermectin.  She required intubation on 9/10 and developed cardiac arrest after a prolonged period of hypoxia on 9/12.  She was transferred for higher level care and treatment with CRRT.  She had a vascular catheter placed on 9/15 initiated dialysis that same night.  She had an echocardiogram on 9/15 that most notably showed RV was mildly dilated with moderately reduced function therefore she was started on therapeutic heparin given the concern for possible PE in the setting of Covid.  Patient underwent dialysis again on 9/17.  Lower extremity Dopplers were negative for DVTs on 9/16. From a respiratory standpoint, she is being treated with flolan and has been continued on zosyn and zyvox since admission. She was started on voriconazole on 9/17 and fungal labs (fungitel, galactomannan, blaso/histo Ag) were ordered for concern of possible underlying fungal infection. CT PE studay showed two RV thrombus. Therapeutic heparin was changed to argatroban to reduce fluid intake.  Unfortunately, despite our best efforts including maximizing ventilator settings and multiple rounds of hemodialysis patient continued to decline without improvement.  After discussion with family on 9/22 decision was made to transition patient to comfort care but to keep her on the ventilator.  On the morning of 9/23 at 0655 patient lost pulse and was pronounced dead."
	"1736821-1"	"1736821-1"	"CARDIAC ARREST"	"10007515"	"40-49 years"	"40-49"	"42-year-old lady with a history of obesity who was recently admitted to outside hospital with COVID-19 pneumonia and associated complications including acute hypoxemic respiratory failure, ARDS, and AKI.  During the course of her hospitalization, she was treated with dexamethasone, remdesivir, tofacitinib, Plaquenil, and ivermectin.  She required intubation on 9/10 and developed cardiac arrest after a prolonged period of hypoxia on 9/12.  She was transferred for higher level care and treatment with CRRT.  She had a vascular catheter placed on 9/15 initiated dialysis that same night.  She had an echocardiogram on 9/15 that most notably showed RV was mildly dilated with moderately reduced function therefore she was started on therapeutic heparin given the concern for possible PE in the setting of Covid.  Patient underwent dialysis again on 9/17.  Lower extremity Dopplers were negative for DVTs on 9/16. From a respiratory standpoint, she is being treated with flolan and has been continued on zosyn and zyvox since admission. She was started on voriconazole on 9/17 and fungal labs (fungitel, galactomannan, blaso/histo Ag) were ordered for concern of possible underlying fungal infection. CT PE studay showed two RV thrombus. Therapeutic heparin was changed to argatroban to reduce fluid intake.  Unfortunately, despite our best efforts including maximizing ventilator settings and multiple rounds of hemodialysis patient continued to decline without improvement.  After discussion with family on 9/22 decision was made to transition patient to comfort care but to keep her on the ventilator.  On the morning of 9/23 at 0655 patient lost pulse and was pronounced dead."
	"1736821-1"	"1736821-1"	"COMPUTERISED TOMOGRAM THORAX ABNORMAL"	"10057799"	"40-49 years"	"40-49"	"42-year-old lady with a history of obesity who was recently admitted to outside hospital with COVID-19 pneumonia and associated complications including acute hypoxemic respiratory failure, ARDS, and AKI.  During the course of her hospitalization, she was treated with dexamethasone, remdesivir, tofacitinib, Plaquenil, and ivermectin.  She required intubation on 9/10 and developed cardiac arrest after a prolonged period of hypoxia on 9/12.  She was transferred for higher level care and treatment with CRRT.  She had a vascular catheter placed on 9/15 initiated dialysis that same night.  She had an echocardiogram on 9/15 that most notably showed RV was mildly dilated with moderately reduced function therefore she was started on therapeutic heparin given the concern for possible PE in the setting of Covid.  Patient underwent dialysis again on 9/17.  Lower extremity Dopplers were negative for DVTs on 9/16. From a respiratory standpoint, she is being treated with flolan and has been continued on zosyn and zyvox since admission. She was started on voriconazole on 9/17 and fungal labs (fungitel, galactomannan, blaso/histo Ag) were ordered for concern of possible underlying fungal infection. CT PE studay showed two RV thrombus. Therapeutic heparin was changed to argatroban to reduce fluid intake.  Unfortunately, despite our best efforts including maximizing ventilator settings and multiple rounds of hemodialysis patient continued to decline without improvement.  After discussion with family on 9/22 decision was made to transition patient to comfort care but to keep her on the ventilator.  On the morning of 9/23 at 0655 patient lost pulse and was pronounced dead."
	"1736821-1"	"1736821-1"	"COVID-19 PNEUMONIA"	"10084380"	"40-49 years"	"40-49"	"42-year-old lady with a history of obesity who was recently admitted to outside hospital with COVID-19 pneumonia and associated complications including acute hypoxemic respiratory failure, ARDS, and AKI.  During the course of her hospitalization, she was treated with dexamethasone, remdesivir, tofacitinib, Plaquenil, and ivermectin.  She required intubation on 9/10 and developed cardiac arrest after a prolonged period of hypoxia on 9/12.  She was transferred for higher level care and treatment with CRRT.  She had a vascular catheter placed on 9/15 initiated dialysis that same night.  She had an echocardiogram on 9/15 that most notably showed RV was mildly dilated with moderately reduced function therefore she was started on therapeutic heparin given the concern for possible PE in the setting of Covid.  Patient underwent dialysis again on 9/17.  Lower extremity Dopplers were negative for DVTs on 9/16. From a respiratory standpoint, she is being treated with flolan and has been continued on zosyn and zyvox since admission. She was started on voriconazole on 9/17 and fungal labs (fungitel, galactomannan, blaso/histo Ag) were ordered for concern of possible underlying fungal infection. CT PE studay showed two RV thrombus. Therapeutic heparin was changed to argatroban to reduce fluid intake.  Unfortunately, despite our best efforts including maximizing ventilator settings and multiple rounds of hemodialysis patient continued to decline without improvement.  After discussion with family on 9/22 decision was made to transition patient to comfort care but to keep her on the ventilator.  On the morning of 9/23 at 0655 patient lost pulse and was pronounced dead."
	"1736821-1"	"1736821-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"42-year-old lady with a history of obesity who was recently admitted to outside hospital with COVID-19 pneumonia and associated complications including acute hypoxemic respiratory failure, ARDS, and AKI.  During the course of her hospitalization, she was treated with dexamethasone, remdesivir, tofacitinib, Plaquenil, and ivermectin.  She required intubation on 9/10 and developed cardiac arrest after a prolonged period of hypoxia on 9/12.  She was transferred for higher level care and treatment with CRRT.  She had a vascular catheter placed on 9/15 initiated dialysis that same night.  She had an echocardiogram on 9/15 that most notably showed RV was mildly dilated with moderately reduced function therefore she was started on therapeutic heparin given the concern for possible PE in the setting of Covid.  Patient underwent dialysis again on 9/17.  Lower extremity Dopplers were negative for DVTs on 9/16. From a respiratory standpoint, she is being treated with flolan and has been continued on zosyn and zyvox since admission. She was started on voriconazole on 9/17 and fungal labs (fungitel, galactomannan, blaso/histo Ag) were ordered for concern of possible underlying fungal infection. CT PE studay showed two RV thrombus. Therapeutic heparin was changed to argatroban to reduce fluid intake.  Unfortunately, despite our best efforts including maximizing ventilator settings and multiple rounds of hemodialysis patient continued to decline without improvement.  After discussion with family on 9/22 decision was made to transition patient to comfort care but to keep her on the ventilator.  On the morning of 9/23 at 0655 patient lost pulse and was pronounced dead."
	"1736821-1"	"1736821-1"	"DIALYSIS"	"10061105"	"40-49 years"	"40-49"	"42-year-old lady with a history of obesity who was recently admitted to outside hospital with COVID-19 pneumonia and associated complications including acute hypoxemic respiratory failure, ARDS, and AKI.  During the course of her hospitalization, she was treated with dexamethasone, remdesivir, tofacitinib, Plaquenil, and ivermectin.  She required intubation on 9/10 and developed cardiac arrest after a prolonged period of hypoxia on 9/12.  She was transferred for higher level care and treatment with CRRT.  She had a vascular catheter placed on 9/15 initiated dialysis that same night.  She had an echocardiogram on 9/15 that most notably showed RV was mildly dilated with moderately reduced function therefore she was started on therapeutic heparin given the concern for possible PE in the setting of Covid.  Patient underwent dialysis again on 9/17.  Lower extremity Dopplers were negative for DVTs on 9/16. From a respiratory standpoint, she is being treated with flolan and has been continued on zosyn and zyvox since admission. She was started on voriconazole on 9/17 and fungal labs (fungitel, galactomannan, blaso/histo Ag) were ordered for concern of possible underlying fungal infection. CT PE studay showed two RV thrombus. Therapeutic heparin was changed to argatroban to reduce fluid intake.  Unfortunately, despite our best efforts including maximizing ventilator settings and multiple rounds of hemodialysis patient continued to decline without improvement.  After discussion with family on 9/22 decision was made to transition patient to comfort care but to keep her on the ventilator.  On the morning of 9/23 at 0655 patient lost pulse and was pronounced dead."
	"1736821-1"	"1736821-1"	"ECHOCARDIOGRAM ABNORMAL"	"10061593"	"40-49 years"	"40-49"	"42-year-old lady with a history of obesity who was recently admitted to outside hospital with COVID-19 pneumonia and associated complications including acute hypoxemic respiratory failure, ARDS, and AKI.  During the course of her hospitalization, she was treated with dexamethasone, remdesivir, tofacitinib, Plaquenil, and ivermectin.  She required intubation on 9/10 and developed cardiac arrest after a prolonged period of hypoxia on 9/12.  She was transferred for higher level care and treatment with CRRT.  She had a vascular catheter placed on 9/15 initiated dialysis that same night.  She had an echocardiogram on 9/15 that most notably showed RV was mildly dilated with moderately reduced function therefore she was started on therapeutic heparin given the concern for possible PE in the setting of Covid.  Patient underwent dialysis again on 9/17.  Lower extremity Dopplers were negative for DVTs on 9/16. From a respiratory standpoint, she is being treated with flolan and has been continued on zosyn and zyvox since admission. She was started on voriconazole on 9/17 and fungal labs (fungitel, galactomannan, blaso/histo Ag) were ordered for concern of possible underlying fungal infection. CT PE studay showed two RV thrombus. Therapeutic heparin was changed to argatroban to reduce fluid intake.  Unfortunately, despite our best efforts including maximizing ventilator settings and multiple rounds of hemodialysis patient continued to decline without improvement.  After discussion with family on 9/22 decision was made to transition patient to comfort care but to keep her on the ventilator.  On the morning of 9/23 at 0655 patient lost pulse and was pronounced dead."
	"1736821-1"	"1736821-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"40-49 years"	"40-49"	"42-year-old lady with a history of obesity who was recently admitted to outside hospital with COVID-19 pneumonia and associated complications including acute hypoxemic respiratory failure, ARDS, and AKI.  During the course of her hospitalization, she was treated with dexamethasone, remdesivir, tofacitinib, Plaquenil, and ivermectin.  She required intubation on 9/10 and developed cardiac arrest after a prolonged period of hypoxia on 9/12.  She was transferred for higher level care and treatment with CRRT.  She had a vascular catheter placed on 9/15 initiated dialysis that same night.  She had an echocardiogram on 9/15 that most notably showed RV was mildly dilated with moderately reduced function therefore she was started on therapeutic heparin given the concern for possible PE in the setting of Covid.  Patient underwent dialysis again on 9/17.  Lower extremity Dopplers were negative for DVTs on 9/16. From a respiratory standpoint, she is being treated with flolan and has been continued on zosyn and zyvox since admission. She was started on voriconazole on 9/17 and fungal labs (fungitel, galactomannan, blaso/histo Ag) were ordered for concern of possible underlying fungal infection. CT PE studay showed two RV thrombus. Therapeutic heparin was changed to argatroban to reduce fluid intake.  Unfortunately, despite our best efforts including maximizing ventilator settings and multiple rounds of hemodialysis patient continued to decline without improvement.  After discussion with family on 9/22 decision was made to transition patient to comfort care but to keep her on the ventilator.  On the morning of 9/23 at 0655 patient lost pulse and was pronounced dead."
	"1736821-1"	"1736821-1"	"FUNGAL TEST"	"10070457"	"40-49 years"	"40-49"	"42-year-old lady with a history of obesity who was recently admitted to outside hospital with COVID-19 pneumonia and associated complications including acute hypoxemic respiratory failure, ARDS, and AKI.  During the course of her hospitalization, she was treated with dexamethasone, remdesivir, tofacitinib, Plaquenil, and ivermectin.  She required intubation on 9/10 and developed cardiac arrest after a prolonged period of hypoxia on 9/12.  She was transferred for higher level care and treatment with CRRT.  She had a vascular catheter placed on 9/15 initiated dialysis that same night.  She had an echocardiogram on 9/15 that most notably showed RV was mildly dilated with moderately reduced function therefore she was started on therapeutic heparin given the concern for possible PE in the setting of Covid.  Patient underwent dialysis again on 9/17.  Lower extremity Dopplers were negative for DVTs on 9/16. From a respiratory standpoint, she is being treated with flolan and has been continued on zosyn and zyvox since admission. She was started on voriconazole on 9/17 and fungal labs (fungitel, galactomannan, blaso/histo Ag) were ordered for concern of possible underlying fungal infection. CT PE studay showed two RV thrombus. Therapeutic heparin was changed to argatroban to reduce fluid intake.  Unfortunately, despite our best efforts including maximizing ventilator settings and multiple rounds of hemodialysis patient continued to decline without improvement.  After discussion with family on 9/22 decision was made to transition patient to comfort care but to keep her on the ventilator.  On the morning of 9/23 at 0655 patient lost pulse and was pronounced dead."
	"1736821-1"	"1736821-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"40-49 years"	"40-49"	"42-year-old lady with a history of obesity who was recently admitted to outside hospital with COVID-19 pneumonia and associated complications including acute hypoxemic respiratory failure, ARDS, and AKI.  During the course of her hospitalization, she was treated with dexamethasone, remdesivir, tofacitinib, Plaquenil, and ivermectin.  She required intubation on 9/10 and developed cardiac arrest after a prolonged period of hypoxia on 9/12.  She was transferred for higher level care and treatment with CRRT.  She had a vascular catheter placed on 9/15 initiated dialysis that same night.  She had an echocardiogram on 9/15 that most notably showed RV was mildly dilated with moderately reduced function therefore she was started on therapeutic heparin given the concern for possible PE in the setting of Covid.  Patient underwent dialysis again on 9/17.  Lower extremity Dopplers were negative for DVTs on 9/16. From a respiratory standpoint, she is being treated with flolan and has been continued on zosyn and zyvox since admission. She was started on voriconazole on 9/17 and fungal labs (fungitel, galactomannan, blaso/histo Ag) were ordered for concern of possible underlying fungal infection. CT PE studay showed two RV thrombus. Therapeutic heparin was changed to argatroban to reduce fluid intake.  Unfortunately, despite our best efforts including maximizing ventilator settings and multiple rounds of hemodialysis patient continued to decline without improvement.  After discussion with family on 9/22 decision was made to transition patient to comfort care but to keep her on the ventilator.  On the morning of 9/23 at 0655 patient lost pulse and was pronounced dead."
	"1736821-1"	"1736821-1"	"HAEMOFILTRATION"	"10053090"	"40-49 years"	"40-49"	"42-year-old lady with a history of obesity who was recently admitted to outside hospital with COVID-19 pneumonia and associated complications including acute hypoxemic respiratory failure, ARDS, and AKI.  During the course of her hospitalization, she was treated with dexamethasone, remdesivir, tofacitinib, Plaquenil, and ivermectin.  She required intubation on 9/10 and developed cardiac arrest after a prolonged period of hypoxia on 9/12.  She was transferred for higher level care and treatment with CRRT.  She had a vascular catheter placed on 9/15 initiated dialysis that same night.  She had an echocardiogram on 9/15 that most notably showed RV was mildly dilated with moderately reduced function therefore she was started on therapeutic heparin given the concern for possible PE in the setting of Covid.  Patient underwent dialysis again on 9/17.  Lower extremity Dopplers were negative for DVTs on 9/16. From a respiratory standpoint, she is being treated with flolan and has been continued on zosyn and zyvox since admission. She was started on voriconazole on 9/17 and fungal labs (fungitel, galactomannan, blaso/histo Ag) were ordered for concern of possible underlying fungal infection. CT PE studay showed two RV thrombus. Therapeutic heparin was changed to argatroban to reduce fluid intake.  Unfortunately, despite our best efforts including maximizing ventilator settings and multiple rounds of hemodialysis patient continued to decline without improvement.  After discussion with family on 9/22 decision was made to transition patient to comfort care but to keep her on the ventilator.  On the morning of 9/23 at 0655 patient lost pulse and was pronounced dead."
	"1736821-1"	"1736821-1"	"HYPOXIA"	"10021143"	"40-49 years"	"40-49"	"42-year-old lady with a history of obesity who was recently admitted to outside hospital with COVID-19 pneumonia and associated complications including acute hypoxemic respiratory failure, ARDS, and AKI.  During the course of her hospitalization, she was treated with dexamethasone, remdesivir, tofacitinib, Plaquenil, and ivermectin.  She required intubation on 9/10 and developed cardiac arrest after a prolonged period of hypoxia on 9/12.  She was transferred for higher level care and treatment with CRRT.  She had a vascular catheter placed on 9/15 initiated dialysis that same night.  She had an echocardiogram on 9/15 that most notably showed RV was mildly dilated with moderately reduced function therefore she was started on therapeutic heparin given the concern for possible PE in the setting of Covid.  Patient underwent dialysis again on 9/17.  Lower extremity Dopplers were negative for DVTs on 9/16. From a respiratory standpoint, she is being treated with flolan and has been continued on zosyn and zyvox since admission. She was started on voriconazole on 9/17 and fungal labs (fungitel, galactomannan, blaso/histo Ag) were ordered for concern of possible underlying fungal infection. CT PE studay showed two RV thrombus. Therapeutic heparin was changed to argatroban to reduce fluid intake.  Unfortunately, despite our best efforts including maximizing ventilator settings and multiple rounds of hemodialysis patient continued to decline without improvement.  After discussion with family on 9/22 decision was made to transition patient to comfort care but to keep her on the ventilator.  On the morning of 9/23 at 0655 patient lost pulse and was pronounced dead."
	"1736821-1"	"1736821-1"	"MECHANICAL VENTILATION"	"10067221"	"40-49 years"	"40-49"	"42-year-old lady with a history of obesity who was recently admitted to outside hospital with COVID-19 pneumonia and associated complications including acute hypoxemic respiratory failure, ARDS, and AKI.  During the course of her hospitalization, she was treated with dexamethasone, remdesivir, tofacitinib, Plaquenil, and ivermectin.  She required intubation on 9/10 and developed cardiac arrest after a prolonged period of hypoxia on 9/12.  She was transferred for higher level care and treatment with CRRT.  She had a vascular catheter placed on 9/15 initiated dialysis that same night.  She had an echocardiogram on 9/15 that most notably showed RV was mildly dilated with moderately reduced function therefore she was started on therapeutic heparin given the concern for possible PE in the setting of Covid.  Patient underwent dialysis again on 9/17.  Lower extremity Dopplers were negative for DVTs on 9/16. From a respiratory standpoint, she is being treated with flolan and has been continued on zosyn and zyvox since admission. She was started on voriconazole on 9/17 and fungal labs (fungitel, galactomannan, blaso/histo Ag) were ordered for concern of possible underlying fungal infection. CT PE studay showed two RV thrombus. Therapeutic heparin was changed to argatroban to reduce fluid intake.  Unfortunately, despite our best efforts including maximizing ventilator settings and multiple rounds of hemodialysis patient continued to decline without improvement.  After discussion with family on 9/22 decision was made to transition patient to comfort care but to keep her on the ventilator.  On the morning of 9/23 at 0655 patient lost pulse and was pronounced dead."
	"1736821-1"	"1736821-1"	"PULSE ABSENT"	"10037469"	"40-49 years"	"40-49"	"42-year-old lady with a history of obesity who was recently admitted to outside hospital with COVID-19 pneumonia and associated complications including acute hypoxemic respiratory failure, ARDS, and AKI.  During the course of her hospitalization, she was treated with dexamethasone, remdesivir, tofacitinib, Plaquenil, and ivermectin.  She required intubation on 9/10 and developed cardiac arrest after a prolonged period of hypoxia on 9/12.  She was transferred for higher level care and treatment with CRRT.  She had a vascular catheter placed on 9/15 initiated dialysis that same night.  She had an echocardiogram on 9/15 that most notably showed RV was mildly dilated with moderately reduced function therefore she was started on therapeutic heparin given the concern for possible PE in the setting of Covid.  Patient underwent dialysis again on 9/17.  Lower extremity Dopplers were negative for DVTs on 9/16. From a respiratory standpoint, she is being treated with flolan and has been continued on zosyn and zyvox since admission. She was started on voriconazole on 9/17 and fungal labs (fungitel, galactomannan, blaso/histo Ag) were ordered for concern of possible underlying fungal infection. CT PE studay showed two RV thrombus. Therapeutic heparin was changed to argatroban to reduce fluid intake.  Unfortunately, despite our best efforts including maximizing ventilator settings and multiple rounds of hemodialysis patient continued to decline without improvement.  After discussion with family on 9/22 decision was made to transition patient to comfort care but to keep her on the ventilator.  On the morning of 9/23 at 0655 patient lost pulse and was pronounced dead."
	"1736821-1"	"1736821-1"	"RIGHT VENTRICULAR DILATATION"	"10074222"	"40-49 years"	"40-49"	"42-year-old lady with a history of obesity who was recently admitted to outside hospital with COVID-19 pneumonia and associated complications including acute hypoxemic respiratory failure, ARDS, and AKI.  During the course of her hospitalization, she was treated with dexamethasone, remdesivir, tofacitinib, Plaquenil, and ivermectin.  She required intubation on 9/10 and developed cardiac arrest after a prolonged period of hypoxia on 9/12.  She was transferred for higher level care and treatment with CRRT.  She had a vascular catheter placed on 9/15 initiated dialysis that same night.  She had an echocardiogram on 9/15 that most notably showed RV was mildly dilated with moderately reduced function therefore she was started on therapeutic heparin given the concern for possible PE in the setting of Covid.  Patient underwent dialysis again on 9/17.  Lower extremity Dopplers were negative for DVTs on 9/16. From a respiratory standpoint, she is being treated with flolan and has been continued on zosyn and zyvox since admission. She was started on voriconazole on 9/17 and fungal labs (fungitel, galactomannan, blaso/histo Ag) were ordered for concern of possible underlying fungal infection. CT PE studay showed two RV thrombus. Therapeutic heparin was changed to argatroban to reduce fluid intake.  Unfortunately, despite our best efforts including maximizing ventilator settings and multiple rounds of hemodialysis patient continued to decline without improvement.  After discussion with family on 9/22 decision was made to transition patient to comfort care but to keep her on the ventilator.  On the morning of 9/23 at 0655 patient lost pulse and was pronounced dead."
	"1736821-1"	"1736821-1"	"THROMBOSIS"	"10043607"	"40-49 years"	"40-49"	"42-year-old lady with a history of obesity who was recently admitted to outside hospital with COVID-19 pneumonia and associated complications including acute hypoxemic respiratory failure, ARDS, and AKI.  During the course of her hospitalization, she was treated with dexamethasone, remdesivir, tofacitinib, Plaquenil, and ivermectin.  She required intubation on 9/10 and developed cardiac arrest after a prolonged period of hypoxia on 9/12.  She was transferred for higher level care and treatment with CRRT.  She had a vascular catheter placed on 9/15 initiated dialysis that same night.  She had an echocardiogram on 9/15 that most notably showed RV was mildly dilated with moderately reduced function therefore she was started on therapeutic heparin given the concern for possible PE in the setting of Covid.  Patient underwent dialysis again on 9/17.  Lower extremity Dopplers were negative for DVTs on 9/16. From a respiratory standpoint, she is being treated with flolan and has been continued on zosyn and zyvox since admission. She was started on voriconazole on 9/17 and fungal labs (fungitel, galactomannan, blaso/histo Ag) were ordered for concern of possible underlying fungal infection. CT PE studay showed two RV thrombus. Therapeutic heparin was changed to argatroban to reduce fluid intake.  Unfortunately, despite our best efforts including maximizing ventilator settings and multiple rounds of hemodialysis patient continued to decline without improvement.  After discussion with family on 9/22 decision was made to transition patient to comfort care but to keep her on the ventilator.  On the morning of 9/23 at 0655 patient lost pulse and was pronounced dead."
	"1736821-1"	"1736821-1"	"ULTRASOUND DOPPLER NORMAL"	"10045414"	"40-49 years"	"40-49"	"42-year-old lady with a history of obesity who was recently admitted to outside hospital with COVID-19 pneumonia and associated complications including acute hypoxemic respiratory failure, ARDS, and AKI.  During the course of her hospitalization, she was treated with dexamethasone, remdesivir, tofacitinib, Plaquenil, and ivermectin.  She required intubation on 9/10 and developed cardiac arrest after a prolonged period of hypoxia on 9/12.  She was transferred for higher level care and treatment with CRRT.  She had a vascular catheter placed on 9/15 initiated dialysis that same night.  She had an echocardiogram on 9/15 that most notably showed RV was mildly dilated with moderately reduced function therefore she was started on therapeutic heparin given the concern for possible PE in the setting of Covid.  Patient underwent dialysis again on 9/17.  Lower extremity Dopplers were negative for DVTs on 9/16. From a respiratory standpoint, she is being treated with flolan and has been continued on zosyn and zyvox since admission. She was started on voriconazole on 9/17 and fungal labs (fungitel, galactomannan, blaso/histo Ag) were ordered for concern of possible underlying fungal infection. CT PE studay showed two RV thrombus. Therapeutic heparin was changed to argatroban to reduce fluid intake.  Unfortunately, despite our best efforts including maximizing ventilator settings and multiple rounds of hemodialysis patient continued to decline without improvement.  After discussion with family on 9/22 decision was made to transition patient to comfort care but to keep her on the ventilator.  On the morning of 9/23 at 0655 patient lost pulse and was pronounced dead."
	"1736821-1"	"1736821-1"	"VASCULAR CATHETERISATION"	"10074169"	"40-49 years"	"40-49"	"42-year-old lady with a history of obesity who was recently admitted to outside hospital with COVID-19 pneumonia and associated complications including acute hypoxemic respiratory failure, ARDS, and AKI.  During the course of her hospitalization, she was treated with dexamethasone, remdesivir, tofacitinib, Plaquenil, and ivermectin.  She required intubation on 9/10 and developed cardiac arrest after a prolonged period of hypoxia on 9/12.  She was transferred for higher level care and treatment with CRRT.  She had a vascular catheter placed on 9/15 initiated dialysis that same night.  She had an echocardiogram on 9/15 that most notably showed RV was mildly dilated with moderately reduced function therefore she was started on therapeutic heparin given the concern for possible PE in the setting of Covid.  Patient underwent dialysis again on 9/17.  Lower extremity Dopplers were negative for DVTs on 9/16. From a respiratory standpoint, she is being treated with flolan and has been continued on zosyn and zyvox since admission. She was started on voriconazole on 9/17 and fungal labs (fungitel, galactomannan, blaso/histo Ag) were ordered for concern of possible underlying fungal infection. CT PE studay showed two RV thrombus. Therapeutic heparin was changed to argatroban to reduce fluid intake.  Unfortunately, despite our best efforts including maximizing ventilator settings and multiple rounds of hemodialysis patient continued to decline without improvement.  After discussion with family on 9/22 decision was made to transition patient to comfort care but to keep her on the ventilator.  On the morning of 9/23 at 0655 patient lost pulse and was pronounced dead."
	"1737223-1"	"1737223-1"	"COVID-19"	"10084268"	"30-39 years"	"30-39"	"Breakthrough COVID-19 with symptom onset 8/24/2021: Shortness of breath/difficulty breathing. Hospitalization 8/24/2021. Death 8/24/2021. From Vital Records COD = OBSTRUCTIVE SHOCK, SADDLE PULMONARY EMBOLUS, HYPERCOAGULABLE STATE, COVID 19. Per vital records, Codes include: Not yet coded ; Other Significant Conditions include: MORBID OBESITY PROTEIN DEFICIENCY. Place of death: HOSPITAL-INPATIENT, MEDICAL CENTER; certified by:  PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: PEER COUNSELOR, SERVICE. Dizziness. Pt c/o dizziness while at work. Pt COVID+ 8/9/21 and fully vaccinated. Pt VSS, GCS 15. Ambulatory on arrival. Denies N/V/fever"
	"1737223-1"	"1737223-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Breakthrough COVID-19 with symptom onset 8/24/2021: Shortness of breath/difficulty breathing. Hospitalization 8/24/2021. Death 8/24/2021. From Vital Records COD = OBSTRUCTIVE SHOCK, SADDLE PULMONARY EMBOLUS, HYPERCOAGULABLE STATE, COVID 19. Per vital records, Codes include: Not yet coded ; Other Significant Conditions include: MORBID OBESITY PROTEIN DEFICIENCY. Place of death: HOSPITAL-INPATIENT, MEDICAL CENTER; certified by:  PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: PEER COUNSELOR, SERVICE. Dizziness. Pt c/o dizziness while at work. Pt COVID+ 8/9/21 and fully vaccinated. Pt VSS, GCS 15. Ambulatory on arrival. Denies N/V/fever"
	"1737223-1"	"1737223-1"	"DIZZINESS"	"10013573"	"30-39 years"	"30-39"	"Breakthrough COVID-19 with symptom onset 8/24/2021: Shortness of breath/difficulty breathing. Hospitalization 8/24/2021. Death 8/24/2021. From Vital Records COD = OBSTRUCTIVE SHOCK, SADDLE PULMONARY EMBOLUS, HYPERCOAGULABLE STATE, COVID 19. Per vital records, Codes include: Not yet coded ; Other Significant Conditions include: MORBID OBESITY PROTEIN DEFICIENCY. Place of death: HOSPITAL-INPATIENT, MEDICAL CENTER; certified by:  PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: PEER COUNSELOR, SERVICE. Dizziness. Pt c/o dizziness while at work. Pt COVID+ 8/9/21 and fully vaccinated. Pt VSS, GCS 15. Ambulatory on arrival. Denies N/V/fever"
	"1737223-1"	"1737223-1"	"DYSPNOEA"	"10013968"	"30-39 years"	"30-39"	"Breakthrough COVID-19 with symptom onset 8/24/2021: Shortness of breath/difficulty breathing. Hospitalization 8/24/2021. Death 8/24/2021. From Vital Records COD = OBSTRUCTIVE SHOCK, SADDLE PULMONARY EMBOLUS, HYPERCOAGULABLE STATE, COVID 19. Per vital records, Codes include: Not yet coded ; Other Significant Conditions include: MORBID OBESITY PROTEIN DEFICIENCY. Place of death: HOSPITAL-INPATIENT, MEDICAL CENTER; certified by:  PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: PEER COUNSELOR, SERVICE. Dizziness. Pt c/o dizziness while at work. Pt COVID+ 8/9/21 and fully vaccinated. Pt VSS, GCS 15. Ambulatory on arrival. Denies N/V/fever"
	"1737223-1"	"1737223-1"	"HYPERCOAGULATION"	"10020608"	"30-39 years"	"30-39"	"Breakthrough COVID-19 with symptom onset 8/24/2021: Shortness of breath/difficulty breathing. Hospitalization 8/24/2021. Death 8/24/2021. From Vital Records COD = OBSTRUCTIVE SHOCK, SADDLE PULMONARY EMBOLUS, HYPERCOAGULABLE STATE, COVID 19. Per vital records, Codes include: Not yet coded ; Other Significant Conditions include: MORBID OBESITY PROTEIN DEFICIENCY. Place of death: HOSPITAL-INPATIENT, MEDICAL CENTER; certified by:  PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: PEER COUNSELOR, SERVICE. Dizziness. Pt c/o dizziness while at work. Pt COVID+ 8/9/21 and fully vaccinated. Pt VSS, GCS 15. Ambulatory on arrival. Denies N/V/fever"
	"1737223-1"	"1737223-1"	"OBESITY"	"10029883"	"30-39 years"	"30-39"	"Breakthrough COVID-19 with symptom onset 8/24/2021: Shortness of breath/difficulty breathing. Hospitalization 8/24/2021. Death 8/24/2021. From Vital Records COD = OBSTRUCTIVE SHOCK, SADDLE PULMONARY EMBOLUS, HYPERCOAGULABLE STATE, COVID 19. Per vital records, Codes include: Not yet coded ; Other Significant Conditions include: MORBID OBESITY PROTEIN DEFICIENCY. Place of death: HOSPITAL-INPATIENT, MEDICAL CENTER; certified by:  PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: PEER COUNSELOR, SERVICE. Dizziness. Pt c/o dizziness while at work. Pt COVID+ 8/9/21 and fully vaccinated. Pt VSS, GCS 15. Ambulatory on arrival. Denies N/V/fever"
	"1737223-1"	"1737223-1"	"OBSTRUCTIVE SHOCK"	"10073708"	"30-39 years"	"30-39"	"Breakthrough COVID-19 with symptom onset 8/24/2021: Shortness of breath/difficulty breathing. Hospitalization 8/24/2021. Death 8/24/2021. From Vital Records COD = OBSTRUCTIVE SHOCK, SADDLE PULMONARY EMBOLUS, HYPERCOAGULABLE STATE, COVID 19. Per vital records, Codes include: Not yet coded ; Other Significant Conditions include: MORBID OBESITY PROTEIN DEFICIENCY. Place of death: HOSPITAL-INPATIENT, MEDICAL CENTER; certified by:  PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: PEER COUNSELOR, SERVICE. Dizziness. Pt c/o dizziness while at work. Pt COVID+ 8/9/21 and fully vaccinated. Pt VSS, GCS 15. Ambulatory on arrival. Denies N/V/fever"
	"1737223-1"	"1737223-1"	"PROTEIN DEFICIENCY"	"10072956"	"30-39 years"	"30-39"	"Breakthrough COVID-19 with symptom onset 8/24/2021: Shortness of breath/difficulty breathing. Hospitalization 8/24/2021. Death 8/24/2021. From Vital Records COD = OBSTRUCTIVE SHOCK, SADDLE PULMONARY EMBOLUS, HYPERCOAGULABLE STATE, COVID 19. Per vital records, Codes include: Not yet coded ; Other Significant Conditions include: MORBID OBESITY PROTEIN DEFICIENCY. Place of death: HOSPITAL-INPATIENT, MEDICAL CENTER; certified by:  PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: PEER COUNSELOR, SERVICE. Dizziness. Pt c/o dizziness while at work. Pt COVID+ 8/9/21 and fully vaccinated. Pt VSS, GCS 15. Ambulatory on arrival. Denies N/V/fever"
	"1737223-1"	"1737223-1"	"PULMONARY EMBOLISM"	"10037377"	"30-39 years"	"30-39"	"Breakthrough COVID-19 with symptom onset 8/24/2021: Shortness of breath/difficulty breathing. Hospitalization 8/24/2021. Death 8/24/2021. From Vital Records COD = OBSTRUCTIVE SHOCK, SADDLE PULMONARY EMBOLUS, HYPERCOAGULABLE STATE, COVID 19. Per vital records, Codes include: Not yet coded ; Other Significant Conditions include: MORBID OBESITY PROTEIN DEFICIENCY. Place of death: HOSPITAL-INPATIENT, MEDICAL CENTER; certified by:  PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: PEER COUNSELOR, SERVICE. Dizziness. Pt c/o dizziness while at work. Pt COVID+ 8/9/21 and fully vaccinated. Pt VSS, GCS 15. Ambulatory on arrival. Denies N/V/fever"
	"1737223-1"	"1737223-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"30-39 years"	"30-39"	"Breakthrough COVID-19 with symptom onset 8/24/2021: Shortness of breath/difficulty breathing. Hospitalization 8/24/2021. Death 8/24/2021. From Vital Records COD = OBSTRUCTIVE SHOCK, SADDLE PULMONARY EMBOLUS, HYPERCOAGULABLE STATE, COVID 19. Per vital records, Codes include: Not yet coded ; Other Significant Conditions include: MORBID OBESITY PROTEIN DEFICIENCY. Place of death: HOSPITAL-INPATIENT, MEDICAL CENTER; certified by:  PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: PEER COUNSELOR, SERVICE. Dizziness. Pt c/o dizziness while at work. Pt COVID+ 8/9/21 and fully vaccinated. Pt VSS, GCS 15. Ambulatory on arrival. Denies N/V/fever"
	"1737223-1"	"1737223-1"	"VACCINE BREAKTHROUGH INFECTION"	"10067923"	"30-39 years"	"30-39"	"Breakthrough COVID-19 with symptom onset 8/24/2021: Shortness of breath/difficulty breathing. Hospitalization 8/24/2021. Death 8/24/2021. From Vital Records COD = OBSTRUCTIVE SHOCK, SADDLE PULMONARY EMBOLUS, HYPERCOAGULABLE STATE, COVID 19. Per vital records, Codes include: Not yet coded ; Other Significant Conditions include: MORBID OBESITY PROTEIN DEFICIENCY. Place of death: HOSPITAL-INPATIENT, MEDICAL CENTER; certified by:  PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: PEER COUNSELOR, SERVICE. Dizziness. Pt c/o dizziness while at work. Pt COVID+ 8/9/21 and fully vaccinated. Pt VSS, GCS 15. Ambulatory on arrival. Denies N/V/fever"
	"1737583-1"	"1737583-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Vomiting, diarrhea, fatigue, DEATH"
	"1737583-1"	"1737583-1"	"DIARRHOEA"	"10012735"	"40-49 years"	"40-49"	"Vomiting, diarrhea, fatigue, DEATH"
	"1737583-1"	"1737583-1"	"FATIGUE"	"10016256"	"40-49 years"	"40-49"	"Vomiting, diarrhea, fatigue, DEATH"
	"1737583-1"	"1737583-1"	"VOMITING"	"10047700"	"40-49 years"	"40-49"	"Vomiting, diarrhea, fatigue, DEATH"
	"1741146-1"	"1741146-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Parents reported to Death Investigator that patient complained of body aches, severe headache, and pain in his lower extremities on the evening of 9/22/21 (thee date he received the vaccine).  He was taking Tylenol for his symptoms per his parents.  On Thursday, 09/23/21, he continued with the above symptoms and felt worse per parents.  Mother asked him if he needed to go to the doctor and he said no.  On Friday, 09/24/21, he felt better than the day before but still had symptoms.  Parents last talked with him around 2230 Friday night.  They went to wake him up at 1100 on  Saturday, 09/25/21 and found him deceased in the bed.  EMS was called and he was transported to Hospital Emergency Department DOA."
	"1741146-1"	"1741146-1"	"HEADACHE"	"10019211"	"30-39 years"	"30-39"	"Parents reported to Death Investigator that patient complained of body aches, severe headache, and pain in his lower extremities on the evening of 9/22/21 (thee date he received the vaccine).  He was taking Tylenol for his symptoms per his parents.  On Thursday, 09/23/21, he continued with the above symptoms and felt worse per parents.  Mother asked him if he needed to go to the doctor and he said no.  On Friday, 09/24/21, he felt better than the day before but still had symptoms.  Parents last talked with him around 2230 Friday night.  They went to wake him up at 1100 on  Saturday, 09/25/21 and found him deceased in the bed.  EMS was called and he was transported to Hospital Emergency Department DOA."
	"1741146-1"	"1741146-1"	"PAIN"	"10033371"	"30-39 years"	"30-39"	"Parents reported to Death Investigator that patient complained of body aches, severe headache, and pain in his lower extremities on the evening of 9/22/21 (thee date he received the vaccine).  He was taking Tylenol for his symptoms per his parents.  On Thursday, 09/23/21, he continued with the above symptoms and felt worse per parents.  Mother asked him if he needed to go to the doctor and he said no.  On Friday, 09/24/21, he felt better than the day before but still had symptoms.  Parents last talked with him around 2230 Friday night.  They went to wake him up at 1100 on  Saturday, 09/25/21 and found him deceased in the bed.  EMS was called and he was transported to Hospital Emergency Department DOA."
	"1741146-1"	"1741146-1"	"PAIN IN EXTREMITY"	"10033425"	"30-39 years"	"30-39"	"Parents reported to Death Investigator that patient complained of body aches, severe headache, and pain in his lower extremities on the evening of 9/22/21 (thee date he received the vaccine).  He was taking Tylenol for his symptoms per his parents.  On Thursday, 09/23/21, he continued with the above symptoms and felt worse per parents.  Mother asked him if he needed to go to the doctor and he said no.  On Friday, 09/24/21, he felt better than the day before but still had symptoms.  Parents last talked with him around 2230 Friday night.  They went to wake him up at 1100 on  Saturday, 09/25/21 and found him deceased in the bed.  EMS was called and he was transported to Hospital Emergency Department DOA."
	"1741248-1"	"1741248-1"	"DIARRHOEA"	"10012735"	"30-39 years"	"30-39"	"Dhiarrea"
	"1741874-1"	"1741874-1"	"ABDOMINAL PAIN"	"10000081"	"30-39 years"	"30-39"	""[Directed to enter VAERS report due to close proximity of vaccine administration] Member received first dose of Pfizer COVID-19 vaccine on 23 September 2021.  On 24 September 2021, member complained to co-workers of abdominal pain with nausea/vomiting, treating symptomatically over the weekend.  On 26 September 2021, member's co-worker contacted him and member was coherent and alert,  On 27 September 2021, after member did not respond to co-workers' attempts to contact him, co-workers and first responders went to member's residence, where member was found somewhat disoriented.  Member was subsequently transferred to local Hospital ED (arrived at approximately 09:15), where member was found to have confusion and hyperglycemia (GCS of 14 and blood sugar reading, measuring as 'high"".).  During treatment and monitoring process, member was found to have labored breathing (at approximately 11:00) and a CODE was called at 11:05.  Member subsequently expired at 11:30.""
	"1741874-1"	"1741874-1"	"BLOOD GLUCOSE INCREASED"	"10005557"	"30-39 years"	"30-39"	""[Directed to enter VAERS report due to close proximity of vaccine administration] Member received first dose of Pfizer COVID-19 vaccine on 23 September 2021.  On 24 September 2021, member complained to co-workers of abdominal pain with nausea/vomiting, treating symptomatically over the weekend.  On 26 September 2021, member's co-worker contacted him and member was coherent and alert,  On 27 September 2021, after member did not respond to co-workers' attempts to contact him, co-workers and first responders went to member's residence, where member was found somewhat disoriented.  Member was subsequently transferred to local Hospital ED (arrived at approximately 09:15), where member was found to have confusion and hyperglycemia (GCS of 14 and blood sugar reading, measuring as 'high"".).  During treatment and monitoring process, member was found to have labored breathing (at approximately 11:00) and a CODE was called at 11:05.  Member subsequently expired at 11:30.""
	"1741874-1"	"1741874-1"	"CARDIO-RESPIRATORY ARREST"	"10007617"	"30-39 years"	"30-39"	""[Directed to enter VAERS report due to close proximity of vaccine administration] Member received first dose of Pfizer COVID-19 vaccine on 23 September 2021.  On 24 September 2021, member complained to co-workers of abdominal pain with nausea/vomiting, treating symptomatically over the weekend.  On 26 September 2021, member's co-worker contacted him and member was coherent and alert,  On 27 September 2021, after member did not respond to co-workers' attempts to contact him, co-workers and first responders went to member's residence, where member was found somewhat disoriented.  Member was subsequently transferred to local Hospital ED (arrived at approximately 09:15), where member was found to have confusion and hyperglycemia (GCS of 14 and blood sugar reading, measuring as 'high"".).  During treatment and monitoring process, member was found to have labored breathing (at approximately 11:00) and a CODE was called at 11:05.  Member subsequently expired at 11:30.""
	"1741874-1"	"1741874-1"	"COMA SCALE"	"10069708"	"30-39 years"	"30-39"	""[Directed to enter VAERS report due to close proximity of vaccine administration] Member received first dose of Pfizer COVID-19 vaccine on 23 September 2021.  On 24 September 2021, member complained to co-workers of abdominal pain with nausea/vomiting, treating symptomatically over the weekend.  On 26 September 2021, member's co-worker contacted him and member was coherent and alert,  On 27 September 2021, after member did not respond to co-workers' attempts to contact him, co-workers and first responders went to member's residence, where member was found somewhat disoriented.  Member was subsequently transferred to local Hospital ED (arrived at approximately 09:15), where member was found to have confusion and hyperglycemia (GCS of 14 and blood sugar reading, measuring as 'high"".).  During treatment and monitoring process, member was found to have labored breathing (at approximately 11:00) and a CODE was called at 11:05.  Member subsequently expired at 11:30.""
	"1741874-1"	"1741874-1"	"CONFUSIONAL STATE"	"10010305"	"30-39 years"	"30-39"	""[Directed to enter VAERS report due to close proximity of vaccine administration] Member received first dose of Pfizer COVID-19 vaccine on 23 September 2021.  On 24 September 2021, member complained to co-workers of abdominal pain with nausea/vomiting, treating symptomatically over the weekend.  On 26 September 2021, member's co-worker contacted him and member was coherent and alert,  On 27 September 2021, after member did not respond to co-workers' attempts to contact him, co-workers and first responders went to member's residence, where member was found somewhat disoriented.  Member was subsequently transferred to local Hospital ED (arrived at approximately 09:15), where member was found to have confusion and hyperglycemia (GCS of 14 and blood sugar reading, measuring as 'high"".).  During treatment and monitoring process, member was found to have labored breathing (at approximately 11:00) and a CODE was called at 11:05.  Member subsequently expired at 11:30.""
	"1741874-1"	"1741874-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	""[Directed to enter VAERS report due to close proximity of vaccine administration] Member received first dose of Pfizer COVID-19 vaccine on 23 September 2021.  On 24 September 2021, member complained to co-workers of abdominal pain with nausea/vomiting, treating symptomatically over the weekend.  On 26 September 2021, member's co-worker contacted him and member was coherent and alert,  On 27 September 2021, after member did not respond to co-workers' attempts to contact him, co-workers and first responders went to member's residence, where member was found somewhat disoriented.  Member was subsequently transferred to local Hospital ED (arrived at approximately 09:15), where member was found to have confusion and hyperglycemia (GCS of 14 and blood sugar reading, measuring as 'high"".).  During treatment and monitoring process, member was found to have labored breathing (at approximately 11:00) and a CODE was called at 11:05.  Member subsequently expired at 11:30.""
	"1741874-1"	"1741874-1"	"DISORIENTATION"	"10013395"	"30-39 years"	"30-39"	""[Directed to enter VAERS report due to close proximity of vaccine administration] Member received first dose of Pfizer COVID-19 vaccine on 23 September 2021.  On 24 September 2021, member complained to co-workers of abdominal pain with nausea/vomiting, treating symptomatically over the weekend.  On 26 September 2021, member's co-worker contacted him and member was coherent and alert,  On 27 September 2021, after member did not respond to co-workers' attempts to contact him, co-workers and first responders went to member's residence, where member was found somewhat disoriented.  Member was subsequently transferred to local Hospital ED (arrived at approximately 09:15), where member was found to have confusion and hyperglycemia (GCS of 14 and blood sugar reading, measuring as 'high"".).  During treatment and monitoring process, member was found to have labored breathing (at approximately 11:00) and a CODE was called at 11:05.  Member subsequently expired at 11:30.""
	"1741874-1"	"1741874-1"	"DYSPNOEA"	"10013968"	"30-39 years"	"30-39"	""[Directed to enter VAERS report due to close proximity of vaccine administration] Member received first dose of Pfizer COVID-19 vaccine on 23 September 2021.  On 24 September 2021, member complained to co-workers of abdominal pain with nausea/vomiting, treating symptomatically over the weekend.  On 26 September 2021, member's co-worker contacted him and member was coherent and alert,  On 27 September 2021, after member did not respond to co-workers' attempts to contact him, co-workers and first responders went to member's residence, where member was found somewhat disoriented.  Member was subsequently transferred to local Hospital ED (arrived at approximately 09:15), where member was found to have confusion and hyperglycemia (GCS of 14 and blood sugar reading, measuring as 'high"".).  During treatment and monitoring process, member was found to have labored breathing (at approximately 11:00) and a CODE was called at 11:05.  Member subsequently expired at 11:30.""
	"1741874-1"	"1741874-1"	"HYPERGLYCAEMIA"	"10020635"	"30-39 years"	"30-39"	""[Directed to enter VAERS report due to close proximity of vaccine administration] Member received first dose of Pfizer COVID-19 vaccine on 23 September 2021.  On 24 September 2021, member complained to co-workers of abdominal pain with nausea/vomiting, treating symptomatically over the weekend.  On 26 September 2021, member's co-worker contacted him and member was coherent and alert,  On 27 September 2021, after member did not respond to co-workers' attempts to contact him, co-workers and first responders went to member's residence, where member was found somewhat disoriented.  Member was subsequently transferred to local Hospital ED (arrived at approximately 09:15), where member was found to have confusion and hyperglycemia (GCS of 14 and blood sugar reading, measuring as 'high"".).  During treatment and monitoring process, member was found to have labored breathing (at approximately 11:00) and a CODE was called at 11:05.  Member subsequently expired at 11:30.""
	"1741874-1"	"1741874-1"	"NAUSEA"	"10028813"	"30-39 years"	"30-39"	""[Directed to enter VAERS report due to close proximity of vaccine administration] Member received first dose of Pfizer COVID-19 vaccine on 23 September 2021.  On 24 September 2021, member complained to co-workers of abdominal pain with nausea/vomiting, treating symptomatically over the weekend.  On 26 September 2021, member's co-worker contacted him and member was coherent and alert,  On 27 September 2021, after member did not respond to co-workers' attempts to contact him, co-workers and first responders went to member's residence, where member was found somewhat disoriented.  Member was subsequently transferred to local Hospital ED (arrived at approximately 09:15), where member was found to have confusion and hyperglycemia (GCS of 14 and blood sugar reading, measuring as 'high"".).  During treatment and monitoring process, member was found to have labored breathing (at approximately 11:00) and a CODE was called at 11:05.  Member subsequently expired at 11:30.""
	"1741874-1"	"1741874-1"	"VOMITING"	"10047700"	"30-39 years"	"30-39"	""[Directed to enter VAERS report due to close proximity of vaccine administration] Member received first dose of Pfizer COVID-19 vaccine on 23 September 2021.  On 24 September 2021, member complained to co-workers of abdominal pain with nausea/vomiting, treating symptomatically over the weekend.  On 26 September 2021, member's co-worker contacted him and member was coherent and alert,  On 27 September 2021, after member did not respond to co-workers' attempts to contact him, co-workers and first responders went to member's residence, where member was found somewhat disoriented.  Member was subsequently transferred to local Hospital ED (arrived at approximately 09:15), where member was found to have confusion and hyperglycemia (GCS of 14 and blood sugar reading, measuring as 'high"".).  During treatment and monitoring process, member was found to have labored breathing (at approximately 11:00) and a CODE was called at 11:05.  Member subsequently expired at 11:30.""
	"1750163-1"	"1750163-1"	"ACIDOSIS"	"10000486"	"40-49 years"	"40-49"	""""Fully vaccinated patient who admitted to the hospital on 09/25/21 with positive COVID test.  Patient had recently discharged from facility on 09/23/21 after a repeat pneumothorax and returned on 09/25/21 due to weakness and inability to care for self and upon admission testing was positive for COVID.  Discharge summary from provider below:  ""42/F with long-standing history of COPD and recurrent pneumothorax for which she L partial lobectomy in 2015 and VATS/pleurodesis recently 9/2021.  Pt had just been in our ICU August 2021 for respiratory failure due to COPD Exacerbation and was on the vent for 12 days. Unfortunately, she contracted COVID-19 PNA despite being fully vaccinated and was admitted to the hospital for that reason. We believe she had an anaphylactic shock and acute respiratory failure/bronchospasm due to Regeneron that caused her cardiac arrest with prolonged resuscitation 9/26/21. She developed multi-organ failure -- shock liver and aneuric renal failure thereafter. She was profoundly hypotensive, acidotic and hyperkalemic despite HD/CRRT and bicarb infusion. She had limited ventilatory compensation /difficult to ventilate because of underlying COPD with possible bronchospasm from anaphylaxis.  She had coded multiple times in the ICU this am and family decided to stop CPR during the last code""  Pharmacy has submitted a report to the FDA.""
	"1750163-1"	"1750163-1"	"ANAPHYLACTIC SHOCK"	"10002199"	"40-49 years"	"40-49"	""""Fully vaccinated patient who admitted to the hospital on 09/25/21 with positive COVID test.  Patient had recently discharged from facility on 09/23/21 after a repeat pneumothorax and returned on 09/25/21 due to weakness and inability to care for self and upon admission testing was positive for COVID.  Discharge summary from provider below:  ""42/F with long-standing history of COPD and recurrent pneumothorax for which she L partial lobectomy in 2015 and VATS/pleurodesis recently 9/2021.  Pt had just been in our ICU August 2021 for respiratory failure due to COPD Exacerbation and was on the vent for 12 days. Unfortunately, she contracted COVID-19 PNA despite being fully vaccinated and was admitted to the hospital for that reason. We believe she had an anaphylactic shock and acute respiratory failure/bronchospasm due to Regeneron that caused her cardiac arrest with prolonged resuscitation 9/26/21. She developed multi-organ failure -- shock liver and aneuric renal failure thereafter. She was profoundly hypotensive, acidotic and hyperkalemic despite HD/CRRT and bicarb infusion. She had limited ventilatory compensation /difficult to ventilate because of underlying COPD with possible bronchospasm from anaphylaxis.  She had coded multiple times in the ICU this am and family decided to stop CPR during the last code""  Pharmacy has submitted a report to the FDA.""
	"1750163-1"	"1750163-1"	"ASTHENIA"	"10003549"	"40-49 years"	"40-49"	""""Fully vaccinated patient who admitted to the hospital on 09/25/21 with positive COVID test.  Patient had recently discharged from facility on 09/23/21 after a repeat pneumothorax and returned on 09/25/21 due to weakness and inability to care for self and upon admission testing was positive for COVID.  Discharge summary from provider below:  ""42/F with long-standing history of COPD and recurrent pneumothorax for which she L partial lobectomy in 2015 and VATS/pleurodesis recently 9/2021.  Pt had just been in our ICU August 2021 for respiratory failure due to COPD Exacerbation and was on the vent for 12 days. Unfortunately, she contracted COVID-19 PNA despite being fully vaccinated and was admitted to the hospital for that reason. We believe she had an anaphylactic shock and acute respiratory failure/bronchospasm due to Regeneron that caused her cardiac arrest with prolonged resuscitation 9/26/21. She developed multi-organ failure -- shock liver and aneuric renal failure thereafter. She was profoundly hypotensive, acidotic and hyperkalemic despite HD/CRRT and bicarb infusion. She had limited ventilatory compensation /difficult to ventilate because of underlying COPD with possible bronchospasm from anaphylaxis.  She had coded multiple times in the ICU this am and family decided to stop CPR during the last code""  Pharmacy has submitted a report to the FDA.""
	"1750163-1"	"1750163-1"	"BRONCHOSPASM"	"10006482"	"40-49 years"	"40-49"	""""Fully vaccinated patient who admitted to the hospital on 09/25/21 with positive COVID test.  Patient had recently discharged from facility on 09/23/21 after a repeat pneumothorax and returned on 09/25/21 due to weakness and inability to care for self and upon admission testing was positive for COVID.  Discharge summary from provider below:  ""42/F with long-standing history of COPD and recurrent pneumothorax for which she L partial lobectomy in 2015 and VATS/pleurodesis recently 9/2021.  Pt had just been in our ICU August 2021 for respiratory failure due to COPD Exacerbation and was on the vent for 12 days. Unfortunately, she contracted COVID-19 PNA despite being fully vaccinated and was admitted to the hospital for that reason. We believe she had an anaphylactic shock and acute respiratory failure/bronchospasm due to Regeneron that caused her cardiac arrest with prolonged resuscitation 9/26/21. She developed multi-organ failure -- shock liver and aneuric renal failure thereafter. She was profoundly hypotensive, acidotic and hyperkalemic despite HD/CRRT and bicarb infusion. She had limited ventilatory compensation /difficult to ventilate because of underlying COPD with possible bronchospasm from anaphylaxis.  She had coded multiple times in the ICU this am and family decided to stop CPR during the last code""  Pharmacy has submitted a report to the FDA.""
	"1750163-1"	"1750163-1"	"CARDIAC ARREST"	"10007515"	"40-49 years"	"40-49"	""""Fully vaccinated patient who admitted to the hospital on 09/25/21 with positive COVID test.  Patient had recently discharged from facility on 09/23/21 after a repeat pneumothorax and returned on 09/25/21 due to weakness and inability to care for self and upon admission testing was positive for COVID.  Discharge summary from provider below:  ""42/F with long-standing history of COPD and recurrent pneumothorax for which she L partial lobectomy in 2015 and VATS/pleurodesis recently 9/2021.  Pt had just been in our ICU August 2021 for respiratory failure due to COPD Exacerbation and was on the vent for 12 days. Unfortunately, she contracted COVID-19 PNA despite being fully vaccinated and was admitted to the hospital for that reason. We believe she had an anaphylactic shock and acute respiratory failure/bronchospasm due to Regeneron that caused her cardiac arrest with prolonged resuscitation 9/26/21. She developed multi-organ failure -- shock liver and aneuric renal failure thereafter. She was profoundly hypotensive, acidotic and hyperkalemic despite HD/CRRT and bicarb infusion. She had limited ventilatory compensation /difficult to ventilate because of underlying COPD with possible bronchospasm from anaphylaxis.  She had coded multiple times in the ICU this am and family decided to stop CPR during the last code""  Pharmacy has submitted a report to the FDA.""
