"Notes" "VAERS ID" "VAERS ID Code" "Symptoms" "Symptoms Code" "Age" "Age Code" Adverse Event Description "0951518-1" "0951518-1" "DEATH" "10011906" "65-79 years" "65-79" ""Narrative: Patient with severe aphasia and only able to say ""hey, hey, hey"" or ""uh huh"" or shake his head no as a way to communicate. Patient previously able to ambulate with significant limp and hyperextension of right knee, but mostly wheelchair bound over last several years as he had had a slow and steady decline in overall health and mobility. Patient developed aggressive behavior of shouting ""hey"" and grabbing of groin in 2016. This was worked up with CT scans, labs, referral to urology, neurology, and referrals to psychiatry. The exact etiology of this action was never able to be affirmed, but thought to be more psychiatrically related. It improved significantly with addition of antipsychotics, worsened when antipsychotics were reduced, and improved again with addition of injectable antipsychotic on 12-10-2020.Patient suffered from falls on occasion given his significantly impaired physical mobility. His last documented fall was 8-31-2019. Patient began utilizing wheelchair most of time following that fall. No significant injuries noted in documentation of the falls. In the last 3 months, patient would often refuse medications. He would sometimes indicate that they would cause dizziness, and other times he would simply refuse. We attempted to hide medications in his food/fluid (with wife's blessing) and when he detected this he would occasionally refuse to eat. Patient previously on DOAC. After pharmacy review in 12/2020 it was recommended to discontinue this as no clear indication to continue use. He was high fall risk and would often refuse this medication as well since 10/2020. Noted to be in NSR on EKGs and decision made to discontinue the DOAC. Patient had no evidence of adverse effects noted after vaccination on December 28th. Patient seen by provider on the morning of his death (1/4/2021) with no noticeable significant change in health condition. Temperature 36.8Con January 4th at 19:45. During routine bedtime cares, patient suddenly collapsed and death was pronounced January 4, 2021 at 20:05. Autopsy was requested from next of kin and no autopsy was granted. Symptoms: & DEATH Treatment:"" "0951518-1" "0951518-1" "SARS-COV-2 TEST NEGATIVE" "10084273" "65-79 years" "65-79" ""Narrative: Patient with severe aphasia and only able to say ""hey, hey, hey"" or ""uh huh"" or shake his head no as a way to communicate. Patient previously able to ambulate with significant limp and hyperextension of right knee, but mostly wheelchair bound over last several years as he had had a slow and steady decline in overall health and mobility. Patient developed aggressive behavior of shouting ""hey"" and grabbing of groin in 2016. This was worked up with CT scans, labs, referral to urology, neurology, and referrals to psychiatry. The exact etiology of this action was never able to be affirmed, but thought to be more psychiatrically related. It improved significantly with addition of antipsychotics, worsened when antipsychotics were reduced, and improved again with addition of injectable antipsychotic on 12-10-2020.Patient suffered from falls on occasion given his significantly impaired physical mobility. His last documented fall was 8-31-2019. Patient began utilizing wheelchair most of time following that fall. No significant injuries noted in documentation of the falls. In the last 3 months, patient would often refuse medications. He would sometimes indicate that they would cause dizziness, and other times he would simply refuse. We attempted to hide medications in his food/fluid (with wife's blessing) and when he detected this he would occasionally refuse to eat. Patient previously on DOAC. After pharmacy review in 12/2020 it was recommended to discontinue this as no clear indication to continue use. He was high fall risk and would often refuse this medication as well since 10/2020. Noted to be in NSR on EKGs and decision made to discontinue the DOAC. Patient had no evidence of adverse effects noted after vaccination on December 28th. Patient seen by provider on the morning of his death (1/4/2021) with no noticeable significant change in health condition. Temperature 36.8Con January 4th at 19:45. During routine bedtime cares, patient suddenly collapsed and death was pronounced January 4, 2021 at 20:05. Autopsy was requested from next of kin and no autopsy was granted. Symptoms: & DEATH Treatment:"" "0951518-1" "0951518-1" "SYNCOPE" "10042772" "65-79 years" "65-79" ""Narrative: Patient with severe aphasia and only able to say ""hey, hey, hey"" or ""uh huh"" or shake his head no as a way to communicate. Patient previously able to ambulate with significant limp and hyperextension of right knee, but mostly wheelchair bound over last several years as he had had a slow and steady decline in overall health and mobility. Patient developed aggressive behavior of shouting ""hey"" and grabbing of groin in 2016. This was worked up with CT scans, labs, referral to urology, neurology, and referrals to psychiatry. The exact etiology of this action was never able to be affirmed, but thought to be more psychiatrically related. It improved significantly with addition of antipsychotics, worsened when antipsychotics were reduced, and improved again with addition of injectable antipsychotic on 12-10-2020.Patient suffered from falls on occasion given his significantly impaired physical mobility. His last documented fall was 8-31-2019. Patient began utilizing wheelchair most of time following that fall. No significant injuries noted in documentation of the falls. In the last 3 months, patient would often refuse medications. He would sometimes indicate that they would cause dizziness, and other times he would simply refuse. We attempted to hide medications in his food/fluid (with wife's blessing) and when he detected this he would occasionally refuse to eat. Patient previously on DOAC. After pharmacy review in 12/2020 it was recommended to discontinue this as no clear indication to continue use. He was high fall risk and would often refuse this medication as well since 10/2020. Noted to be in NSR on EKGs and decision made to discontinue the DOAC. Patient had no evidence of adverse effects noted after vaccination on December 28th. Patient seen by provider on the morning of his death (1/4/2021) with no noticeable significant change in health condition. Temperature 36.8Con January 4th at 19:45. During routine bedtime cares, patient suddenly collapsed and death was pronounced January 4, 2021 at 20:05. Autopsy was requested from next of kin and no autopsy was granted. Symptoms: & DEATH Treatment:"" "1004864-1" "1004864-1" "CARDIAC ARREST" "10007515" "65-79 years" "65-79" ""Patient expired. Per Emergency MD note: ""This is a 72-year-old male with what sounds like diabetes, atrial fibrillation, and hypertension who presents via EMS in cardiac arrest. It sounds like he received his Covid vaccine last week. Initially he had some mild effects from it. However over the last day or so he has felt very unwell. He apparently called his wife today and told her that he was not feeling well and so she returned home. Shortly thereafter he attempted to get up from his chair. He then collapsed and fell forward onto his face. Sounds like his wife had some difficulty rolling him over to perform CPR. When EMS arrived they found him in PEA. He received a total of 5 rounds of epinephrine. At some point they did have return of spontaneous circulation. However just prior to arriving in the emergency department they lost pulses again. The patient was intubated with an 8 oh endotracheal tube prior to arrival."""" "1004864-1" "1004864-1" "DEATH" "10011906" "65-79 years" "65-79" ""Patient expired. Per Emergency MD note: ""This is a 72-year-old male with what sounds like diabetes, atrial fibrillation, and hypertension who presents via EMS in cardiac arrest. It sounds like he received his Covid vaccine last week. Initially he had some mild effects from it. However over the last day or so he has felt very unwell. He apparently called his wife today and told her that he was not feeling well and so she returned home. Shortly thereafter he attempted to get up from his chair. He then collapsed and fell forward onto his face. Sounds like his wife had some difficulty rolling him over to perform CPR. When EMS arrived they found him in PEA. He received a total of 5 rounds of epinephrine. At some point they did have return of spontaneous circulation. However just prior to arriving in the emergency department they lost pulses again. The patient was intubated with an 8 oh endotracheal tube prior to arrival."""" "1004864-1" "1004864-1" "DIABETES MELLITUS" "10012601" "65-79 years" "65-79" ""Patient expired. Per Emergency MD note: ""This is a 72-year-old male with what sounds like diabetes, atrial fibrillation, and hypertension who presents via EMS in cardiac arrest. It sounds like he received his Covid vaccine last week. Initially he had some mild effects from it. However over the last day or so he has felt very unwell. He apparently called his wife today and told her that he was not feeling well and so she returned home. Shortly thereafter he attempted to get up from his chair. He then collapsed and fell forward onto his face. Sounds like his wife had some difficulty rolling him over to perform CPR. When EMS arrived they found him in PEA. He received a total of 5 rounds of epinephrine. At some point they did have return of spontaneous circulation. However just prior to arriving in the emergency department they lost pulses again. The patient was intubated with an 8 oh endotracheal tube prior to arrival."""" "1004864-1" "1004864-1" "ENDOTRACHEAL INTUBATION" "10067450" "65-79 years" "65-79" ""Patient expired. Per Emergency MD note: ""This is a 72-year-old male with what sounds like diabetes, atrial fibrillation, and hypertension who presents via EMS in cardiac arrest. It sounds like he received his Covid vaccine last week. Initially he had some mild effects from it. However over the last day or so he has felt very unwell. He apparently called his wife today and told her that he was not feeling well and so she returned home. Shortly thereafter he attempted to get up from his chair. He then collapsed and fell forward onto his face. Sounds like his wife had some difficulty rolling him over to perform CPR. When EMS arrived they found him in PEA. He received a total of 5 rounds of epinephrine. At some point they did have return of spontaneous circulation. However just prior to arriving in the emergency department they lost pulses again. The patient was intubated with an 8 oh endotracheal tube prior to arrival."""" "1004864-1" "1004864-1" "FALL" "10016173" "65-79 years" "65-79" ""Patient expired. Per Emergency MD note: ""This is a 72-year-old male with what sounds like diabetes, atrial fibrillation, and hypertension who presents via EMS in cardiac arrest. It sounds like he received his Covid vaccine last week. Initially he had some mild effects from it. However over the last day or so he has felt very unwell. He apparently called his wife today and told her that he was not feeling well and so she returned home. Shortly thereafter he attempted to get up from his chair. He then collapsed and fell forward onto his face. Sounds like his wife had some difficulty rolling him over to perform CPR. When EMS arrived they found him in PEA. He received a total of 5 rounds of epinephrine. At some point they did have return of spontaneous circulation. However just prior to arriving in the emergency department they lost pulses again. The patient was intubated with an 8 oh endotracheal tube prior to arrival."""" "1004864-1" "1004864-1" "HYPERTENSION" "10020772" "65-79 years" "65-79" ""Patient expired. Per Emergency MD note: ""This is a 72-year-old male with what sounds like diabetes, atrial fibrillation, and hypertension who presents via EMS in cardiac arrest. It sounds like he received his Covid vaccine last week. Initially he had some mild effects from it. However over the last day or so he has felt very unwell. He apparently called his wife today and told her that he was not feeling well and so she returned home. Shortly thereafter he attempted to get up from his chair. He then collapsed and fell forward onto his face. Sounds like his wife had some difficulty rolling him over to perform CPR. When EMS arrived they found him in PEA. He received a total of 5 rounds of epinephrine. At some point they did have return of spontaneous circulation. However just prior to arriving in the emergency department they lost pulses again. The patient was intubated with an 8 oh endotracheal tube prior to arrival."""" "1004864-1" "1004864-1" "MALAISE" "10025482" "65-79 years" "65-79" ""Patient expired. Per Emergency MD note: ""This is a 72-year-old male with what sounds like diabetes, atrial fibrillation, and hypertension who presents via EMS in cardiac arrest. It sounds like he received his Covid vaccine last week. Initially he had some mild effects from it. However over the last day or so he has felt very unwell. He apparently called his wife today and told her that he was not feeling well and so she returned home. Shortly thereafter he attempted to get up from his chair. He then collapsed and fell forward onto his face. Sounds like his wife had some difficulty rolling him over to perform CPR. When EMS arrived they found him in PEA. He received a total of 5 rounds of epinephrine. At some point they did have return of spontaneous circulation. However just prior to arriving in the emergency department they lost pulses again. The patient was intubated with an 8 oh endotracheal tube prior to arrival."""" "1004864-1" "1004864-1" "PULSE ABSENT" "10037469" "65-79 years" "65-79" ""Patient expired. Per Emergency MD note: ""This is a 72-year-old male with what sounds like diabetes, atrial fibrillation, and hypertension who presents via EMS in cardiac arrest. It sounds like he received his Covid vaccine last week. Initially he had some mild effects from it. However over the last day or so he has felt very unwell. He apparently called his wife today and told her that he was not feeling well and so she returned home. Shortly thereafter he attempted to get up from his chair. He then collapsed and fell forward onto his face. Sounds like his wife had some difficulty rolling him over to perform CPR. When EMS arrived they found him in PEA. He received a total of 5 rounds of epinephrine. At some point they did have return of spontaneous circulation. However just prior to arriving in the emergency department they lost pulses again. The patient was intubated with an 8 oh endotracheal tube prior to arrival."""" "1004864-1" "1004864-1" "PULSELESS ELECTRICAL ACTIVITY" "10058151" "65-79 years" "65-79" ""Patient expired. Per Emergency MD note: ""This is a 72-year-old male with what sounds like diabetes, atrial fibrillation, and hypertension who presents via EMS in cardiac arrest. It sounds like he received his Covid vaccine last week. Initially he had some mild effects from it. However over the last day or so he has felt very unwell. He apparently called his wife today and told her that he was not feeling well and so she returned home. Shortly thereafter he attempted to get up from his chair. He then collapsed and fell forward onto his face. Sounds like his wife had some difficulty rolling him over to perform CPR. When EMS arrived they found him in PEA. He received a total of 5 rounds of epinephrine. At some point they did have return of spontaneous circulation. However just prior to arriving in the emergency department they lost pulses again. The patient was intubated with an 8 oh endotracheal tube prior to arrival."""" "1004864-1" "1004864-1" "RESUSCITATION" "10038749" "65-79 years" "65-79" ""Patient expired. Per Emergency MD note: ""This is a 72-year-old male with what sounds like diabetes, atrial fibrillation, and hypertension who presents via EMS in cardiac arrest. It sounds like he received his Covid vaccine last week. Initially he had some mild effects from it. However over the last day or so he has felt very unwell. He apparently called his wife today and told her that he was not feeling well and so she returned home. Shortly thereafter he attempted to get up from his chair. He then collapsed and fell forward onto his face. Sounds like his wife had some difficulty rolling him over to perform CPR. When EMS arrived they found him in PEA. He received a total of 5 rounds of epinephrine. At some point they did have return of spontaneous circulation. However just prior to arriving in the emergency department they lost pulses again. The patient was intubated with an 8 oh endotracheal tube prior to arrival."""" "1004864-1" "1004864-1" "SYNCOPE" "10042772" "65-79 years" "65-79" ""Patient expired. Per Emergency MD note: ""This is a 72-year-old male with what sounds like diabetes, atrial fibrillation, and hypertension who presents via EMS in cardiac arrest. It sounds like he received his Covid vaccine last week. Initially he had some mild effects from it. However over the last day or so he has felt very unwell. He apparently called his wife today and told her that he was not feeling well and so she returned home. Shortly thereafter he attempted to get up from his chair. He then collapsed and fell forward onto his face. Sounds like his wife had some difficulty rolling him over to perform CPR. When EMS arrived they found him in PEA. He received a total of 5 rounds of epinephrine. At some point they did have return of spontaneous circulation. However just prior to arriving in the emergency department they lost pulses again. The patient was intubated with an 8 oh endotracheal tube prior to arrival."""" "1006994-1" "1006994-1" "COMPUTERISED TOMOGRAM" "10010234" "65-79 years" "65-79" "Patient had one occurrence of thrombotic thrombocytopenic purpura in 1996 for which she had plasma exchange therapy in 1996. No other occurrence since 1996 until she received her first dose of the Pfizer covid vaccine." "1006994-1" "1006994-1" "CONDITION AGGRAVATED" "10010264" "65-79 years" "65-79" "Patient had one occurrence of thrombotic thrombocytopenic purpura in 1996 for which she had plasma exchange therapy in 1996. No other occurrence since 1996 until she received her first dose of the Pfizer covid vaccine." "1006994-1" "1006994-1" "DEATH" "10011906" "65-79 years" "65-79" "Patient had one occurrence of thrombotic thrombocytopenic purpura in 1996 for which she had plasma exchange therapy in 1996. No other occurrence since 1996 until she received her first dose of the Pfizer covid vaccine." "1006994-1" "1006994-1" "THROMBOTIC THROMBOCYTOPENIC PURPURA" "10043648" "65-79 years" "65-79" "Patient had one occurrence of thrombotic thrombocytopenic purpura in 1996 for which she had plasma exchange therapy in 1996. No other occurrence since 1996 until she received her first dose of the Pfizer covid vaccine." "1013297-1" "1013297-1" "ANAL INCONTINENCE" "10077605" "65-79 years" "65-79" "Patient was vaccinated at 11:30am. By 7pm he started presenting symptoms of fatigue, chest pain. Patient urinated and defecated in himself. Was not feeling well. Patient died at 10:30pm." "1013297-1" "1013297-1" "CHEST PAIN" "10008479" "65-79 years" "65-79" "Patient was vaccinated at 11:30am. By 7pm he started presenting symptoms of fatigue, chest pain. Patient urinated and defecated in himself. Was not feeling well. Patient died at 10:30pm." "1013297-1" "1013297-1" "DEATH" "10011906" "65-79 years" "65-79" "Patient was vaccinated at 11:30am. By 7pm he started presenting symptoms of fatigue, chest pain. Patient urinated and defecated in himself. Was not feeling well. Patient died at 10:30pm." "1013297-1" "1013297-1" "FATIGUE" "10016256" "65-79 years" "65-79" "Patient was vaccinated at 11:30am. By 7pm he started presenting symptoms of fatigue, chest pain. Patient urinated and defecated in himself. Was not feeling well. Patient died at 10:30pm." "1013297-1" "1013297-1" "MALAISE" "10025482" "65-79 years" "65-79" "Patient was vaccinated at 11:30am. By 7pm he started presenting symptoms of fatigue, chest pain. Patient urinated and defecated in himself. Was not feeling well. Patient died at 10:30pm." "1013297-1" "1013297-1" "URINARY INCONTINENCE" "10046543" "65-79 years" "65-79" "Patient was vaccinated at 11:30am. By 7pm he started presenting symptoms of fatigue, chest pain. Patient urinated and defecated in himself. Was not feeling well. Patient died at 10:30pm." "1018278-1" "1018278-1" "DEATH" "10011906" "65-79 years" "65-79" "death- unexplained cause" "1019911-1" "1019911-1" "CONDITION AGGRAVATED" "10010264" "65-79 years" "65-79" "Client was administered the vaccine while symptomatic (01/25/21) although client did not know he was symptomatic for COVID-19. He had been exposed to a family member who had tested positive and should have been in quarantine but wasn't either because it was not felt he was considered a close contact by his family opinion or his family member never notified public health of this close contact...?. Clinet had presented to the ED following day after vaccination for shortness of breath and fatigue and an antigen test showed he was positive for COVID-19. He was sent home that same day 01/26/21. He was back in ED on 01/28/21 for worsening symptoms and admitted to hospital and later placed on ventilator. He passed away on 02/09/2021 (date of death was per his wife)." "1019911-1" "1019911-1" "COVID-19" "10084268" "65-79 years" "65-79" "Client was administered the vaccine while symptomatic (01/25/21) although client did not know he was symptomatic for COVID-19. He had been exposed to a family member who had tested positive and should have been in quarantine but wasn't either because it was not felt he was considered a close contact by his family opinion or his family member never notified public health of this close contact...?. Clinet had presented to the ED following day after vaccination for shortness of breath and fatigue and an antigen test showed he was positive for COVID-19. He was sent home that same day 01/26/21. He was back in ED on 01/28/21 for worsening symptoms and admitted to hospital and later placed on ventilator. He passed away on 02/09/2021 (date of death was per his wife)." "1019911-1" "1019911-1" "DEATH" "10011906" "65-79 years" "65-79" "Client was administered the vaccine while symptomatic (01/25/21) although client did not know he was symptomatic for COVID-19. He had been exposed to a family member who had tested positive and should have been in quarantine but wasn't either because it was not felt he was considered a close contact by his family opinion or his family member never notified public health of this close contact...?. Clinet had presented to the ED following day after vaccination for shortness of breath and fatigue and an antigen test showed he was positive for COVID-19. He was sent home that same day 01/26/21. He was back in ED on 01/28/21 for worsening symptoms and admitted to hospital and later placed on ventilator. He passed away on 02/09/2021 (date of death was per his wife)." "1019911-1" "1019911-1" "DYSPNOEA" "10013968" "65-79 years" "65-79" "Client was administered the vaccine while symptomatic (01/25/21) although client did not know he was symptomatic for COVID-19. He had been exposed to a family member who had tested positive and should have been in quarantine but wasn't either because it was not felt he was considered a close contact by his family opinion or his family member never notified public health of this close contact...?. Clinet had presented to the ED following day after vaccination for shortness of breath and fatigue and an antigen test showed he was positive for COVID-19. He was sent home that same day 01/26/21. He was back in ED on 01/28/21 for worsening symptoms and admitted to hospital and later placed on ventilator. He passed away on 02/09/2021 (date of death was per his wife)." "1019911-1" "1019911-1" "EXPOSURE TO SARS-COV-2" "10084456" "65-79 years" "65-79" "Client was administered the vaccine while symptomatic (01/25/21) although client did not know he was symptomatic for COVID-19. He had been exposed to a family member who had tested positive and should have been in quarantine but wasn't either because it was not felt he was considered a close contact by his family opinion or his family member never notified public health of this close contact...?. Clinet had presented to the ED following day after vaccination for shortness of breath and fatigue and an antigen test showed he was positive for COVID-19. He was sent home that same day 01/26/21. He was back in ED on 01/28/21 for worsening symptoms and admitted to hospital and later placed on ventilator. He passed away on 02/09/2021 (date of death was per his wife)." "1019911-1" "1019911-1" "FATIGUE" "10016256" "65-79 years" "65-79" "Client was administered the vaccine while symptomatic (01/25/21) although client did not know he was symptomatic for COVID-19. He had been exposed to a family member who had tested positive and should have been in quarantine but wasn't either because it was not felt he was considered a close contact by his family opinion or his family member never notified public health of this close contact...?. Clinet had presented to the ED following day after vaccination for shortness of breath and fatigue and an antigen test showed he was positive for COVID-19. He was sent home that same day 01/26/21. He was back in ED on 01/28/21 for worsening symptoms and admitted to hospital and later placed on ventilator. He passed away on 02/09/2021 (date of death was per his wife)." "1019911-1" "1019911-1" "MECHANICAL VENTILATION" "10067221" "65-79 years" "65-79" "Client was administered the vaccine while symptomatic (01/25/21) although client did not know he was symptomatic for COVID-19. He had been exposed to a family member who had tested positive and should have been in quarantine but wasn't either because it was not felt he was considered a close contact by his family opinion or his family member never notified public health of this close contact...?. Clinet had presented to the ED following day after vaccination for shortness of breath and fatigue and an antigen test showed he was positive for COVID-19. He was sent home that same day 01/26/21. He was back in ED on 01/28/21 for worsening symptoms and admitted to hospital and later placed on ventilator. He passed away on 02/09/2021 (date of death was per his wife)." "1019911-1" "1019911-1" "SARS-COV-2 TEST POSITIVE" "10084271" "65-79 years" "65-79" "Client was administered the vaccine while symptomatic (01/25/21) although client did not know he was symptomatic for COVID-19. He had been exposed to a family member who had tested positive and should have been in quarantine but wasn't either because it was not felt he was considered a close contact by his family opinion or his family member never notified public health of this close contact...?. Clinet had presented to the ED following day after vaccination for shortness of breath and fatigue and an antigen test showed he was positive for COVID-19. He was sent home that same day 01/26/21. He was back in ED on 01/28/21 for worsening symptoms and admitted to hospital and later placed on ventilator. He passed away on 02/09/2021 (date of death was per his wife)." "1022529-1" "1022529-1" "CARDIAC ARREST" "10007515" "65-79 years" "65-79" "Pt suffered Cardiac Arrest and respiratory arrest on 2/9/21 and passed away at a local hospital. He had multiple health conditions likely contributing to this. he arrested at home and CPR was attempted and unsuccessful. Pt received his Covid vaccine #1 on 1/27/21. No issues were noted after vaccine and was due for his 2nd dose next week. However, we were notified he passed away on 2/9/21. Very likely death not at all related to vaccine but wanted to document as patient was in the middle of the covid vaccine series." "1022529-1" "1022529-1" "DEATH" "10011906" "65-79 years" "65-79" "Pt suffered Cardiac Arrest and respiratory arrest on 2/9/21 and passed away at a local hospital. He had multiple health conditions likely contributing to this. he arrested at home and CPR was attempted and unsuccessful. Pt received his Covid vaccine #1 on 1/27/21. No issues were noted after vaccine and was due for his 2nd dose next week. However, we were notified he passed away on 2/9/21. Very likely death not at all related to vaccine but wanted to document as patient was in the middle of the covid vaccine series." "1022529-1" "1022529-1" "RESPIRATORY ARREST" "10038669" "65-79 years" "65-79" "Pt suffered Cardiac Arrest and respiratory arrest on 2/9/21 and passed away at a local hospital. He had multiple health conditions likely contributing to this. he arrested at home and CPR was attempted and unsuccessful. Pt received his Covid vaccine #1 on 