	"1750163-1"	"1750163-1"	"CARDIO-RESPIRATORY ARREST"	"10007617"	"40-49 years"	"40-49"	""""Fully vaccinated patient who admitted to the hospital on 09/25/21 with positive COVID test.  Patient had recently discharged from facility on 09/23/21 after a repeat pneumothorax and returned on 09/25/21 due to weakness and inability to care for self and upon admission testing was positive for COVID.  Discharge summary from provider below:  ""42/F with long-standing history of COPD and recurrent pneumothorax for which she L partial lobectomy in 2015 and VATS/pleurodesis recently 9/2021.  Pt had just been in our ICU August 2021 for respiratory failure due to COPD Exacerbation and was on the vent for 12 days. Unfortunately, she contracted COVID-19 PNA despite being fully vaccinated and was admitted to the hospital for that reason. We believe she had an anaphylactic shock and acute respiratory failure/bronchospasm due to Regeneron that caused her cardiac arrest with prolonged resuscitation 9/26/21. She developed multi-organ failure -- shock liver and aneuric renal failure thereafter. She was profoundly hypotensive, acidotic and hyperkalemic despite HD/CRRT and bicarb infusion. She had limited ventilatory compensation /difficult to ventilate because of underlying COPD with possible bronchospasm from anaphylaxis.  She had coded multiple times in the ICU this am and family decided to stop CPR during the last code""  Pharmacy has submitted a report to the FDA.""
	"1750163-1"	"1750163-1"	"CHRONIC OBSTRUCTIVE PULMONARY DISEASE"	"10009033"	"40-49 years"	"40-49"	""""Fully vaccinated patient who admitted to the hospital on 09/25/21 with positive COVID test.  Patient had recently discharged from facility on 09/23/21 after a repeat pneumothorax and returned on 09/25/21 due to weakness and inability to care for self and upon admission testing was positive for COVID.  Discharge summary from provider below:  ""42/F with long-standing history of COPD and recurrent pneumothorax for which she L partial lobectomy in 2015 and VATS/pleurodesis recently 9/2021.  Pt had just been in our ICU August 2021 for respiratory failure due to COPD Exacerbation and was on the vent for 12 days. Unfortunately, she contracted COVID-19 PNA despite being fully vaccinated and was admitted to the hospital for that reason. We believe she had an anaphylactic shock and acute respiratory failure/bronchospasm due to Regeneron that caused her cardiac arrest with prolonged resuscitation 9/26/21. She developed multi-organ failure -- shock liver and aneuric renal failure thereafter. She was profoundly hypotensive, acidotic and hyperkalemic despite HD/CRRT and bicarb infusion. She had limited ventilatory compensation /difficult to ventilate because of underlying COPD with possible bronchospasm from anaphylaxis.  She had coded multiple times in the ICU this am and family decided to stop CPR during the last code""  Pharmacy has submitted a report to the FDA.""
	"1750163-1"	"1750163-1"	"COVID-19"	"10084268"	"40-49 years"	"40-49"	""""Fully vaccinated patient who admitted to the hospital on 09/25/21 with positive COVID test.  Patient had recently discharged from facility on 09/23/21 after a repeat pneumothorax and returned on 09/25/21 due to weakness and inability to care for self and upon admission testing was positive for COVID.  Discharge summary from provider below:  ""42/F with long-standing history of COPD and recurrent pneumothorax for which she L partial lobectomy in 2015 and VATS/pleurodesis recently 9/2021.  Pt had just been in our ICU August 2021 for respiratory failure due to COPD Exacerbation and was on the vent for 12 days. Unfortunately, she contracted COVID-19 PNA despite being fully vaccinated and was admitted to the hospital for that reason. We believe she had an anaphylactic shock and acute respiratory failure/bronchospasm due to Regeneron that caused her cardiac arrest with prolonged resuscitation 9/26/21. She developed multi-organ failure -- shock liver and aneuric renal failure thereafter. She was profoundly hypotensive, acidotic and hyperkalemic despite HD/CRRT and bicarb infusion. She had limited ventilatory compensation /difficult to ventilate because of underlying COPD with possible bronchospasm from anaphylaxis.  She had coded multiple times in the ICU this am and family decided to stop CPR during the last code""  Pharmacy has submitted a report to the FDA.""
	"1750163-1"	"1750163-1"	"COVID-19 PNEUMONIA"	"10084380"	"40-49 years"	"40-49"	""""Fully vaccinated patient who admitted to the hospital on 09/25/21 with positive COVID test.  Patient had recently discharged from facility on 09/23/21 after a repeat pneumothorax and returned on 09/25/21 due to weakness and inability to care for self and upon admission testing was positive for COVID.  Discharge summary from provider below:  ""42/F with long-standing history of COPD and recurrent pneumothorax for which she L partial lobectomy in 2015 and VATS/pleurodesis recently 9/2021.  Pt had just been in our ICU August 2021 for respiratory failure due to COPD Exacerbation and was on the vent for 12 days. Unfortunately, she contracted COVID-19 PNA despite being fully vaccinated and was admitted to the hospital for that reason. We believe she had an anaphylactic shock and acute respiratory failure/bronchospasm due to Regeneron that caused her cardiac arrest with prolonged resuscitation 9/26/21. She developed multi-organ failure -- shock liver and aneuric renal failure thereafter. She was profoundly hypotensive, acidotic and hyperkalemic despite HD/CRRT and bicarb infusion. She had limited ventilatory compensation /difficult to ventilate because of underlying COPD with possible bronchospasm from anaphylaxis.  She had coded multiple times in the ICU this am and family decided to stop CPR during the last code""  Pharmacy has submitted a report to the FDA.""
	"1750163-1"	"1750163-1"	"HEPATIC FAILURE"	"10019663"	"40-49 years"	"40-49"	""""Fully vaccinated patient who admitted to the hospital on 09/25/21 with positive COVID test.  Patient had recently discharged from facility on 09/23/21 after a repeat pneumothorax and returned on 09/25/21 due to weakness and inability to care for self and upon admission testing was positive for COVID.  Discharge summary from provider below:  ""42/F with long-standing history of COPD and recurrent pneumothorax for which she L partial lobectomy in 2015 and VATS/pleurodesis recently 9/2021.  Pt had just been in our ICU August 2021 for respiratory failure due to COPD Exacerbation and was on the vent for 12 days. Unfortunately, she contracted COVID-19 PNA despite being fully vaccinated and was admitted to the hospital for that reason. We believe she had an anaphylactic shock and acute respiratory failure/bronchospasm due to Regeneron that caused her cardiac arrest with prolonged resuscitation 9/26/21. She developed multi-organ failure -- shock liver and aneuric renal failure thereafter. She was profoundly hypotensive, acidotic and hyperkalemic despite HD/CRRT and bicarb infusion. She had limited ventilatory compensation /difficult to ventilate because of underlying COPD with possible bronchospasm from anaphylaxis.  She had coded multiple times in the ICU this am and family decided to stop CPR during the last code""  Pharmacy has submitted a report to the FDA.""
	"1750163-1"	"1750163-1"	"HYPERKALAEMIA"	"10020646"	"40-49 years"	"40-49"	""""Fully vaccinated patient who admitted to the hospital on 09/25/21 with positive COVID test.  Patient had recently discharged from facility on 09/23/21 after a repeat pneumothorax and returned on 09/25/21 due to weakness and inability to care for self and upon admission testing was positive for COVID.  Discharge summary from provider below:  ""42/F with long-standing history of COPD and recurrent pneumothorax for which she L partial lobectomy in 2015 and VATS/pleurodesis recently 9/2021.  Pt had just been in our ICU August 2021 for respiratory failure due to COPD Exacerbation and was on the vent for 12 days. Unfortunately, she contracted COVID-19 PNA despite being fully vaccinated and was admitted to the hospital for that reason. We believe she had an anaphylactic shock and acute respiratory failure/bronchospasm due to Regeneron that caused her cardiac arrest with prolonged resuscitation 9/26/21. She developed multi-organ failure -- shock liver and aneuric renal failure thereafter. She was profoundly hypotensive, acidotic and hyperkalemic despite HD/CRRT and bicarb infusion. She had limited ventilatory compensation /difficult to ventilate because of underlying COPD with possible bronchospasm from anaphylaxis.  She had coded multiple times in the ICU this am and family decided to stop CPR during the last code""  Pharmacy has submitted a report to the FDA.""
	"1750163-1"	"1750163-1"	"HYPOTENSION"	"10021097"	"40-49 years"	"40-49"	""""Fully vaccinated patient who admitted to the hospital on 09/25/21 with positive COVID test.  Patient had recently discharged from facility on 09/23/21 after a repeat pneumothorax and returned on 09/25/21 due to weakness and inability to care for self and upon admission testing was positive for COVID.  Discharge summary from provider below:  ""42/F with long-standing history of COPD and recurrent pneumothorax for which she L partial lobectomy in 2015 and VATS/pleurodesis recently 9/2021.  Pt had just been in our ICU August 2021 for respiratory failure due to COPD Exacerbation and was on the vent for 12 days. Unfortunately, she contracted COVID-19 PNA despite being fully vaccinated and was admitted to the hospital for that reason. We believe she had an anaphylactic shock and acute respiratory failure/bronchospasm due to Regeneron that caused her cardiac arrest with prolonged resuscitation 9/26/21. She developed multi-organ failure -- shock liver and aneuric renal failure thereafter. She was profoundly hypotensive, acidotic and hyperkalemic despite HD/CRRT and bicarb infusion. She had limited ventilatory compensation /difficult to ventilate because of underlying COPD with possible bronchospasm from anaphylaxis.  She had coded multiple times in the ICU this am and family decided to stop CPR during the last code""  Pharmacy has submitted a report to the FDA.""
	"1750163-1"	"1750163-1"	"INFUSION"	"10060345"	"40-49 years"	"40-49"	""""Fully vaccinated patient who admitted to the hospital on 09/25/21 with positive COVID test.  Patient had recently discharged from facility on 09/23/21 after a repeat pneumothorax and returned on 09/25/21 due to weakness and inability to care for self and upon admission testing was positive for COVID.  Discharge summary from provider below:  ""42/F with long-standing history of COPD and recurrent pneumothorax for which she L partial lobectomy in 2015 and VATS/pleurodesis recently 9/2021.  Pt had just been in our ICU August 2021 for respiratory failure due to COPD Exacerbation and was on the vent for 12 days. Unfortunately, she contracted COVID-19 PNA despite being fully vaccinated and was admitted to the hospital for that reason. We believe she had an anaphylactic shock and acute respiratory failure/bronchospasm due to Regeneron that caused her cardiac arrest with prolonged resuscitation 9/26/21. She developed multi-organ failure -- shock liver and aneuric renal failure thereafter. She was profoundly hypotensive, acidotic and hyperkalemic despite HD/CRRT and bicarb infusion. She had limited ventilatory compensation /difficult to ventilate because of underlying COPD with possible bronchospasm from anaphylaxis.  She had coded multiple times in the ICU this am and family decided to stop CPR during the last code""  Pharmacy has submitted a report to the FDA.""
	"1750163-1"	"1750163-1"	"INTENSIVE CARE"	"10022519"	"40-49 years"	"40-49"	""""Fully vaccinated patient who admitted to the hospital on 09/25/21 with positive COVID test.  Patient had recently discharged from facility on 09/23/21 after a repeat pneumothorax and returned on 09/25/21 due to weakness and inability to care for self and upon admission testing was positive for COVID.  Discharge summary from provider below:  ""42/F with long-standing history of COPD and recurrent pneumothorax for which she L partial lobectomy in 2015 and VATS/pleurodesis recently 9/2021.  Pt had just been in our ICU August 2021 for respiratory failure due to COPD Exacerbation and was on the vent for 12 days. Unfortunately, she contracted COVID-19 PNA despite being fully vaccinated and was admitted to the hospital for that reason. We believe she had an anaphylactic shock and acute respiratory failure/bronchospasm due to Regeneron that caused her cardiac arrest with prolonged resuscitation 9/26/21. She developed multi-organ failure -- shock liver and aneuric renal failure thereafter. She was profoundly hypotensive, acidotic and hyperkalemic despite HD/CRRT and bicarb infusion. She had limited ventilatory compensation /difficult to ventilate because of underlying COPD with possible bronchospasm from anaphylaxis.  She had coded multiple times in the ICU this am and family decided to stop CPR during the last code""  Pharmacy has submitted a report to the FDA.""
	"1750163-1"	"1750163-1"	"ISCHAEMIC HEPATITIS"	"10023025"	"40-49 years"	"40-49"	""""Fully vaccinated patient who admitted to the hospital on 09/25/21 with positive COVID test.  Patient had recently discharged from facility on 09/23/21 after a repeat pneumothorax and returned on 09/25/21 due to weakness and inability to care for self and upon admission testing was positive for COVID.  Discharge summary from provider below:  ""42/F with long-standing history of COPD and recurrent pneumothorax for which she L partial lobectomy in 2015 and VATS/pleurodesis recently 9/2021.  Pt had just been in our ICU August 2021 for respiratory failure due to COPD Exacerbation and was on the vent for 12 days. Unfortunately, she contracted COVID-19 PNA despite being fully vaccinated and was admitted to the hospital for that reason. We believe she had an anaphylactic shock and acute respiratory failure/bronchospasm due to Regeneron that caused her cardiac arrest with prolonged resuscitation 9/26/21. She developed multi-organ failure -- shock liver and aneuric renal failure thereafter. She was profoundly hypotensive, acidotic and hyperkalemic despite HD/CRRT and bicarb infusion. She had limited ventilatory compensation /difficult to ventilate because of underlying COPD with possible bronchospasm from anaphylaxis.  She had coded multiple times in the ICU this am and family decided to stop CPR during the last code""  Pharmacy has submitted a report to the FDA.""
	"1750163-1"	"1750163-1"	"LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES"	"10079487"	"40-49 years"	"40-49"	""""Fully vaccinated patient who admitted to the hospital on 09/25/21 with positive COVID test.  Patient had recently discharged from facility on 09/23/21 after a repeat pneumothorax and returned on 09/25/21 due to weakness and inability to care for self and upon admission testing was positive for COVID.  Discharge summary from provider below:  ""42/F with long-standing history of COPD and recurrent pneumothorax for which she L partial lobectomy in 2015 and VATS/pleurodesis recently 9/2021.  Pt had just been in our ICU August 2021 for respiratory failure due to COPD Exacerbation and was on the vent for 12 days. Unfortunately, she contracted COVID-19 PNA despite being fully vaccinated and was admitted to the hospital for that reason. We believe she had an anaphylactic shock and acute respiratory failure/bronchospasm due to Regeneron that caused her cardiac arrest with prolonged resuscitation 9/26/21. She developed multi-organ failure -- shock liver and aneuric renal failure thereafter. She was profoundly hypotensive, acidotic and hyperkalemic despite HD/CRRT and bicarb infusion. She had limited ventilatory compensation /difficult to ventilate because of underlying COPD with possible bronchospasm from anaphylaxis.  She had coded multiple times in the ICU this am and family decided to stop CPR during the last code""  Pharmacy has submitted a report to the FDA.""
	"1750163-1"	"1750163-1"	"MECHANICAL VENTILATION"	"10067221"	"40-49 years"	"40-49"	""""Fully vaccinated patient who admitted to the hospital on 09/25/21 with positive COVID test.  Patient had recently discharged from facility on 09/23/21 after a repeat pneumothorax and returned on 09/25/21 due to weakness and inability to care for self and upon admission testing was positive for COVID.  Discharge summary from provider below:  ""42/F with long-standing history of COPD and recurrent pneumothorax for which she L partial lobectomy in 2015 and VATS/pleurodesis recently 9/2021.  Pt had just been in our ICU August 2021 for respiratory failure due to COPD Exacerbation and was on the vent for 12 days. Unfortunately, she contracted COVID-19 PNA despite being fully vaccinated and was admitted to the hospital for that reason. We believe she had an anaphylactic shock and acute respiratory failure/bronchospasm due to Regeneron that caused her cardiac arrest with prolonged resuscitation 9/26/21. She developed multi-organ failure -- shock liver and aneuric renal failure thereafter. She was profoundly hypotensive, acidotic and hyperkalemic despite HD/CRRT and bicarb infusion. She had limited ventilatory compensation /difficult to ventilate because of underlying COPD with possible bronchospasm from anaphylaxis.  She had coded multiple times in the ICU this am and family decided to stop CPR during the last code""  Pharmacy has submitted a report to the FDA.""
	"1750163-1"	"1750163-1"	"MULTIPLE ORGAN DYSFUNCTION SYNDROME"	"10077361"	"40-49 years"	"40-49"	""""Fully vaccinated patient who admitted to the hospital on 09/25/21 with positive COVID test.  Patient had recently discharged from facility on 09/23/21 after a repeat pneumothorax and returned on 09/25/21 due to weakness and inability to care for self and upon admission testing was positive for COVID.  Discharge summary from provider below:  ""42/F with long-standing history of COPD and recurrent pneumothorax for which she L partial lobectomy in 2015 and VATS/pleurodesis recently 9/2021.  Pt had just been in our ICU August 2021 for respiratory failure due to COPD Exacerbation and was on the vent for 12 days. Unfortunately, she contracted COVID-19 PNA despite being fully vaccinated and was admitted to the hospital for that reason. We believe she had an anaphylactic shock and acute respiratory failure/bronchospasm due to Regeneron that caused her cardiac arrest with prolonged resuscitation 9/26/21. She developed multi-organ failure -- shock liver and aneuric renal failure thereafter. She was profoundly hypotensive, acidotic and hyperkalemic despite HD/CRRT and bicarb infusion. She had limited ventilatory compensation /difficult to ventilate because of underlying COPD with possible bronchospasm from anaphylaxis.  She had coded multiple times in the ICU this am and family decided to stop CPR during the last code""  Pharmacy has submitted a report to the FDA.""
	"1750163-1"	"1750163-1"	"PNEUMOTHORAX"	"10035759"	"40-49 years"	"40-49"	""""Fully vaccinated patient who admitted to the hospital on 09/25/21 with positive COVID test.  Patient had recently discharged from facility on 09/23/21 after a repeat pneumothorax and returned on 09/25/21 due to weakness and inability to care for self and upon admission testing was positive for COVID.  Discharge summary from provider below:  ""42/F with long-standing history of COPD and recurrent pneumothorax for which she L partial lobectomy in 2015 and VATS/pleurodesis recently 9/2021.  Pt had just been in our ICU August 2021 for respiratory failure due to COPD Exacerbation and was on the vent for 12 days. Unfortunately, she contracted COVID-19 PNA despite being fully vaccinated and was admitted to the hospital for that reason. We believe she had an anaphylactic shock and acute respiratory failure/bronchospasm due to Regeneron that caused her cardiac arrest with prolonged resuscitation 9/26/21. She developed multi-organ failure -- shock liver and aneuric renal failure thereafter. She was profoundly hypotensive, acidotic and hyperkalemic despite HD/CRRT and bicarb infusion. She had limited ventilatory compensation /difficult to ventilate because of underlying COPD with possible bronchospasm from anaphylaxis.  She had coded multiple times in the ICU this am and family decided to stop CPR during the last code""  Pharmacy has submitted a report to the FDA.""
	"1750163-1"	"1750163-1"	"RENAL FAILURE"	"10038435"	"40-49 years"	"40-49"	""""Fully vaccinated patient who admitted to the hospital on 09/25/21 with positive COVID test.  Patient had recently discharged from facility on 09/23/21 after a repeat pneumothorax and returned on 09/25/21 due to weakness and inability to care for self and upon admission testing was positive for COVID.  Discharge summary from provider below:  ""42/F with long-standing history of COPD and recurrent pneumothorax for which she L partial lobectomy in 2015 and VATS/pleurodesis recently 9/2021.  Pt had just been in our ICU August 2021 for respiratory failure due to COPD Exacerbation and was on the vent for 12 days. Unfortunately, she contracted COVID-19 PNA despite being fully vaccinated and was admitted to the hospital for that reason. We believe she had an anaphylactic shock and acute respiratory failure/bronchospasm due to Regeneron that caused her cardiac arrest with prolonged resuscitation 9/26/21. She developed multi-organ failure -- shock liver and aneuric renal failure thereafter. She was profoundly hypotensive, acidotic and hyperkalemic despite HD/CRRT and bicarb infusion. She had limited ventilatory compensation /difficult to ventilate because of underlying COPD with possible bronchospasm from anaphylaxis.  She had coded multiple times in the ICU this am and family decided to stop CPR during the last code""  Pharmacy has submitted a report to the FDA.""
	"1750163-1"	"1750163-1"	"RESPIRATORY FAILURE"	"10038695"	"40-49 years"	"40-49"	""""Fully vaccinated patient who admitted to the hospital on 09/25/21 with positive COVID test.  Patient had recently discharged from facility on 09/23/21 after a repeat pneumothorax and returned on 09/25/21 due to weakness and inability to care for self and upon admission testing was positive for COVID.  Discharge summary from provider below:  ""42/F with long-standing history of COPD and recurrent pneumothorax for which she L partial lobectomy in 2015 and VATS/pleurodesis recently 9/2021.  Pt had just been in our ICU August 2021 for respiratory failure due to COPD Exacerbation and was on the vent for 12 days. Unfortunately, she contracted COVID-19 PNA despite being fully vaccinated and was admitted to the hospital for that reason. We believe she had an anaphylactic shock and acute respiratory failure/bronchospasm due to Regeneron that caused her cardiac arrest with prolonged resuscitation 9/26/21. She developed multi-organ failure -- shock liver and aneuric renal failure thereafter. She was profoundly hypotensive, acidotic and hyperkalemic despite HD/CRRT and bicarb infusion. She had limited ventilatory compensation /difficult to ventilate because of underlying COPD with possible bronchospasm from anaphylaxis.  She had coded multiple times in the ICU this am and family decided to stop CPR during the last code""  Pharmacy has submitted a report to the FDA.""
	"1750163-1"	"1750163-1"	"RESUSCITATION"	"10038749"	"40-49 years"	"40-49"	""""Fully vaccinated patient who admitted to the hospital on 09/25/21 with positive COVID test.  Patient had recently discharged from facility on 09/23/21 after a repeat pneumothorax and returned on 09/25/21 due to weakness and inability to care for self and upon admission testing was positive for COVID.  Discharge summary from provider below:  ""42/F with long-standing history of COPD and recurrent pneumothorax for which she L partial lobectomy in 2015 and VATS/pleurodesis recently 9/2021.  Pt had just been in our ICU August 2021 for respiratory failure due to COPD Exacerbation and was on the vent for 12 days. Unfortunately, she contracted COVID-19 PNA despite being fully vaccinated and was admitted to the hospital for that reason. We believe she had an anaphylactic shock and acute respiratory failure/bronchospasm due to Regeneron that caused her cardiac arrest with prolonged resuscitation 9/26/21. She developed multi-organ failure -- shock liver and aneuric renal failure thereafter. She was profoundly hypotensive, acidotic and hyperkalemic despite HD/CRRT and bicarb infusion. She had limited ventilatory compensation /difficult to ventilate because of underlying COPD with possible bronchospasm from anaphylaxis.  She had coded multiple times in the ICU this am and family decided to stop CPR during the last code""  Pharmacy has submitted a report to the FDA.""
	"1750163-1"	"1750163-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"40-49 years"	"40-49"	""""Fully vaccinated patient who admitted to the hospital on 09/25/21 with positive COVID test.  Patient had recently discharged from facility on 09/23/21 after a repeat pneumothorax and returned on 09/25/21 due to weakness and inability to care for self and upon admission testing was positive for COVID.  Discharge summary from provider below:  ""42/F with long-standing history of COPD and recurrent pneumothorax for which she L partial lobectomy in 2015 and VATS/pleurodesis recently 9/2021.  Pt had just been in our ICU August 2021 for respiratory failure due to COPD Exacerbation and was on the vent for 12 days. Unfortunately, she contracted COVID-19 PNA despite being fully vaccinated and was admitted to the hospital for that reason. We believe she had an anaphylactic shock and acute respiratory failure/bronchospasm due to Regeneron that caused her cardiac arrest with prolonged resuscitation 9/26/21. She developed multi-organ failure -- shock liver and aneuric renal failure thereafter. She was profoundly hypotensive, acidotic and hyperkalemic despite HD/CRRT and bicarb infusion. She had limited ventilatory compensation /difficult to ventilate because of underlying COPD with possible bronchospasm from anaphylaxis.  She had coded multiple times in the ICU this am and family decided to stop CPR during the last code""  Pharmacy has submitted a report to the FDA.""
	"1750453-1"	"1750453-1"	"CARDITIS"	"10062746"	"30-39 years"	"30-39"	"She died from large bilateral pulmonary embolism and had inflammation to her heart"
	"1750453-1"	"1750453-1"	"CHEST X-RAY"	"10008498"	"30-39 years"	"30-39"	"She died from large bilateral pulmonary embolism and had inflammation to her heart"
	"1750453-1"	"1750453-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"She died from large bilateral pulmonary embolism and had inflammation to her heart"
	"1750453-1"	"1750453-1"	"ELECTROCARDIOGRAM"	"10014362"	"30-39 years"	"30-39"	"She died from large bilateral pulmonary embolism and had inflammation to her heart"
	"1750453-1"	"1750453-1"	"MYOCARDIAL NECROSIS MARKER"	"10075210"	"30-39 years"	"30-39"	"She died from large bilateral pulmonary embolism and had inflammation to her heart"
	"1750453-1"	"1750453-1"	"PULMONARY EMBOLISM"	"10037377"	"30-39 years"	"30-39"	"She died from large bilateral pulmonary embolism and had inflammation to her heart"
	"1754275-1"	"1754275-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"None stated."
	"1759168-1"	"1759168-1"	"CHEST PAIN"	"10008479"	"30-39 years"	"30-39"	"Pt.'s Sister states that after her brother received the 2nd dose of Phizer 09/22/2021, Pt. started experiencing shortness of breath and pain in the chest, Urgent Care visit 09/27/2021. Ultrasound preformed, treated with Updraft. Died 09/27/2021 2 Blood Clots located."
	"1759168-1"	"1759168-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Pt.'s Sister states that after her brother received the 2nd dose of Phizer 09/22/2021, Pt. started experiencing shortness of breath and pain in the chest, Urgent Care visit 09/27/2021. Ultrasound preformed, treated with Updraft. Died 09/27/2021 2 Blood Clots located."
	"1759168-1"	"1759168-1"	"DYSPNOEA"	"10013968"	"30-39 years"	"30-39"	"Pt.'s Sister states that after her brother received the 2nd dose of Phizer 09/22/2021, Pt. started experiencing shortness of breath and pain in the chest, Urgent Care visit 09/27/2021. Ultrasound preformed, treated with Updraft. Died 09/27/2021 2 Blood Clots located."
	"1759168-1"	"1759168-1"	"THROMBOSIS"	"10043607"	"30-39 years"	"30-39"	"Pt.'s Sister states that after her brother received the 2nd dose of Phizer 09/22/2021, Pt. started experiencing shortness of breath and pain in the chest, Urgent Care visit 09/27/2021. Ultrasound preformed, treated with Updraft. Died 09/27/2021 2 Blood Clots located."
	"1759168-1"	"1759168-1"	"ULTRASOUND SCAN ABNORMAL"	"10061606"	"30-39 years"	"30-39"	"Pt.'s Sister states that after her brother received the 2nd dose of Phizer 09/22/2021, Pt. started experiencing shortness of breath and pain in the chest, Urgent Care visit 09/27/2021. Ultrasound preformed, treated with Updraft. Died 09/27/2021 2 Blood Clots located."
	"1759771-1"	"1759771-1"	"COVID-19"	"10084268"	"30-39 years"	"30-39"	"Breakthrough COVID-19 case with symptom onset 8/9/2021: shortness of breath. Hospitalized 8/10/2021-8/11/2021. Death 8/11/2021. Case-pt was diagnosed with hypoxia, pneumonia, difficulty breathing, shortness of breath, respiratory problems."
	"1759771-1"	"1759771-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Breakthrough COVID-19 case with symptom onset 8/9/2021: shortness of breath. Hospitalized 8/10/2021-8/11/2021. Death 8/11/2021. Case-pt was diagnosed with hypoxia, pneumonia, difficulty breathing, shortness of breath, respiratory problems."
	"1759771-1"	"1759771-1"	"DYSPNOEA"	"10013968"	"30-39 years"	"30-39"	"Breakthrough COVID-19 case with symptom onset 8/9/2021: shortness of breath. Hospitalized 8/10/2021-8/11/2021. Death 8/11/2021. Case-pt was diagnosed with hypoxia, pneumonia, difficulty breathing, shortness of breath, respiratory problems."
	"1759771-1"	"1759771-1"	"HYPOXIA"	"10021143"	"30-39 years"	"30-39"	"Breakthrough COVID-19 case with symptom onset 8/9/2021: shortness of breath. Hospitalized 8/10/2021-8/11/2021. Death 8/11/2021. Case-pt was diagnosed with hypoxia, pneumonia, difficulty breathing, shortness of breath, respiratory problems."
	"1759771-1"	"1759771-1"	"PNEUMONIA"	"10035664"	"30-39 years"	"30-39"	"Breakthrough COVID-19 case with symptom onset 8/9/2021: shortness of breath. Hospitalized 8/10/2021-8/11/2021. Death 8/11/2021. Case-pt was diagnosed with hypoxia, pneumonia, difficulty breathing, shortness of breath, respiratory problems."
	"1759771-1"	"1759771-1"	"RESPIRATORY DISORDER"	"10038683"	"30-39 years"	"30-39"	"Breakthrough COVID-19 case with symptom onset 8/9/2021: shortness of breath. Hospitalized 8/10/2021-8/11/2021. Death 8/11/2021. Case-pt was diagnosed with hypoxia, pneumonia, difficulty breathing, shortness of breath, respiratory problems."
	"1759771-1"	"1759771-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"30-39 years"	"30-39"	"Breakthrough COVID-19 case with symptom onset 8/9/2021: shortness of breath. Hospitalized 8/10/2021-8/11/2021. Death 8/11/2021. Case-pt was diagnosed with hypoxia, pneumonia, difficulty breathing, shortness of breath, respiratory problems."
	"1759771-1"	"1759771-1"	"VACCINE BREAKTHROUGH INFECTION"	"10067923"	"30-39 years"	"30-39"	"Breakthrough COVID-19 case with symptom onset 8/9/2021: shortness of breath. Hospitalized 8/10/2021-8/11/2021. Death 8/11/2021. Case-pt was diagnosed with hypoxia, pneumonia, difficulty breathing, shortness of breath, respiratory problems."
	"1761370-1"	"1761370-1"	"ARTHRALGIA"	"10003239"	"40-49 years"	"40-49"	""Wife called to report a COVID-19 vaccine reaction. Patient received the J&J vaccine on 9/16 at Pharmacy. He did not feel well that night- achy joints, ""fever skin"", states skin felt as if he had the flu. He felt well after 3 days. On 9/27, Patient developed achy joints and stated he did not feel well. He died on their driveway. He was transported to Hospital and pronounced dead. Wife states she was informed he had an enlarged heart. Reports autopsy pending. States he was overweight, but had no medical history.""
	"1761370-1"	"1761370-1"	"CARDIOMEGALY"	"10007632"	"40-49 years"	"40-49"	""Wife called to report a COVID-19 vaccine reaction. Patient received the J&J vaccine on 9/16 at Pharmacy. He did not feel well that night- achy joints, ""fever skin"", states skin felt as if he had the flu. He felt well after 3 days. On 9/27, Patient developed achy joints and stated he did not feel well. He died on their driveway. He was transported to Hospital and pronounced dead. Wife states she was informed he had an enlarged heart. Reports autopsy pending. States he was overweight, but had no medical history.""
	"1761370-1"	"1761370-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	""Wife called to report a COVID-19 vaccine reaction. Patient received the J&J vaccine on 9/16 at Pharmacy. He did not feel well that night- achy joints, ""fever skin"", states skin felt as if he had the flu. He felt well after 3 days. On 9/27, Patient developed achy joints and stated he did not feel well. He died on their driveway. He was transported to Hospital and pronounced dead. Wife states she was informed he had an enlarged heart. Reports autopsy pending. States he was overweight, but had no medical history.""
	"1761370-1"	"1761370-1"	"INFLUENZA LIKE ILLNESS"	"10022004"	"40-49 years"	"40-49"	""Wife called to report a COVID-19 vaccine reaction. Patient received the J&J vaccine on 9/16 at Pharmacy. He did not feel well that night- achy joints, ""fever skin"", states skin felt as if he had the flu. He felt well after 3 days. On 9/27, Patient developed achy joints and stated he did not feel well. He died on their driveway. He was transported to Hospital and pronounced dead. Wife states she was informed he had an enlarged heart. Reports autopsy pending. States he was overweight, but had no medical history.""
	"1761370-1"	"1761370-1"	"MALAISE"	"10025482"	"40-49 years"	"40-49"	""Wife called to report a COVID-19 vaccine reaction. Patient received the J&J vaccine on 9/16 at Pharmacy. He did not feel well that night- achy joints, ""fever skin"", states skin felt as if he had the flu. He felt well after 3 days. On 9/27, Patient developed achy joints and stated he did not feel well. He died on their driveway. He was transported to Hospital and pronounced dead. Wife states she was informed he had an enlarged heart. Reports autopsy pending. States he was overweight, but had no medical history.""
	"1761370-1"	"1761370-1"	"OVERWEIGHT"	"10033307"	"40-49 years"	"40-49"	""Wife called to report a COVID-19 vaccine reaction. Patient received the J&J vaccine on 9/16 at Pharmacy. He did not feel well that night- achy joints, ""fever skin"", states skin felt as if he had the flu. He felt well after 3 days. On 9/27, Patient developed achy joints and stated he did not feel well. He died on their driveway. He was transported to Hospital and pronounced dead. Wife states she was informed he had an enlarged heart. Reports autopsy pending. States he was overweight, but had no medical history.""
	"1761370-1"	"1761370-1"	"SKIN WARM"	"10040952"	"40-49 years"	"40-49"	""Wife called to report a COVID-19 vaccine reaction. Patient received the J&J vaccine on 9/16 at Pharmacy. He did not feel well that night- achy joints, ""fever skin"", states skin felt as if he had the flu. He felt well after 3 days. On 9/27, Patient developed achy joints and stated he did not feel well. He died on their driveway. He was transported to Hospital and pronounced dead. Wife states she was informed he had an enlarged heart. Reports autopsy pending. States he was overweight, but had no medical history.""
	"1761422-1"	"1761422-1"	"ANAEMIA"	"10002034"	"30-39 years"	"30-39"	"Breakthrough Covid + 35 year old female with a Past Medical History of Evans Syndrome, Immune Deficiency Disorder, Lymph Node Abscess, B-cell Lymphoma, Cytomegalovirus, Pneumonia, Pneumothorax, Bone Marrow Biopsy, Port, and Lymph Node Biopsy.  Admitted to Medical PCU for Low Grade Fever, COVID19, B-Cell Lymphoma, Evans Syndrome, Pneumonia, Splenomegaly, Elevated LFT's, Elevated Bilirubin, Dehydration, Hypoxemia, Tachycardia, Leukopenia, Anemia, Pancytopenia, Elevated Blood Glucose, Hyponatremia, Hypokalemia, and Questionable Small Lesions within the Liver. Patient was admitted to the hospital for shortness of breath cough and fever.  Symptoms have been progressively getting worse over last 1-2 days."
	"1761422-1"	"1761422-1"	"B-CELL LYMPHOMA"	"10003899"	"30-39 years"	"30-39"	"Breakthrough Covid + 35 year old female with a Past Medical History of Evans Syndrome, Immune Deficiency Disorder, Lymph Node Abscess, B-cell Lymphoma, Cytomegalovirus, Pneumonia, Pneumothorax, Bone Marrow Biopsy, Port, and Lymph Node Biopsy.  Admitted to Medical PCU for Low Grade Fever, COVID19, B-Cell Lymphoma, Evans Syndrome, Pneumonia, Splenomegaly, Elevated LFT's, Elevated Bilirubin, Dehydration, Hypoxemia, Tachycardia, Leukopenia, Anemia, Pancytopenia, Elevated Blood Glucose, Hyponatremia, Hypokalemia, and Questionable Small Lesions within the Liver. Patient was admitted to the hospital for shortness of breath cough and fever.  Symptoms have been progressively getting worse over last 1-2 days."
	"1761422-1"	"1761422-1"	"BLOOD BILIRUBIN INCREASED"	"10005364"	"30-39 years"	"30-39"	"Breakthrough Covid + 35 year old female with a Past Medical History of Evans Syndrome, Immune Deficiency Disorder, Lymph Node Abscess, B-cell Lymphoma, Cytomegalovirus, Pneumonia, Pneumothorax, Bone Marrow Biopsy, Port, and Lymph Node Biopsy.  Admitted to Medical PCU for Low Grade Fever, COVID19, B-Cell Lymphoma, Evans Syndrome, Pneumonia, Splenomegaly, Elevated LFT's, Elevated Bilirubin, Dehydration, Hypoxemia, Tachycardia, Leukopenia, Anemia, Pancytopenia, Elevated Blood Glucose, Hyponatremia, Hypokalemia, and Questionable Small Lesions within the Liver. Patient was admitted to the hospital for shortness of breath cough and fever.  Symptoms have been progressively getting worse over last 1-2 days."
	"1761422-1"	"1761422-1"	"BLOOD GLUCOSE INCREASED"	"10005557"	"30-39 years"	"30-39"	"Breakthrough Covid + 35 year old female with a Past Medical History of Evans Syndrome, Immune Deficiency Disorder, Lymph Node Abscess, B-cell Lymphoma, Cytomegalovirus, Pneumonia, Pneumothorax, Bone Marrow Biopsy, Port, and Lymph Node Biopsy.  Admitted to Medical PCU for Low Grade Fever, COVID19, B-Cell Lymphoma, Evans Syndrome, Pneumonia, Splenomegaly, Elevated LFT's, Elevated Bilirubin, Dehydration, Hypoxemia, Tachycardia, Leukopenia, Anemia, Pancytopenia, Elevated Blood Glucose, Hyponatremia, Hypokalemia, and Questionable Small Lesions within the Liver. Patient was admitted to the hospital for shortness of breath cough and fever.  Symptoms have been progressively getting worse over last 1-2 days."
	"1761422-1"	"1761422-1"	"CONDITION AGGRAVATED"	"10010264"	"30-39 years"	"30-39"	"Breakthrough Covid + 35 year old female with a Past Medical History of Evans Syndrome, Immune Deficiency Disorder, Lymph Node Abscess, B-cell Lymphoma, Cytomegalovirus, Pneumonia, Pneumothorax, Bone Marrow Biopsy, Port, and Lymph Node Biopsy.  Admitted to Medical PCU for Low Grade Fever, COVID19, B-Cell Lymphoma, Evans Syndrome, Pneumonia, Splenomegaly, Elevated LFT's, Elevated Bilirubin, Dehydration, Hypoxemia, Tachycardia, Leukopenia, Anemia, Pancytopenia, Elevated Blood Glucose, Hyponatremia, Hypokalemia, and Questionable Small Lesions within the Liver. Patient was admitted to the hospital for shortness of breath cough and fever.  Symptoms have been progressively getting worse over last 1-2 days."
	"1761422-1"	"1761422-1"	"COUGH"	"10011224"	"30-39 years"	"30-39"	"Breakthrough Covid + 35 year old female with a Past Medical History of Evans Syndrome, Immune Deficiency Disorder, Lymph Node Abscess, B-cell Lymphoma, Cytomegalovirus, Pneumonia, Pneumothorax, Bone Marrow Biopsy, Port, and Lymph Node Biopsy.  Admitted to Medical PCU for Low Grade Fever, COVID19, B-Cell Lymphoma, Evans Syndrome, Pneumonia, Splenomegaly, Elevated LFT's, Elevated Bilirubin, Dehydration, Hypoxemia, Tachycardia, Leukopenia, Anemia, Pancytopenia, Elevated Blood Glucose, Hyponatremia, Hypokalemia, and Questionable Small Lesions within the Liver. Patient was admitted to the hospital for shortness of breath cough and fever.  Symptoms have been progressively getting worse over last 1-2 days."
	"1761422-1"	"1761422-1"	"COVID-19"	"10084268"	"30-39 years"	"30-39"	"Breakthrough Covid + 35 year old female with a Past Medical History of Evans Syndrome, Immune Deficiency Disorder, Lymph Node Abscess, B-cell Lymphoma, Cytomegalovirus, Pneumonia, Pneumothorax, Bone Marrow Biopsy, Port, and Lymph Node Biopsy.  Admitted to Medical PCU for Low Grade Fever, COVID19, B-Cell Lymphoma, Evans Syndrome, Pneumonia, Splenomegaly, Elevated LFT's, Elevated Bilirubin, Dehydration, Hypoxemia, Tachycardia, Leukopenia, Anemia, Pancytopenia, Elevated Blood Glucose, Hyponatremia, Hypokalemia, and Questionable Small Lesions within the Liver. Patient was admitted to the hospital for shortness of breath cough and fever.  Symptoms have been progressively getting worse over last 1-2 days."
	"1761422-1"	"1761422-1"	"DEHYDRATION"	"10012174"	"30-39 years"	"30-39"	"Breakthrough Covid + 35 year old female with a Past Medical History of Evans Syndrome, Immune Deficiency Disorder, Lymph Node Abscess, B-cell Lymphoma, Cytomegalovirus, Pneumonia, Pneumothorax, Bone Marrow Biopsy, Port, and Lymph Node Biopsy.  Admitted to Medical PCU for Low Grade Fever, COVID19, B-Cell Lymphoma, Evans Syndrome, Pneumonia, Splenomegaly, Elevated LFT's, Elevated Bilirubin, Dehydration, Hypoxemia, Tachycardia, Leukopenia, Anemia, Pancytopenia, Elevated Blood Glucose, Hyponatremia, Hypokalemia, and Questionable Small Lesions within the Liver. Patient was admitted to the hospital for shortness of breath cough and fever.  Symptoms have been progressively getting worse over last 1-2 days."
	"1761422-1"	"1761422-1"	"DYSPNOEA"	"10013968"	"30-39 years"	"30-39"	"Breakthrough Covid + 35 year old female with a Past Medical History of Evans Syndrome, Immune Deficiency Disorder, Lymph Node Abscess, B-cell Lymphoma, Cytomegalovirus, Pneumonia, Pneumothorax, Bone Marrow Biopsy, Port, and Lymph Node Biopsy.  Admitted to Medical PCU for Low Grade Fever, COVID19, B-Cell Lymphoma, Evans Syndrome, Pneumonia, Splenomegaly, Elevated LFT's, Elevated Bilirubin, Dehydration, Hypoxemia, Tachycardia, Leukopenia, Anemia, Pancytopenia, Elevated Blood Glucose, Hyponatremia, Hypokalemia, and Questionable Small Lesions within the Liver. Patient was admitted to the hospital for shortness of breath cough and fever.  Symptoms have been progressively getting worse over last 1-2 days."
	"1761422-1"	"1761422-1"	"EVANS SYNDROME"	"10053873"	"30-39 years"	"30-39"	"Breakthrough Covid + 35 year old female with a Past Medical History of Evans Syndrome, Immune Deficiency Disorder, Lymph Node Abscess, B-cell Lymphoma, Cytomegalovirus, Pneumonia, Pneumothorax, Bone Marrow Biopsy, Port, and Lymph Node Biopsy.  Admitted to Medical PCU for Low Grade Fever, COVID19, B-Cell Lymphoma, Evans Syndrome, Pneumonia, Splenomegaly, Elevated LFT's, Elevated Bilirubin, Dehydration, Hypoxemia, Tachycardia, Leukopenia, Anemia, Pancytopenia, Elevated Blood Glucose, Hyponatremia, Hypokalemia, and Questionable Small Lesions within the Liver. Patient was admitted to the hospital for shortness of breath cough and fever.  Symptoms have been progressively getting worse over last 1-2 days."
	"1761422-1"	"1761422-1"	"HYPOKALAEMIA"	"10021015"	"30-39 years"	"30-39"	"Breakthrough Covid + 35 year old female with a Past Medical History of Evans Syndrome, Immune Deficiency Disorder, Lymph Node Abscess, B-cell Lymphoma, Cytomegalovirus, Pneumonia, Pneumothorax, Bone Marrow Biopsy, Port, and Lymph Node Biopsy.  Admitted to Medical PCU for Low Grade Fever, COVID19, B-Cell Lymphoma, Evans Syndrome, Pneumonia, Splenomegaly, Elevated LFT's, Elevated Bilirubin, Dehydration, Hypoxemia, Tachycardia, Leukopenia, Anemia, Pancytopenia, Elevated Blood Glucose, Hyponatremia, Hypokalemia, and Questionable Small Lesions within the Liver. Patient was admitted to the hospital for shortness of breath cough and fever.  Symptoms have been progressively getting worse over last 1-2 days."
	"1761422-1"	"1761422-1"	"HYPONATRAEMIA"	"10021036"	"30-39 years"	"30-39"	"Breakthrough Covid + 35 year old female with a Past Medical History of Evans Syndrome, Immune Deficiency Disorder, Lymph Node Abscess, B-cell Lymphoma, Cytomegalovirus, Pneumonia, Pneumothorax, Bone Marrow Biopsy, Port, and Lymph Node Biopsy.  Admitted to Medical PCU for Low Grade Fever, COVID19, B-Cell Lymphoma, Evans Syndrome, Pneumonia, Splenomegaly, Elevated LFT's, Elevated Bilirubin, Dehydration, Hypoxemia, Tachycardia, Leukopenia, Anemia, Pancytopenia, Elevated Blood Glucose, Hyponatremia, Hypokalemia, and Questionable Small Lesions within the Liver. Patient was admitted to the hospital for shortness of breath cough and fever.  Symptoms have been progressively getting worse over last 1-2 days."
	"1761422-1"	"1761422-1"	"HYPOXIA"	"10021143"	"30-39 years"	"30-39"	"Breakthrough Covid + 35 year old female with a Past Medical History of Evans Syndrome, Immune Deficiency Disorder, Lymph Node Abscess, B-cell Lymphoma, Cytomegalovirus, Pneumonia, Pneumothorax, Bone Marrow Biopsy, Port, and Lymph Node Biopsy.  Admitted to Medical PCU for Low Grade Fever, COVID19, B-Cell Lymphoma, Evans Syndrome, Pneumonia, Splenomegaly, Elevated LFT's, Elevated Bilirubin, Dehydration, Hypoxemia, Tachycardia, Leukopenia, Anemia, Pancytopenia, Elevated Blood Glucose, Hyponatremia, Hypokalemia, and Questionable Small Lesions within the Liver. Patient was admitted to the hospital for shortness of breath cough and fever.  Symptoms have been progressively getting worse over last 1-2 days."
	"1761422-1"	"1761422-1"	"LEUKOPENIA"	"10024384"	"30-39 years"	"30-39"	"Breakthrough Covid + 35 year old female with a Past Medical History of Evans Syndrome, Immune Deficiency Disorder, Lymph Node Abscess, B-cell Lymphoma, Cytomegalovirus, Pneumonia, Pneumothorax, Bone Marrow Biopsy, Port, and Lymph Node Biopsy.  Admitted to Medical PCU for Low Grade Fever, COVID19, B-Cell Lymphoma, Evans Syndrome, Pneumonia, Splenomegaly, Elevated LFT's, Elevated Bilirubin, Dehydration, Hypoxemia, Tachycardia, Leukopenia, Anemia, Pancytopenia, Elevated Blood Glucose, Hyponatremia, Hypokalemia, and Questionable Small Lesions within the Liver. Patient was admitted to the hospital for shortness of breath cough and fever.  Symptoms have been progressively getting worse over last 1-2 days."
	"1761422-1"	"1761422-1"	"LIVER FUNCTION TEST INCREASED"	"10077692"	"30-39 years"	"30-39"	"Breakthrough Covid + 35 year old female with a Past Medical History of Evans Syndrome, Immune Deficiency Disorder, Lymph Node Abscess, B-cell Lymphoma, Cytomegalovirus, Pneumonia, Pneumothorax, Bone Marrow Biopsy, Port, and Lymph Node Biopsy.  Admitted to Medical PCU for Low Grade Fever, COVID19, B-Cell Lymphoma, Evans Syndrome, Pneumonia, Splenomegaly, Elevated LFT's, Elevated Bilirubin, Dehydration, Hypoxemia, Tachycardia, Leukopenia, Anemia, Pancytopenia, Elevated Blood Glucose, Hyponatremia, Hypokalemia, and Questionable Small Lesions within the Liver. Patient was admitted to the hospital for shortness of breath cough and fever.  Symptoms have been progressively getting worse over last 1-2 days."
	"1761422-1"	"1761422-1"	"PANCYTOPENIA"	"10033661"	"30-39 years"	"30-39"	"Breakthrough Covid + 35 year old female with a Past Medical History of Evans Syndrome, Immune Deficiency Disorder, Lymph Node Abscess, B-cell Lymphoma, Cytomegalovirus, Pneumonia, Pneumothorax, Bone Marrow Biopsy, Port, and Lymph Node Biopsy.  Admitted to Medical PCU for Low Grade Fever, COVID19, B-Cell Lymphoma, Evans Syndrome, Pneumonia, Splenomegaly, Elevated LFT's, Elevated Bilirubin, Dehydration, Hypoxemia, Tachycardia, Leukopenia, Anemia, Pancytopenia, Elevated Blood Glucose, Hyponatremia, Hypokalemia, and Questionable Small Lesions within the Liver. Patient was admitted to the hospital for shortness of breath cough and fever.  Symptoms have been progressively getting worse over last 1-2 days."
	"1761422-1"	"1761422-1"	"PNEUMONIA"	"10035664"	"30-39 years"	"30-39"	"Breakthrough Covid + 35 year old female with a Past Medical History of Evans Syndrome, Immune Deficiency Disorder, Lymph Node Abscess, B-cell Lymphoma, Cytomegalovirus, Pneumonia, Pneumothorax, Bone Marrow Biopsy, Port, and Lymph Node Biopsy.  Admitted to Medical PCU for Low Grade Fever, COVID19, B-Cell Lymphoma, Evans Syndrome, Pneumonia, Splenomegaly, Elevated LFT's, Elevated Bilirubin, Dehydration, Hypoxemia, Tachycardia, Leukopenia, Anemia, Pancytopenia, Elevated Blood Glucose, Hyponatremia, Hypokalemia, and Questionable Small Lesions within the Liver. Patient was admitted to the hospital for shortness of breath cough and fever.  Symptoms have been progressively getting worse over last 1-2 days."
	"1761422-1"	"1761422-1"	"PYREXIA"	"10037660"	"30-39 years"	"30-39"	"Breakthrough Covid + 35 year old female with a Past Medical History of Evans Syndrome, Immune Deficiency Disorder, Lymph Node Abscess, B-cell Lymphoma, Cytomegalovirus, Pneumonia, Pneumothorax, Bone Marrow Biopsy, Port, and Lymph Node Biopsy.  Admitted to Medical PCU for Low Grade Fever, COVID19, B-Cell Lymphoma, Evans Syndrome, Pneumonia, Splenomegaly, Elevated LFT's, Elevated Bilirubin, Dehydration, Hypoxemia, Tachycardia, Leukopenia, Anemia, Pancytopenia, Elevated Blood Glucose, Hyponatremia, Hypokalemia, and Questionable Small Lesions within the Liver. Patient was admitted to the hospital for shortness of breath cough and fever.  Symptoms have been progressively getting worse over last 1-2 days."
	"1761422-1"	"1761422-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"30-39 years"	"30-39"	"Breakthrough Covid + 35 year old female with a Past Medical History of Evans Syndrome, Immune Deficiency Disorder, Lymph Node Abscess, B-cell Lymphoma, Cytomegalovirus, Pneumonia, Pneumothorax, Bone Marrow Biopsy, Port, and Lymph Node Biopsy.  Admitted to Medical PCU for Low Grade Fever, COVID19, B-Cell Lymphoma, Evans Syndrome, Pneumonia, Splenomegaly, Elevated LFT's, Elevated Bilirubin, Dehydration, Hypoxemia, Tachycardia, Leukopenia, Anemia, Pancytopenia, Elevated Blood Glucose, Hyponatremia, Hypokalemia, and Questionable Small Lesions within the Liver. Patient was admitted to the hospital for shortness of breath cough and fever.  Symptoms have been progressively getting worse over last 1-2 days."
	"1761422-1"	"1761422-1"	"SPLENOMEGALY"	"10041660"	"30-39 years"	"30-39"	"Breakthrough Covid + 35 year old female with a Past Medical History of Evans Syndrome, Immune Deficiency Disorder, Lymph Node Abscess, B-cell Lymphoma, Cytomegalovirus, Pneumonia, Pneumothorax, Bone Marrow Biopsy, Port, and Lymph Node Biopsy.  Admitted to Medical PCU for Low Grade Fever, COVID19, B-Cell Lymphoma, Evans Syndrome, Pneumonia, Splenomegaly, Elevated LFT's, Elevated Bilirubin, Dehydration, Hypoxemia, Tachycardia, Leukopenia, Anemia, Pancytopenia, Elevated Blood Glucose, Hyponatremia, Hypokalemia, and Questionable Small Lesions within the Liver. Patient was admitted to the hospital for shortness of breath cough and fever.  Symptoms have been progressively getting worse over last 1-2 days."
	"1761422-1"	"1761422-1"	"TACHYCARDIA"	"10043071"	"30-39 years"	"30-39"	"Breakthrough Covid + 35 year old female with a Past Medical History of Evans Syndrome, Immune Deficiency Disorder, Lymph Node Abscess, B-cell Lymphoma, Cytomegalovirus, Pneumonia, Pneumothorax, Bone Marrow Biopsy, Port, and Lymph Node Biopsy.  Admitted to Medical PCU for Low Grade Fever, COVID19, B-Cell Lymphoma, Evans Syndrome, Pneumonia, Splenomegaly, Elevated LFT's, Elevated Bilirubin, Dehydration, Hypoxemia, Tachycardia, Leukopenia, Anemia, Pancytopenia, Elevated Blood Glucose, Hyponatremia, Hypokalemia, and Questionable Small Lesions within the Liver. Patient was admitted to the hospital for shortness of breath cough and fever.  Symptoms have been progressively getting worse over last 1-2 days."
	"1761422-1"	"1761422-1"	"VACCINE BREAKTHROUGH INFECTION"	"10067923"	"30-39 years"	"30-39"	"Breakthrough Covid + 35 year old female with a Past Medical History of Evans Syndrome, Immune Deficiency Disorder, Lymph Node Abscess, B-cell Lymphoma, Cytomegalovirus, Pneumonia, Pneumothorax, Bone Marrow Biopsy, Port, and Lymph Node Biopsy.  Admitted to Medical PCU for Low Grade Fever, COVID19, B-Cell Lymphoma, Evans Syndrome, Pneumonia, Splenomegaly, Elevated LFT's, Elevated Bilirubin, Dehydration, Hypoxemia, Tachycardia, Leukopenia, Anemia, Pancytopenia, Elevated Blood Glucose, Hyponatremia, Hypokalemia, and Questionable Small Lesions within the Liver. Patient was admitted to the hospital for shortness of breath cough and fever.  Symptoms have been progressively getting worse over last 1-2 days."
	"1762006-1"	"1762006-1"	"COVID-19"	"10084268"	"30-39 years"	"30-39"	"Died of COVID illness."
	"1762006-1"	"1762006-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Died of COVID illness."
	"1762722-1"	"1762722-1"	"DIZZINESS"	"10013573"	"30-39 years"	"30-39"	"Shortness of breath, dizziness and  lightheaded"
	"1762722-1"	"1762722-1"	"DYSPNOEA"	"10013968"	"30-39 years"	"30-39"	"Shortness of breath, dizziness and  lightheaded"
	"1762881-1"	"1762881-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Death within 7 days of receiving vaccine."
	"1764890-1"	"1764890-1"	"AUTOPSY"	"10050117"	"40-49 years"	"40-49"	"Started w/ shortness of breath mid to late June 2021. This was intermittent x 6-8 weeks. Started with upper calf pain end of July 2021. This was also intermittent. Started with cough and had increased shortness of breath first week in August. Went to his PCP. She thought it was asthma. Started on albuterol. This did not help. I found him 8/9/21 on our bed when I came home from work and he had passed away. Verbal autopsy report from Coroners office told me DVT in R calf and 2 pulmonary emboli. My husband was a non-smoker and worked out 7 days a week including long distance running, gym twice a week, playing basketball  and hiking 14,000 ft mountains. No one can explain to me why he developed clots. No history or family history of any clotting disorders."
	"1764890-1"	"1764890-1"	"CHEST X-RAY NORMAL"	"10008500"	"40-49 years"	"40-49"	"Started w/ shortness of breath mid to late June 2021. This was intermittent x 6-8 weeks. Started with upper calf pain end of July 2021. This was also intermittent. Started with cough and had increased shortness of breath first week in August. Went to his PCP. She thought it was asthma. Started on albuterol. This did not help. I found him 8/9/21 on our bed when I came home from work and he had passed away. Verbal autopsy report from Coroners office told me DVT in R calf and 2 pulmonary emboli. My husband was a non-smoker and worked out 7 days a week including long distance running, gym twice a week, playing basketball  and hiking 14,000 ft mountains. No one can explain to me why he developed clots. No history or family history of any clotting disorders."