1/27/21. No issues were noted after vaccine and was due for his 2nd dose next week. However, we were notified he passed away on 2/9/21. Very likely death not at all related to vaccine but wanted to document as patient was in the middle of the covid vaccine series." "1022529-1" "1022529-1" "RESUSCITATION" "10038749" "65-79 years" "65-79" "Pt suffered Cardiac Arrest and respiratory arrest on 2/9/21 and passed away at a local hospital. He had multiple health conditions likely contributing to this. he arrested at home and CPR was attempted and unsuccessful. Pt received his Covid vaccine #1 on 1/27/21. No issues were noted after vaccine and was due for his 2nd dose next week. However, we were notified he passed away on 2/9/21. Very likely death not at all related to vaccine but wanted to document as patient was in the middle of the covid vaccine series." "1024817-1" "1024817-1" "ASPIRATION" "10003504" "65-79 years" "65-79" "Patient was coded and expired Code Blue: Patient was in dialysis, after 30 minutes his sbp dropped to 60s he was given 4 albumin. Patient who was responsive before that became unresponsive, had seizure like activity, lost pulse and spontaneous breathing. HD stopped. Code called. Cpr started. A few minutes into cpr patient started to profusely bleed - gi bleed and ventilation became very hard., intubation was very difficult and ventilation hard as we suctioned large amounts of aspirated blood. Patient was eventually intubated. More than 8 doses of epi ws given, sodium bicarbonate * 2 given with continuous cpr. It was mostly PEA with one shockable rhythym. And shock delivered for vfib. patient continued to profusely bleed, og insertion was not successful and effective ventilation was very tough due to massive aspiration,. Possible variceal rupture with cpr from his cirrhosis is likely scenario. After 30 minutes of unsuccessful ventilation and acls protocol. Code was stopped." "1024817-1" "1024817-1" "BLOOD PRESSURE SYSTOLIC DECREASED" "10005758" "65-79 years" "65-79" "Patient was coded and expired Code Blue: Patient was in dialysis, after 30 minutes his sbp dropped to 60s he was given 4 albumin. Patient who was responsive before that became unresponsive, had seizure like activity, lost pulse and spontaneous breathing. HD stopped. Code called. Cpr started. A few minutes into cpr patient started to profusely bleed - gi bleed and ventilation became very hard., intubation was very difficult and ventilation hard as we suctioned large amounts of aspirated blood. Patient was eventually intubated. More than 8 doses of epi ws given, sodium bicarbonate * 2 given with continuous cpr. It was mostly PEA with one shockable rhythym. And shock delivered for vfib. patient continued to profusely bleed, og insertion was not successful and effective ventilation was very tough due to massive aspiration,. Possible variceal rupture with cpr from his cirrhosis is likely scenario. After 30 minutes of unsuccessful ventilation and acls protocol. Code was stopped." "1024817-1" "1024817-1" "CARDIO-RESPIRATORY ARREST" "10007617" "65-79 years" "65-79" "Patient was coded and expired Code Blue: Patient was in dialysis, after 30 minutes his sbp dropped to 60s he was given 4 albumin. Patient who was responsive before that became unresponsive, had seizure like activity, lost pulse and spontaneous breathing. HD stopped. Code called. Cpr started. A few minutes into cpr patient started to profusely bleed - gi bleed and ventilation became very hard., intubation was very difficult and ventilation hard as we suctioned large amounts of aspirated blood. Patient was eventually intubated. More than 8 doses of epi ws given, sodium bicarbonate * 2 given with continuous cpr. It was mostly PEA with one shockable rhythym. And shock delivered for vfib. patient continued to profusely bleed, og insertion was not successful and effective ventilation was very tough due to massive aspiration,. Possible variceal rupture with cpr from his cirrhosis is likely scenario. After 30 minutes of unsuccessful ventilation and acls protocol. Code was stopped." "1024817-1" "1024817-1" "DEATH" "10011906" "65-79 years" "65-79" "Patient was coded and expired Code Blue: Patient was in dialysis, after 30 minutes his sbp dropped to 60s he was given 4 albumin. Patient who was responsive before that became unresponsive, had seizure like activity, lost pulse and spontaneous breathing. HD stopped. Code called. Cpr started. A few minutes into cpr patient started to profusely bleed - gi bleed and ventilation became very hard., intubation was very difficult and ventilation hard as we suctioned large amounts of aspirated blood. Patient was eventually intubated. More than 8 doses of epi ws given, sodium bicarbonate * 2 given with continuous cpr. It was mostly PEA with one shockable rhythym. And shock delivered for vfib. patient continued to profusely bleed, og insertion was not successful and effective ventilation was very tough due to massive aspiration,. Possible variceal rupture with cpr from his cirrhosis is likely scenario. After 30 minutes of unsuccessful ventilation and acls protocol. Code was stopped." "1024817-1" "1024817-1" "DIALYSIS" "10061105" "65-79 years" "65-79" "Patient was coded and expired Code Blue: Patient was in dialysis, after 30 minutes his sbp dropped to 60s he was given 4 albumin. Patient who was responsive before that became unresponsive, had seizure like activity, lost pulse and spontaneous breathing. HD stopped. Code called. Cpr started. A few minutes into cpr patient started to profusely bleed - gi bleed and ventilation became very hard., intubation was very difficult and ventilation hard as we suctioned large amounts of aspirated blood. Patient was eventually intubated. More than 8 doses of epi ws given, sodium bicarbonate * 2 given with continuous cpr. It was mostly PEA with one shockable rhythym. And shock delivered for vfib. patient continued to profusely bleed, og insertion was not successful and effective ventilation was very tough due to massive aspiration,. Possible variceal rupture with cpr from his cirrhosis is likely scenario. After 30 minutes of unsuccessful ventilation and acls protocol. Code was stopped." "1024817-1" "1024817-1" "ENDOTRACHEAL INTUBATION" "10067450" "65-79 years" "65-79" "Patient was coded and expired Code Blue: Patient was in dialysis, after 30 minutes his sbp dropped to 60s he was given 4 albumin. Patient who was responsive before that became unresponsive, had seizure like activity, lost pulse and spontaneous breathing. HD stopped. Code called. Cpr started. A few minutes into cpr patient started to profusely bleed - gi bleed and ventilation became very hard., intubation was very difficult and ventilation hard as we suctioned large amounts of aspirated blood. Patient was eventually intubated. More than 8 doses of epi ws given, sodium bicarbonate * 2 given with continuous cpr. It was mostly PEA with one shockable rhythym. And shock delivered for vfib. patient continued to profusely bleed, og insertion was not successful and effective ventilation was very tough due to massive aspiration,. Possible variceal rupture with cpr from his cirrhosis is likely scenario. After 30 minutes of unsuccessful ventilation and acls protocol. Code was stopped." "1024817-1" "1024817-1" "GASTROINTESTINAL HAEMORRHAGE" "10017955" "65-79 years" "65-79" "Patient was coded and expired Code Blue: Patient was in dialysis, after 30 minutes his sbp dropped to 60s he was given 4 albumin. Patient who was responsive before that became unresponsive, had seizure like activity, lost pulse and spontaneous breathing. HD stopped. Code called. Cpr started. A few minutes into cpr patient started to profusely bleed - gi bleed and ventilation became very hard., intubation was very difficult and ventilation hard as we suctioned large amounts of aspirated blood. Patient was eventually intubated. More than 8 doses of epi ws given, sodium bicarbonate * 2 given with continuous cpr. It was mostly PEA with one shockable rhythym. And shock delivered for vfib. patient continued to profusely bleed, og insertion was not successful and effective ventilation was very tough due to massive aspiration,. Possible variceal rupture with cpr from his cirrhosis is likely scenario. After 30 minutes of unsuccessful ventilation and acls protocol. Code was stopped." "1024817-1" "1024817-1" "MECHANICAL VENTILATION" "10067221" "65-79 years" "65-79" "Patient was coded and expired Code Blue: Patient was in dialysis, after 30 minutes his sbp dropped to 60s he was given 4 albumin. Patient who was responsive before that became unresponsive, had seizure like activity, lost pulse and spontaneous breathing. HD stopped. Code called. Cpr started. A few minutes into cpr patient started to profusely bleed - gi bleed and ventilation became very hard., intubation was very difficult and ventilation hard as we suctioned large amounts of aspirated blood. Patient was eventually intubated. More than 8 doses of epi ws given, sodium bicarbonate * 2 given with continuous cpr. It was mostly PEA with one shockable rhythym. And shock delivered for vfib. patient continued to profusely bleed, og insertion was not successful and effective ventilation was very tough due to massive aspiration,. Possible variceal rupture with cpr from his cirrhosis is likely scenario. After 30 minutes of unsuccessful ventilation and acls protocol. Code was stopped." "1024817-1" "1024817-1" "PULSE ABSENT" "10037469" "65-79 years" "65-79" "Patient was coded and expired Code Blue: Patient was in dialysis, after 30 minutes his sbp dropped to 60s he was given 4 albumin. Patient who was responsive before that became unresponsive, had seizure like activity, lost pulse and spontaneous breathing. HD stopped. Code called. Cpr started. A few minutes into cpr patient started to profusely bleed - gi bleed and ventilation became very hard., intubation was very difficult and ventilation hard as we suctioned large amounts of aspirated blood. Patient was eventually intubated. More than 8 doses of epi ws given, sodium bicarbonate * 2 given with continuous cpr. It was mostly PEA with one shockable rhythym. And shock delivered for vfib. patient continued to profusely bleed, og insertion was not successful and effective ventilation was very tough due to massive aspiration,. Possible variceal rupture with cpr from his cirrhosis is likely scenario. After 30 minutes of unsuccessful ventilation and acls protocol. Code was stopped." "1024817-1" "1024817-1" "PULSELESS ELECTRICAL ACTIVITY" "10058151" "65-79 years" "65-79" "Patient was coded and expired Code Blue: Patient was in dialysis, after 30 minutes his sbp dropped to 60s he was given 4 albumin. Patient who was responsive before that became unresponsive, had seizure like activity, lost pulse and spontaneous breathing. HD stopped. Code called. Cpr started. A few minutes into cpr patient started to profusely bleed - gi bleed and ventilation became very hard., intubation was very difficult and ventilation hard as we suctioned large amounts of aspirated blood. Patient was eventually intubated. More than 8 doses of epi ws given, sodium bicarbonate * 2 given with continuous cpr. It was mostly PEA with one shockable rhythym. And shock delivered for vfib. patient continued to profusely bleed, og insertion was not successful and effective ventilation was very tough due to massive aspiration,. Possible variceal rupture with cpr from his cirrhosis is likely scenario. After 30 minutes of unsuccessful ventilation and acls protocol. Code was stopped." "1024817-1" "1024817-1" "RESPIRATORY ARREST" "10038669" "65-79 years" "65-79" "Patient was coded and expired Code Blue: Patient was in dialysis, after 30 minutes his sbp dropped to 60s he was given 4 albumin. Patient who was responsive before that became unresponsive, had seizure like activity, lost pulse and spontaneous breathing. HD stopped. Code called. Cpr started. A few minutes into cpr patient started to profusely bleed - gi bleed and ventilation became very hard., intubation was very difficult and ventilation hard as we suctioned large amounts of aspirated blood. Patient was eventually intubated. More than 8 doses of epi ws given, sodium bicarbonate * 2 given with continuous cpr. It was mostly PEA with one shockable rhythym. And shock delivered for vfib. patient continued to profusely bleed, og insertion was not successful and effective ventilation was very tough due to massive aspiration,. Possible variceal rupture with cpr from his cirrhosis is likely scenario. After 30 minutes of unsuccessful ventilation and acls protocol. Code was stopped." "1024817-1" "1024817-1" "RESUSCITATION" "10038749" "65-79 years" "65-79" "Patient was coded and expired Code Blue: Patient was in dialysis, after 30 minutes his sbp dropped to 60s he was given 4 albumin. Patient who was responsive before that became unresponsive, had seizure like activity, lost pulse and spontaneous breathing. HD stopped. Code called. Cpr started. A few minutes into cpr patient started to profusely bleed - gi bleed and ventilation became very hard., intubation was very difficult and ventilation hard as we suctioned large amounts of aspirated blood. Patient was eventually intubated. More than 8 doses of epi ws given, sodium bicarbonate * 2 given with continuous cpr. It was mostly PEA with one shockable rhythym. And shock delivered for vfib. patient continued to profusely bleed, og insertion was not successful and effective ventilation was very tough due to massive aspiration,. Possible variceal rupture with cpr from his cirrhosis is likely scenario. After 30 minutes of unsuccessful ventilation and acls protocol. Code was stopped." "1024817-1" "1024817-1" "SEIZURE LIKE PHENOMENA" "10071048" "65-79 years" "65-79" "Patient was coded and expired Code Blue: Patient was in dialysis, after 30 minutes his sbp dropped to 60s he was given 4 albumin. Patient who was responsive before that became unresponsive, had seizure like activity, lost pulse and spontaneous breathing. HD stopped. Code called. Cpr started. A few minutes into cpr patient started to profusely bleed - gi bleed and ventilation became very hard., intubation was very difficult and ventilation hard as we suctioned large amounts of aspirated blood. Patient was eventually intubated. More than 8 doses of epi ws given, sodium bicarbonate * 2 given with continuous cpr. It was mostly PEA with one shockable rhythym. And shock delivered for vfib. patient continued to profusely bleed, og insertion was not successful and effective ventilation was very tough due to massive aspiration,. Possible variceal rupture with cpr from his cirrhosis is likely scenario. After 30 minutes of unsuccessful ventilation and acls protocol. Code was stopped." "1024817-1" "1024817-1" "UNRESPONSIVE TO STIMULI" "10045555" "65-79 years" "65-79" "Patient was coded and expired Code Blue: Patient was in dialysis, after 30 minutes his sbp dropped to 60s he was given 4 albumin. Patient who was responsive before that became unresponsive, had seizure like activity, lost pulse and spontaneous breathing. HD stopped. Code called. Cpr started. A few minutes into cpr patient started to profusely bleed - gi bleed and ventilation became very hard., intubation was very difficult and ventilation hard as we suctioned large amounts of aspirated blood. Patient was eventually intubated. More than 8 doses of epi ws given, sodium bicarbonate * 2 given with continuous cpr. It was mostly PEA with one shockable rhythym. And shock delivered for vfib. patient continued to profusely bleed, og insertion was not successful and effective ventilation was very tough due to massive aspiration,. Possible variceal rupture with cpr from his cirrhosis is likely scenario. After 30 minutes of unsuccessful ventilation and acls protocol. Code was stopped." "1024817-1" "1024817-1" "VENTRICULAR FIBRILLATION" "10047290" "65-79 years" "65-79" "Patient was coded and expired Code Blue: Patient was in dialysis, after 30 minutes his sbp dropped to 60s he was given 4 albumin. Patient who was responsive before that became unresponsive, had seizure like activity, lost pulse and spontaneous breathing. HD stopped. Code called. Cpr started. A few minutes into cpr patient started to profusely bleed - gi bleed and ventilation became very hard., intubation was very difficult and ventilation hard as we suctioned large amounts of aspirated blood. Patient was eventually intubated. More than 8 doses of epi ws given, sodium bicarbonate * 2 given with continuous cpr. It was mostly PEA with one shockable rhythym. And shock delivered for vfib. patient continued to profusely bleed, og insertion was not successful and effective ventilation was very tough due to massive aspiration,. Possible variceal rupture with cpr from his cirrhosis is likely scenario. After 30 minutes of unsuccessful ventilation and acls protocol. Code was stopped." "1026499-1" "1026499-1" "BODY TEMPERATURE INCREASED" "10005911" "65-79 years" "65-79" "Resident reviewed for incident. Resident received the second dose of the Moderna Covid-19 vaccine lot# 016M20A Exp 5/2/2021 on 2/5/2021 from clinic through pharmacy. Resident had her temp/O2 taken on AM shift and was 98.6/93%, beginning PM shift 98.4/95%. A few hours later noted that resident to have chills and was shaking RN assessment completed and vitals taken resident noted to have temp of 102.2, oxygen 95%, pulse 110. Resident alert and oriented at that time and talking to staff. Reported findings to APNP with order to send to ER. 911 called, residents brother updated. Upon EMT arrival RN went down to residents room with EMT and resident had an emesis as resident was getting cleaned up resident went unresponsive. Pulse noted to still be present at that time, resident did briefly respond to sternal rub and then went unresponsive again. Resident full code and EMT transferred to gurney and said that if they lost a pulse in route that they would transfer to hospital B instead of hospital A being the closest facility. RN called brother and gave update. Facility notified from Hospital that resident had passed away." "1026499-1" "1026499-1" "CARDIO-RESPIRATORY ARREST" "10007617" "65-79 years" "65-79" "Resident reviewed for incident. Resident received the second dose of the Moderna Covid-19 vaccine lot# 016M20A Exp 5/2/2021 on 2/5/2021 from clinic through pharmacy. Resident had her temp/O2 taken on AM shift and was 98.6/93%, beginning PM shift 98.4/95%. A few hours later noted that resident to have chills and was shaking RN assessment completed and vitals taken resident noted to have temp of 102.2, oxygen 95%, pulse 110. Resident alert and oriented at that time and talking to staff. Reported findings to APNP with order to send to ER. 911 called, residents brother updated. Upon EMT arrival RN went down to residents room with EMT and resident had an emesis as resident was getting cleaned up resident went unresponsive. Pulse noted to still be present at that time, resident did briefly respond to sternal rub and then went unresponsive again. Resident full code and EMT transferred to gurney and said that if they lost a pulse in route that they would transfer to hospital B instead of hospital A being the closest facility. RN called brother and gave update. Facility notified from Hospital that resident had passed away." "1026499-1" "1026499-1" "CHILLS" "10008531" "65-79 years" "65-79" "Resident reviewed for incident. Resident received the second dose of the Moderna Covid-19 vaccine lot# 016M20A Exp 5/2/2021 on 2/5/2021 from clinic through pharmacy. Resident had her temp/O2 taken on AM shift and was 98.6/93%, beginning PM shift 98.4/95%. A few hours later noted that resident to have chills and was shaking RN assessment completed and vitals taken resident noted to have temp of 102.2, oxygen 95%, pulse 110. Resident alert and oriented at that time and talking to staff. Reported findings to APNP with order to send to ER. 911 called, residents brother updated. Upon EMT arrival RN went down to residents room with EMT and resident had an emesis as resident was getting cleaned up resident went unresponsive. Pulse noted to still be present at that time, resident did briefly respond to sternal rub and then went unresponsive again. Resident full code and EMT transferred to gurney and said that if they lost a pulse in route that they would transfer to hospital B instead of hospital A being the closest facility. RN called brother and gave update. Facility notified from Hospital that resident had passed away." "1026499-1" "1026499-1" "DEATH" "10011906" "65-79 years" "65-79" "Resident reviewed for incident. Resident received the second dose of the Moderna Covid-19 vaccine lot# 016M20A Exp 5/2/2021 on 2/5/2021 from clinic through pharmacy. Resident had her temp/O2 taken on AM shift and was 98.6/93%, beginning PM shift 98.4/95%. A few hours later noted that resident to have chills and was shaking RN assessment completed and vitals taken resident noted to have temp of 102.2, oxygen 95%, pulse 110. Resident alert and oriented at that time and talking to staff. Reported findings to APNP with order to send to ER. 911 called, residents brother updated. Upon EMT arrival RN went down to residents room with EMT and resident had an emesis as resident was getting cleaned up resident went unresponsive. Pulse noted to still be present at that time, resident did briefly respond to sternal rub and then went unresponsive again. Resident full code and EMT transferred to gurney and said that if they lost a pulse in route that they would transfer to hospital B instead of hospital A being the closest facility. RN called brother and gave update. Facility notified from Hospital that resident had passed away." "1026499-1" "1026499-1" "PULSE ABSENT" "10037469" "65-79 years" "65-79" "Resident reviewed for incident. Resident received the second dose of the Moderna Covid-19 vaccine lot# 016M20A Exp 5/2/2021 on 2/5/2021 from clinic through pharmacy. Resident had her temp/O2 taken on AM shift and was 98.6/93%, beginning PM shift 98.4/95%. A few hours later noted that resident to have chills and was shaking RN assessment completed and vitals taken resident noted to have temp of 102.2, oxygen 95%, pulse 110. Resident alert and oriented at that time and talking to staff. Reported findings to APNP with order to send to ER. 911 called, residents brother updated. Upon EMT arrival RN went down to residents room with EMT and resident had an emesis as resident was getting cleaned up resident went unresponsive. Pulse noted to still be present at that time, resident did briefly respond to sternal rub and then went unresponsive again. Resident full code and EMT transferred to gurney and said that if they lost a pulse in route that they would transfer to hospital B instead of hospital A being the closest facility. RN called brother and gave update. Facility notified from Hospital that resident had passed away." "1026499-1" "1026499-1" "TREMOR" "10044565" "65-79 years" "65-79" "Resident reviewed for incident. Resident received the second dose of the Moderna Covid-19 vaccine lot# 016M20A Exp 5/2/2021 on 2/5/2021 from clinic through pharmacy. Resident had her temp/O2 taken on AM shift and was 98.6/93%, beginning PM shift 98.4/95%. A few hours later noted that resident to have chills and was shaking RN assessment completed and vitals taken resident noted to have temp of 102.2, oxygen 95%, pulse 110. Resident alert and oriented at that time and talking to staff. Reported findings to APNP with order to send to ER. 911 called, residents brother updated. Upon EMT arrival RN went down to residents room with EMT and resident had an emesis as resident was getting cleaned up resident went unresponsive. Pulse noted to still be present at that time, resident did briefly respond to sternal rub and then went unresponsive again. Resident full code and EMT transferred to gurney and said that if they lost a pulse in route that they would transfer to hospital B instead of hospital A being the closest facility. RN called brother and gave update. Facility notified from Hospital that resident had passed away." "1026499-1" "1026499-1" "UNRESPONSIVE TO STIMULI" "10045555" "65-79 years" "65-79" "Resident reviewed for incident. Resident received the second dose of the Moderna Covid-19 vaccine lot# 016M20A Exp 5/2/2021 on 2/5/2021 from clinic through pharmacy. Resident had her temp/O2 taken on AM shift and was 98.6/93%, beginning PM shift 98.4/95%. A few hours later noted that resident to have chills and was shaking RN assessment completed and vitals taken resident noted to have temp of 102.2, oxygen 95%, pulse 110. Resident alert and oriented at that time and talking to staff. Reported findings to APNP with order to send to ER. 911 called, residents brother updated. Upon EMT arrival RN went down to residents room with EMT and resident had an emesis as resident was getting cleaned up resident went unresponsive. Pulse noted to still be present at that time, resident did briefly respond to sternal rub and then went unresponsive again. Resident full code and EMT transferred to gurney and said that if they lost a pulse in route that they would transfer to hospital B instead of hospital A being the closest facility. RN called brother and gave update. Facility notified from Hospital that resident had passed away." "1026499-1" "1026499-1" "VOMITING" "10047700" "65-79 years" "65-79" "Resident reviewed for incident. Resident received the second dose of the Moderna Covid-19 vaccine lot# 016M20A Exp 5/2/2021 on 2/5/2021 from clinic through pharmacy. Resident had her temp/O2 taken on AM shift and was 98.6/93%, beginning PM shift 98.4/95%. A few hours later noted that resident to have chills and was shaking RN assessment completed and vitals taken resident noted to have temp of 102.2, oxygen 95%, pulse 110. Resident alert and oriented at that time and talking to staff. Reported findings to APNP with order to send to ER. 911 called, residents brother updated. Upon EMT arrival RN went down to residents room with EMT and resident had an emesis as resident was getting cleaned up resident went unresponsive. Pulse noted to still be present at that time, resident did briefly respond to sternal rub and then went unresponsive again. Resident full code and EMT transferred to gurney and said that if they lost a pulse in route that they would transfer to hospital B instead of hospital A being the closest facility. RN called brother and gave update. Facility notified from Hospital that resident had passed away." "1029068-1" "1029068-1" "COVID-19" "10084268" "65-79 years" "65-79" "Patient was given vaccine the following day he died ," "1029068-1" "1029068-1" "DEATH" "10011906" "65-79 years" "65-79" "Patient was given vaccine the following day he died ," "1029068-1" "1029068-1" "SARS-COV-2 TEST POSITIVE" "10084271" "65-79 years" "65-79" "Patient was given vaccine the following day he died ," "1030323-1" "1030323-1" "BLOOD POTASSIUM NORMAL" "10005726" "65-79 years" "65-79" ""Patient had COVID vaccination on 2/3 with no adverse s/s before leaving unit. Upon coming to treatment Friday 2/5 he reported to the RN that he had fallen on thursday 2/4 due to ""getting up fast"" did not hit head or hurt anything per RN discussion. Began treatment without difficulty. About 3/4 way through treatment was talking with staff and became unresponsive - code was called and pt expired after 30 minute resuscitation efforts."" "1030323-1" "1030323-1" "BLOOD SODIUM NORMAL" "10005804" "65-79 years" "65-79" ""Patient had COVID vaccination on 2/3 with no adverse s/s before leaving unit. Upon coming to treatment Friday 2/5 he reported to the RN that he had fallen on thursday 2/4 due to ""getting up fast"" did not hit head or hurt anything per RN discussion. Began treatment without difficulty. About 3/4 way through treatment was talking with staff and became unresponsive - code was called and pt expired after 30 minute resuscitation efforts."" "1030323-1" "1030323-1" "CARBON DIOXIDE NORMAL" "10007228" "65-79 years" "65-79" ""Patient had COVID vaccination on 2/3 with no adverse s/s before leaving unit. Upon coming to treatment Friday 2/5 he reported to the RN that he had fallen on thursday 2/4 due to ""getting up fast"" did not hit head or hurt anything per RN discussion. Began treatment without difficulty. About 3/4 way through treatment was talking with staff and became unresponsive - code was called and pt expired after 30 minute resuscitation efforts."" "1030323-1" "1030323-1" "CARDIO-RESPIRATORY ARREST" "10007617" "65-79 years" "65-79" ""Patient had COVID vaccination on 2/3 with no adverse s/s before leaving unit. Upon coming to treatment Friday 2/5 he reported to the RN that he had fallen on thursday 2/4 due to ""getting up fast"" did not hit head or hurt anything per RN discussion. Began treatment without difficulty. About 3/4 way through treatment was talking with staff and became unresponsive - code was called and pt expired after 30 minute