	"1764890-1"	"1764890-1"	"COUGH"	"10011224"	"40-49 years"	"40-49"	"Started w/ shortness of breath mid to late June 2021. This was intermittent x 6-8 weeks. Started with upper calf pain end of July 2021. This was also intermittent. Started with cough and had increased shortness of breath first week in August. Went to his PCP. She thought it was asthma. Started on albuterol. This did not help. I found him 8/9/21 on our bed when I came home from work and he had passed away. Verbal autopsy report from Coroners office told me DVT in R calf and 2 pulmonary emboli. My husband was a non-smoker and worked out 7 days a week including long distance running, gym twice a week, playing basketball  and hiking 14,000 ft mountains. No one can explain to me why he developed clots. No history or family history of any clotting disorders."
	"1764890-1"	"1764890-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Started w/ shortness of breath mid to late June 2021. This was intermittent x 6-8 weeks. Started with upper calf pain end of July 2021. This was also intermittent. Started with cough and had increased shortness of breath first week in August. Went to his PCP. She thought it was asthma. Started on albuterol. This did not help. I found him 8/9/21 on our bed when I came home from work and he had passed away. Verbal autopsy report from Coroners office told me DVT in R calf and 2 pulmonary emboli. My husband was a non-smoker and worked out 7 days a week including long distance running, gym twice a week, playing basketball  and hiking 14,000 ft mountains. No one can explain to me why he developed clots. No history or family history of any clotting disorders."
	"1764890-1"	"1764890-1"	"DEEP VEIN THROMBOSIS"	"10051055"	"40-49 years"	"40-49"	"Started w/ shortness of breath mid to late June 2021. This was intermittent x 6-8 weeks. Started with upper calf pain end of July 2021. This was also intermittent. Started with cough and had increased shortness of breath first week in August. Went to his PCP. She thought it was asthma. Started on albuterol. This did not help. I found him 8/9/21 on our bed when I came home from work and he had passed away. Verbal autopsy report from Coroners office told me DVT in R calf and 2 pulmonary emboli. My husband was a non-smoker and worked out 7 days a week including long distance running, gym twice a week, playing basketball  and hiking 14,000 ft mountains. No one can explain to me why he developed clots. No history or family history of any clotting disorders."
	"1764890-1"	"1764890-1"	"DYSPNOEA"	"10013968"	"40-49 years"	"40-49"	"Started w/ shortness of breath mid to late June 2021. This was intermittent x 6-8 weeks. Started with upper calf pain end of July 2021. This was also intermittent. Started with cough and had increased shortness of breath first week in August. Went to his PCP. She thought it was asthma. Started on albuterol. This did not help. I found him 8/9/21 on our bed when I came home from work and he had passed away. Verbal autopsy report from Coroners office told me DVT in R calf and 2 pulmonary emboli. My husband was a non-smoker and worked out 7 days a week including long distance running, gym twice a week, playing basketball  and hiking 14,000 ft mountains. No one can explain to me why he developed clots. No history or family history of any clotting disorders."
	"1764890-1"	"1764890-1"	"PAIN IN EXTREMITY"	"10033425"	"40-49 years"	"40-49"	"Started w/ shortness of breath mid to late June 2021. This was intermittent x 6-8 weeks. Started with upper calf pain end of July 2021. This was also intermittent. Started with cough and had increased shortness of breath first week in August. Went to his PCP. She thought it was asthma. Started on albuterol. This did not help. I found him 8/9/21 on our bed when I came home from work and he had passed away. Verbal autopsy report from Coroners office told me DVT in R calf and 2 pulmonary emboli. My husband was a non-smoker and worked out 7 days a week including long distance running, gym twice a week, playing basketball  and hiking 14,000 ft mountains. No one can explain to me why he developed clots. No history or family history of any clotting disorders."
	"1764890-1"	"1764890-1"	"PULMONARY EMBOLISM"	"10037377"	"40-49 years"	"40-49"	"Started w/ shortness of breath mid to late June 2021. This was intermittent x 6-8 weeks. Started with upper calf pain end of July 2021. This was also intermittent. Started with cough and had increased shortness of breath first week in August. Went to his PCP. She thought it was asthma. Started on albuterol. This did not help. I found him 8/9/21 on our bed when I came home from work and he had passed away. Verbal autopsy report from Coroners office told me DVT in R calf and 2 pulmonary emboli. My husband was a non-smoker and worked out 7 days a week including long distance running, gym twice a week, playing basketball  and hiking 14,000 ft mountains. No one can explain to me why he developed clots. No history or family history of any clotting disorders."
	"1764890-1"	"1764890-1"	"SARS-COV-2 TEST NEGATIVE"	"10084273"	"40-49 years"	"40-49"	"Started w/ shortness of breath mid to late June 2021. This was intermittent x 6-8 weeks. Started with upper calf pain end of July 2021. This was also intermittent. Started with cough and had increased shortness of breath first week in August. Went to his PCP. She thought it was asthma. Started on albuterol. This did not help. I found him 8/9/21 on our bed when I came home from work and he had passed away. Verbal autopsy report from Coroners office told me DVT in R calf and 2 pulmonary emboli. My husband was a non-smoker and worked out 7 days a week including long distance running, gym twice a week, playing basketball  and hiking 14,000 ft mountains. No one can explain to me why he developed clots. No history or family history of any clotting disorders."
	"1767953-1"	"1767953-1"	"BREATH SOUNDS ABNORMAL"	"10064780"	"40-49 years"	"40-49"	""Breakthrough COVID-19 case with symptom onset 8/20/2021: Fever, Aches, Shortness of breath/difficulty breathing, Cough. Hospitalized 8/20/2021-8/27/2021. From HCW: Respiratory Distress. Per pt, he got ""stuck in bed, couldn't sit up for 3 hours"". Pt found semi-responsive by EMS, initially satting 40s RA, mid-80s NRB, heard wet lung sounds. No known Covid exposure, recently vaccinated. Hx sleep apnea, lymphedema. No other aggravating or alleviating factors. Symptoms are described as mild to moderate in intensity, severity, quality, and character.  Nurse's notes have been requested, obtained, and reviewed. I agree with their assessment. The patient presents with shortness of breath with hypoxia.  The patient is a very morbidly obese male with a history of sleep apnea and significant lymphedema to the left lower extremity.  The patient denies using Lasix.  The patient does seem to have a dry oral mucosa and feels thirsty.  Patient denies any history of congestive heart failure.  The patient was found semi responsive by EMS with an O2 saturation in the 40s but increased to the upper 80s on 100% non-rebreather mask. Death 8/27/2021. From Vital Records: place of death: HOSPITAL-INPATIENT, MEMORIAL MEDICAL CENTER; certified, PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: DIRECTOR, SCHOOL BOARD DIRECTOR . Per vital records, COD ICD Codes include: U071, A419, J80, J969, N288 ; Other Significant Conditions include: None listed""
	"1767953-1"	"1767953-1"	"COUGH"	"10011224"	"40-49 years"	"40-49"	""Breakthrough COVID-19 case with symptom onset 8/20/2021: Fever, Aches, Shortness of breath/difficulty breathing, Cough. Hospitalized 8/20/2021-8/27/2021. From HCW: Respiratory Distress. Per pt, he got ""stuck in bed, couldn't sit up for 3 hours"". Pt found semi-responsive by EMS, initially satting 40s RA, mid-80s NRB, heard wet lung sounds. No known Covid exposure, recently vaccinated. Hx sleep apnea, lymphedema. No other aggravating or alleviating factors. Symptoms are described as mild to moderate in intensity, severity, quality, and character.  Nurse's notes have been requested, obtained, and reviewed. I agree with their assessment. The patient presents with shortness of breath with hypoxia.  The patient is a very morbidly obese male with a history of sleep apnea and significant lymphedema to the left lower extremity.  The patient denies using Lasix.  The patient does seem to have a dry oral mucosa and feels thirsty.  Patient denies any history of congestive heart failure.  The patient was found semi responsive by EMS with an O2 saturation in the 40s but increased to the upper 80s on 100% non-rebreather mask. Death 8/27/2021. From Vital Records: place of death: HOSPITAL-INPATIENT, MEMORIAL MEDICAL CENTER; certified, PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: DIRECTOR, SCHOOL BOARD DIRECTOR . Per vital records, COD ICD Codes include: U071, A419, J80, J969, N288 ; Other Significant Conditions include: None listed""
	"1767953-1"	"1767953-1"	"COVID-19"	"10084268"	"40-49 years"	"40-49"	""Breakthrough COVID-19 case with symptom onset 8/20/2021: Fever, Aches, Shortness of breath/difficulty breathing, Cough. Hospitalized 8/20/2021-8/27/2021. From HCW: Respiratory Distress. Per pt, he got ""stuck in bed, couldn't sit up for 3 hours"". Pt found semi-responsive by EMS, initially satting 40s RA, mid-80s NRB, heard wet lung sounds. No known Covid exposure, recently vaccinated. Hx sleep apnea, lymphedema. No other aggravating or alleviating factors. Symptoms are described as mild to moderate in intensity, severity, quality, and character.  Nurse's notes have been requested, obtained, and reviewed. I agree with their assessment. The patient presents with shortness of breath with hypoxia.  The patient is a very morbidly obese male with a history of sleep apnea and significant lymphedema to the left lower extremity.  The patient denies using Lasix.  The patient does seem to have a dry oral mucosa and feels thirsty.  Patient denies any history of congestive heart failure.  The patient was found semi responsive by EMS with an O2 saturation in the 40s but increased to the upper 80s on 100% non-rebreather mask. Death 8/27/2021. From Vital Records: place of death: HOSPITAL-INPATIENT, MEMORIAL MEDICAL CENTER; certified, PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: DIRECTOR, SCHOOL BOARD DIRECTOR . Per vital records, COD ICD Codes include: U071, A419, J80, J969, N288 ; Other Significant Conditions include: None listed""
	"1767953-1"	"1767953-1"	"CREPITATIONS"	"10011376"	"40-49 years"	"40-49"	""Breakthrough COVID-19 case with symptom onset 8/20/2021: Fever, Aches, Shortness of breath/difficulty breathing, Cough. Hospitalized 8/20/2021-8/27/2021. From HCW: Respiratory Distress. Per pt, he got ""stuck in bed, couldn't sit up for 3 hours"". Pt found semi-responsive by EMS, initially satting 40s RA, mid-80s NRB, heard wet lung sounds. No known Covid exposure, recently vaccinated. Hx sleep apnea, lymphedema. No other aggravating or alleviating factors. Symptoms are described as mild to moderate in intensity, severity, quality, and character.  Nurse's notes have been requested, obtained, and reviewed. I agree with their assessment. The patient presents with shortness of breath with hypoxia.  The patient is a very morbidly obese male with a history of sleep apnea and significant lymphedema to the left lower extremity.  The patient denies using Lasix.  The patient does seem to have a dry oral mucosa and feels thirsty.  Patient denies any history of congestive heart failure.  The patient was found semi responsive by EMS with an O2 saturation in the 40s but increased to the upper 80s on 100% non-rebreather mask. Death 8/27/2021. From Vital Records: place of death: HOSPITAL-INPATIENT, MEMORIAL MEDICAL CENTER; certified, PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: DIRECTOR, SCHOOL BOARD DIRECTOR . Per vital records, COD ICD Codes include: U071, A419, J80, J969, N288 ; Other Significant Conditions include: None listed""
	"1767953-1"	"1767953-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	""Breakthrough COVID-19 case with symptom onset 8/20/2021: Fever, Aches, Shortness of breath/difficulty breathing, Cough. Hospitalized 8/20/2021-8/27/2021. From HCW: Respiratory Distress. Per pt, he got ""stuck in bed, couldn't sit up for 3 hours"". Pt found semi-responsive by EMS, initially satting 40s RA, mid-80s NRB, heard wet lung sounds. No known Covid exposure, recently vaccinated. Hx sleep apnea, lymphedema. No other aggravating or alleviating factors. Symptoms are described as mild to moderate in intensity, severity, quality, and character.  Nurse's notes have been requested, obtained, and reviewed. I agree with their assessment. The patient presents with shortness of breath with hypoxia.  The patient is a very morbidly obese male with a history of sleep apnea and significant lymphedema to the left lower extremity.  The patient denies using Lasix.  The patient does seem to have a dry oral mucosa and feels thirsty.  Patient denies any history of congestive heart failure.  The patient was found semi responsive by EMS with an O2 saturation in the 40s but increased to the upper 80s on 100% non-rebreather mask. Death 8/27/2021. From Vital Records: place of death: HOSPITAL-INPATIENT, MEMORIAL MEDICAL CENTER; certified, PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: DIRECTOR, SCHOOL BOARD DIRECTOR . Per vital records, COD ICD Codes include: U071, A419, J80, J969, N288 ; Other Significant Conditions include: None listed""
	"1767953-1"	"1767953-1"	"DRY MOUTH"	"10013781"	"40-49 years"	"40-49"	""Breakthrough COVID-19 case with symptom onset 8/20/2021: Fever, Aches, Shortness of breath/difficulty breathing, Cough. Hospitalized 8/20/2021-8/27/2021. From HCW: Respiratory Distress. Per pt, he got ""stuck in bed, couldn't sit up for 3 hours"". Pt found semi-responsive by EMS, initially satting 40s RA, mid-80s NRB, heard wet lung sounds. No known Covid exposure, recently vaccinated. Hx sleep apnea, lymphedema. No other aggravating or alleviating factors. Symptoms are described as mild to moderate in intensity, severity, quality, and character.  Nurse's notes have been requested, obtained, and reviewed. I agree with their assessment. The patient presents with shortness of breath with hypoxia.  The patient is a very morbidly obese male with a history of sleep apnea and significant lymphedema to the left lower extremity.  The patient denies using Lasix.  The patient does seem to have a dry oral mucosa and feels thirsty.  Patient denies any history of congestive heart failure.  The patient was found semi responsive by EMS with an O2 saturation in the 40s but increased to the upper 80s on 100% non-rebreather mask. Death 8/27/2021. From Vital Records: place of death: HOSPITAL-INPATIENT, MEMORIAL MEDICAL CENTER; certified, PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: DIRECTOR, SCHOOL BOARD DIRECTOR . Per vital records, COD ICD Codes include: U071, A419, J80, J969, N288 ; Other Significant Conditions include: None listed""
	"1767953-1"	"1767953-1"	"DYSPNOEA"	"10013968"	"40-49 years"	"40-49"	""Breakthrough COVID-19 case with symptom onset 8/20/2021: Fever, Aches, Shortness of breath/difficulty breathing, Cough. Hospitalized 8/20/2021-8/27/2021. From HCW: Respiratory Distress. Per pt, he got ""stuck in bed, couldn't sit up for 3 hours"". Pt found semi-responsive by EMS, initially satting 40s RA, mid-80s NRB, heard wet lung sounds. No known Covid exposure, recently vaccinated. Hx sleep apnea, lymphedema. No other aggravating or alleviating factors. Symptoms are described as mild to moderate in intensity, severity, quality, and character.  Nurse's notes have been requested, obtained, and reviewed. I agree with their assessment. The patient presents with shortness of breath with hypoxia.  The patient is a very morbidly obese male with a history of sleep apnea and significant lymphedema to the left lower extremity.  The patient denies using Lasix.  The patient does seem to have a dry oral mucosa and feels thirsty.  Patient denies any history of congestive heart failure.  The patient was found semi responsive by EMS with an O2 saturation in the 40s but increased to the upper 80s on 100% non-rebreather mask. Death 8/27/2021. From Vital Records: place of death: HOSPITAL-INPATIENT, MEMORIAL MEDICAL CENTER; certified, PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: DIRECTOR, SCHOOL BOARD DIRECTOR . Per vital records, COD ICD Codes include: U071, A419, J80, J969, N288 ; Other Significant Conditions include: None listed""
	"1767953-1"	"1767953-1"	"HYPERRESPONSIVE TO STIMULI"	"10082489"	"40-49 years"	"40-49"	""Breakthrough COVID-19 case with symptom onset 8/20/2021: Fever, Aches, Shortness of breath/difficulty breathing, Cough. Hospitalized 8/20/2021-8/27/2021. From HCW: Respiratory Distress. Per pt, he got ""stuck in bed, couldn't sit up for 3 hours"". Pt found semi-responsive by EMS, initially satting 40s RA, mid-80s NRB, heard wet lung sounds. No known Covid exposure, recently vaccinated. Hx sleep apnea, lymphedema. No other aggravating or alleviating factors. Symptoms are described as mild to moderate in intensity, severity, quality, and character.  Nurse's notes have been requested, obtained, and reviewed. I agree with their assessment. The patient presents with shortness of breath with hypoxia.  The patient is a very morbidly obese male with a history of sleep apnea and significant lymphedema to the left lower extremity.  The patient denies using Lasix.  The patient does seem to have a dry oral mucosa and feels thirsty.  Patient denies any history of congestive heart failure.  The patient was found semi responsive by EMS with an O2 saturation in the 40s but increased to the upper 80s on 100% non-rebreather mask. Death 8/27/2021. From Vital Records: place of death: HOSPITAL-INPATIENT, MEMORIAL MEDICAL CENTER; certified, PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: DIRECTOR, SCHOOL BOARD DIRECTOR . Per vital records, COD ICD Codes include: U071, A419, J80, J969, N288 ; Other Significant Conditions include: None listed""
	"1767953-1"	"1767953-1"	"HYPOXIA"	"10021143"	"40-49 years"	"40-49"	""Breakthrough COVID-19 case with symptom onset 8/20/2021: Fever, Aches, Shortness of breath/difficulty breathing, Cough. Hospitalized 8/20/2021-8/27/2021. From HCW: Respiratory Distress. Per pt, he got ""stuck in bed, couldn't sit up for 3 hours"". Pt found semi-responsive by EMS, initially satting 40s RA, mid-80s NRB, heard wet lung sounds. No known Covid exposure, recently vaccinated. Hx sleep apnea, lymphedema. No other aggravating or alleviating factors. Symptoms are described as mild to moderate in intensity, severity, quality, and character.  Nurse's notes have been requested, obtained, and reviewed. I agree with their assessment. The patient presents with shortness of breath with hypoxia.  The patient is a very morbidly obese male with a history of sleep apnea and significant lymphedema to the left lower extremity.  The patient denies using Lasix.  The patient does seem to have a dry oral mucosa and feels thirsty.  Patient denies any history of congestive heart failure.  The patient was found semi responsive by EMS with an O2 saturation in the 40s but increased to the upper 80s on 100% non-rebreather mask. Death 8/27/2021. From Vital Records: place of death: HOSPITAL-INPATIENT, MEMORIAL MEDICAL CENTER; certified, PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: DIRECTOR, SCHOOL BOARD DIRECTOR . Per vital records, COD ICD Codes include: U071, A419, J80, J969, N288 ; Other Significant Conditions include: None listed""
	"1767953-1"	"1767953-1"	"MOBILITY DECREASED"	"10048334"	"40-49 years"	"40-49"	""Breakthrough COVID-19 case with symptom onset 8/20/2021: Fever, Aches, Shortness of breath/difficulty breathing, Cough. Hospitalized 8/20/2021-8/27/2021. From HCW: Respiratory Distress. Per pt, he got ""stuck in bed, couldn't sit up for 3 hours"". Pt found semi-responsive by EMS, initially satting 40s RA, mid-80s NRB, heard wet lung sounds. No known Covid exposure, recently vaccinated. Hx sleep apnea, lymphedema. No other aggravating or alleviating factors. Symptoms are described as mild to moderate in intensity, severity, quality, and character.  Nurse's notes have been requested, obtained, and reviewed. I agree with their assessment. The patient presents with shortness of breath with hypoxia.  The patient is a very morbidly obese male with a history of sleep apnea and significant lymphedema to the left lower extremity.  The patient denies using Lasix.  The patient does seem to have a dry oral mucosa and feels thirsty.  Patient denies any history of congestive heart failure.  The patient was found semi responsive by EMS with an O2 saturation in the 40s but increased to the upper 80s on 100% non-rebreather mask. Death 8/27/2021. From Vital Records: place of death: HOSPITAL-INPATIENT, MEMORIAL MEDICAL CENTER; certified, PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: DIRECTOR, SCHOOL BOARD DIRECTOR . Per vital records, COD ICD Codes include: U071, A419, J80, J969, N288 ; Other Significant Conditions include: None listed""
	"1767953-1"	"1767953-1"	"OXYGEN SATURATION"	"10033316"	"40-49 years"	"40-49"	""Breakthrough COVID-19 case with symptom onset 8/20/2021: Fever, Aches, Shortness of breath/difficulty breathing, Cough. Hospitalized 8/20/2021-8/27/2021. From HCW: Respiratory Distress. Per pt, he got ""stuck in bed, couldn't sit up for 3 hours"". Pt found semi-responsive by EMS, initially satting 40s RA, mid-80s NRB, heard wet lung sounds. No known Covid exposure, recently vaccinated. Hx sleep apnea, lymphedema. No other aggravating or alleviating factors. Symptoms are described as mild to moderate in intensity, severity, quality, and character.  Nurse's notes have been requested, obtained, and reviewed. I agree with their assessment. The patient presents with shortness of breath with hypoxia.  The patient is a very morbidly obese male with a history of sleep apnea and significant lymphedema to the left lower extremity.  The patient denies using Lasix.  The patient does seem to have a dry oral mucosa and feels thirsty.  Patient denies any history of congestive heart failure.  The patient was found semi responsive by EMS with an O2 saturation in the 40s but increased to the upper 80s on 100% non-rebreather mask. Death 8/27/2021. From Vital Records: place of death: HOSPITAL-INPATIENT, MEMORIAL MEDICAL CENTER; certified, PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: DIRECTOR, SCHOOL BOARD DIRECTOR . Per vital records, COD ICD Codes include: U071, A419, J80, J969, N288 ; Other Significant Conditions include: None listed""
	"1767953-1"	"1767953-1"	"PAIN"	"10033371"	"40-49 years"	"40-49"	""Breakthrough COVID-19 case with symptom onset 8/20/2021: Fever, Aches, Shortness of breath/difficulty breathing, Cough. Hospitalized 8/20/2021-8/27/2021. From HCW: Respiratory Distress. Per pt, he got ""stuck in bed, couldn't sit up for 3 hours"". Pt found semi-responsive by EMS, initially satting 40s RA, mid-80s NRB, heard wet lung sounds. No known Covid exposure, recently vaccinated. Hx sleep apnea, lymphedema. No other aggravating or alleviating factors. Symptoms are described as mild to moderate in intensity, severity, quality, and character.  Nurse's notes have been requested, obtained, and reviewed. I agree with their assessment. The patient presents with shortness of breath with hypoxia.  The patient is a very morbidly obese male with a history of sleep apnea and significant lymphedema to the left lower extremity.  The patient denies using Lasix.  The patient does seem to have a dry oral mucosa and feels thirsty.  Patient denies any history of congestive heart failure.  The patient was found semi responsive by EMS with an O2 saturation in the 40s but increased to the upper 80s on 100% non-rebreather mask. Death 8/27/2021. From Vital Records: place of death: HOSPITAL-INPATIENT, MEMORIAL MEDICAL CENTER; certified, PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: DIRECTOR, SCHOOL BOARD DIRECTOR . Per vital records, COD ICD Codes include: U071, A419, J80, J969, N288 ; Other Significant Conditions include: None listed""
	"1767953-1"	"1767953-1"	"PYREXIA"	"10037660"	"40-49 years"	"40-49"	""Breakthrough COVID-19 case with symptom onset 8/20/2021: Fever, Aches, Shortness of breath/difficulty breathing, Cough. Hospitalized 8/20/2021-8/27/2021. From HCW: Respiratory Distress. Per pt, he got ""stuck in bed, couldn't sit up for 3 hours"". Pt found semi-responsive by EMS, initially satting 40s RA, mid-80s NRB, heard wet lung sounds. No known Covid exposure, recently vaccinated. Hx sleep apnea, lymphedema. No other aggravating or alleviating factors. Symptoms are described as mild to moderate in intensity, severity, quality, and character.  Nurse's notes have been requested, obtained, and reviewed. I agree with their assessment. The patient presents with shortness of breath with hypoxia.  The patient is a very morbidly obese male with a history of sleep apnea and significant lymphedema to the left lower extremity.  The patient denies using Lasix.  The patient does seem to have a dry oral mucosa and feels thirsty.  Patient denies any history of congestive heart failure.  The patient was found semi responsive by EMS with an O2 saturation in the 40s but increased to the upper 80s on 100% non-rebreather mask. Death 8/27/2021. From Vital Records: place of death: HOSPITAL-INPATIENT, MEMORIAL MEDICAL CENTER; certified, PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: DIRECTOR, SCHOOL BOARD DIRECTOR . Per vital records, COD ICD Codes include: U071, A419, J80, J969, N288 ; Other Significant Conditions include: None listed""
	"1767953-1"	"1767953-1"	"RESPIRATORY DISTRESS"	"10038687"	"40-49 years"	"40-49"	""Breakthrough COVID-19 case with symptom onset 8/20/2021: Fever, Aches, Shortness of breath/difficulty breathing, Cough. Hospitalized 8/20/2021-8/27/2021. From HCW: Respiratory Distress. Per pt, he got ""stuck in bed, couldn't sit up for 3 hours"". Pt found semi-responsive by EMS, initially satting 40s RA, mid-80s NRB, heard wet lung sounds. No known Covid exposure, recently vaccinated. Hx sleep apnea, lymphedema. No other aggravating or alleviating factors. Symptoms are described as mild to moderate in intensity, severity, quality, and character.  Nurse's notes have been requested, obtained, and reviewed. I agree with their assessment. The patient presents with shortness of breath with hypoxia.  The patient is a very morbidly obese male with a history of sleep apnea and significant lymphedema to the left lower extremity.  The patient denies using Lasix.  The patient does seem to have a dry oral mucosa and feels thirsty.  Patient denies any history of congestive heart failure.  The patient was found semi responsive by EMS with an O2 saturation in the 40s but increased to the upper 80s on 100% non-rebreather mask. Death 8/27/2021. From Vital Records: place of death: HOSPITAL-INPATIENT, MEMORIAL MEDICAL CENTER; certified, PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: DIRECTOR, SCHOOL BOARD DIRECTOR . Per vital records, COD ICD Codes include: U071, A419, J80, J969, N288 ; Other Significant Conditions include: None listed""
	"1767953-1"	"1767953-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"40-49 years"	"40-49"	""Breakthrough COVID-19 case with symptom onset 8/20/2021: Fever, Aches, Shortness of breath/difficulty breathing, Cough. Hospitalized 8/20/2021-8/27/2021. From HCW: Respiratory Distress. Per pt, he got ""stuck in bed, couldn't sit up for 3 hours"". Pt found semi-responsive by EMS, initially satting 40s RA, mid-80s NRB, heard wet lung sounds. No known Covid exposure, recently vaccinated. Hx sleep apnea, lymphedema. No other aggravating or alleviating factors. Symptoms are described as mild to moderate in intensity, severity, quality, and character.  Nurse's notes have been requested, obtained, and reviewed. I agree with their assessment. The patient presents with shortness of breath with hypoxia.  The patient is a very morbidly obese male with a history of sleep apnea and significant lymphedema to the left lower extremity.  The patient denies using Lasix.  The patient does seem to have a dry oral mucosa and feels thirsty.  Patient denies any history of congestive heart failure.  The patient was found semi responsive by EMS with an O2 saturation in the 40s but increased to the upper 80s on 100% non-rebreather mask. Death 8/27/2021. From Vital Records: place of death: HOSPITAL-INPATIENT, MEMORIAL MEDICAL CENTER; certified, PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: DIRECTOR, SCHOOL BOARD DIRECTOR . Per vital records, COD ICD Codes include: U071, A419, J80, J969, N288 ; Other Significant Conditions include: None listed""
	"1767953-1"	"1767953-1"	"THIRST"	"10043458"	"40-49 years"	"40-49"	""Breakthrough COVID-19 case with symptom onset 8/20/2021: Fever, Aches, Shortness of breath/difficulty breathing, Cough. Hospitalized 8/20/2021-8/27/2021. From HCW: Respiratory Distress. Per pt, he got ""stuck in bed, couldn't sit up for 3 hours"". Pt found semi-responsive by EMS, initially satting 40s RA, mid-80s NRB, heard wet lung sounds. No known Covid exposure, recently vaccinated. Hx sleep apnea, lymphedema. No other aggravating or alleviating factors. Symptoms are described as mild to moderate in intensity, severity, quality, and character.  Nurse's notes have been requested, obtained, and reviewed. I agree with their assessment. The patient presents with shortness of breath with hypoxia.  The patient is a very morbidly obese male with a history of sleep apnea and significant lymphedema to the left lower extremity.  The patient denies using Lasix.  The patient does seem to have a dry oral mucosa and feels thirsty.  Patient denies any history of congestive heart failure.  The patient was found semi responsive by EMS with an O2 saturation in the 40s but increased to the upper 80s on 100% non-rebreather mask. Death 8/27/2021. From Vital Records: place of death: HOSPITAL-INPATIENT, MEMORIAL MEDICAL CENTER; certified, PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: DIRECTOR, SCHOOL BOARD DIRECTOR . Per vital records, COD ICD Codes include: U071, A419, J80, J969, N288 ; Other Significant Conditions include: None listed""
	"1767953-1"	"1767953-1"	"VACCINE BREAKTHROUGH INFECTION"	"10067923"	"40-49 years"	"40-49"	""Breakthrough COVID-19 case with symptom onset 8/20/2021: Fever, Aches, Shortness of breath/difficulty breathing, Cough. Hospitalized 8/20/2021-8/27/2021. From HCW: Respiratory Distress. Per pt, he got ""stuck in bed, couldn't sit up for 3 hours"". Pt found semi-responsive by EMS, initially satting 40s RA, mid-80s NRB, heard wet lung sounds. No known Covid exposure, recently vaccinated. Hx sleep apnea, lymphedema. No other aggravating or alleviating factors. Symptoms are described as mild to moderate in intensity, severity, quality, and character.  Nurse's notes have been requested, obtained, and reviewed. I agree with their assessment. The patient presents with shortness of breath with hypoxia.  The patient is a very morbidly obese male with a history of sleep apnea and significant lymphedema to the left lower extremity.  The patient denies using Lasix.  The patient does seem to have a dry oral mucosa and feels thirsty.  Patient denies any history of congestive heart failure.  The patient was found semi responsive by EMS with an O2 saturation in the 40s but increased to the upper 80s on 100% non-rebreather mask. Death 8/27/2021. From Vital Records: place of death: HOSPITAL-INPATIENT, MEMORIAL MEDICAL CENTER; certified, PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: DIRECTOR, SCHOOL BOARD DIRECTOR . Per vital records, COD ICD Codes include: U071, A419, J80, J969, N288 ; Other Significant Conditions include: None listed""
	"1768219-1"	"1768219-1"	"CARDIAC ARREST"	"10007515"	"40-49 years"	"40-49"	""Dose #2 on Sunday 8/1/2021, decedent expressed no medical complaints at that time. However, on 8/2/2021, decedent told his wife that he ""wasn't feeling good"" but went to work as a landscaper anyway. On 8/2/2021 at the end of the work day, the decedent had a witnessed collapse and CPR was initiated by bystanders.  Paramedics found decedent to be in vfib and defibrillated and subsequently intubated.  Epi given every four minutes, Amiodarone between epi.  Decedent was found to be in asystole and back to vfib and shocked again.  Second dose of Amiodarone was given and Narcan and decedent went into PEA.  When bicarbonate was given, decedent back into vfib, shocked and back into PEA until pronounced at 1805 hours.""
	"1768219-1"	"1768219-1"	"CARDIOVERSION"	"10007661"	"40-49 years"	"40-49"	""Dose #2 on Sunday 8/1/2021, decedent expressed no medical complaints at that time. However, on 8/2/2021, decedent told his wife that he ""wasn't feeling good"" but went to work as a landscaper anyway. On 8/2/2021 at the end of the work day, the decedent had a witnessed collapse and CPR was initiated by bystanders.  Paramedics found decedent to be in vfib and defibrillated and subsequently intubated.  Epi given every four minutes, Amiodarone between epi.  Decedent was found to be in asystole and back to vfib and shocked again.  Second dose of Amiodarone was given and Narcan and decedent went into PEA.  When bicarbonate was given, decedent back into vfib, shocked and back into PEA until pronounced at 1805 hours.""
	"1768219-1"	"1768219-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	""Dose #2 on Sunday 8/1/2021, decedent expressed no medical complaints at that time. However, on 8/2/2021, decedent told his wife that he ""wasn't feeling good"" but went to work as a landscaper anyway. On 8/2/2021 at the end of the work day, the decedent had a witnessed collapse and CPR was initiated by bystanders.  Paramedics found decedent to be in vfib and defibrillated and subsequently intubated.  Epi given every four minutes, Amiodarone between epi.  Decedent was found to be in asystole and back to vfib and shocked again.  Second dose of Amiodarone was given and Narcan and decedent went into PEA.  When bicarbonate was given, decedent back into vfib, shocked and back into PEA until pronounced at 1805 hours.""
	"1768219-1"	"1768219-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"40-49 years"	"40-49"	""Dose #2 on Sunday 8/1/2021, decedent expressed no medical complaints at that time. However, on 8/2/2021, decedent told his wife that he ""wasn't feeling good"" but went to work as a landscaper anyway. On 8/2/2021 at the end of the work day, the decedent had a witnessed collapse and CPR was initiated by bystanders.  Paramedics found decedent to be in vfib and defibrillated and subsequently intubated.  Epi given every four minutes, Amiodarone between epi.  Decedent was found to be in asystole and back to vfib and shocked again.  Second dose of Amiodarone was given and Narcan and decedent went into PEA.  When bicarbonate was given, decedent back into vfib, shocked and back into PEA until pronounced at 1805 hours.""
	"1768219-1"	"1768219-1"	"FEELING ABNORMAL"	"10016322"	"40-49 years"	"40-49"	""Dose #2 on Sunday 8/1/2021, decedent expressed no medical complaints at that time. However, on 8/2/2021, decedent told his wife that he ""wasn't feeling good"" but went to work as a landscaper anyway. On 8/2/2021 at the end of the work day, the decedent had a witnessed collapse and CPR was initiated by bystanders.  Paramedics found decedent to be in vfib and defibrillated and subsequently intubated.  Epi given every four minutes, Amiodarone between epi.  Decedent was found to be in asystole and back to vfib and shocked again.  Second dose of Amiodarone was given and Narcan and decedent went into PEA.  When bicarbonate was given, decedent back into vfib, shocked and back into PEA until pronounced at 1805 hours.""
	"1768219-1"	"1768219-1"	"PULSELESS ELECTRICAL ACTIVITY"	"10058151"	"40-49 years"	"40-49"	""Dose #2 on Sunday 8/1/2021, decedent expressed no medical complaints at that time. However, on 8/2/2021, decedent told his wife that he ""wasn't feeling good"" but went to work as a landscaper anyway. On 8/2/2021 at the end of the work day, the decedent had a witnessed collapse and CPR was initiated by bystanders.  Paramedics found decedent to be in vfib and defibrillated and subsequently intubated.  Epi given every four minutes, Amiodarone between epi.  Decedent was found to be in asystole and back to vfib and shocked again.  Second dose of Amiodarone was given and Narcan and decedent went into PEA.  When bicarbonate was given, decedent back into vfib, shocked and back into PEA until pronounced at 1805 hours.""
	"1768219-1"	"1768219-1"	"RESUSCITATION"	"10038749"	"40-49 years"	"40-49"	""Dose #2 on Sunday 8/1/2021, decedent expressed no medical complaints at that time. However, on 8/2/2021, decedent told his wife that he ""wasn't feeling good"" but went to work as a landscaper anyway. On 8/2/2021 at the end of the work day, the decedent had a witnessed collapse and CPR was initiated by bystanders.  Paramedics found decedent to be in vfib and defibrillated and subsequently intubated.  Epi given every four minutes, Amiodarone between epi.  Decedent was found to be in asystole and back to vfib and shocked again.  Second dose of Amiodarone was given and Narcan and decedent went into PEA.  When bicarbonate was given, decedent back into vfib, shocked and back into PEA until pronounced at 1805 hours.""
	"1768219-1"	"1768219-1"	"SYNCOPE"	"10042772"	"40-49 years"	"40-49"	""Dose #2 on Sunday 8/1/2021, decedent expressed no medical complaints at that time. However, on 8/2/2021, decedent told his wife that he ""wasn't feeling good"" but went to work as a landscaper anyway. On 8/2/2021 at the end of the work day, the decedent had a witnessed collapse and CPR was initiated by bystanders.  Paramedics found decedent to be in vfib and defibrillated and subsequently intubated.  Epi given every four minutes, Amiodarone between epi.  Decedent was found to be in asystole and back to vfib and shocked again.  Second dose of Amiodarone was given and Narcan and decedent went into PEA.  When bicarbonate was given, decedent back into vfib, shocked and back into PEA until pronounced at 1805 hours.""
	"1768219-1"	"1768219-1"	"VENTRICULAR FIBRILLATION"	"10047290"	"40-49 years"	"40-49"	""Dose #2 on Sunday 8/1/2021, decedent expressed no medical complaints at that time. However, on 8/2/2021, decedent told his wife that he ""wasn't feeling good"" but went to work as a landscaper anyway. On 8/2/2021 at the end of the work day, the decedent had a witnessed collapse and CPR was initiated by bystanders.  Paramedics found decedent to be in vfib and defibrillated and subsequently intubated.  Epi given every four minutes, Amiodarone between epi.  Decedent was found to be in asystole and back to vfib and shocked again.  Second dose of Amiodarone was given and Narcan and decedent went into PEA.  When bicarbonate was given, decedent back into vfib, shocked and back into PEA until pronounced at 1805 hours.""
	"1768241-1"	"1768241-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Patient's caregiver called us on 10/7/2021 to inform us that patient passed away at 1 am on 10/03/2021 from a heart attack. He had mild redness at the site of injection. No flu like symptoms or fever after receiving the shot."
	"1768241-1"	"1768241-1"	"INJECTION SITE ERYTHEMA"	"10022061"	"40-49 years"	"40-49"	"Patient's caregiver called us on 10/7/2021 to inform us that patient passed away at 1 am on 10/03/2021 from a heart attack. He had mild redness at the site of injection. No flu like symptoms or fever after receiving the shot."
	"1768241-1"	"1768241-1"	"MYOCARDIAL INFARCTION"	"10028596"	"40-49 years"	"40-49"	"Patient's caregiver called us on 10/7/2021 to inform us that patient passed away at 1 am on 10/03/2021 from a heart attack. He had mild redness at the site of injection. No flu like symptoms or fever after receiving the shot."
	"1768599-1"	"1768599-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"40-49 years"	"40-49"	"death J18.9 - Pneumonia, unspecified organism J96.01 - Acute respiratory failure with hypoxia"
	"1768599-1"	"1768599-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"death J18.9 - Pneumonia, unspecified organism J96.01 - Acute respiratory failure with hypoxia"
	"1768599-1"	"1768599-1"	"PNEUMONIA"	"10035664"	"40-49 years"	"40-49"	"death J18.9 - Pneumonia, unspecified organism J96.01 - Acute respiratory failure with hypoxia"
	"1771449-1"	"1771449-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"30-39 years"	"30-39"	"Became unresponsive during non emergency transport to dialysis.  Rerouted to nearest hospital. Transport company failed to supply hospital with patient info. Was admitted as generic patient around 5pm on Sept 3, 2021. Transport company failed to contact me with patient unresponsive, and emergency location. I couldn't locate my son until after midnight."
	"1771603-1"	"1771603-1"	"ACUTE HEPATIC FAILURE"	"10000804"	"30-39 years"	"30-39"	"Hospitalization, acute liver failure & death on 10/8/2021"
	"1771603-1"	"1771603-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Hospitalization, acute liver failure & death on 10/8/2021"
	"1771639-1"	"1771639-1"	"COVID-19"	"10084268"	"40-49 years"	"40-49"	"Patient fully vaccinated and died due to covid related causes"
	"1771639-1"	"1771639-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Patient fully vaccinated and died due to covid related causes"
	"1771697-1"	"1771697-1"	"ABDOMINAL PAIN UPPER"	"10000087"	"30-39 years"	"30-39"	"Stomachache pain, vomiting, diarrhea, chest pain, headache, confusion and death"
	"1771697-1"	"1771697-1"	"CHEST PAIN"	"10008479"	"30-39 years"	"30-39"	"Stomachache pain, vomiting, diarrhea, chest pain, headache, confusion and death"
	"1771697-1"	"1771697-1"	"CONFUSIONAL STATE"	"10010305"	"30-39 years"	"30-39"	"Stomachache pain, vomiting, diarrhea, chest pain, headache, confusion and death"
	"1771697-1"	"1771697-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Stomachache pain, vomiting, diarrhea, chest pain, headache, confusion and death"
	"1771697-1"	"1771697-1"	"DIARRHOEA"	"10012735"	"30-39 years"	"30-39"	"Stomachache pain, vomiting, diarrhea, chest pain, headache, confusion and death"
	"1771697-1"	"1771697-1"	"HEADACHE"	"10019211"	"30-39 years"	"30-39"	"Stomachache pain, vomiting, diarrhea, chest pain, headache, confusion and death"
	"1771697-1"	"1771697-1"	"VOMITING"	"10047700"	"30-39 years"	"30-39"	"Stomachache pain, vomiting, diarrhea, chest pain, headache, confusion and death"
	"1775828-1"	"1775828-1"	"CHEST DISCOMFORT"	"10008469"	"40-49 years"	"40-49"	"SWEATING, CHILLS, ACHES, SHORTNESS OF BREATH, TIGHTNESS IN CHEST FOLLOWED BY DEATH ON 06/06/2021"
	"1775828-1"	"1775828-1"	"CHILLS"	"10008531"	"40-49 years"	"40-49"	"SWEATING, CHILLS, ACHES, SHORTNESS OF BREATH, TIGHTNESS IN CHEST FOLLOWED BY DEATH ON 06/06/2021"
	"1775828-1"	"1775828-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"SWEATING, CHILLS, ACHES, SHORTNESS OF BREATH, TIGHTNESS IN CHEST FOLLOWED BY DEATH ON 06/06/2021"
	"1775828-1"	"1775828-1"	"DYSPNOEA"	"10013968"	"40-49 years"	"40-49"	"SWEATING, CHILLS, ACHES, SHORTNESS OF BREATH, TIGHTNESS IN CHEST FOLLOWED BY DEATH ON 06/06/2021"
	"1775828-1"	"1775828-1"	"HYPERHIDROSIS"	"10020642"	"40-49 years"	"40-49"	"SWEATING, CHILLS, ACHES, SHORTNESS OF BREATH, TIGHTNESS IN CHEST FOLLOWED BY DEATH ON 06/06/2021"
	"1775828-1"	"1775828-1"	"PAIN"	"10033371"	"40-49 years"	"40-49"	"SWEATING, CHILLS, ACHES, SHORTNESS OF BREATH, TIGHTNESS IN CHEST FOLLOWED BY DEATH ON 06/06/2021"
	"1782222-1"	"1782222-1"	"COVID-19"	"10084268"	"40-49 years"	"40-49"	"Patient was hospitalized. Patient died due to COVID-19. Patient was fully vaccinated."
	"1782222-1"	"1782222-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Patient was hospitalized. Patient died due to COVID-19. Patient was fully vaccinated."
	"1782484-1"	"1782484-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Patient Passed Away"
	"1782631-1"	"1782631-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"AFTER  SECOND DOSE OF COVID -19 VACCINE  ON APRIL 9 2021 ,HE GOT 2 TIMES HEAD ACHE AND ON APRIL 19 2021 HE DIED IN SLEEP."
	"1782631-1"	"1782631-1"	"HEADACHE"	"10019211"	"30-39 years"	"30-39"	"AFTER  SECOND DOSE OF COVID -19 VACCINE  ON APRIL 9 2021 ,HE GOT 2 TIMES HEAD ACHE AND ON APRIL 19 2021 HE DIED IN SLEEP."
	"1782711-1"	"1782711-1"	"ANAEMIA"	"10002034"	"40-49 years"	"40-49"	"Presented to ED with increased shortness of breath x 1 week and associated nausea/vomiting, cough, fevers, headaches, and body aches. Exposure to multiple COVID positive contacts. Was hypoxic on arrival to ER and tachypneic. Placed on HFNC but subsequently required intubation due to continued desaturations. Noted to have severe anemia and severe multi-lobar ground glass opacities consistent with pneumonia. Upon placement of central line, patient went into cardiac arrest and ROSC was unable to be achieved."
	"1782711-1"	"1782711-1"	"CARDIAC ARREST"	"10007515"	"40-49 years"	"40-49"	"Presented to ED with increased shortness of breath x 1 week and associated nausea/vomiting, cough, fevers, headaches, and body aches. Exposure to multiple COVID positive contacts. Was hypoxic on arrival to ER and tachypneic. Placed on HFNC but subsequently required intubation due to continued desaturations. Noted to have severe anemia and severe multi-lobar ground glass opacities consistent with pneumonia. Upon placement of central line, patient went into cardiac arrest and ROSC was unable to be achieved."
	"1782711-1"	"1782711-1"	"CENTRAL VENOUS CATHETERISATION"	"10053377"	"40-49 years"	"40-49"	"Presented to ED with increased shortness of breath x 1 week and associated nausea/vomiting, cough, fevers, headaches, and body aches. Exposure to multiple COVID positive contacts. Was hypoxic on arrival to ER and tachypneic. Placed on HFNC but subsequently required intubation due to continued desaturations. Noted to have severe anemia and severe multi-lobar ground glass opacities consistent with pneumonia. Upon placement of central line, patient went into cardiac arrest and ROSC was unable to be achieved."
	"1782711-1"	"1782711-1"	"COMPUTERISED TOMOGRAM THORAX ABNORMAL"	"10057799"	"40-49 years"	"40-49"	"Presented to ED with increased shortness of breath x 1 week and associated nausea/vomiting, cough, fevers, headaches, and body aches. Exposure to multiple COVID positive contacts. Was hypoxic on arrival to ER and tachypneic. Placed on HFNC but subsequently required intubation due to continued desaturations. Noted to have severe anemia and severe multi-lobar ground glass opacities consistent with pneumonia. Upon placement of central line, patient went into cardiac arrest and ROSC was unable to be achieved."
	"1782711-1"	"1782711-1"	"COUGH"	"10011224"	"40-49 years"	"40-49"	"Presented to ED with increased shortness of breath x 1 week and associated nausea/vomiting, cough, fevers, headaches, and body aches. Exposure to multiple COVID positive contacts. Was hypoxic on arrival to ER and tachypneic. Placed on HFNC but subsequently required intubation due to continued desaturations. Noted to have severe anemia and severe multi-lobar ground glass opacities consistent with pneumonia. Upon placement of central line, patient went into cardiac arrest and ROSC was unable to be achieved."
	"1782711-1"	"1782711-1"	"COVID-19 PNEUMONIA"	"10084380"	"40-49 years"	"40-49"	"Presented to ED with increased shortness of breath x 1 week and associated nausea/vomiting, cough, fevers, headaches, and body aches. Exposure to multiple COVID positive contacts. Was hypoxic on arrival to ER and tachypneic. Placed on HFNC but subsequently required intubation due to continued desaturations. Noted to have severe anemia and severe multi-lobar ground glass opacities consistent with pneumonia. Upon placement of central line, patient went into cardiac arrest and ROSC was unable to be achieved."
	"1782711-1"	"1782711-1"	"DYSPNOEA"	"10013968"	"40-49 years"	"40-49"	"Presented to ED with increased shortness of breath x 1 week and associated nausea/vomiting, cough, fevers, headaches, and body aches. Exposure to multiple COVID positive contacts. Was hypoxic on arrival to ER and tachypneic. Placed on HFNC but subsequently required intubation due to continued desaturations. Noted to have severe anemia and severe multi-lobar ground glass opacities consistent with pneumonia. Upon placement of central line, patient went into cardiac arrest and ROSC was unable to be achieved."
	"1782711-1"	"1782711-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"40-49 years"	"40-49"	"Presented to ED with increased shortness of breath x 1 week and associated nausea/vomiting, cough, fevers, headaches, and body aches. Exposure to multiple COVID positive contacts. Was hypoxic on arrival to ER and tachypneic. Placed on HFNC but subsequently required intubation due to continued desaturations. Noted to have severe anemia and severe multi-lobar ground glass opacities consistent with pneumonia. Upon placement of central line, patient went into cardiac arrest and ROSC was unable to be achieved."
	"1782711-1"	"1782711-1"	"EXPOSURE TO SARS-COV-2"	"10084456"	"40-49 years"	"40-49"	"Presented to ED with increased shortness of breath x 1 week and associated nausea/vomiting, cough, fevers, headaches, and body aches. Exposure to multiple COVID positive contacts. Was hypoxic on arrival to ER and tachypneic. Placed on HFNC but subsequently required intubation due to continued desaturations. Noted to have severe anemia and severe multi-lobar ground glass opacities consistent with pneumonia. Upon placement of central line, patient went into cardiac arrest and ROSC was unable to be achieved."
	"1782711-1"	"1782711-1"	"FIBRIN D DIMER"	"10016577"	"40-49 years"	"40-49"	"Presented to ED with increased shortness of breath x 1 week and associated nausea/vomiting, cough, fevers, headaches, and body aches. Exposure to multiple COVID positive contacts. Was hypoxic on arrival to ER and tachypneic. Placed on HFNC but subsequently required intubation due to continued desaturations. Noted to have severe anemia and severe multi-lobar ground glass opacities consistent with pneumonia. Upon placement of central line, patient went into cardiac arrest and ROSC was unable to be achieved."
	"1782711-1"	"1782711-1"	"HAEMATOCRIT DECREASED"	"10018838"	"40-49 years"	"40-49"	"Presented to ED with increased shortness of breath x 1 week and associated nausea/vomiting, cough, fevers, headaches, and body aches. Exposure to multiple COVID positive contacts. Was hypoxic on arrival to ER and tachypneic. Placed on HFNC but subsequently required intubation due to continued desaturations. Noted to have severe anemia and severe multi-lobar ground glass opacities consistent with pneumonia. Upon placement of central line, patient went into cardiac arrest and ROSC was unable to be achieved."
	"1782711-1"	"1782711-1"	"HAEMOGLOBIN DECREASED"	"10018884"	"40-49 years"	"40-49"	"Presented to ED with increased shortness of breath x 1 week and associated nausea/vomiting, cough, fevers, headaches, and body aches. Exposure to multiple COVID positive contacts. Was hypoxic on arrival to ER and tachypneic. Placed on HFNC but subsequently required intubation due to continued desaturations. Noted to have severe anemia and severe multi-lobar ground glass opacities consistent with pneumonia. Upon placement of central line, patient went into cardiac arrest and ROSC was unable to be achieved."
	"1782711-1"	"1782711-1"	"HEADACHE"	"10019211"	"40-49 years"	"40-49"	"Presented to ED with increased shortness of breath x 1 week and associated nausea/vomiting, cough, fevers, headaches, and body aches. Exposure to multiple COVID positive contacts. Was hypoxic on arrival to ER and tachypneic. Placed on HFNC but subsequently required intubation due to continued desaturations. Noted to have severe anemia and severe multi-lobar ground glass opacities consistent with pneumonia. Upon placement of central line, patient went into cardiac arrest and ROSC was unable to be achieved."
	"1782711-1"	"1782711-1"	"HYPOXIA"	"10021143"	"40-49 years"	"40-49"	"Presented to ED with increased shortness of breath x 1 week and associated nausea/vomiting, cough, fevers, headaches, and body aches. Exposure to multiple COVID positive contacts. Was hypoxic on arrival to ER and tachypneic. Placed on HFNC but subsequently required intubation due to continued desaturations. Noted to have severe anemia and severe multi-lobar ground glass opacities consistent with pneumonia. Upon placement of central line, patient went into cardiac arrest and ROSC was unable to be achieved."
	"1782711-1"	"1782711-1"	"LUNG OPACITY"	"10081792"	"40-49 years"	"40-49"	"Presented to ED with increased shortness of breath x 1 week and associated nausea/vomiting, cough, fevers, headaches, and body aches. Exposure to multiple COVID positive contacts. Was hypoxic on arrival to ER and tachypneic. Placed on HFNC but subsequently required intubation due to continued desaturations. Noted to have severe anemia and severe multi-lobar ground glass opacities consistent with pneumonia. Upon placement of central line, patient went into cardiac arrest and ROSC was unable to be achieved."
	"1782711-1"	"1782711-1"	"NAUSEA"	"10028813"	"40-49 years"	"40-49"	"Presented to ED with increased shortness of breath x 1 week and associated nausea/vomiting, cough, fevers, headaches, and body aches. Exposure to multiple COVID positive contacts. Was hypoxic on arrival to ER and tachypneic. Placed on HFNC but subsequently required intubation due to continued desaturations. Noted to have severe anemia and severe multi-lobar ground glass opacities consistent with pneumonia. Upon placement of central line, patient went into cardiac arrest and ROSC was unable to be achieved."
	"1782711-1"	"1782711-1"	"OXYGEN SATURATION DECREASED"	"10033318"	"40-49 years"	"40-49"	"Presented to ED with increased shortness of breath x 1 week and associated nausea/vomiting, cough, fevers, headaches, and body aches. Exposure to multiple COVID positive contacts. Was hypoxic on arrival to ER and tachypneic. Placed on HFNC but subsequently required intubation due to continued desaturations. Noted to have severe anemia and severe multi-lobar ground glass opacities consistent with pneumonia. Upon placement of central line, patient went into cardiac arrest and ROSC was unable to be achieved."
	"1782711-1"	"1782711-1"	"PAIN"	"10033371"	"40-49 years"	"40-49"	"Presented to ED with increased shortness of breath x 1 week and associated nausea/vomiting, cough, fevers, headaches, and body aches. Exposure to multiple COVID positive contacts. Was hypoxic on arrival to ER and tachypneic. Placed on HFNC but subsequently required intubation due to continued desaturations. Noted to have severe anemia and severe multi-lobar ground glass opacities consistent with pneumonia. Upon placement of central line, patient went into cardiac arrest and ROSC was unable to be achieved."
	"1782711-1"	"1782711-1"	"PYREXIA"	"10037660"	"40-49 years"	"40-49"	"Presented to ED with increased shortness of breath x 1 week and associated nausea/vomiting, cough, fevers, headaches, and body aches. Exposure to multiple COVID positive contacts. Was hypoxic on arrival to ER and tachypneic. Placed on HFNC but subsequently required intubation due to continued desaturations. Noted to have severe anemia and severe multi-lobar ground glass opacities consistent with pneumonia. Upon placement of central line, patient went into cardiac arrest and ROSC was unable to be achieved."
	"1782711-1"	"1782711-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"40-49 years"	"40-49"	"Presented to ED with increased shortness of breath x 1 week and associated nausea/vomiting, cough, fevers, headaches, and body aches. Exposure to multiple COVID positive contacts. Was hypoxic on arrival to ER and tachypneic. Placed on HFNC but subsequently required intubation due to continued desaturations. Noted to have severe anemia and severe multi-lobar ground glass opacities consistent with pneumonia. Upon placement of central line, patient went into cardiac arrest and ROSC was unable to be achieved."
	"1782711-1"	"1782711-1"	"TACHYPNOEA"	"10043089"	"40-49 years"	"40-49"	"Presented to ED with increased shortness of breath x 1 week and associated nausea/vomiting, cough, fevers, headaches, and body aches. Exposure to multiple COVID positive contacts. Was hypoxic on arrival to ER and tachypneic. Placed on HFNC but subsequently required intubation due to continued desaturations. Noted to have severe anemia and severe multi-lobar ground glass opacities consistent with pneumonia. Upon placement of central line, patient went into cardiac arrest and ROSC was unable to be achieved."
	"1782711-1"	"1782711-1"	"VOMITING"	"10047700"	"40-49 years"	"40-49"	"Presented to ED with increased shortness of breath x 1 week and associated nausea/vomiting, cough, fevers, headaches, and body aches. Exposure to multiple COVID positive contacts. Was hypoxic on arrival to ER and tachypneic. Placed on HFNC but subsequently required intubation due to continued desaturations. Noted to have severe anemia and severe multi-lobar ground glass opacities consistent with pneumonia. Upon placement of central line, patient went into cardiac arrest and ROSC was unable to be achieved."
	"1783020-1"	"1783020-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"He got his vaccination, his arm started swelling up and got hot.  Then he started getting nauseated and he called over to where he got the vaccine, and they told him that it would be alright.  He kept getting worse and he was tired.  He was working on a project at home, and complained of a terrible headache.  His mother kept asking him if he needed anything to eat or drink and he said no.    He had been throwing up apparently, but did not know when  possibly in the middle of the night.  This continued for the several days, and he told her to leave him alone.     Four days later his mother went to check on him, knocked on his door, there was no answer, and her son and daughter broke the door down and he was dead on the floor."
	"1783020-1"	"1783020-1"	"FATIGUE"	"10016256"	"40-49 years"	"40-49"	"He got his vaccination, his arm started swelling up and got hot.  Then he started getting nauseated and he called over to where he got the vaccine, and they told him that it would be alright.  He kept getting worse and he was tired.  He was working on a project at home, and complained of a terrible headache.  His mother kept asking him if he needed anything to eat or drink and he said no.    He had been throwing up apparently, but did not know when  possibly in the middle of the night.  This continued for the several days, and he told her to leave him alone.     Four days later his mother went to check on him, knocked on his door, there was no answer, and her son and daughter broke the door down and he was dead on the floor."