resuscitation efforts."" "1030323-1" "1030323-1" "DEATH" "10011906" "65-79 years" "65-79" ""Patient had COVID vaccination on 2/3 with no adverse s/s before leaving unit. Upon coming to treatment Friday 2/5 he reported to the RN that he had fallen on thursday 2/4 due to ""getting up fast"" did not hit head or hurt anything per RN discussion. Began treatment without difficulty. About 3/4 way through treatment was talking with staff and became unresponsive - code was called and pt expired after 30 minute resuscitation efforts."" "1030323-1" "1030323-1" "FALL" "10016173" "65-79 years" "65-79" ""Patient had COVID vaccination on 2/3 with no adverse s/s before leaving unit. Upon coming to treatment Friday 2/5 he reported to the RN that he had fallen on thursday 2/4 due to ""getting up fast"" did not hit head or hurt anything per RN discussion. Began treatment without difficulty. About 3/4 way through treatment was talking with staff and became unresponsive - code was called and pt expired after 30 minute resuscitation efforts."" "1030323-1" "1030323-1" "HAEMOGLOBIN DECREASED" "10018884" "65-79 years" "65-79" ""Patient had COVID vaccination on 2/3 with no adverse s/s before leaving unit. Upon coming to treatment Friday 2/5 he reported to the RN that he had fallen on thursday 2/4 due to ""getting up fast"" did not hit head or hurt anything per RN discussion. Began treatment without difficulty. About 3/4 way through treatment was talking with staff and became unresponsive - code was called and pt expired after 30 minute resuscitation efforts."" "1030323-1" "1030323-1" "LABORATORY TEST" "10059938" "65-79 years" "65-79" ""Patient had COVID vaccination on 2/3 with no adverse s/s before leaving unit. Upon coming to treatment Friday 2/5 he reported to the RN that he had fallen on thursday 2/4 due to ""getting up fast"" did not hit head or hurt anything per RN discussion. Began treatment without difficulty. About 3/4 way through treatment was talking with staff and became unresponsive - code was called and pt expired after 30 minute resuscitation efforts."" "1030323-1" "1030323-1" "RESUSCITATION" "10038749" "65-79 years" "65-79" ""Patient had COVID vaccination on 2/3 with no adverse s/s before leaving unit. Upon coming to treatment Friday 2/5 he reported to the RN that he had fallen on thursday 2/4 due to ""getting up fast"" did not hit head or hurt anything per RN discussion. Began treatment without difficulty. About 3/4 way through treatment was talking with staff and became unresponsive - code was called and pt expired after 30 minute resuscitation efforts."" "1030323-1" "1030323-1" "UNRESPONSIVE TO STIMULI" "10045555" "65-79 years" "65-79" ""Patient had COVID vaccination on 2/3 with no adverse s/s before leaving unit. Upon coming to treatment Friday 2/5 he reported to the RN that he had fallen on thursday 2/4 due to ""getting up fast"" did not hit head or hurt anything per RN discussion. Began treatment without difficulty. About 3/4 way through treatment was talking with staff and became unresponsive - code was called and pt expired after 30 minute resuscitation efforts."" "1035845-1" "1035845-1" "DEATH" "10011906" "65-79 years" "65-79" "We were informed by EMS that the patient was found deceased on 2/11/2021 at her home. EMS states she was dead for some time, no medical care given." "1041784-1" "1041784-1" "CEREBROVASCULAR ACCIDENT" "10008190" "65-79 years" "65-79" "On the 25th he was home alone, he called 911 and let them know he thought he was having a stroke. EMS arrived and transported him to Hospital. It was massive stroke, he was not able to comprehend anything, he was put into Hospice the following day and passed away on the 27th. There was no autopsy preformed." "1041784-1" "1041784-1" "CONFUSIONAL STATE" "10010305" "65-79 years" "65-79" "On the 25th he was home alone, he called 911 and let them know he thought he was having a stroke. EMS arrived and transported him to Hospital. It was massive stroke, he was not able to comprehend anything, he was put into Hospice the following day and passed away on the 27th. There was no autopsy preformed." "1041784-1" "1041784-1" "DEATH" "10011906" "65-79 years" "65-79" "On the 25th he was home alone, he called 911 and let them know he thought he was having a stroke. EMS arrived and transported him to Hospital. It was massive stroke, he was not able to comprehend anything, he was put into Hospice the following day and passed away on the 27th. There was no autopsy preformed." "1041784-1" "1041784-1" "UNRESPONSIVE TO STIMULI" "10045555" "65-79 years" "65-79" "On the 25th he was home alone, he called 911 and let them know he thought he was having a stroke. EMS arrived and transported him to Hospital. It was massive stroke, he was not able to comprehend anything, he was put into Hospice the following day and passed away on the 27th. There was no autopsy preformed." "1041832-1" "1041832-1" "CARDIAC ARREST" "10007515" "65-79 years" "65-79" "Patient was found unconscious without a pulse. Patient remained in asystole without pulse or respirations despite CPR." "1041832-1" "1041832-1" "LOSS OF CONSCIOUSNESS" "10024855" "65-79 years" "65-79" "Patient was found unconscious without a pulse. Patient remained in asystole without pulse or respirations despite CPR." "1041832-1" "1041832-1" "PULSE ABSENT" "10037469" "65-79 years" "65-79" "Patient was found unconscious without a pulse. Patient remained in asystole without pulse or respirations despite CPR." "1041832-1" "1041832-1" "RESPIRATORY ARREST" "10038669" "65-79 years" "65-79" "Patient was found unconscious without a pulse. Patient remained in asystole without pulse or respirations despite CPR." "1041832-1" "1041832-1" "RESUSCITATION" "10038749" "65-79 years" "65-79" "Patient was found unconscious without a pulse. Patient remained in asystole without pulse or respirations despite CPR." "1041839-1" "1041839-1" "DEATH" "10011906" "65-79 years" "65-79" "Death- ~ 7 hours after vaccine" "1043123-1" "1043123-1" "DEATH" "10011906" "65-79 years" "65-79" "Death" "1044704-1" "1044704-1" "DIZZINESS" "10013573" "65-79 years" "65-79" "Light headedness, fatigue, nausea" "1044704-1" "1044704-1" "FATIGUE" "10016256" "65-79 years" "65-79" "Light headedness, fatigue, nausea" "1044704-1" "1044704-1" "NAUSEA" "10028813" "65-79 years" "65-79" "Light headedness, fatigue, nausea" "1046722-1" "1046722-1" "CARDIAC ARREST" "10007515" "65-79 years" "65-79" "No symptoms or signs on the day 1st dose of vaccine was received (2/11/2021). 3 days later, (2/14/2021) patient experienced chills for approximately 6 hours, followed by severe (visible) chest spasms, and then cardiac arrest. 911 was called upon witnessing chest spasms, but cardiac arrest/death occurred before patient could be transported to the hospital." "1046722-1" "1046722-1" "CARDIAC DISORDER" "10061024" "65-79 years" "65-79" "No symptoms or signs on the day 1st dose of vaccine was received (2/11/2021). 3 days later, (2/14/2021) patient experienced chills for approximately 6 hours, followed by severe (visible) chest spasms, and then cardiac arrest. 911 was called upon witnessing chest spasms, but cardiac arrest/death occurred before patient could be transported to the hospital." "1046722-1" "1046722-1" "CHILLS" "10008531" "65-79 years" "65-79" "No symptoms or signs on the day 1st dose of vaccine was received (2/11/2021). 3 days later, (2/14/2021) patient experienced chills for approximately 6 hours, followed by severe (visible) chest spasms, and then cardiac arrest. 911 was called upon witnessing chest spasms, but cardiac arrest/death occurred before patient could be transported to the hospital." "1046722-1" "1046722-1" "DEATH" "10011906" "65-79 years" "65-79" "No symptoms or signs on the day 1st dose of vaccine was received (2/11/2021). 3 days later, (2/14/2021) patient experienced chills for approximately 6 hours, followed by severe (visible) chest spasms, and then cardiac arrest. 911 was called upon witnessing chest spasms, but cardiac arrest/death occurred before patient could be transported to the hospital." "1046722-1" "1046722-1" "DIAPHRAGMATIC SPASM" "10074312" "65-79 years" "65-79" "No symptoms or signs on the day 1st dose of vaccine was received (2/11/2021). 3 days later, (2/14/2021) patient experienced chills for approximately 6 hours, followed by severe (visible) chest spasms, and then cardiac arrest. 911 was called upon witnessing chest spasms, but cardiac arrest/death occurred before patient could be transported to the hospital." "1046722-1" "1046722-1" "TOXICOLOGIC TEST" "10061384" "65-79 years" "65-79" "No symptoms or signs on the day 1st dose of vaccine was received (2/11/2021). 3 days later, (2/14/2021) patient experienced chills for approximately 6 hours, followed by severe (visible) chest spasms, and then cardiac arrest. 911 was called upon witnessing chest spasms, but cardiac arrest/death occurred before patient could be transported to the hospital." "1051675-1" "1051675-1" "CARDIAC FAILURE CONGESTIVE" "10007559" "65-79 years" "65-79" ""Patient passed away on 2/1/21 at the Health System. She was there for congestive heart failure (CHF) which had been a problem for her since contracting COVID-19 (symptoms began 10/29/20 and tested positive 10/30/20). She had been to see her medical provider several times after her isolation period as well as a few trips to the hospital for, what they called ""CHF flare-ups"". Her last hospitalization began on January 30, 2021. Her social worker reported on t1/31/21 that ""she would likely be returning in another day or two""."" "1051675-1" "1051675-1" "CONDITION AGGRAVATED" "10010264" "65-79 years" "65-79" ""Patient passed away on 2/1/21 at the Health System. She was there for congestive heart failure (CHF) which had been a problem for her since contracting COVID-19 (symptoms began 10/29/20 and tested positive 10/30/20). She had been to see her medical provider several times after her isolation period as well as a few trips to the hospital for, what they called ""CHF flare-ups"". Her last hospitalization began on January 30, 2021. Her social worker reported on t1/31/21 that ""she would likely be returning in another day or two""."" "1051675-1" "1051675-1" "DEATH" "10011906" "65-79 years" "65-79" ""Patient passed away on 2/1/21 at the Health System. She was there for congestive heart failure (CHF) which had been a problem for her since contracting COVID-19 (symptoms began 10/29/20 and tested positive 10/30/20). She had been to see her medical provider several times after her isolation period as well as a few trips to the hospital for, what they called ""CHF flare-ups"". Her last hospitalization began on January 30, 2021. Her social worker reported on t1/31/21 that ""she would likely be returning in another day or two""."" "1057750-1" "1057750-1" "BLOOD TEST" "10061726" "65-79 years" "65-79" "Started feeling unwell; Headaches; Body aches; Chest pain; Didn't had wishes to eat; Diarrhea; COVID-19 pneumonia; A spontaneous report was received from a consumer concerning a 69-year-old male patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced COVID-19 pneumonia, feeling unwell, headaches, body aches, chest pain, decreased appetite and diarrhea The patient's medical history high blood pressure which was controlled with medication. Concomitant product use included nifedipine and fenofibrate. On 20-JAN-2021, approximately a week and a half or two prior to the onset of the symptoms, the patient received their first of two planned doses of mRNA-1273 (Batch number 030L20A) intramuscularly in the right arm for prophylaxis of COVID-19 infection. A week and a half or two later the patient stated feeling unwell, headaches, body aches, chest pain, decreased appetite and diarrhea for which patient was hospitalized on 06-FEB-2021. Since everything seemed to be fine the patient was discharged on an unknown date in FEB-2021 however, patient's family was not notified that it was a late reaction to the vaccine's first dose. Later, due to shortness of breath he was hospitalized again on 08-FEB-2021 and was diagnosed for pneumonia and was intubated on the same day. Due to COVID-19 situation patient's family could not be in the facilities and that there wasn't any follow up of the patient given to the family, so family did not have much information. During the first hospitalization(06-FEB-2021) the patient had a blood test which showed a normal result and was tested for COVID-19 and Influenza, both were negative. During second hospitalization (08-FEB-2021) the hospital said that the patient was stable. The patient's family did not know the results of the tests conducted at the time. The action taken with the vaccine in response to the events is not applicable. The outcome of COVID-19 pneumonia was fatal. The patient died on 14 Feb 2021 The cause of death was reported as COVID-19 related pneumonia. The autopsy was not done.; Reporter's Comments: Very limited information regarding this event has been provided at this time. The cause of death was reported as COVID-19 related pneumonia. Based on the current available information and the mechanism of action of mRNA-1237 vaccine, the events are assessed as unlikely related. Further information has been requested.; Reported Cause(s) of Death: COVID-19 pneumonia" "1057750-1" "1057750-1" "CHEST PAIN" "10008479" "65-79 years" "65-79" "Started feeling unwell; Headaches; Body aches; Chest pain; Didn't had wishes to eat; Diarrhea; COVID-19 pneumonia; A spontaneous report was received from a consumer concerning a 69-year-old male patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced COVID-19 pneumonia, feeling unwell, headaches, body aches, chest pain, decreased appetite and diarrhea The patient's medical history high blood pressure which was controlled with medication. Concomitant product use included nifedipine and fenofibrate. On 20-JAN-2021, approximately a week and a half or two prior to the onset of the symptoms, the patient received their first of two planned doses of mRNA-1273 (Batch number 030L20A) intramuscularly in the right arm for prophylaxis of COVID-19 infection. A week and a half or two later the patient stated feeling unwell, headaches, body aches, chest pain, decreased appetite and diarrhea for which patient was hospitalized on 06-FEB-2021. Since everything seemed to be fine the patient was discharged on an unknown date in FEB-2021 however, patient's family was not notified that it was a late reaction to the vaccine's first dose. Later, due to shortness of breath he was hospitalized again on 08-FEB-2021 and was diagnosed for pneumonia and was intubated on the same day. Due to COVID-19 situation patient's family could not be in the facilities and that there wasn't any follow up of the patient given to the family, so family did not have much information. During the first hospitalization(06-FEB-2021) the patient had a blood test which showed a normal result and was tested for COVID-19 and Influenza, both were negative. During second hospitalization (08-FEB-2021) the hospital said that the patient was stable. The patient's family did not know the results of the tests conducted at the time. The action taken with the vaccine in response to the events is not applicable. The outcome of COVID-19 pneumonia was fatal. The patient died on 14 Feb 2021 The cause of death was reported as COVID-19 related pneumonia. The autopsy was not done.; Reporter's Comments: Very limited information regarding this event has been provided at this time. The cause of death was reported as COVID-19 related pneumonia. Based on the current available information and the mechanism of action of mRNA-1237 vaccine, the events are assessed as unlikely related. Further information has been requested.; Reported Cause(s) of Death: COVID-19 pneumonia" "1057750-1" "1057750-1" "COVID-19 PNEUMONIA" "10084380" "65-79 years" "65-79" "Started feeling unwell; Headaches; Body aches; Chest pain; Didn't had wishes to eat; Diarrhea; COVID-19 pneumonia; A spontaneous report was received from a consumer concerning a 69-year-old male patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced COVID-19 pneumonia, feeling unwell, headaches, body aches, chest pain, decreased appetite and diarrhea The patient's medical history high blood pressure which was controlled with medication. Concomitant product use included nifedipine and fenofibrate. On 20-JAN-2021, approximately a week and a half or two prior to the onset of the symptoms, the patient received their first of two planned doses of mRNA-1273 (Batch number 030L20A) intramuscularly in the right arm for prophylaxis of COVID-19 infection. A week and a half or two later the patient stated feeling unwell, headaches, body aches, chest pain, decreased appetite and diarrhea for which patient was hospitalized on 06-FEB-2021. Since everything seemed to be fine the patient was discharged on an unknown date in FEB-2021 however, patient's family was not notified that it was a late reaction to the vaccine's first dose. Later, due to shortness of breath he was hospitalized again on 08-FEB-2021 and was diagnosed for pneumonia and was intubated on the same day. Due to COVID-19 situation patient's family could not be in the facilities and that there wasn't any follow up of the patient given to the family, so family did not have much information. During the first hospitalization(06-FEB-2021) the patient had a blood test which showed a normal result and was tested for COVID-19 and Influenza, both were negative. During second hospitalization (08-FEB-2021) the hospital said that the patient was stable. The patient's family did not know the results of the tests conducted at the time. The action taken with the vaccine in response to the events is not applicable. The outcome of COVID-19 pneumonia was fatal. The patient died on 14 Feb 2021 The cause of death was reported as COVID-19 related pneumonia. The autopsy was not done.; Reporter's Comments: Very limited information regarding this event has been provided at this time. The cause of death was reported as COVID-19 related pneumonia. Based on the current available information and the mechanism of action of mRNA-1237 vaccine, the events are assessed as unlikely related. Further information has been requested.; Reported Cause(s) of Death: COVID-19 pneumonia" "1057750-1" "1057750-1" "DECREASED APPETITE" "10061428" "65-79 years" "65-79" "Started feeling unwell; Headaches; Body aches; Chest pain; Didn't had wishes to eat; Diarrhea; COVID-19 pneumonia; A spontaneous report was received from a consumer concerning a 69-year-old male patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced COVID-19 pneumonia, feeling unwell, headaches, body aches, chest pain, decreased appetite and diarrhea The patient's medical history high blood pressure which was controlled with medication. Concomitant product use included nifedipine and fenofibrate. On 20-JAN-2021, approximately a week and a half or two prior to the onset of the symptoms, the patient received their first of two planned doses of mRNA-1273 (Batch number 030L20A) intramuscularly in the right arm for prophylaxis of COVID-19 infection. A week and a half or two later the patient stated feeling unwell, headaches, body aches, chest pain, decreased appetite and diarrhea for which patient was hospitalized on 06-FEB-2021. Since everything seemed to be fine the patient was discharged on an unknown date in FEB-2021 however, patient's family was not notified that it was a late reaction to the vaccine's first dose. Later, due to shortness of breath he was hospitalized again on 08-FEB-2021 and was diagnosed for pneumonia and was intubated on the same day. Due to COVID-19 situation patient's family could not be in the facilities and that there wasn't any follow up of the patient given to the family, so family did not have much information. During the first hospitalization(06-FEB-2021) the patient had a blood test which showed a normal result and was tested for COVID-19 and Influenza, both were negative. During second hospitalization (08-FEB-2021) the hospital said that the patient was stable. The patient's family did not know the results of the tests conducted at the time. The action taken with the vaccine in response to the events is not applicable. The outcome of COVID-19 pneumonia was fatal. The patient died on 14 Feb 2021 The cause of death was reported as COVID-19 related pneumonia. The autopsy was not done.; Reporter's Comments: Very limited information regarding this event has been provided at this time. The cause of death was reported as COVID-19 related pneumonia. Based on the current available information and the mechanism of action of mRNA-1237 vaccine, the events are assessed as unlikely related. Further information has been requested.; Reported Cause(s) of Death: COVID-19 pneumonia" "1057750-1" "1057750-1" "DIARRHOEA" "10012735" "65-79 years" "65-79" "Started feeling unwell; Headaches; Body aches; Chest pain; Didn't had wishes to eat; Diarrhea; COVID-19 pneumonia; A spontaneous report was received from a consumer concerning a 69-year-old male patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced COVID-19 pneumonia, feeling unwell, headaches, body aches, chest pain, decreased appetite and diarrhea The patient's medical history high blood pressure which was controlled with medication. Concomitant product use included nifedipine and fenofibrate. On 20-JAN-2021, approximately a week and a half or two prior to the onset of the symptoms, the patient received their first of two planned doses of mRNA-1273 (Batch number 030L20A) intramuscularly in the right arm for prophylaxis of COVID-19 infection. A week and a half or two later the patient stated feeling unwell, headaches, body aches, chest pain, decreased appetite and diarrhea for which patient was hospitalized on 06-FEB-2021. Since everything seemed to be fine the patient was discharged on an unknown date in FEB-2021 however, patient's family was not notified that it was a late reaction to the vaccine's first dose. Later, due to shortness of breath he was hospitalized again on 08-FEB-2021 and was diagnosed for pneumonia and was intubated on the same day. Due to COVID-19 situation patient's family could not be in the facilities and that there wasn't any follow up of the patient given to the family, so family did not have much information. During the first hospitalization(06-FEB-2021) the patient had a blood test which showed a normal result and was tested for COVID-19 and Influenza, both were negative. During second hospitalization (08-FEB-2021) the hospital said that the patient was stable. The patient's family did not know the results of the tests conducted at the time. The action taken with the vaccine in response to the events is not applicable. The outcome of COVID-19 pneumonia was fatal. The patient died on 14 Feb 2021 The cause of death was reported as COVID-19 related pneumonia. The autopsy was not done.; Reporter's Comments: Very limited information regarding this event has been provided at this time. The cause of death was reported as COVID-19 related pneumonia. Based on the current available information and the mechanism of action of mRNA-1237 vaccine, the events are assessed as unlikely related. Further information has been requested.; Reported Cause(s) of Death: COVID-19 pneumonia" "1057750-1" "1057750-1" "HEADACHE" "10019211" "65-79 years" "65-79" "Started feeling unwell; Headaches; Body aches; Chest pain; Didn't had wishes to eat; Diarrhea; COVID-19 pneumonia; A spontaneous report was received from a consumer concerning a 69-year-old male patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced COVID-19 pneumonia, feeling unwell, headaches, body aches, chest pain, decreased appetite and diarrhea The patient's medical history high blood pressure which was controlled with medication. Concomitant product use included nifedipine and fenofibrate. On 20-JAN-2021, approximately a week and a half or two prior to the onset of the symptoms, the patient received their first of two planned doses of mRNA-1273 (Batch number 030L20A) intramuscularly in the right arm for prophylaxis of COVID-19 infection. A week and a half or two later the patient stated feeling unwell, headaches, body aches, chest pain, decreased appetite and diarrhea for which patient was hospitalized on 06-FEB-2021. Since everything seemed to be fine the patient was discharged on an unknown date in FEB-2021 however, patient's family was not notified that it was a late reaction to the vaccine's first dose. Later, due to shortness of breath he was hospitalized again on 08-FEB-2021 and was diagnosed for pneumonia and was intubated on the same day. Due to COVID-19 situation patient's family could not be in the facilities and that there wasn't any follow up of the patient given to the family, so family did not have much information. During the first hospitalization(06-FEB-2021) the patient had a blood test which showed a normal result and was tested for COVID-19 and Influenza, both were negative. During second hospitalization (08-FEB-2021) the hospital said that the patient was stable. The patient's family did not know the results of the tests conducted at the time. The action taken with the vaccine in response to the events is not applicable. The outcome of COVID-19 pneumonia was fatal. The patient died on 14 Feb 2021 The cause of death was reported as COVID-19 related pneumonia. The autopsy was not done.; Reporter's Comments: Very limited information regarding this event has been provided at this time. The cause of death was reported as COVID-19 related pneumonia. Based on the current available information and the mechanism of action of mRNA-1237 vaccine, the events are assessed as unlikely related. Further information has been requested.; Reported Cause(s) of Death: COVID-19 pneumonia" "1057750-1" "1057750-1" "INFLUENZA VIRUS TEST NEGATIVE" "10070718" "65-79 years" "65-79" "Started feeling unwell; Headaches; Body aches; Chest pain; Didn't had wishes to eat; Diarrhea; COVID-19 pneumonia; A spontaneous report was received from a consumer concerning a 69-year-old male patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced COVID-19 pneumonia, feeling unwell, headaches, body aches, chest pain, decreased appetite and diarrhea The patient's medical history high blood pressure which was controlled with medication. Concomitant product use included nifedipine and fenofibrate. On 20-JAN-2021, approximately a week and a half or two prior to the onset of the symptoms, the patient received their first of two planned doses of mRNA-1273 (Batch number 030L20A) intramuscularly in the right arm for prophylaxis of COVID-19 infection. A week and a half or two later the patient stated feeling unwell, headaches, body aches, chest pain, decreased appetite and diarrhea for which patient was hospitalized on 06-FEB-2021. Since everything seemed to be fine the patient was discharged on an unknown date in FEB-2021 however, patient's family was not notified that it was a late reaction to the vaccine's first dose. Later, due to shortness of breath he was hospitalized again on 08-FEB-2021 and was diagnosed for pneumonia and was intubated on the same day. Due to COVID-19 situation patient's family could not be in the facilities and that there wasn't any follow up of the patient given to the family, so family did not have much information. During the first hospitalization(06-FEB-2021) the patient had a blood test which showed a normal result and was tested for COVID-19 and Influenza, both were negative. During second hospitalization (08-FEB-2021) the hospital said that the patient was stable. The patient's family did not know the results of the tests conducted at the time. The action taken with the vaccine in response to the events is not applicable. The outcome of COVID-19 pneumonia was fatal. The patient died on 14 Feb 2021 The cause of death was reported as COVID-19 related pneumonia. The autopsy was not done.; Reporter's Comments: Very limited information regarding this event has been provided at this time. The cause of death was reported as COVID-19 related pneumonia. Based on the current available information and the mechanism of action of mRNA-1237 vaccine, the events are assessed as unlikely related. Further information has been requested.; Reported Cause(s) of Death: COVID-19 pneumonia" "1057750-1" "1057750-1" "MALAISE" "10025482" "65-79 years" "65-79" "Started feeling unwell; Headaches; Body aches; Chest pain; Didn't had wishes to eat; Diarrhea; COVID-19 pneumonia; A spontaneous report was received from a consumer concerning a 69-year-old male patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced COVID-19 pneumonia, feeling unwell, headaches, body aches, chest pain, decreased appetite and diarrhea The patient's medical history high blood pressure which was controlled with medication. Concomitant product use included nifedipine and fenofibrate. On 20-JAN-2021, approximately a week and a half or two prior to the onset of the symptoms, the patient received their first of two planned doses of mRNA-1273 (Batch number 030L20A) intramuscularly in the right arm for prophylaxis of COVID-19 infection. A week and a half or two later the patient stated feeling unwell, headaches, body aches, chest pain, decreased appetite and diarrhea for which patient was hospitalized on 06-FEB-2021. Since everything seemed to be fine the patient was discharged on an unknown date in FEB-2021 however, patient's family was not notified that it was a late reaction to the vaccine's first dose. Later, due to shortness of breath he was hospitalized again on 08-FEB-2021 and was diagnosed for pneumonia and was intubated on the same day. Due to COVID-19 situation patient's family could not be in the facilities and that there wasn't any follow up of the patient given to the family, so family did not have much information. During the first hospitalization(06-FEB-2021) the patient had a blood test which showed a normal result and was tested for COVID-19 and Influenza, both were negative. During second hospitalization (08-FEB-2021) the hospital said that the patient was stable. The patient's family did not know the results of the tests conducted at the time. The action taken with the vaccine in response to the events is not applicable. The outcome of COVID-19 pneumonia was fatal. The patient died on 14 Feb 2021 The cause of death was reported as COVID-19 related pneumonia. The autopsy was not done.; Reporter's Comments: Very limited information regarding this event has been provided at this time. The cause of death was reported as COVID-19 related pneumonia. Based on the current available information and the mechanism of action of mRNA-1237 vaccine, the events are assessed as unlikely related. Further information has been requested.; Reported Cause(s) of Death: COVID-19 pneumonia" "1057750-1" "1057750-1" "MYALGIA" "10028411" "65-79 years" "65-79" "Started feeling unwell; Headaches; Body aches; Chest pain; Didn't had wishes to eat; Diarrhea; COVID-19 pneumonia; A spontaneous report was received from a consumer concerning a 69-year-old male patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced COVID-19 pneumonia, feeling unwell, headaches, body aches, chest pain, decreased appetite and diarrhea The patient's medical history high blood pressure which was controlled with medication. Concomitant product use included nifedipine and fenofibrate. On 20-JAN-2021, approximately a week and a half or two prior to the onset of the symptoms, the patient received their first of two planned doses of mRNA-1273 (Batch number 030L20A) intramuscularly in the right arm for prophylaxis of COVID-19 infection. A week and a half or two later the patient stated feeling unwell, headaches, body aches, chest pain, decreased appetite and diarrhea for which patient was hospitalized on 06-FEB-2021. Since everything seemed to be fine the patient was discharged on an unknown date in FEB-2021 however, patient's family was not notified that it was a late reaction to the vaccine's first dose. Later, due to shortness of breath he was hospitalized again on 08-FEB-2021 and was diagnosed for pneumonia and was intubated on the same day. Due to COVID-19 situation patient's family could not be in the facilities and that there wasn't any follow up of the patient given to the family, so family did not have much information. During the first hospitalization(06-FEB-2021) the patient had a blood test which showed a normal result and was tested for COVID-19 and Influenza, both were negative. During second hospitalization (08-FEB-2021) the hospital said that the patient was stable. The patient's family did not know the results of the tests conducted at the time. The action taken with the vaccine in response to the events is not applicable. The outcome of COVID-19 pneumonia was fatal. The patient died on 14 Feb 2021 The cause of death was reported as COVID-19 related pneumonia. The autopsy was not done.; Reporter's Comments: Very limited information regarding this event has been provided at this time. The cause of death was reported as COVID-19 related pneumonia. Based on the current available information and the mechanism of action of mRNA-1237 vaccine, the events are assessed as unlikely related. Further information has been requested.; Reported Cause(s) of Death: COVID-19 pneumonia" "1057750-1" "1057750-1" "VIRAL TEST NEGATIVE" "10062362" "65-79 years" "65-79" "Started feeling unwell; Headaches; Body aches; Chest pain; Didn't had wishes to eat; Diarrhea; COVID-19 pneumonia; A spontaneous report was received from a consumer concerning a 69-year-old male patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced COVID-19 pneumonia, feeling unwell, headaches, body aches, chest pain, decreased appetite and diarrhea The patient's medical history high blood pressure which was controlled with medication. Concomitant product use included nifedipine and fenofibrate. On 20-JAN-2021, approximately a week and a half or two prior to the onset of the symptoms, the patient received their first of two planned doses of mRNA-1273 (Batch number 030L20A) intramuscularly in the right arm for prophylaxis of COVID-19 infection. A week and a half or two later the patient stated feeling unwell, headaches, body aches, chest pain, decreased appetite and diarrhea for which patient was hospitalized on 06-FEB-2021. Since everything seemed to be fine the patient was discharged on an unknown date in FEB-2021 however, patient's family was not notified that it was a late reaction to the vaccine's first dose. Later, due to shortness of breath he was hospitalized again on 08-FEB-2021 and was diagnosed for pneumonia and was intubated on the same day. Due to COVID-19 situation patient's family could not be in the facilities and that there wasn't any follow up of the patient given to the family, so family did not have much information. During the first hospitalization(06-FEB-2021) the patient had a blood test which showed a normal result and was tested for COVID-19 and Influenza, both were negative. During second hospitalization (08-FEB-2021) the hospital said that the patient was stable. The patient's family did not know the results of the tests conducted at the time. The action taken with the vaccine in response to the events is not applicable. The outcome of COVID-19 pneumonia was fatal. The patient died on 14 Feb 2021 The cause of death was reported as COVID-19 related pneumonia. The autopsy was not done.; Reporter's Comments: Very limited information regarding this event has been provided at this time. The cause of death was reported as COVID-19 related pneumonia. Based on the current available information and the mechanism of action of mRNA-1237 vaccine, the events are assessed as unlikely related. Further information has been requested.; Reported Cause(s) of Death: COVID-19 pneumonia" "1058464-1" "1058464-1" "COVID-19" "10084268" "65-79 years" "65-79" "Pt tested Covid positive 2/8/2021." "1058464-1" "1058464-1" "SARS-COV-2 TEST POSITIVE" "10084271" "65-79 years" "65-79" "Pt tested Covid positive 2/8/2021." "1063000-1" "1063000-1" "DEATH" "10011906" "65-79 years" "65-79" "Patient passed away within 60 days of receiving a COVID vaccine" "1069140-1" "1069140-1" "DEATH" "10011906" "65-79 years" "65-79" "The day after the administration of the vaccine, the fever began, the patient claim that he had no blood pressure problems. He was given acetaminophen every 4 hrs. and vitamin C and D. On February 11, he was stabilized, he had his regular meals without any problem but in the afternoon his temperature rose again and they put him to bed. The patient died that same afternoon around 4:00 pm" "1069140-1" "1069140-1" "PYREXIA" "10037660" "65-79 years" "65-79" "The day after the administration of the vaccine, the fever began, the patient claim that he had no blood pressure problems. He was given acetaminophen every 4 hrs. and vitamin C and D. On February 11, he was stabilized, he had his regular meals without any problem but in the afternoon his temperature rose again and they put him to bed. The patient died that same afternoon around 4:00 pm" "1072763-1" "1072763-1" "COVID-19" "10084268" "65-79 years" "65-79" "The same day that the person was vaccinated he started feeling dizzy and had difficulty breathing. He was hospitalized from February 5 to February 23. Patient died in the hospital on February 23, 2021" "1072763-1" "1072763-1" "DEATH" "10011906" "65-79 years" "65-79" "The same day that the person was vaccinated he started feeling dizzy and had difficulty breathing. He was hospitalized from February 5 to February 23. Patient died in the hospital on February 23, 2021" "1072763-1" "1072763-1" "DIZZINESS" "10013573" "65-79 years" "65-79" "The same day that the person was vaccinated he started feeling dizzy and had difficulty breathing. He was hospitalized from February 5 to February 23. Patient died in the hospital on February 23, 2021" "1072763-1" "1072763-1" "DYSPNOEA" "10013968" "65-79 years" "65-79" "The same day that the person was vaccinated he started feeling dizzy and had difficulty breathing. He was hospitalized from February 5 to February 23. Patient died in the hospital on February 23, 2021" "1072763-1" "1072763-1" "SARS-COV-2 TEST POSITIVE" "10084271" "65-79 years" "65-79" "The same day that the person was vaccinated he started feeling dizzy and had difficulty breathing. He was hospitalized from February 5 to February 23. Patient died in the hospital on February 23, 2021" "1085302-1" "1085302-1" "ACUTE RESPIRATORY FAILURE" "10001053" "65-79 years" "65-79" "Patient was admitted to Hospital on 3/1/21. Blood Sugar of 758. Patient diagnosis with Acute respiratory failure with hypoxia and acute heart failure and Metabolic encephalopathy. Patient put on ventilator and passed away on 3/2/21 at 17:04." "1085302-1" "1085302-1" "BLOOD GLUCOSE INCREASED" "10005557" "65-79 years" "65-79" "Patient was admitted to Hospital on 3/1/21. Blood Sugar of 758. Patient diagnosis with Acute respiratory failure with hypoxia and acute heart failure and Metabolic encephalopathy. Patient put on ventilator and passed away on 3/2/21 at 17:04." "1085302-1" "1085302-1" "CARDIAC FAILURE ACUTE" "10007556" "65-79 years" "65-79" "Patient was admitted to Hospital on 3/1/21. Blood Sugar of 758. Patient diagnosis with Acute respiratory failure with hypoxia and acute heart failure and Metabolic encephalopathy. Patient put on ventilator and passed away on 3/2/21 at 17:04." "1085302-1" "1085302-1" "DEATH" "10011906" "65-79 years" "65-79" "Patient was admitted to Hospital on 3/1/21. Blood Sugar of 758. Patient diagnosis with Acute respiratory failure with hypoxia and acute heart failure and Metabolic encephalopathy. Patient put on ventilator and passed away on 3/2/21 at 17:04." "1085302-1" "1085302-1" "MECHANICAL VENTILATION" "10067221" "65-79 years" "65-79" "Patient was admitted to Hospital on 3/1/21. Blood Sugar of 758. Patient diagnosis with Acute respiratory failure with hypoxia and acute heart failure and Metabolic encephalopathy. Patient put on ventilator and passed away on 3/2/21 at 17:04." "1085302-1" "1085302-1" "METABOLIC ENCEPHALOPATHY" "10062190" "65-79 years" "65-79" "Patient was admitted to Hospital on 3/1/21. Blood Sugar of 758. Patient diagnosis with Acute respiratory failure with hypoxia and acute heart failure and Metabolic encephalopathy. Patient put on ventilator and passed away on 3/2/21 at 17:04." "1095393-1" "1095393-1" "CARDIAC ARREST" "10007515" "65-79 years" "65-79" "Cardiac Arrest" "1095393-1" "1095393-1" "TOXICOLOGIC TEST" "10061384" "65-79 years" "65-79" "Cardiac Arrest" "1095666-1" "1095666-1" "DEATH" "10011906" "65-79 years" "65-79" "Patient received his 2nd dose of Moderna COVID-19 vaccine yesterday. He was found dead at his home today. After speaking with the County Coroner, an autopsy is not planned. Patient had COPD, Type II Diabetes, cardiovascular disease, and a pacemaker. The coroner does not believe vaccination was contributory to his death." "1103970-1" "1103970-1" "DEATH" "10011906" "65-79 years" "65-79" ""Reported by EMS per report from wife that he was ""sick after shot"" and got worse during the night. Wife found him the following morning cold and pale, pulseless. Dispatch called at 719AM. Pt pronounced on the scene and taken to Funeral Home. Uncertain if Medical Exam is planned"" "1103970-1" "1103970-1" "ILLNESS" "10080284" "65-79 years" "65-79" ""Reported by EMS per report from wife that he was ""sick after shot"" and got worse during the night. Wife found him the following morning cold and pale, pulseless. Dispatch called at 719AM. Pt pronounced on the scene and taken to Funeral Home. Uncertain if Medical Exam is planned"" "1103970-1" "1103970-1" "PALLOR" "10033546" "65-79 years" "65-79" ""Reported by EMS per report from wife that he was ""sick after shot"" and got worse during the night. Wife found him the following morning cold and pale, pulseless. Dispatch called at 719AM. Pt pronounced on the scene and taken to Funeral Home. Uncertain if Medical Exam is planned"" "1103970-1" "1103970-1" "PERIPHERAL COLDNESS" "10034568" "65-79 years" "65-79" ""Reported by EMS per report from wife that he was ""sick after shot"" and got worse during the night. Wife found him the following morning cold and pale, pulseless. Dispatch called at 719AM. Pt pronounced on the scene and taken to Funeral Home. Uncertain if Medical Exam is planned"" "1103970-1" "1103970-1" "PULSE ABSENT" "10037469" "65-79 years" "65-79" ""Reported by EMS per report from wife that he was ""sick after shot"" and got worse during the night. Wife found him the following morning cold and pale, pulseless. Dispatch called at 719AM. Pt pronounced on the scene and taken to Funeral Home. Uncertain if Medical Exam is planned"" "1110437-1" "1110437-1" "ABSENCE OF IMMEDIATE TREATMENT RESPONSE" "10081766" "65-79 years" "65-79" "Since the vaccine was administered on 1/30/2021 the resident was complaining of tiredness. On 2/9/2021 she complains more than usual with fatigue, a lot of fatigue so they make the decision to transfer her to the hospital. In the hospital she was informed that the pain was from a gallbladder stone, also that she has a lung condition and a compromised kidney. A Dr. from Hospital tells POC that the patient was not responding to treatments and was compromised thus prolonging the hospital stay." "1110437-1" "1110437-1" "BILIARY COLIC" "10004663" "65-79 years" "65-79" "Since the vaccine was administered on 1/30/2021 the resident was complaining of tiredness. On 2/9/2021 she complains more than usual with fatigue, a lot of fatigue so they make the decision to transfer her to the hospital. In the hospital she was informed that the pain was from a gallbladder stone, also that she has a lung condition and a compromised kidney. A Dr. from Hospital tells POC that the patient was not responding to treatments and was compromised thus prolonging the hospital stay." "1110437-1" "1110437-1" "CHOLELITHIASIS" "10008629" "65-79 years" "65-79" "Since the vaccine was administered on 1/30/2021 the resident was complaining of tiredness. On 2/9/2021 she complains more than usual with fatigue, a lot of fatigue so they make the decision to transfer her to the hospital. In the hospital she was informed that the pain was from a gallbladder stone, also that she has a lung condition and a compromised kidney. A Dr. from Hospital tells POC that the patient was not responding to treatments and was compromised thus prolonging the hospital stay." "1110437-1" "1110437-1" "FATIGUE" "10016256" "65-79 years" "65-79" "Since the vaccine was administered on 1/30/2021 the resident was complaining of tiredness. On 2/9/2021 she complains more than usual with fatigue, a lot of fatigue so they make the decision to transfer her to the hospital. In the hospital she was informed that the pain was from a gallbladder stone, also that she has a lung condition and a compromised kidney. A Dr. from Hospital tells POC that the patient was not responding to treatments and was compromised thus prolonging the hospital stay." "1110437-1" "1110437-1" "LUNG DISORDER" "10025082" "65-79 years" "65-79" "Since the vaccine was administered on 1/30/2021 the resident was complaining of tiredness. On 2/9/2021 she complains more than usual with fatigue, a lot of fatigue so they make the decision to transfer her to the hospital. In the hospital she was informed that the pain was from a gallbladder stone, also that she has a lung condition and a compromised kidney. A Dr. from Hospital tells POC that the patient was not responding to treatments and was compromised thus prolonging the hospital stay." "1110437-1" "1110437-1" "RENAL IMPAIRMENT" "10062237" "65-79 years" "65-79" "Since the vaccine was administered on 1/30/2021 the resident was complaining of tiredness. On 2/9/2021 she complains more than usual with fatigue, a lot of fatigue so they make the decision to transfer her to the hospital. In the hospital she was informed that the pain was from a gallbladder stone, also that she has a lung condition and a compromised kidney. A Dr. from Hospital tells POC that the patient was not responding to treatments and was compromised thus prolonging the hospital stay." "1114496-1" "1114496-1" "ABDOMINAL DISTENSION" "10000060" "65-79 years" "65-79" "Impaired emotional state, the abdomen began to inflate, 8/2/2021 is taken by ambulance to the hospital where corresponding studies were carried out. He was having complications from cirrhosis. Then you are discharged on the same day 8/2/2021. On 2/18/2021 he was complaining of generalized pain, they call hospice to be evaluated, caregivers when they proceed to take vitals he was without vital signs." "1114496-1" "1114496-1" "CONDITION AGGRAVATED" "10010264" "65-79 years" "65-79" "Impaired emotional state, the abdomen began to inflate, 8/2/2021 is taken by ambulance to the hospital where corresponding studies were carried out. He was having complications from cirrhosis. Then you are discharged on the same day 8/2/2021. On 2/18/2021 he was complaining of generalized pain, they call hospice to be evaluated, caregivers when they proceed to take vitals he was without vital signs." "1114496-1" "1114496-1" "EMOTIONAL DISTRESS" "10049119" "65-79 years" "65-79" "Impaired emotional state, the abdomen began to inflate, 8/2/2021 is taken by ambulance to the hospital where corresponding studies were carried out. He was having complications from cirrhosis. Then you are discharged on the same day 8/2/2021. On 2/18/2021 he was complaining of generalized pain, they call hospice to be evaluated, caregivers when they proceed to take vitals he was without vital signs." "1114496-1" "1114496-1" "HEPATIC CIRRHOSIS" "10019641" "65-79 years" "65-79" "Impaired emotional state, the abdomen began to inflate, 8/2/2021 is taken by ambulance to the hospital where corresponding studies were carried out. He was having complications from cirrhosis. Then you are discharged on the same day 8/2/2021. On 2/18/2021 he was complaining of generalized pain, they call hospice to be evaluated, caregivers when they proceed to take vitals he was without vital signs." "1114496-1" "1114496-1" "PAIN" "10033371" "65-79 years" "65-79" "Impaired emotional state, the abdomen began to inflate, 8/2/2021 is taken by ambulance to the hospital where corresponding studies were carried out. He was having complications from cirrhosis. Then you are discharged on the same day 8/2/2021. On 2/18/2021 he was complaining of generalized pain, they call hospice to be evaluated, caregivers when they proceed to take vitals he was without vital signs." "1114496-1" "1114496-1" "VITAL FUNCTIONS ABNORMAL" "10063644" "65-79 years" "65-79" "Impaired emotional state, the abdomen began to inflate, 8/2/2021 is taken by ambulance to the hospital where corresponding studies were carried out. He was having complications from cirrhosis. Then you are discharged on the same day 8/2/2021. On 2/18/2021 he was complaining of generalized pain, they call hospice to be evaluated, caregivers when they proceed to take vitals he was without vital signs." "1127468-1" "1127468-1" "ACUTE KIDNEY INJURY" "10069339" "65-79 years" "65-79" "Severe lethargy after receiving the shot. Constant sleepiness and malaise, nausea, confusion, loss of appetite, dizziness, Blood vessels/clots formed in her eyes. Acute renal failure and eventually death on March 18, 2021." "1127468-1" "1127468-1" "BLOOD TEST NORMAL" "10050540" "65-79 years" "65-79" "Severe lethargy after receiving the shot. Constant sleepiness and malaise, nausea, confusion, loss of appetite, dizziness, Blood vessels/clots formed in her eyes. Acute renal failure and eventually death on March 18, 2021." "1127468-1" "1127468-1" "CONFUSIONAL STATE" "10010305" "65-79 years" "65-79" "Severe lethargy after receiving the shot. Constant sleepiness and malaise, nausea, confusion, loss of appetite, dizziness, Blood vessels/clots formed in her eyes. Acute renal failure and eventually death on March 18, 2021." "1127468-1" "1127468-1" "DEATH" "10011906" "65-79 years" "65-79" "Severe lethargy after receiving the shot. Constant sleepiness and malaise, nausea, confusion, loss of appetite, dizziness, Blood vessels/clots formed in her eyes. Acute renal failure and eventually death on March 18, 2021." "1127468-1" "1127468-1" "DECREASED APPETITE" "10061428" "65-79 years" "65-79" "Severe lethargy after receiving the shot. Constant sleepiness and malaise, nausea, confusion, loss of appetite, dizziness, Blood vessels/clots formed in her eyes. Acute renal failure and eventually death on March 18, 2021." "1127468-1" "1127468-1" "DIZZINESS" "10013573" "65-79 years" "65-79" "Severe lethargy after receiving the shot. Constant sleepiness and malaise, nausea, confusion, loss of appetite, dizziness, Blood vessels/clots formed in her eyes. Acute renal failure and eventually death on March 18, 2021." "1127468-1" "1127468-1" "ECHOCARDIOGRAM NORMAL" "10014115" "65-79 years" "65-79" "Severe lethargy after receiving the shot. Constant sleepiness and malaise, nausea, confusion, loss of appetite, dizziness, Blood vessels/clots formed in her eyes. Acute renal failure and eventually death on March 18, 2021." "1127468-1" "1127468-1" "LETHARGY" "10024264" "65-79 years" "65-79" "Severe lethargy after receiving the shot. Constant sleepiness and malaise, nausea, confusion, loss of appetite, dizziness, Blood vessels/clots formed in her eyes. Acute renal failure and eventually death on March 18, 2021." "1127468-1" "1127468-1" "MALAISE" "10025482" "65-79 years" "65-79" "Severe lethargy after receiving the shot. Constant sleepiness and malaise, nausea, confusion, loss of appetite, dizziness, Blood vessels/clots formed in her eyes. Acute renal failure and eventually death on March 18, 2021." "1127468-1" "1127468-1" "NAUSEA" "10028813" "65-79 years" "65-79" "Severe lethargy after receiving the shot. Constant sleepiness and malaise, nausea, confusion, loss of appetite, dizziness, Blood vessels/clots formed in her eyes. Acute renal failure and eventually death on March 18, 2021." "1127468-1" "1127468-1" "RETINAL VASCULAR THROMBOSIS" "10062108" "65-79 years" "65-79" "Severe lethargy after receiving the shot. Constant sleepiness and malaise, nausea, confusion, loss of appetite, dizziness, Blood vessels/clots formed in her eyes. Acute renal failure and eventually death on March 18, 2021." "1127468-1" "1127468-1" "SOMNOLENCE" "10041349" "65-79 years" "65-79" "Severe lethargy after receiving the shot. Constant sleepiness and malaise, nausea, confusion, loss of appetite, dizziness, Blood vessels/clots formed in her eyes. Acute renal failure and eventually death on March 18, 2021." "1127468-1" "1127468-1" "ULTRASOUND KIDNEY NORMAL" "10045423" "65-79 years" "65-79" "Severe lethargy after receiving the shot. Constant sleepiness and malaise, nausea, confusion, loss of appetite, dizziness, Blood vessels/clots formed in her eyes. Acute renal failure and eventually death on March 18, 2021." "1129069-1" "1129069-1" "ARRHYTHMIA" "10003119" "65-79 years" "65-79" "Patient had no known immediate ill effects or complaints directly after receiving his second COVID-19 vaccination on 03/11/2021. However, on 03/22/2021, he suffered a fatal cardiac arrhythmia while exercising on his home elliptical machine." "1129069-1" "1129069-1" "CORONARY ARTERY STENOSIS" "10011089" "65-79 years" "65-79" "Patient had no known immediate ill effects or complaints directly after receiving his second COVID-19 vaccination on 03/11/2021. However, on 03/22/2021, he suffered a fatal cardiac arrhythmia while exercising on his home elliptical machine." "1129069-1" "1129069-1" "DEATH" "10011906" "65-79 years" "65-79" "Patient had no known immediate ill effects or complaints directly after receiving his second COVID-19 vaccination on 03/11/2021. However, on 03/22/2021, he suffered a fatal cardiac arrhythmia while exercising on his home elliptical machine." "1129069-1" "1129069-1" "HEPATIC STEATOSIS" "10019708" "65-79 years" "65-79" "Patient had no known immediate ill effects or complaints directly after receiving his second COVID-19 vaccination on 03/11/2021. However, on 03/22/2021, he suffered a fatal cardiac arrhythmia while exercising on his home elliptical machine." "1129069-1" "1129069-1" "HEPATOMEGALY" "10019842" "65-79 years" "65-79" "Patient had no known immediate ill effects or complaints directly after receiving his second COVID-19 vaccination on 03/11/2021. However, on 03/22/2021, he suffered a fatal cardiac arrhythmia while exercising on his home elliptical machine." "1129069-1" "1129069-1" "HYPERTENSION" "10020772" "65-79 years" "65-79" "Patient had no known immediate ill effects or complaints directly after receiving his second COVID-19 vaccination on 03/11/2021. However, on 03/22/2021, he suffered a fatal cardiac arrhythmia while exercising on his home elliptical machine." "1129069-1" "1129069-1" "NEPHROSCLEROSIS" "10029159" "65-79 years" "65-79" "Patient had no known immediate ill effects or complaints directly after receiving his second COVID-19 vaccination on 03/11/2021. However, on 03/22/2021, he suffered a fatal cardiac arrhythmia while exercising on his home elliptical machine." "1130251-1" "1130251-1" "MYOCARDIAL INFARCTION" "10028596" "65-79 years" "65-79" "Sister reports that she was fine, the day before I took her to the dentist. Sister on 5/3/2021 called her and did not answer, so she goes to the nursing home where she resides. She finds her sister cold in the apartment's furniture. Massive heart attack" "1130306-1" "1130306-1" "BLOOD PRESSURE FLUCTUATION" "10005746" "65-79 years" "65-79" "It began on 2/3/2021 to present low saturation, pressures rose and fell (unstable). They gave him therapy, since he could not breathe. On 02/04/2021, POC reports that caregivers took their rounds and he was without vital signs. Doctor certifies that it was due to respiratory failure." "1130306-1" "1130306-1" "DYSPNOEA" "10013968" "65-79 years" "65-79" "It began on 2/3/2021 to present low saturation, pressures rose and fell (unstable). They gave him therapy, since he could not breathe. On 02/04/2021, POC reports that caregivers took their rounds and he was without vital signs. Doctor certifies that it was due to respiratory failure." "1130306-1" "1130306-1" "OXYGEN SATURATION DECREASED" "10033318" "65-79 years" "65-79" "It began on 2/3/2021 to present low saturation, pressures rose and fell (unstable). They gave him therapy, since he could not breathe. On 02/04/2021, POC reports that caregivers took their rounds and he was without vital signs. Doctor certifies that it was due to respiratory failure." "1130306-1" "1130306-1" "RESPIRATORY FAILURE" "10038695" "65-79 years" "65-79" "It began on 2/3/2021 to present low saturation, pressures rose and fell (unstable). They gave him therapy, since he could not breathe. On 02/04/2021, POC reports that caregivers took their rounds and he was without vital signs. Doctor certifies that it was due to respiratory failure." "1130306-1" "1130306-1" "VITAL FUNCTIONS ABNORMAL" "10063644" "65-79 years" "65-79" "It began on 2/3/2021 to present low saturation, pressures rose and fell (unstable). They gave him therapy, since he could not breathe. On 02/04/2021, POC reports that caregivers took their rounds and he was without vital signs. Doctor certifies that it was due to respiratory failure." "1132327-1" "1132327-1" "CARDIAC FAILURE" "10007554" "65-79 years" "65-79" "They proceed to take the round and at that moment they realize that she was not breathing, she was already compromised . He dies of heart failure." "1132327-1" "1132327-1" "DEATH" "10011906" "65-79 years" "65-79" "They proceed to take the round and at that moment they realize that she was not breathing, she was already compromised . He dies of heart failure." "1132327-1" "1132327-1" "RESPIRATORY ARREST" "10038669" "65-79 years" "65-79" "They proceed to take the round and at