	"1783020-1"	"1783020-1"	"FEELING HOT"	"10016334"	"40-49 years"	"40-49"	"He got his vaccination, his arm started swelling up and got hot.  Then he started getting nauseated and he called over to where he got the vaccine, and they told him that it would be alright.  He kept getting worse and he was tired.  He was working on a project at home, and complained of a terrible headache.  His mother kept asking him if he needed anything to eat or drink and he said no.    He had been throwing up apparently, but did not know when  possibly in the middle of the night.  This continued for the several days, and he told her to leave him alone.     Four days later his mother went to check on him, knocked on his door, there was no answer, and her son and daughter broke the door down and he was dead on the floor."
	"1783020-1"	"1783020-1"	"HEADACHE"	"10019211"	"40-49 years"	"40-49"	"He got his vaccination, his arm started swelling up and got hot.  Then he started getting nauseated and he called over to where he got the vaccine, and they told him that it would be alright.  He kept getting worse and he was tired.  He was working on a project at home, and complained of a terrible headache.  His mother kept asking him if he needed anything to eat or drink and he said no.    He had been throwing up apparently, but did not know when  possibly in the middle of the night.  This continued for the several days, and he told her to leave him alone.     Four days later his mother went to check on him, knocked on his door, there was no answer, and her son and daughter broke the door down and he was dead on the floor."
	"1783020-1"	"1783020-1"	"NAUSEA"	"10028813"	"40-49 years"	"40-49"	"He got his vaccination, his arm started swelling up and got hot.  Then he started getting nauseated and he called over to where he got the vaccine, and they told him that it would be alright.  He kept getting worse and he was tired.  He was working on a project at home, and complained of a terrible headache.  His mother kept asking him if he needed anything to eat or drink and he said no.    He had been throwing up apparently, but did not know when  possibly in the middle of the night.  This continued for the several days, and he told her to leave him alone.     Four days later his mother went to check on him, knocked on his door, there was no answer, and her son and daughter broke the door down and he was dead on the floor."
	"1783020-1"	"1783020-1"	"PERIPHERAL SWELLING"	"10048959"	"40-49 years"	"40-49"	"He got his vaccination, his arm started swelling up and got hot.  Then he started getting nauseated and he called over to where he got the vaccine, and they told him that it would be alright.  He kept getting worse and he was tired.  He was working on a project at home, and complained of a terrible headache.  His mother kept asking him if he needed anything to eat or drink and he said no.    He had been throwing up apparently, but did not know when  possibly in the middle of the night.  This continued for the several days, and he told her to leave him alone.     Four days later his mother went to check on him, knocked on his door, there was no answer, and her son and daughter broke the door down and he was dead on the floor."
	"1783020-1"	"1783020-1"	"VOMITING"	"10047700"	"40-49 years"	"40-49"	"He got his vaccination, his arm started swelling up and got hot.  Then he started getting nauseated and he called over to where he got the vaccine, and they told him that it would be alright.  He kept getting worse and he was tired.  He was working on a project at home, and complained of a terrible headache.  His mother kept asking him if he needed anything to eat or drink and he said no.    He had been throwing up apparently, but did not know when  possibly in the middle of the night.  This continued for the several days, and he told her to leave him alone.     Four days later his mother went to check on him, knocked on his door, there was no answer, and her son and daughter broke the door down and he was dead on the floor."
	"1783092-1"	"1783092-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Pt presented to the ED  10/13 with syncope and what appeared to be a pulmonary embolism. Tried to resuscitate patient for 90 minutes but no success."
	"1783092-1"	"1783092-1"	"PULMONARY EMBOLISM"	"10037377"	"30-39 years"	"30-39"	"Pt presented to the ED  10/13 with syncope and what appeared to be a pulmonary embolism. Tried to resuscitate patient for 90 minutes but no success."
	"1783092-1"	"1783092-1"	"RESUSCITATION"	"10038749"	"30-39 years"	"30-39"	"Pt presented to the ED  10/13 with syncope and what appeared to be a pulmonary embolism. Tried to resuscitate patient for 90 minutes but no success."
	"1783092-1"	"1783092-1"	"SYNCOPE"	"10042772"	"30-39 years"	"30-39"	"Pt presented to the ED  10/13 with syncope and what appeared to be a pulmonary embolism. Tried to resuscitate patient for 90 minutes but no success."
	"1785145-1"	"1785145-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"40-49 years"	"40-49"	"Death diagnosed with covid pneumonia, hypoxia, acute respiratory failure, intubation, Death increased sob reported on 10/8/2021, recommended to go to ER. Patient admitted to Hospital. Death on 10/10/2021"
	"1785145-1"	"1785145-1"	"ANGIOGRAM"	"10061637"	"40-49 years"	"40-49"	"Death diagnosed with covid pneumonia, hypoxia, acute respiratory failure, intubation, Death increased sob reported on 10/8/2021, recommended to go to ER. Patient admitted to Hospital. Death on 10/10/2021"
	"1785145-1"	"1785145-1"	"CHEST X-RAY"	"10008498"	"40-49 years"	"40-49"	"Death diagnosed with covid pneumonia, hypoxia, acute respiratory failure, intubation, Death increased sob reported on 10/8/2021, recommended to go to ER. Patient admitted to Hospital. Death on 10/10/2021"
	"1785145-1"	"1785145-1"	"COVID-19 PNEUMONIA"	"10084380"	"40-49 years"	"40-49"	"Death diagnosed with covid pneumonia, hypoxia, acute respiratory failure, intubation, Death increased sob reported on 10/8/2021, recommended to go to ER. Patient admitted to Hospital. Death on 10/10/2021"
	"1785145-1"	"1785145-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Death diagnosed with covid pneumonia, hypoxia, acute respiratory failure, intubation, Death increased sob reported on 10/8/2021, recommended to go to ER. Patient admitted to Hospital. Death on 10/10/2021"
	"1785145-1"	"1785145-1"	"DYSPNOEA"	"10013968"	"40-49 years"	"40-49"	"Death diagnosed with covid pneumonia, hypoxia, acute respiratory failure, intubation, Death increased sob reported on 10/8/2021, recommended to go to ER. Patient admitted to Hospital. Death on 10/10/2021"
	"1785145-1"	"1785145-1"	"ECHOCARDIOGRAM"	"10014113"	"40-49 years"	"40-49"	"Death diagnosed with covid pneumonia, hypoxia, acute respiratory failure, intubation, Death increased sob reported on 10/8/2021, recommended to go to ER. Patient admitted to Hospital. Death on 10/10/2021"
	"1785145-1"	"1785145-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"40-49 years"	"40-49"	"Death diagnosed with covid pneumonia, hypoxia, acute respiratory failure, intubation, Death increased sob reported on 10/8/2021, recommended to go to ER. Patient admitted to Hospital. Death on 10/10/2021"
	"1785145-1"	"1785145-1"	"HYPOXIA"	"10021143"	"40-49 years"	"40-49"	"Death diagnosed with covid pneumonia, hypoxia, acute respiratory failure, intubation, Death increased sob reported on 10/8/2021, recommended to go to ER. Patient admitted to Hospital. Death on 10/10/2021"
	"1785145-1"	"1785145-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"40-49 years"	"40-49"	"Death diagnosed with covid pneumonia, hypoxia, acute respiratory failure, intubation, Death increased sob reported on 10/8/2021, recommended to go to ER. Patient admitted to Hospital. Death on 10/10/2021"
	"1785202-1"	"1785202-1"	"ANGIOSARCOMA"	"10002476"	"30-39 years"	"30-39"	"Patient presented to medical clinic on 30AUG21 for evaluation of vertigo, photophobia, dizziness, vomiting. Patient was evaluated on 31AUG21 via Emergency Department, was later diagnosed with Angiosarcoma and passed away on 07OCT21."
	"1785202-1"	"1785202-1"	"BIOPSY"	"10004720"	"30-39 years"	"30-39"	"Patient presented to medical clinic on 30AUG21 for evaluation of vertigo, photophobia, dizziness, vomiting. Patient was evaluated on 31AUG21 via Emergency Department, was later diagnosed with Angiosarcoma and passed away on 07OCT21."
	"1785202-1"	"1785202-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Patient presented to medical clinic on 30AUG21 for evaluation of vertigo, photophobia, dizziness, vomiting. Patient was evaluated on 31AUG21 via Emergency Department, was later diagnosed with Angiosarcoma and passed away on 07OCT21."
	"1785202-1"	"1785202-1"	"DIZZINESS"	"10013573"	"30-39 years"	"30-39"	"Patient presented to medical clinic on 30AUG21 for evaluation of vertigo, photophobia, dizziness, vomiting. Patient was evaluated on 31AUG21 via Emergency Department, was later diagnosed with Angiosarcoma and passed away on 07OCT21."
	"1785202-1"	"1785202-1"	"IMAGING PROCEDURE"	"10068979"	"30-39 years"	"30-39"	"Patient presented to medical clinic on 30AUG21 for evaluation of vertigo, photophobia, dizziness, vomiting. Patient was evaluated on 31AUG21 via Emergency Department, was later diagnosed with Angiosarcoma and passed away on 07OCT21."
	"1785202-1"	"1785202-1"	"LABORATORY TEST"	"10059938"	"30-39 years"	"30-39"	"Patient presented to medical clinic on 30AUG21 for evaluation of vertigo, photophobia, dizziness, vomiting. Patient was evaluated on 31AUG21 via Emergency Department, was later diagnosed with Angiosarcoma and passed away on 07OCT21."
	"1785202-1"	"1785202-1"	"PHOTOPHOBIA"	"10034960"	"30-39 years"	"30-39"	"Patient presented to medical clinic on 30AUG21 for evaluation of vertigo, photophobia, dizziness, vomiting. Patient was evaluated on 31AUG21 via Emergency Department, was later diagnosed with Angiosarcoma and passed away on 07OCT21."
	"1785202-1"	"1785202-1"	"VERTIGO"	"10047340"	"30-39 years"	"30-39"	"Patient presented to medical clinic on 30AUG21 for evaluation of vertigo, photophobia, dizziness, vomiting. Patient was evaluated on 31AUG21 via Emergency Department, was later diagnosed with Angiosarcoma and passed away on 07OCT21."
	"1785202-1"	"1785202-1"	"VOMITING"	"10047700"	"30-39 years"	"30-39"	"Patient presented to medical clinic on 30AUG21 for evaluation of vertigo, photophobia, dizziness, vomiting. Patient was evaluated on 31AUG21 via Emergency Department, was later diagnosed with Angiosarcoma and passed away on 07OCT21."
	"1785234-1"	"1785234-1"	"ACUTE KIDNEY INJURY"	"10069339"	"30-39 years"	"30-39"	"08/31/2021: Second dose of COVID19 vaccine received. 10/04/2021: EMS respond to 911 call. Patient was found in car with altered mental status, unable to move left side, experiencing vomiting and diarrhea. 10/05/2021: Brought to ER by EMS as a code stroke. Pt admitted after acute IP hemorrhage (confirmed on ED CT and MRI) involving R thalamus with accompanied hypertensive emergency, AKI, and respiratory failure. No surgical treatment indicated for hemorrhage. Patient intubated, nursing staff suctioning and laid on side as vomiting persisted. Given anti hypertensives and vasopressor. 10/06/2021: Patient pronounced brain dead at 0752. 10/06/2021: consulted and performed routine lab work for organ donation. Patient found to be syphillis positive and COVID positive by tracheal aspirate."
	"1785234-1"	"1785234-1"	"BRAIN DEATH"	"10049054"	"30-39 years"	"30-39"	"08/31/2021: Second dose of COVID19 vaccine received. 10/04/2021: EMS respond to 911 call. Patient was found in car with altered mental status, unable to move left side, experiencing vomiting and diarrhea. 10/05/2021: Brought to ER by EMS as a code stroke. Pt admitted after acute IP hemorrhage (confirmed on ED CT and MRI) involving R thalamus with accompanied hypertensive emergency, AKI, and respiratory failure. No surgical treatment indicated for hemorrhage. Patient intubated, nursing staff suctioning and laid on side as vomiting persisted. Given anti hypertensives and vasopressor. 10/06/2021: Patient pronounced brain dead at 0752. 10/06/2021: consulted and performed routine lab work for organ donation. Patient found to be syphillis positive and COVID positive by tracheal aspirate."
	"1785234-1"	"1785234-1"	"CEREBRAL HAEMORRHAGE"	"10008111"	"30-39 years"	"30-39"	"08/31/2021: Second dose of COVID19 vaccine received. 10/04/2021: EMS respond to 911 call. Patient was found in car with altered mental status, unable to move left side, experiencing vomiting and diarrhea. 10/05/2021: Brought to ER by EMS as a code stroke. Pt admitted after acute IP hemorrhage (confirmed on ED CT and MRI) involving R thalamus with accompanied hypertensive emergency, AKI, and respiratory failure. No surgical treatment indicated for hemorrhage. Patient intubated, nursing staff suctioning and laid on side as vomiting persisted. Given anti hypertensives and vasopressor. 10/06/2021: Patient pronounced brain dead at 0752. 10/06/2021: consulted and performed routine lab work for organ donation. Patient found to be syphillis positive and COVID positive by tracheal aspirate."
	"1785234-1"	"1785234-1"	"COMPUTERISED TOMOGRAM HEAD ABNORMAL"	"10072168"	"30-39 years"	"30-39"	"08/31/2021: Second dose of COVID19 vaccine received. 10/04/2021: EMS respond to 911 call. Patient was found in car with altered mental status, unable to move left side, experiencing vomiting and diarrhea. 10/05/2021: Brought to ER by EMS as a code stroke. Pt admitted after acute IP hemorrhage (confirmed on ED CT and MRI) involving R thalamus with accompanied hypertensive emergency, AKI, and respiratory failure. No surgical treatment indicated for hemorrhage. Patient intubated, nursing staff suctioning and laid on side as vomiting persisted. Given anti hypertensives and vasopressor. 10/06/2021: Patient pronounced brain dead at 0752. 10/06/2021: consulted and performed routine lab work for organ donation. Patient found to be syphillis positive and COVID positive by tracheal aspirate."
	"1785234-1"	"1785234-1"	"COVID-19"	"10084268"	"30-39 years"	"30-39"	"08/31/2021: Second dose of COVID19 vaccine received. 10/04/2021: EMS respond to 911 call. Patient was found in car with altered mental status, unable to move left side, experiencing vomiting and diarrhea. 10/05/2021: Brought to ER by EMS as a code stroke. Pt admitted after acute IP hemorrhage (confirmed on ED CT and MRI) involving R thalamus with accompanied hypertensive emergency, AKI, and respiratory failure. No surgical treatment indicated for hemorrhage. Patient intubated, nursing staff suctioning and laid on side as vomiting persisted. Given anti hypertensives and vasopressor. 10/06/2021: Patient pronounced brain dead at 0752. 10/06/2021: consulted and performed routine lab work for organ donation. Patient found to be syphillis positive and COVID positive by tracheal aspirate."
	"1785234-1"	"1785234-1"	"DIARRHOEA"	"10012735"	"30-39 years"	"30-39"	"08/31/2021: Second dose of COVID19 vaccine received. 10/04/2021: EMS respond to 911 call. Patient was found in car with altered mental status, unable to move left side, experiencing vomiting and diarrhea. 10/05/2021: Brought to ER by EMS as a code stroke. Pt admitted after acute IP hemorrhage (confirmed on ED CT and MRI) involving R thalamus with accompanied hypertensive emergency, AKI, and respiratory failure. No surgical treatment indicated for hemorrhage. Patient intubated, nursing staff suctioning and laid on side as vomiting persisted. Given anti hypertensives and vasopressor. 10/06/2021: Patient pronounced brain dead at 0752. 10/06/2021: consulted and performed routine lab work for organ donation. Patient found to be syphillis positive and COVID positive by tracheal aspirate."
	"1785234-1"	"1785234-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"30-39 years"	"30-39"	"08/31/2021: Second dose of COVID19 vaccine received. 10/04/2021: EMS respond to 911 call. Patient was found in car with altered mental status, unable to move left side, experiencing vomiting and diarrhea. 10/05/2021: Brought to ER by EMS as a code stroke. Pt admitted after acute IP hemorrhage (confirmed on ED CT and MRI) involving R thalamus with accompanied hypertensive emergency, AKI, and respiratory failure. No surgical treatment indicated for hemorrhage. Patient intubated, nursing staff suctioning and laid on side as vomiting persisted. Given anti hypertensives and vasopressor. 10/06/2021: Patient pronounced brain dead at 0752. 10/06/2021: consulted and performed routine lab work for organ donation. Patient found to be syphillis positive and COVID positive by tracheal aspirate."
	"1785234-1"	"1785234-1"	"HYPERTENSIVE EMERGENCY"	"10058179"	"30-39 years"	"30-39"	"08/31/2021: Second dose of COVID19 vaccine received. 10/04/2021: EMS respond to 911 call. Patient was found in car with altered mental status, unable to move left side, experiencing vomiting and diarrhea. 10/05/2021: Brought to ER by EMS as a code stroke. Pt admitted after acute IP hemorrhage (confirmed on ED CT and MRI) involving R thalamus with accompanied hypertensive emergency, AKI, and respiratory failure. No surgical treatment indicated for hemorrhage. Patient intubated, nursing staff suctioning and laid on side as vomiting persisted. Given anti hypertensives and vasopressor. 10/06/2021: Patient pronounced brain dead at 0752. 10/06/2021: consulted and performed routine lab work for organ donation. Patient found to be syphillis positive and COVID positive by tracheal aspirate."
	"1785234-1"	"1785234-1"	"LABORATORY TEST"	"10059938"	"30-39 years"	"30-39"	"08/31/2021: Second dose of COVID19 vaccine received. 10/04/2021: EMS respond to 911 call. Patient was found in car with altered mental status, unable to move left side, experiencing vomiting and diarrhea. 10/05/2021: Brought to ER by EMS as a code stroke. Pt admitted after acute IP hemorrhage (confirmed on ED CT and MRI) involving R thalamus with accompanied hypertensive emergency, AKI, and respiratory failure. No surgical treatment indicated for hemorrhage. Patient intubated, nursing staff suctioning and laid on side as vomiting persisted. Given anti hypertensives and vasopressor. 10/06/2021: Patient pronounced brain dead at 0752. 10/06/2021: consulted and performed routine lab work for organ donation. Patient found to be syphillis positive and COVID positive by tracheal aspirate."
	"1785234-1"	"1785234-1"	"MAGNETIC RESONANCE IMAGING HEAD ABNORMAL"	"10085256"	"30-39 years"	"30-39"	"08/31/2021: Second dose of COVID19 vaccine received. 10/04/2021: EMS respond to 911 call. Patient was found in car with altered mental status, unable to move left side, experiencing vomiting and diarrhea. 10/05/2021: Brought to ER by EMS as a code stroke. Pt admitted after acute IP hemorrhage (confirmed on ED CT and MRI) involving R thalamus with accompanied hypertensive emergency, AKI, and respiratory failure. No surgical treatment indicated for hemorrhage. Patient intubated, nursing staff suctioning and laid on side as vomiting persisted. Given anti hypertensives and vasopressor. 10/06/2021: Patient pronounced brain dead at 0752. 10/06/2021: consulted and performed routine lab work for organ donation. Patient found to be syphillis positive and COVID positive by tracheal aspirate."
	"1785234-1"	"1785234-1"	"MENTAL STATUS CHANGES"	"10048294"	"30-39 years"	"30-39"	"08/31/2021: Second dose of COVID19 vaccine received. 10/04/2021: EMS respond to 911 call. Patient was found in car with altered mental status, unable to move left side, experiencing vomiting and diarrhea. 10/05/2021: Brought to ER by EMS as a code stroke. Pt admitted after acute IP hemorrhage (confirmed on ED CT and MRI) involving R thalamus with accompanied hypertensive emergency, AKI, and respiratory failure. No surgical treatment indicated for hemorrhage. Patient intubated, nursing staff suctioning and laid on side as vomiting persisted. Given anti hypertensives and vasopressor. 10/06/2021: Patient pronounced brain dead at 0752. 10/06/2021: consulted and performed routine lab work for organ donation. Patient found to be syphillis positive and COVID positive by tracheal aspirate."
	"1785234-1"	"1785234-1"	"MOVEMENT DISORDER"	"10028035"	"30-39 years"	"30-39"	"08/31/2021: Second dose of COVID19 vaccine received. 10/04/2021: EMS respond to 911 call. Patient was found in car with altered mental status, unable to move left side, experiencing vomiting and diarrhea. 10/05/2021: Brought to ER by EMS as a code stroke. Pt admitted after acute IP hemorrhage (confirmed on ED CT and MRI) involving R thalamus with accompanied hypertensive emergency, AKI, and respiratory failure. No surgical treatment indicated for hemorrhage. Patient intubated, nursing staff suctioning and laid on side as vomiting persisted. Given anti hypertensives and vasopressor. 10/06/2021: Patient pronounced brain dead at 0752. 10/06/2021: consulted and performed routine lab work for organ donation. Patient found to be syphillis positive and COVID positive by tracheal aspirate."
	"1785234-1"	"1785234-1"	"RESPIRATORY FAILURE"	"10038695"	"30-39 years"	"30-39"	"08/31/2021: Second dose of COVID19 vaccine received. 10/04/2021: EMS respond to 911 call. Patient was found in car with altered mental status, unable to move left side, experiencing vomiting and diarrhea. 10/05/2021: Brought to ER by EMS as a code stroke. Pt admitted after acute IP hemorrhage (confirmed on ED CT and MRI) involving R thalamus with accompanied hypertensive emergency, AKI, and respiratory failure. No surgical treatment indicated for hemorrhage. Patient intubated, nursing staff suctioning and laid on side as vomiting persisted. Given anti hypertensives and vasopressor. 10/06/2021: Patient pronounced brain dead at 0752. 10/06/2021: consulted and performed routine lab work for organ donation. Patient found to be syphillis positive and COVID positive by tracheal aspirate."
	"1785234-1"	"1785234-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"30-39 years"	"30-39"	"08/31/2021: Second dose of COVID19 vaccine received. 10/04/2021: EMS respond to 911 call. Patient was found in car with altered mental status, unable to move left side, experiencing vomiting and diarrhea. 10/05/2021: Brought to ER by EMS as a code stroke. Pt admitted after acute IP hemorrhage (confirmed on ED CT and MRI) involving R thalamus with accompanied hypertensive emergency, AKI, and respiratory failure. No surgical treatment indicated for hemorrhage. Patient intubated, nursing staff suctioning and laid on side as vomiting persisted. Given anti hypertensives and vasopressor. 10/06/2021: Patient pronounced brain dead at 0752. 10/06/2021: consulted and performed routine lab work for organ donation. Patient found to be syphillis positive and COVID positive by tracheal aspirate."
	"1785234-1"	"1785234-1"	"THALAMUS HAEMORRHAGE"	"10058939"	"30-39 years"	"30-39"	"08/31/2021: Second dose of COVID19 vaccine received. 10/04/2021: EMS respond to 911 call. Patient was found in car with altered mental status, unable to move left side, experiencing vomiting and diarrhea. 10/05/2021: Brought to ER by EMS as a code stroke. Pt admitted after acute IP hemorrhage (confirmed on ED CT and MRI) involving R thalamus with accompanied hypertensive emergency, AKI, and respiratory failure. No surgical treatment indicated for hemorrhage. Patient intubated, nursing staff suctioning and laid on side as vomiting persisted. Given anti hypertensives and vasopressor. 10/06/2021: Patient pronounced brain dead at 0752. 10/06/2021: consulted and performed routine lab work for organ donation. Patient found to be syphillis positive and COVID positive by tracheal aspirate."
	"1785234-1"	"1785234-1"	"TREPONEMA TEST POSITIVE"	"10070158"	"30-39 years"	"30-39"	"08/31/2021: Second dose of COVID19 vaccine received. 10/04/2021: EMS respond to 911 call. Patient was found in car with altered mental status, unable to move left side, experiencing vomiting and diarrhea. 10/05/2021: Brought to ER by EMS as a code stroke. Pt admitted after acute IP hemorrhage (confirmed on ED CT and MRI) involving R thalamus with accompanied hypertensive emergency, AKI, and respiratory failure. No surgical treatment indicated for hemorrhage. Patient intubated, nursing staff suctioning and laid on side as vomiting persisted. Given anti hypertensives and vasopressor. 10/06/2021: Patient pronounced brain dead at 0752. 10/06/2021: consulted and performed routine lab work for organ donation. Patient found to be syphillis positive and COVID positive by tracheal aspirate."
	"1785234-1"	"1785234-1"	"VOMITING"	"10047700"	"30-39 years"	"30-39"	"08/31/2021: Second dose of COVID19 vaccine received. 10/04/2021: EMS respond to 911 call. Patient was found in car with altered mental status, unable to move left side, experiencing vomiting and diarrhea. 10/05/2021: Brought to ER by EMS as a code stroke. Pt admitted after acute IP hemorrhage (confirmed on ED CT and MRI) involving R thalamus with accompanied hypertensive emergency, AKI, and respiratory failure. No surgical treatment indicated for hemorrhage. Patient intubated, nursing staff suctioning and laid on side as vomiting persisted. Given anti hypertensives and vasopressor. 10/06/2021: Patient pronounced brain dead at 0752. 10/06/2021: consulted and performed routine lab work for organ donation. Patient found to be syphillis positive and COVID positive by tracheal aspirate."
	"1787902-1"	"1787902-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Notified that individual developed shortness of breath and died on 10/9/21."
	"1787902-1"	"1787902-1"	"DYSPNOEA"	"10013968"	"40-49 years"	"40-49"	"Notified that individual developed shortness of breath and died on 10/9/21."
	"1793710-1"	"1793710-1"	"CAESAREAN SECTION"	"10006924"	"30-39 years"	"30-39"	"On 4/2, patient (22 weeks pregnant) developed numbness and tingling down one leg.  Symptoms progressed and she was admitted for BLE paralysis 4/5.  MRI showing transverse myelitis.  Process continued despite maximal medical therapy.  4/12 intubated.  4/20 tracheostomy.  7/11 C section and then developed post-operative bleeding needing mass transfusion protocol.  8/11 family decided to withdraw care and patient expired."
	"1793710-1"	"1793710-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"On 4/2, patient (22 weeks pregnant) developed numbness and tingling down one leg.  Symptoms progressed and she was admitted for BLE paralysis 4/5.  MRI showing transverse myelitis.  Process continued despite maximal medical therapy.  4/12 intubated.  4/20 tracheostomy.  7/11 C section and then developed post-operative bleeding needing mass transfusion protocol.  8/11 family decided to withdraw care and patient expired."
	"1793710-1"	"1793710-1"	"DIPLEGIA"	"10013033"	"30-39 years"	"30-39"	"On 4/2, patient (22 weeks pregnant) developed numbness and tingling down one leg.  Symptoms progressed and she was admitted for BLE paralysis 4/5.  MRI showing transverse myelitis.  Process continued despite maximal medical therapy.  4/12 intubated.  4/20 tracheostomy.  7/11 C section and then developed post-operative bleeding needing mass transfusion protocol.  8/11 family decided to withdraw care and patient expired."
	"1793710-1"	"1793710-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"30-39 years"	"30-39"	"On 4/2, patient (22 weeks pregnant) developed numbness and tingling down one leg.  Symptoms progressed and she was admitted for BLE paralysis 4/5.  MRI showing transverse myelitis.  Process continued despite maximal medical therapy.  4/12 intubated.  4/20 tracheostomy.  7/11 C section and then developed post-operative bleeding needing mass transfusion protocol.  8/11 family decided to withdraw care and patient expired."
	"1793710-1"	"1793710-1"	"EXPOSURE DURING PREGNANCY"	"10073513"	"30-39 years"	"30-39"	"On 4/2, patient (22 weeks pregnant) developed numbness and tingling down one leg.  Symptoms progressed and she was admitted for BLE paralysis 4/5.  MRI showing transverse myelitis.  Process continued despite maximal medical therapy.  4/12 intubated.  4/20 tracheostomy.  7/11 C section and then developed post-operative bleeding needing mass transfusion protocol.  8/11 family decided to withdraw care and patient expired."
	"1793710-1"	"1793710-1"	"HYPOAESTHESIA"	"10020937"	"30-39 years"	"30-39"	"On 4/2, patient (22 weeks pregnant) developed numbness and tingling down one leg.  Symptoms progressed and she was admitted for BLE paralysis 4/5.  MRI showing transverse myelitis.  Process continued despite maximal medical therapy.  4/12 intubated.  4/20 tracheostomy.  7/11 C section and then developed post-operative bleeding needing mass transfusion protocol.  8/11 family decided to withdraw care and patient expired."
	"1793710-1"	"1793710-1"	"MAGNETIC RESONANCE IMAGING ABNORMAL"	"10078224"	"30-39 years"	"30-39"	"On 4/2, patient (22 weeks pregnant) developed numbness and tingling down one leg.  Symptoms progressed and she was admitted for BLE paralysis 4/5.  MRI showing transverse myelitis.  Process continued despite maximal medical therapy.  4/12 intubated.  4/20 tracheostomy.  7/11 C section and then developed post-operative bleeding needing mass transfusion protocol.  8/11 family decided to withdraw care and patient expired."
	"1793710-1"	"1793710-1"	"MYELITIS TRANSVERSE"	"10028527"	"30-39 years"	"30-39"	"On 4/2, patient (22 weeks pregnant) developed numbness and tingling down one leg.  Symptoms progressed and she was admitted for BLE paralysis 4/5.  MRI showing transverse myelitis.  Process continued despite maximal medical therapy.  4/12 intubated.  4/20 tracheostomy.  7/11 C section and then developed post-operative bleeding needing mass transfusion protocol.  8/11 family decided to withdraw care and patient expired."
	"1793710-1"	"1793710-1"	"PARAESTHESIA"	"10033775"	"30-39 years"	"30-39"	"On 4/2, patient (22 weeks pregnant) developed numbness and tingling down one leg.  Symptoms progressed and she was admitted for BLE paralysis 4/5.  MRI showing transverse myelitis.  Process continued despite maximal medical therapy.  4/12 intubated.  4/20 tracheostomy.  7/11 C section and then developed post-operative bleeding needing mass transfusion protocol.  8/11 family decided to withdraw care and patient expired."
	"1793710-1"	"1793710-1"	"POST PROCEDURAL HAEMORRHAGE"	"10051077"	"30-39 years"	"30-39"	"On 4/2, patient (22 weeks pregnant) developed numbness and tingling down one leg.  Symptoms progressed and she was admitted for BLE paralysis 4/5.  MRI showing transverse myelitis.  Process continued despite maximal medical therapy.  4/12 intubated.  4/20 tracheostomy.  7/11 C section and then developed post-operative bleeding needing mass transfusion protocol.  8/11 family decided to withdraw care and patient expired."
	"1793710-1"	"1793710-1"	"TRACHEOSTOMY"	"10044320"	"30-39 years"	"30-39"	"On 4/2, patient (22 weeks pregnant) developed numbness and tingling down one leg.  Symptoms progressed and she was admitted for BLE paralysis 4/5.  MRI showing transverse myelitis.  Process continued despite maximal medical therapy.  4/12 intubated.  4/20 tracheostomy.  7/11 C section and then developed post-operative bleeding needing mass transfusion protocol.  8/11 family decided to withdraw care and patient expired."
	"1795256-1"	"1795256-1"	"CARDIOMYOPATHY"	"10007636"	"30-39 years"	"30-39"	"Patietn recived J & J vaccine early August and within 2 weeks became SOB. He presented to Medical center after syncopal episode and had acute thrombosis of RCA on 9/25 /21 . He underwent PCI and thrombectomy . He was noted to have Cardiomyopathy at this time with EF < 20% . Several hours later while in the ICU he had siexzure followed by PEA arrest with ABG Po2 28 ( presumed pulmonary embolus ) and was pronounced dead at that time"
	"1795256-1"	"1795256-1"	"CORONARY ARTERY THROMBOSIS"	"10011091"	"30-39 years"	"30-39"	"Patietn recived J & J vaccine early August and within 2 weeks became SOB. He presented to Medical center after syncopal episode and had acute thrombosis of RCA on 9/25 /21 . He underwent PCI and thrombectomy . He was noted to have Cardiomyopathy at this time with EF < 20% . Several hours later while in the ICU he had siexzure followed by PEA arrest with ABG Po2 28 ( presumed pulmonary embolus ) and was pronounced dead at that time"
	"1795256-1"	"1795256-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Patietn recived J & J vaccine early August and within 2 weeks became SOB. He presented to Medical center after syncopal episode and had acute thrombosis of RCA on 9/25 /21 . He underwent PCI and thrombectomy . He was noted to have Cardiomyopathy at this time with EF < 20% . Several hours later while in the ICU he had siexzure followed by PEA arrest with ABG Po2 28 ( presumed pulmonary embolus ) and was pronounced dead at that time"
	"1795256-1"	"1795256-1"	"DYSPNOEA"	"10013968"	"30-39 years"	"30-39"	"Patietn recived J & J vaccine early August and within 2 weeks became SOB. He presented to Medical center after syncopal episode and had acute thrombosis of RCA on 9/25 /21 . He underwent PCI and thrombectomy . He was noted to have Cardiomyopathy at this time with EF < 20% . Several hours later while in the ICU he had siexzure followed by PEA arrest with ABG Po2 28 ( presumed pulmonary embolus ) and was pronounced dead at that time"
	"1795256-1"	"1795256-1"	"EJECTION FRACTION DECREASED"	"10050528"	"30-39 years"	"30-39"	"Patietn recived J & J vaccine early August and within 2 weeks became SOB. He presented to Medical center after syncopal episode and had acute thrombosis of RCA on 9/25 /21 . He underwent PCI and thrombectomy . He was noted to have Cardiomyopathy at this time with EF < 20% . Several hours later while in the ICU he had siexzure followed by PEA arrest with ABG Po2 28 ( presumed pulmonary embolus ) and was pronounced dead at that time"
	"1795256-1"	"1795256-1"	"INTENSIVE CARE"	"10022519"	"30-39 years"	"30-39"	"Patietn recived J & J vaccine early August and within 2 weeks became SOB. He presented to Medical center after syncopal episode and had acute thrombosis of RCA on 9/25 /21 . He underwent PCI and thrombectomy . He was noted to have Cardiomyopathy at this time with EF < 20% . Several hours later while in the ICU he had siexzure followed by PEA arrest with ABG Po2 28 ( presumed pulmonary embolus ) and was pronounced dead at that time"
	"1795256-1"	"1795256-1"	"PERCUTANEOUS CORONARY INTERVENTION"	"10065608"	"30-39 years"	"30-39"	"Patietn recived J & J vaccine early August and within 2 weeks became SOB. He presented to Medical center after syncopal episode and had acute thrombosis of RCA on 9/25 /21 . He underwent PCI and thrombectomy . He was noted to have Cardiomyopathy at this time with EF < 20% . Several hours later while in the ICU he had siexzure followed by PEA arrest with ABG Po2 28 ( presumed pulmonary embolus ) and was pronounced dead at that time"
	"1795256-1"	"1795256-1"	"PO2 DECREASED"	"10035768"	"30-39 years"	"30-39"	"Patietn recived J & J vaccine early August and within 2 weeks became SOB. He presented to Medical center after syncopal episode and had acute thrombosis of RCA on 9/25 /21 . He underwent PCI and thrombectomy . He was noted to have Cardiomyopathy at this time with EF < 20% . Several hours later while in the ICU he had siexzure followed by PEA arrest with ABG Po2 28 ( presumed pulmonary embolus ) and was pronounced dead at that time"
	"1795256-1"	"1795256-1"	"PULMONARY EMBOLISM"	"10037377"	"30-39 years"	"30-39"	"Patietn recived J & J vaccine early August and within 2 weeks became SOB. He presented to Medical center after syncopal episode and had acute thrombosis of RCA on 9/25 /21 . He underwent PCI and thrombectomy . He was noted to have Cardiomyopathy at this time with EF < 20% . Several hours later while in the ICU he had siexzure followed by PEA arrest with ABG Po2 28 ( presumed pulmonary embolus ) and was pronounced dead at that time"
	"1795256-1"	"1795256-1"	"PULSELESS ELECTRICAL ACTIVITY"	"10058151"	"30-39 years"	"30-39"	"Patietn recived J & J vaccine early August and within 2 weeks became SOB. He presented to Medical center after syncopal episode and had acute thrombosis of RCA on 9/25 /21 . He underwent PCI and thrombectomy . He was noted to have Cardiomyopathy at this time with EF < 20% . Several hours later while in the ICU he had siexzure followed by PEA arrest with ABG Po2 28 ( presumed pulmonary embolus ) and was pronounced dead at that time"
	"1795256-1"	"1795256-1"	"SEIZURE"	"10039906"	"30-39 years"	"30-39"	"Patietn recived J & J vaccine early August and within 2 weeks became SOB. He presented to Medical center after syncopal episode and had acute thrombosis of RCA on 9/25 /21 . He underwent PCI and thrombectomy . He was noted to have Cardiomyopathy at this time with EF < 20% . Several hours later while in the ICU he had siexzure followed by PEA arrest with ABG Po2 28 ( presumed pulmonary embolus ) and was pronounced dead at that time"
	"1795256-1"	"1795256-1"	"SYNCOPE"	"10042772"	"30-39 years"	"30-39"	"Patietn recived J & J vaccine early August and within 2 weeks became SOB. He presented to Medical center after syncopal episode and had acute thrombosis of RCA on 9/25 /21 . He underwent PCI and thrombectomy . He was noted to have Cardiomyopathy at this time with EF < 20% . Several hours later while in the ICU he had siexzure followed by PEA arrest with ABG Po2 28 ( presumed pulmonary embolus ) and was pronounced dead at that time"
	"1795256-1"	"1795256-1"	"THROMBECTOMY"	"10043530"	"30-39 years"	"30-39"	"Patietn recived J & J vaccine early August and within 2 weeks became SOB. He presented to Medical center after syncopal episode and had acute thrombosis of RCA on 9/25 /21 . He underwent PCI and thrombectomy . He was noted to have Cardiomyopathy at this time with EF < 20% . Several hours later while in the ICU he had siexzure followed by PEA arrest with ABG Po2 28 ( presumed pulmonary embolus ) and was pronounced dead at that time"
	"1797997-1"	"1797997-1"	"ANGIOGRAM"	"10061637"	"40-49 years"	"40-49"	"Within 2 weeks of initial vaccine dose the patient developed new-onset acute neurologic symptoms resulting in a diagnosis of cerebral thrombosis with ICH and vasogenic edema.  He underwent several outpatient, ER and inpatient evaluations (in the system, except for final hospitalization at Hospital); he continued to clinically deterioriate and died on August 8, 2021."
	"1797997-1"	"1797997-1"	"CEREBRAL HAEMORRHAGE"	"10008111"	"40-49 years"	"40-49"	"Within 2 weeks of initial vaccine dose the patient developed new-onset acute neurologic symptoms resulting in a diagnosis of cerebral thrombosis with ICH and vasogenic edema.  He underwent several outpatient, ER and inpatient evaluations (in the system, except for final hospitalization at Hospital); he continued to clinically deterioriate and died on August 8, 2021."
	"1797997-1"	"1797997-1"	"CEREBRAL THROMBOSIS"	"10008132"	"40-49 years"	"40-49"	"Within 2 weeks of initial vaccine dose the patient developed new-onset acute neurologic symptoms resulting in a diagnosis of cerebral thrombosis with ICH and vasogenic edema.  He underwent several outpatient, ER and inpatient evaluations (in the system, except for final hospitalization at Hospital); he continued to clinically deterioriate and died on August 8, 2021."
	"1797997-1"	"1797997-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Within 2 weeks of initial vaccine dose the patient developed new-onset acute neurologic symptoms resulting in a diagnosis of cerebral thrombosis with ICH and vasogenic edema.  He underwent several outpatient, ER and inpatient evaluations (in the system, except for final hospitalization at Hospital); he continued to clinically deterioriate and died on August 8, 2021."
	"1797997-1"	"1797997-1"	"ELECTROCARDIOGRAM"	"10014362"	"40-49 years"	"40-49"	"Within 2 weeks of initial vaccine dose the patient developed new-onset acute neurologic symptoms resulting in a diagnosis of cerebral thrombosis with ICH and vasogenic edema.  He underwent several outpatient, ER and inpatient evaluations (in the system, except for final hospitalization at Hospital); he continued to clinically deterioriate and died on August 8, 2021."
	"1797997-1"	"1797997-1"	"ELECTROENCEPHALOGRAM"	"10014407"	"40-49 years"	"40-49"	"Within 2 weeks of initial vaccine dose the patient developed new-onset acute neurologic symptoms resulting in a diagnosis of cerebral thrombosis with ICH and vasogenic edema.  He underwent several outpatient, ER and inpatient evaluations (in the system, except for final hospitalization at Hospital); he continued to clinically deterioriate and died on August 8, 2021."
	"1797997-1"	"1797997-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"40-49 years"	"40-49"	"Within 2 weeks of initial vaccine dose the patient developed new-onset acute neurologic symptoms resulting in a diagnosis of cerebral thrombosis with ICH and vasogenic edema.  He underwent several outpatient, ER and inpatient evaluations (in the system, except for final hospitalization at Hospital); he continued to clinically deterioriate and died on August 8, 2021."
	"1797997-1"	"1797997-1"	"LABORATORY TEST"	"10059938"	"40-49 years"	"40-49"	"Within 2 weeks of initial vaccine dose the patient developed new-onset acute neurologic symptoms resulting in a diagnosis of cerebral thrombosis with ICH and vasogenic edema.  He underwent several outpatient, ER and inpatient evaluations (in the system, except for final hospitalization at Hospital); he continued to clinically deterioriate and died on August 8, 2021."
	"1797997-1"	"1797997-1"	"MAGNETIC RESONANCE IMAGING HEAD"	"10085255"	"40-49 years"	"40-49"	"Within 2 weeks of initial vaccine dose the patient developed new-onset acute neurologic symptoms resulting in a diagnosis of cerebral thrombosis with ICH and vasogenic edema.  He underwent several outpatient, ER and inpatient evaluations (in the system, except for final hospitalization at Hospital); he continued to clinically deterioriate and died on August 8, 2021."
	"1797997-1"	"1797997-1"	"NEUROLOGICAL SYMPTOM"	"10060860"	"40-49 years"	"40-49"	"Within 2 weeks of initial vaccine dose the patient developed new-onset acute neurologic symptoms resulting in a diagnosis of cerebral thrombosis with ICH and vasogenic edema.  He underwent several outpatient, ER and inpatient evaluations (in the system, except for final hospitalization at Hospital); he continued to clinically deterioriate and died on August 8, 2021."
	"1797997-1"	"1797997-1"	"VASOGENIC CEREBRAL OEDEMA"	"10067275"	"40-49 years"	"40-49"	"Within 2 weeks of initial vaccine dose the patient developed new-onset acute neurologic symptoms resulting in a diagnosis of cerebral thrombosis with ICH and vasogenic edema.  He underwent several outpatient, ER and inpatient evaluations (in the system, except for final hospitalization at Hospital); he continued to clinically deterioriate and died on August 8, 2021."
	"1804051-1"	"1804051-1"	"ACUTE KIDNEY INJURY"	"10069339"	"40-49 years"	"40-49"	"death Acute renal failure, unspecified acute renal failure type (CMS/HCC)"
	"1804051-1"	"1804051-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"death Acute renal failure, unspecified acute renal failure type (CMS/HCC)"
	"1804354-1"	"1804354-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Died in her sleep 3 weeks after second vaccine..heart attack"
	"1804354-1"	"1804354-1"	"MYOCARDIAL INFARCTION"	"10028596"	"40-49 years"	"40-49"	"Died in her sleep 3 weeks after second vaccine..heart attack"
	"1804559-1"	"1804559-1"	"AUTOPSY"	"10050117"	"40-49 years"	"40-49"	"On 9/10/21 this individual died.  Beginning on 9/2/21 he began complaining of not feeling well and he informed a friend that he had a positive COVID-19 test.  The whereabouts of this test and actual results have not been verified.  Shortly prior to his death he informed his friend that his throat and chest felt tight.  An autopsy performed at the Medical Examiner's Office on 9/10/21 revealed an infection of his larynx; his lungs shows some focal fibrinous deposits with mononuclear cell infiltrations but not classic hyaline membranes.  A postmortem COVID-19 test was not performed; however, paraffin blocks have been submitted to the CDC with the assistance of the DOH Laboratory for COVID-19 testing.  The CDC recommended this case be reported to VAERS."
	"1804559-1"	"1804559-1"	"CHEST DISCOMFORT"	"10008469"	"40-49 years"	"40-49"	"On 9/10/21 this individual died.  Beginning on 9/2/21 he began complaining of not feeling well and he informed a friend that he had a positive COVID-19 test.  The whereabouts of this test and actual results have not been verified.  Shortly prior to his death he informed his friend that his throat and chest felt tight.  An autopsy performed at the Medical Examiner's Office on 9/10/21 revealed an infection of his larynx; his lungs shows some focal fibrinous deposits with mononuclear cell infiltrations but not classic hyaline membranes.  A postmortem COVID-19 test was not performed; however, paraffin blocks have been submitted to the CDC with the assistance of the DOH Laboratory for COVID-19 testing.  The CDC recommended this case be reported to VAERS."
	"1804559-1"	"1804559-1"	"COVID-19"	"10084268"	"40-49 years"	"40-49"	"On 9/10/21 this individual died.  Beginning on 9/2/21 he began complaining of not feeling well and he informed a friend that he had a positive COVID-19 test.  The whereabouts of this test and actual results have not been verified.  Shortly prior to his death he informed his friend that his throat and chest felt tight.  An autopsy performed at the Medical Examiner's Office on 9/10/21 revealed an infection of his larynx; his lungs shows some focal fibrinous deposits with mononuclear cell infiltrations but not classic hyaline membranes.  A postmortem COVID-19 test was not performed; however, paraffin blocks have been submitted to the CDC with the assistance of the DOH Laboratory for COVID-19 testing.  The CDC recommended this case be reported to VAERS."
	"1804559-1"	"1804559-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"On 9/10/21 this individual died.  Beginning on 9/2/21 he began complaining of not feeling well and he informed a friend that he had a positive COVID-19 test.  The whereabouts of this test and actual results have not been verified.  Shortly prior to his death he informed his friend that his throat and chest felt tight.  An autopsy performed at the Medical Examiner's Office on 9/10/21 revealed an infection of his larynx; his lungs shows some focal fibrinous deposits with mononuclear cell infiltrations but not classic hyaline membranes.  A postmortem COVID-19 test was not performed; however, paraffin blocks have been submitted to the CDC with the assistance of the DOH Laboratory for COVID-19 testing.  The CDC recommended this case be reported to VAERS."
	"1804559-1"	"1804559-1"	"LARYNGITIS"	"10023874"	"40-49 years"	"40-49"	"On 9/10/21 this individual died.  Beginning on 9/2/21 he began complaining of not feeling well and he informed a friend that he had a positive COVID-19 test.  The whereabouts of this test and actual results have not been verified.  Shortly prior to his death he informed his friend that his throat and chest felt tight.  An autopsy performed at the Medical Examiner's Office on 9/10/21 revealed an infection of his larynx; his lungs shows some focal fibrinous deposits with mononuclear cell infiltrations but not classic hyaline membranes.  A postmortem COVID-19 test was not performed; however, paraffin blocks have been submitted to the CDC with the assistance of the DOH Laboratory for COVID-19 testing.  The CDC recommended this case be reported to VAERS."
	"1804559-1"	"1804559-1"	"LUNG INFILTRATION"	"10025102"	"40-49 years"	"40-49"	"On 9/10/21 this individual died.  Beginning on 9/2/21 he began complaining of not feeling well and he informed a friend that he had a positive COVID-19 test.  The whereabouts of this test and actual results have not been verified.  Shortly prior to his death he informed his friend that his throat and chest felt tight.  An autopsy performed at the Medical Examiner's Office on 9/10/21 revealed an infection of his larynx; his lungs shows some focal fibrinous deposits with mononuclear cell infiltrations but not classic hyaline membranes.  A postmortem COVID-19 test was not performed; however, paraffin blocks have been submitted to the CDC with the assistance of the DOH Laboratory for COVID-19 testing.  The CDC recommended this case be reported to VAERS."
	"1804559-1"	"1804559-1"	"MALAISE"	"10025482"	"40-49 years"	"40-49"	"On 9/10/21 this individual died.  Beginning on 9/2/21 he began complaining of not feeling well and he informed a friend that he had a positive COVID-19 test.  The whereabouts of this test and actual results have not been verified.  Shortly prior to his death he informed his friend that his throat and chest felt tight.  An autopsy performed at the Medical Examiner's Office on 9/10/21 revealed an infection of his larynx; his lungs shows some focal fibrinous deposits with mononuclear cell infiltrations but not classic hyaline membranes.  A postmortem COVID-19 test was not performed; however, paraffin blocks have been submitted to the CDC with the assistance of the DOH Laboratory for COVID-19 testing.  The CDC recommended this case be reported to VAERS."
	"1804559-1"	"1804559-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"40-49 years"	"40-49"	"On 9/10/21 this individual died.  Beginning on 9/2/21 he began complaining of not feeling well and he informed a friend that he had a positive COVID-19 test.  The whereabouts of this test and actual results have not been verified.  Shortly prior to his death he informed his friend that his throat and chest felt tight.  An autopsy performed at the Medical Examiner's Office on 9/10/21 revealed an infection of his larynx; his lungs shows some focal fibrinous deposits with mononuclear cell infiltrations but not classic hyaline membranes.  A postmortem COVID-19 test was not performed; however, paraffin blocks have been submitted to the CDC with the assistance of the DOH Laboratory for COVID-19 testing.  The CDC recommended this case be reported to VAERS."
	"1804559-1"	"1804559-1"	"THROAT TIGHTNESS"	"10043528"	"40-49 years"	"40-49"	"On 9/10/21 this individual died.  Beginning on 9/2/21 he began complaining of not feeling well and he informed a friend that he had a positive COVID-19 test.  The whereabouts of this test and actual results have not been verified.  Shortly prior to his death he informed his friend that his throat and chest felt tight.  An autopsy performed at the Medical Examiner's Office on 9/10/21 revealed an infection of his larynx; his lungs shows some focal fibrinous deposits with mononuclear cell infiltrations but not classic hyaline membranes.  A postmortem COVID-19 test was not performed; however, paraffin blocks have been submitted to the CDC with the assistance of the DOH Laboratory for COVID-19 testing.  The CDC recommended this case be reported to VAERS."
	"1804786-1"	"1804786-1"	"COVID-19"	"10084268"	"30-39 years"	"30-39"	"pt admitted to hospital  with SOB, fever, and hypoxic; tested positive for COVID; pt's condition worsened and required intubation; comfort measures and extubation occurred; pt expired in the hospital; diagnosed with COVID pneumonia, septic shock, septic PE;"
	"1804786-1"	"1804786-1"	"COVID-19 PNEUMONIA"	"10084380"	"30-39 years"	"30-39"	"pt admitted to hospital  with SOB, fever, and hypoxic; tested positive for COVID; pt's condition worsened and required intubation; comfort measures and extubation occurred; pt expired in the hospital; diagnosed with COVID pneumonia, septic shock, septic PE;"
	"1804786-1"	"1804786-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"pt admitted to hospital  with SOB, fever, and hypoxic; tested positive for COVID; pt's condition worsened and required intubation; comfort measures and extubation occurred; pt expired in the hospital; diagnosed with COVID pneumonia, septic shock, septic PE;"
	"1804786-1"	"1804786-1"	"DYSPNOEA"	"10013968"	"30-39 years"	"30-39"	"pt admitted to hospital  with SOB, fever, and hypoxic; tested positive for COVID; pt's condition worsened and required intubation; comfort measures and extubation occurred; pt expired in the hospital; diagnosed with COVID pneumonia, septic shock, septic PE;"
	"1804786-1"	"1804786-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"30-39 years"	"30-39"	"pt admitted to hospital  with SOB, fever, and hypoxic; tested positive for COVID; pt's condition worsened and required intubation; comfort measures and extubation occurred; pt expired in the hospital; diagnosed with COVID pneumonia, septic shock, septic PE;"
	"1804786-1"	"1804786-1"	"EXTUBATION"	"10015894"	"30-39 years"	"30-39"	"pt admitted to hospital  with SOB, fever, and hypoxic; tested positive for COVID; pt's condition worsened and required intubation; comfort measures and extubation occurred; pt expired in the hospital; diagnosed with COVID pneumonia, septic shock, septic PE;"
	"1804786-1"	"1804786-1"	"HYPOXIA"	"10021143"	"30-39 years"	"30-39"	"pt admitted to hospital  with SOB, fever, and hypoxic; tested positive for COVID; pt's condition worsened and required intubation; comfort measures and extubation occurred; pt expired in the hospital; diagnosed with COVID pneumonia, septic shock, septic PE;"
	"1804786-1"	"1804786-1"	"PYREXIA"	"10037660"	"30-39 years"	"30-39"	"pt admitted to hospital  with SOB, fever, and hypoxic; tested positive for COVID; pt's condition worsened and required intubation; comfort measures and extubation occurred; pt expired in the hospital; diagnosed with COVID pneumonia, septic shock, septic PE;"
	"1804786-1"	"1804786-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"30-39 years"	"30-39"	"pt admitted to hospital  with SOB, fever, and hypoxic; tested positive for COVID; pt's condition worsened and required intubation; comfort measures and extubation occurred; pt expired in the hospital; diagnosed with COVID pneumonia, septic shock, septic PE;"
	"1804786-1"	"1804786-1"	"SEPTIC PULMONARY EMBOLISM"	"10083093"	"30-39 years"	"30-39"	"pt admitted to hospital  with SOB, fever, and hypoxic; tested positive for COVID; pt's condition worsened and required intubation; comfort measures and extubation occurred; pt expired in the hospital; diagnosed with COVID pneumonia, septic shock, septic PE;"
	"1804786-1"	"1804786-1"	"SEPTIC SHOCK"	"10040070"	"30-39 years"	"30-39"	"pt admitted to hospital  with SOB, fever, and hypoxic; tested positive for COVID; pt's condition worsened and required intubation; comfort measures and extubation occurred; pt expired in the hospital; diagnosed with COVID pneumonia, septic shock, septic PE;"
	"1804809-1"	"1804809-1"	"ASYMPTOMATIC COVID-19"	"10084459"	"40-49 years"	"40-49"	"This is a breakthrough case who died, but the causality is not clear. There are unusual circumstances, in that the positive test was done post-mortem since the patient was an organ donor, thus the delay in identifying this as a breakthrough case.   The patient was vaccinated on 04/02/2021.  On 04/24/2021, he suffered a presumed cardiac arrest while exercising at home, and he subsequently passed away on the same day.  Per policy, the organ/tissue donation facility ran a routine COVID-19 test on a sample taken on 04/25/2021 which came back PCR-positive on 04/27/2021.   Per follow-up with the surviving spouse, the patient had been experiencing fatigue in the week prior to death, but no other possible COVID-19 symptoms that they were aware of. The case had also previously been COVID-19 positive in October 2020."
	"1804809-1"	"1804809-1"	"CARDIAC ARREST"	"10007515"	"40-49 years"	"40-49"	"This is a breakthrough case who died, but the causality is not clear. There are unusual circumstances, in that the positive test was done post-mortem since the patient was an organ donor, thus the delay in identifying this as a breakthrough case.   The patient was vaccinated on 04/02/2021.  On 04/24/2021, he suffered a presumed cardiac arrest while exercising at home, and he subsequently passed away on the same day.  Per policy, the organ/tissue donation facility ran a routine COVID-19 test on a sample taken on 04/25/2021 which came back PCR-positive on 04/27/2021.   Per follow-up with the surviving spouse, the patient had been experiencing fatigue in the week prior to death, but no other possible COVID-19 symptoms that they were aware of. The case had also previously been COVID-19 positive in October 2020."
	"1804809-1"	"1804809-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"This is a breakthrough case who died, but the causality is not clear. There are unusual circumstances, in that the positive test was done post-mortem since the patient was an organ donor, thus the delay in identifying this as a breakthrough case.   The patient was vaccinated on 04/02/2021.  On 04/24/2021, he suffered a presumed cardiac arrest while exercising at home, and he subsequently passed away on the same day.  Per policy, the organ/tissue donation facility ran a routine COVID-19 test on a sample taken on 04/25/2021 which came back PCR-positive on 04/27/2021.   Per follow-up with the surviving spouse, the patient had been experiencing fatigue in the week prior to death, but no other possible COVID-19 symptoms that they were aware of. The case had also previously been COVID-19 positive in October 2020."
	"1804809-1"	"1804809-1"	"FATIGUE"	"10016256"	"40-49 years"	"40-49"	"This is a breakthrough case who died, but the causality is not clear. There are unusual circumstances, in that the positive test was done post-mortem since the patient was an organ donor, thus the delay in identifying this as a breakthrough case.   The patient was vaccinated on 04/02/2021.  On 04/24/2021, he suffered a presumed cardiac arrest while exercising at home, and he subsequently passed away on the same day.  Per policy, the organ/tissue donation facility ran a routine COVID-19 test on a sample taken on 04/25/2021 which came back PCR-positive on 04/27/2021.   Per follow-up with the surviving spouse, the patient had been experiencing fatigue in the week prior to death, but no other possible COVID-19 symptoms that they were aware of. The case had also previously been COVID-19 positive in October 2020."
	"1804809-1"	"1804809-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"40-49 years"	"40-49"	"This is a breakthrough case who died, but the causality is not clear. There are unusual circumstances, in that the positive test was done post-mortem since the patient was an organ donor, thus the delay in identifying this as a breakthrough case.   The patient was vaccinated on 04/02/2021.  On 04/24/2021, he suffered a presumed cardiac arrest while exercising at home, and he subsequently passed away on the same day.  Per policy, the organ/tissue donation facility ran a routine COVID-19 test on a sample taken on 04/25/2021 which came back PCR-positive on 04/27/2021.   Per follow-up with the surviving spouse, the patient had been experiencing fatigue in the week prior to death, but no other possible COVID-19 symptoms that they were aware of. The case had also previously been COVID-19 positive in October 2020."