that moment they realize that she was not breathing, she was already compromised . He dies of heart failure." "1132713-1" "1132713-1" "DEATH" "10011906" "65-79 years" "65-79" "2/16/2021 He was transferred to the Regional Hospital of due to low pressure (systole), received CPR in the ambulance on the way to the hospital. He died on 2/19/2021 due to various complications, including pneumonia." "1132713-1" "1132713-1" "HYPOTENSION" "10021097" "65-79 years" "65-79" "2/16/2021 He was transferred to the Regional Hospital of due to low pressure (systole), received CPR in the ambulance on the way to the hospital. He died on 2/19/2021 due to various complications, including pneumonia." "1132713-1" "1132713-1" "PNEUMONIA" "10035664" "65-79 years" "65-79" "2/16/2021 He was transferred to the Regional Hospital of due to low pressure (systole), received CPR in the ambulance on the way to the hospital. He died on 2/19/2021 due to various complications, including pneumonia." "1132713-1" "1132713-1" "RESUSCITATION" "10038749" "65-79 years" "65-79" "2/16/2021 He was transferred to the Regional Hospital of due to low pressure (systole), received CPR in the ambulance on the way to the hospital. He died on 2/19/2021 due to various complications, including pneumonia." "1133604-1" "1133604-1" "DEATH" "10011906" "65-79 years" "65-79" "She was taken to hospital 03/02/2021 where she died at 4 am from a heart attack." "1133604-1" "1133604-1" "MYOCARDIAL INFARCTION" "10028596" "65-79 years" "65-79" "She was taken to hospital 03/02/2021 where she died at 4 am from a heart attack." "1134751-1" "1134751-1" "DEATH" "10011906" "65-79 years" "65-79" "Patient was hospitalized within 4 days of getting the vaccine and passed away 6 days after getting the vaccine" "1137449-1" "1137449-1" "CARDIO-RESPIRATORY ARREST" "10007617" "65-79 years" "65-79" "He returned from the hospital through a PEG tube, he was stable. On 7/3/2021, caregivers give a round of vitals at 7:30 am, he was stable, when he was going to receive food he was without vital signs. Cause of death respiratory cardiac arrest." "1137449-1" "1137449-1" "DEATH" "10011906" "65-79 years" "65-79" "He returned from the hospital through a PEG tube, he was stable. On 7/3/2021, caregivers give a round of vitals at 7:30 am, he was stable, when he was going to receive food he was without vital signs. Cause of death respiratory cardiac arrest." "1142999-1" "1142999-1" "DEMENTIA ALZHEIMER'S TYPE" "10012271" "65-79 years" "65-79" "Patient have generalized weakness for the last few months, she stop chewing. On 3/4/2021 he stopped reacting to stimuli and had dilated pupils. Certified Alzheimer's deseases, cerebral aneurysm." "1142999-1" "1142999-1" "INTRACRANIAL ANEURYSM" "10022758" "65-79 years" "65-79" "Patient have generalized weakness for the last few months, she stop chewing. On 3/4/2021 he stopped reacting to stimuli and had dilated pupils. Certified Alzheimer's deseases, cerebral aneurysm." "1142999-1" "1142999-1" "MYDRIASIS" "10028521" "65-79 years" "65-79" "Patient have generalized weakness for the last few months, she stop chewing. On 3/4/2021 he stopped reacting to stimuli and had dilated pupils. Certified Alzheimer's deseases, cerebral aneurysm." "1142999-1" "1142999-1" "UNRESPONSIVE TO STIMULI" "10045555" "65-79 years" "65-79" "Patient have generalized weakness for the last few months, she stop chewing. On 3/4/2021 he stopped reacting to stimuli and had dilated pupils. Certified Alzheimer's deseases, cerebral aneurysm." "1143063-1" "1143063-1" "ASPIRATION" "10003504" "65-79 years" "65-79" "POC alleges that the resident was eating days before but, on 3/24/2021 he did not want to eat in the afternoon, he took a Pediasure around 4 pm, at 6 pm, caregivers on their rounds found him foaming at the mouth. It was heard with phlegm. They refer him to the hospital, they take a chest plate and indicate that everything was fine. Dies by aspiration, due to cardiac respiratory arrest." "1143063-1" "1143063-1" "CARDIO-RESPIRATORY ARREST" "10007617" "65-79 years" "65-79" "POC alleges that the resident was eating days before but, on 3/24/2021 he did not want to eat in the afternoon, he took a Pediasure around 4 pm, at 6 pm, caregivers on their rounds found him foaming at the mouth. It was heard with phlegm. They refer him to the hospital, they take a chest plate and indicate that everything was fine. Dies by aspiration, due to cardiac respiratory arrest." "1143063-1" "1143063-1" "CHEST X-RAY NORMAL" "10008500" "65-79 years" "65-79" "POC alleges that the resident was eating days before but, on 3/24/2021 he did not want to eat in the afternoon, he took a Pediasure around 4 pm, at 6 pm, caregivers on their rounds found him foaming at the mouth. It was heard with phlegm. They refer him to the hospital, they take a chest plate and indicate that everything was fine. Dies by aspiration, due to cardiac respiratory arrest." "1143063-1" "1143063-1" "DEATH" "10011906" "65-79 years" "65-79" "POC alleges that the resident was eating days before but, on 3/24/2021 he did not want to eat in the afternoon, he took a Pediasure around 4 pm, at 6 pm, caregivers on their rounds found him foaming at the mouth. It was heard with phlegm. They refer him to the hospital, they take a chest plate and indicate that everything was fine. Dies by aspiration, due to cardiac respiratory arrest." "1143063-1" "1143063-1" "FOAMING AT MOUTH" "10062654" "65-79 years" "65-79" "POC alleges that the resident was eating days before but, on 3/24/2021 he did not want to eat in the afternoon, he took a Pediasure around 4 pm, at 6 pm, caregivers on their rounds found him foaming at the mouth. It was heard with phlegm. They refer him to the hospital, they take a chest plate and indicate that everything was fine. Dies by aspiration, due to cardiac respiratory arrest." "1143063-1" "1143063-1" "FOOD REFUSAL" "10080283" "65-79 years" "65-79" "POC alleges that the resident was eating days before but, on 3/24/2021 he did not want to eat in the afternoon, he took a Pediasure around 4 pm, at 6 pm, caregivers on their rounds found him foaming at the mouth. It was heard with phlegm. They refer him to the hospital, they take a chest plate and indicate that everything was fine. Dies by aspiration, due to cardiac respiratory arrest." "1143063-1" "1143063-1" "PRODUCTIVE COUGH" "10036790" "65-79 years" "65-79" "POC alleges that the resident was eating days before but, on 3/24/2021 he did not want to eat in the afternoon, he took a Pediasure around 4 pm, at 6 pm, caregivers on their rounds found him foaming at the mouth. It was heard with phlegm. They refer him to the hospital, they take a chest plate and indicate that everything was fine. Dies by aspiration, due to cardiac respiratory arrest." "1146320-1" "1146320-1" "DEATH" "10011906" "65-79 years" "65-79" "Flu symptoms 14 hours after injection. Respiratory failure within 22 hours after injection leading to dealth" "1146320-1" "1146320-1" "INFLUENZA LIKE ILLNESS" "10022004" "65-79 years" "65-79" "Flu symptoms 14 hours after injection. Respiratory failure within 22 hours after injection leading to dealth" "1146320-1" "1146320-1" "RESPIRATORY FAILURE" "10038695" "65-79 years" "65-79" "Flu symptoms 14 hours after injection. Respiratory failure within 22 hours after injection leading to dealth" "1147151-1" "1147151-1" "DEATH" "10011906" "65-79 years" "65-79" "Received email from Public Health Nurse that patient had passed away on 3-16-21. The coroner did not believe it was associated with the vaccine, just reporting the death. Requested VAERS form still be filled out." "1149835-1" "1149835-1" "CARDIAC DISORDER" "10061024" "65-79 years" "65-79" "Patient received her first Moderna COVID-19 vaccination on 03/11/2021. She did not have any ill effects directly afterwards. However, starting on 03/27/2021, she began complaining of left arm pain in the area of the injection. She continued to complain of pain in the injection site on 03/28/2021. On 03/29/2021, her roommate found her deceased on her bed due to a probable cardiac event." "1149835-1" "1149835-1" "DEATH" "10011906" "65-79 years" "65-79" "Patient received her first Moderna COVID-19 vaccination on 03/11/2021. She did not have any ill effects directly afterwards. However, starting on 03/27/2021, she began complaining of left arm pain in the area of the injection. She continued to complain of pain in the injection site on 03/28/2021. On 03/29/2021, her roommate found her deceased on her bed due to a probable cardiac event." "1149835-1" "1149835-1" "INJECTION SITE PAIN" "10022086" "65-79 years" "65-79" "Patient received her first Moderna COVID-19 vaccination on 03/11/2021. She did not have any ill effects directly afterwards. However, starting on 03/27/2021, she began complaining of left arm pain in the area of the injection. She continued to complain of pain in the injection site on 03/28/2021. On 03/29/2021, her roommate found her deceased on her bed due to a probable cardiac event." "1156328-1" "1156328-1" "DEATH" "10011906" "65-79 years" "65-79" "Death on 03/29/2021" "1156365-1" "1156365-1" "DEATH" "10011906" "65-79 years" "65-79" "Client has history of COPD and CHF. Three days after the 1st COVID Vaccine, client had some SOB and he called 911. When the ambulance arrived they had to do CPR on him and got him to the hospital and at the hospital they got him breathing on his own. From the ER they transferred him to Facility. He spent 23 days in the hospital and Rehab. He was told he could take the vaccine. He was out of the hospital for one week before his 2nd COVID Vaccine. His friend/neighbor is the historian and she states that since he was out of rehab that he was having a lot of extremity swelling. He then came to the Health Services on 03/29/2021for his 2nd COVID Vaccine. On 3/30/2021 at 5:45 pm, client went to Pharmacy to pick up his medications, and after 9 pm was found by friend deceased in his car at Pharmacy. This information was received from friend/neighbor, no local family available." "1156365-1" "1156365-1" "DYSPNOEA" "10013968" "65-79 years" "65-79" "Client has history of COPD and CHF. Three days after the 1st COVID Vaccine, client had some SOB and he called 911. When the ambulance arrived they had to do CPR on him and got him to the hospital and at the hospital they got him breathing on his own. From the ER they transferred him to Facility. He spent 23 days in the hospital and Rehab. He was told he could take the vaccine. He was out of the hospital for one week before his 2nd COVID Vaccine. His friend/neighbor is the historian and she states that since he was out of rehab that he was having a lot of extremity swelling. He then came to the Health Services on 03/29/2021for his 2nd COVID Vaccine. On 3/30/2021 at 5:45 pm, client went to Pharmacy to pick up his medications, and after 9 pm was found by friend deceased in his car at Pharmacy. This information was received from friend/neighbor, no local family available." "1156365-1" "1156365-1" "PERIPHERAL SWELLING" "10048959" "65-79 years" "65-79" "Client has history of COPD and CHF. Three days after the 1st COVID Vaccine, client had some SOB and he called 911. When the ambulance arrived they had to do CPR on him and got him to the hospital and at the hospital they got him breathing on his own. From the ER they transferred him to Facility. He spent 23 days in the hospital and Rehab. He was told he could take the vaccine. He was out of the hospital for one week before his 2nd COVID Vaccine. His friend/neighbor is the historian and she states that since he was out of rehab that he was having a lot of extremity swelling. He then came to the Health Services on 03/29/2021for his 2nd COVID Vaccine. On 3/30/2021 at 5:45 pm, client went to Pharmacy to pick up his medications, and after 9 pm was found by friend deceased in his car at Pharmacy. This information was received from friend/neighbor, no local family available." "1156365-1" "1156365-1" "RESUSCITATION" "10038749" "65-79 years" "65-79" "Client has history of COPD and CHF. Three days after the 1st COVID Vaccine, client had some SOB and he called 911. When the ambulance arrived they had to do CPR on him and got him to the hospital and at the hospital they got him breathing on his own. From the ER they transferred him to Facility. He spent 23 days in the hospital and Rehab. He was told he could take the vaccine. He was out of the hospital for one week before his 2nd COVID Vaccine. His friend/neighbor is the historian and she states that since he was out of rehab that he was having a lot of extremity swelling. He then came to the Health Services on 03/29/2021for his 2nd COVID Vaccine. On 3/30/2021 at 5:45 pm, client went to Pharmacy to pick up his medications, and after 9 pm was found by friend deceased in his car at Pharmacy. This information was received from friend/neighbor, no local family available." "1169683-1" "1169683-1" "CHILLS" "10008531" "65-79 years" "65-79" "Within 5-10 hours of the second dose: nausea, vomiting, chills, fever, fatigue. Chills, fatigue and nausea continued for 10 days until death" "1169683-1" "1169683-1" "DEATH" "10011906" "65-79 years" "65-79" "Within 5-10 hours of the second dose: nausea, vomiting, chills, fever, fatigue. Chills, fatigue and nausea continued for 10 days until death" "1169683-1" "1169683-1" "FATIGUE" "10016256" "65-79 years" "65-79" "Within 5-10 hours of the second dose: nausea, vomiting, chills, fever, fatigue. Chills, fatigue and nausea continued for 10 days until death" "1169683-1" "1169683-1" "NAUSEA" "10028813" "65-79 years" "65-79" "Within 5-10 hours of the second dose: nausea, vomiting, chills, fever, fatigue. Chills, fatigue and nausea continued for 10 days until death" "1169683-1" "1169683-1" "PYREXIA" "10037660" "65-79 years" "65-79" "Within 5-10 hours of the second dose: nausea, vomiting, chills, fever, fatigue. Chills, fatigue and nausea continued for 10 days until death" "1169683-1" "1169683-1" "VOMITING" "10047700" "65-79 years" "65-79" "Within 5-10 hours of the second dose: nausea, vomiting, chills, fever, fatigue. Chills, fatigue and nausea continued for 10 days until death" "1177616-1" "1177616-1" "DEATH" "10011906" "65-79 years" "65-79" "Patient death within 60 days of receiving the COVID vaccine series" "1180818-1" "1180818-1" "AUTOPSY" "10050117" "65-79 years" "65-79" "Recipient of vaccine is a family member (father) of employee of Hospital. Recipient was vaccinated with Dose 2 Pfizer Covid vaccine on 3/19/2021 and observed on-site for 15 minutes after vaccination with no apparent concerns. On 3/23/2021, his daughter (our employee) notified clinic that on 3/22/2021, recipient had died. 4/7/2021 his daughter (our employee) states the medical examiner indicated his autopsy showed evidence of cardiac arrest." "1180818-1" "1180818-1" "CARDIAC ARREST" "10007515" "65-79 years" "65-79" "Recipient of vaccine is a family member (father) of employee of Hospital. Recipient was vaccinated with Dose 2 Pfizer Covid vaccine on 3/19/2021 and observed on-site for 15 minutes after vaccination with no apparent concerns. On 3/23/2021, his daughter (our employee) notified clinic that on 3/22/2021, recipient had died. 4/7/2021 his daughter (our employee) states the medical examiner indicated his autopsy showed evidence of cardiac arrest." "1180818-1" "1180818-1" "DEATH" "10011906" "65-79 years" "65-79" "Recipient of vaccine is a family member (father) of employee of Hospital. Recipient was vaccinated with Dose 2 Pfizer Covid vaccine on 3/19/2021 and observed on-site for 15 minutes after vaccination with no apparent concerns. On 3/23/2021, his daughter (our employee) notified clinic that on 3/22/2021, recipient had died. 4/7/2021 his daughter (our employee) states the medical examiner indicated his autopsy showed evidence of cardiac arrest." "1196478-1" "1196478-1" "MYOCARDIAL INFARCTION" "10028596" "65-79 years" "65-79" "MASSIVE HEART INFARCTION" "1198032-1" "1198032-1" "ANAEMIA" "10002034" "65-79 years" "65-79" "Patient has had L leg blood clot and multiple mental co-morbity-Anemia, hypertension, heart disease, hypokalemia, liver enzyme off per MD, poor nutrition, tremors, hypothyrodism, COPD, small vessel disease of the brain" "1198032-1" "1198032-1" "CARDIAC DISORDER" "10061024" "65-79 years" "65-79" "Patient has had L leg blood clot and multiple mental co-morbity-Anemia, hypertension, heart disease, hypokalemia, liver enzyme off per MD, poor nutrition, tremors, hypothyrodism, COPD, small vessel disease of the brain" "1198032-1" "1198032-1" "CEREBRAL SMALL VESSEL ISCHAEMIC DISEASE" "10070878" "65-79 years" "65-79" "Patient has had L leg blood clot and multiple mental co-morbity-Anemia, hypertension, heart disease, hypokalemia, liver enzyme off per MD, poor nutrition, tremors, hypothyrodism, COPD, small vessel disease of the brain" "1198032-1" "1198032-1" "CHRONIC OBSTRUCTIVE PULMONARY DISEASE" "10009033" "65-79 years" "65-79" "Patient has had L leg blood clot and multiple mental co-morbity-Anemia, hypertension, heart disease, hypokalemia, liver enzyme off per MD, poor nutrition, tremors, hypothyrodism, COPD, small vessel disease of the brain" "1198032-1" "1198032-1" "CONDITION AGGRAVATED" "10010264" "65-79 years" "65-79" "Patient has had L leg blood clot and multiple mental co-morbity-Anemia, hypertension, heart disease, hypokalemia, liver enzyme off per MD, poor nutrition, tremors, hypothyrodism, COPD, small vessel disease of the brain" "1198032-1" "1198032-1" "HEPATIC ENZYME ABNORMAL" "10062685" "65-79 years" "65-79" "Patient has had L leg blood clot and multiple mental co-morbity-Anemia, hypertension, heart disease, hypokalemia, liver enzyme off per MD, poor nutrition, tremors, hypothyrodism, COPD, small vessel disease of the brain" "1198032-1" "1198032-1" "HYPERTENSION" "10020772" "65-79 years" "65-79" "Patient has had L leg blood clot and multiple mental co-morbity-Anemia, hypertension, heart disease, hypokalemia, liver enzyme off per MD, poor nutrition, tremors, hypothyrodism, COPD, small vessel disease of the brain" "1198032-1" "1198032-1" "HYPOKALAEMIA" "10021015" "65-79 years" "65-79" "Patient has had L leg blood clot and multiple mental co-morbity-Anemia, hypertension, heart disease, hypokalemia, liver enzyme off per MD, poor nutrition, tremors, hypothyrodism, COPD, small vessel disease of the brain" "1198032-1" "1198032-1" "HYPOTHYROIDISM" "10021114" "65-79 years" "65-79" "Patient has had L leg blood clot and multiple mental co-morbity-Anemia, hypertension, heart disease, hypokalemia, liver enzyme off per MD, poor nutrition, tremors, hypothyrodism, COPD, small vessel disease of the brain" "1198032-1" "1198032-1" "MALNUTRITION" "10061273" "65-79 years" "65-79" "Patient has had L leg blood clot and multiple mental co-morbity-Anemia, hypertension, heart disease, hypokalemia, liver enzyme off per MD, poor nutrition, tremors, hypothyrodism, COPD, small vessel disease of the brain" "1198032-1" "1198032-1" "MENTAL DISORDER" "10061284" "65-79 years" "65-79" "Patient has had L leg blood clot and multiple mental co-morbity-Anemia, hypertension, heart disease, hypokalemia, liver enzyme off per MD, poor nutrition, tremors, hypothyrodism, COPD, small vessel disease of the brain" "1198032-1" "1198032-1" "THROMBOSIS" "10043607" "65-79 years" "65-79" "Patient has had L leg blood clot and multiple mental co-morbity-Anemia, hypertension, heart disease, hypokalemia, liver enzyme off per MD, poor nutrition, tremors, hypothyrodism, COPD, small vessel disease of the brain" "1198032-1" "1198032-1" "TREMOR" "10044565" "65-79 years" "65-79" "Patient has had L leg blood clot and multiple mental co-morbity-Anemia, hypertension, heart disease, hypokalemia, liver enzyme off per MD, poor nutrition, tremors, hypothyrodism, COPD, small vessel disease of the brain" "1204502-1" "1204502-1" "DEATH" "10011906" "65-79 years" "65-79" "Patient was hospitalized and died within 60 days of receiving a COVID vaccine series" "1207928-1" "1207928-1" "DYSPNOEA" "10013968" "65-79 years" "65-79" "Shortness of breath" "1209252-1" "1209252-1" "DEATH" "10011906" "65-79 years" "65-79" "On 4/13 patient's daughter in law called public health department to report that patient was found by EMS on 3/12/21. They believe patient had passed away over night. No autopsy was done. Family member reported that EMS believed the cause to be heart attack or pulmonary embolism." "1209252-1" "1209252-1" "MYOCARDIAL INFARCTION" "10028596" "65-79 years" "65-79" "On 4/13 patient's daughter in law called public health department to report that patient was found by EMS on 3/12/21. They believe patient had passed away over night. No autopsy was done. Family member reported that EMS believed the cause to be heart attack or pulmonary embolism." "1209252-1" "1209252-1" "PULMONARY EMBOLISM" "10037377" "65-79 years" "65-79" "On 4/13 patient's daughter in law called public health department to report that patient was found by EMS on 3/12/21. They believe patient had passed away over night. No autopsy was done. Family member reported that EMS believed the cause to be heart attack or pulmonary embolism." "1222366-1" "1222366-1" "DEATH" "10011906" "65-79 years" "65-79" "Died a natural death" "1222399-1" "1222399-1" "CARDIAC DISORDER" "10061024" "65-79 years" "65-79" "POC alleges that she observed that resident began to swell and retain fluids and the nurse noticed that he was not urinating, felt a lot of tiredness and had swollen legs. He was evaluated by the doctor and sent for several studies (EKG) and his heart was weakened. He was sent to do another study, because snoring was heard. He was transferred to the hospital to the ER, he had the fluid in his lungs. He is placed intensive and dies on 3/23/2021 from heart failure." "1222399-1" "1222399-1" "CARDIAC FAILURE" "10007554" "65-79 years" "65-79" "POC alleges that she observed that resident began to swell and retain fluids and the nurse noticed that he was not urinating, felt a lot of tiredness and had swollen legs. He was evaluated by the doctor and sent for several studies (EKG) and his heart was weakened. He was sent to do another study, because snoring was heard. He was transferred to the hospital to the ER, he had the fluid in his lungs. He is placed intensive and dies on 3/23/2021 from heart failure." "1222399-1" "1222399-1" "DEATH" "10011906" "65-79 years" "65-79" "POC alleges that she observed that resident began to swell and retain fluids and the nurse noticed that he was not urinating, felt a lot of tiredness and had swollen legs. He was evaluated by the doctor and sent for several studies (EKG) and his heart was weakened. He was sent to do another study, because snoring was heard. He was transferred to the hospital to the ER, he had the fluid in his lungs. He is placed intensive and dies on 3/23/2021 from heart failure." "1222399-1" "1222399-1" "ELECTROCARDIOGRAM ABNORMAL" "10014363" "65-79 years" "65-79" "POC alleges that she observed that resident began to swell and retain fluids and the nurse noticed that he was not urinating, felt a lot of tiredness and had swollen legs. He was evaluated by the doctor and sent for several studies (EKG) and his heart was weakened. He was sent to do another study, because snoring was heard. He was transferred to the hospital to the ER, he had the fluid in his lungs. He is placed intensive and dies on 3/23/2021 from heart failure." "1222399-1" "1222399-1" "FATIGUE" "10016256" "65-79 years" "65-79" "POC alleges that she observed that resident began to swell and retain fluids and the nurse noticed that he was not urinating, felt a lot of tiredness and had swollen legs. He was evaluated by the doctor and sent for several studies (EKG) and his heart was weakened. He was sent to do another study, because snoring was heard. He was transferred to the hospital to the ER, he had the fluid in his lungs. He is placed intensive and dies on 3/23/2021 from heart failure." "1222399-1" "1222399-1" "FLUID RETENTION" "10016807" "65-79 years" "65-79" "POC alleges that she observed that resident began to swell and retain fluids and the nurse noticed that he was not urinating, felt a lot of tiredness and had swollen legs. He was evaluated by the doctor and sent for several studies (EKG) and his heart was weakened. He was sent to do another study, because snoring was heard. He was transferred to the hospital to the ER, he had the fluid in his lungs. He is placed intensive and dies on 3/23/2021 from heart failure." "1222399-1" "1222399-1" "INTENSIVE CARE" "10022519" "65-79 years" "65-79" "POC alleges that she observed that resident began to swell and retain fluids and the nurse noticed that he was not urinating, felt a lot of tiredness and had swollen legs. He was evaluated by the doctor and sent for several studies (EKG) and his heart was weakened. He was sent to do another study, because snoring was heard. He was transferred to the hospital to the ER, he had the fluid in his lungs. He is placed intensive and dies on 3/23/2021 from heart failure." "1222399-1" "1222399-1" "PERIPHERAL SWELLING" "10048959" "65-79 years" "65-79" "POC alleges that she observed that resident began to swell and retain fluids and the nurse noticed that he was not urinating, felt a lot of tiredness and had swollen legs. He was evaluated by the doctor and sent for several studies (EKG) and his heart was weakened. He was sent to do another study, because snoring was heard. He was transferred to the hospital to the ER, he had the fluid in his lungs. He is placed intensive and dies on 3/23/2021 from heart failure." "1222399-1" "1222399-1" "PULMONARY OEDEMA" "10037423" "65-79 years" "65-79" "POC alleges that she observed that resident began to swell and retain fluids and the nurse noticed that he was not urinating, felt a lot of tiredness and had swollen legs. He was evaluated by the doctor and sent for several studies (EKG) and his heart was weakened. He was sent to do another study, because snoring was heard. He was transferred to the hospital to the ER, he had the fluid in his lungs. He is placed intensive and dies on 3/23/2021 from heart failure." "1222399-1" "1222399-1" "SNORING" "10041235" "65-79 years" "65-79" "POC alleges that she observed that resident began to swell and retain fluids and the nurse noticed that he was not urinating, felt a lot of tiredness and had swollen legs. He was evaluated by the doctor and sent for several studies (EKG) and his heart was weakened. He was sent to do another study, because snoring was heard. He was transferred to the hospital to the ER, he had the fluid in his lungs. He is placed intensive and dies on 3/23/2021 from heart failure." "1222399-1" "1222399-1" "SWELLING" "10042674" "65-79 years" "65-79" "POC alleges that she observed that resident began to swell and retain fluids and the nurse noticed that he was not urinating, felt a lot of tiredness and had swollen legs. He was evaluated by the doctor and sent for several studies (EKG) and his heart was weakened. He was sent to do another study, because snoring was heard. He was transferred to the hospital to the ER, he had the fluid in his lungs. He is placed intensive and dies on 3/23/2021 from heart failure." "1222399-1" "1222399-1" "URINARY RETENTION" "10046555" "65-79 years" "65-79" "POC alleges that she observed that resident began to swell and retain fluids and the nurse noticed that he was not urinating, felt a lot of tiredness and had swollen legs. He was evaluated by the doctor and sent for several studies (EKG) and his heart was weakened. He was sent to do another study, because snoring was heard. He was transferred to the hospital to the ER, he had the fluid in his lungs. He is placed intensive and dies on 3/23/2021 from heart failure." "1222837-1" "1222837-1" "CARDIOPULMONARY FAILURE" "10051093" "65-79 years" "65-79" "On 3/25/2021 POC alleges that the resident begin to develop fever and urine infection. He was transferred to the hospital on 3/26/2021 where he had white secretions in his mouth. On 3/28/2021 he died in the hospital from respiratory cardio failure." "1222837-1" "1222837-1" "DEATH" "10011906" "65-79 years" "65-79" "On 3/25/2021 POC alleges that the resident begin to develop fever and urine infection. He was transferred to the hospital on 3/26/2021 where he had white secretions in his mouth. On 3/28/2021 he died in the hospital from respiratory cardio failure." "1222837-1" "1222837-1" "PYREXIA" "10037660" "65-79 years" "65-79" "On 3/25/2021 POC alleges that the resident begin to develop fever and urine infection. He was transferred to the hospital on 3/26/2021 where he had white secretions in his mouth. On 3/28/2021 he died in the hospital from respiratory cardio failure." "1222837-1" "1222837-1" "SECRETION DISCHARGE" "10053459" "65-79 years" "65-79" "On 3/25/2021 POC alleges that the resident begin to develop fever and urine infection. He was transferred to the hospital on 3/26/2021 where he had white secretions in his mouth. On 3/28/2021 he died in the hospital from respiratory cardio failure." "1222837-1" "1222837-1" "URINARY TRACT INFECTION" "10046571" "65-79 years" "65-79" "On 3/25/2021 POC alleges that the resident begin to develop fever and urine infection. He was transferred to the hospital on 3/26/2021 where he had white secretions in his mouth. On 3/28/2021 he died in the hospital from respiratory cardio failure." "1222868-1" "1222868-1" "CONDITION AGGRAVATED" "10010264" "65-79 years" "65-79" "According to POC the resident was transferred to the hospital on 4/8/2021, due to low pressures, high pulse and cough. They certify death by COVID 19, because it affected the lungs." "1222868-1" "1222868-1" "COUGH" "10011224" "65-79 years" "65-79" "According to POC the resident was transferred to the hospital on 4/8/2021, due to low pressures, high pulse and cough. They certify death by COVID 19, because it affected the lungs." "1222868-1" "1222868-1" "COVID-19" "10084268" "65-79 years" "65-79" "According to POC the resident was transferred to the hospital on 4/8/2021, due to low pressures, high pulse and cough. They certify death by COVID 19, because it affected the lungs." "1222868-1" "1222868-1" "DEATH" "10011906" "65-79 years" "65-79" "According to POC the resident was transferred to the hospital on 4/8/2021, due to low pressures, high pulse and cough. They certify death by COVID 19, because it affected the lungs." "1222868-1" "1222868-1" "HEART RATE INCREASED" "10019303" "65-79 years" "65-79" "According to POC the resident was transferred to the hospital on 4/8/2021, due to low pressures, high pulse and cough. They certify death by COVID 19, because it affected the lungs." "1222868-1" "1222868-1" "HYPOTENSION" "10021097" "65-79 years" "65-79" "According to POC the resident was transferred to the hospital on 4/8/2021, due to low pressures, high pulse and cough. They certify death by COVID 19, because it affected the lungs." "1222868-1" "1222868-1" "LUNG DISORDER" "10025082" "65-79 years" "65-79" "According to POC the resident was transferred to the hospital on 4/8/2021, due to low pressures, high pulse and cough. They certify death by COVID 19, because it affected the lungs." "1231568-1" "1231568-1" "CARDIAC DISORDER" "10061024" "65-79 years" "65-79" "Unknown onset of adverse events. PT received second COVID vaccine on 3/26/21. She was found deceased in her residence (where she lives alone) by family on 3/28/21. She was found in bed, appropriately covered with blankets. Son last spoke with PT around 17:30 hours on 3/26 after receiving the vaccine, and reported the PT did not complain of any symptoms, did not sound short of breath, and did not complain of any breathing difficulty. Based on postmortem presentation, believed PT died late night of 3/26/early morning of 3/27. Suspect death is likely due to PT's heart disease, Medical Examiner agreed with the assessment.I spoke with the clinic that administered the second dose, and was informed that the PT did not exhibit any signs/symptoms during the observation period immediately following the vaccine being given. PT's PCP was contacted, and agreed to certify DC based on known medical history. PCP also agreed that the death did not sound related to the vaccine based on lack of symptoms as reported by the administering clinic and family." "1231568-1" "1231568-1" "DEATH" "10011906" "65-79 years" "65-79" "Unknown onset of adverse events. PT received second COVID vaccine on 3/26/21. She was found deceased in her residence (where she lives alone) by family on 3/28/21. She was found in bed, appropriately covered with blankets. Son last spoke with PT around 17:30 hours on 3/26 after receiving the vaccine, and reported the PT did not complain of any symptoms, did not sound short of breath, and did not complain of any breathing difficulty. Based on postmortem presentation, believed PT died late night of 3/26/early morning of 3/27. Suspect death is likely due to PT's heart disease, Medical Examiner agreed with the assessment.I spoke with the clinic that administered the second dose, and was informed that the PT did not exhibit any signs/symptoms during the observation period immediately following the vaccine being given. PT's PCP was contacted, and agreed to certify DC based on known medical history. PCP also agreed that the death did not sound related to the vaccine based on lack of symptoms as reported by the administering clinic and family." "1232096-1" "1232096-1" "DEATH" "10011906" "65-79 years" "65-79" "2/17/2021 He was transferred to the hospital because he was having respiratory problems and died in the hospital due to respiratory arrest." "1232096-1" "1232096-1" "RESPIRATORY ARREST" "10038669" "65-79 years" "65-79" "2/17/2021 He was transferred to the hospital because he was having respiratory problems and died in the hospital due to respiratory arrest." "1232096-1" "1232096-1" "RESPIRATORY DISORDER" "10038683" "65-79 years" "65-79" "2/17/2021 He was transferred to the hospital because he was having respiratory problems and died in the hospital due to respiratory arrest." "1232109-1" "1232109-1" "MYOCARDIAL INFARCTION" "10028596" "65-79 years" "65-79" "On 2/28/2021 while having lunch at noon he suffered an apparent heart attack." "1243360-1" "1243360-1" "DEATH" "10011906" "65-79 years" "65-79" "Patient received first Moderna Vaccine on 02/26/2021 and second Moderna Vaccine on 03/26/2021. Health Department was notified of patients death on 03/27/2021, today 04/22/2021. Any further information is unknown by the health department for patients cause of death that occurred on 03/27/2021." "1250784-1" "1250784-1" "DEATH" "10011906" "65-79 years" "65-79" "My mother was found deceased in her home two days after receiving the first dose of Pfizer vaccine of unknown causes." "1257197-1" "1257197-1" "DEATH" "10011906" "65-79 years" "65-79" ""Patient died sometime between Sunday evening, April 4 and Monday morning, April 5. I looked at the browser history in her cellphone and on the night of April 4, she googled ""Heart attack symptoms in women"" and ""Moderna vaccination side effects."" I think she didn't go to the doctor because she figured her symptoms were related to her vaccine -- even though it had been a week. I wanted to report her death because I don't trust her doctor to do it. It took him two weeks and a call from me to complain before he signed her death certificate. He listed April 9, 2021 as the official date of death because that's when she was found, even though the deputy coroner told me she died on either the 4th or the 5th."" "1261821-1" "1261821-1" "CARDIAC ARREST" "10007515" "65-79 years" "65-79" "unknown bleeding; nausea; lightheaded; GI bleed; cardiac arrest; bleed in small intestine; This is a spontaneous report from a contactable consumer (patient's daughter). A 70-year-old patient of an unspecified gender received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration, administered in Deltoid Right on 26Feb2021 (Batch/Lot Number: EN6198) as SINGLE DOSE for covid-19 immunisation. Vaccine Administered at Military Facility was no. Patient received the first dose of vaccine on 05Feb2021 at age of 70 years old for covid-19 immunization and experienced rash on face, loss of blood found to be from small intestine, hemoglobin low, cardiac arrest, going into shock. The patient medical history and concomitant medications were not reported. The patient experienced unknown bleeding (death, hospitalization, medically significant) on 10Mar2021, nausea (hospitalization) in 2021 with outcome of unknown, lightheaded (hospitalization) in 2021 with outcome of unknown, gastrointestinal (GI) bleed (medically significant) in 2021 with outcome of unknown, cardiac arrest (medically significant) in 2021 with outcome of unknown, bleed in small intestine (medically significant) in 2021 with outcome of unknown. Patient went to the hospital on 10Mar2021 with nausea and lightheaded. Endoscopy found GI bleed in 2021. Received blood went into cardiac arrest. Sent to another hospital found bleed in small intestine. Patient experienced unknown bleeding on 10Mar2021, which required visit to Emergency room/ intensive care unit on 18Mar2021 and received treatment, it resulted in death. The patient died on 18Mar2021. An autopsy was not performed.; Reported Cause(s) of Death: unknown bleeding" "1261821-1" "1261821-1" "DIZZINESS" "10013573" "65-79 years" "65-79" "unknown bleeding; nausea; lightheaded; GI bleed; cardiac arrest; bleed in small intestine; This is a spontaneous report from a contactable consumer (patient's daughter). A 70-year-old patient of an unspecified gender received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration, administered in Deltoid Right on 26Feb2021 (Batch/Lot Number: EN6198) as SINGLE DOSE for covid-19 immunisation. Vaccine Administered at Military Facility was no. Patient received the first dose of vaccine on 05Feb2021 at age of 70 years old for covid-19 immunization and experienced rash on face, loss of blood found to be from small intestine, hemoglobin low, cardiac arrest, going into shock. The patient medical history and concomitant medications were not reported. The patient experienced unknown bleeding (death, hospitalization, medically significant) on 10Mar2021, nausea (hospitalization) in 2021 with outcome of unknown, lightheaded (hospitalization) in 2021 with outcome of unknown, gastrointestinal (GI) bleed (medically significant) in 2021 with outcome of unknown, cardiac arrest (medically significant) in 2021 with outcome of unknown, bleed in small intestine (medically significant) in 2021 with outcome of unknown. Patient went to the hospital on 10Mar2021 with nausea and lightheaded. Endoscopy found GI bleed in 2021. Received blood went into cardiac arrest. Sent to another hospital found bleed in small intestine. Patient experienced unknown bleeding on 10Mar2021, which required visit to Emergency room/ intensive care unit on 18Mar2021 and received treatment, it resulted in death. The patient died on 18Mar2021. An autopsy was not performed.; Reported Cause(s) of Death: unknown bleeding" "1261821-1" "1261821-1" "ENDOSCOPY" "10014805" "65-79 years" "65-79" "unknown bleeding; nausea; lightheaded; GI bleed; cardiac arrest; bleed in small intestine; This is a spontaneous report from a contactable consumer (patient's daughter). A 70-year-old patient of an unspecified gender received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration, administered in Deltoid Right on 26Feb2021 (Batch/Lot Number: EN6198) as SINGLE DOSE for covid-19 immunisation. Vaccine Administered at Military Facility was no. Patient received the first dose of vaccine on 05Feb2021 at age of 70 years old for covid-19 immunization and experienced rash on face, loss of blood found to be from small intestine, hemoglobin low, cardiac arrest, going into shock. The patient medical history and concomitant medications were not reported. The patient experienced unknown bleeding (death, hospitalization, medically significant) on 10Mar2021, nausea (hospitalization) in 2021 with outcome of unknown, lightheaded (hospitalization) in 2021 with outcome of unknown, gastrointestinal (GI) bleed (medically significant) in 2021 with outcome of unknown, cardiac arrest (medically significant) in 2021 with outcome of unknown, bleed in small intestine (medically significant) in 2021 with outcome of unknown. Patient went to the hospital on 10Mar2021 with nausea and lightheaded. Endoscopy found GI bleed in 2021. Received blood went into cardiac arrest. Sent to another hospital found bleed in small intestine. Patient experienced unknown bleeding on 10Mar2021, which required visit to Emergency room/ intensive care unit on 18Mar2021 and received treatment, it resulted in death. The patient died on 18Mar2021. An autopsy was not performed.; Reported Cause(s) of Death: unknown bleeding" "1261821-1" "1261821-1" "GASTROINTESTINAL HAEMORRHAGE" "10017955" "65-79 years" "65-79" "unknown bleeding; nausea; lightheaded; GI bleed; cardiac arrest; bleed in small intestine; This is a spontaneous report from a contactable consumer (patient's daughter). A 70-year-old patient of an unspecified gender received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration, administered in Deltoid Right on 26Feb2021 (Batch/Lot Number: EN6198) as SINGLE DOSE for covid-19 immunisation. Vaccine Administered at Military Facility was no. Patient received the first dose of vaccine on 05Feb2021 at age of 70 years old for covid-19 immunization and experienced rash on face, loss of blood found to be from small intestine, hemoglobin low, cardiac arrest, going into shock. The patient medical history and concomitant medications were not reported. The patient experienced unknown bleeding (death, hospitalization, medically significant) on 10Mar2021, nausea (hospitalization) in 2021 with outcome of unknown, lightheaded (hospitalization) in 2021 with outcome of unknown, gastrointestinal (GI) bleed (medically significant) in 2021 with outcome of unknown, cardiac arrest (medically significant) in 2021 with outcome of unknown, bleed in small intestine (medically significant) in 2021 with outcome of unknown. Patient went to the hospital on 10Mar2021 with nausea and lightheaded. Endoscopy found GI bleed in 2021. Received blood went into cardiac arrest. Sent to another hospital found bleed in small intestine. Patient experienced unknown bleeding on 10Mar2021, which required visit to Emergency room/ intensive care unit on 18Mar2021 and received treatment, it resulted in death. The patient died on 18Mar2021. An autopsy was not performed.; Reported Cause(s) of Death: unknown bleeding" "1261821-1" "1261821-1" "HAEMORRHAGE" "10055798" "65-79 years" "65-79" "unknown bleeding; nausea; lightheaded; GI bleed; cardiac arrest; bleed in small intestine; This is a spontaneous report from a contactable consumer (patient's daughter). A 70-year-old patient of an unspecified gender received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration, administered in Deltoid Right on 26Feb2021 (Batch/Lot Number: EN6198) as SINGLE DOSE for covid-19 immunisation. Vaccine Administered at Military Facility was no. Patient received the first dose of vaccine on 05Feb2021 at age of 70 years old for covid-19 immunization and experienced rash on face, loss of blood found to be from small intestine, hemoglobin low, cardiac arrest, going into shock. The patient medical history and concomitant medications were not reported. The patient experienced unknown bleeding (death, hospitalization, medically significant) on 10Mar2021, nausea (hospitalization) in 2021 with outcome of unknown, lightheaded (hospitalization) in 2021 with outcome of unknown, gastrointestinal (GI) bleed (medically significant) in 2021 with outcome of unknown, cardiac arrest (medically significant) in 2021 with outcome of unknown, bleed in small intestine (medically significant) in 2021 with outcome of unknown. Patient went to the hospital on 10Mar2021 with nausea and lightheaded. Endoscopy found GI bleed in 2021. Received blood went into cardiac arrest. Sent to another hospital found bleed in small intestine. Patient experienced unknown bleeding on 10Mar2021, which required visit to Emergency room/ intensive care unit on 18Mar2021 and received treatment, it resulted in death. The patient died on 18Mar2021. An autopsy was not performed.; Reported Cause(s) of Death: unknown bleeding" "1261821-1" "1261821-1" "NAUSEA" "10028813" "65-79 years" "65-79" "unknown bleeding; nausea; lightheaded; GI bleed; cardiac arrest; bleed in small intestine; This is a spontaneous report from a contactable consumer (patient's daughter). A 70-year-old patient of an unspecified gender received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration, administered in Deltoid Right on 26Feb2021 (Batch/Lot Number: EN6198) as SINGLE DOSE for covid-19 immunisation. Vaccine Administered at Military Facility was no. Patient received the first dose of vaccine on 05Feb2021 at age of 70 years old for covid-19 immunization and experienced rash on face, loss of blood found to be from small intestine, hemoglobin low, cardiac arrest, going into shock. The patient medical history and concomitant medications were not reported. The patient experienced unknown bleeding (death, hospitalization, medically significant) on 10Mar2021, nausea (hospitalization) in 2021 with outcome of unknown, lightheaded (hospitalization) in 2021 with outcome of unknown, gastrointestinal (GI) bleed (medically significant) in 2021 with outcome of unknown, cardiac arrest (medically significant) in 2021 with outcome of unknown, bleed in small intestine (medically significant) in 2021 with outcome of unknown. Patient went to the hospital on 10Mar2021 with nausea and lightheaded. Endoscopy found GI bleed in 2021. Received blood went into cardiac arrest. Sent to another hospital found bleed in small intestine. Patient experienced unknown bleeding on 10Mar2021, which required visit to Emergency room/ intensive care unit on 18Mar2021 and received treatment, it resulted in death. The patient died on 18Mar2021. An autopsy was not performed.; Reported Cause(s) of Death: unknown bleeding" "1261821-1" "1261821-1" "SMALL INTESTINAL HAEMORRHAGE" "10052535" "65-79 years" "65-79" "unknown bleeding; nausea; lightheaded; GI bleed; cardiac arrest; bleed in small intestine; This is a spontaneous report from a contactable consumer (patient's daughter). A 70-year-old patient of an unspecified gender received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration, administered in Deltoid Right on 26Feb2021 (Batch/Lot Number: EN6198) as SINGLE DOSE for covid-19 immunisation. Vaccine Administered at Military Facility was no. Patient received the first dose of vaccine on 05Feb2021 at age of 70 years old for covid-19 immunization and experienced rash on face, loss of blood found to be from small intestine, hemoglobin low, cardiac arrest, going into shock. The patient medical history and concomitant medications were not reported. The patient experienced unknown bleeding (death, hospitalization, medically significant) on 10Mar2021, nausea (hospitalization) in 2021 with outcome of unknown, lightheaded (hospitalization) in 2021 with outcome of unknown, gastrointestinal (GI) bleed (medically significant) in 2021 with outcome of unknown, cardiac arrest (medically significant) in 2021 with outcome of unknown, bleed in small intestine (medically significant) in 2021 with outcome of unknown. Patient went to the hospital on 10Mar2021 with nausea and lightheaded. Endoscopy found GI bleed in 2021. Received blood went into cardiac arrest. Sent to another hospital found bleed in small intestine. Patient experienced unknown bleeding on 10Mar2021, which required visit to Emergency room/ intensive care unit on 18Mar2021 and received treatment, it resulted in death. The patient died on 18Mar2021. An autopsy was not performed.; Reported Cause(s) of Death: unknown bleeding" "1273409-1" "1273409-1" "DEATH" "10011906" "65-79 years" "65-79" "Resident CTB" "1285303-1" "1285303-1" "ASTHENIA" "10003549" "65-79 years" "65-79" "Patient admitted to Hospital on 4/16/2021 with 2 weeks of generalized weakness, chills, poor oral intake and nonproductive cough. Chest x-ray shows consolidation. Patient tested for covid-19 which returned positive on 4/18/21. Patient remained hospitalized and started on steroids and vitamin c/e after covid testing returned positive. Patient respiratory status worsened requiring high flow nasal cannula and BiPAP as needed. Patient did not want to be intubated and decided to go to comfort care. Patient passed away on 5/3/21 in the hospital." "1285303-1" "1285303-1" "BILEVEL POSITIVE AIRWAY PRESSURE" "10064530" "65-79 years" "65-79" "Patient admitted to Hospital on 4/16/2021 with 2 weeks of generalized weakness, chills, poor oral intake and nonproductive cough. Chest x-ray shows consolidation. Patient tested for covid-19 which returned positive on 4/18/21. Patient remained hospitalized and started on steroids and vitamin c/e after covid testing returned positive. Patient respiratory status worsened requiring high flow nasal cannula and BiPAP as needed. Patient did not want to be intubated and decided to go to comfort care. Patient passed away on 5/3/21 in the hospital." "1285303-1" "1285303-1" "CHEST X-RAY ABNORMAL" "10008499" "65-79 years" "65-79" "Patient admitted to Hospital on 4/16/2021 with 2 weeks of generalized weakness, chills, poor oral intake and nonproductive cough. Chest x-ray shows consolidation. Patient tested for covid-19 which returned positive on 4/18/21. Patient remained hospitalized and started on steroids and vitamin c/e after covid testing returned positive. Patient respiratory status worsened requiring high flow nasal cannula and BiPAP as needed. Patient did not want to be intubated and decided to go to comfort care. Patient passed away on 5/3/21 in the hospital." "1285303-1" "1285303-1" "CHILLS" "10008531" "65-79 years" "65-79" "Patient admitted to Hospital on 4/16/2021 with 2 weeks of generalized weakness, chills, poor oral intake and nonproductive cough. Chest x-ray shows consolidation. Patient tested for covid-19 which returned positive on 4/18/21. Patient remained hospitalized and started on steroids and vitamin c/e after covid testing returned positive. Patient respiratory status worsened requiring high flow nasal cannula and BiPAP as needed. Patient did not want to be intubated and decided to go to comfort care. Patient passed away on 5/3/21 in the hospital." "1285303-1" "1285303-1" "COUGH" "10011224" "65-79 years" "65-79" "Patient admitted to Hospital on 4/16/2021 with 2 weeks of generalized weakness, chills, poor oral intake and nonproductive cough. Chest x-ray shows consolidation. Patient tested for covid-19 which returned positive on 4/18/21. Patient remained hospitalized and started on steroids and vitamin c/e after covid testing returned positive. Patient respiratory status worsened requiring high flow nasal cannula and BiPAP as needed. Patient did not want to be intubated and decided to go to comfort care. Patient passed away on 5/3/21 in the hospital." "1285303-1" "1285303-1" "COVID-19" "10084268" "65-79 years" "65-79" "Patient admitted to Hospital on 4/16/2021 with 2 weeks of generalized weakness, chills, poor oral intake and nonproductive cough. Chest x-ray shows consolidation. Patient tested for covid-19 which returned positive on 4/18/21. Patient remained hospitalized and started on steroids and vitamin c/e after covid testing returned positive. Patient respiratory status worsened requiring high flow nasal cannula and BiPAP as needed. Patient did not want to be intubated and decided to go to comfort care. Patient passed away on 5/3/21 in the hospital." "1285303-1" "1285303-1" "DEATH" "10011906" "65-79 years" "65-79" "Patient admitted to Hospital on 4/16/2021 with 2 weeks of generalized weakness, chills, poor oral intake and nonproductive cough. Chest x-ray shows consolidation. Patient tested for covid-19 which returned positive on 4/18/21. Patient remained hospitalized and started on steroids and vitamin c/e after covid testing returned positive. Patient respiratory status worsened requiring high flow nasal cannula and BiPAP as needed. Patient did not want to be intubated and decided to go to comfort care. Patient passed away on 5/3/21 in the hospital." "1285303-1" "1285303-1" "HYPOPHAGIA" "10063743" "65-79 years" "65-79" "Patient admitted to Hospital on 4/16/2021 with 2 weeks of generalized weakness, chills, poor oral intake and nonproductive cough. Chest x-ray shows consolidation. Patient tested for covid-19 which returned positive on 4/18/21. Patient remained hospitalized and started on steroids and vitamin c/e after covid testing returned positive. Patient respiratory status worsened requiring high flow nasal cannula and BiPAP as needed. Patient did not want to be intubated and decided to go to comfort care. Patient passed away on 5/3/21 in the hospital." "1285303-1" "1285303-1" "LUNG CONSOLIDATION" "10025080" "65-79 years" "65-79" "Patient admitted to Hospital on 4/16/2021 with 2 weeks of generalized weakness, chills, poor oral intake and nonproductive cough. Chest x-ray shows consolidation. Patient tested for covid-19 which returned positive on 4/18/21. Patient remained hospitalized and started on steroids and vitamin c/e after covid testing returned positive. Patient respiratory status worsened requiring high flow nasal cannula and BiPAP as needed. Patient did not want to be intubated and decided to go to comfort care. Patient passed away on 5/3/21 in the hospital." "1285303-1" "1285303-1" "RESPIRATORY DISORDER" "10038683" "65-79 years" "65-79" "Patient admitted to Hospital on 4/16/2021 with 2 weeks of generalized weakness, chills, poor oral intake and nonproductive cough. Chest x-ray shows consolidation. Patient tested for covid-19 which returned positive on 4/18/21. Patient remained hospitalized and started on steroids and vitamin c/e after covid testing returned positive. Patient respiratory status worsened requiring high flow nasal cannula and BiPAP as needed. Patient did not want to be intubated and decided to go to comfort care. Patient passed away on 5/3/21 in the hospital." "1285303-1" "1285303-1" "SARS-COV-2 TEST POSITIVE" "10084271" "65-79 years" "65-79" "Patient admitted to Hospital on 4/16/2021 with 2 weeks of generalized weakness, chills, poor oral intake and nonproductive cough. Chest x-ray shows consolidation. Patient tested for covid-19 which returned positive on 4/18/21. Patient remained hospitalized and started on steroids and vitamin c/e after covid testing returned positive. Patient respiratory status worsened requiring high flow nasal cannula and BiPAP as needed. Patient did not want to be intubated and decided to go to comfort care. Patient passed away on 5/3/21 in the hospital." "1295648-1" "1295648-1" "DEATH" "10011906" "65-79 years" "65-79" "Patient DIED 10 days after 2nd dose of Covid vaccine." "1302438-1" "1302438-1" "DEATH" "10011906" "65-79 years" "65-79" "Patient received the first Pfizer immunization on 4-22-2021. She passed away on 4-30-2021. Her husband notified the pharmacy. Patient had been hospitalized for a period of time before the vaccination for 'bleeding internally' due to an unknown cause." "1310557-1" "1310557-1" "CARDIO-RESPIRATORY ARREST" "10007617" "65-79 years" "65-79" "Cardio respiratory arrest. During rounds, patient was found without vital signs" "1310557-1" "1310557-1" "DEATH" "10011906" "65-79 years" "65-79" "Cardio respiratory arrest. During rounds, patient was found without vital signs" "1310557-1" "1310557-1" "VITAL FUNCTIONS ABNORMAL" "10063644" "65-79 years" "65-79" "Cardio respiratory arrest. During rounds, patient was found without vital signs" "1314511-1" "1314511-1" "CEREBRAL ISCHAEMIA" "10008120" "65-79 years" "65-79" "had severe headaches that started a week after his 2nd covid shot., he was seen by NP on 2/25/21, was instructed to take ibuprofen short term, labs were drawn and were normal. On 3/8/21 suffered tonic clonic seizures, was unresponsive and taken to ER by EMS. remained unresponsive following the seizures and was placed on hospice care and died on 3/12/21." "1314511-1" "1314511-1" "COMPUTERISED TOMOGRAM HEAD ABNORMAL" "10072168" "65-79 years" "65-79" "had severe headaches that started a week after his 2nd covid shot., he was seen by NP on 2/25/21, was instructed to take ibuprofen short term, labs were drawn and were normal. On 3/8/21 suffered tonic clonic seizures, was unresponsive and taken to ER by EMS. remained unresponsive following the seizures and was placed on hospice care and died on 3/12/21." "1314511-1" "1314511-1" "DEATH" "10011906" "65-79 years" "65-79" "had severe headaches that started a week after his 2nd covid shot., he was seen by NP on 2/25/21, was instructed to take ibuprofen short term, labs were drawn and were normal. On 3/8/21 suffered tonic clonic seizures, was unresponsive and taken to ER by EMS. remained unresponsive following the seizures and was placed on hospice care and died on 3/12/21." "1314511-1" "1314511-1" "GENERALISED TONIC-CLONIC SEIZURE" "10018100" "65-79 years" "65-79" "had severe headaches that started a week after his 2nd covid shot., he was seen by NP on 2/25/21, was instructed to take ibuprofen short term, labs were drawn and were normal. On 3/8/21 suffered tonic clonic seizures, was unresponsive and taken to ER by EMS. remained unresponsive following the seizures and was placed on hospice care and died on 3/12/21." "1314511-1" "1314511-1" "HEADACHE" "10019211" "65-79 years" "65-79" "had severe headaches that started a week after his 2nd covid shot., he was seen by NP on 2/25/21, was instructed to take ibuprofen short term, labs were drawn and were normal. On 3/8/21 suffered tonic clonic seizures, was unresponsive and taken to ER by EMS. remained unresponsive following the seizures and was placed on hospice care and died on 3/12/21." "1314511-1" "1314511-1" "LABORATORY TEST NORMAL" "10054052" "65-79 years" "65-79" "had severe headaches that started a week after his 2nd covid shot., he was seen by NP on 2/25/21, was instructed to take ibuprofen short term, labs were drawn and were normal. On 3/8/21 suffered tonic clonic seizures, was unresponsive and taken to ER by EMS. remained unresponsive following the seizures and was placed on hospice care and died on 3/12/21." "1314511-1" "1314511-1" "LACTIC ACIDOSIS" "10023676" "65-79 years" "65-79" "had severe headaches that started a week after his 2nd covid shot., he was seen by NP on 2/25/21, was instructed to take ibuprofen short term, labs were drawn and were normal. On 3/8/21 suffered tonic clonic seizures, was unresponsive and taken to ER by EMS. remained unresponsive following the seizures and was placed on hospice care and died on 3/12/21." "1314511-1" "1314511-1" "UNRESPONSIVE TO STIMULI" "10045555" "65-79 years" "65-79" "had severe headaches that started a week after his 2nd covid shot., he was seen by NP on 2/25/21, was instructed to take ibuprofen short term, labs were drawn and were normal. On 3/8/21 suffered tonic clonic seizures, was unresponsive and taken to ER by EMS. remained unresponsive following the seizures and was placed on hospice care and died on 3/12/21." "1316707-1" "1316707-1" "DEATH" "10011906" "65-79 years" "65-79" "Patient became suddenly short of breath, unresponsive, attempted CPR unsuccessfully and patient expired." "1316707-1" "1316707-1" "DYSPNOEA" "10013968" "65-79 years" "65-79" "Patient became suddenly short of breath, unresponsive, attempted CPR unsuccessfully and patient expired." "1316707-1" "1316707-1" "RESUSCITATION" "10038749" "65-79 years" "65-79" "Patient became suddenly short of breath, unresponsive, attempted CPR unsuccessfully and patient expired." "1316707-1" "1316707-1" "UNRESPONSIVE TO STIMULI" "10045555" "65-79 years" "65-79" "Patient became suddenly short of breath, unresponsive, attempted CPR unsuccessfully and patient expired." "1322255-1" "1322255-1" "DEATH" "10011906" "65-79 years" "65-79" ""At approximately 8 pm pt. sucked in a deep breath, head began to roll and he began twitching on the right side of his body. Pt. only has muscle function in the right side of his body due to his stroke damage. His wife immediately approached him in his chair and asked him what was wrong and all he was able to state was ""I don't know"" before loosing consciousness and stopping breathing. 