	"1804809-1"	"1804809-1"	"VACCINE BREAKTHROUGH INFECTION"	"10067923"	"40-49 years"	"40-49"	"This is a breakthrough case who died, but the causality is not clear. There are unusual circumstances, in that the positive test was done post-mortem since the patient was an organ donor, thus the delay in identifying this as a breakthrough case.   The patient was vaccinated on 04/02/2021.  On 04/24/2021, he suffered a presumed cardiac arrest while exercising at home, and he subsequently passed away on the same day.  Per policy, the organ/tissue donation facility ran a routine COVID-19 test on a sample taken on 04/25/2021 which came back PCR-positive on 04/27/2021.   Per follow-up with the surviving spouse, the patient had been experiencing fatigue in the week prior to death, but no other possible COVID-19 symptoms that they were aware of. The case had also previously been COVID-19 positive in October 2020."
	"1810608-1"	"1810608-1"	"ASPIRATION PLEURAL CAVITY"	"10003522"	"40-49 years"	"40-49"	""cancer throughout her body, including spine and lesions on her brain, radiologist said as far as the lesions go says they were hemorrhagic; hypersensitive reaction; cough; Pain; chest pain; lymph node swelling throughout the chest and upper abdomen; nodules on her lungs; got really sick; death; This is a spontaneous report from a contactable consumer (parent) via Medical information team.   A 49-years-old female patient received bnt162b2 (BNT162B2), dose 2 via an unspecified route of administration on 17Apr2021 (Batch/Lot Number: ER8735) as DOSE 2, SINGLE for covid-19 immunisation at the age of 49 years old. Medical history included breast cancer from an unknown date diagnosed in Feb2020 and mastectomy from Sep2020. The patient's concomitant medications were not reported. The patient previously took BNT162B2 dose 1, on 27Mar2021 at the age of 49 years old, lot number: ER8734 and expiry: Unknown for COVID-19 immunization and experienced back pain, headaches, dry cough and bilateral pleural effusions. The patient's parent stated, ""Ishe had the first dose on 27Mar2021, the following week she started to complain of back pain, headaches and dry cough, had not had those symptoms before the vaccines, states for the back pain she was saying she guessed she needed a new mattress, so it  was there but not serious, states then on the 17Apr2021 is when she got the second dose of the Pfizer Covid vaccine, on a Friday after that and that Sunday afterwards she described the pain as just really worse, states the cough got worse, states in the early part of week she called the doctor and was not able to get in to see them, states her daughter got to point where she used the word excruciating to describe her pain, she made an appointment at a same day clinic, by the time she got to the appointment on 23Apr2021, she was complaining of chest pain as well, the doctor sent her for chest X-ray, the chest X-ray showed pleural effusions in the bases of both lungs. Sent for a CT scan of the chest, they couldn't get her in for a month for this, states by the time she had the CT scan, one of the things on the CT scan is that she had lymph node swelling throughout the chest and upper abdomen, doctor said this was unusual, from there she deteriorated quickly. States they did a thoracentesis and they found cancer cells riddled through the fluid the pulled out, found nodules on her lungs. It is important to note her daughter's history, she has a history of breast cancer, she was diagnosed in Feb 2020,  the year before the vaccines, she had a mastectomy in Sep2020 and by all indications afterwards, the doctors said her her margins were negative, the skin in her breast was negative and lymph nodes were negative for cancer, was her oncologist, she had a follow up with the doctor in Feb2021 of this year, about a month before the Covid vaccines and if you read her note, she was basically given a clean bill of health just a month before the vaccines and her symptoms started. Caller states the only thing oof was the patient's blood count was a little low, exact details not provided. She thinks that her daughter had a unique reaction to the mRNA in the vaccine, believes this sprinkling of cancer all of a sudden after just receiving a clean bill of health a month before was triggered by the vaccine, caller understands that with the mRNA there is something to do with copying cells and she believes  that the MRNA copied something different, states she ended up with cancer throughout her body, including spine and lesions on her brain, radiologist said as far as the lesions go says they were hemorrhagic, said it was unusual. She thinks the vaccine caused her daughter's death, her daughter was completely healthy, she did have breast cancer and mastectomies, she got the vaccine, got really sick, and the I think the mRNA of the vaccine copied the wrong cell and copied the cancer cell instead of the cell that it was supposed to"".  They did no autopsy, the reason she is really questioning the mRNA is the patient's condition rapidly deteriorated after the second vaccine, she complained of back pain, coughing and headaches after the first vaccine but she was still able to work and go about her day but 17Apr2021 was on a Friday, by that Sunday her back pain was severe, the coughing increased and she even started to develop chest pain, what she wanted to say was that this all happened after the second injection is when, she was at #, they did a CT scan of her chest, it showed swollen lymph nodes, they did a biopsy that showed cancer cells, so the reason the caller thinks it was the mRNA, is because in Feb the patient had been healthy by all indication, it appeared something just showered her body with cancer cells, she had cancer in her lungs, spine, brain. Caller states because of how many tumors patient had they didn't do an autopsy. Caller states the patient was put on hospice, they did do brain radiation, but she got to a point where she was deteriorating rapidly and was  put on hospice for a week before she died, doctors did ask about an autopsy, but at that point, as a parent, it was all happening so quickly. The patient died on 22Jul2021.  An autopsy was not performed. The outcome of the events was unknown.; Reported Cause(s) of Death: Metastatic breast cancer""
	"1810608-1"	"1810608-1"	"CHEST PAIN"	"10008479"	"40-49 years"	"40-49"	""cancer throughout her body, including spine and lesions on her brain, radiologist said as far as the lesions go says they were hemorrhagic; hypersensitive reaction; cough; Pain; chest pain; lymph node swelling throughout the chest and upper abdomen; nodules on her lungs; got really sick; death; This is a spontaneous report from a contactable consumer (parent) via Medical information team.   A 49-years-old female patient received bnt162b2 (BNT162B2), dose 2 via an unspecified route of administration on 17Apr2021 (Batch/Lot Number: ER8735) as DOSE 2, SINGLE for covid-19 immunisation at the age of 49 years old. Medical history included breast cancer from an unknown date diagnosed in Feb2020 and mastectomy from Sep2020. The patient's concomitant medications were not reported. The patient previously took BNT162B2 dose 1, on 27Mar2021 at the age of 49 years old, lot number: ER8734 and expiry: Unknown for COVID-19 immunization and experienced back pain, headaches, dry cough and bilateral pleural effusions. The patient's parent stated, ""Ishe had the first dose on 27Mar2021, the following week she started to complain of back pain, headaches and dry cough, had not had those symptoms before the vaccines, states for the back pain she was saying she guessed she needed a new mattress, so it  was there but not serious, states then on the 17Apr2021 is when she got the second dose of the Pfizer Covid vaccine, on a Friday after that and that Sunday afterwards she described the pain as just really worse, states the cough got worse, states in the early part of week she called the doctor and was not able to get in to see them, states her daughter got to point where she used the word excruciating to describe her pain, she made an appointment at a same day clinic, by the time she got to the appointment on 23Apr2021, she was complaining of chest pain as well, the doctor sent her for chest X-ray, the chest X-ray showed pleural effusions in the bases of both lungs. Sent for a CT scan of the chest, they couldn't get her in for a month for this, states by the time she had the CT scan, one of the things on the CT scan is that she had lymph node swelling throughout the chest and upper abdomen, doctor said this was unusual, from there she deteriorated quickly. States they did a thoracentesis and they found cancer cells riddled through the fluid the pulled out, found nodules on her lungs. It is important to note her daughter's history, she has a history of breast cancer, she was diagnosed in Feb 2020,  the year before the vaccines, she had a mastectomy in Sep2020 and by all indications afterwards, the doctors said her her margins were negative, the skin in her breast was negative and lymph nodes were negative for cancer, was her oncologist, she had a follow up with the doctor in Feb2021 of this year, about a month before the Covid vaccines and if you read her note, she was basically given a clean bill of health just a month before the vaccines and her symptoms started. Caller states the only thing oof was the patient's blood count was a little low, exact details not provided. She thinks that her daughter had a unique reaction to the mRNA in the vaccine, believes this sprinkling of cancer all of a sudden after just receiving a clean bill of health a month before was triggered by the vaccine, caller understands that with the mRNA there is something to do with copying cells and she believes  that the MRNA copied something different, states she ended up with cancer throughout her body, including spine and lesions on her brain, radiologist said as far as the lesions go says they were hemorrhagic, said it was unusual. She thinks the vaccine caused her daughter's death, her daughter was completely healthy, she did have breast cancer and mastectomies, she got the vaccine, got really sick, and the I think the mRNA of the vaccine copied the wrong cell and copied the cancer cell instead of the cell that it was supposed to"".  They did no autopsy, the reason she is really questioning the mRNA is the patient's condition rapidly deteriorated after the second vaccine, she complained of back pain, coughing and headaches after the first vaccine but she was still able to work and go about her day but 17Apr2021 was on a Friday, by that Sunday her back pain was severe, the coughing increased and she even started to develop chest pain, what she wanted to say was that this all happened after the second injection is when, she was at #, they did a CT scan of her chest, it showed swollen lymph nodes, they did a biopsy that showed cancer cells, so the reason the caller thinks it was the mRNA, is because in Feb the patient had been healthy by all indication, it appeared something just showered her body with cancer cells, she had cancer in her lungs, spine, brain. Caller states because of how many tumors patient had they didn't do an autopsy. Caller states the patient was put on hospice, they did do brain radiation, but she got to a point where she was deteriorating rapidly and was  put on hospice for a week before she died, doctors did ask about an autopsy, but at that point, as a parent, it was all happening so quickly. The patient died on 22Jul2021.  An autopsy was not performed. The outcome of the events was unknown.; Reported Cause(s) of Death: Metastatic breast cancer""
	"1810608-1"	"1810608-1"	"CHEST X-RAY"	"10008498"	"40-49 years"	"40-49"	""cancer throughout her body, including spine and lesions on her brain, radiologist said as far as the lesions go says they were hemorrhagic; hypersensitive reaction; cough; Pain; chest pain; lymph node swelling throughout the chest and upper abdomen; nodules on her lungs; got really sick; death; This is a spontaneous report from a contactable consumer (parent) via Medical information team.   A 49-years-old female patient received bnt162b2 (BNT162B2), dose 2 via an unspecified route of administration on 17Apr2021 (Batch/Lot Number: ER8735) as DOSE 2, SINGLE for covid-19 immunisation at the age of 49 years old. Medical history included breast cancer from an unknown date diagnosed in Feb2020 and mastectomy from Sep2020. The patient's concomitant medications were not reported. The patient previously took BNT162B2 dose 1, on 27Mar2021 at the age of 49 years old, lot number: ER8734 and expiry: Unknown for COVID-19 immunization and experienced back pain, headaches, dry cough and bilateral pleural effusions. The patient's parent stated, ""Ishe had the first dose on 27Mar2021, the following week she started to complain of back pain, headaches and dry cough, had not had those symptoms before the vaccines, states for the back pain she was saying she guessed she needed a new mattress, so it  was there but not serious, states then on the 17Apr2021 is when she got the second dose of the Pfizer Covid vaccine, on a Friday after that and that Sunday afterwards she described the pain as just really worse, states the cough got worse, states in the early part of week she called the doctor and was not able to get in to see them, states her daughter got to point where she used the word excruciating to describe her pain, she made an appointment at a same day clinic, by the time she got to the appointment on 23Apr2021, she was complaining of chest pain as well, the doctor sent her for chest X-ray, the chest X-ray showed pleural effusions in the bases of both lungs. Sent for a CT scan of the chest, they couldn't get her in for a month for this, states by the time she had the CT scan, one of the things on the CT scan is that she had lymph node swelling throughout the chest and upper abdomen, doctor said this was unusual, from there she deteriorated quickly. States they did a thoracentesis and they found cancer cells riddled through the fluid the pulled out, found nodules on her lungs. It is important to note her daughter's history, she has a history of breast cancer, she was diagnosed in Feb 2020,  the year before the vaccines, she had a mastectomy in Sep2020 and by all indications afterwards, the doctors said her her margins were negative, the skin in her breast was negative and lymph nodes were negative for cancer, was her oncologist, she had a follow up with the doctor in Feb2021 of this year, about a month before the Covid vaccines and if you read her note, she was basically given a clean bill of health just a month before the vaccines and her symptoms started. Caller states the only thing oof was the patient's blood count was a little low, exact details not provided. She thinks that her daughter had a unique reaction to the mRNA in the vaccine, believes this sprinkling of cancer all of a sudden after just receiving a clean bill of health a month before was triggered by the vaccine, caller understands that with the mRNA there is something to do with copying cells and she believes  that the MRNA copied something different, states she ended up with cancer throughout her body, including spine and lesions on her brain, radiologist said as far as the lesions go says they were hemorrhagic, said it was unusual. She thinks the vaccine caused her daughter's death, her daughter was completely healthy, she did have breast cancer and mastectomies, she got the vaccine, got really sick, and the I think the mRNA of the vaccine copied the wrong cell and copied the cancer cell instead of the cell that it was supposed to"".  They did no autopsy, the reason she is really questioning the mRNA is the patient's condition rapidly deteriorated after the second vaccine, she complained of back pain, coughing and headaches after the first vaccine but she was still able to work and go about her day but 17Apr2021 was on a Friday, by that Sunday her back pain was severe, the coughing increased and she even started to develop chest pain, what she wanted to say was that this all happened after the second injection is when, she was at #, they did a CT scan of her chest, it showed swollen lymph nodes, they did a biopsy that showed cancer cells, so the reason the caller thinks it was the mRNA, is because in Feb the patient had been healthy by all indication, it appeared something just showered her body with cancer cells, she had cancer in her lungs, spine, brain. Caller states because of how many tumors patient had they didn't do an autopsy. Caller states the patient was put on hospice, they did do brain radiation, but she got to a point where she was deteriorating rapidly and was  put on hospice for a week before she died, doctors did ask about an autopsy, but at that point, as a parent, it was all happening so quickly. The patient died on 22Jul2021.  An autopsy was not performed. The outcome of the events was unknown.; Reported Cause(s) of Death: Metastatic breast cancer""
	"1810608-1"	"1810608-1"	"COMPUTERISED TOMOGRAM"	"10010234"	"40-49 years"	"40-49"	""cancer throughout her body, including spine and lesions on her brain, radiologist said as far as the lesions go says they were hemorrhagic; hypersensitive reaction; cough; Pain; chest pain; lymph node swelling throughout the chest and upper abdomen; nodules on her lungs; got really sick; death; This is a spontaneous report from a contactable consumer (parent) via Medical information team.   A 49-years-old female patient received bnt162b2 (BNT162B2), dose 2 via an unspecified route of administration on 17Apr2021 (Batch/Lot Number: ER8735) as DOSE 2, SINGLE for covid-19 immunisation at the age of 49 years old. Medical history included breast cancer from an unknown date diagnosed in Feb2020 and mastectomy from Sep2020. The patient's concomitant medications were not reported. The patient previously took BNT162B2 dose 1, on 27Mar2021 at the age of 49 years old, lot number: ER8734 and expiry: Unknown for COVID-19 immunization and experienced back pain, headaches, dry cough and bilateral pleural effusions. The patient's parent stated, ""Ishe had the first dose on 27Mar2021, the following week she started to complain of back pain, headaches and dry cough, had not had those symptoms before the vaccines, states for the back pain she was saying she guessed she needed a new mattress, so it  was there but not serious, states then on the 17Apr2021 is when she got the second dose of the Pfizer Covid vaccine, on a Friday after that and that Sunday afterwards she described the pain as just really worse, states the cough got worse, states in the early part of week she called the doctor and was not able to get in to see them, states her daughter got to point where she used the word excruciating to describe her pain, she made an appointment at a same day clinic, by the time she got to the appointment on 23Apr2021, she was complaining of chest pain as well, the doctor sent her for chest X-ray, the chest X-ray showed pleural effusions in the bases of both lungs. Sent for a CT scan of the chest, they couldn't get her in for a month for this, states by the time she had the CT scan, one of the things on the CT scan is that she had lymph node swelling throughout the chest and upper abdomen, doctor said this was unusual, from there she deteriorated quickly. States they did a thoracentesis and they found cancer cells riddled through the fluid the pulled out, found nodules on her lungs. It is important to note her daughter's history, she has a history of breast cancer, she was diagnosed in Feb 2020,  the year before the vaccines, she had a mastectomy in Sep2020 and by all indications afterwards, the doctors said her her margins were negative, the skin in her breast was negative and lymph nodes were negative for cancer, was her oncologist, she had a follow up with the doctor in Feb2021 of this year, about a month before the Covid vaccines and if you read her note, she was basically given a clean bill of health just a month before the vaccines and her symptoms started. Caller states the only thing oof was the patient's blood count was a little low, exact details not provided. She thinks that her daughter had a unique reaction to the mRNA in the vaccine, believes this sprinkling of cancer all of a sudden after just receiving a clean bill of health a month before was triggered by the vaccine, caller understands that with the mRNA there is something to do with copying cells and she believes  that the MRNA copied something different, states she ended up with cancer throughout her body, including spine and lesions on her brain, radiologist said as far as the lesions go says they were hemorrhagic, said it was unusual. She thinks the vaccine caused her daughter's death, her daughter was completely healthy, she did have breast cancer and mastectomies, she got the vaccine, got really sick, and the I think the mRNA of the vaccine copied the wrong cell and copied the cancer cell instead of the cell that it was supposed to"".  They did no autopsy, the reason she is really questioning the mRNA is the patient's condition rapidly deteriorated after the second vaccine, she complained of back pain, coughing and headaches after the first vaccine but she was still able to work and go about her day but 17Apr2021 was on a Friday, by that Sunday her back pain was severe, the coughing increased and she even started to develop chest pain, what she wanted to say was that this all happened after the second injection is when, she was at #, they did a CT scan of her chest, it showed swollen lymph nodes, they did a biopsy that showed cancer cells, so the reason the caller thinks it was the mRNA, is because in Feb the patient had been healthy by all indication, it appeared something just showered her body with cancer cells, she had cancer in her lungs, spine, brain. Caller states because of how many tumors patient had they didn't do an autopsy. Caller states the patient was put on hospice, they did do brain radiation, but she got to a point where she was deteriorating rapidly and was  put on hospice for a week before she died, doctors did ask about an autopsy, but at that point, as a parent, it was all happening so quickly. The patient died on 22Jul2021.  An autopsy was not performed. The outcome of the events was unknown.; Reported Cause(s) of Death: Metastatic breast cancer""
	"1810608-1"	"1810608-1"	"COUGH"	"10011224"	"40-49 years"	"40-49"	""cancer throughout her body, including spine and lesions on her brain, radiologist said as far as the lesions go says they were hemorrhagic; hypersensitive reaction; cough; Pain; chest pain; lymph node swelling throughout the chest and upper abdomen; nodules on her lungs; got really sick; death; This is a spontaneous report from a contactable consumer (parent) via Medical information team.   A 49-years-old female patient received bnt162b2 (BNT162B2), dose 2 via an unspecified route of administration on 17Apr2021 (Batch/Lot Number: ER8735) as DOSE 2, SINGLE for covid-19 immunisation at the age of 49 years old. Medical history included breast cancer from an unknown date diagnosed in Feb2020 and mastectomy from Sep2020. The patient's concomitant medications were not reported. The patient previously took BNT162B2 dose 1, on 27Mar2021 at the age of 49 years old, lot number: ER8734 and expiry: Unknown for COVID-19 immunization and experienced back pain, headaches, dry cough and bilateral pleural effusions. The patient's parent stated, ""Ishe had the first dose on 27Mar2021, the following week she started to complain of back pain, headaches and dry cough, had not had those symptoms before the vaccines, states for the back pain she was saying she guessed she needed a new mattress, so it  was there but not serious, states then on the 17Apr2021 is when she got the second dose of the Pfizer Covid vaccine, on a Friday after that and that Sunday afterwards she described the pain as just really worse, states the cough got worse, states in the early part of week she called the doctor and was not able to get in to see them, states her daughter got to point where she used the word excruciating to describe her pain, she made an appointment at a same day clinic, by the time she got to the appointment on 23Apr2021, she was complaining of chest pain as well, the doctor sent her for chest X-ray, the chest X-ray showed pleural effusions in the bases of both lungs. Sent for a CT scan of the chest, they couldn't get her in for a month for this, states by the time she had the CT scan, one of the things on the CT scan is that she had lymph node swelling throughout the chest and upper abdomen, doctor said this was unusual, from there she deteriorated quickly. States they did a thoracentesis and they found cancer cells riddled through the fluid the pulled out, found nodules on her lungs. It is important to note her daughter's history, she has a history of breast cancer, she was diagnosed in Feb 2020,  the year before the vaccines, she had a mastectomy in Sep2020 and by all indications afterwards, the doctors said her her margins were negative, the skin in her breast was negative and lymph nodes were negative for cancer, was her oncologist, she had a follow up with the doctor in Feb2021 of this year, about a month before the Covid vaccines and if you read her note, she was basically given a clean bill of health just a month before the vaccines and her symptoms started. Caller states the only thing oof was the patient's blood count was a little low, exact details not provided. She thinks that her daughter had a unique reaction to the mRNA in the vaccine, believes this sprinkling of cancer all of a sudden after just receiving a clean bill of health a month before was triggered by the vaccine, caller understands that with the mRNA there is something to do with copying cells and she believes  that the MRNA copied something different, states she ended up with cancer throughout her body, including spine and lesions on her brain, radiologist said as far as the lesions go says they were hemorrhagic, said it was unusual. She thinks the vaccine caused her daughter's death, her daughter was completely healthy, she did have breast cancer and mastectomies, she got the vaccine, got really sick, and the I think the mRNA of the vaccine copied the wrong cell and copied the cancer cell instead of the cell that it was supposed to"".  They did no autopsy, the reason she is really questioning the mRNA is the patient's condition rapidly deteriorated after the second vaccine, she complained of back pain, coughing and headaches after the first vaccine but she was still able to work and go about her day but 17Apr2021 was on a Friday, by that Sunday her back pain was severe, the coughing increased and she even started to develop chest pain, what she wanted to say was that this all happened after the second injection is when, she was at #, they did a CT scan of her chest, it showed swollen lymph nodes, they did a biopsy that showed cancer cells, so the reason the caller thinks it was the mRNA, is because in Feb the patient had been healthy by all indication, it appeared something just showered her body with cancer cells, she had cancer in her lungs, spine, brain. Caller states because of how many tumors patient had they didn't do an autopsy. Caller states the patient was put on hospice, they did do brain radiation, but she got to a point where she was deteriorating rapidly and was  put on hospice for a week before she died, doctors did ask about an autopsy, but at that point, as a parent, it was all happening so quickly. The patient died on 22Jul2021.  An autopsy was not performed. The outcome of the events was unknown.; Reported Cause(s) of Death: Metastatic breast cancer""
	"1810608-1"	"1810608-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	""cancer throughout her body, including spine and lesions on her brain, radiologist said as far as the lesions go says they were hemorrhagic; hypersensitive reaction; cough; Pain; chest pain; lymph node swelling throughout the chest and upper abdomen; nodules on her lungs; got really sick; death; This is a spontaneous report from a contactable consumer (parent) via Medical information team.   A 49-years-old female patient received bnt162b2 (BNT162B2), dose 2 via an unspecified route of administration on 17Apr2021 (Batch/Lot Number: ER8735) as DOSE 2, SINGLE for covid-19 immunisation at the age of 49 years old. Medical history included breast cancer from an unknown date diagnosed in Feb2020 and mastectomy from Sep2020. The patient's concomitant medications were not reported. The patient previously took BNT162B2 dose 1, on 27Mar2021 at the age of 49 years old, lot number: ER8734 and expiry: Unknown for COVID-19 immunization and experienced back pain, headaches, dry cough and bilateral pleural effusions. The patient's parent stated, ""Ishe had the first dose on 27Mar2021, the following week she started to complain of back pain, headaches and dry cough, had not had those symptoms before the vaccines, states for the back pain she was saying she guessed she needed a new mattress, so it  was there but not serious, states then on the 17Apr2021 is when she got the second dose of the Pfizer Covid vaccine, on a Friday after that and that Sunday afterwards she described the pain as just really worse, states the cough got worse, states in the early part of week she called the doctor and was not able to get in to see them, states her daughter got to point where she used the word excruciating to describe her pain, she made an appointment at a same day clinic, by the time she got to the appointment on 23Apr2021, she was complaining of chest pain as well, the doctor sent her for chest X-ray, the chest X-ray showed pleural effusions in the bases of both lungs. Sent for a CT scan of the chest, they couldn't get her in for a month for this, states by the time she had the CT scan, one of the things on the CT scan is that she had lymph node swelling throughout the chest and upper abdomen, doctor said this was unusual, from there she deteriorated quickly. States they did a thoracentesis and they found cancer cells riddled through the fluid the pulled out, found nodules on her lungs. It is important to note her daughter's history, she has a history of breast cancer, she was diagnosed in Feb 2020,  the year before the vaccines, she had a mastectomy in Sep2020 and by all indications afterwards, the doctors said her her margins were negative, the skin in her breast was negative and lymph nodes were negative for cancer, was her oncologist, she had a follow up with the doctor in Feb2021 of this year, about a month before the Covid vaccines and if you read her note, she was basically given a clean bill of health just a month before the vaccines and her symptoms started. Caller states the only thing oof was the patient's blood count was a little low, exact details not provided. She thinks that her daughter had a unique reaction to the mRNA in the vaccine, believes this sprinkling of cancer all of a sudden after just receiving a clean bill of health a month before was triggered by the vaccine, caller understands that with the mRNA there is something to do with copying cells and she believes  that the MRNA copied something different, states she ended up with cancer throughout her body, including spine and lesions on her brain, radiologist said as far as the lesions go says they were hemorrhagic, said it was unusual. She thinks the vaccine caused her daughter's death, her daughter was completely healthy, she did have breast cancer and mastectomies, she got the vaccine, got really sick, and the I think the mRNA of the vaccine copied the wrong cell and copied the cancer cell instead of the cell that it was supposed to"".  They did no autopsy, the reason she is really questioning the mRNA is the patient's condition rapidly deteriorated after the second vaccine, she complained of back pain, coughing and headaches after the first vaccine but she was still able to work and go about her day but 17Apr2021 was on a Friday, by that Sunday her back pain was severe, the coughing increased and she even started to develop chest pain, what she wanted to say was that this all happened after the second injection is when, she was at #, they did a CT scan of her chest, it showed swollen lymph nodes, they did a biopsy that showed cancer cells, so the reason the caller thinks it was the mRNA, is because in Feb the patient had been healthy by all indication, it appeared something just showered her body with cancer cells, she had cancer in her lungs, spine, brain. Caller states because of how many tumors patient had they didn't do an autopsy. Caller states the patient was put on hospice, they did do brain radiation, but she got to a point where she was deteriorating rapidly and was  put on hospice for a week before she died, doctors did ask about an autopsy, but at that point, as a parent, it was all happening so quickly. The patient died on 22Jul2021.  An autopsy was not performed. The outcome of the events was unknown.; Reported Cause(s) of Death: Metastatic breast cancer""
	"1810608-1"	"1810608-1"	"HYPERSENSITIVITY"	"10020751"	"40-49 years"	"40-49"	""cancer throughout her body, including spine and lesions on her brain, radiologist said as far as the lesions go says they were hemorrhagic; hypersensitive reaction; cough; Pain; chest pain; lymph node swelling throughout the chest and upper abdomen; nodules on her lungs; got really sick; death; This is a spontaneous report from a contactable consumer (parent) via Medical information team.   A 49-years-old female patient received bnt162b2 (BNT162B2), dose 2 via an unspecified route of administration on 17Apr2021 (Batch/Lot Number: ER8735) as DOSE 2, SINGLE for covid-19 immunisation at the age of 49 years old. Medical history included breast cancer from an unknown date diagnosed in Feb2020 and mastectomy from Sep2020. The patient's concomitant medications were not reported. The patient previously took BNT162B2 dose 1, on 27Mar2021 at the age of 49 years old, lot number: ER8734 and expiry: Unknown for COVID-19 immunization and experienced back pain, headaches, dry cough and bilateral pleural effusions. The patient's parent stated, ""Ishe had the first dose on 27Mar2021, the following week she started to complain of back pain, headaches and dry cough, had not had those symptoms before the vaccines, states for the back pain she was saying she guessed she needed a new mattress, so it  was there but not serious, states then on the 17Apr2021 is when she got the second dose of the Pfizer Covid vaccine, on a Friday after that and that Sunday afterwards she described the pain as just really worse, states the cough got worse, states in the early part of week she called the doctor and was not able to get in to see them, states her daughter got to point where she used the word excruciating to describe her pain, she made an appointment at a same day clinic, by the time she got to the appointment on 23Apr2021, she was complaining of chest pain as well, the doctor sent her for chest X-ray, the chest X-ray showed pleural effusions in the bases of both lungs. Sent for a CT scan of the chest, they couldn't get her in for a month for this, states by the time she had the CT scan, one of the things on the CT scan is that she had lymph node swelling throughout the chest and upper abdomen, doctor said this was unusual, from there she deteriorated quickly. States they did a thoracentesis and they found cancer cells riddled through the fluid the pulled out, found nodules on her lungs. It is important to note her daughter's history, she has a history of breast cancer, she was diagnosed in Feb 2020,  the year before the vaccines, she had a mastectomy in Sep2020 and by all indications afterwards, the doctors said her her margins were negative, the skin in her breast was negative and lymph nodes were negative for cancer, was her oncologist, she had a follow up with the doctor in Feb2021 of this year, about a month before the Covid vaccines and if you read her note, she was basically given a clean bill of health just a month before the vaccines and her symptoms started. Caller states the only thing oof was the patient's blood count was a little low, exact details not provided. She thinks that her daughter had a unique reaction to the mRNA in the vaccine, believes this sprinkling of cancer all of a sudden after just receiving a clean bill of health a month before was triggered by the vaccine, caller understands that with the mRNA there is something to do with copying cells and she believes  that the MRNA copied something different, states she ended up with cancer throughout her body, including spine and lesions on her brain, radiologist said as far as the lesions go says they were hemorrhagic, said it was unusual. She thinks the vaccine caused her daughter's death, her daughter was completely healthy, she did have breast cancer and mastectomies, she got the vaccine, got really sick, and the I think the mRNA of the vaccine copied the wrong cell and copied the cancer cell instead of the cell that it was supposed to"".  They did no autopsy, the reason she is really questioning the mRNA is the patient's condition rapidly deteriorated after the second vaccine, she complained of back pain, coughing and headaches after the first vaccine but she was still able to work and go about her day but 17Apr2021 was on a Friday, by that Sunday her back pain was severe, the coughing increased and she even started to develop chest pain, what she wanted to say was that this all happened after the second injection is when, she was at #, they did a CT scan of her chest, it showed swollen lymph nodes, they did a biopsy that showed cancer cells, so the reason the caller thinks it was the mRNA, is because in Feb the patient had been healthy by all indication, it appeared something just showered her body with cancer cells, she had cancer in her lungs, spine, brain. Caller states because of how many tumors patient had they didn't do an autopsy. Caller states the patient was put on hospice, they did do brain radiation, but she got to a point where she was deteriorating rapidly and was  put on hospice for a week before she died, doctors did ask about an autopsy, but at that point, as a parent, it was all happening so quickly. The patient died on 22Jul2021.  An autopsy was not performed. The outcome of the events was unknown.; Reported Cause(s) of Death: Metastatic breast cancer""
	"1810608-1"	"1810608-1"	"LYMPHADENOPATHY"	"10025197"	"40-49 years"	"40-49"	""cancer throughout her body, including spine and lesions on her brain, radiologist said as far as the lesions go says they were hemorrhagic; hypersensitive reaction; cough; Pain; chest pain; lymph node swelling throughout the chest and upper abdomen; nodules on her lungs; got really sick; death; This is a spontaneous report from a contactable consumer (parent) via Medical information team.   A 49-years-old female patient received bnt162b2 (BNT162B2), dose 2 via an unspecified route of administration on 17Apr2021 (Batch/Lot Number: ER8735) as DOSE 2, SINGLE for covid-19 immunisation at the age of 49 years old. Medical history included breast cancer from an unknown date diagnosed in Feb2020 and mastectomy from Sep2020. The patient's concomitant medications were not reported. The patient previously took BNT162B2 dose 1, on 27Mar2021 at the age of 49 years old, lot number: ER8734 and expiry: Unknown for COVID-19 immunization and experienced back pain, headaches, dry cough and bilateral pleural effusions. The patient's parent stated, ""Ishe had the first dose on 27Mar2021, the following week she started to complain of back pain, headaches and dry cough, had not had those symptoms before the vaccines, states for the back pain she was saying she guessed she needed a new mattress, so it  was there but not serious, states then on the 17Apr2021 is when she got the second dose of the Pfizer Covid vaccine, on a Friday after that and that Sunday afterwards she described the pain as just really worse, states the cough got worse, states in the early part of week she called the doctor and was not able to get in to see them, states her daughter got to point where she used the word excruciating to describe her pain, she made an appointment at a same day clinic, by the time she got to the appointment on 23Apr2021, she was complaining of chest pain as well, the doctor sent her for chest X-ray, the chest X-ray showed pleural effusions in the bases of both lungs. Sent for a CT scan of the chest, they couldn't get her in for a month for this, states by the time she had the CT scan, one of the things on the CT scan is that she had lymph node swelling throughout the chest and upper abdomen, doctor said this was unusual, from there she deteriorated quickly. States they did a thoracentesis and they found cancer cells riddled through the fluid the pulled out, found nodules on her lungs. It is important to note her daughter's history, she has a history of breast cancer, she was diagnosed in Feb 2020,  the year before the vaccines, she had a mastectomy in Sep2020 and by all indications afterwards, the doctors said her her margins were negative, the skin in her breast was negative and lymph nodes were negative for cancer, was her oncologist, she had a follow up with the doctor in Feb2021 of this year, about a month before the Covid vaccines and if you read her note, she was basically given a clean bill of health just a month before the vaccines and her symptoms started. Caller states the only thing oof was the patient's blood count was a little low, exact details not provided. She thinks that her daughter had a unique reaction to the mRNA in the vaccine, believes this sprinkling of cancer all of a sudden after just receiving a clean bill of health a month before was triggered by the vaccine, caller understands that with the mRNA there is something to do with copying cells and she believes  that the MRNA copied something different, states she ended up with cancer throughout her body, including spine and lesions on her brain, radiologist said as far as the lesions go says they were hemorrhagic, said it was unusual. She thinks the vaccine caused her daughter's death, her daughter was completely healthy, she did have breast cancer and mastectomies, she got the vaccine, got really sick, and the I think the mRNA of the vaccine copied the wrong cell and copied the cancer cell instead of the cell that it was supposed to"".  They did no autopsy, the reason she is really questioning the mRNA is the patient's condition rapidly deteriorated after the second vaccine, she complained of back pain, coughing and headaches after the first vaccine but she was still able to work and go about her day but 17Apr2021 was on a Friday, by that Sunday her back pain was severe, the coughing increased and she even started to develop chest pain, what she wanted to say was that this all happened after the second injection is when, she was at #, they did a CT scan of her chest, it showed swollen lymph nodes, they did a biopsy that showed cancer cells, so the reason the caller thinks it was the mRNA, is because in Feb the patient had been healthy by all indication, it appeared something just showered her body with cancer cells, she had cancer in her lungs, spine, brain. Caller states because of how many tumors patient had they didn't do an autopsy. Caller states the patient was put on hospice, they did do brain radiation, but she got to a point where she was deteriorating rapidly and was  put on hospice for a week before she died, doctors did ask about an autopsy, but at that point, as a parent, it was all happening so quickly. The patient died on 22Jul2021.  An autopsy was not performed. The outcome of the events was unknown.; Reported Cause(s) of Death: Metastatic breast cancer""
	"1810608-1"	"1810608-1"	"MALAISE"	"10025482"	"40-49 years"	"40-49"	""cancer throughout her body, including spine and lesions on her brain, radiologist said as far as the lesions go says they were hemorrhagic; hypersensitive reaction; cough; Pain; chest pain; lymph node swelling throughout the chest and upper abdomen; nodules on her lungs; got really sick; death; This is a spontaneous report from a contactable consumer (parent) via Medical information team.   A 49-years-old female patient received bnt162b2 (BNT162B2), dose 2 via an unspecified route of administration on 17Apr2021 (Batch/Lot Number: ER8735) as DOSE 2, SINGLE for covid-19 immunisation at the age of 49 years old. Medical history included breast cancer from an unknown date diagnosed in Feb2020 and mastectomy from Sep2020. The patient's concomitant medications were not reported. The patient previously took BNT162B2 dose 1, on 27Mar2021 at the age of 49 years old, lot number: ER8734 and expiry: Unknown for COVID-19 immunization and experienced back pain, headaches, dry cough and bilateral pleural effusions. The patient's parent stated, ""Ishe had the first dose on 27Mar2021, the following week she started to complain of back pain, headaches and dry cough, had not had those symptoms before the vaccines, states for the back pain she was saying she guessed she needed a new mattress, so it  was there but not serious, states then on the 17Apr2021 is when she got the second dose of the Pfizer Covid vaccine, on a Friday after that and that Sunday afterwards she described the pain as just really worse, states the cough got worse, states in the early part of week she called the doctor and was not able to get in to see them, states her daughter got to point where she used the word excruciating to describe her pain, she made an appointment at a same day clinic, by the time she got to the appointment on 23Apr2021, she was complaining of chest pain as well, the doctor sent her for chest X-ray, the chest X-ray showed pleural effusions in the bases of both lungs. Sent for a CT scan of the chest, they couldn't get her in for a month for this, states by the time she had the CT scan, one of the things on the CT scan is that she had lymph node swelling throughout the chest and upper abdomen, doctor said this was unusual, from there she deteriorated quickly. States they did a thoracentesis and they found cancer cells riddled through the fluid the pulled out, found nodules on her lungs. It is important to note her daughter's history, she has a history of breast cancer, she was diagnosed in Feb 2020,  the year before the vaccines, she had a mastectomy in Sep2020 and by all indications afterwards, the doctors said her her margins were negative, the skin in her breast was negative and lymph nodes were negative for cancer, was her oncologist, she had a follow up with the doctor in Feb2021 of this year, about a month before the Covid vaccines and if you read her note, she was basically given a clean bill of health just a month before the vaccines and her symptoms started. Caller states the only thing oof was the patient's blood count was a little low, exact details not provided. She thinks that her daughter had a unique reaction to the mRNA in the vaccine, believes this sprinkling of cancer all of a sudden after just receiving a clean bill of health a month before was triggered by the vaccine, caller understands that with the mRNA there is something to do with copying cells and she believes  that the MRNA copied something different, states she ended up with cancer throughout her body, including spine and lesions on her brain, radiologist said as far as the lesions go says they were hemorrhagic, said it was unusual. She thinks the vaccine caused her daughter's death, her daughter was completely healthy, she did have breast cancer and mastectomies, she got the vaccine, got really sick, and the I think the mRNA of the vaccine copied the wrong cell and copied the cancer cell instead of the cell that it was supposed to"".  They did no autopsy, the reason she is really questioning the mRNA is the patient's condition rapidly deteriorated after the second vaccine, she complained of back pain, coughing and headaches after the first vaccine but she was still able to work and go about her day but 17Apr2021 was on a Friday, by that Sunday her back pain was severe, the coughing increased and she even started to develop chest pain, what she wanted to say was that this all happened after the second injection is when, she was at #, they did a CT scan of her chest, it showed swollen lymph nodes, they did a biopsy that showed cancer cells, so the reason the caller thinks it was the mRNA, is because in Feb the patient had been healthy by all indication, it appeared something just showered her body with cancer cells, she had cancer in her lungs, spine, brain. Caller states because of how many tumors patient had they didn't do an autopsy. Caller states the patient was put on hospice, they did do brain radiation, but she got to a point where she was deteriorating rapidly and was  put on hospice for a week before she died, doctors did ask about an autopsy, but at that point, as a parent, it was all happening so quickly. The patient died on 22Jul2021.  An autopsy was not performed. The outcome of the events was unknown.; Reported Cause(s) of Death: Metastatic breast cancer""
	"1810608-1"	"1810608-1"	"METASTASIS"	"10062194"	"40-49 years"	"40-49"	""cancer throughout her body, including spine and lesions on her brain, radiologist said as far as the lesions go says they were hemorrhagic; hypersensitive reaction; cough; Pain; chest pain; lymph node swelling throughout the chest and upper abdomen; nodules on her lungs; got really sick; death; This is a spontaneous report from a contactable consumer (parent) via Medical information team.   A 49-years-old female patient received bnt162b2 (BNT162B2), dose 2 via an unspecified route of administration on 17Apr2021 (Batch/Lot Number: ER8735) as DOSE 2, SINGLE for covid-19 immunisation at the age of 49 years old. Medical history included breast cancer from an unknown date diagnosed in Feb2020 and mastectomy from Sep2020. The patient's concomitant medications were not reported. The patient previously took BNT162B2 dose 1, on 27Mar2021 at the age of 49 years old, lot number: ER8734 and expiry: Unknown for COVID-19 immunization and experienced back pain, headaches, dry cough and bilateral pleural effusions. The patient's parent stated, ""Ishe had the first dose on 27Mar2021, the following week she started to complain of back pain, headaches and dry cough, had not had those symptoms before the vaccines, states for the back pain she was saying she guessed she needed a new mattress, so it  was there but not serious, states then on the 17Apr2021 is when she got the second dose of the Pfizer Covid vaccine, on a Friday after that and that Sunday afterwards she described the pain as just really worse, states the cough got worse, states in the early part of week she called the doctor and was not able to get in to see them, states her daughter got to point where she used the word excruciating to describe her pain, she made an appointment at a same day clinic, by the time she got to the appointment on 23Apr2021, she was complaining of chest pain as well, the doctor sent her for chest X-ray, the chest X-ray showed pleural effusions in the bases of both lungs. Sent for a CT scan of the chest, they couldn't get her in for a month for this, states by the time she had the CT scan, one of the things on the CT scan is that she had lymph node swelling throughout the chest and upper abdomen, doctor said this was unusual, from there she deteriorated quickly. States they did a thoracentesis and they found cancer cells riddled through the fluid the pulled out, found nodules on her lungs. It is important to note her daughter's history, she has a history of breast cancer, she was diagnosed in Feb 2020,  the year before the vaccines, she had a mastectomy in Sep2020 and by all indications afterwards, the doctors said her her margins were negative, the skin in her breast was negative and lymph nodes were negative for cancer, was her oncologist, she had a follow up with the doctor in Feb2021 of this year, about a month before the Covid vaccines and if you read her note, she was basically given a clean bill of health just a month before the vaccines and her symptoms started. Caller states the only thing oof was the patient's blood count was a little low, exact details not provided. She thinks that her daughter had a unique reaction to the mRNA in the vaccine, believes this sprinkling of cancer all of a sudden after just receiving a clean bill of health a month before was triggered by the vaccine, caller understands that with the mRNA there is something to do with copying cells and she believes  that the MRNA copied something different, states she ended up with cancer throughout her body, including spine and lesions on her brain, radiologist said as far as the lesions go says they were hemorrhagic, said it was unusual. She thinks the vaccine caused her daughter's death, her daughter was completely healthy, she did have breast cancer and mastectomies, she got the vaccine, got really sick, and the I think the mRNA of the vaccine copied the wrong cell and copied the cancer cell instead of the cell that it was supposed to"".  They did no autopsy, the reason she is really questioning the mRNA is the patient's condition rapidly deteriorated after the second vaccine, she complained of back pain, coughing and headaches after the first vaccine but she was still able to work and go about her day but 17Apr2021 was on a Friday, by that Sunday her back pain was severe, the coughing increased and she even started to develop chest pain, what she wanted to say was that this all happened after the second injection is when, she was at #, they did a CT scan of her chest, it showed swollen lymph nodes, they did a biopsy that showed cancer cells, so the reason the caller thinks it was the mRNA, is because in Feb the patient had been healthy by all indication, it appeared something just showered her body with cancer cells, she had cancer in her lungs, spine, brain. Caller states because of how many tumors patient had they didn't do an autopsy. Caller states the patient was put on hospice, they did do brain radiation, but she got to a point where she was deteriorating rapidly and was  put on hospice for a week before she died, doctors did ask about an autopsy, but at that point, as a parent, it was all happening so quickly. The patient died on 22Jul2021.  An autopsy was not performed. The outcome of the events was unknown.; Reported Cause(s) of Death: Metastatic breast cancer""
	"1810608-1"	"1810608-1"	"PAIN"	"10033371"	"40-49 years"	"40-49"	""cancer throughout her body, including spine and lesions on her brain, radiologist said as far as the lesions go says they were hemorrhagic; hypersensitive reaction; cough; Pain; chest pain; lymph node swelling throughout the chest and upper abdomen; nodules on her lungs; got really sick; death; This is a spontaneous report from a contactable consumer (parent) via Medical information team.   A 49-years-old female patient received bnt162b2 (BNT162B2), dose 2 via an unspecified route of administration on 17Apr2021 (Batch/Lot Number: ER8735) as DOSE 2, SINGLE for covid-19 immunisation at the age of 49 years old. Medical history included breast cancer from an unknown date diagnosed in Feb2020 and mastectomy from Sep2020. The patient's concomitant medications were not reported. The patient previously took BNT162B2 dose 1, on 27Mar2021 at the age of 49 years old, lot number: ER8734 and expiry: Unknown for COVID-19 immunization and experienced back pain, headaches, dry cough and bilateral pleural effusions. The patient's parent stated, ""Ishe had the first dose on 27Mar2021, the following week she started to complain of back pain, headaches and dry cough, had not had those symptoms before the vaccines, states for the back pain she was saying she guessed she needed a new mattress, so it  was there but not serious, states then on the 17Apr2021 is when she got the second dose of the Pfizer Covid vaccine, on a Friday after that and that Sunday afterwards she described the pain as just really worse, states the cough got worse, states in the early part of week she called the doctor and was not able to get in to see them, states her daughter got to point where she used the word excruciating to describe her pain, she made an appointment at a same day clinic, by the time she got to the appointment on 23Apr2021, she was complaining of chest pain as well, the doctor sent her for chest X-ray, the chest X-ray showed pleural effusions in the bases of both lungs. Sent for a CT scan of the chest, they couldn't get her in for a month for this, states by the time she had the CT scan, one of the things on the CT scan is that she had lymph node swelling throughout the chest and upper abdomen, doctor said this was unusual, from there she deteriorated quickly. States they did a thoracentesis and they found cancer cells riddled through the fluid the pulled out, found nodules on her lungs. It is important to note her daughter's history, she has a history of breast cancer, she was diagnosed in Feb 2020,  the year before the vaccines, she had a mastectomy in Sep2020 and by all indications afterwards, the doctors said her her margins were negative, the skin in her breast was negative and lymph nodes were negative for cancer, was her oncologist, she had a follow up with the doctor in Feb2021 of this year, about a month before the Covid vaccines and if you read her note, she was basically given a clean bill of health just a month before the vaccines and her symptoms started. Caller states the only thing oof was the patient's blood count was a little low, exact details not provided. She thinks that her daughter had a unique reaction to the mRNA in the vaccine, believes this sprinkling of cancer all of a sudden after just receiving a clean bill of health a month before was triggered by the vaccine, caller understands that with the mRNA there is something to do with copying cells and she believes  that the MRNA copied something different, states she ended up with cancer throughout her body, including spine and lesions on her brain, radiologist said as far as the lesions go says they were hemorrhagic, said it was unusual. She thinks the vaccine caused her daughter's death, her daughter was completely healthy, she did have breast cancer and mastectomies, she got the vaccine, got really sick, and the I think the mRNA of the vaccine copied the wrong cell and copied the cancer cell instead of the cell that it was supposed to"".  They did no autopsy, the reason she is really questioning the mRNA is the patient's condition rapidly deteriorated after the second vaccine, she complained of back pain, coughing and headaches after the first vaccine but she was still able to work and go about her day but 17Apr2021 was on a Friday, by that Sunday her back pain was severe, the coughing increased and she even started to develop chest pain, what she wanted to say was that this all happened after the second injection is when, she was at #, they did a CT scan of her chest, it showed swollen lymph nodes, they did a biopsy that showed cancer cells, so the reason the caller thinks it was the mRNA, is because in Feb the patient had been healthy by all indication, it appeared something just showered her body with cancer cells, she had cancer in her lungs, spine, brain. Caller states because of how many tumors patient had they didn't do an autopsy. Caller states the patient was put on hospice, they did do brain radiation, but she got to a point where she was deteriorating rapidly and was  put on hospice for a week before she died, doctors did ask about an autopsy, but at that point, as a parent, it was all happening so quickly. The patient died on 22Jul2021.  An autopsy was not performed. The outcome of the events was unknown.; Reported Cause(s) of Death: Metastatic breast cancer""
	"1810608-1"	"1810608-1"	"PULMONARY MASS"	"10056342"	"40-49 years"	"40-49"	""cancer throughout her body, including spine and lesions on her brain, radiologist said as far as the lesions go says they were hemorrhagic; hypersensitive reaction; cough; Pain; chest pain; lymph node swelling throughout the chest and upper abdomen; nodules on her lungs; got really sick; death; This is a spontaneous report from a contactable consumer (parent) via Medical information team.   A 49-years-old female patient received bnt162b2 (BNT162B2), dose 2 via an unspecified route of administration on 17Apr2021 (Batch/Lot Number: ER8735) as DOSE 2, SINGLE for covid-19 immunisation at the age of 49 years old. Medical history included breast cancer from an unknown date diagnosed in Feb2020 and mastectomy from Sep2020. The patient's concomitant medications were not reported. The patient previously took BNT162B2 dose 1, on 27Mar2021 at the age of 49 years old, lot number: ER8734 and expiry: Unknown for COVID-19 immunization and experienced back pain, headaches, dry cough and bilateral pleural effusions. The patient's parent stated, ""Ishe had the first dose on 27Mar2021, the following week she started to complain of back pain, headaches and dry cough, had not had those symptoms before the vaccines, states for the back pain she was saying she guessed she needed a new mattress, so it  was there but not serious, states then on the 17Apr2021 is when she got the second dose of the Pfizer Covid vaccine, on a Friday after that and that Sunday afterwards she described the pain as just really worse, states the cough got worse, states in the early part of week she called the doctor and was not able to get in to see them, states her daughter got to point where she used the word excruciating to describe her pain, she made an appointment at a same day clinic, by the time she got to the appointment on 23Apr2021, she was complaining of chest pain as well, the doctor sent her for chest X-ray, the chest X-ray showed pleural effusions in the bases of both lungs. Sent for a CT scan of the chest, they couldn't get her in for a month for this, states by the time she had the CT scan, one of the things on the CT scan is that she had lymph node swelling throughout the chest and upper abdomen, doctor said this was unusual, from there she deteriorated quickly. States they did a thoracentesis and they found cancer cells riddled through the fluid the pulled out, found nodules on her lungs. It is important to note her daughter's history, she has a history of breast cancer, she was diagnosed in Feb 2020,  the year before the vaccines, she had a mastectomy in Sep2020 and by all indications afterwards, the doctors said her her margins were negative, the skin in her breast was negative and lymph nodes were negative for cancer, was her oncologist, she had a follow up with the doctor in Feb2021 of this year, about a month before the Covid vaccines and if you read her note, she was basically given a clean bill of health just a month before the vaccines and her symptoms started. Caller states the only thing oof was the patient's blood count was a little low, exact details not provided. She thinks that her daughter had a unique reaction to the mRNA in the vaccine, believes this sprinkling of cancer all of a sudden after just receiving a clean bill of health a month before was triggered by the vaccine, caller understands that with the mRNA there is something to do with copying cells and she believes  that the MRNA copied something different, states she ended up with cancer throughout her body, including spine and lesions on her brain, radiologist said as far as the lesions go says they were hemorrhagic, said it was unusual. She thinks the vaccine caused her daughter's death, her daughter was completely healthy, she did have breast cancer and mastectomies, she got the vaccine, got really sick, and the I think the mRNA of the vaccine copied the wrong cell and copied the cancer cell instead of the cell that it was supposed to"".  They did no autopsy, the reason she is really questioning the mRNA is the patient's condition rapidly deteriorated after the second vaccine, she complained of back pain, coughing and headaches after the first vaccine but she was still able to work and go about her day but 17Apr2021 was on a Friday, by that Sunday her back pain was severe, the coughing increased and she even started to develop chest pain, what she wanted to say was that this all happened after the second injection is when, she was at #, they did a CT scan of her chest, it showed swollen lymph nodes, they did a biopsy that showed cancer cells, so the reason the caller thinks it was the mRNA, is because in Feb the patient had been healthy by all indication, it appeared something just showered her body with cancer cells, she had cancer in her lungs, spine, brain. Caller states because of how many tumors patient had they didn't do an autopsy. Caller states the patient was put on hospice, they did do brain radiation, but she got to a point where she was deteriorating rapidly and was  put on hospice for a week before she died, doctors did ask about an autopsy, but at that point, as a parent, it was all happening so quickly. The patient died on 22Jul2021.  An autopsy was not performed. The outcome of the events was unknown.; Reported Cause(s) of Death: Metastatic breast cancer""
	"1810629-1"	"1810629-1"	"COMPLETED SUICIDE"	"10010144"	"30-39 years"	"30-39"	""committed suicide/gun shot went to the head; Parkinson; He couldn't turn his head; nausea; never the same; This is a spontaneous report from a contactable consumer. A 38-year-old male patient (reporter's husband) received of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration (Batch/Lot number was not reported) Arm Right on 22Sep2021 at age of 38-year-old as DOSE 2, SINGLE for covid-19 immunisation. Medical history included Asthma. Concomitant drugs included Montelukast, fluticasone propionate (FLOVENT) for Asthma, salbutamol (ALBUTEROL HFA) allergies (Not Clarified) his Montelukast. No Prior vaccination within 4 weeks. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) for covid-19 immunisation. After the first shot he could not see for three days. He received the COVID vaccine his second dose on 22Sep2021 and he was never the same. He started having what look like Parkinson. He couldn't turn his head, took him to the hospital they gave him three shot (Treatment)one to sedate him, a Benadryl shot (Treatment) and one to stop nausea (further not clarified) He was never the same and he just committed suicide. He had a gun shot went to the head and it appears to be some inflicting but they are going to check. Events were in 2021 and Hospitalized and death. No Autopsy performed. Death date: Reporter stated, ""We don't know if it was 8Oct or 9Oct2021,we are still waiting on the coroner."" Outcome of the events was fatal.  The lot number for the vaccine, [BNT162B2], was not provided and will be requested during follow up.; Reported Cause(s) of Death: Parkinson; He couldn't turn his head; nausea; never the same; He was never the same and he just committed suicide""
	"1810629-1"	"1810629-1"	"FEELING ABNORMAL"	"10016322"	"30-39 years"	"30-39"	""committed suicide/gun shot went to the head; Parkinson; He couldn't turn his head; nausea; never the same; This is a spontaneous report from a contactable consumer. A 38-year-old male patient (reporter's husband) received of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration (Batch/Lot number was not reported) Arm Right on 22Sep2021 at age of 38-year-old as DOSE 2, SINGLE for covid-19 immunisation. Medical history included Asthma. Concomitant drugs included Montelukast, fluticasone propionate (FLOVENT) for Asthma, salbutamol (ALBUTEROL HFA) allergies (Not Clarified) his Montelukast. No Prior vaccination within 4 weeks. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) for covid-19 immunisation. After the first shot he could not see for three days. He received the COVID vaccine his second dose on 22Sep2021 and he was never the same. He started having what look like Parkinson. He couldn't turn his head, took him to the hospital they gave him three shot (Treatment)one to sedate him, a Benadryl shot (Treatment) and one to stop nausea (further not clarified) He was never the same and he just committed suicide. He had a gun shot went to the head and it appears to be some inflicting but they are going to check. Events were in 2021 and Hospitalized and death. No Autopsy performed. Death date: Reporter stated, ""We don't know if it was 8Oct or 9Oct2021,we are still waiting on the coroner."" Outcome of the events was fatal.  The lot number for the vaccine, [BNT162B2], was not provided and will be requested during follow up.; Reported Cause(s) of Death: Parkinson; He couldn't turn his head; nausea; never the same; He was never the same and he just committed suicide""
	"1810629-1"	"1810629-1"	"MOVEMENT DISORDER"	"10028035"	"30-39 years"	"30-39"	""committed suicide/gun shot went to the head; Parkinson; He couldn't turn his head; nausea; never the same; This is a spontaneous report from a contactable consumer. A 38-year-old male patient (reporter's husband) received of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration (Batch/Lot number was not reported) Arm Right on 22Sep2021 at age of 38-year-old as DOSE 2, SINGLE for covid-19 immunisation. Medical history included Asthma. Concomitant drugs included Montelukast, fluticasone propionate (FLOVENT) for Asthma, salbutamol (ALBUTEROL HFA) allergies (Not Clarified) his Montelukast. No Prior vaccination within 4 weeks. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) for covid-19 immunisation. After the first shot he could not see for three days. He received the COVID vaccine his second dose on 22Sep2021 and he was never the same. He started having what look like Parkinson. He couldn't turn his head, took him to the hospital they gave him three shot (Treatment)one to sedate him, a Benadryl shot (Treatment) and one to stop nausea (further not clarified) He was never the same and he just committed suicide. He had a gun shot went to the head and it appears to be some inflicting but they are going to check. Events were in 2021 and Hospitalized and death. No Autopsy performed. Death date: Reporter stated, ""We don't know if it was 8Oct or 9Oct2021,we are still waiting on the coroner."" Outcome of the events was fatal.  The lot number for the vaccine, [BNT162B2], was not provided and will be requested during follow up.; Reported Cause(s) of Death: Parkinson; He couldn't turn his head; nausea; never the same; He was never the same and he just committed suicide""
	"1810629-1"	"1810629-1"	"NAUSEA"	"10028813"	"30-39 years"	"30-39"	""committed suicide/gun shot went to the head; Parkinson; He couldn't turn his head; nausea; never the same; This is a spontaneous report from a contactable consumer. A 38-year-old male patient (reporter's husband) received of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration (Batch/Lot number was not reported) Arm Right on 22Sep2021 at age of 38-year-old as DOSE 2, SINGLE for covid-19 immunisation. Medical history included Asthma. Concomitant drugs included Montelukast, fluticasone propionate (FLOVENT) for Asthma, salbutamol (ALBUTEROL HFA) allergies (Not Clarified) his Montelukast. No Prior vaccination within 4 weeks. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) for covid-19 immunisation. After the first shot he could not see for three days. He received the COVID vaccine his second dose on 22Sep2021 and he was never the same. He started having what look like Parkinson. He couldn't turn his head, took him to the hospital they gave him three shot (Treatment)one to sedate him, a Benadryl shot (Treatment) and one to stop nausea (further not clarified) He was never the same and he just committed suicide. He had a gun shot went to the head and it appears to be some inflicting but they are going to check. Events were in 2021 and Hospitalized and death. No Autopsy performed. Death date: Reporter stated, ""We don't know if it was 8Oct or 9Oct2021,we are still waiting on the coroner."" Outcome of the events was fatal.  The lot number for the vaccine, [BNT162B2], was not provided and will be requested during follow up.; Reported Cause(s) of Death: Parkinson; He couldn't turn his head; nausea; never the same; He was never the same and he just committed suicide""
	"1810629-1"	"1810629-1"	"PARKINSON'S DISEASE"	"10061536"	"30-39 years"	"30-39"	""committed suicide/gun shot went to the head; Parkinson; He couldn't turn his head; nausea; never the same; This is a spontaneous report from a contactable consumer. A 38-year-old male patient (reporter's husband) received of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration (Batch/Lot number was not reported) Arm Right on 22Sep2021 at age of 38-year-old as DOSE 2, SINGLE for covid-19 immunisation. Medical history included Asthma. Concomitant drugs included Montelukast, fluticasone propionate (FLOVENT) for Asthma, salbutamol (ALBUTEROL HFA) allergies (Not Clarified) his Montelukast. No Prior vaccination within 4 weeks. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) for covid-19 immunisation. After the first shot he could not see for three days. He received the COVID vaccine his second dose on 22Sep2021 and he was never the same. He started having what look like Parkinson. He couldn't turn his head, took him to the hospital they gave him three shot (Treatment)one to sedate him, a Benadryl shot (Treatment) and one to stop nausea (further not clarified) He was never the same and he just committed suicide. He had a gun shot went to the head and it appears to be some inflicting but they are going to check. Events were in 2021 and Hospitalized and death. No Autopsy performed. Death date: Reporter stated, ""We don't know if it was 8Oct or 9Oct2021,we are still waiting on the coroner."" Outcome of the events was fatal.  The lot number for the vaccine, [BNT162B2], was not provided and will be requested during follow up.; Reported Cause(s) of Death: Parkinson; He couldn't turn his head; nausea; never the same; He was never the same and he just committed suicide""
	"1816151-1"	"1816151-1"	"CARDIAC ARREST"	"10007515"	"40-49 years"	"40-49"	"Cardiac arrest with no symptoms. Patient had no previous symptoms. Cardiac arrest that led to death."
	"1816151-1"	"1816151-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Cardiac arrest with no symptoms. Patient had no previous symptoms. Cardiac arrest that led to death."
	"1818265-1"	"1818265-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"my sister went to the er on July 20th with what seem to be a illergic  reaction... she said she was itching all over and was swelling. They sister passed away on July 26th from myocarditis which is stated o. The cdc website a direct side effect of the moderna shot."
	"1818265-1"	"1818265-1"	"HYPERSENSITIVITY"	"10020751"	"30-39 years"	"30-39"	"my sister went to the er on July 20th with what seem to be a illergic  reaction... she said she was itching all over and was swelling. They sister passed away on July 26th from myocarditis which is stated o. The cdc website a direct side effect of the moderna shot."
	"1818265-1"	"1818265-1"	"MYOCARDITIS"	"10028606"	"30-39 years"	"30-39"	"my sister went to the er on July 20th with what seem to be a illergic  reaction... she said she was itching all over and was swelling. They sister passed away on July 26th from myocarditis which is stated o. The cdc website a direct side effect of the moderna shot."
	"1818265-1"	"1818265-1"	"PRURITUS"	"10037087"	"30-39 years"	"30-39"	"my sister went to the er on July 20th with what seem to be a illergic  reaction... she said she was itching all over and was swelling. They sister passed away on July 26th from myocarditis which is stated o. The cdc website a direct side effect of the moderna shot."
	"1818265-1"	"1818265-1"	"SWELLING"	"10042674"	"30-39 years"	"30-39"	"my sister went to the er on July 20th with what seem to be a illergic  reaction... she said she was itching all over and was swelling. They sister passed away on July 26th from myocarditis which is stated o. The cdc website a direct side effect of the moderna shot."
	"1821214-1"	"1821214-1"	"ACUTE KIDNEY INJURY"	"10069339"	"40-49 years"	"40-49"	"This is a breakthrough case of COVID-19 that resulted in death.   The individual was vaccinated with the Pfizer product on 02/01/2021 and 02/22/2021.   The individual tested positive via PCR for COVID-19 on 09/18/2021 and was admitted to the hospital on that same day. The individual reported COVID-19 symptoms of fatigue, weakness, cough, shortness of breath, fever, chills, nausea, vomiting, diarrhea, and feeling lightheaded. They were hospitalized until their death on 10/04/2021.   Death Certificate details are as follows:  Part I Cause of Death A: Acute Respiratory Distress Syndrome B: COVID 19 Pneumonia Part II Other Significant Conditions: Viral Sepsis, Shock, Immunosuppression, Acute Kidney Failure ON Chronic Kidney Disease, Hospital Acquired Pneumonia  The patient was considered to be immunosuppressed at the time of death, due to medication use; the person was a kidney transplant recipient."
	"1821214-1"	"1821214-1"	"ACUTE RESPIRATORY DISTRESS SYNDROME"	"10001052"	"40-49 years"	"40-49"	"This is a breakthrough case of COVID-19 that resulted in death.   The individual was vaccinated with the Pfizer product on 02/01/2021 and 02/22/2021.   The individual tested positive via PCR for COVID-19 on 09/18/2021 and was admitted to the hospital on that same day. The individual reported COVID-19 symptoms of fatigue, weakness, cough, shortness of breath, fever, chills, nausea, vomiting, diarrhea, and feeling lightheaded. They were hospitalized until their death on 10/04/2021.   Death Certificate details are as follows:  Part I Cause of Death A: Acute Respiratory Distress Syndrome B: COVID 19 Pneumonia Part II Other Significant Conditions: Viral Sepsis, Shock, Immunosuppression, Acute Kidney Failure ON Chronic Kidney Disease, Hospital Acquired Pneumonia  The patient was considered to be immunosuppressed at the time of death, due to medication use; the person was a kidney transplant recipient."
	"1821214-1"	"1821214-1"	"ASTHENIA"	"10003549"	"40-49 years"	"40-49"	"This is a breakthrough case of COVID-19 that resulted in death.   The individual was vaccinated with the Pfizer product on 02/01/2021 and 02/22/2021.   The individual tested positive via PCR for COVID-19 on 09/18/2021 and was admitted to the hospital on that same day. The individual reported COVID-19 symptoms of fatigue, weakness, cough, shortness of breath, fever, chills, nausea, vomiting, diarrhea, and feeling lightheaded. They were hospitalized until their death on 10/04/2021.   Death Certificate details are as follows:  Part I Cause of Death A: Acute Respiratory Distress Syndrome B: COVID 19 Pneumonia Part II Other Significant Conditions: Viral Sepsis, Shock, Immunosuppression, Acute Kidney Failure ON Chronic Kidney Disease, Hospital Acquired Pneumonia  The patient was considered to be immunosuppressed at the time of death, due to medication use; the person was a kidney transplant recipient."
	"1821214-1"	"1821214-1"	"CHILLS"	"10008531"	"40-49 years"	"40-49"	"This is a breakthrough case of COVID-19 that resulted in death.   The individual was vaccinated with the Pfizer product on 02/01/2021 and 02/22/2021.   The individual tested positive via PCR for COVID-19 on 09/18/2021 and was admitted to the hospital on that same day. The individual reported COVID-19 symptoms of fatigue, weakness, cough, shortness of breath, fever, chills, nausea, vomiting, diarrhea, and feeling lightheaded. They were hospitalized until their death on 10/04/2021.   Death Certificate details are as follows:  Part I Cause of Death A: Acute Respiratory Distress Syndrome B: COVID 19 Pneumonia Part II Other Significant Conditions: Viral Sepsis, Shock, Immunosuppression, Acute Kidney Failure ON Chronic Kidney Disease, Hospital Acquired Pneumonia  The patient was considered to be immunosuppressed at the time of death, due to medication use; the person was a kidney transplant recipient."
	"1821214-1"	"1821214-1"	"CHRONIC KIDNEY DISEASE"	"10064848"	"40-49 years"	"40-49"	"This is a breakthrough case of COVID-19 that resulted in death.   The individual was vaccinated with the Pfizer product on 02/01/2021 and 02/22/2021.   The individual tested positive via PCR for COVID-19 on 09/18/2021 and was admitted to the hospital on that same day. The individual reported COVID-19 symptoms of fatigue, weakness, cough, shortness of breath, fever, chills, nausea, vomiting, diarrhea, and feeling lightheaded. They were hospitalized until their death on 10/04/2021.   Death Certificate details are as follows:  Part I Cause of Death A: Acute Respiratory Distress Syndrome B: COVID 19 Pneumonia Part II Other Significant Conditions: Viral Sepsis, Shock, Immunosuppression, Acute Kidney Failure ON Chronic Kidney Disease, Hospital Acquired Pneumonia  The patient was considered to be immunosuppressed at the time of death, due to medication use; the person was a kidney transplant recipient."
	"1821214-1"	"1821214-1"	"CONDITION AGGRAVATED"	"10010264"	"40-49 years"	"40-49"	"This is a breakthrough case of COVID-19 that resulted in death.   The individual was vaccinated with the Pfizer product on 02/01/2021 and 02/22/2021.   The individual tested positive via PCR for COVID-19 on 09/18/2021 and was admitted to the hospital on that same day. The individual reported COVID-19 symptoms of fatigue, weakness, cough, shortness of breath, fever, chills, nausea, vomiting, diarrhea, and feeling lightheaded. They were hospitalized until their death on 10/04/2021.   Death Certificate details are as follows:  Part I Cause of Death A: Acute Respiratory Distress Syndrome B: COVID 19 Pneumonia Part II Other Significant Conditions: Viral Sepsis, Shock, Immunosuppression, Acute Kidney Failure ON Chronic Kidney Disease, Hospital Acquired Pneumonia  The patient was considered to be immunosuppressed at the time of death, due to medication use; the person was a kidney transplant recipient."
	"1821214-1"	"1821214-1"	"COUGH"	"10011224"	"40-49 years"	"40-49"	"This is a breakthrough case of COVID-19 that resulted in death.   The individual was vaccinated with the Pfizer product on 02/01/2021 and 02/22/2021.   The individual tested positive via PCR for COVID-19 on 09/18/2021 and was admitted to the hospital on that same day. The individual reported COVID-19 symptoms of fatigue, weakness, cough, shortness of breath, fever, chills, nausea, vomiting, diarrhea, and feeling lightheaded. They were hospitalized until their death on 10/04/2021.   Death Certificate details are as follows:  Part I Cause of Death A: Acute Respiratory Distress Syndrome B: COVID 19 Pneumonia Part II Other Significant Conditions: Viral Sepsis, Shock, Immunosuppression, Acute Kidney Failure ON Chronic Kidney Disease, Hospital Acquired Pneumonia  The patient was considered to be immunosuppressed at the time of death, due to medication use; the person was a kidney transplant recipient."
	"1821214-1"	"1821214-1"	"COVID-19"	"10084268"	"40-49 years"	"40-49"	"This is a breakthrough case of COVID-19 that resulted in death.   The individual was vaccinated with the Pfizer product on 02/01/2021 and 02/22/2021.   The individual tested positive via PCR for COVID-19 on 09/18/2021 and was admitted to the hospital on that same day. The individual reported COVID-19 symptoms of fatigue, weakness, cough, shortness of breath, fever, chills, nausea, vomiting, diarrhea, and feeling lightheaded. They were hospitalized until their death on 10/04/2021.   Death Certificate details are as follows:  Part I Cause of Death A: Acute Respiratory Distress Syndrome B: COVID 19 Pneumonia Part II Other Significant Conditions: Viral Sepsis, Shock, Immunosuppression, Acute Kidney Failure ON Chronic Kidney Disease, Hospital Acquired Pneumonia  The patient was considered to be immunosuppressed at the time of death, due to medication use; the person was a kidney transplant recipient."
	"1821214-1"	"1821214-1"	"COVID-19 PNEUMONIA"	"10084380"	"40-49 years"	"40-49"	"This is a breakthrough case of COVID-19 that resulted in death.   The individual was vaccinated with the Pfizer product on 02/01/2021 and 02/22/2021.   The individual tested positive via PCR for COVID-19 on 09/18/2021 and was admitted to the hospital on that same day. The individual reported COVID-19 symptoms of fatigue, weakness, cough, shortness of breath, fever, chills, nausea, vomiting, diarrhea, and feeling lightheaded. They were hospitalized until their death on 10/04/2021.   Death Certificate details are as follows:  Part I Cause of Death A: Acute Respiratory Distress Syndrome B: COVID 19 Pneumonia Part II Other Significant Conditions: Viral Sepsis, Shock, Immunosuppression, Acute Kidney Failure ON Chronic Kidney Disease, Hospital Acquired Pneumonia  The patient was considered to be immunosuppressed at the time of death, due to medication use; the person was a kidney transplant recipient."
	"1821214-1"	"1821214-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"This is a breakthrough case of COVID-19 that resulted in death.   The individual was vaccinated with the Pfizer product on 02/01/2021 and 02/22/2021.   The individual tested positive via PCR for COVID-19 on 09/18/2021 and was admitted to the hospital on that same day. The individual reported COVID-19 symptoms of fatigue, weakness, cough, shortness of breath, fever, chills, nausea, vomiting, diarrhea, and feeling lightheaded. They were hospitalized until their death on 10/04/2021.   Death Certificate details are as follows:  Part I Cause of Death A: Acute Respiratory Distress Syndrome B: COVID 19 Pneumonia Part II Other Significant Conditions: Viral Sepsis, Shock, Immunosuppression, Acute Kidney Failure ON Chronic Kidney Disease, Hospital Acquired Pneumonia  The patient was considered to be immunosuppressed at the time of death, due to medication use; the person was a kidney transplant recipient."
	"1821214-1"	"1821214-1"	"DIARRHOEA"	"10012735"	"40-49 years"	"40-49"	"This is a breakthrough case of COVID-19 that resulted in death.   The individual was vaccinated with the Pfizer product on 02/01/2021 and 02/22/2021.   The individual tested positive via PCR for COVID-19 on 09/18/2021 and was admitted to the hospital on that same day. The individual reported COVID-19 symptoms of fatigue, weakness, cough, shortness of breath, fever, chills, nausea, vomiting, diarrhea, and feeling lightheaded. They were hospitalized until their death on 10/04/2021.   Death Certificate details are as follows:  Part I Cause of Death A: Acute Respiratory Distress Syndrome B: COVID 19 Pneumonia Part II Other Significant Conditions: Viral Sepsis, Shock, Immunosuppression, Acute Kidney Failure ON Chronic Kidney Disease, Hospital Acquired Pneumonia  The patient was considered to be immunosuppressed at the time of death, due to medication use; the person was a kidney transplant recipient."
	"1821214-1"	"1821214-1"	"DIZZINESS"	"10013573"	"40-49 years"	"40-49"	"This is a breakthrough case of COVID-19 that resulted in death.   The individual was vaccinated with the Pfizer product on 02/01/2021 and 02/22/2021.   The individual tested positive via PCR for COVID-19 on 09/18/2021 and was admitted to the hospital on that same day. The individual reported COVID-19 symptoms of fatigue, weakness, cough, shortness of breath, fever, chills, nausea, vomiting, diarrhea, and feeling lightheaded. They were hospitalized until their death on 10/04/2021.   Death Certificate details are as follows:  Part I Cause of Death A: Acute Respiratory Distress Syndrome B: COVID 19 Pneumonia Part II Other Significant Conditions: Viral Sepsis, Shock, Immunosuppression, Acute Kidney Failure ON Chronic Kidney Disease, Hospital Acquired Pneumonia  The patient was considered to be immunosuppressed at the time of death, due to medication use; the person was a kidney transplant recipient."
	"1821214-1"	"1821214-1"	"DYSPNOEA"	"10013968"	"40-49 years"	"40-49"	"This is a breakthrough case of COVID-19 that resulted in death.   The individual was vaccinated with the Pfizer product on 02/01/2021 and 02/22/2021.   The individual tested positive via PCR for COVID-19 on 09/18/2021 and was admitted to the hospital on that same day. The individual reported COVID-19 symptoms of fatigue, weakness, cough, shortness of breath, fever, chills, nausea, vomiting, diarrhea, and feeling lightheaded. They were hospitalized until their death on 10/04/2021.   Death Certificate details are as follows:  Part I Cause of Death A: Acute Respiratory Distress Syndrome B: COVID 19 Pneumonia Part II Other Significant Conditions: Viral Sepsis, Shock, Immunosuppression, Acute Kidney Failure ON Chronic Kidney Disease, Hospital Acquired Pneumonia  The patient was considered to be immunosuppressed at the time of death, due to medication use; the person was a kidney transplant recipient."
	"1821214-1"	"1821214-1"	"FATIGUE"	"10016256"	"40-49 years"	"40-49"	"This is a breakthrough case of COVID-19 that resulted in death.   The individual was vaccinated with the Pfizer product on 02/01/2021 and 02/22/2021.   The individual tested positive via PCR for COVID-19 on 09/18/2021 and was admitted to the hospital on that same day. The individual reported COVID-19 symptoms of fatigue, weakness, cough, shortness of breath, fever, chills, nausea, vomiting, diarrhea, and feeling lightheaded. They were hospitalized until their death on 10/04/2021.   Death Certificate details are as follows:  Part I Cause of Death A: Acute Respiratory Distress Syndrome B: COVID 19 Pneumonia Part II Other Significant Conditions: Viral Sepsis, Shock, Immunosuppression, Acute Kidney Failure ON Chronic Kidney Disease, Hospital Acquired Pneumonia  The patient was considered to be immunosuppressed at the time of death, due to medication use; the person was a kidney transplant recipient."
	"1821214-1"	"1821214-1"	"IMMUNOSUPPRESSION"	"10062016"	"40-49 years"	"40-49"	"This is a breakthrough case of COVID-19 that resulted in death.   The individual was vaccinated with the Pfizer product on 02/01/2021 and 02/22/2021.   The individual tested positive via PCR for COVID-19 on 09/18/2021 and was admitted to the hospital on that same day. The individual reported COVID-19 symptoms of fatigue, weakness, cough, shortness of breath, fever, chills, nausea, vomiting, diarrhea, and feeling lightheaded. They were hospitalized until their death on 10/04/2021.   Death Certificate details are as follows:  Part I Cause of Death A: Acute Respiratory Distress Syndrome B: COVID 19 Pneumonia Part II Other Significant Conditions: Viral Sepsis, Shock, Immunosuppression, Acute Kidney Failure ON Chronic Kidney Disease, Hospital Acquired Pneumonia  The patient was considered to be immunosuppressed at the time of death, due to medication use; the person was a kidney transplant recipient."
	"1821214-1"	"1821214-1"	"NAUSEA"	"10028813"	"40-49 years"	"40-49"	"This is a breakthrough case of COVID-19 that resulted in death.   The individual was vaccinated with the Pfizer product on 02/01/2021 and 02/22/2021.   The individual tested positive via PCR for COVID-19 on 09/18/2021 and was admitted to the hospital on that same day. The individual reported COVID-19 symptoms of fatigue, weakness, cough, shortness of breath, fever, chills, nausea, vomiting, diarrhea, and feeling lightheaded. They were hospitalized until their death on 10/04/2021.   Death Certificate details are as follows:  Part I Cause of Death A: Acute Respiratory Distress Syndrome B: COVID 19 Pneumonia Part II Other Significant Conditions: Viral Sepsis, Shock, Immunosuppression, Acute Kidney Failure ON Chronic Kidney Disease, Hospital Acquired Pneumonia  The patient was considered to be immunosuppressed at the time of death, due to medication use; the person was a kidney transplant recipient."
	"1821214-1"	"1821214-1"	"PNEUMONIA"	"10035664"	"40-49 years"	"40-49"	"This is a breakthrough case of COVID-19 that resulted in death.   The individual was vaccinated with the Pfizer product on 02/01/2021 and 02/22/2021.   The individual tested positive via PCR for COVID-19 on 09/18/2021 and was admitted to the hospital on that same day. The individual reported COVID-19 symptoms of fatigue, weakness, cough, shortness of breath, fever, chills, nausea, vomiting, diarrhea, and feeling lightheaded. They were hospitalized until their death on 10/04/2021.   Death Certificate details are as follows:  Part I Cause of Death A: Acute Respiratory Distress Syndrome B: COVID 19 Pneumonia Part II Other Significant Conditions: Viral Sepsis, Shock, Immunosuppression, Acute Kidney Failure ON Chronic Kidney Disease, Hospital Acquired Pneumonia  The patient was considered to be immunosuppressed at the time of death, due to medication use; the person was a kidney transplant recipient."
	"1821214-1"	"1821214-1"	"PYREXIA"	"10037660"	"40-49 years"	"40-49"	"This is a breakthrough case of COVID-19 that resulted in death.   The individual was vaccinated with the Pfizer product on 02/01/2021 and 02/22/2021.   The individual tested positive via PCR for COVID-19 on 09/18/2021 and was admitted to the hospital on that same day. The individual reported COVID-19 symptoms of fatigue, weakness, cough, shortness of breath, fever, chills, nausea, vomiting, diarrhea, and feeling lightheaded. They were hospitalized until their death on 10/04/2021.   Death Certificate details are as follows:  Part I Cause of Death A: Acute Respiratory Distress Syndrome B: COVID 19 Pneumonia Part II Other Significant Conditions: Viral Sepsis, Shock, Immunosuppression, Acute Kidney Failure ON Chronic Kidney Disease, Hospital Acquired Pneumonia  The patient was considered to be immunosuppressed at the time of death, due to medication use; the person was a kidney transplant recipient."
	"1821214-1"	"1821214-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"40-49 years"	"40-49"	"This is a breakthrough case of COVID-19 that resulted in death.   The individual was vaccinated with the Pfizer product on 02/01/2021 and 02/22/2021.   The individual tested positive via PCR for COVID-19 on 09/18/2021 and was admitted to the hospital on that same day. The individual reported COVID-19 symptoms of fatigue, weakness, cough, shortness of breath, fever, chills, nausea, vomiting, diarrhea, and feeling lightheaded. They were hospitalized until their death on 10/04/2021.   Death Certificate details are as follows:  Part I Cause of Death A: Acute Respiratory Distress Syndrome B: COVID 19 Pneumonia Part II Other Significant Conditions: Viral Sepsis, Shock, Immunosuppression, Acute Kidney Failure ON Chronic Kidney Disease, Hospital Acquired Pneumonia  The patient was considered to be immunosuppressed at the time of death, due to medication use; the person was a kidney transplant recipient."
	"1821214-1"	"1821214-1"	"SHOCK"	"10040560"	"40-49 years"	"40-49"	"This is a breakthrough case of COVID-19 that resulted in death.   The individual was vaccinated with the Pfizer product on 02/01/2021 and 02/22/2021.   The individual tested positive via PCR for COVID-19 on 09/18/2021 and was admitted to the hospital on that same day. The individual reported COVID-19 symptoms of fatigue, weakness, cough, shortness of breath, fever, chills, nausea, vomiting, diarrhea, and feeling lightheaded. They were hospitalized until their death on 10/04/2021.   Death Certificate details are as follows:  Part I Cause of Death A: Acute Respiratory Distress Syndrome B: COVID 19 Pneumonia Part II Other Significant Conditions: Viral Sepsis, Shock, Immunosuppression, Acute Kidney Failure ON Chronic Kidney Disease, Hospital Acquired Pneumonia  The patient was considered to be immunosuppressed at the time of death, due to medication use; the person was a kidney transplant recipient."
	"1821214-1"	"1821214-1"	"VACCINE BREAKTHROUGH INFECTION"	"10067923"	"40-49 years"	"40-49"	"This is a breakthrough case of COVID-19 that resulted in death.   The individual was vaccinated with the Pfizer product on 02/01/2021 and 02/22/2021.   The individual tested positive via PCR for COVID-19 on 09/18/2021 and was admitted to the hospital on that same day. The individual reported COVID-19 symptoms of fatigue, weakness, cough, shortness of breath, fever, chills, nausea, vomiting, diarrhea, and feeling lightheaded. They were hospitalized until their death on 10/04/2021.   Death Certificate details are as follows:  Part I Cause of Death A: Acute Respiratory Distress Syndrome B: COVID 19 Pneumonia Part II Other Significant Conditions: Viral Sepsis, Shock, Immunosuppression, Acute Kidney Failure ON Chronic Kidney Disease, Hospital Acquired Pneumonia  The patient was considered to be immunosuppressed at the time of death, due to medication use; the person was a kidney transplant recipient."
	"1821214-1"	"1821214-1"	"VIRAL SEPSIS"	"10071362"	"40-49 years"	"40-49"	"This is a breakthrough case of COVID-19 that resulted in death.   The individual was vaccinated with the Pfizer product on 02/01/2021 and 02/22/2021.   The individual tested positive via PCR for COVID-19 on 09/18/2021 and was admitted to the hospital on that same day. The individual reported COVID-19 symptoms of fatigue, weakness, cough, shortness of breath, fever, chills, nausea, vomiting, diarrhea, and feeling lightheaded. They were hospitalized until their death on 10/04/2021.   Death Certificate details are as follows:  Part I Cause of Death A: Acute Respiratory Distress Syndrome B: COVID 19 Pneumonia Part II Other Significant Conditions: Viral Sepsis, Shock, Immunosuppression, Acute Kidney Failure ON Chronic Kidney Disease, Hospital Acquired Pneumonia  The patient was considered to be immunosuppressed at the time of death, due to medication use; the person was a kidney transplant recipient."
	"1821214-1"	"1821214-1"	"VOMITING"	"10047700"	"40-49 years"	"40-49"	"This is a breakthrough case of COVID-19 that resulted in death.   The individual was vaccinated with the Pfizer product on 02/01/2021 and 02/22/2021.   The individual tested positive via PCR for COVID-19 on 09/18/2021 and was admitted to the hospital on that same day. The individual reported COVID-19 symptoms of fatigue, weakness, cough, shortness of breath, fever, chills, nausea, vomiting, diarrhea, and feeling lightheaded. They were hospitalized until their death on 10/04/2021.   Death Certificate details are as follows:  Part I Cause of Death A: Acute Respiratory Distress Syndrome B: COVID 19 Pneumonia Part II Other Significant Conditions: Viral Sepsis, Shock, Immunosuppression, Acute Kidney Failure ON Chronic Kidney Disease, Hospital Acquired Pneumonia  The patient was considered to be immunosuppressed at the time of death, due to medication use; the person was a kidney transplant recipient."
	"1821590-1"	"1821590-1"	"ACUTE KIDNEY INJURY"	"10069339"	"30-39 years"	"30-39"	"death J96.01 - Acute respiratory failure with hypoxia N17.9 - Acute kidney failure, unspecified K92.2 - Acute upper GI bleed K92.2 - Upper GI bleed"
	"1821590-1"	"1821590-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"30-39 years"	"30-39"	"death J96.01 - Acute respiratory failure with hypoxia N17.9 - Acute kidney failure, unspecified K92.2 - Acute upper GI bleed K92.2 - Upper GI bleed"
	"1821590-1"	"1821590-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"death J96.01 - Acute respiratory failure with hypoxia N17.9 - Acute kidney failure, unspecified K92.2 - Acute upper GI bleed K92.2 - Upper GI bleed"
	"1821590-1"	"1821590-1"	"UPPER GASTROINTESTINAL HAEMORRHAGE"	"10046274"	"30-39 years"	"30-39"	"death J96.01 - Acute respiratory failure with hypoxia N17.9 - Acute kidney failure, unspecified K92.2 - Acute upper GI bleed K92.2 - Upper GI bleed"
	"1821601-1"	"1821601-1"	"ABDOMINAL PAIN"	"10000081"	"30-39 years"	"30-39"	"death ABDOMINAL PAIN JAUNDICE N17.9 - Acute kidney failure, unspecified E87.1 - Hypo-osmolality and hyponatremia"
	"1821601-1"	"1821601-1"	"ACUTE KIDNEY INJURY"	"10069339"	"30-39 years"	"30-39"	"death ABDOMINAL PAIN JAUNDICE N17.9 - Acute kidney failure, unspecified E87.1 - Hypo-osmolality and hyponatremia"
	"1821601-1"	"1821601-1"	"BLOOD OSMOLARITY DECREASED"	"10005696"	"30-39 years"	"30-39"	"death ABDOMINAL PAIN JAUNDICE N17.9 - Acute kidney failure, unspecified E87.1 - Hypo-osmolality and hyponatremia"
	"1821601-1"	"1821601-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"death ABDOMINAL PAIN JAUNDICE N17.9 - Acute kidney failure, unspecified E87.1 - Hypo-osmolality and hyponatremia"
	"1821601-1"	"1821601-1"	"HYPONATRAEMIA"	"10021036"	"30-39 years"	"30-39"	"death ABDOMINAL PAIN JAUNDICE N17.9 - Acute kidney failure, unspecified E87.1 - Hypo-osmolality and hyponatremia"
	"1821601-1"	"1821601-1"	"JAUNDICE"	"10023126"	"30-39 years"	"30-39"	"death ABDOMINAL PAIN JAUNDICE N17.9 - Acute kidney failure, unspecified E87.1 - Hypo-osmolality and hyponatremia"
	"1821612-1"	"1821612-1"	"COVID-19"	"10084268"	"40-49 years"	"40-49"	"death U07.1 - COVID-19"
	"1821612-1"	"1821612-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"death U07.1 - COVID-19"
	"1821942-1"	"1821942-1"	"CARDIO-RESPIRATORY ARREST"	"10007617"	"30-39 years"	"30-39"	"CARDIOPULMONARY ARREST"
	"1828603-1"	"1828603-1"	"COVID-19"	"10084268"	"40-49 years"	"40-49"	"COVID RELATED DEATH; BREAKTHROUGH CASE"
	"1828603-1"	"1828603-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"COVID RELATED DEATH; BREAKTHROUGH CASE"
	"1828603-1"	"1828603-1"	"VACCINE BREAKTHROUGH INFECTION"	"10067923"	"40-49 years"	"40-49"	"COVID RELATED DEATH; BREAKTHROUGH CASE"
	"1828735-1"	"1828735-1"	"CEREBRAL HAEMORRHAGE"	"10008111"	"30-39 years"	"30-39"	"My son died of a brain bleed.  He was a healthy 39 yr old.  It was sudden and unexpected."
	"1828735-1"	"1828735-1"	"SUDDEN DEATH"	"10042434"	"30-39 years"	"30-39"	"My son died of a brain bleed.  He was a healthy 39 yr old.  It was sudden and unexpected."
	"1830620-1"	"1830620-1"	"AGEUSIA"	"10001480"	"30-39 years"	"30-39"	"From the date of his vaccine til the date he  went to the hospital (August 22, 2021) he felt these symptoms more and more. Soar arm, chills, body aches, fatigue, fever, lost of taste, cough, shortness of breath, excessive sweating, heavy chest, couldn?t walk or use legs, couldn?t urinate after drinking water. He took  Advil(red pill). He died August 23, 2021"
	"1830620-1"	"1830620-1"	"CHEST DISCOMFORT"	"10008469"	"30-39 years"	"30-39"	"From the date of his vaccine til the date he  went to the hospital (August 22, 2021) he felt these symptoms more and more. Soar arm, chills, body aches, fatigue, fever, lost of taste, cough, shortness of breath, excessive sweating, heavy chest, couldn?t walk or use legs, couldn?t urinate after drinking water. He took  Advil(red pill). He died August 23, 2021"
	"1830620-1"	"1830620-1"	"CHILLS"	"10008531"	"30-39 years"	"30-39"	"From the date of his vaccine til the date he  went to the hospital (August 22, 2021) he felt these symptoms more and more. Soar arm, chills, body aches, fatigue, fever, lost of taste, cough, shortness of breath, excessive sweating, heavy chest, couldn?t walk or use legs, couldn?t urinate after drinking water. He took  Advil(red pill). He died August 23, 2021"
	"1830620-1"	"1830620-1"	"COUGH"	"10011224"	"30-39 years"	"30-39"	"From the date of his vaccine til the date he  went to the hospital (August 22, 2021) he felt these symptoms more and more. Soar arm, chills, body aches, fatigue, fever, lost of taste, cough, shortness of breath, excessive sweating, heavy chest, couldn?t walk or use legs, couldn?t urinate after drinking water. He took  Advil(red pill). He died August 23, 2021"
	"1830620-1"	"1830620-1"	"COVID-19"	"10084268"	"30-39 years"	"30-39"	"From the date of his vaccine til the date he  went to the hospital (August 22, 2021) he felt these symptoms more and more. Soar arm, chills, body aches, fatigue, fever, lost of taste, cough, shortness of breath, excessive sweating, heavy chest, couldn?t walk or use legs, couldn?t urinate after drinking water. He took  Advil(red pill). He died August 23, 2021"
	"1830620-1"	"1830620-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"From the date of his vaccine til the date he  went to the hospital (August 22, 2021) he felt these symptoms more and more. Soar arm, chills, body aches, fatigue, fever, lost of taste, cough, shortness of breath, excessive sweating, heavy chest, couldn?t walk or use legs, couldn?t urinate after drinking water. He took  Advil(red pill). He died August 23, 2021"
	"1830620-1"	"1830620-1"	"DYSPNOEA"	"10013968"	"30-39 years"	"30-39"	"From the date of his vaccine til the date he  went to the hospital (August 22, 2021) he felt these symptoms more and more. Soar arm, chills, body aches, fatigue, fever, lost of taste, cough, shortness of breath, excessive sweating, heavy chest, couldn?t walk or use legs, couldn?t urinate after drinking water. He took  Advil(red pill). He died August 23, 2021"
	"1830620-1"	"1830620-1"	"FATIGUE"	"10016256"	"30-39 years"	"30-39"	"From the date of his vaccine til the date he  went to the hospital (August 22, 2021) he felt these symptoms more and more. Soar arm, chills, body aches, fatigue, fever, lost of taste, cough, shortness of breath, excessive sweating, heavy chest, couldn?t walk or use legs, couldn?t urinate after drinking water. He took  Advil(red pill). He died August 23, 2021"
	"1830620-1"	"1830620-1"	"GAIT INABILITY"	"10017581"	"30-39 years"	"30-39"	"From the date of his vaccine til the date he  went to the hospital (August 22, 2021) he felt these symptoms more and more. Soar arm, chills, body aches, fatigue, fever, lost of taste, cough, shortness of breath, excessive sweating, heavy chest, couldn?t walk or use legs, couldn?t urinate after drinking water. He took  Advil(red pill). He died August 23, 2021"
	"1830620-1"	"1830620-1"	"HYPERHIDROSIS"	"10020642"	"30-39 years"	"30-39"	"From the date of his vaccine til the date he  went to the hospital (August 22, 2021) he felt these symptoms more and more. Soar arm, chills, body aches, fatigue, fever, lost of taste, cough, shortness of breath, excessive sweating, heavy chest, couldn?t walk or use legs, couldn?t urinate after drinking water. He took  Advil(red pill). He died August 23, 2021"
	"1830620-1"	"1830620-1"	"PAIN"	"10033371"	"30-39 years"	"30-39"	"From the date of his vaccine til the date he  went to the hospital (August 22, 2021) he felt these symptoms more and more. Soar arm, chills, body aches, fatigue, fever, lost of taste, cough, shortness of breath, excessive sweating, heavy chest, couldn?t walk or use legs, couldn?t urinate after drinking water. He took  Advil(red pill). He died August 23, 2021"
	"1830620-1"	"1830620-1"	"PAIN IN EXTREMITY"	"10033425"	"30-39 years"	"30-39"	"From the date of his vaccine til the date he  went to the hospital (August 22, 2021) he felt these symptoms more and more. Soar arm, chills, body aches, fatigue, fever, lost of taste, cough, shortness of breath, excessive sweating, heavy chest, couldn?t walk or use legs, couldn?t urinate after drinking water. He took  Advil(red pill). He died August 23, 2021"
	"1830620-1"	"1830620-1"	"PYREXIA"	"10037660"	"30-39 years"	"30-39"	"From the date of his vaccine til the date he  went to the hospital (August 22, 2021) he felt these symptoms more and more. Soar arm, chills, body aches, fatigue, fever, lost of taste, cough, shortness of breath, excessive sweating, heavy chest, couldn?t walk or use legs, couldn?t urinate after drinking water. He took  Advil(red pill). He died August 23, 2021"
	"1830620-1"	"1830620-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"30-39 years"	"30-39"	"From the date of his vaccine til the date he  went to the hospital (August 22, 2021) he felt these symptoms more and more. Soar arm, chills, body aches, fatigue, fever, lost of taste, cough, shortness of breath, excessive sweating, heavy chest, couldn?t walk or use legs, couldn?t urinate after drinking water. He took  Advil(red pill). He died August 23, 2021"
	"1830620-1"	"1830620-1"	"URINARY RETENTION"	"10046555"	"30-39 years"	"30-39"	"From the date of his vaccine til the date he  went to the hospital (August 22, 2021) he felt these symptoms more and more. Soar arm, chills, body aches, fatigue, fever, lost of taste, cough, shortness of breath, excessive sweating, heavy chest, couldn?t walk or use legs, couldn?t urinate after drinking water. He took  Advil(red pill). He died August 23, 2021"
	"1833119-1"	"1833119-1"	"CHEST DISCOMFORT"	"10008469"	"40-49 years"	"40-49"	"He had the shot on 9/1/21 after his dr recommended he get it following his appointment.  He complained of arm pain and some lip numbness the same night. He was more tired than usual for the first couple of weeks and complained once of a slight chest discomfort. On 9/20/21, he went to work, got off and went for a walk/ jog and 10 minutes later called me to say he had pressure/pain in his chest. He died a few minutes later."
	"1833119-1"	"1833119-1"	"CHEST PAIN"	"10008479"	"40-49 years"	"40-49"	"He had the shot on 9/1/21 after his dr recommended he get it following his appointment.  He complained of arm pain and some lip numbness the same night. He was more tired than usual for the first couple of weeks and complained once of a slight chest discomfort. On 9/20/21, he went to work, got off and went for a walk/ jog and 10 minutes later called me to say he had pressure/pain in his chest. He died a few minutes later."
	"1833119-1"	"1833119-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"He had the shot on 9/1/21 after his dr recommended he get it following his appointment.  He complained of arm pain and some lip numbness the same night. He was more tired than usual for the first couple of weeks and complained once of a slight chest discomfort. On 9/20/21, he went to work, got off and went for a walk/ jog and 10 minutes later called me to say he had pressure/pain in his chest. He died a few minutes later."
	"1833119-1"	"1833119-1"	"FATIGUE"	"10016256"	"40-49 years"	"40-49"	"He had the shot on 9/1/21 after his dr recommended he get it following his appointment.  He complained of arm pain and some lip numbness the same night. He was more tired than usual for the first couple of weeks and complained once of a slight chest discomfort. On 9/20/21, he went to work, got off and went for a walk/ jog and 10 minutes later called me to say he had pressure/pain in his chest. He died a few minutes later."
	"1833119-1"	"1833119-1"	"HYPOAESTHESIA ORAL"	"10057371"	"40-49 years"	"40-49"	"He had the shot on 9/1/21 after his dr recommended he get it following his appointment.  He complained of arm pain and some lip numbness the same night. He was more tired than usual for the first couple of weeks and complained once of a slight chest discomfort. On 9/20/21, he went to work, got off and went for a walk/ jog and 10 minutes later called me to say he had pressure/pain in his chest. He died a few minutes later."
	"1833119-1"	"1833119-1"	"PAIN IN EXTREMITY"	"10033425"	"40-49 years"	"40-49"	"He had the shot on 9/1/21 after his dr recommended he get it following his appointment.  He complained of arm pain and some lip numbness the same night. He was more tired than usual for the first couple of weeks and complained once of a slight chest discomfort. On 9/20/21, he went to work, got off and went for a walk/ jog and 10 minutes later called me to say he had pressure/pain in his chest. He died a few minutes later."
	"1840752-1"	"1840752-1"	"COVID-19"	"10084268"	"40-49 years"	"40-49"	"PFIZER-BIONTECH COVID-19 VACCINE EUA:  PATIENT PASSED AWAY AT MEDICAL CENTER ON SEPT 26,2021 FROM COMPLICATIONS OF COVID-19.  SHE WAS FULLY VACCINATED WITH PFIZER COVID-19 VACCINE.  1ST DOSE ON 12/31/20 AND 2ND DOSE ON 1/19/21."
	"1840752-1"	"1840752-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"PFIZER-BIONTECH COVID-19 VACCINE EUA:  PATIENT PASSED AWAY AT MEDICAL CENTER ON SEPT 26,2021 FROM COMPLICATIONS OF COVID-19.  SHE WAS FULLY VACCINATED WITH PFIZER COVID-19 VACCINE.  1ST DOSE ON 12/31/20 AND 2ND DOSE ON 1/19/21."
	"1840752-1"	"1840752-1"	"INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION"	"10081572"	"40-49 years"	"40-49"	"PFIZER-BIONTECH COVID-19 VACCINE EUA:  PATIENT PASSED AWAY AT MEDICAL CENTER ON SEPT 26,2021 FROM COMPLICATIONS OF COVID-19.  SHE WAS FULLY VACCINATED WITH PFIZER COVID-19 VACCINE.  1ST DOSE ON 12/31/20 AND 2ND DOSE ON 1/19/21."
	"1843805-1"	"1843805-1"	"ABDOMINAL PAIN UPPER"	"10000087"	"40-49 years"	"40-49"	"increased frequency and severity of asthma attacks with 3 emergency room visits from May 20, 2021 to June 23, 2021.  Asthma attacks were different from the past with stomachache and defecation preceding asthma attack.  Died in June 23, 2021.  Autopsy examination found previously undiagnosed eosinophilic granulomatosis with polyangiitis/Churg-Strauss syndrome, including eosinophilic pneumonia."
	"1843805-1"	"1843805-1"	"ASTHMA"	"10003553"	"40-49 years"	"40-49"	"increased frequency and severity of asthma attacks with 3 emergency room visits from May 20, 2021 to June 23, 2021.  Asthma attacks were different from the past with stomachache and defecation preceding asthma attack.  Died in June 23, 2021.  Autopsy examination found previously undiagnosed eosinophilic granulomatosis with polyangiitis/Churg-Strauss syndrome, including eosinophilic pneumonia."
	"1843805-1"	"1843805-1"	"AUTOPSY"	"10050117"	"40-49 years"	"40-49"	"increased frequency and severity of asthma attacks with 3 emergency room visits from May 20, 2021 to June 23, 2021.  Asthma attacks were different from the past with stomachache and defecation preceding asthma attack.  Died in June 23, 2021.  Autopsy examination found previously undiagnosed eosinophilic granulomatosis with polyangiitis/Churg-Strauss syndrome, including eosinophilic pneumonia."
	"1843805-1"	"1843805-1"	"CONDITION AGGRAVATED"	"10010264"	"40-49 years"	"40-49"	"increased frequency and severity of asthma attacks with 3 emergency room visits from May 20, 2021 to June 23, 2021.  Asthma attacks were different from the past with stomachache and defecation preceding asthma attack.  Died in June 23, 2021.  Autopsy examination found previously undiagnosed eosinophilic granulomatosis with polyangiitis/Churg-Strauss syndrome, including eosinophilic pneumonia."
	"1843805-1"	"1843805-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"increased frequency and severity of asthma attacks with 3 emergency room visits from May 20, 2021 to June 23, 2021.  Asthma attacks were different from the past with stomachache and defecation preceding asthma attack.  Died in June 23, 2021.  Autopsy examination found previously undiagnosed eosinophilic granulomatosis with polyangiitis/Churg-Strauss syndrome, including eosinophilic pneumonia."
	"1843805-1"	"1843805-1"	"DEFAECATION DISORDER"	"10079938"	"40-49 years"	"40-49"	"increased frequency and severity of asthma attacks with 3 emergency room visits from May 20, 2021 to June 23, 2021.  Asthma attacks were different from the past with stomachache and defecation preceding asthma attack.  Died in June 23, 2021.  Autopsy examination found previously undiagnosed eosinophilic granulomatosis with polyangiitis/Churg-Strauss syndrome, including eosinophilic pneumonia."
	"1843805-1"	"1843805-1"	"EOSINOPHILIC GRANULOMATOSIS WITH POLYANGIITIS"	"10078117"	"40-49 years"	"40-49"	"increased frequency and severity of asthma attacks with 3 emergency room visits from May 20, 2021 to June 23, 2021.  Asthma attacks were different from the past with stomachache and defecation preceding asthma attack.  Died in June 23, 2021.  Autopsy examination found previously undiagnosed eosinophilic granulomatosis with polyangiitis/Churg-Strauss syndrome, including eosinophilic pneumonia."
	"1843805-1"	"1843805-1"	"EOSINOPHILIC PNEUMONIA"	"10014962"	"40-49 years"	"40-49"	"increased frequency and severity of asthma attacks with 3 emergency room visits from May 20, 2021 to June 23, 2021.  Asthma attacks were different from the past with stomachache and defecation preceding asthma attack.  Died in June 23, 2021.  Autopsy examination found previously undiagnosed eosinophilic granulomatosis with polyangiitis/Churg-Strauss syndrome, including eosinophilic pneumonia."
	"1846589-1"	"1846589-1"	"ACUTE LYMPHOCYTIC LEUKAEMIA"	"10000846"	"40-49 years"	"40-49"	"She had been suffered from dizziness, shortness of breath,  fatigue,  weight loss, wasy bruising, and then she was diagnoised to Acute Lymphoblastic Leukemia on September 14, 2021.  After that, she was treated at Hospital However,  my wife passed away on Oct 11, 2021. She was healthy and eated healthy food and worked out regularly.  She had never been exposed to any risky environment.  Only potential factor is COVID vaccination."
	"1846589-1"	"1846589-1"	"BLEEDING TIME"	"10005136"	"40-49 years"	"40-49"	"She had been suffered from dizziness, shortness of breath,  fatigue,  weight loss, wasy bruising, and then she was diagnoised to Acute Lymphoblastic Leukemia on September 14, 2021.  After that, she was treated at Hospital However,  my wife passed away on Oct 11, 2021. She was healthy and eated healthy food and worked out regularly.  She had never been exposed to any risky environment.  Only potential factor is COVID vaccination."
	"1846589-1"	"1846589-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"She had been suffered from dizziness, shortness of breath,  fatigue,  weight loss, wasy bruising, and then she was diagnoised to Acute Lymphoblastic Leukemia on September 14, 2021.  After that, she was treated at Hospital However,  my wife passed away on Oct 11, 2021. She was healthy and eated healthy food and worked out regularly.  She had never been exposed to any risky environment.  Only potential factor is COVID vaccination."
	"1846589-1"	"1846589-1"	"DIZZINESS"	"10013573"	"40-49 years"	"40-49"	"She had been suffered from dizziness, shortness of breath,  fatigue,  weight loss, wasy bruising, and then she was diagnoised to Acute Lymphoblastic Leukemia on September 14, 2021.  After that, she was treated at Hospital However,  my wife passed away on Oct 11, 2021. She was healthy and eated healthy food and worked out regularly.  She had never been exposed to any risky environment.  Only potential factor is COVID vaccination."
	"1846589-1"	"1846589-1"	"DYSPNOEA"	"10013968"	"40-49 years"	"40-49"	"She had been suffered from dizziness, shortness of breath,  fatigue,  weight loss, wasy bruising, and then she was diagnoised to Acute Lymphoblastic Leukemia on September 14, 2021.  After that, she was treated at Hospital However,  my wife passed away on Oct 11, 2021. She was healthy and eated healthy food and worked out regularly.  She had never been exposed to any risky environment.  Only potential factor is COVID vaccination."
	"1846589-1"	"1846589-1"	"FATIGUE"	"10016256"	"40-49 years"	"40-49"	"She had been suffered from dizziness, shortness of breath,  fatigue,  weight loss, wasy bruising, and then she was diagnoised to Acute Lymphoblastic Leukemia on September 14, 2021.  After that, she was treated at Hospital However,  my wife passed away on Oct 11, 2021. She was healthy and eated healthy food and worked out regularly.  She had never been exposed to any risky environment.  Only potential factor is COVID vaccination."
	"1846589-1"	"1846589-1"	"INCREASED TENDENCY TO BRUISE"	"10021688"	"40-49 years"	"40-49"	"She had been suffered from dizziness, shortness of breath,  fatigue,  weight loss, wasy bruising, and then she was diagnoised to Acute Lymphoblastic Leukemia on September 14, 2021.  After that, she was treated at Hospital However,  my wife passed away on Oct 11, 2021. She was healthy and eated healthy food and worked out regularly.  She had never been exposed to any risky environment.  Only potential factor is COVID vaccination."
	"1846589-1"	"1846589-1"	"WEIGHT DECREASED"	"10047895"	"40-49 years"	"40-49"	"She had been suffered from dizziness, shortness of breath,  fatigue,  weight loss, wasy bruising, and then she was diagnoised to Acute Lymphoblastic Leukemia on September 14, 2021.  After that, she was treated at Hospital However,  my wife passed away on Oct 11, 2021. She was healthy and eated healthy food and worked out regularly.  She had never been exposed to any risky environment.  Only potential factor is COVID vaccination."