911 was immediately called and due to his wife being frail herself she was not able to remove him from his wheelchair to perform any CPR. EMS arrived and begin performing CPR until the DNR papers for pt. were located. Medical examiner came to the home and stated she did not feel that an autopsy was needed even though family had told her NUMEROUS times that pt. had received his second Covid vaccine the day prior. He was pronounced dead by the medical examiner and taken directly to the funeral home due to the DNR papers being present."" "1322255-1" "1322255-1" "HYPERVENTILATION" "10020910" "65-79 years" "65-79" ""At approximately 8 pm pt. sucked in a deep breath, head began to roll and he began twitching on the right side of his body. Pt. only has muscle function in the right side of his body due to his stroke damage. His wife immediately approached him in his chair and asked him what was wrong and all he was able to state was ""I don't know"" before loosing consciousness and stopping breathing. 911 was immediately called and due to his wife being frail herself she was not able to remove him from his wheelchair to perform any CPR. EMS arrived and begin performing CPR until the DNR papers for pt. were located. Medical examiner came to the home and stated she did not feel that an autopsy was needed even though family had told her NUMEROUS times that pt. had received his second Covid vaccine the day prior. He was pronounced dead by the medical examiner and taken directly to the funeral home due to the DNR papers being present."" "1322255-1" "1322255-1" "LOSS OF CONSCIOUSNESS" "10024855" "65-79 years" "65-79" ""At approximately 8 pm pt. sucked in a deep breath, head began to roll and he began twitching on the right side of his body. Pt. only has muscle function in the right side of his body due to his stroke damage. His wife immediately approached him in his chair and asked him what was wrong and all he was able to state was ""I don't know"" before loosing consciousness and stopping breathing. 911 was immediately called and due to his wife being frail herself she was not able to remove him from his wheelchair to perform any CPR. EMS arrived and begin performing CPR until the DNR papers for pt. were located. Medical examiner came to the home and stated she did not feel that an autopsy was needed even though family had told her NUMEROUS times that pt. had received his second Covid vaccine the day prior. He was pronounced dead by the medical examiner and taken directly to the funeral home due to the DNR papers being present."" "1322255-1" "1322255-1" "MUSCLE TWITCHING" "10028347" "65-79 years" "65-79" ""At approximately 8 pm pt. sucked in a deep breath, head began to roll and he began twitching on the right side of his body. Pt. only has muscle function in the right side of his body due to his stroke damage. His wife immediately approached him in his chair and asked him what was wrong and all he was able to state was ""I don't know"" before loosing consciousness and stopping breathing. 911 was immediately called and due to his wife being frail herself she was not able to remove him from his wheelchair to perform any CPR. EMS arrived and begin performing CPR until the DNR papers for pt. were located. Medical examiner came to the home and stated she did not feel that an autopsy was needed even though family had told her NUMEROUS times that pt. had received his second Covid vaccine the day prior. He was pronounced dead by the medical examiner and taken directly to the funeral home due to the DNR papers being present."" "1322255-1" "1322255-1" "POSTURE ABNORMAL" "10036436" "65-79 years" "65-79" ""At approximately 8 pm pt. sucked in a deep breath, head began to roll and he began twitching on the right side of his body. Pt. only has muscle function in the right side of his body due to his stroke damage. His wife immediately approached him in his chair and asked him what was wrong and all he was able to state was ""I don't know"" before loosing consciousness and stopping breathing. 911 was immediately called and due to his wife being frail herself she was not able to remove him from his wheelchair to perform any CPR. EMS arrived and begin performing CPR until the DNR papers for pt. were located. Medical examiner came to the home and stated she did not feel that an autopsy was needed even though family had told her NUMEROUS times that pt. had received his second Covid vaccine the day prior. He was pronounced dead by the medical examiner and taken directly to the funeral home due to the DNR papers being present."" "1322255-1" "1322255-1" "RESPIRATORY ARREST" "10038669" "65-79 years" "65-79" ""At approximately 8 pm pt. sucked in a deep breath, head began to roll and he began twitching on the right side of his body. Pt. only has muscle function in the right side of his body due to his stroke damage. His wife immediately approached him in his chair and asked him what was wrong and all he was able to state was ""I don't know"" before loosing consciousness and stopping breathing. 911 was immediately called and due to his wife being frail herself she was not able to remove him from his wheelchair to perform any CPR. EMS arrived and begin performing CPR until the DNR papers for pt. were located. Medical examiner came to the home and stated she did not feel that an autopsy was needed even though family had told her NUMEROUS times that pt. had received his second Covid vaccine the day prior. He was pronounced dead by the medical examiner and taken directly to the funeral home due to the DNR papers being present."" "1322255-1" "1322255-1" "RESUSCITATION" "10038749" "65-79 years" "65-79" ""At approximately 8 pm pt. sucked in a deep breath, head began to roll and he began twitching on the right side of his body. Pt. only has muscle function in the right side of his body due to his stroke damage. His wife immediately approached him in his chair and asked him what was wrong and all he was able to state was ""I don't know"" before loosing consciousness and stopping breathing. 911 was immediately called and due to his wife being frail herself she was not able to remove him from his wheelchair to perform any CPR. EMS arrived and begin performing CPR until the DNR papers for pt. were located. Medical examiner came to the home and stated she did not feel that an autopsy was needed even though family had told her NUMEROUS times that pt. had received his second Covid vaccine the day prior. He was pronounced dead by the medical examiner and taken directly to the funeral home due to the DNR papers being present."" "1329905-1" "1329905-1" "CARDIO-RESPIRATORY ARREST" "10007617" "65-79 years" "65-79" "Died due to respiratory cardiac arrest." "1329905-1" "1329905-1" "DEATH" "10011906" "65-79 years" "65-79" "Died due to respiratory cardiac arrest." "1329905-1" "1329905-1" "SARS-COV-2 TEST NEGATIVE" "10084273" "65-79 years" "65-79" "Died due to respiratory cardiac arrest." "1329965-1" "1329965-1" "CONDITION AGGRAVATED" "10010264" "65-79 years" "65-79" "Deterioration of condition." "1329965-1" "1329965-1" "SARS-COV-2 TEST NEGATIVE" "10084273" "65-79 years" "65-79" "Deterioration of condition." "1330410-1" "1330410-1" "BALANCE DISORDER" "10049848" "65-79 years" "65-79" "Rash presented several days after 2nd dose of vaccine. Seen in urgent care on 4/28 for this. On 5/8/21, patient had left weakness and numbness, dizziness, and loss of balance. Alteplase given,. Transferred to Medical Center, medical intensive care unit. Transferred to medical/surgical unit 5/9/21. Intermittently Febrile - T-max 39.5. CT for mild lethargy 5/9/21. 5/11 - mild respiratory distress and minimally responsive. Continued decline. TOD 1644 5/13" "1330410-1" "1330410-1" "DIZZINESS" "10013573" "65-79 years" "65-79" "Rash presented several days after 2nd dose of vaccine. Seen in urgent care on 4/28 for this. On 5/8/21, patient had left weakness and numbness, dizziness, and loss of balance. Alteplase given,. Transferred to Medical Center, medical intensive care unit. Transferred to medical/surgical unit 5/9/21. Intermittently Febrile - T-max 39.5. CT for mild lethargy 5/9/21. 5/11 - mild respiratory distress and minimally responsive. Continued decline. TOD 1644 5/13" "1330410-1" "1330410-1" "GENERAL PHYSICAL HEALTH DETERIORATION" "10049438" "65-79 years" "65-79" "Rash presented several days after 2nd dose of vaccine. Seen in urgent care on 4/28 for this. On 5/8/21, patient had left weakness and numbness, dizziness, and loss of balance. Alteplase given,. Transferred to Medical Center, medical intensive care unit. Transferred to medical/surgical unit 5/9/21. Intermittently Febrile - T-max 39.5. CT for mild lethargy 5/9/21. 5/11 - mild respiratory distress and minimally responsive. Continued decline. TOD 1644 5/13" "1330410-1" "1330410-1" "HEMIPARESIS" "10019465" "65-79 years" "65-79" "Rash presented several days after 2nd dose of vaccine. Seen in urgent care on 4/28 for this. On 5/8/21, patient had left weakness and numbness, dizziness, and loss of balance. Alteplase given,. Transferred to Medical Center, medical intensive care unit. Transferred to medical/surgical unit 5/9/21. Intermittently Febrile - T-max 39.5. CT for mild lethargy 5/9/21. 5/11 - mild respiratory distress and minimally responsive. Continued decline. TOD 1644 5/13" "1330410-1" "1330410-1" "HYPOAESTHESIA" "10020937" "65-79 years" "65-79" "Rash presented several days after 2nd dose of vaccine. Seen in urgent care on 4/28 for this. On 5/8/21, patient had left weakness and numbness, dizziness, and loss of balance. Alteplase given,. Transferred to Medical Center, medical intensive care unit. Transferred to medical/surgical unit 5/9/21. Intermittently Febrile - T-max 39.5. CT for mild lethargy 5/9/21. 5/11 - mild respiratory distress and minimally responsive. Continued decline. TOD 1644 5/13" "1330410-1" "1330410-1" "HYPORESPONSIVE TO STIMULI" "10071552" "65-79 years" "65-79" "Rash presented several days after 2nd dose of vaccine. Seen in urgent care on 4/28 for this. On 5/8/21, patient had left weakness and numbness, dizziness, and loss of balance. Alteplase given,. Transferred to Medical Center, medical intensive care unit. Transferred to medical/surgical unit 5/9/21. Intermittently Febrile - T-max 39.5. CT for mild lethargy 5/9/21. 5/11 - mild respiratory distress and minimally responsive. Continued decline. TOD 1644 5/13" "1330410-1" "1330410-1" "INTENSIVE CARE" "10022519" "65-79 years" "65-79" "Rash presented several days after 2nd dose of vaccine. Seen in urgent care on 4/28 for this. On 5/8/21, patient had left weakness and numbness, dizziness, and loss of balance. Alteplase given,. Transferred to Medical Center, medical intensive care unit. Transferred to medical/surgical unit 5/9/21. Intermittently Febrile - T-max 39.5. CT for mild lethargy 5/9/21. 5/11 - mild respiratory distress and minimally responsive. Continued decline. TOD 1644 5/13" "1330410-1" "1330410-1" "LETHARGY" "10024264" "65-79 years" "65-79" "Rash presented several days after 2nd dose of vaccine. Seen in urgent care on 4/28 for this. On 5/8/21, patient had left weakness and numbness, dizziness, and loss of balance. Alteplase given,. Transferred to Medical Center, medical intensive care unit. Transferred to medical/surgical unit 5/9/21. Intermittently Febrile - T-max 39.5. CT for mild lethargy 5/9/21. 5/11 - mild respiratory distress and minimally responsive. Continued decline. TOD 1644 5/13" "1330410-1" "1330410-1" "PYREXIA" "10037660" "65-79 years" "65-79" "Rash presented several days after 2nd dose of vaccine. Seen in urgent care on 4/28 for this. On 5/8/21, patient had left weakness and numbness, dizziness, and loss of balance. Alteplase given,. Transferred to Medical Center, medical intensive care unit. Transferred to medical/surgical unit 5/9/21. Intermittently Febrile - T-max 39.5. CT for mild lethargy 5/9/21. 5/11 - mild respiratory distress and minimally responsive. Continued decline. TOD 1644 5/13" "1330410-1" "1330410-1" "RASH" "10037844" "65-79 years" "65-79" "Rash presented several days after 2nd dose of vaccine. Seen in urgent care on 4/28 for this. On 5/8/21, patient had left weakness and numbness, dizziness, and loss of balance. Alteplase given,. Transferred to Medical Center, medical intensive care unit. Transferred to medical/surgical unit 5/9/21. Intermittently Febrile - T-max 39.5. CT for mild lethargy 5/9/21. 5/11 - mild respiratory distress and minimally responsive. Continued decline. TOD 1644 5/13" "1330410-1" "1330410-1" "RESPIRATORY DISTRESS" "10038687" "65-79 years" "65-79" "Rash presented several days after 2nd dose of vaccine. Seen in urgent care on 4/28 for this. On 5/8/21, patient had left weakness and numbness, dizziness, and loss of balance. Alteplase given,. Transferred to Medical Center, medical intensive care unit. Transferred to medical/surgical unit 5/9/21. Intermittently Febrile - T-max 39.5. CT for mild lethargy 5/9/21. 5/11 - mild respiratory distress and minimally responsive. Continued decline. TOD 1644 5/13" "1334600-1" "1334600-1" "COMPUTERISED TOMOGRAM HEAD" "10054003" "65-79 years" "65-79" ""Patient passed away on 4/30/21. Wife reports that on 4/29/21, she found him in the garage in a ""pool of blood, face down"" after a fall. Upon finding him on 4/29/21, she took him to the emergency room where he had a CT scan. Patient was diagnosed with a ""concussion"" and sent back home, and was instructed to follow-up with his primary care provider on 4/30/21. On 4/30/21, patient was ""sleepy all day."" On his way out of the house around 3:30, he suddenly put his hand on his wife and proceeded to collapse. The wife also fell, and by the time she gathered herself and went to check on her husband, he had passed away. An ambulance came to the house; CPR was performed for 40 minutes but ""they could not get him back."" He was not transported to a medical center. An autopsy was not done, but the coroner informed patient's wife that he likely died from a ""clot, maybe a PE."" Wife wonders how this could be, since he was on Plavix for 5 years. Wife does not feel that the COVID vaccine is to blame, but thought she should report the issue just in case. This writer is assisting wife of patient to fill out electronic report."" "1334600-1" "1334600-1" "CONCUSSION" "10010254" "65-79 years" "65-79" ""Patient passed away on 4/30/21. Wife reports that on 4/29/21, she found him in the garage in a ""pool of blood, face down"" after a fall. Upon finding him on 4/29/21, she took him to the emergency room where he had a CT scan. Patient was diagnosed with a ""concussion"" and sent back home, and was instructed to follow-up with his primary care provider on 4/30/21. On 4/30/21, patient was ""sleepy all day."" On his way out of the house around 3:30, he suddenly put his hand on his wife and proceeded to collapse. The wife also fell, and by the time she gathered herself and went to check on her husband, he had passed away. An ambulance came to the house; CPR was performed for 40 minutes but ""they could not get him back."" He was not transported to a medical center. An autopsy was not done, but the coroner informed patient's wife that he likely died from a ""clot, maybe a PE."" Wife wonders how this could be, since he was on Plavix for 5 years. Wife does not feel that the COVID vaccine is to blame, but thought she should report the issue just in case. This writer is assisting wife of patient to fill out electronic report."" "1334600-1" "1334600-1" "DEATH" "10011906" "65-79 years" "65-79" ""Patient passed away on 4/30/21. Wife reports that on 4/29/21, she found him in the garage in a ""pool of blood, face down"" after a fall. Upon finding him on 4/29/21, she took him to the emergency room where he had a CT scan. Patient was diagnosed with a ""concussion"" and sent back home, and was instructed to follow-up with his primary care provider on 4/30/21. On 4/30/21, patient was ""sleepy all day."" On his way out of the house around 3:30, he suddenly put his hand on his wife and proceeded to collapse. The wife also fell, and by the time she gathered herself and went to check on her husband, he had passed away. An ambulance came to the house; CPR was performed for 40 minutes but ""they could not get him back."" He was not transported to a medical center. An autopsy was not done, but the coroner informed patient's wife that he likely died from a ""clot, maybe a PE."" Wife wonders how this could be, since he was on Plavix for 5 years. Wife does not feel that the COVID vaccine is to blame, but thought she should report the issue just in case. This writer is assisting wife of patient to fill out electronic report."" "1334600-1" "1334600-1" "FALL" "10016173" "65-79 years" "65-79" ""Patient passed away on 4/30/21. Wife reports that on 4/29/21, she found him in the garage in a ""pool of blood, face down"" after a fall. Upon finding him on 4/29/21, she took him to the emergency room where he had a CT scan. Patient was diagnosed with a ""concussion"" and sent back home, and was instructed to follow-up with his primary care provider on 4/30/21. On 4/30/21, patient was ""sleepy all day."" On his way out of the house around 3:30, he suddenly put his hand on his wife and proceeded to collapse. The wife also fell, and by the time she gathered herself and went to check on her husband, he had passed away. An ambulance came to the house; CPR was performed for 40 minutes but ""they could not get him back."" He was not transported to a medical center. An autopsy was not done, but the coroner informed patient's wife that he likely died from a ""clot, maybe a PE."" Wife wonders how this could be, since he was on Plavix for 5 years. Wife does not feel that the COVID vaccine is to blame, but thought she should report the issue just in case. This writer is assisting wife of patient to fill out electronic report."" "1334600-1" "1334600-1" "RESUSCITATION" "10038749" "65-79 years" "65-79" ""Patient passed away on 4/30/21. Wife reports that on 4/29/21, she found him in the garage in a ""pool of blood, face down"" after a fall. Upon finding him on 4/29/21, she took him to the emergency room where he had a CT scan. Patient was diagnosed with a ""concussion"" and sent back home, and was instructed to follow-up with his primary care provider on 4/30/21. On 4/30/21, patient was ""sleepy all day."" On his way out of the house around 3:30, he suddenly put his hand on his wife and proceeded to collapse. The wife also fell, and by the time she gathered herself and went to check on her husband, he had passed away. An ambulance came to the house; CPR was performed for 40 minutes but ""they could not get him back."" He was not transported to a medical center. An autopsy was not done, but the coroner informed patient's wife that he likely died from a ""clot, maybe a PE."" Wife wonders how this could be, since he was on Plavix for 5 years. Wife does not feel that the COVID vaccine is to blame, but thought she should report the issue just in case. This writer is assisting wife of patient to fill out electronic report."" "1334600-1" "1334600-1" "SOMNOLENCE" "10041349" "65-79 years" "65-79" ""Patient passed away on 4/30/21. Wife reports that on 4/29/21, she found him in the garage in a ""pool of blood, face down"" after a fall. Upon finding him on 4/29/21, she took him to the emergency room where he had a CT scan. Patient was diagnosed with a ""concussion"" and sent back home, and was instructed to follow-up with his primary care provider on 4/30/21. On 4/30/21, patient was ""sleepy all day."" On his way out of the house around 3:30, he suddenly put his hand on his wife and proceeded to collapse. The wife also fell, and by the time she gathered herself and went to check on her husband, he had passed away. An ambulance came to the house; CPR was performed for 40 minutes but ""they could not get him back."" He was not transported to a medical center. An autopsy was not done, but the coroner informed patient's wife that he likely died from a ""clot, maybe a PE."" Wife wonders how this could be, since he was on Plavix for 5 years. Wife does not feel that the COVID vaccine is to blame, but thought she should report the issue just in case. This writer is assisting wife of patient to fill out electronic report."" "1334600-1" "1334600-1" "SYNCOPE" "10042772" "65-79 years" "65-79" ""Patient passed away on 4/30/21. Wife reports that on 4/29/21, she found him in the garage in a ""pool of blood, face down"" after a fall. Upon finding him on 4/29/21, she took him to the emergency room where he had a CT scan. Patient was diagnosed with a ""concussion"" and sent back home, and was instructed to follow-up with his primary care provider on 4/30/21. On 4/30/21, patient was ""sleepy all day."" On his way out of the house around 3:30, he suddenly put his hand on his wife and proceeded to collapse. The wife also fell, and by the time she gathered herself and went to check on her husband, he had passed away. An ambulance came to the house; CPR was performed for 40 minutes but ""they could not get him back."" He was not transported to a medical center. An autopsy was not done, but the coroner informed patient's wife that he likely died from a ""clot, maybe a PE."" Wife wonders how this could be, since he was on Plavix for 5 years. Wife does not feel that the COVID vaccine is to blame, but thought she should report the issue just in case. This writer is assisting wife of patient to fill out electronic report."" "1334600-1" "1334600-1" "THROMBOSIS" "10043607" "65-79 years" "65-79" ""Patient passed away on 4/30/21. Wife reports that on 4/29/21, she found him in the garage in a ""pool of blood, face down"" after a fall. Upon finding him on 4/29/21, she took him to the emergency room where he had a CT scan. Patient was diagnosed with a ""concussion"" and sent back home, and was instructed to follow-up with his primary care provider on 4/30/21. On 4/30/21, patient was ""sleepy all day."" On his way out of the house around 3:30, he suddenly put his hand on his wife and proceeded to collapse. The wife also fell, and by the time she gathered herself and went to check on her husband, he had passed away. An ambulance came to the house; CPR was performed for 40 minutes but ""they could not get him back."" He was not transported to a medical center. An autopsy was not done, but the coroner informed patient's wife that he likely died from a ""clot, maybe a PE."" Wife wonders how this could be, since he was on Plavix for 5 years. Wife does not feel that the COVID vaccine is to blame, but thought she should report the issue just in case. This writer is assisting wife of patient to fill out electronic report."" "1334600-1" "1334600-1" "TRAUMATIC HAEMORRHAGE" "10053476" "65-79 years" "65-79" ""Patient passed away on 4/30/21. Wife reports that on 4/29/21, she found him in the garage in a ""pool of blood, face down"" after a fall. Upon finding him on 4/29/21, she took him to the emergency room where he had a CT scan. Patient was diagnosed with a ""concussion"" and sent back home, and was instructed to follow-up with his primary care provider on 4/30/21. On 4/30/21, patient was ""sleepy all day."" On his way out of the house around 3:30, he suddenly put his hand on his wife and proceeded to collapse. The wife also fell, and by the time she gathered herself and went to check on her husband, he had passed away. An ambulance came to the house; CPR was performed for 40 minutes but ""they could not get him back."" He was not transported to a medical center. An autopsy was not done, but the coroner informed patient's wife that he likely died from a ""clot, maybe a PE."" Wife wonders how this could be, since he was on Plavix for 5 years. Wife does not feel that the COVID vaccine is to blame, but thought she should report the issue just in case. This writer is assisting wife of patient to fill out electronic report."" "1334834-1" "1334834-1" "CARDIAC DISORDER" "10061024" "65-79 years" "65-79" "Caller stated his wife passed out and hit her head on the floor; hit her head on the floor and split it open; transferred to hospital due to cardiac complications; fall; His wife passed away; This spontaneous case was reported by a patient family member or friend (subsequently medically confirmed) and describes the occurrence of DEATH (His wife passed away), LOSS OF CONSCIOUSNESS (Caller stated his wife passed out and hit her head on the floor), SKULL FRACTURE (hit her head on the floor and split it open), CARDIAC DISORDER (transferred to hospital due to cardiac complications) and FALL (fall) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 03-Apr-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 03-Apr-2021, the patient experienced LOSS OF CONSCIOUSNESS (Caller stated his wife passed out and hit her head on the floor) (seriousness criteria hospitalization and medically significant), SKULL FRACTURE (hit her head on the floor and split it open) (seriousness criteria hospitalization and medically significant), CARDIAC DISORDER (transferred to hospital due to cardiac complications) (seriousness criterion hospitalization) and FALL (fall) (seriousness criterion hospitalization). On 04-Apr-2021, LOSS OF CONSCIOUSNESS (Caller stated his wife passed out and hit her head on the floor), SKULL FRACTURE (hit her head on the floor and split it open), CARDIAC DISORDER (transferred to hospital due to cardiac complications) and FALL (fall) outcome was unknown. The patient died on 04-Apr-2021. The cause of death was not reported. It is unknown if an autopsy was performed. Concomitant product use was not provided by the reporter. Treatment information was not provided. On 03 Apr 2021, the reporter stated approximately 45 minutes after receiving the COVID-19 vaccine, the patient passed out in the parking lot and hit her head on the floor which caused it to split open. The patient was taken to a hospital but had to be transferred to another hospital after experiencing cardiac complications. On 04 Apr 2021 at 4:00 am, the patient passed away. 