	"1849480-1"	"1849480-1"	"CARDIAC FAILURE CONGESTIVE"	"10007559"	"40-49 years"	"40-49"	"Patient started having multiple CHF exacerbations 10 days post vaccine after having been mostly stable for a while. He was repeatedly readmitted for exacerbations and ultimately was deemed not a candidate for advanced cardiac therapies due to some life choices. He ultimately succumbed to his illness on 09/10/2021"
	"1849480-1"	"1849480-1"	"CONDITION AGGRAVATED"	"10010264"	"40-49 years"	"40-49"	"Patient started having multiple CHF exacerbations 10 days post vaccine after having been mostly stable for a while. He was repeatedly readmitted for exacerbations and ultimately was deemed not a candidate for advanced cardiac therapies due to some life choices. He ultimately succumbed to his illness on 09/10/2021"
	"1849480-1"	"1849480-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Patient started having multiple CHF exacerbations 10 days post vaccine after having been mostly stable for a while. He was repeatedly readmitted for exacerbations and ultimately was deemed not a candidate for advanced cardiac therapies due to some life choices. He ultimately succumbed to his illness on 09/10/2021"
	"1849596-1"	"1849596-1"	"ACUTE KIDNEY INJURY"	"10069339"	"40-49 years"	"40-49"	"Patient did state he had his 2nd dose of Moderna, but it is not documented where this reporter can find the date (would have been sometime in April). He told this reporter he started to not feel well about 3 weeks after his 2nd dose. He eventually felt so bad he sought treatment in July. He was admitted 8/6/2021 with group B streptococcus agalactiae bacteremia, sepsis resulting in fever, encephalopathy and AKI (likely due to SBP).  TTE 8/17 showed severe AR and possible vegetation. TEE 8/18 confirmed infective endocarditis c/b AoV insufficiency. Patient is not an IV drug user.  Hospital course also complicated by Afib w RVR and was started on dilt drip, now off as patient's HR improved and he has had low BP in setting of likely worsening AoV insufficiency. Patient also with pulmonary edema periodically requiring 1-2L O2 . Furthermore, 8/22 patient had short run of torsades treated with Mag  Over the past several days, patient has developed hepatocardiorenal syndrome with worsening AKI. Transfer to ICU for consideration of CRRT initiation. Structural and CT surgery following due to severe AI. Tentative plan for TAVR. Patient with slowly worsening AMS as well, acute-subacutely worsening today. Thought to be due to hypoperfusion v acute illness. Cosyntropin stim test for hypothermia negative.  Patient arrived to ICU somnolent but arousable. HD catheter, PICC and A-line were placed for CRRT initiation, pressor initiation and hemodynamic monitoring respectively. Patient's hemodynamics continued to worsen evening after ICU transfer and temporary pacemaker was inserted and patient was paced with HR 90-110. Despite pressor support and temporary pacemaker, patient continued to worsen and was persistent in stating he no longer wished for current cares to continue. It was felt patient would not tolerate TAVR or liver transplant at this state as patient was not improving with pressor, CRRT, temporary pacemaker and hemodynamic support and as a result decision was made with family to transition patient to comfort cares. He ultimately succumbed into death on 8/26/2021"
	"1849596-1"	"1849596-1"	"AORTIC VALVE INCOMPETENCE"	"10002915"	"40-49 years"	"40-49"	"Patient did state he had his 2nd dose of Moderna, but it is not documented where this reporter can find the date (would have been sometime in April). He told this reporter he started to not feel well about 3 weeks after his 2nd dose. He eventually felt so bad he sought treatment in July. He was admitted 8/6/2021 with group B streptococcus agalactiae bacteremia, sepsis resulting in fever, encephalopathy and AKI (likely due to SBP).  TTE 8/17 showed severe AR and possible vegetation. TEE 8/18 confirmed infective endocarditis c/b AoV insufficiency. Patient is not an IV drug user.  Hospital course also complicated by Afib w RVR and was started on dilt drip, now off as patient's HR improved and he has had low BP in setting of likely worsening AoV insufficiency. Patient also with pulmonary edema periodically requiring 1-2L O2 . Furthermore, 8/22 patient had short run of torsades treated with Mag  Over the past several days, patient has developed hepatocardiorenal syndrome with worsening AKI. Transfer to ICU for consideration of CRRT initiation. Structural and CT surgery following due to severe AI. Tentative plan for TAVR. Patient with slowly worsening AMS as well, acute-subacutely worsening today. Thought to be due to hypoperfusion v acute illness. Cosyntropin stim test for hypothermia negative.  Patient arrived to ICU somnolent but arousable. HD catheter, PICC and A-line were placed for CRRT initiation, pressor initiation and hemodynamic monitoring respectively. Patient's hemodynamics continued to worsen evening after ICU transfer and temporary pacemaker was inserted and patient was paced with HR 90-110. Despite pressor support and temporary pacemaker, patient continued to worsen and was persistent in stating he no longer wished for current cares to continue. It was felt patient would not tolerate TAVR or liver transplant at this state as patient was not improving with pressor, CRRT, temporary pacemaker and hemodynamic support and as a result decision was made with family to transition patient to comfort cares. He ultimately succumbed into death on 8/26/2021"
	"1849596-1"	"1849596-1"	"ATRIAL FIBRILLATION"	"10003658"	"40-49 years"	"40-49"	"Patient did state he had his 2nd dose of Moderna, but it is not documented where this reporter can find the date (would have been sometime in April). He told this reporter he started to not feel well about 3 weeks after his 2nd dose. He eventually felt so bad he sought treatment in July. He was admitted 8/6/2021 with group B streptococcus agalactiae bacteremia, sepsis resulting in fever, encephalopathy and AKI (likely due to SBP).  TTE 8/17 showed severe AR and possible vegetation. TEE 8/18 confirmed infective endocarditis c/b AoV insufficiency. Patient is not an IV drug user.  Hospital course also complicated by Afib w RVR and was started on dilt drip, now off as patient's HR improved and he has had low BP in setting of likely worsening AoV insufficiency. Patient also with pulmonary edema periodically requiring 1-2L O2 . Furthermore, 8/22 patient had short run of torsades treated with Mag  Over the past several days, patient has developed hepatocardiorenal syndrome with worsening AKI. Transfer to ICU for consideration of CRRT initiation. Structural and CT surgery following due to severe AI. Tentative plan for TAVR. Patient with slowly worsening AMS as well, acute-subacutely worsening today. Thought to be due to hypoperfusion v acute illness. Cosyntropin stim test for hypothermia negative.  Patient arrived to ICU somnolent but arousable. HD catheter, PICC and A-line were placed for CRRT initiation, pressor initiation and hemodynamic monitoring respectively. Patient's hemodynamics continued to worsen evening after ICU transfer and temporary pacemaker was inserted and patient was paced with HR 90-110. Despite pressor support and temporary pacemaker, patient continued to worsen and was persistent in stating he no longer wished for current cares to continue. It was felt patient would not tolerate TAVR or liver transplant at this state as patient was not improving with pressor, CRRT, temporary pacemaker and hemodynamic support and as a result decision was made with family to transition patient to comfort cares. He ultimately succumbed into death on 8/26/2021"
	"1849596-1"	"1849596-1"	"BLOOD CORTICOTROPHIN NORMAL"	"10005454"	"40-49 years"	"40-49"	"Patient did state he had his 2nd dose of Moderna, but it is not documented where this reporter can find the date (would have been sometime in April). He told this reporter he started to not feel well about 3 weeks after his 2nd dose. He eventually felt so bad he sought treatment in July. He was admitted 8/6/2021 with group B streptococcus agalactiae bacteremia, sepsis resulting in fever, encephalopathy and AKI (likely due to SBP).  TTE 8/17 showed severe AR and possible vegetation. TEE 8/18 confirmed infective endocarditis c/b AoV insufficiency. Patient is not an IV drug user.  Hospital course also complicated by Afib w RVR and was started on dilt drip, now off as patient's HR improved and he has had low BP in setting of likely worsening AoV insufficiency. Patient also with pulmonary edema periodically requiring 1-2L O2 . Furthermore, 8/22 patient had short run of torsades treated with Mag  Over the past several days, patient has developed hepatocardiorenal syndrome with worsening AKI. Transfer to ICU for consideration of CRRT initiation. Structural and CT surgery following due to severe AI. Tentative plan for TAVR. Patient with slowly worsening AMS as well, acute-subacutely worsening today. Thought to be due to hypoperfusion v acute illness. Cosyntropin stim test for hypothermia negative.  Patient arrived to ICU somnolent but arousable. HD catheter, PICC and A-line were placed for CRRT initiation, pressor initiation and hemodynamic monitoring respectively. Patient's hemodynamics continued to worsen evening after ICU transfer and temporary pacemaker was inserted and patient was paced with HR 90-110. Despite pressor support and temporary pacemaker, patient continued to worsen and was persistent in stating he no longer wished for current cares to continue. It was felt patient would not tolerate TAVR or liver transplant at this state as patient was not improving with pressor, CRRT, temporary pacemaker and hemodynamic support and as a result decision was made with family to transition patient to comfort cares. He ultimately succumbed into death on 8/26/2021"
	"1849596-1"	"1849596-1"	"CARDIAC PACEMAKER INSERTION"	"10007598"	"40-49 years"	"40-49"	"Patient did state he had his 2nd dose of Moderna, but it is not documented where this reporter can find the date (would have been sometime in April). He told this reporter he started to not feel well about 3 weeks after his 2nd dose. He eventually felt so bad he sought treatment in July. He was admitted 8/6/2021 with group B streptococcus agalactiae bacteremia, sepsis resulting in fever, encephalopathy and AKI (likely due to SBP).  TTE 8/17 showed severe AR and possible vegetation. TEE 8/18 confirmed infective endocarditis c/b AoV insufficiency. Patient is not an IV drug user.  Hospital course also complicated by Afib w RVR and was started on dilt drip, now off as patient's HR improved and he has had low BP in setting of likely worsening AoV insufficiency. Patient also with pulmonary edema periodically requiring 1-2L O2 . Furthermore, 8/22 patient had short run of torsades treated with Mag  Over the past several days, patient has developed hepatocardiorenal syndrome with worsening AKI. Transfer to ICU for consideration of CRRT initiation. Structural and CT surgery following due to severe AI. Tentative plan for TAVR. Patient with slowly worsening AMS as well, acute-subacutely worsening today. Thought to be due to hypoperfusion v acute illness. Cosyntropin stim test for hypothermia negative.  Patient arrived to ICU somnolent but arousable. HD catheter, PICC and A-line were placed for CRRT initiation, pressor initiation and hemodynamic monitoring respectively. Patient's hemodynamics continued to worsen evening after ICU transfer and temporary pacemaker was inserted and patient was paced with HR 90-110. Despite pressor support and temporary pacemaker, patient continued to worsen and was persistent in stating he no longer wished for current cares to continue. It was felt patient would not tolerate TAVR or liver transplant at this state as patient was not improving with pressor, CRRT, temporary pacemaker and hemodynamic support and as a result decision was made with family to transition patient to comfort cares. He ultimately succumbed into death on 8/26/2021"
	"1849596-1"	"1849596-1"	"CATHETER PLACEMENT"	"10052915"	"40-49 years"	"40-49"	"Patient did state he had his 2nd dose of Moderna, but it is not documented where this reporter can find the date (would have been sometime in April). He told this reporter he started to not feel well about 3 weeks after his 2nd dose. He eventually felt so bad he sought treatment in July. He was admitted 8/6/2021 with group B streptococcus agalactiae bacteremia, sepsis resulting in fever, encephalopathy and AKI (likely due to SBP).  TTE 8/17 showed severe AR and possible vegetation. TEE 8/18 confirmed infective endocarditis c/b AoV insufficiency. Patient is not an IV drug user.  Hospital course also complicated by Afib w RVR and was started on dilt drip, now off as patient's HR improved and he has had low BP in setting of likely worsening AoV insufficiency. Patient also with pulmonary edema periodically requiring 1-2L O2 . Furthermore, 8/22 patient had short run of torsades treated with Mag  Over the past several days, patient has developed hepatocardiorenal syndrome with worsening AKI. Transfer to ICU for consideration of CRRT initiation. Structural and CT surgery following due to severe AI. Tentative plan for TAVR. Patient with slowly worsening AMS as well, acute-subacutely worsening today. Thought to be due to hypoperfusion v acute illness. Cosyntropin stim test for hypothermia negative.  Patient arrived to ICU somnolent but arousable. HD catheter, PICC and A-line were placed for CRRT initiation, pressor initiation and hemodynamic monitoring respectively. Patient's hemodynamics continued to worsen evening after ICU transfer and temporary pacemaker was inserted and patient was paced with HR 90-110. Despite pressor support and temporary pacemaker, patient continued to worsen and was persistent in stating he no longer wished for current cares to continue. It was felt patient would not tolerate TAVR or liver transplant at this state as patient was not improving with pressor, CRRT, temporary pacemaker and hemodynamic support and as a result decision was made with family to transition patient to comfort cares. He ultimately succumbed into death on 8/26/2021"
	"1849596-1"	"1849596-1"	"CENTRAL VENOUS CATHETERISATION"	"10053377"	"40-49 years"	"40-49"	"Patient did state he had his 2nd dose of Moderna, but it is not documented where this reporter can find the date (would have been sometime in April). He told this reporter he started to not feel well about 3 weeks after his 2nd dose. He eventually felt so bad he sought treatment in July. He was admitted 8/6/2021 with group B streptococcus agalactiae bacteremia, sepsis resulting in fever, encephalopathy and AKI (likely due to SBP).  TTE 8/17 showed severe AR and possible vegetation. TEE 8/18 confirmed infective endocarditis c/b AoV insufficiency. Patient is not an IV drug user.  Hospital course also complicated by Afib w RVR and was started on dilt drip, now off as patient's HR improved and he has had low BP in setting of likely worsening AoV insufficiency. Patient also with pulmonary edema periodically requiring 1-2L O2 . Furthermore, 8/22 patient had short run of torsades treated with Mag  Over the past several days, patient has developed hepatocardiorenal syndrome with worsening AKI. Transfer to ICU for consideration of CRRT initiation. Structural and CT surgery following due to severe AI. Tentative plan for TAVR. Patient with slowly worsening AMS as well, acute-subacutely worsening today. Thought to be due to hypoperfusion v acute illness. Cosyntropin stim test for hypothermia negative.  Patient arrived to ICU somnolent but arousable. HD catheter, PICC and A-line were placed for CRRT initiation, pressor initiation and hemodynamic monitoring respectively. Patient's hemodynamics continued to worsen evening after ICU transfer and temporary pacemaker was inserted and patient was paced with HR 90-110. Despite pressor support and temporary pacemaker, patient continued to worsen and was persistent in stating he no longer wished for current cares to continue. It was felt patient would not tolerate TAVR or liver transplant at this state as patient was not improving with pressor, CRRT, temporary pacemaker and hemodynamic support and as a result decision was made with family to transition patient to comfort cares. He ultimately succumbed into death on 8/26/2021"
	"1849596-1"	"1849596-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Patient did state he had his 2nd dose of Moderna, but it is not documented where this reporter can find the date (would have been sometime in April). He told this reporter he started to not feel well about 3 weeks after his 2nd dose. He eventually felt so bad he sought treatment in July. He was admitted 8/6/2021 with group B streptococcus agalactiae bacteremia, sepsis resulting in fever, encephalopathy and AKI (likely due to SBP).  TTE 8/17 showed severe AR and possible vegetation. TEE 8/18 confirmed infective endocarditis c/b AoV insufficiency. Patient is not an IV drug user.  Hospital course also complicated by Afib w RVR and was started on dilt drip, now off as patient's HR improved and he has had low BP in setting of likely worsening AoV insufficiency. Patient also with pulmonary edema periodically requiring 1-2L O2 . Furthermore, 8/22 patient had short run of torsades treated with Mag  Over the past several days, patient has developed hepatocardiorenal syndrome with worsening AKI. Transfer to ICU for consideration of CRRT initiation. Structural and CT surgery following due to severe AI. Tentative plan for TAVR. Patient with slowly worsening AMS as well, acute-subacutely worsening today. Thought to be due to hypoperfusion v acute illness. Cosyntropin stim test for hypothermia negative.  Patient arrived to ICU somnolent but arousable. HD catheter, PICC and A-line were placed for CRRT initiation, pressor initiation and hemodynamic monitoring respectively. Patient's hemodynamics continued to worsen evening after ICU transfer and temporary pacemaker was inserted and patient was paced with HR 90-110. Despite pressor support and temporary pacemaker, patient continued to worsen and was persistent in stating he no longer wished for current cares to continue. It was felt patient would not tolerate TAVR or liver transplant at this state as patient was not improving with pressor, CRRT, temporary pacemaker and hemodynamic support and as a result decision was made with family to transition patient to comfort cares. He ultimately succumbed into death on 8/26/2021"
	"1849596-1"	"1849596-1"	"ECHOCARDIOGRAM"	"10014113"	"40-49 years"	"40-49"	"Patient did state he had his 2nd dose of Moderna, but it is not documented where this reporter can find the date (would have been sometime in April). He told this reporter he started to not feel well about 3 weeks after his 2nd dose. He eventually felt so bad he sought treatment in July. He was admitted 8/6/2021 with group B streptococcus agalactiae bacteremia, sepsis resulting in fever, encephalopathy and AKI (likely due to SBP).  TTE 8/17 showed severe AR and possible vegetation. TEE 8/18 confirmed infective endocarditis c/b AoV insufficiency. Patient is not an IV drug user.  Hospital course also complicated by Afib w RVR and was started on dilt drip, now off as patient's HR improved and he has had low BP in setting of likely worsening AoV insufficiency. Patient also with pulmonary edema periodically requiring 1-2L O2 . Furthermore, 8/22 patient had short run of torsades treated with Mag  Over the past several days, patient has developed hepatocardiorenal syndrome with worsening AKI. Transfer to ICU for consideration of CRRT initiation. Structural and CT surgery following due to severe AI. Tentative plan for TAVR. Patient with slowly worsening AMS as well, acute-subacutely worsening today. Thought to be due to hypoperfusion v acute illness. Cosyntropin stim test for hypothermia negative.  Patient arrived to ICU somnolent but arousable. HD catheter, PICC and A-line were placed for CRRT initiation, pressor initiation and hemodynamic monitoring respectively. Patient's hemodynamics continued to worsen evening after ICU transfer and temporary pacemaker was inserted and patient was paced with HR 90-110. Despite pressor support and temporary pacemaker, patient continued to worsen and was persistent in stating he no longer wished for current cares to continue. It was felt patient would not tolerate TAVR or liver transplant at this state as patient was not improving with pressor, CRRT, temporary pacemaker and hemodynamic support and as a result decision was made with family to transition patient to comfort cares. He ultimately succumbed into death on 8/26/2021"
	"1849596-1"	"1849596-1"	"ECHOCARDIOGRAM ABNORMAL"	"10061593"	"40-49 years"	"40-49"	"Patient did state he had his 2nd dose of Moderna, but it is not documented where this reporter can find the date (would have been sometime in April). He told this reporter he started to not feel well about 3 weeks after his 2nd dose. He eventually felt so bad he sought treatment in July. He was admitted 8/6/2021 with group B streptococcus agalactiae bacteremia, sepsis resulting in fever, encephalopathy and AKI (likely due to SBP).  TTE 8/17 showed severe AR and possible vegetation. TEE 8/18 confirmed infective endocarditis c/b AoV insufficiency. Patient is not an IV drug user.  Hospital course also complicated by Afib w RVR and was started on dilt drip, now off as patient's HR improved and he has had low BP in setting of likely worsening AoV insufficiency. Patient also with pulmonary edema periodically requiring 1-2L O2 . Furthermore, 8/22 patient had short run of torsades treated with Mag  Over the past several days, patient has developed hepatocardiorenal syndrome with worsening AKI. Transfer to ICU for consideration of CRRT initiation. Structural and CT surgery following due to severe AI. Tentative plan for TAVR. Patient with slowly worsening AMS as well, acute-subacutely worsening today. Thought to be due to hypoperfusion v acute illness. Cosyntropin stim test for hypothermia negative.  Patient arrived to ICU somnolent but arousable. HD catheter, PICC and A-line were placed for CRRT initiation, pressor initiation and hemodynamic monitoring respectively. Patient's hemodynamics continued to worsen evening after ICU transfer and temporary pacemaker was inserted and patient was paced with HR 90-110. Despite pressor support and temporary pacemaker, patient continued to worsen and was persistent in stating he no longer wished for current cares to continue. It was felt patient would not tolerate TAVR or liver transplant at this state as patient was not improving with pressor, CRRT, temporary pacemaker and hemodynamic support and as a result decision was made with family to transition patient to comfort cares. He ultimately succumbed into death on 8/26/2021"
	"1849596-1"	"1849596-1"	"ENCEPHALOPATHY"	"10014625"	"40-49 years"	"40-49"	"Patient did state he had his 2nd dose of Moderna, but it is not documented where this reporter can find the date (would have been sometime in April). He told this reporter he started to not feel well about 3 weeks after his 2nd dose. He eventually felt so bad he sought treatment in July. He was admitted 8/6/2021 with group B streptococcus agalactiae bacteremia, sepsis resulting in fever, encephalopathy and AKI (likely due to SBP).  TTE 8/17 showed severe AR and possible vegetation. TEE 8/18 confirmed infective endocarditis c/b AoV insufficiency. Patient is not an IV drug user.  Hospital course also complicated by Afib w RVR and was started on dilt drip, now off as patient's HR improved and he has had low BP in setting of likely worsening AoV insufficiency. Patient also with pulmonary edema periodically requiring 1-2L O2 . Furthermore, 8/22 patient had short run of torsades treated with Mag  Over the past several days, patient has developed hepatocardiorenal syndrome with worsening AKI. Transfer to ICU for consideration of CRRT initiation. Structural and CT surgery following due to severe AI. Tentative plan for TAVR. Patient with slowly worsening AMS as well, acute-subacutely worsening today. Thought to be due to hypoperfusion v acute illness. Cosyntropin stim test for hypothermia negative.  Patient arrived to ICU somnolent but arousable. HD catheter, PICC and A-line were placed for CRRT initiation, pressor initiation and hemodynamic monitoring respectively. Patient's hemodynamics continued to worsen evening after ICU transfer and temporary pacemaker was inserted and patient was paced with HR 90-110. Despite pressor support and temporary pacemaker, patient continued to worsen and was persistent in stating he no longer wished for current cares to continue. It was felt patient would not tolerate TAVR or liver transplant at this state as patient was not improving with pressor, CRRT, temporary pacemaker and hemodynamic support and as a result decision was made with family to transition patient to comfort cares. He ultimately succumbed into death on 8/26/2021"
	"1849596-1"	"1849596-1"	"ENDOCARDITIS"	"10014665"	"40-49 years"	"40-49"	"Patient did state he had his 2nd dose of Moderna, but it is not documented where this reporter can find the date (would have been sometime in April). He told this reporter he started to not feel well about 3 weeks after his 2nd dose. He eventually felt so bad he sought treatment in July. He was admitted 8/6/2021 with group B streptococcus agalactiae bacteremia, sepsis resulting in fever, encephalopathy and AKI (likely due to SBP).  TTE 8/17 showed severe AR and possible vegetation. TEE 8/18 confirmed infective endocarditis c/b AoV insufficiency. Patient is not an IV drug user.  Hospital course also complicated by Afib w RVR and was started on dilt drip, now off as patient's HR improved and he has had low BP in setting of likely worsening AoV insufficiency. Patient also with pulmonary edema periodically requiring 1-2L O2 . Furthermore, 8/22 patient had short run of torsades treated with Mag  Over the past several days, patient has developed hepatocardiorenal syndrome with worsening AKI. Transfer to ICU for consideration of CRRT initiation. Structural and CT surgery following due to severe AI. Tentative plan for TAVR. Patient with slowly worsening AMS as well, acute-subacutely worsening today. Thought to be due to hypoperfusion v acute illness. Cosyntropin stim test for hypothermia negative.  Patient arrived to ICU somnolent but arousable. HD catheter, PICC and A-line were placed for CRRT initiation, pressor initiation and hemodynamic monitoring respectively. Patient's hemodynamics continued to worsen evening after ICU transfer and temporary pacemaker was inserted and patient was paced with HR 90-110. Despite pressor support and temporary pacemaker, patient continued to worsen and was persistent in stating he no longer wished for current cares to continue. It was felt patient would not tolerate TAVR or liver transplant at this state as patient was not improving with pressor, CRRT, temporary pacemaker and hemodynamic support and as a result decision was made with family to transition patient to comfort cares. He ultimately succumbed into death on 8/26/2021"
	"1849596-1"	"1849596-1"	"FEELING ABNORMAL"	"10016322"	"40-49 years"	"40-49"	"Patient did state he had his 2nd dose of Moderna, but it is not documented where this reporter can find the date (would have been sometime in April). He told this reporter he started to not feel well about 3 weeks after his 2nd dose. He eventually felt so bad he sought treatment in July. He was admitted 8/6/2021 with group B streptococcus agalactiae bacteremia, sepsis resulting in fever, encephalopathy and AKI (likely due to SBP).  TTE 8/17 showed severe AR and possible vegetation. TEE 8/18 confirmed infective endocarditis c/b AoV insufficiency. Patient is not an IV drug user.  Hospital course also complicated by Afib w RVR and was started on dilt drip, now off as patient's HR improved and he has had low BP in setting of likely worsening AoV insufficiency. Patient also with pulmonary edema periodically requiring 1-2L O2 . Furthermore, 8/22 patient had short run of torsades treated with Mag  Over the past several days, patient has developed hepatocardiorenal syndrome with worsening AKI. Transfer to ICU for consideration of CRRT initiation. Structural and CT surgery following due to severe AI. Tentative plan for TAVR. Patient with slowly worsening AMS as well, acute-subacutely worsening today. Thought to be due to hypoperfusion v acute illness. Cosyntropin stim test for hypothermia negative.  Patient arrived to ICU somnolent but arousable. HD catheter, PICC and A-line were placed for CRRT initiation, pressor initiation and hemodynamic monitoring respectively. Patient's hemodynamics continued to worsen evening after ICU transfer and temporary pacemaker was inserted and patient was paced with HR 90-110. Despite pressor support and temporary pacemaker, patient continued to worsen and was persistent in stating he no longer wished for current cares to continue. It was felt patient would not tolerate TAVR or liver transplant at this state as patient was not improving with pressor, CRRT, temporary pacemaker and hemodynamic support and as a result decision was made with family to transition patient to comfort cares. He ultimately succumbed into death on 8/26/2021"
	"1849596-1"	"1849596-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"40-49 years"	"40-49"	"Patient did state he had his 2nd dose of Moderna, but it is not documented where this reporter can find the date (would have been sometime in April). He told this reporter he started to not feel well about 3 weeks after his 2nd dose. He eventually felt so bad he sought treatment in July. He was admitted 8/6/2021 with group B streptococcus agalactiae bacteremia, sepsis resulting in fever, encephalopathy and AKI (likely due to SBP).  TTE 8/17 showed severe AR and possible vegetation. TEE 8/18 confirmed infective endocarditis c/b AoV insufficiency. Patient is not an IV drug user.  Hospital course also complicated by Afib w RVR and was started on dilt drip, now off as patient's HR improved and he has had low BP in setting of likely worsening AoV insufficiency. Patient also with pulmonary edema periodically requiring 1-2L O2 . Furthermore, 8/22 patient had short run of torsades treated with Mag  Over the past several days, patient has developed hepatocardiorenal syndrome with worsening AKI. Transfer to ICU for consideration of CRRT initiation. Structural and CT surgery following due to severe AI. Tentative plan for TAVR. Patient with slowly worsening AMS as well, acute-subacutely worsening today. Thought to be due to hypoperfusion v acute illness. Cosyntropin stim test for hypothermia negative.  Patient arrived to ICU somnolent but arousable. HD catheter, PICC and A-line were placed for CRRT initiation, pressor initiation and hemodynamic monitoring respectively. Patient's hemodynamics continued to worsen evening after ICU transfer and temporary pacemaker was inserted and patient was paced with HR 90-110. Despite pressor support and temporary pacemaker, patient continued to worsen and was persistent in stating he no longer wished for current cares to continue. It was felt patient would not tolerate TAVR or liver transplant at this state as patient was not improving with pressor, CRRT, temporary pacemaker and hemodynamic support and as a result decision was made with family to transition patient to comfort cares. He ultimately succumbed into death on 8/26/2021"
	"1849596-1"	"1849596-1"	"HAEMODIALYSIS"	"10018875"	"40-49 years"	"40-49"	"Patient did state he had his 2nd dose of Moderna, but it is not documented where this reporter can find the date (would have been sometime in April). He told this reporter he started to not feel well about 3 weeks after his 2nd dose. He eventually felt so bad he sought treatment in July. He was admitted 8/6/2021 with group B streptococcus agalactiae bacteremia, sepsis resulting in fever, encephalopathy and AKI (likely due to SBP).  TTE 8/17 showed severe AR and possible vegetation. TEE 8/18 confirmed infective endocarditis c/b AoV insufficiency. Patient is not an IV drug user.  Hospital course also complicated by Afib w RVR and was started on dilt drip, now off as patient's HR improved and he has had low BP in setting of likely worsening AoV insufficiency. Patient also with pulmonary edema periodically requiring 1-2L O2 . Furthermore, 8/22 patient had short run of torsades treated with Mag  Over the past several days, patient has developed hepatocardiorenal syndrome with worsening AKI. Transfer to ICU for consideration of CRRT initiation. Structural and CT surgery following due to severe AI. Tentative plan for TAVR. Patient with slowly worsening AMS as well, acute-subacutely worsening today. Thought to be due to hypoperfusion v acute illness. Cosyntropin stim test for hypothermia negative.  Patient arrived to ICU somnolent but arousable. HD catheter, PICC and A-line were placed for CRRT initiation, pressor initiation and hemodynamic monitoring respectively. Patient's hemodynamics continued to worsen evening after ICU transfer and temporary pacemaker was inserted and patient was paced with HR 90-110. Despite pressor support and temporary pacemaker, patient continued to worsen and was persistent in stating he no longer wished for current cares to continue. It was felt patient would not tolerate TAVR or liver transplant at this state as patient was not improving with pressor, CRRT, temporary pacemaker and hemodynamic support and as a result decision was made with family to transition patient to comfort cares. He ultimately succumbed into death on 8/26/2021"
	"1849596-1"	"1849596-1"	"HEPATORENAL SYNDROME"	"10019846"	"40-49 years"	"40-49"	"Patient did state he had his 2nd dose of Moderna, but it is not documented where this reporter can find the date (would have been sometime in April). He told this reporter he started to not feel well about 3 weeks after his 2nd dose. He eventually felt so bad he sought treatment in July. He was admitted 8/6/2021 with group B streptococcus agalactiae bacteremia, sepsis resulting in fever, encephalopathy and AKI (likely due to SBP).  TTE 8/17 showed severe AR and possible vegetation. TEE 8/18 confirmed infective endocarditis c/b AoV insufficiency. Patient is not an IV drug user.  Hospital course also complicated by Afib w RVR and was started on dilt drip, now off as patient's HR improved and he has had low BP in setting of likely worsening AoV insufficiency. Patient also with pulmonary edema periodically requiring 1-2L O2 . Furthermore, 8/22 patient had short run of torsades treated with Mag  Over the past several days, patient has developed hepatocardiorenal syndrome with worsening AKI. Transfer to ICU for consideration of CRRT initiation. Structural and CT surgery following due to severe AI. Tentative plan for TAVR. Patient with slowly worsening AMS as well, acute-subacutely worsening today. Thought to be due to hypoperfusion v acute illness. Cosyntropin stim test for hypothermia negative.  Patient arrived to ICU somnolent but arousable. HD catheter, PICC and A-line were placed for CRRT initiation, pressor initiation and hemodynamic monitoring respectively. Patient's hemodynamics continued to worsen evening after ICU transfer and temporary pacemaker was inserted and patient was paced with HR 90-110. Despite pressor support and temporary pacemaker, patient continued to worsen and was persistent in stating he no longer wished for current cares to continue. It was felt patient would not tolerate TAVR or liver transplant at this state as patient was not improving with pressor, CRRT, temporary pacemaker and hemodynamic support and as a result decision was made with family to transition patient to comfort cares. He ultimately succumbed into death on 8/26/2021"
	"1849596-1"	"1849596-1"	"HYPOPERFUSION"	"10058558"	"40-49 years"	"40-49"	"Patient did state he had his 2nd dose of Moderna, but it is not documented where this reporter can find the date (would have been sometime in April). He told this reporter he started to not feel well about 3 weeks after his 2nd dose. He eventually felt so bad he sought treatment in July. He was admitted 8/6/2021 with group B streptococcus agalactiae bacteremia, sepsis resulting in fever, encephalopathy and AKI (likely due to SBP).  TTE 8/17 showed severe AR and possible vegetation. TEE 8/18 confirmed infective endocarditis c/b AoV insufficiency. Patient is not an IV drug user.  Hospital course also complicated by Afib w RVR and was started on dilt drip, now off as patient's HR improved and he has had low BP in setting of likely worsening AoV insufficiency. Patient also with pulmonary edema periodically requiring 1-2L O2 . Furthermore, 8/22 patient had short run of torsades treated with Mag  Over the past several days, patient has developed hepatocardiorenal syndrome with worsening AKI. Transfer to ICU for consideration of CRRT initiation. Structural and CT surgery following due to severe AI. Tentative plan for TAVR. Patient with slowly worsening AMS as well, acute-subacutely worsening today. Thought to be due to hypoperfusion v acute illness. Cosyntropin stim test for hypothermia negative.  Patient arrived to ICU somnolent but arousable. HD catheter, PICC and A-line were placed for CRRT initiation, pressor initiation and hemodynamic monitoring respectively. Patient's hemodynamics continued to worsen evening after ICU transfer and temporary pacemaker was inserted and patient was paced with HR 90-110. Despite pressor support and temporary pacemaker, patient continued to worsen and was persistent in stating he no longer wished for current cares to continue. It was felt patient would not tolerate TAVR or liver transplant at this state as patient was not improving with pressor, CRRT, temporary pacemaker and hemodynamic support and as a result decision was made with family to transition patient to comfort cares. He ultimately succumbed into death on 8/26/2021"
	"1849596-1"	"1849596-1"	"HYPOTENSION"	"10021097"	"40-49 years"	"40-49"	"Patient did state he had his 2nd dose of Moderna, but it is not documented where this reporter can find the date (would have been sometime in April). He told this reporter he started to not feel well about 3 weeks after his 2nd dose. He eventually felt so bad he sought treatment in July. He was admitted 8/6/2021 with group B streptococcus agalactiae bacteremia, sepsis resulting in fever, encephalopathy and AKI (likely due to SBP).  TTE 8/17 showed severe AR and possible vegetation. TEE 8/18 confirmed infective endocarditis c/b AoV insufficiency. Patient is not an IV drug user.  Hospital course also complicated by Afib w RVR and was started on dilt drip, now off as patient's HR improved and he has had low BP in setting of likely worsening AoV insufficiency. Patient also with pulmonary edema periodically requiring 1-2L O2 . Furthermore, 8/22 patient had short run of torsades treated with Mag  Over the past several days, patient has developed hepatocardiorenal syndrome with worsening AKI. Transfer to ICU for consideration of CRRT initiation. Structural and CT surgery following due to severe AI. Tentative plan for TAVR. Patient with slowly worsening AMS as well, acute-subacutely worsening today. Thought to be due to hypoperfusion v acute illness. Cosyntropin stim test for hypothermia negative.  Patient arrived to ICU somnolent but arousable. HD catheter, PICC and A-line were placed for CRRT initiation, pressor initiation and hemodynamic monitoring respectively. Patient's hemodynamics continued to worsen evening after ICU transfer and temporary pacemaker was inserted and patient was paced with HR 90-110. Despite pressor support and temporary pacemaker, patient continued to worsen and was persistent in stating he no longer wished for current cares to continue. It was felt patient would not tolerate TAVR or liver transplant at this state as patient was not improving with pressor, CRRT, temporary pacemaker and hemodynamic support and as a result decision was made with family to transition patient to comfort cares. He ultimately succumbed into death on 8/26/2021"
	"1849596-1"	"1849596-1"	"ILLNESS"	"10080284"	"40-49 years"	"40-49"	"Patient did state he had his 2nd dose of Moderna, but it is not documented where this reporter can find the date (would have been sometime in April). He told this reporter he started to not feel well about 3 weeks after his 2nd dose. He eventually felt so bad he sought treatment in July. He was admitted 8/6/2021 with group B streptococcus agalactiae bacteremia, sepsis resulting in fever, encephalopathy and AKI (likely due to SBP).  TTE 8/17 showed severe AR and possible vegetation. TEE 8/18 confirmed infective endocarditis c/b AoV insufficiency. Patient is not an IV drug user.  Hospital course also complicated by Afib w RVR and was started on dilt drip, now off as patient's HR improved and he has had low BP in setting of likely worsening AoV insufficiency. Patient also with pulmonary edema periodically requiring 1-2L O2 . Furthermore, 8/22 patient had short run of torsades treated with Mag  Over the past several days, patient has developed hepatocardiorenal syndrome with worsening AKI. Transfer to ICU for consideration of CRRT initiation. Structural and CT surgery following due to severe AI. Tentative plan for TAVR. Patient with slowly worsening AMS as well, acute-subacutely worsening today. Thought to be due to hypoperfusion v acute illness. Cosyntropin stim test for hypothermia negative.  Patient arrived to ICU somnolent but arousable. HD catheter, PICC and A-line were placed for CRRT initiation, pressor initiation and hemodynamic monitoring respectively. Patient's hemodynamics continued to worsen evening after ICU transfer and temporary pacemaker was inserted and patient was paced with HR 90-110. Despite pressor support and temporary pacemaker, patient continued to worsen and was persistent in stating he no longer wished for current cares to continue. It was felt patient would not tolerate TAVR or liver transplant at this state as patient was not improving with pressor, CRRT, temporary pacemaker and hemodynamic support and as a result decision was made with family to transition patient to comfort cares. He ultimately succumbed into death on 8/26/2021"
	"1849596-1"	"1849596-1"	"INTENSIVE CARE"	"10022519"	"40-49 years"	"40-49"	"Patient did state he had his 2nd dose of Moderna, but it is not documented where this reporter can find the date (would have been sometime in April). He told this reporter he started to not feel well about 3 weeks after his 2nd dose. He eventually felt so bad he sought treatment in July. He was admitted 8/6/2021 with group B streptococcus agalactiae bacteremia, sepsis resulting in fever, encephalopathy and AKI (likely due to SBP).  TTE 8/17 showed severe AR and possible vegetation. TEE 8/18 confirmed infective endocarditis c/b AoV insufficiency. Patient is not an IV drug user.  Hospital course also complicated by Afib w RVR and was started on dilt drip, now off as patient's HR improved and he has had low BP in setting of likely worsening AoV insufficiency. Patient also with pulmonary edema periodically requiring 1-2L O2 . Furthermore, 8/22 patient had short run of torsades treated with Mag  Over the past several days, patient has developed hepatocardiorenal syndrome with worsening AKI. Transfer to ICU for consideration of CRRT initiation. Structural and CT surgery following due to severe AI. Tentative plan for TAVR. Patient with slowly worsening AMS as well, acute-subacutely worsening today. Thought to be due to hypoperfusion v acute illness. Cosyntropin stim test for hypothermia negative.  Patient arrived to ICU somnolent but arousable. HD catheter, PICC and A-line were placed for CRRT initiation, pressor initiation and hemodynamic monitoring respectively. Patient's hemodynamics continued to worsen evening after ICU transfer and temporary pacemaker was inserted and patient was paced with HR 90-110. Despite pressor support and temporary pacemaker, patient continued to worsen and was persistent in stating he no longer wished for current cares to continue. It was felt patient would not tolerate TAVR or liver transplant at this state as patient was not improving with pressor, CRRT, temporary pacemaker and hemodynamic support and as a result decision was made with family to transition patient to comfort cares. He ultimately succumbed into death on 8/26/2021"
	"1849596-1"	"1849596-1"	"MALAISE"	"10025482"	"40-49 years"	"40-49"	"Patient did state he had his 2nd dose of Moderna, but it is not documented where this reporter can find the date (would have been sometime in April). He told this reporter he started to not feel well about 3 weeks after his 2nd dose. He eventually felt so bad he sought treatment in July. He was admitted 8/6/2021 with group B streptococcus agalactiae bacteremia, sepsis resulting in fever, encephalopathy and AKI (likely due to SBP).  TTE 8/17 showed severe AR and possible vegetation. TEE 8/18 confirmed infective endocarditis c/b AoV insufficiency. Patient is not an IV drug user.  Hospital course also complicated by Afib w RVR and was started on dilt drip, now off as patient's HR improved and he has had low BP in setting of likely worsening AoV insufficiency. Patient also with pulmonary edema periodically requiring 1-2L O2 . Furthermore, 8/22 patient had short run of torsades treated with Mag  Over the past several days, patient has developed hepatocardiorenal syndrome with worsening AKI. Transfer to ICU for consideration of CRRT initiation. Structural and CT surgery following due to severe AI. Tentative plan for TAVR. Patient with slowly worsening AMS as well, acute-subacutely worsening today. Thought to be due to hypoperfusion v acute illness. Cosyntropin stim test for hypothermia negative.  Patient arrived to ICU somnolent but arousable. HD catheter, PICC and A-line were placed for CRRT initiation, pressor initiation and hemodynamic monitoring respectively. Patient's hemodynamics continued to worsen evening after ICU transfer and temporary pacemaker was inserted and patient was paced with HR 90-110. Despite pressor support and temporary pacemaker, patient continued to worsen and was persistent in stating he no longer wished for current cares to continue. It was felt patient would not tolerate TAVR or liver transplant at this state as patient was not improving with pressor, CRRT, temporary pacemaker and hemodynamic support and as a result decision was made with family to transition patient to comfort cares. He ultimately succumbed into death on 8/26/2021"
	"1849596-1"	"1849596-1"	"MENTAL STATUS CHANGES"	"10048294"	"40-49 years"	"40-49"	"Patient did state he had his 2nd dose of Moderna, but it is not documented where this reporter can find the date (would have been sometime in April). He told this reporter he started to not feel well about 3 weeks after his 2nd dose. He eventually felt so bad he sought treatment in July. He was admitted 8/6/2021 with group B streptococcus agalactiae bacteremia, sepsis resulting in fever, encephalopathy and AKI (likely due to SBP).  TTE 8/17 showed severe AR and possible vegetation. TEE 8/18 confirmed infective endocarditis c/b AoV insufficiency. Patient is not an IV drug user.  Hospital course also complicated by Afib w RVR and was started on dilt drip, now off as patient's HR improved and he has had low BP in setting of likely worsening AoV insufficiency. Patient also with pulmonary edema periodically requiring 1-2L O2 . Furthermore, 8/22 patient had short run of torsades treated with Mag  Over the past several days, patient has developed hepatocardiorenal syndrome with worsening AKI. Transfer to ICU for consideration of CRRT initiation. Structural and CT surgery following due to severe AI. Tentative plan for TAVR. Patient with slowly worsening AMS as well, acute-subacutely worsening today. Thought to be due to hypoperfusion v acute illness. Cosyntropin stim test for hypothermia negative.  Patient arrived to ICU somnolent but arousable. HD catheter, PICC and A-line were placed for CRRT initiation, pressor initiation and hemodynamic monitoring respectively. Patient's hemodynamics continued to worsen evening after ICU transfer and temporary pacemaker was inserted and patient was paced with HR 90-110. Despite pressor support and temporary pacemaker, patient continued to worsen and was persistent in stating he no longer wished for current cares to continue. It was felt patient would not tolerate TAVR or liver transplant at this state as patient was not improving with pressor, CRRT, temporary pacemaker and hemodynamic support and as a result decision was made with family to transition patient to comfort cares. He ultimately succumbed into death on 8/26/2021"
	"1849596-1"	"1849596-1"	"PULMONARY OEDEMA"	"10037423"	"40-49 years"	"40-49"	"Patient did state he had his 2nd dose of Moderna, but it is not documented where this reporter can find the date (would have been sometime in April). He told this reporter he started to not feel well about 3 weeks after his 2nd dose. He eventually felt so bad he sought treatment in July. He was admitted 8/6/2021 with group B streptococcus agalactiae bacteremia, sepsis resulting in fever, encephalopathy and AKI (likely due to SBP).  TTE 8/17 showed severe AR and possible vegetation. TEE 8/18 confirmed infective endocarditis c/b AoV insufficiency. Patient is not an IV drug user.  Hospital course also complicated by Afib w RVR and was started on dilt drip, now off as patient's HR improved and he has had low BP in setting of likely worsening AoV insufficiency. Patient also with pulmonary edema periodically requiring 1-2L O2 . Furthermore, 8/22 patient had short run of torsades treated with Mag  Over the past several days, patient has developed hepatocardiorenal syndrome with worsening AKI. Transfer to ICU for consideration of CRRT initiation. Structural and CT surgery following due to severe AI. Tentative plan for TAVR. Patient with slowly worsening AMS as well, acute-subacutely worsening today. Thought to be due to hypoperfusion v acute illness. Cosyntropin stim test for hypothermia negative.  Patient arrived to ICU somnolent but arousable. HD catheter, PICC and A-line were placed for CRRT initiation, pressor initiation and hemodynamic monitoring respectively. Patient's hemodynamics continued to worsen evening after ICU transfer and temporary pacemaker was inserted and patient was paced with HR 90-110. Despite pressor support and temporary pacemaker, patient continued to worsen and was persistent in stating he no longer wished for current cares to continue. It was felt patient would not tolerate TAVR or liver transplant at this state as patient was not improving with pressor, CRRT, temporary pacemaker and hemodynamic support and as a result decision was made with family to transition patient to comfort cares. He ultimately succumbed into death on 8/26/2021"
	"1849596-1"	"1849596-1"	"PYREXIA"	"10037660"	"40-49 years"	"40-49"	"Patient did state he had his 2nd dose of Moderna, but it is not documented where this reporter can find the date (would have been sometime in April). He told this reporter he started to not feel well about 3 weeks after his 2nd dose. He eventually felt so bad he sought treatment in July. He was admitted 8/6/2021 with group B streptococcus agalactiae bacteremia, sepsis resulting in fever, encephalopathy and AKI (likely due to SBP).  TTE 8/17 showed severe AR and possible vegetation. TEE 8/18 confirmed infective endocarditis c/b AoV insufficiency. Patient is not an IV drug user.  Hospital course also complicated by Afib w RVR and was started on dilt drip, now off as patient's HR improved and he has had low BP in setting of likely worsening AoV insufficiency. Patient also with pulmonary edema periodically requiring 1-2L O2 . Furthermore, 8/22 patient had short run of torsades treated with Mag  Over the past several days, patient has developed hepatocardiorenal syndrome with worsening AKI. Transfer to ICU for consideration of CRRT initiation. Structural and CT surgery following due to severe AI. Tentative plan for TAVR. Patient with slowly worsening AMS as well, acute-subacutely worsening today. Thought to be due to hypoperfusion v acute illness. Cosyntropin stim test for hypothermia negative.  Patient arrived to ICU somnolent but arousable. HD catheter, PICC and A-line were placed for CRRT initiation, pressor initiation and hemodynamic monitoring respectively. Patient's hemodynamics continued to worsen evening after ICU transfer and temporary pacemaker was inserted and patient was paced with HR 90-110. Despite pressor support and temporary pacemaker, patient continued to worsen and was persistent in stating he no longer wished for current cares to continue. It was felt patient would not tolerate TAVR or liver transplant at this state as patient was not improving with pressor, CRRT, temporary pacemaker and hemodynamic support and as a result decision was made with family to transition patient to comfort cares. He ultimately succumbed into death on 8/26/2021"
	"1849596-1"	"1849596-1"	"SEPSIS"	"10040047"	"40-49 years"	"40-49"	"Patient did state he had his 2nd dose of Moderna, but it is not documented where this reporter can find the date (would have been sometime in April). He told this reporter he started to not feel well about 3 weeks after his 2nd dose. He eventually felt so bad he sought treatment in July. He was admitted 8/6/2021 with group B streptococcus agalactiae bacteremia, sepsis resulting in fever, encephalopathy and AKI (likely due to SBP).  TTE 8/17 showed severe AR and possible vegetation. TEE 8/18 confirmed infective endocarditis c/b AoV insufficiency. Patient is not an IV drug user.  Hospital course also complicated by Afib w RVR and was started on dilt drip, now off as patient's HR improved and he has had low BP in setting of likely worsening AoV insufficiency. Patient also with pulmonary edema periodically requiring 1-2L O2 . Furthermore, 8/22 patient had short run of torsades treated with Mag  Over the past several days, patient has developed hepatocardiorenal syndrome with worsening AKI. Transfer to ICU for consideration of CRRT initiation. Structural and CT surgery following due to severe AI. Tentative plan for TAVR. Patient with slowly worsening AMS as well, acute-subacutely worsening today. Thought to be due to hypoperfusion v acute illness. Cosyntropin stim test for hypothermia negative.  Patient arrived to ICU somnolent but arousable. HD catheter, PICC and A-line were placed for CRRT initiation, pressor initiation and hemodynamic monitoring respectively. Patient's hemodynamics continued to worsen evening after ICU transfer and temporary pacemaker was inserted and patient was paced with HR 90-110. Despite pressor support and temporary pacemaker, patient continued to worsen and was persistent in stating he no longer wished for current cares to continue. It was felt patient would not tolerate TAVR or liver transplant at this state as patient was not improving with pressor, CRRT, temporary pacemaker and hemodynamic support and as a result decision was made with family to transition patient to comfort cares. He ultimately succumbed into death on 8/26/2021"
	"1849596-1"	"1849596-1"	"SOMNOLENCE"	"10041349"	"40-49 years"	"40-49"	"Patient did state he had his 2nd dose of Moderna, but it is not documented where this reporter can find the date (would have been sometime in April). He told this reporter he started to not feel well about 3 weeks after his 2nd dose. He eventually felt so bad he sought treatment in July. He was admitted 8/6/2021 with group B streptococcus agalactiae bacteremia, sepsis resulting in fever, encephalopathy and AKI (likely due to SBP).  TTE 8/17 showed severe AR and possible vegetation. TEE 8/18 confirmed infective endocarditis c/b AoV insufficiency. Patient is not an IV drug user.  Hospital course also complicated by Afib w RVR and was started on dilt drip, now off as patient's HR improved and he has had low BP in setting of likely worsening AoV insufficiency. Patient also with pulmonary edema periodically requiring 1-2L O2 . Furthermore, 8/22 patient had short run of torsades treated with Mag  Over the past several days, patient has developed hepatocardiorenal syndrome with worsening AKI. Transfer to ICU for consideration of CRRT initiation. Structural and CT surgery following due to severe AI. Tentative plan for TAVR. Patient with slowly worsening AMS as well, acute-subacutely worsening today. Thought to be due to hypoperfusion v acute illness. Cosyntropin stim test for hypothermia negative.  Patient arrived to ICU somnolent but arousable. HD catheter, PICC and A-line were placed for CRRT initiation, pressor initiation and hemodynamic monitoring respectively. Patient's hemodynamics continued to worsen evening after ICU transfer and temporary pacemaker was inserted and patient was paced with HR 90-110. Despite pressor support and temporary pacemaker, patient continued to worsen and was persistent in stating he no longer wished for current cares to continue. It was felt patient would not tolerate TAVR or liver transplant at this state as patient was not improving with pressor, CRRT, temporary pacemaker and hemodynamic support and as a result decision was made with family to transition patient to comfort cares. He ultimately succumbed into death on 8/26/2021"
	"1849596-1"	"1849596-1"	"STREPTOCOCCAL BACTERAEMIA"	"10051018"	"40-49 years"	"40-49"	"Patient did state he had his 2nd dose of Moderna, but it is not documented where this reporter can find the date (would have been sometime in April). He told this reporter he started to not feel well about 3 weeks after his 2nd dose. He eventually felt so bad he sought treatment in July. He was admitted 8/6/2021 with group B streptococcus agalactiae bacteremia, sepsis resulting in fever, encephalopathy and AKI (likely due to SBP).  TTE 8/17 showed severe AR and possible vegetation. TEE 8/18 confirmed infective endocarditis c/b AoV insufficiency. Patient is not an IV drug user.  Hospital course also complicated by Afib w RVR and was started on dilt drip, now off as patient's HR improved and he has had low BP in setting of likely worsening AoV insufficiency. Patient also with pulmonary edema periodically requiring 1-2L O2 . Furthermore, 8/22 patient had short run of torsades treated with Mag  Over the past several days, patient has developed hepatocardiorenal syndrome with worsening AKI. Transfer to ICU for consideration of CRRT initiation. Structural and CT surgery following due to severe AI. Tentative plan for TAVR. Patient with slowly worsening AMS as well, acute-subacutely worsening today. Thought to be due to hypoperfusion v acute illness. Cosyntropin stim test for hypothermia negative.  Patient arrived to ICU somnolent but arousable. HD catheter, PICC and A-line were placed for CRRT initiation, pressor initiation and hemodynamic monitoring respectively. Patient's hemodynamics continued to worsen evening after ICU transfer and temporary pacemaker was inserted and patient was paced with HR 90-110. Despite pressor support and temporary pacemaker, patient continued to worsen and was persistent in stating he no longer wished for current cares to continue. It was felt patient would not tolerate TAVR or liver transplant at this state as patient was not improving with pressor, CRRT, temporary pacemaker and hemodynamic support and as a result decision was made with family to transition patient to comfort cares. He ultimately succumbed into death on 8/26/2021"
	"1849596-1"	"1849596-1"	"TORSADE DE POINTES"	"10044066"	"40-49 years"	"40-49"	"Patient did state he had his 2nd dose of Moderna, but it is not documented where this reporter can find the date (would have been sometime in April). He told this reporter he started to not feel well about 3 weeks after his 2nd dose. He eventually felt so bad he sought treatment in July. He was admitted 8/6/2021 with group B streptococcus agalactiae bacteremia, sepsis resulting in fever, encephalopathy and AKI (likely due to SBP).  TTE 8/17 showed severe AR and possible vegetation. TEE 8/18 confirmed infective endocarditis c/b AoV insufficiency. Patient is not an IV drug user.  Hospital course also complicated by Afib w RVR and was started on dilt drip, now off as patient's HR improved and he has had low BP in setting of likely worsening AoV insufficiency. Patient also with pulmonary edema periodically requiring 1-2L O2 . Furthermore, 8/22 patient had short run of torsades treated with Mag  Over the past several days, patient has developed hepatocardiorenal syndrome with worsening AKI. Transfer to ICU for consideration of CRRT initiation. Structural and CT surgery following due to severe AI. Tentative plan for TAVR. Patient with slowly worsening AMS as well, acute-subacutely worsening today. Thought to be due to hypoperfusion v acute illness. Cosyntropin stim test for hypothermia negative.  Patient arrived to ICU somnolent but arousable. HD catheter, PICC and A-line were placed for CRRT initiation, pressor initiation and hemodynamic monitoring respectively. Patient's hemodynamics continued to worsen evening after ICU transfer and temporary pacemaker was inserted and patient was paced with HR 90-110. Despite pressor support and temporary pacemaker, patient continued to worsen and was persistent in stating he no longer wished for current cares to continue. It was felt patient would not tolerate TAVR or liver transplant at this state as patient was not improving with pressor, CRRT, temporary pacemaker and hemodynamic support and as a result decision was made with family to transition patient to comfort cares. He ultimately succumbed into death on 8/26/2021"
	"1851249-1"	"1851249-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Patient was having shortness of breath on 11/6/21 and went to emergency room where he passed away."
	"1851249-1"	"1851249-1"	"DYSPNOEA"	"10013968"	"40-49 years"	"40-49"	"Patient was having shortness of breath on 11/6/21 and went to emergency room where he passed away."
	"1851393-1"	"1851393-1"	"AUTOPSY"	"10050117"	"30-39 years"	"30-39"	"Cardiomyopathy resulting a cardiac event that lead to death."
	"1851393-1"	"1851393-1"	"CARDIOMYOPATHY"	"10007636"	"30-39 years"	"30-39"	"Cardiomyopathy resulting a cardiac event that lead to death."
	"1851393-1"	"1851393-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	"Cardiomyopathy resulting a cardiac event that lead to death."
	"1854245-1"	"1854245-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"40-49 years"	"40-49"	"Shortness of breath, Ascitis, low potassium, cardiac arrest, pneumonia"
	"1854245-1"	"1854245-1"	"ASCITES"	"10003445"	"40-49 years"	"40-49"	"Shortness of breath, Ascitis, low potassium, cardiac arrest, pneumonia"
	"1854245-1"	"1854245-1"	"BLOOD POTASSIUM DECREASED"	"10005724"	"40-49 years"	"40-49"	"Shortness of breath, Ascitis, low potassium, cardiac arrest, pneumonia"
	"1854245-1"	"1854245-1"	"CARDIAC ARREST"	"10007515"	"40-49 years"	"40-49"	"Shortness of breath, Ascitis, low potassium, cardiac arrest, pneumonia"
	"1854245-1"	"1854245-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Shortness of breath, Ascitis, low potassium, cardiac arrest, pneumonia"
	"1854245-1"	"1854245-1"	"DYSPNOEA"	"10013968"	"40-49 years"	"40-49"	"Shortness of breath, Ascitis, low potassium, cardiac arrest, pneumonia"
	"1854245-1"	"1854245-1"	"HYPOKALAEMIA"	"10021015"	"40-49 years"	"40-49"	"Shortness of breath, Ascitis, low potassium, cardiac arrest, pneumonia"
	"1854245-1"	"1854245-1"	"PNEUMONIA"	"10035664"	"40-49 years"	"40-49"	"Shortness of breath, Ascitis, low potassium, cardiac arrest, pneumonia"
	"1854245-1"	"1854245-1"	"RESPIRATORY FAILURE"	"10038695"	"40-49 years"	"40-49"	"Shortness of breath, Ascitis, low potassium, cardiac arrest, pneumonia"
	"1854245-1"	"1854245-1"	"SEPTIC SHOCK"	"10040070"	"40-49 years"	"40-49"	"Shortness of breath, Ascitis, low potassium, cardiac arrest, pneumonia"
	"1854890-1"	"1854890-1"	"COMPLETED SUICIDE"	"10010144"	"40-49 years"	"40-49"	"Suicide on 11/8/21"
	"1857715-1"	"1857715-1"	"SUDDEN CARDIAC DEATH"	"10049418"	"40-49 years"	"40-49"	"Sudden Cardiac Death"
	"1864948-1"	"1864948-1"	"BLOOD PRESSURE DECREASED"	"10005734"	"40-49 years"	"40-49"	"pt presents to ED with SOB, dry cough, chills; O2 sats 62% on RA; placed on NRB mask; eventually required BiPAP; treated with COVID vitamins, steroids, remdisivir, tocilizumab; experienced hypertension and started on Cardene drip; had an episode of vomiting on BiPAP with O2 sats in 60 - 80s; intubated; pt coded 4 x with ROSC achieved; experienced decrease in BP, heart rate and O2 sats; coded and expired in the hosp"
	"1864948-1"	"1864948-1"	"CARDIO-RESPIRATORY ARREST"	"10007617"	"40-49 years"	"40-49"	"pt presents to ED with SOB, dry cough, chills; O2 sats 62% on RA; placed on NRB mask; eventually required BiPAP; treated with COVID vitamins, steroids, remdisivir, tocilizumab; experienced hypertension and started on Cardene drip; had an episode of vomiting on BiPAP with O2 sats in 60 - 80s; intubated; pt coded 4 x with ROSC achieved; experienced decrease in BP, heart rate and O2 sats; coded and expired in the hosp"
	"1864948-1"	"1864948-1"	"CHILLS"	"10008531"	"40-49 years"	"40-49"	"pt presents to ED with SOB, dry cough, chills; O2 sats 62% on RA; placed on NRB mask; eventually required BiPAP; treated with COVID vitamins, steroids, remdisivir, tocilizumab; experienced hypertension and started on Cardene drip; had an episode of vomiting on BiPAP with O2 sats in 60 - 80s; intubated; pt coded 4 x with ROSC achieved; experienced decrease in BP, heart rate and O2 sats; coded and expired in the hosp"
	"1864948-1"	"1864948-1"	"COUGH"	"10011224"	"40-49 years"	"40-49"	"pt presents to ED with SOB, dry cough, chills; O2 sats 62% on RA; placed on NRB mask; eventually required BiPAP; treated with COVID vitamins, steroids, remdisivir, tocilizumab; experienced hypertension and started on Cardene drip; had an episode of vomiting on BiPAP with O2 sats in 60 - 80s; intubated; pt coded 4 x with ROSC achieved; experienced decrease in BP, heart rate and O2 sats; coded and expired in the hosp"
	"1864948-1"	"1864948-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"pt presents to ED with SOB, dry cough, chills; O2 sats 62% on RA; placed on NRB mask; eventually required BiPAP; treated with COVID vitamins, steroids, remdisivir, tocilizumab; experienced hypertension and started on Cardene drip; had an episode of vomiting on BiPAP with O2 sats in 60 - 80s; intubated; pt coded 4 x with ROSC achieved; experienced decrease in BP, heart rate and O2 sats; coded and expired in the hosp"
	"1864948-1"	"1864948-1"	"DYSPNOEA"	"10013968"	"40-49 years"	"40-49"	"pt presents to ED with SOB, dry cough, chills; O2 sats 62% on RA; placed on NRB mask; eventually required BiPAP; treated with COVID vitamins, steroids, remdisivir, tocilizumab; experienced hypertension and started on Cardene drip; had an episode of vomiting on BiPAP with O2 sats in 60 - 80s; intubated; pt coded 4 x with ROSC achieved; experienced decrease in BP, heart rate and O2 sats; coded and expired in the hosp"
	"1864948-1"	"1864948-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"40-49 years"	"40-49"	"pt presents to ED with SOB, dry cough, chills; O2 sats 62% on RA; placed on NRB mask; eventually required BiPAP; treated with COVID vitamins, steroids, remdisivir, tocilizumab; experienced hypertension and started on Cardene drip; had an episode of vomiting on BiPAP with O2 sats in 60 - 80s; intubated; pt coded 4 x with ROSC achieved; experienced decrease in BP, heart rate and O2 sats; coded and expired in the hosp"
	"1864948-1"	"1864948-1"	"HEART RATE DECREASED"	"10019301"	"40-49 years"	"40-49"	"pt presents to ED with SOB, dry cough, chills; O2 sats 62% on RA; placed on NRB mask; eventually required BiPAP; treated with COVID vitamins, steroids, remdisivir, tocilizumab; experienced hypertension and started on Cardene drip; had an episode of vomiting on BiPAP with O2 sats in 60 - 80s; intubated; pt coded 4 x with ROSC achieved; experienced decrease in BP, heart rate and O2 sats; coded and expired in the hosp"
	"1864948-1"	"1864948-1"	"HYPERTENSION"	"10020772"	"40-49 years"	"40-49"	"pt presents to ED with SOB, dry cough, chills; O2 sats 62% on RA; placed on NRB mask; eventually required BiPAP; treated with COVID vitamins, steroids, remdisivir, tocilizumab; experienced hypertension and started on Cardene drip; had an episode of vomiting on BiPAP with O2 sats in 60 - 80s; intubated; pt coded 4 x with ROSC achieved; experienced decrease in BP, heart rate and O2 sats; coded and expired in the hosp"
	"1864948-1"	"1864948-1"	"OXYGEN SATURATION DECREASED"	"10033318"	"40-49 years"	"40-49"	"pt presents to ED with SOB, dry cough, chills; O2 sats 62% on RA; placed on NRB mask; eventually required BiPAP; treated with COVID vitamins, steroids, remdisivir, tocilizumab; experienced hypertension and started on Cardene drip; had an episode of vomiting on BiPAP with O2 sats in 60 - 80s; intubated; pt coded 4 x with ROSC achieved; experienced decrease in BP, heart rate and O2 sats; coded and expired in the hosp"
	"1864948-1"	"1864948-1"	"POSITIVE AIRWAY PRESSURE THERAPY"	"10086397"	"40-49 years"	"40-49"	"pt presents to ED with SOB, dry cough, chills; O2 sats 62% on RA; placed on NRB mask; eventually required BiPAP; treated with COVID vitamins, steroids, remdisivir, tocilizumab; experienced hypertension and started on Cardene drip; had an episode of vomiting on BiPAP with O2 sats in 60 - 80s; intubated; pt coded 4 x with ROSC achieved; experienced decrease in BP, heart rate and O2 sats; coded and expired in the hosp"
	"1864948-1"	"1864948-1"	"VOMITING"	"10047700"	"40-49 years"	"40-49"	"pt presents to ED with SOB, dry cough, chills; O2 sats 62% on RA; placed on NRB mask; eventually required BiPAP; treated with COVID vitamins, steroids, remdisivir, tocilizumab; experienced hypertension and started on Cardene drip; had an episode of vomiting on BiPAP with O2 sats in 60 - 80s; intubated; pt coded 4 x with ROSC achieved; experienced decrease in BP, heart rate and O2 sats; coded and expired in the hosp"
	"1865333-1"	"1865333-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"I am the epidemiologist reporting on behalf of 42 year-old male patient.   Patient received three doses of the Pfizer vaccine, according to immunization records. The first dose was on 02/13/21, the second on 03/06/21, and the third was on 10/16/2021.   According to death certificate, patient was found dead on 10/31/21 at home (15 days post dose 3). Immediate cause of death listed is ?complications of pericarditis.? Interval between onset and death is listed as ?unknown.? I do not have any further details on underlying health conditions that may have contributed to this fatality."
	"1865333-1"	"1865333-1"	"PERICARDITIS"	"10034484"	"40-49 years"	"40-49"	"I am the epidemiologist reporting on behalf of 42 year-old male patient.   Patient received three doses of the Pfizer vaccine, according to immunization records. The first dose was on 02/13/21, the second on 03/06/21, and the third was on 10/16/2021.   According to death certificate, patient was found dead on 10/31/21 at home (15 days post dose 3). Immediate cause of death listed is ?complications of pericarditis.? Interval between onset and death is listed as ?unknown.? I do not have any further details on underlying health conditions that may have contributed to this fatality."
	"1869491-1"	"1869491-1"	"AUTOPSY"	"10050117"	"40-49 years"	"40-49"	"Immediately following the first Moderna vaccine, Patient was experiencing headaches and blurred vision.  The decedent was admitted to Hospital on 9/12/2021, transported by EMS from home.  According to patient, she had just finished cooking lunch when she heard a loud thud.  She found patient on the bathroom floor unresponsive.  Patient had no known medical conditions.  He died at Hospital on 9/15/2021.  An autopsy and toxicology testing was completed by the County Coroner's Office."
	"1869491-1"	"1869491-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Immediately following the first Moderna vaccine, Patient was experiencing headaches and blurred vision.  The decedent was admitted to Hospital on 9/12/2021, transported by EMS from home.  According to patient, she had just finished cooking lunch when she heard a loud thud.  She found patient on the bathroom floor unresponsive.  Patient had no known medical conditions.  He died at Hospital on 9/15/2021.  An autopsy and toxicology testing was completed by the County Coroner's Office."
	"1869491-1"	"1869491-1"	"HEADACHE"	"10019211"	"40-49 years"	"40-49"	"Immediately following the first Moderna vaccine, Patient was experiencing headaches and blurred vision.  The decedent was admitted to Hospital on 9/12/2021, transported by EMS from home.  According to patient, she had just finished cooking lunch when she heard a loud thud.  She found patient on the bathroom floor unresponsive.  Patient had no known medical conditions.  He died at Hospital on 9/15/2021.  An autopsy and toxicology testing was completed by the County Coroner's Office."
	"1869491-1"	"1869491-1"	"IMMEDIATE POST-INJECTION REACTION"	"10067142"	"40-49 years"	"40-49"	"Immediately following the first Moderna vaccine, Patient was experiencing headaches and blurred vision.  The decedent was admitted to Hospital on 9/12/2021, transported by EMS from home.  According to patient, she had just finished cooking lunch when she heard a loud thud.  She found patient on the bathroom floor unresponsive.  Patient had no known medical conditions.  He died at Hospital on 9/15/2021.  An autopsy and toxicology testing was completed by the County Coroner's Office."
	"1869491-1"	"1869491-1"	"TOXICOLOGIC TEST"	"10061384"	"40-49 years"	"40-49"	"Immediately following the first Moderna vaccine, Patient was experiencing headaches and blurred vision.  The decedent was admitted to Hospital on 9/12/2021, transported by EMS from home.  According to patient, she had just finished cooking lunch when she heard a loud thud.  She found patient on the bathroom floor unresponsive.  Patient had no known medical conditions.  He died at Hospital on 9/15/2021.  An autopsy and toxicology testing was completed by the County Coroner's Office."
	"1869491-1"	"1869491-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"40-49 years"	"40-49"	"Immediately following the first Moderna vaccine, Patient was experiencing headaches and blurred vision.  The decedent was admitted to Hospital on 9/12/2021, transported by EMS from home.  According to patient, she had just finished cooking lunch when she heard a loud thud.  She found patient on the bathroom floor unresponsive.  Patient had no known medical conditions.  He died at Hospital on 9/15/2021.  An autopsy and toxicology testing was completed by the County Coroner's Office."
	"1869491-1"	"1869491-1"	"VISION BLURRED"	"10047513"	"40-49 years"	"40-49"	"Immediately following the first Moderna vaccine, Patient was experiencing headaches and blurred vision.  The decedent was admitted to Hospital on 9/12/2021, transported by EMS from home.  According to patient, she had just finished cooking lunch when she heard a loud thud.  She found patient on the bathroom floor unresponsive.  Patient had no known medical conditions.  He died at Hospital on 9/15/2021.  An autopsy and toxicology testing was completed by the County Coroner's Office."
	"1869927-1"	"1869927-1"	"FATIGUE"	"10016256"	"30-39 years"	"30-39"	"General malaise, fatigue."
	"1869927-1"	"1869927-1"	"MALAISE"	"10025482"	"30-39 years"	"30-39"	"General malaise, fatigue."
	"1873570-1"	"1873570-1"	"AUTOPSY"	"10050117"	"40-49 years"	"40-49"	"Sudden death due to heart event while at the beach at 7:00 am in the morning. CPR performed for an hour. Heart could not be restarted as my husband had the event in the water."
	"1873570-1"	"1873570-1"	"CARDIAC ARREST"	"10007515"	"40-49 years"	"40-49"	"Sudden death due to heart event while at the beach at 7:00 am in the morning. CPR performed for an hour. Heart could not be restarted as my husband had the event in the water."
	"1873570-1"	"1873570-1"	"RESUSCITATION"	"10038749"	"40-49 years"	"40-49"	"Sudden death due to heart event while at the beach at 7:00 am in the morning. CPR performed for an hour. Heart could not be restarted as my husband had the event in the water."
	"1873570-1"	"1873570-1"	"SUDDEN DEATH"	"10042434"	"40-49 years"	"40-49"	"Sudden death due to heart event while at the beach at 7:00 am in the morning. CPR performed for an hour. Heart could not be restarted as my husband had the event in the water."
	"1876073-1"	"1876073-1"	"CARDIAC ARREST"	"10007515"	"40-49 years"	"40-49"	"Report made to agency 11/16/2021 @ 17:45: Severe respiratory distress, profuse diaphoresis, hypoxia, tachycardia 11/16/2021 @ 18:06: Respiratory arrest 11/16/2021 @ 18:10: Ventricular fibrillation, cardiac arrest. Unsuccessful resuscitation. Time of death 18:52 on 11/16/2021"
	"1876073-1"	"1876073-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Report made to agency 11/16/2021 @ 17:45: Severe respiratory distress, profuse diaphoresis, hypoxia, tachycardia 11/16/2021 @ 18:06: Respiratory arrest 11/16/2021 @ 18:10: Ventricular fibrillation, cardiac arrest. Unsuccessful resuscitation. Time of death 18:52 on 11/16/2021"
	"1876073-1"	"1876073-1"	"HYPERHIDROSIS"	"10020642"	"40-49 years"	"40-49"	"Report made to agency 11/16/2021 @ 17:45: Severe respiratory distress, profuse diaphoresis, hypoxia, tachycardia 11/16/2021 @ 18:06: Respiratory arrest 11/16/2021 @ 18:10: Ventricular fibrillation, cardiac arrest. Unsuccessful resuscitation. Time of death 18:52 on 11/16/2021"
	"1876073-1"	"1876073-1"	"HYPOXIA"	"10021143"	"40-49 years"	"40-49"	"Report made to agency 11/16/2021 @ 17:45: Severe respiratory distress, profuse diaphoresis, hypoxia, tachycardia 11/16/2021 @ 18:06: Respiratory arrest 11/16/2021 @ 18:10: Ventricular fibrillation, cardiac arrest. Unsuccessful resuscitation. Time of death 18:52 on 11/16/2021"
	"1876073-1"	"1876073-1"	"INFLUENZA A VIRUS TEST NEGATIVE"	"10070417"	"40-49 years"	"40-49"	"Report made to agency 11/16/2021 @ 17:45: Severe respiratory distress, profuse diaphoresis, hypoxia, tachycardia 11/16/2021 @ 18:06: Respiratory arrest 11/16/2021 @ 18:10: Ventricular fibrillation, cardiac arrest. Unsuccessful resuscitation. Time of death 18:52 on 11/16/2021"
	"1876073-1"	"1876073-1"	"INFLUENZA B VIRUS TEST"	"10071544"	"40-49 years"	"40-49"	"Report made to agency 11/16/2021 @ 17:45: Severe respiratory distress, profuse diaphoresis, hypoxia, tachycardia 11/16/2021 @ 18:06: Respiratory arrest 11/16/2021 @ 18:10: Ventricular fibrillation, cardiac arrest. Unsuccessful resuscitation. Time of death 18:52 on 11/16/2021"
	"1876073-1"	"1876073-1"	"RESPIRATORY ARREST"	"10038669"	"40-49 years"	"40-49"	"Report made to agency 11/16/2021 @ 17:45: Severe respiratory distress, profuse diaphoresis, hypoxia, tachycardia 11/16/2021 @ 18:06: Respiratory arrest 11/16/2021 @ 18:10: Ventricular fibrillation, cardiac arrest. Unsuccessful resuscitation. Time of death 18:52 on 11/16/2021"
	"1876073-1"	"1876073-1"	"RESPIRATORY DISTRESS"	"10038687"	"40-49 years"	"40-49"	"Report made to agency 11/16/2021 @ 17:45: Severe respiratory distress, profuse diaphoresis, hypoxia, tachycardia 11/16/2021 @ 18:06: Respiratory arrest 11/16/2021 @ 18:10: Ventricular fibrillation, cardiac arrest. Unsuccessful resuscitation. Time of death 18:52 on 11/16/2021"
	"1876073-1"	"1876073-1"	"RESPIRATORY SYNCYTIAL VIRUS TEST NEGATIVE"	"10068564"	"40-49 years"	"40-49"	"Report made to agency 11/16/2021 @ 17:45: Severe respiratory distress, profuse diaphoresis, hypoxia, tachycardia 11/16/2021 @ 18:06: Respiratory arrest 11/16/2021 @ 18:10: Ventricular fibrillation, cardiac arrest. Unsuccessful resuscitation. Time of death 18:52 on 11/16/2021"
	"1876073-1"	"1876073-1"	"RESUSCITATION"	"10038749"	"40-49 years"	"40-49"	"Report made to agency 11/16/2021 @ 17:45: Severe respiratory distress, profuse diaphoresis, hypoxia, tachycardia 11/16/2021 @ 18:06: Respiratory arrest 11/16/2021 @ 18:10: Ventricular fibrillation, cardiac arrest. Unsuccessful resuscitation. Time of death 18:52 on 11/16/2021"
	"1876073-1"	"1876073-1"	"SARS-COV-2 TEST NEGATIVE"	"10084273"	"40-49 years"	"40-49"	"Report made to agency 11/16/2021 @ 17:45: Severe respiratory distress, profuse diaphoresis, hypoxia, tachycardia 11/16/2021 @ 18:06: Respiratory arrest 11/16/2021 @ 18:10: Ventricular fibrillation, cardiac arrest. Unsuccessful resuscitation. Time of death 18:52 on 11/16/2021"
	"1876073-1"	"1876073-1"	"TACHYCARDIA"	"10043071"	"40-49 years"	"40-49"	"Report made to agency 11/16/2021 @ 17:45: Severe respiratory distress, profuse diaphoresis, hypoxia, tachycardia 11/16/2021 @ 18:06: Respiratory arrest 11/16/2021 @ 18:10: Ventricular fibrillation, cardiac arrest. Unsuccessful resuscitation. Time of death 18:52 on 11/16/2021"
	"1876073-1"	"1876073-1"	"TROPONIN I INCREASED"	"10058268"	"40-49 years"	"40-49"	"Report made to agency 11/16/2021 @ 17:45: Severe respiratory distress, profuse diaphoresis, hypoxia, tachycardia 11/16/2021 @ 18:06: Respiratory arrest 11/16/2021 @ 18:10: Ventricular fibrillation, cardiac arrest. Unsuccessful resuscitation. Time of death 18:52 on 11/16/2021"
	"1876073-1"	"1876073-1"	"VENTRICULAR FIBRILLATION"	"10047290"	"40-49 years"	"40-49"	"Report made to agency 11/16/2021 @ 17:45: Severe respiratory distress, profuse diaphoresis, hypoxia, tachycardia 11/16/2021 @ 18:06: Respiratory arrest 11/16/2021 @ 18:10: Ventricular fibrillation, cardiac arrest. Unsuccessful resuscitation. Time of death 18:52 on 11/16/2021"
	"1876560-1"	"1876560-1"	"COVID-19"	"10084268"	"40-49 years"	"40-49"	"Fever began 6 days following vaccine and progressed to shortness of breath by day 10. Tested positive for COVID on day 11, admitted to ICU on day 12, intubated and placed on ventilator on day 15, and died on day 57."
	"1876560-1"	"1876560-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Fever began 6 days following vaccine and progressed to shortness of breath by day 10. Tested positive for COVID on day 11, admitted to ICU on day 12, intubated and placed on ventilator on day 15, and died on day 57."
	"1876560-1"	"1876560-1"	"DYSPNOEA"	"10013968"	"40-49 years"	"40-49"	"Fever began 6 days following vaccine and progressed to shortness of breath by day 10. Tested positive for COVID on day 11, admitted to ICU on day 12, intubated and placed on ventilator on day 15, and died on day 57."
	"1876560-1"	"1876560-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"40-49 years"	"40-49"	"Fever began 6 days following vaccine and progressed to shortness of breath by day 10. Tested positive for COVID on day 11, admitted to ICU on day 12, intubated and placed on ventilator on day 15, and died on day 57."
	"1876560-1"	"1876560-1"	"INTENSIVE CARE"	"10022519"	"40-49 years"	"40-49"	"Fever began 6 days following vaccine and progressed to shortness of breath by day 10. Tested positive for COVID on day 11, admitted to ICU on day 12, intubated and placed on ventilator on day 15, and died on day 57."
	"1876560-1"	"1876560-1"	"MECHANICAL VENTILATION"	"10067221"	"40-49 years"	"40-49"	"Fever began 6 days following vaccine and progressed to shortness of breath by day 10. Tested positive for COVID on day 11, admitted to ICU on day 12, intubated and placed on ventilator on day 15, and died on day 57."
	"1876560-1"	"1876560-1"	"PYREXIA"	"10037660"	"40-49 years"	"40-49"	"Fever began 6 days following vaccine and progressed to shortness of breath by day 10. Tested positive for COVID on day 11, admitted to ICU on day 12, intubated and placed on ventilator on day 15, and died on day 57."
	"1876560-1"	"1876560-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"40-49 years"	"40-49"	"Fever began 6 days following vaccine and progressed to shortness of breath by day 10. Tested positive for COVID on day 11, admitted to ICU on day 12, intubated and placed on ventilator on day 15, and died on day 57."
	"1876598-1"	"1876598-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Death"
	"1876630-1"	"1876630-1"	"CONDITION AGGRAVATED"	"10010264"	"40-49 years"	"40-49"	"Patient passed r/t perforated viscus"
	"1876630-1"	"1876630-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Patient passed r/t perforated viscus"
	"1876630-1"	"1876630-1"	"INTESTINAL PERFORATION"	"10022694"	"40-49 years"	"40-49"	"Patient passed r/t perforated viscus"
	"1880937-1"	"1880937-1"	"COVID-19"	"10084268"	"40-49 years"	"40-49"	"PMH:  ESRD, CHF, seizure disorder; hypothyroidism; hypercoagulable state, on chronic Coumadin; to ED due to altered mental state; AFR and positive for COVID; placed on BiPAP; condition worsened; to ICU; COVID protocols followed; metabolic encephalopathy; DNR; sepsis and shock; pt died in the hosp"
	"1880937-1"	"1880937-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"PMH:  ESRD, CHF, seizure disorder; hypothyroidism; hypercoagulable state, on chronic Coumadin; to ED due to altered mental state; AFR and positive for COVID; placed on BiPAP; condition worsened; to ICU; COVID protocols followed; metabolic encephalopathy; DNR; sepsis and shock; pt died in the hosp"
	"1880937-1"	"1880937-1"	"INTENSIVE CARE"	"10022519"	"40-49 years"	"40-49"	"PMH:  ESRD, CHF, seizure disorder; hypothyroidism; hypercoagulable state, on chronic Coumadin; to ED due to altered mental state; AFR and positive for COVID; placed on BiPAP; condition worsened; to ICU; COVID protocols followed; metabolic encephalopathy; DNR; sepsis and shock; pt died in the hosp"
	"1880937-1"	"1880937-1"	"MENTAL DISORDER"	"10061284"	"40-49 years"	"40-49"	"PMH:  ESRD, CHF, seizure disorder; hypothyroidism; hypercoagulable state, on chronic Coumadin; to ED due to altered mental state; AFR and positive for COVID; placed on BiPAP; condition worsened; to ICU; COVID protocols followed; metabolic encephalopathy; DNR; sepsis and shock; pt died in the hosp"
	"1880937-1"	"1880937-1"	"METABOLIC ENCEPHALOPATHY"	"10062190"	"40-49 years"	"40-49"	"PMH:  ESRD, CHF, seizure disorder; hypothyroidism; hypercoagulable state, on chronic Coumadin; to ED due to altered mental state; AFR and positive for COVID; placed on BiPAP; condition worsened; to ICU; COVID protocols followed; metabolic encephalopathy; DNR; sepsis and shock; pt died in the hosp"
	"1880937-1"	"1880937-1"	"POSITIVE AIRWAY PRESSURE THERAPY"	"10086397"	"40-49 years"	"40-49"	"PMH:  ESRD, CHF, seizure disorder; hypothyroidism; hypercoagulable state, on chronic Coumadin; to ED due to altered mental state; AFR and positive for COVID; placed on BiPAP; condition worsened; to ICU; COVID protocols followed; metabolic encephalopathy; DNR; sepsis and shock; pt died in the hosp"
	"1880937-1"	"1880937-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"40-49 years"	"40-49"	"PMH:  ESRD, CHF, seizure disorder; hypothyroidism; hypercoagulable state, on chronic Coumadin; to ED due to altered mental state; AFR and positive for COVID; placed on BiPAP; condition worsened; to ICU; COVID protocols followed; metabolic encephalopathy; DNR; sepsis and shock; pt died in the hosp"
	"1880937-1"	"1880937-1"	"SEPSIS"	"10040047"	"40-49 years"	"40-49"	"PMH:  ESRD, CHF, seizure disorder; hypothyroidism; hypercoagulable state, on chronic Coumadin; to ED due to altered mental state; AFR and positive for COVID; placed on BiPAP; condition worsened; to ICU; COVID protocols followed; metabolic encephalopathy; DNR; sepsis and shock; pt died in the hosp"
	"1880937-1"	"1880937-1"	"SHOCK"	"10040560"	"40-49 years"	"40-49"	"PMH:  ESRD, CHF, seizure disorder; hypothyroidism; hypercoagulable state, on chronic Coumadin; to ED due to altered mental state; AFR and positive for COVID; placed on BiPAP; condition worsened; to ICU; COVID protocols followed; metabolic encephalopathy; DNR; sepsis and shock; pt died in the hosp"
	"1881317-1"	"1881317-1"	"ACTIVATED PARTIAL THROMBOPLASTIN TIME NORMAL"	"10000635"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"ACUTE LEFT VENTRICULAR FAILURE"	"10063081"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"ACUTE PULMONARY OEDEMA"	"10001029"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"ALANINE AMINOTRANSFERASE NORMAL"	"10001552"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"ALBUMIN GLOBULIN RATIO DECREASED"	"10001565"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"ALCOHOL ABUSE"	"10001584"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"ANION GAP NORMAL"	"10002530"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"ANTICOAGULANT THERAPY"	"10053468"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"ARTERIOSCLEROSIS"	"10003210"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"ASCITES"	"10003445"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"ASPARTATE AMINOTRANSFERASE NORMAL"	"10003482"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"ATRIAL FIBRILLATION"	"10003658"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"BASOPHIL COUNT DECREASED"	"10004167"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"BASOPHIL PERCENTAGE DECREASED"	"10052219"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"BLOOD ALBUMIN DECREASED"	"10005287"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"BLOOD ALKALINE PHOSPHATASE INCREASED"	"10059570"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"BLOOD BILIRUBIN INCREASED"	"10005364"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"BLOOD CALCIUM DECREASED"	"10005395"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"BLOOD CHLORIDE DECREASED"	"10005419"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"BLOOD CREATININE INCREASED"	"10005483"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"BLOOD CULTURE NEGATIVE"	"10005486"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"BLOOD GLUCOSE INCREASED"	"10005557"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"BLOOD MAGNESIUM NORMAL"	"10005656"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"BLOOD PHOSPHORUS NORMAL"	"10054887"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"BLOOD POTASSIUM NORMAL"	"10005726"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"BLOOD SODIUM DECREASED"	"10005802"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"BLOOD THYROID STIMULATING HORMONE NORMAL"	"10005834"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"BLOOD UREA INCREASED"	"10005851"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"BLOOD UREA NITROGEN/CREATININE RATIO INCREASED"	"10050760"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"CARBON DIOXIDE DECREASED"	"10007223"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"CARDIAC FAILURE CONGESTIVE"	"10007559"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"CARDIAC VENTRICULAR THROMBOSIS"	"10053994"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"CARDIOGENIC SHOCK"	"10007625"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"CARDIOMEGALY"	"10007632"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"CHRONIC LEFT VENTRICULAR FAILURE"	"10063083"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"COMPUTERISED TOMOGRAM ABDOMEN ABNORMAL"	"10057798"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"COMPUTERISED TOMOGRAM HEAD NORMAL"	"10072167"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"COMPUTERISED TOMOGRAM THORAX ABNORMAL"	"10057799"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"CONDITION AGGRAVATED"	"10010264"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"DIFFERENTIAL WHITE BLOOD CELL COUNT ABNORMAL"	"10012785"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"DIVERTICULUM"	"10013554"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"EOSINOPHIL COUNT DECREASED"	"10014943"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"EOSINOPHIL PERCENTAGE DECREASED"	"10052221"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"FULL BLOOD COUNT"	"10017411"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"GLOBULINS INCREASED"	"10018350"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"GLOMERULAR FILTRATION RATE INCREASED"	"10018359"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"GLYCOSYLATED HAEMOGLOBIN NORMAL"	"10018485"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"HAEMATOCRIT DECREASED"	"10018838"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"HAEMOGLOBIN DECREASED"	"10018884"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"HYPONATRAEMIA"	"10021036"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"HYPOTHYROIDISM"	"10021114"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"INTENSIVE CARE"	"10022519"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"LEUKOCYTOSIS"	"10024378"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"LIVER FUNCTION TEST ABNORMAL"	"10024690"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"LYMPHOCYTE COUNT INCREASED"	"10025258"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"LYMPHOCYTE PERCENTAGE INCREASED"	"10052232"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"MEAN CELL HAEMOGLOBIN CONCENTRATION DECREASED"	"10026991"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"MEAN CELL HAEMOGLOBIN NORMAL"	"10026997"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"MEAN CELL VOLUME INCREASED"	"10027004"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"MEAN PLATELET VOLUME INCREASED"	"10055052"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"MENTAL STATUS CHANGES"	"10048294"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"METABOLIC ACIDOSIS"	"10027417"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"METABOLIC ENCEPHALOPATHY"	"10062190"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"MONOCYTE COUNT NORMAL"	"10027882"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"MONOCYTE PERCENTAGE DECREASED"	"10052229"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"NEUTROPHIL COUNT INCREASED"	"10029368"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"NEUTROPHIL PERCENTAGE DECREASED"	"10052223"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"OEDEMA"	"10030095"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"PLATELET COUNT DECREASED"	"10035528"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"PROTEIN TOTAL NORMAL"	"10037017"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"PULMONARY CONGESTION"	"10037368"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"RED BLOOD CELL COUNT DECREASED"	"10038153"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"RED CELL DISTRIBUTION WIDTH INCREASED"	"10053920"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"SARS-COV-2 TEST NEGATIVE"	"10084273"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"THROMBOCYTOPENIA"	"10043554"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"ULTRASOUND KIDNEY NORMAL"	"10045423"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1881317-1"	"1881317-1"	"WHITE BLOOD CELL COUNT INCREASED"	"10047943"	"40-49 years"	"40-49"	"11/3/21  Altered Mental Status      Per EMS, neighbors called for altered mental status, unknown last known well. Per neighbors, pt is usually A&Ox4. Per EMS, pt follows commands, unable to answer any questions.   Cardiogenic shock Procedures: 1. CT head: No acute disease 2. CT chest noncontrast: Acute on chronic pulmonary vascular congestion.  Marked cardiomegaly. 3. CT abdomen/pelvis: Perihepatic and upper abdominal and pelvic ascites with moderate body wall edema.  Advanced atherosclerosis.  Mild diverticular disease 4. Renal ultrasound: Normal 5. Blood cultures: No growth 6. COVID-19: Negative 7. Hemoglobin A1c: 8.4 8. TSH: 6.8  10/30/21:  This patient was a 49-year-old male with a past medical history significant for chronic systolic CHF with EF 14%, type II poorly controlled diabetes mellitus, LV thrombus on Eliquis, hypertension, chronic kidney disease, history of alcohol abuse, and a history of medical noncompliance who presented to hospital secondary to an altered mental status.  She was admitted to the intensive care unit for cardiogenic shock secondary to an acute on chronic systolic CHF and metabolic encephalopathy.  The patient was seen and evaluated by the heart failure group at which time it was noted that this patient has remained noncompliant in the outpatient setting as well.  Over the course of his hospitalization, multiple discussions took place regarding his status.  He eventually agreed to DNR status.  He did require multiple continuous drips that included dopamine, Neo-Synephrine, Levophed, vasopressin, milrinone, heparin, amiodarone, Bumex, Precedex, and dopamine drips during the hospitalization.  Unfortunately, given his noncompliance, there was little that could be done.  Despite multiple continuous drips, the patient eventually expired on November 3, 2021 at 1924."
	"1885098-1"	"1885098-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Patient fully vaccinated. Hospitalized on 11/03/2021. Expired on 11/19/2021"
	"1894771-1"	"1894771-1"	"COVID-19"	"10084268"	"40-49 years"	"40-49"	"Death related to COVID illness"
	"1894771-1"	"1894771-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Death related to COVID illness"
	"1897224-1"	"1897224-1"	"BACK PAIN"	"10003988"	"40-49 years"	"40-49"	"My brother died 1-2 weeks after receiving his second Moderna vaccine.  Outcome was death.  The coroner marked an enlarged heart as a significant contribution to his cause of death along with a combination of prescription drugs for back pain and depression.  There was no previous awareness of an enlarged heart in his life."
	"1897224-1"	"1897224-1"	"CARDIOMEGALY"	"10007632"	"40-49 years"	"40-49"	"My brother died 1-2 weeks after receiving his second Moderna vaccine.  Outcome was death.  The coroner marked an enlarged heart as a significant contribution to his cause of death along with a combination of prescription drugs for back pain and depression.  There was no previous awareness of an enlarged heart in his life."
	"1897224-1"	"1897224-1"	"CONDITION AGGRAVATED"	"10010264"	"40-49 years"	"40-49"	"My brother died 1-2 weeks after receiving his second Moderna vaccine.  Outcome was death.  The coroner marked an enlarged heart as a significant contribution to his cause of death along with a combination of prescription drugs for back pain and depression.  There was no previous awareness of an enlarged heart in his life."
	"1897224-1"	"1897224-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"My brother died 1-2 weeks after receiving his second Moderna vaccine.  Outcome was death.  The coroner marked an enlarged heart as a significant contribution to his cause of death along with a combination of prescription drugs for back pain and depression.  There was no previous awareness of an enlarged heart in his life."
	"1897224-1"	"1897224-1"	"DEPRESSION"	"10012378"	"40-49 years"	"40-49"	"My brother died 1-2 weeks after receiving his second Moderna vaccine.  Outcome was death.  The coroner marked an enlarged heart as a significant contribution to his cause of death along with a combination of prescription drugs for back pain and depression.  There was no previous awareness of an enlarged heart in his life."
	"1897224-1"	"1897224-1"	"TOXICOLOGIC TEST"	"10061384"	"40-49 years"	"40-49"	"My brother died 1-2 weeks after receiving his second Moderna vaccine.  Outcome was death.  The coroner marked an enlarged heart as a significant contribution to his cause of death along with a combination of prescription drugs for back pain and depression.  There was no previous awareness of an enlarged heart in his life."
	"1901641-1"	"1901641-1"	"AMNESIA"	"10001949"	"40-49 years"	"40-49"	""""Stabbing"" headaches, progressive memory loss, unexplained uncontrollable swelling below the waist, loss of bowel & bladder control, deaf in right ear, blind spot in left eye, could no longer perform basic movements independently.""
	"1901641-1"	"1901641-1"	"ANAL INCONTINENCE"	"10077605"	"40-49 years"	"40-49"	""""Stabbing"" headaches, progressive memory loss, unexplained uncontrollable swelling below the waist, loss of bowel & bladder control, deaf in right ear, blind spot in left eye, could no longer perform basic movements independently.""
	"1901641-1"	"1901641-1"	"DEAFNESS UNILATERAL"	"10048812"	"40-49 years"	"40-49"	""""Stabbing"" headaches, progressive memory loss, unexplained uncontrollable swelling below the waist, loss of bowel & bladder control, deaf in right ear, blind spot in left eye, could no longer perform basic movements independently.""
	"1901641-1"	"1901641-1"	"HEADACHE"	"10019211"	"40-49 years"	"40-49"	""""Stabbing"" headaches, progressive memory loss, unexplained uncontrollable swelling below the waist, loss of bowel & bladder control, deaf in right ear, blind spot in left eye, could no longer perform basic movements independently.""
	"1901641-1"	"1901641-1"	"MOBILITY DECREASED"	"10048334"	"40-49 years"	"40-49"	""""Stabbing"" headaches, progressive memory loss, unexplained uncontrollable swelling below the waist, loss of bowel & bladder control, deaf in right ear, blind spot in left eye, could no longer perform basic movements independently.""
	"1901641-1"	"1901641-1"	"SWELLING"	"10042674"	"40-49 years"	"40-49"	""""Stabbing"" headaches, progressive memory loss, unexplained uncontrollable swelling below the waist, loss of bowel & bladder control, deaf in right ear, blind spot in left eye, could no longer perform basic movements independently.""
	"1901641-1"	"1901641-1"	"URINARY INCONTINENCE"	"10046543"	"40-49 years"	"40-49"	""""Stabbing"" headaches, progressive memory loss, unexplained uncontrollable swelling below the waist, loss of bowel & bladder control, deaf in right ear, blind spot in left eye, could no longer perform basic movements independently.""
	"1901641-1"	"1901641-1"	"VISUAL FIELD DEFECT"	"10047555"	"40-49 years"	"40-49"	""""Stabbing"" headaches, progressive memory loss, unexplained uncontrollable swelling below the waist, loss of bowel & bladder control, deaf in right ear, blind spot in left eye, could no longer perform basic movements independently.""
	"1905891-1"	"1905891-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"40-49 years"	"40-49"	"Pt.'s states that after receiving the 1st dose of Phizer 08/18/2021, started experiencing symptoms 08/25/2021 of shortness of breath, fatigue, dry cough, difficulty breathing while sleeping, and heaviness in the chest. 09/02/2021 Primary visit, Prescribed Inhalers for Follow-Up. Emergency Room transported (passed out), Pt. passed 09/08/2021. Cause of Death : Acute Hypoxia Respiratory Failure and Covid Pneumonia."
	"1905891-1"	"1905891-1"	"CHEST DISCOMFORT"	"10008469"	"40-49 years"	"40-49"	"Pt.'s states that after receiving the 1st dose of Phizer 08/18/2021, started experiencing symptoms 08/25/2021 of shortness of breath, fatigue, dry cough, difficulty breathing while sleeping, and heaviness in the chest. 09/02/2021 Primary visit, Prescribed Inhalers for Follow-Up. Emergency Room transported (passed out), Pt. passed 09/08/2021. Cause of Death : Acute Hypoxia Respiratory Failure and Covid Pneumonia."
	"1905891-1"	"1905891-1"	"COUGH"	"10011224"	"40-49 years"	"40-49"	"Pt.'s states that after receiving the 1st dose of Phizer 08/18/2021, started experiencing symptoms 08/25/2021 of shortness of breath, fatigue, dry cough, difficulty breathing while sleeping, and heaviness in the chest. 09/02/2021 Primary visit, Prescribed Inhalers for Follow-Up. Emergency Room transported (passed out), Pt. passed 09/08/2021. Cause of Death : Acute Hypoxia Respiratory Failure and Covid Pneumonia."
	"1905891-1"	"1905891-1"	"COVID-19 PNEUMONIA"	"10084380"	"40-49 years"	"40-49"	"Pt.'s states that after receiving the 1st dose of Phizer 08/18/2021, started experiencing symptoms 08/25/2021 of shortness of breath, fatigue, dry cough, difficulty breathing while sleeping, and heaviness in the chest. 09/02/2021 Primary visit, Prescribed Inhalers for Follow-Up. Emergency Room transported (passed out), Pt. passed 09/08/2021. Cause of Death : Acute Hypoxia Respiratory Failure and Covid Pneumonia."
	"1905891-1"	"1905891-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Pt.'s states that after receiving the 1st dose of Phizer 08/18/2021, started experiencing symptoms 08/25/2021 of shortness of breath, fatigue, dry cough, difficulty breathing while sleeping, and heaviness in the chest. 09/02/2021 Primary visit, Prescribed Inhalers for Follow-Up. Emergency Room transported (passed out), Pt. passed 09/08/2021. Cause of Death : Acute Hypoxia Respiratory Failure and Covid Pneumonia."
	"1905891-1"	"1905891-1"	"DYSPNOEA"	"10013968"	"40-49 years"	"40-49"	"Pt.'s states that after receiving the 1st dose of Phizer 08/18/2021, started experiencing symptoms 08/25/2021 of shortness of breath, fatigue, dry cough, difficulty breathing while sleeping, and heaviness in the chest. 09/02/2021 Primary visit, Prescribed Inhalers for Follow-Up. Emergency Room transported (passed out), Pt. passed 09/08/2021. Cause of Death : Acute Hypoxia Respiratory Failure and Covid Pneumonia."
	"1905891-1"	"1905891-1"	"FATIGUE"	"10016256"	"40-49 years"	"40-49"	"Pt.'s states that after receiving the 1st dose of Phizer 08/18/2021, started experiencing symptoms 08/25/2021 of shortness of breath, fatigue, dry cough, difficulty breathing while sleeping, and heaviness in the chest. 09/02/2021 Primary visit, Prescribed Inhalers for Follow-Up. Emergency Room transported (passed out), Pt. passed 09/08/2021. Cause of Death : Acute Hypoxia Respiratory Failure and Covid Pneumonia."
	"1905891-1"	"1905891-1"	"LOSS OF CONSCIOUSNESS"	"10024855"	"40-49 years"	"40-49"	"Pt.'s states that after receiving the 1st dose of Phizer 08/18/2021, started experiencing symptoms 08/25/2021 of shortness of breath, fatigue, dry cough, difficulty breathing while sleeping, and heaviness in the chest. 09/02/2021 Primary visit, Prescribed Inhalers for Follow-Up. Emergency Room transported (passed out), Pt. passed 09/08/2021. Cause of Death : Acute Hypoxia Respiratory Failure and Covid Pneumonia."
	"1909570-1"	"1909570-1"	"DEATH"	"10011906"	"30-39 years"	"30-39"	""PATIENT AND MOTHER CAME IN WEDNESDAY 11.24.21  AFTERNOON FOR COVID BOOSTER. MOTHER REPORTED TO PHARMACY ON FRIDAY 11.26.21 (DEPARTMENT CLOSED THURSDAY 11.25.21) THAT PATIENT HAD STARTED FEELING ""UNWELL"" (FEVER/TIREDNESS) LATE 11.24.21 / EARLY 11.25.21. MOTHER REPORTED DIDNT THINK MUCH OF IT BUT THAT HER SON (PATIENT) WAS GOING TO REST. MOTHER REPORTED THAT LATER IN THE DAY SON WENT INTO THE BATHROOM AND WAS IN THERE FOR SOME TIME, WHEN SHE WENT TO CHECK ON HIM, SHE COULD NOT GET THE DOOR OPEN. UPON OPENING THE DOOR,  SON WAS FOUND UNRESPONSIVE. ATTEMPTS TO REVIVE SON BY MEDICAL PERSONEL WERE UNSUCCESSFUL. PER MOTHER AN AUTOPSY IS SCHEDULED BUT AS OF REPORTING NO CAUSE OF DEATH HAS BEEN LISTED.""
	"1909570-1"	"1909570-1"	"FATIGUE"	"10016256"	"30-39 years"	"30-39"	""PATIENT AND MOTHER CAME IN WEDNESDAY 11.24.21  AFTERNOON FOR COVID BOOSTER. MOTHER REPORTED TO PHARMACY ON FRIDAY 11.26.21 (DEPARTMENT CLOSED THURSDAY 11.25.21) THAT PATIENT HAD STARTED FEELING ""UNWELL"" (FEVER/TIREDNESS) LATE 11.24.21 / EARLY 11.25.21. MOTHER REPORTED DIDNT THINK MUCH OF IT BUT THAT HER SON (PATIENT) WAS GOING TO REST. MOTHER REPORTED THAT LATER IN THE DAY SON WENT INTO THE BATHROOM AND WAS IN THERE FOR SOME TIME, WHEN SHE WENT TO CHECK ON HIM, SHE COULD NOT GET THE DOOR OPEN. UPON OPENING THE DOOR,  SON WAS FOUND UNRESPONSIVE. ATTEMPTS TO REVIVE SON BY MEDICAL PERSONEL WERE UNSUCCESSFUL. PER MOTHER AN AUTOPSY IS SCHEDULED BUT AS OF REPORTING NO CAUSE OF DEATH HAS BEEN LISTED.""
	"1909570-1"	"1909570-1"	"MALAISE"	"10025482"	"30-39 years"	"30-39"	""PATIENT AND MOTHER CAME IN WEDNESDAY 11.24.21  AFTERNOON FOR COVID BOOSTER. MOTHER REPORTED TO PHARMACY ON FRIDAY 11.26.21 (DEPARTMENT CLOSED THURSDAY 11.25.21) THAT PATIENT HAD STARTED FEELING ""UNWELL"" (FEVER/TIREDNESS) LATE 11.24.21 / EARLY 11.25.21. MOTHER REPORTED DIDNT THINK MUCH OF IT BUT THAT HER SON (PATIENT) WAS GOING TO REST. MOTHER REPORTED THAT LATER IN THE DAY SON WENT INTO THE BATHROOM AND WAS IN THERE FOR SOME TIME, WHEN SHE WENT TO CHECK ON HIM, SHE COULD NOT GET THE DOOR OPEN. UPON OPENING THE DOOR,  SON WAS FOUND UNRESPONSIVE. ATTEMPTS TO REVIVE SON BY MEDICAL PERSONEL WERE UNSUCCESSFUL. PER MOTHER AN AUTOPSY IS SCHEDULED BUT AS OF REPORTING NO CAUSE OF DEATH HAS BEEN LISTED.""
	"1909570-1"	"1909570-1"	"PYREXIA"	"10037660"	"30-39 years"	"30-39"	""PATIENT AND MOTHER CAME IN WEDNESDAY 11.24.21  AFTERNOON FOR COVID BOOSTER. MOTHER REPORTED TO PHARMACY ON FRIDAY 11.26.21 (DEPARTMENT CLOSED THURSDAY 11.25.21) THAT PATIENT HAD STARTED FEELING ""UNWELL"" (FEVER/TIREDNESS) LATE 11.24.21 / EARLY 11.25.21. MOTHER REPORTED DIDNT THINK MUCH OF IT BUT THAT HER SON (PATIENT) WAS GOING TO REST. MOTHER REPORTED THAT LATER IN THE DAY SON WENT INTO THE BATHROOM AND WAS IN THERE FOR SOME TIME, WHEN SHE WENT TO CHECK ON HIM, SHE COULD NOT GET THE DOOR OPEN. UPON OPENING THE DOOR,  SON WAS FOUND UNRESPONSIVE. ATTEMPTS TO REVIVE SON BY MEDICAL PERSONEL WERE UNSUCCESSFUL. PER MOTHER AN AUTOPSY IS SCHEDULED BUT AS OF REPORTING NO CAUSE OF DEATH HAS BEEN LISTED.""
	"1909570-1"	"1909570-1"	"RESUSCITATION"	"10038749"	"30-39 years"	"30-39"	""PATIENT AND MOTHER CAME IN WEDNESDAY 11.24.21  AFTERNOON FOR COVID BOOSTER. MOTHER REPORTED TO PHARMACY ON FRIDAY 11.26.21 (DEPARTMENT CLOSED THURSDAY 11.25.21) THAT PATIENT HAD STARTED FEELING ""UNWELL"" (FEVER/TIREDNESS) LATE 11.24.21 / EARLY 11.25.21. MOTHER REPORTED DIDNT THINK MUCH OF IT BUT THAT HER SON (PATIENT) WAS GOING TO REST. MOTHER REPORTED THAT LATER IN THE DAY SON WENT INTO THE BATHROOM AND WAS IN THERE FOR SOME TIME, WHEN SHE WENT TO CHECK ON HIM, SHE COULD NOT GET THE DOOR OPEN. UPON OPENING THE DOOR,  SON WAS FOUND UNRESPONSIVE. ATTEMPTS TO REVIVE SON BY MEDICAL PERSONEL WERE UNSUCCESSFUL. PER MOTHER AN AUTOPSY IS SCHEDULED BUT AS OF REPORTING NO CAUSE OF DEATH HAS BEEN LISTED.""
	"1909570-1"	"1909570-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"30-39 years"	"30-39"	""PATIENT AND MOTHER CAME IN WEDNESDAY 11.24.21  AFTERNOON FOR COVID BOOSTER. MOTHER REPORTED TO PHARMACY ON FRIDAY 11.26.21 (DEPARTMENT CLOSED THURSDAY 11.25.21) THAT PATIENT HAD STARTED FEELING ""UNWELL"" (FEVER/TIREDNESS) LATE 11.24.21 / EARLY 11.25.21. MOTHER REPORTED DIDNT THINK MUCH OF IT BUT THAT HER SON (PATIENT) WAS GOING TO REST. MOTHER REPORTED THAT LATER IN THE DAY SON WENT INTO THE BATHROOM AND WAS IN THERE FOR SOME TIME, WHEN SHE WENT TO CHECK ON HIM, SHE COULD NOT GET THE DOOR OPEN. UPON OPENING THE DOOR,  SON WAS FOUND UNRESPONSIVE. ATTEMPTS TO REVIVE SON BY MEDICAL PERSONEL WERE UNSUCCESSFUL. PER MOTHER AN AUTOPSY IS SCHEDULED BUT AS OF REPORTING NO CAUSE OF DEATH HAS BEEN LISTED.""
	"1913456-1"	"1913456-1"	"ASTHENIA"	"10003549"	"40-49 years"	"40-49"	"A few days after taking the vaccine she was very weak and complaining of a headache. The following day she passed away."
	"1913456-1"	"1913456-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"A few days after taking the vaccine she was very weak and complaining of a headache. The following day she passed away."
	"1913456-1"	"1913456-1"	"HEADACHE"	"10019211"	"40-49 years"	"40-49"	"A few days after taking the vaccine she was very weak and complaining of a headache. The following day she passed away."
	"1916577-1"	"1916577-1"	"BLOOD CREATINE INCREASED"	"10005464"	"40-49 years"	"40-49"	"Case completed initial 2 dose Pfizer series in April 2021, and received a booster in September 2021, then was hospitalized for and died of Covid in October 2021.  Summary of Important Events: 9/25 - Covid symptom onset 9/27 - Tested covid positive 10/3 - Seen at ER. Creatinine 1.73, Na 129.  Started on doxycycline 10/6 - Admitted Hospital with worsening Covid, Sa02 77%.  Creatinine 2.18, Na 128.  Start decadron, remdesivir 10/7 - Start baricitinib.  US negative for DVT. 10/13 - Oxygen requirements increase resulting in ICU transfer 10/20 - BLE DVT noted 10/25 - Cefepime for leukocytosis, possible pneumonia 10/27 - Considering transition to comfort care 10/28 - Deceased"
	"1916577-1"	"1916577-1"	"BLOOD SODIUM DECREASED"	"10005802"	"40-49 years"	"40-49"	"Case completed initial 2 dose Pfizer series in April 2021, and received a booster in September 2021, then was hospitalized for and died of Covid in October 2021.  Summary of Important Events: 9/25 - Covid symptom onset 9/27 - Tested covid positive 10/3 - Seen at ER. Creatinine 1.73, Na 129.  Started on doxycycline 10/6 - Admitted Hospital with worsening Covid, Sa02 77%.  Creatinine 2.18, Na 128.  Start decadron, remdesivir 10/7 - Start baricitinib.  US negative for DVT. 10/13 - Oxygen requirements increase resulting in ICU transfer 10/20 - BLE DVT noted 10/25 - Cefepime for leukocytosis, possible pneumonia 10/27 - Considering transition to comfort care 10/28 - Deceased"
	"1916577-1"	"1916577-1"	"COVID-19"	"10084268"	"40-49 years"	"40-49"	"Case completed initial 2 dose Pfizer series in April 2021, and received a booster in September 2021, then was hospitalized for and died of Covid in October 2021.  Summary of Important Events: 9/25 - Covid symptom onset 9/27 - Tested covid positive 10/3 - Seen at ER. Creatinine 1.73, Na 129.  Started on doxycycline 10/6 - Admitted Hospital with worsening Covid, Sa02 77%.  Creatinine 2.18, Na 128.  Start decadron, remdesivir 10/7 - Start baricitinib.  US negative for DVT. 10/13 - Oxygen requirements increase resulting in ICU transfer 10/20 - BLE DVT noted 10/25 - Cefepime for leukocytosis, possible pneumonia 10/27 - Considering transition to comfort care 10/28 - Deceased"
	"1916577-1"	"1916577-1"	"DEATH"	"10011906"	"40-49 years"	"40-49"	"Case completed initial 2 dose Pfizer series in April 2021, and received a booster in September 2021, then was hospitalized for and died of Covid in October 2021.  Summary of Important Events: 9/25 - Covid symptom onset 9/27 - Tested covid positive 10/3 - Seen at ER. Creatinine 1.73, Na 129.  Started on doxycycline 10/6 - Admitted Hospital with worsening Covid, Sa02 77%.  Creatinine 2.18, Na 128.  Start decadron, remdesivir 10/7 - Start baricitinib.  US negative for DVT. 10/13 - Oxygen requirements increase resulting in ICU transfer 10/20 - BLE DVT noted 10/25 - Cefepime for leukocytosis, possible pneumonia 10/27 - Considering transition to comfort care 10/28 - Deceased"
	"1916577-1"	"1916577-1"	"DEEP VEIN THROMBOSIS"	"10051055"	"40-49 years"	"40-49"	"Case completed initial 2 dose Pfizer series in April 2021, and received a booster in September 2021, then was hospitalized for and died of Covid in October 2021.  Summary of Important Events: 9/25 - Covid symptom onset 9/27 - Tested covid positive 10/3 - Seen at ER. Creatinine 1.73, Na 129.  Started on doxycycline 10/6 - Admitted Hospital with worsening Covid, Sa02 77%.  Creatinine 2.18, Na 128.  Start decadron, remdesivir 10/7 - Start baricitinib.  US negative for DVT. 10/13 - Oxygen requirements increase resulting in ICU transfer 10/20 - BLE DVT noted 10/25 - Cefepime for leukocytosis, possible pneumonia 10/27 - Considering transition to comfort care 10/28 - Deceased"
	"1916577-1"	"1916577-1"	"INTENSIVE CARE"	"10022519"	"40-49 years"	"40-49"	"Case completed initial 2 dose Pfizer series in April 2021, and received a booster in September 2021, then was hospitalized for and died of Covid in October 2021.  Summary of Important Events: 9/25 - Covid symptom onset 9/27 - Tested covid positive 10/3 - Seen at ER. Creatinine 1.73, Na 129.  Started on doxycycline 10/6 - Admitted Hospital with worsening Covid, Sa02 77%.  Creatinine 2.18, Na 128.  Start decadron, remdesivir 10/7 - Start baricitinib.  US negative for DVT. 10/13 - Oxygen requirements increase resulting in ICU transfer 10/20 - BLE DVT noted 10/25 - Cefepime for leukocytosis, possible pneumonia 10/27 - Considering transition to comfort care 10/28 - Deceased"
	"1916577-1"	"1916577-1"	"LEUKOCYTOSIS"	"10024378"	"40-49 years"	"40-49"	"Case completed initial 2 dose Pfizer series in April 2021, and received a booster in September 2021, then was hospitalized for and died of Covid in October 2021.  Summary of Important Events: 9/25 - Covid symptom onset 9/27 - Tested covid positive 10/3 - Seen at ER. Creatinine 1.73, Na 129.  Started on doxycycline 10/6 - Admitted Hospital with worsening Covid, Sa02 77%.  Creatinine 2.18, Na 128.  Start decadron, remdesivir 10/7 - Start baricitinib.  US negative for DVT. 10/13 - Oxygen requirements increase resulting in ICU transfer 10/20 - BLE DVT noted 10/25 - Cefepime for leukocytosis, possible pneumonia 10/27 - Considering transition to comfort care 10/28 - Deceased"
	"1916577-1"	"1916577-1"	"MALAISE"	"10025482"	"40-49 years"	"40-49"	"Case completed initial 2 dose Pfizer series in April 2021, and received a booster in September 2021, then was hospitalized for and died of Covid in October 2021.  Summary of Important Events: 9/25 - Covid symptom onset 9/27 - Tested covid positive 10/3 - Seen at ER. Creatinine 1.73, Na 129.  Started on doxycycline 10/6 - Admitted Hospital with worsening Covid, Sa02 77%.  Creatinine 2.18, Na 128.  Start decadron, remdesivir 10/7 - Start baricitinib.  US negative for DVT. 10/13 - Oxygen requirements increase resulting in ICU transfer 10/20 - BLE DVT noted 10/25 - Cefepime for leukocytosis, possible pneumonia 10/27 - Considering transition to comfort care 10/28 - Deceased"
	"1916577-1"	"1916577-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"40-49 years"	"40-49"	"Case completed initial 2 dose Pfizer series in April 2021, and received a booster in September 2021, then was hospitalized for and died of Covid in October 2021.  Summary of Important Events: 9/25 - Covid symptom onset 9/27 - Tested covid positive 10/3 - Seen at ER. Creatinine 1.73, Na 129.  Started on doxycycline 10/6 - Admitted Hospital with worsening Covid, Sa02 77%.  Creatinine 2.18, Na 128.  Start decadron, remdesivir 10/7 - Start baricitinib.  US negative for DVT. 10/13 - Oxygen requirements increase resulting in ICU transfer 10/20 - BLE DVT noted 10/25 - Cefepime for leukocytosis, possible pneumonia 10/27 - Considering transition to comfort care 10/28 - Deceased"
	"1916577-1"	"1916577-1"	"ULTRASOUND DOPPLER NORMAL"	"10045414"	"40-49 years"	"40-49"	"Case completed initial 2 dose Pfizer series in April 2021, and received a booster in September 2021, then was hospitalized for and died of Covid in October 2021.  Summary of Important Events: 9/25 - Covid symptom onset 9/27 - Tested covid positive 10/3 - Seen at ER. Creatinine 1.73, Na 129.  Started on doxycycline 10/6 - Admitted Hospital with worsening Covid, Sa02 77%.  Creatinine 2.18, Na 128.  Start decadron, remdesivir 10/7 - Start baricitinib.  US negative for DVT. 10/13 - Oxygen requirements increase resulting in ICU transfer 10/20 - BLE DVT noted 10/25 - Cefepime for leukocytosis, possible pneumonia 10/27 - Considering transition to comfort care 10/28 - Deceased"
"---"
"Dataset: The Vaccine Adverse Event Reporting System (VAERS)"
"Query Parameters:"
"Title: 211214 CDC covid VAERS report - all reports.txt"
"Age: 30-39 years; 40-49 years"
"Date Died: 2020; 2021"
"Date of Onset: 2020; 2021"
"Date Report Completed: 2020; 2021"
"Date Report Received: 2020; 2021"
"Date Vaccinated: 2020; 2021"
"State / Territory: The United States/Territories/Unknown"
"Vaccine Products: COVID19 VACCINE (COVID19)"
"VAERS ID: All"
"Group By: VAERS ID; Symptoms; Age"
"Show Totals: False"
"Show Zero Values: Disabled"
"---"
"Help: See http://wonder.cdc.gov/wonder/help/vaers.html for more information."
"---"
"Query Date: Dec 14, 2021 3:36:06 PM"
"---"
"Suggested Citation: Accessed at http://wonder.cdc.gov/vaers.html on Dec 14, 2021 3:36:06 PM"
"---"
Messages:
"1. The full results are too long to be displayed, only non-zero rows are available."
"2. VAERS data in CDC WONDER are updated every Friday. Hence, results for the same query can change from week to week."
"3. These results are for 485 total events."
"4. When grouped by VAERS ID, results initially don't show Events Reported, Percent, or totals. Use Quick or More Options to"
"restore them, if you wish."
"5. Click on a VAERS ID to see a report containing detailed information for the event."
"---"
Footnotes:
"1. Submitting a report to VAERS does not mean that healthcare personnel or the vaccine caused or contributed to the adverse"
"event (possible side effect)."
"---"
Caveats:
"1. <p> VAERS accepts reports of adverse events and reactions that occur following vaccination. Healthcare providers, vaccine"
"manufacturers, and the public can submit reports to VAERS. While very important in monitoring vaccine safety, VAERS reports"
"alone cannot be used to determine if a vaccine caused or contributed to an adverse event or illness. The reports may contain"
"information that is incomplete, inaccurate, coincidental, or unverifiable. Most reports to VAERS are voluntary, which means they"
"are subject to biases. This creates specific limitations on how the data can be used scientifically. Data from VAERS reports"
"should always be interpreted with these limitations in mind. </p> <p> The strengths of VAERS are that it is national in scope"
"and can quickly provide an early warning of a safety problem with a vaccine. As part of CDC and FDA's multi-system approach to"
"post-licensure vaccine safety monitoring, VAERS is designed to rapidly detect unusual or unexpected patterns of adverse events,"
"also known as ""safety signals."" If a safety signal is found in VAERS, further studies can be done in safety systems such as"
"the CDC's Vaccine Safety Datalink (VSD) or the Clinical Immunization Safety Assessment (CISA) project. These systems do not have"
"the same limitations as VAERS, and can better assess health risks and possible connections between adverse events and a vaccine."
"</p> <p> Key considerations and limitations of VAERS data: <ul><li> Vaccine providers are encouraged to report any clinically"
"significant health problem following vaccination to VAERS, whether or not they believe the vaccine was the cause. </li><li>"
"Reports may include incomplete, inaccurate, coincidental and unverified information. </li><li> The number of reports alone"
"cannot be interpreted or used to reach conclusions about the existence, severity, frequency, or rates of problems associated"
"with vaccines. </li><li> VAERS data are limited to vaccine adverse event reports received between 1990 and the most recent date"
"for which data are available. </li><li> VAERS data do not represent all known safety information for a vaccine and should be"
"interpreted in the context of other scientific information. </li></ul> </p>"
"2."
"3. Some items may have more than 1 occurrence in any single event report, such as Symptoms, Vaccine Products, Manufacturers, and"
"Event Categories. If data are grouped by any of these items, then the number in the Events Reported column may exceed the total"
"number of unique events. If percentages are shown, then the associated percentage of total unique event reports will exceed 100%"
"in such cases. For example, the number of Symptoms mentioned is likely to exceed the number of events reported, because many"
"reports include more than 1 Symptom. When more than 1 Symptom occurs in a single report, then the percentage of Symptoms to"
"unique events is more than 100%. More information: http://wonder.cdc.gov/wonder/help/vaers.html#Suppress."
"4. Data contains VAERS reports processed as of 12/03/2021. The VAERS data in WONDER are updated weekly, yet the VAERS system"
"receives continuous updates including revisions and new reports for preceding time periods. Duplicate event reports and/or"
"reports determined to be false are removed from VAERS. More information: http://wonder.cdc.gov/wonder/help/vaers.html#Reporting."
"5. About COVID19 vaccines: <UL><LI> For more information on how many persons have been vaccinated in the US for COVID19 to date,"
"see https://covid.cdc.gov/covid-data-tracker/#vaccinations/: <a target= .. </LI><LI> One report may state that the patient"
"received more than one brand of COVID-19 vaccine on the same visit. This is a reporting error, but explains why the total number"
"of reports may not equal the total number of COVID-19 vaccine doses. </LI></UL>"