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: Unknown cause of death" "1334834-1" "1334834-1" "DEATH" "10011906" "65-79 years" "65-79" "Caller stated his wife passed out and hit her head on the floor; hit her head on the floor and split it open; transferred to hospital due to cardiac complications; fall; His wife passed away; This spontaneous case was reported by a patient family member or friend (subsequently medically confirmed) and describes the occurrence of DEATH (His wife passed away), LOSS OF CONSCIOUSNESS (Caller stated his wife passed out and hit her head on the floor), SKULL FRACTURE (hit her head on the floor and split it open), CARDIAC DISORDER (transferred to hospital due to cardiac complications) and FALL (fall) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 03-Apr-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 03-Apr-2021, the patient experienced LOSS OF CONSCIOUSNESS (Caller stated his wife passed out and hit her head on the floor) (seriousness criteria hospitalization and medically significant), SKULL FRACTURE (hit her head on the floor and split it open) (seriousness criteria hospitalization and medically significant), CARDIAC DISORDER (transferred to hospital due to cardiac complications) (seriousness criterion hospitalization) and FALL (fall) (seriousness criterion hospitalization). On 04-Apr-2021, LOSS OF CONSCIOUSNESS (Caller stated his wife passed out and hit her head on the floor), SKULL FRACTURE (hit her head on the floor and split it open), CARDIAC DISORDER (transferred to hospital due to cardiac complications) and FALL (fall) outcome was unknown. The patient died on 04-Apr-2021. The cause of death was not reported. It is unknown if an autopsy was performed. Concomitant product use was not provided by the reporter. Treatment information was not provided. On 03 Apr 2021, the reporter stated approximately 45 minutes after receiving the COVID-19 vaccine, the patient passed out in the parking lot and hit her head on the floor which caused it to split open. The patient was taken to a hospital but had to be transferred to another hospital after experiencing cardiac complications. On 04 Apr 2021 at 4:00 am, the patient passed away. 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: Unknown cause of death" "1334834-1" "1334834-1" "FALL" "10016173" "65-79 years" "65-79" "Caller stated his wife passed out and hit her head on the floor; hit her head on the floor and split it open; transferred to hospital due to cardiac complications; fall; His wife passed away; This spontaneous case was reported by a patient family member or friend (subsequently medically confirmed) and describes the occurrence of DEATH (His wife passed away), LOSS OF CONSCIOUSNESS (Caller stated his wife passed out and hit her head on the floor), SKULL FRACTURE (hit her head on the floor and split it open), CARDIAC DISORDER (transferred to hospital due to cardiac complications) and FALL (fall) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 03-Apr-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 03-Apr-2021, the patient experienced LOSS OF CONSCIOUSNESS (Caller stated his wife passed out and hit her head on the floor) (seriousness criteria hospitalization and medically significant), SKULL FRACTURE (hit her head on the floor and split it open) (seriousness criteria hospitalization and medically significant), CARDIAC DISORDER (transferred to hospital due to cardiac complications) (seriousness criterion hospitalization) and FALL (fall) (seriousness criterion hospitalization). On 04-Apr-2021, LOSS OF CONSCIOUSNESS (Caller stated his wife passed out and hit her head on the floor), SKULL FRACTURE (hit her head on the floor and split it open), CARDIAC DISORDER (transferred to hospital due to cardiac complications) and FALL (fall) outcome was unknown. The patient died on 04-Apr-2021. The cause of death was not reported. It is unknown if an autopsy was performed. Concomitant product use was not provided by the reporter. Treatment information was not provided. On 03 Apr 2021, the reporter stated approximately 45 minutes after receiving the COVID-19 vaccine, the patient passed out in the parking lot and hit her head on the floor which caused it to split open. The patient was taken to a hospital but had to be transferred to another hospital after experiencing cardiac complications. On 04 Apr 2021 at 4:00 am, the patient passed away. 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: Unknown cause of death" "1334834-1" "1334834-1" "LOSS OF CONSCIOUSNESS" "10024855" "65-79 years" "65-79" "Caller stated his wife passed out and hit her head on the floor; hit her head on the floor and split it open; transferred to hospital due to cardiac complications; fall; His wife passed away; This spontaneous case was reported by a patient family member or friend (subsequently medically confirmed) and describes the occurrence of DEATH (His wife passed away), LOSS OF CONSCIOUSNESS (Caller stated his wife passed out and hit her head on the floor), SKULL FRACTURE (hit her head on the floor and split it open), CARDIAC DISORDER (transferred to hospital due to cardiac complications) and FALL (fall) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 03-Apr-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 03-Apr-2021, the patient experienced LOSS OF CONSCIOUSNESS (Caller stated his wife passed out and hit her head on the floor) (seriousness criteria hospitalization and medically significant), SKULL FRACTURE (hit her head on the floor and split it open) (seriousness criteria hospitalization and medically significant), CARDIAC DISORDER (transferred to hospital due to cardiac complications) (seriousness criterion hospitalization) and FALL (fall) (seriousness criterion hospitalization). On 04-Apr-2021, LOSS OF CONSCIOUSNESS (Caller stated his wife passed out and hit her head on the floor), SKULL FRACTURE (hit her head on the floor and split it open), CARDIAC DISORDER (transferred to hospital due to cardiac complications) and FALL (fall) outcome was unknown. The patient died on 04-Apr-2021. The cause of death was not reported. It is unknown if an autopsy was performed. Concomitant product use was not provided by the reporter. Treatment information was not provided. On 03 Apr 2021, the reporter stated approximately 45 minutes after receiving the COVID-19 vaccine, the patient passed out in the parking lot and hit her head on the floor which caused it to split open. The patient was taken to a hospital but had to be transferred to another hospital after experiencing cardiac complications. On 04 Apr 2021 at 4:00 am, the patient passed away. 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: Unknown cause of death" "1334834-1" "1334834-1" "SKULL FRACTURE" "10061365" "65-79 years" "65-79" "Caller stated his wife passed out and hit her head on the floor; hit her head on the floor and split it open; transferred to hospital due to cardiac complications; fall; His wife passed away; This spontaneous case was reported by a patient family member or friend (subsequently medically confirmed) and describes the occurrence of DEATH (His wife passed away), LOSS OF CONSCIOUSNESS (Caller stated his wife passed out and hit her head on the floor), SKULL FRACTURE (hit her head on the floor and split it open), CARDIAC DISORDER (transferred to hospital due to cardiac complications) and FALL (fall) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 03-Apr-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 03-Apr-2021, the patient experienced LOSS OF CONSCIOUSNESS (Caller stated his wife passed out and hit her head on the floor) (seriousness criteria hospitalization and medically significant), SKULL FRACTURE (hit her head on the floor and split it open) (seriousness criteria hospitalization and medically significant), CARDIAC DISORDER (transferred to hospital due to cardiac complications) (seriousness criterion hospitalization) and FALL (fall) (seriousness criterion hospitalization). On 04-Apr-2021, LOSS OF CONSCIOUSNESS (Caller stated his wife passed out and hit her head on the floor), SKULL FRACTURE (hit her head on the floor and split it open), CARDIAC DISORDER (transferred to hospital due to cardiac complications) and FALL (fall) outcome was unknown. The patient died on 04-Apr-2021. The cause of death was not reported. It is unknown if an autopsy was performed. Concomitant product use was not provided by the reporter. Treatment information was not provided. On 03 Apr 2021, the reporter stated approximately 45 minutes after receiving the COVID-19 vaccine, the patient passed out in the parking lot and hit her head on the floor which caused it to split open. The patient was taken to a hospital but had to be transferred to another hospital after experiencing cardiac complications. On 04 Apr 2021 at 4:00 am, the patient passed away. 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: Unknown cause of death" "1336695-1" "1336695-1" "ATRIAL FIBRILLATION" "10003658" "65-79 years" "65-79" "Patient presented to the ED and was subsequently hospitalized within 6 weeks of receiving COVID vaccination. Diagnoses were pneumonia, A-fib and hyponatremia. Patient died on 4/21/2021" "1336695-1" "1336695-1" "DEATH" "10011906" "65-79 years" "65-79" "Patient presented to the ED and was subsequently hospitalized within 6 weeks of receiving COVID vaccination. Diagnoses were pneumonia, A-fib and hyponatremia. Patient died on 4/21/2021" "1336695-1" "1336695-1" "HYPONATRAEMIA" "10021036" "65-79 years" "65-79" "Patient presented to the ED and was subsequently hospitalized within 6 weeks of receiving COVID vaccination. Diagnoses were pneumonia, A-fib and hyponatremia. Patient died on 4/21/2021" "1336695-1" "1336695-1" "PNEUMONIA" "10035664" "65-79 years" "65-79" "Patient presented to the ED and was subsequently hospitalized within 6 weeks of receiving COVID vaccination. Diagnoses were pneumonia, A-fib and hyponatremia. Patient died on 4/21/2021" "1340758-1" "1340758-1" "CARDIAC FLUTTER" "10052840" "65-79 years" "65-79" "My dad started having breathing problems and heart fluttering shortly after getting his first covid vaccination on April 9, 2021. He had contracted Covid back in October 2020. He never told us he was getting the vaccination until we got a call on his cell phone from Public Health the day after he died of a pulmonary embolism. When he started complaining of symptoms, his doctor referred him to a cardiologist at a Clinic. He had an appointment with them a few days before he died. Apparently, they didn't find any blood cllots, possibly because they were looking for heart issues. Either way, I believe that my dad died from side effects of the Moderna vaccine. My dad died on May 1, 2021 of a pulmonary embolism. The coroner and County Sheriff both said it was one of the biggest blood clots they had ever seen. Since he had no history of blood clots, I thought it important that I report it." "1340758-1" "1340758-1" "DEATH" "10011906" "65-79 years" "65-79" "My dad started having breathing problems and heart fluttering shortly after getting his first covid vaccination on April 9, 2021. He had contracted Covid back in October 2020. He never told us he was getting the vaccination until we got a call on his cell phone from Public Health the day after he died of a pulmonary embolism. When he started complaining of symptoms, his doctor referred him to a cardiologist at a Clinic. He had an appointment with them a few days before he died. Apparently, they didn't find any blood cllots, possibly because they were looking for heart issues. Either way, I believe that my dad died from side effects of the Moderna vaccine. My dad died on May 1, 2021 of a pulmonary embolism. The coroner and County Sheriff both said it was one of the biggest blood clots they had ever seen. Since he had no history of blood clots, I thought it important that I report it." "1340758-1" "1340758-1" "DYSPNOEA" "10013968" "65-79 years" "65-79" "My dad started having breathing problems and heart fluttering shortly after getting his first covid vaccination on April 9, 2021. He had contracted Covid back in October 2020. He never told us he was getting the vaccination until we got a call on his cell phone from Public Health the day after he died of a pulmonary embolism. When he started complaining of symptoms, his doctor referred him to a cardiologist at a Clinic. He had an appointment with them a few days before he died. Apparently, they didn't find any blood cllots, possibly because they were looking for heart issues. Either way, I believe that my dad died from side effects of the Moderna vaccine. My dad died on May 1, 2021 of a pulmonary embolism. The coroner and County Sheriff both said it was one of the biggest blood clots they had ever seen. Since he had no history of blood clots, I thought it important that I report it." "1340758-1" "1340758-1" "PULMONARY EMBOLISM" "10037377" "65-79 years" "65-79" "My dad started having breathing problems and heart fluttering shortly after getting his first covid vaccination on April 9, 2021. He had contracted Covid back in October 2020. He never told us he was getting the vaccination until we got a call on his cell phone from Public Health the day after he died of a pulmonary embolism. When he started complaining of symptoms, his doctor referred him to a cardiologist at a Clinic. He had an appointment with them a few days before he died. Apparently, they didn't find any blood cllots, possibly because they were looking for heart issues. Either way, I believe that my dad died from side effects of the Moderna vaccine. My dad died on May 1, 2021 of a pulmonary embolism. The coroner and County Sheriff both said it was one of the biggest blood clots they had ever seen. Since he had no history of blood clots, I thought it important that I report it." "1350953-1" "1350953-1" "OXYGEN SATURATION DECREASED" "10033318" "65-79 years" "65-79" "During vital sign inspection, patient presented low saturation, and was taken to the Hospital." "1350953-1" "1350953-1" "SARS-COV-2 TEST NEGATIVE" "10084273" "65-79 years" "65-79" "During vital sign inspection, patient presented low saturation, and was taken to the Hospital." "1351018-1" "1351018-1" "DEATH" "10011906" "65-79 years" "65-79" "Loss of apatite, when the time for diaper change arrived, patient was found without vital signs." "1351018-1" "1351018-1" "DECREASED APPETITE" "10061428" "65-79 years" "65-79" "Loss of apatite, when the time for diaper change arrived, patient was found without vital signs." "1351018-1" "1351018-1" "SARS-COV-2 TEST NEGATIVE" "10084273" "65-79 years" "65-79" "Loss of apatite, when the time for diaper change arrived, patient was found without vital signs." "1351018-1" "1351018-1" "VITAL FUNCTIONS ABNORMAL" "10063644" "65-79 years" "65-79" "Loss of apatite, when the time for diaper change arrived, patient was found without vital signs." "1354616-1" "1354616-1" "CARDIAC ARREST" "10007515" "65-79 years" "65-79" "Difficulty breathing, coughing, congestion, dies of cardiac arrest." "1354616-1" "1354616-1" "COUGH" "10011224" "65-79 years" "65-79" "Difficulty breathing, coughing, congestion, dies of cardiac arrest." "1354616-1" "1354616-1" "DEATH" "10011906" "65-79 years" "65-79" "Difficulty breathing, coughing, congestion, dies of cardiac arrest." "1354616-1" "1354616-1" "DYSPNOEA" "10013968" "65-79 years" "65-79" "Difficulty breathing, coughing, congestion, dies of cardiac arrest." "1354616-1" "1354616-1" "RESPIRATORY TRACT CONGESTION" "10052251" "65-79 years" "65-79" "Difficulty breathing, coughing, congestion, dies of cardiac arrest." "1354616-1" "1354616-1" "SARS-COV-2 TEST NEGATIVE" "10084273" "65-79 years" "65-79" "Difficulty breathing, coughing, congestion, dies of cardiac arrest." "1355126-1" "1355126-1" "CHEST PAIN" "10008479" "65-79 years" "65-79" "Difficulty breathing and pain in the chest." "1355126-1" "1355126-1" "DYSPNOEA" "10013968" "65-79 years" "65-79" "Difficulty breathing and pain in the chest." "1355126-1" "1355126-1" "SARS-COV-2 TEST NEGATIVE" "10084273" "65-79 years" "65-79" "Difficulty breathing and pain in the chest." "1363989-1" "1363989-1" "HEPATIC CANCER" "10073069" "65-79 years" "65-79" "Liver cancer (It was in his ducts & everything)/ had the cancer, but this vaccine accelerated it; This spontaneous case was reported by a consumer and describes the occurrence of HEPATIC CANCER (Liver cancer (It was in his ducts & everything)/ had the cancer, but this vaccine accelerated it) in a 71-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 007M20A and 013A21A) for COVID-19 vaccination. No Medical History information was reported. On 29-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 26-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 03-Mar-2021, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced HEPATIC CANCER (Liver cancer (It was in his ducts & everything)/ had the cancer, but this vaccine accelerated it) (seriousness criteria death and medically significant). The patient died on 17-May-2021. The reported cause of death was liver cancer. It is unknown if an autopsy was performed. No concomitant medications was reported. No treatment medications was provided. 03-Mar-2021: Husband was diagnosed with liver cancer. It was in his ducts and everything. He had cancer at the time we took both vaccines. He died 10 weeks after being diagnosed with liver cancer. Caller felt the vaccine escalated the process. Company comment: Very limited information regarding the event has been provided at this time. Further information has been requested. This case was linked to MODERNATX, INC.-MOD-2021-019697 (E2B Linked Report).; Sender's Comments: Very limited information regarding the event has been provided at this time. Further information has been requested. MODERNATX, INC.-MOD-2021-019697:Wife's case; Reported Cause(s) of Death: Liver cancer" "1385401-1" "1385401-1" "ACUTE RESPIRATORY FAILURE" "10001053" "65-79 years" "65-79" "Patient received Pfizer COVID-19 vaccine on 1/24/21 (first dose) and 2/5/21 (second dose). Patient tested positive for COVID on 5/22/21, hospitalized on 5/22/21 for acute respiratory failure with hypoxia and passed away on 5/29/21: Preliminary cause of death: Respiratory failure with hypoxia Diagnoses contributing to death: SARS-CoV-2 respiratory infection COVID-19 vaccination breakthrough infection (Pfizer vaccine) Rheumatoid arthritis on methotrexate Anemia Hypertension Obesity" "1385401-1" "1385401-1" "ANAEMIA" "10002034" "65-79 years" "65-79" "Patient received Pfizer COVID-19 vaccine on 1/24/21 (first dose) and 2/5/21 (second dose). Patient tested positive for COVID on 5/22/21, hospitalized on 5/22/21 for acute respiratory failure with hypoxia and passed away on 5/29/21: Preliminary cause of death: Respiratory failure with hypoxia Diagnoses contributing to death: SARS-CoV-2 respiratory infection COVID-19 vaccination breakthrough infection (Pfizer vaccine) Rheumatoid arthritis on methotrexate Anemia Hypertension Obesity" "1385401-1" "1385401-1" "CONDITION AGGRAVATED" "10010264" "65-79 years" "65-79" "Patient received Pfizer COVID-19 vaccine on 1/24/21 (first dose) and 2/5/21 (second dose). Patient tested positive for COVID on 5/22/21, hospitalized on 5/22/21 for acute respiratory failure with hypoxia and passed away on 5/29/21: Preliminary cause of death: Respiratory failure with hypoxia Diagnoses contributing to death: SARS-CoV-2 respiratory infection COVID-19 vaccination breakthrough infection (Pfizer vaccine) Rheumatoid arthritis on methotrexate Anemia Hypertension Obesity" "1385401-1" "1385401-1" "COVID-19" "10084268" "65-79 years" "65-79" "Patient received Pfizer COVID-19 vaccine on 1/24/21 (first dose) and 2/5/21 (second dose). Patient tested positive for COVID on 5/22/21, hospitalized on 5/22/21 for acute respiratory failure with hypoxia and passed away on 5/29/21: Preliminary cause of death: Respiratory failure with hypoxia Diagnoses contributing to death: SARS-CoV-2 respiratory infection COVID-19 vaccination breakthrough infection (Pfizer vaccine) Rheumatoid arthritis on methotrexate Anemia Hypertension Obesity" "1385401-1" "1385401-1" "DEATH" "10011906" "65-79 years" "65-79" "Patient received Pfizer COVID-19 vaccine on 1/24/21 (first dose) and 2/5/21 (second dose). Patient tested positive for COVID on 5/22/21, hospitalized on 5/22/21 for acute respiratory failure with hypoxia and passed away on 5/29/21: Preliminary cause of death: Respiratory failure with hypoxia Diagnoses contributing to death: SARS-CoV-2 respiratory infection COVID-19 vaccination breakthrough infection (Pfizer vaccine) Rheumatoid arthritis on methotrexate Anemia Hypertension Obesity" "1385401-1" "1385401-1" "HYPERTENSION" "10020772" "65-79 years" "65-79" "Patient received Pfizer COVID-19 vaccine on 1/24/21 (first dose) and 2/5/21 (second dose). Patient tested positive for COVID on 5/22/21, hospitalized on 5/22/21 for acute respiratory failure with hypoxia and passed away on 5/29/21: Preliminary cause of death: Respiratory failure with hypoxia Diagnoses contributing to death: SARS-CoV-2 respiratory infection COVID-19 vaccination breakthrough infection (Pfizer vaccine) Rheumatoid arthritis on methotrexate Anemia Hypertension Obesity" "1385401-1" "1385401-1" "OBESITY" "10029883" "65-79 years" "65-79" "Patient received Pfizer COVID-19 vaccine on 1/24/21 (first dose) and 2/5/21 (second dose). Patient tested positive for COVID on 5/22/21, hospitalized on 5/22/21 for acute respiratory failure with hypoxia and passed away on 5/29/21: Preliminary cause of death: Respiratory failure with hypoxia Diagnoses contributing to death: SARS-CoV-2 respiratory infection COVID-19 vaccination breakthrough infection (Pfizer vaccine) Rheumatoid arthritis on methotrexate Anemia Hypertension Obesity" "1385401-1" "1385401-1" "RHEUMATOID ARTHRITIS" "10039073" "65-79 years" "65-79" "Patient received Pfizer COVID-19 vaccine on 1/24/21 (first dose) and 2/5/21 (second dose). Patient tested positive for COVID on 5/22/21, hospitalized on 5/22/21 for acute respiratory failure with hypoxia and passed away on 5/29/21: Preliminary cause of death: Respiratory failure with hypoxia Diagnoses contributing to death: SARS-CoV-2 respiratory infection COVID-19 vaccination breakthrough infection (Pfizer vaccine) Rheumatoid arthritis on methotrexate Anemia Hypertension Obesity" "1385401-1" "1385401-1" "SARS-COV-2 TEST POSITIVE" "10084271" "65-79 years" "65-79" "Patient received Pfizer COVID-19 vaccine on 1/24/21 (first dose) and 2/5/21 (second dose). Patient tested positive for COVID on 5/22/21, hospitalized on 5/22/21 for acute respiratory failure with hypoxia and passed away on 5/29/21: Preliminary cause of death: Respiratory failure with hypoxia Diagnoses contributing to death: SARS-CoV-2 respiratory infection COVID-19 vaccination breakthrough infection (Pfizer vaccine) Rheumatoid arthritis on methotrexate Anemia Hypertension Obesity" "1385401-1" "1385401-1" "VACCINE BREAKTHROUGH INFECTION" "10067923" "65-79 years" "65-79" "Patient received Pfizer COVID-19 vaccine on 1/24/21 (first dose) and 2/5/21 (second dose). Patient tested positive for COVID on 5/22/21, hospitalized on 5/22/21 for acute respiratory failure with hypoxia and passed away on 5/29/21: Preliminary cause of death: Respiratory failure with hypoxia Diagnoses contributing to death: SARS-CoV-2 respiratory infection COVID-19 vaccination breakthrough infection (Pfizer vaccine) Rheumatoid arthritis on methotrexate Anemia Hypertension Obesity" "1396420-1" "1396420-1" "DEATH" "10011906" "65-79 years" "65-79" "Client passed away on 5/12/2021, she had been residing at assisted living facility." "1414999-1" "1414999-1" "DEATH" "10011906" "65-79 years" "65-79" "Dies due to Alzheimer complications." "1414999-1" "1414999-1" "DEMENTIA ALZHEIMER'S TYPE" "10012271" "65-79 years" "65-79" "Dies due to Alzheimer complications." "1415288-1" "1415288-1" "DEATH" "10011906" "65-79 years" "65-79" "client died. Client had other underlining health conditions." "1437933-1" "1437933-1" "DEATH" "10011906" "65-79 years" "65-79" "Patients daughter called on 6/29/21 to inform pharmacy that patient had passed away. It is unclear what patient passed away from as patients family did not leave that information with the floater pharmacist who was working." "1505528-1" "1505528-1" "DEATH" "10011906" "65-79 years" "65-79" "Discovered patient passed away within 30 days from vaccine" "1525590-1" "1525590-1" "ASYMPTOMATIC COVID-19" "10084459" "65-79 years" "65-79" "No sx. Tested due to being a resident of a long term care facility where there was a current outbreak due to a staff member testing positive during routine testing." "1525590-1" "1525590-1" "EXPOSURE TO SARS-COV-2" "10084456" "65-79 years" "65-79" "No sx. Tested due to being a resident of a long term care facility where there was a current outbreak due to a staff member testing positive during routine testing." "1525590-1" "1525590-1" "SARS-COV-2 TEST POSITIVE" "10084271" "65-79 years" "65-79" "No sx. Tested due to being a resident of a long term care facility where there was a current outbreak due to a staff member testing positive during routine testing." "1525599-1" "1525599-1" "COVID-19" "10084268" "65-79 years" "65-79" "No sx. Tested due to being a resident of a long term care facility where there was a current outbreak due to a staff member testing positive during routine testing." "1525599-1" "1525599-1" "SARS-COV-2 TEST POSITIVE" "10084271" "65-79 years" "65-79" "No sx. Tested due to being a resident of a long term care facility where there was a current outbreak due to a staff member testing positive during routine testing." "1529585-1" "1529585-1" "SUDDEN CARDIAC DEATH" "10049418" "65-79 years" "65-79" "SUDDEN CARDIAC DEATH" "1529596-1" "1529596-1" "SUDDEN CARDIAC DEATH" "10049418" "65-79 years" "65-79" "SUDDEN CARDIAC DEATH" "1529871-1" "1529871-1" "SUDDEN CARDIAC DEATH" "10049418" "65-79 years" "65-79" "SUDDEN CARDIAC DEATH" "1535518-1" "1535518-1" "DROWNING" "10013647" "65-79 years" "65-79" "DROWNING" "1535520-1" "1535520-1" "CARDIAC ARREST" "10007515" "65-79 years" "65-79" "SUDDEN CARDIAC ARREST" "1535603-1" "1535603-1" "CARDIAC ARREST" "10007515" "65-79 years" "65-79" "SUDDEN CARDIAC ARREST" "1574553-1" "1574553-1" "ASTHENIA" "10003549" "65-79 years" "65-79" "Patient has extensive history of autoimmune disorders. Received Moderna vaccine #1 on 3/13/21. Developed sore throat 3/15, progressing to oral lesions - went to urgent care on 3/22/21 and ED on 3/25/21 (diagnosed with stomatitis). Evaluated by ENT specialist 4/2/21 and diagnosed with oropharyngeal lichen planus. Was prescribed steroids. Hospitalized 4/2/21, 4/17/21, and 7/23/21 due to dehydration, malnutrition, and weakness. Patient opted for hospice care and died 8/10/21." "1574553-1" "1574553-1" "DEATH" "10011906" "65-79 years" "65-79" "Patient has extensive history of autoimmune disorders. Received Moderna vaccine #1 on 3/13/21. Developed sore throat 3/15, progressing to oral lesions - went to urgent care on 3/22/21 and ED on 3/25/21 (diagnosed with stomatitis). Evaluated by ENT specialist 4/2/21 and diagnosed with oropharyngeal lichen planus. Was prescribed steroids. Hospitalized 4/2/21, 4/17/21, and 7/23/21 due to dehydration, malnutrition, and weakness. Patient opted for hospice care and died 8/10/21." "1574553-1" "1574553-1" "DEHYDRATION" "10012174" "65-79 years" "65-79" "Patient has extensive history of autoimmune disorders. Received Moderna vaccine #1 on 3/13/21. Developed sore throat 3/15, progressing to oral lesions - went to urgent care on 3/22/21 and ED on 3/25/21 (diagnosed with stomatitis). Evaluated by ENT specialist 4/2/21 and diagnosed with oropharyngeal lichen planus. Was prescribed steroids. Hospitalized 4/2/21, 4/17/21, and 7/23/21 due to dehydration, malnutrition, and weakness. Patient opted for hospice care and died 8/10/21." "1574553-1" "1574553-1" "EAR, NOSE AND THROAT EXAMINATION ABNORMAL" "10056848" "65-79 years" "65-79" "Patient has extensive history of autoimmune disorders. Received Moderna vaccine #1 on 3/13/21. Developed sore throat 3/15, progressing to oral lesions - went to urgent care on 3/22/21 and ED on 3/25/21 (diagnosed with stomatitis). Evaluated by ENT specialist 4/2/21 and diagnosed with oropharyngeal lichen planus. Was prescribed steroids. Hospitalized 4/2/21, 4/17/21, and 7/23/21 due to dehydration, malnutrition, and weakness. Patient opted for hospice care and died 8/10/21." "1574553-1" "1574553-1" "ENDOSCOPY" "10014805" "65-79 years" "65-79" "Patient has extensive history of autoimmune disorders. Received Moderna vaccine #1 on 3/13/21. Developed sore throat 3/15, progressing to oral lesions - went to urgent care on 3/22/21 and ED on 3/25/21 (diagnosed with stomatitis). Evaluated by ENT specialist 4/2/21 and diagnosed with oropharyngeal lichen planus. Was prescribed steroids. Hospitalized 4/2/21, 4/17/21, and 7/23/21 due to dehydration, malnutrition, and weakness. Patient opted for hospice care and died 8/10/21." "1574553-1" "1574553-1" "LARYNGOSCOPY" "10023888" "65-79 years" "65-79" "Patient has extensive history of autoimmune disorders. Received Moderna vaccine #1 on 3/13/21. Developed sore throat 3/15, progressing to oral lesions - went to urgent care on 3/22/21 and ED on 3/25/21 (diagnosed with stomatitis). Evaluated by ENT specialist 4/2/21 and diagnosed with oropharyngeal lichen planus. Was prescribed steroids. Hospitalized 4/2/21, 4/17/21, and 7/23/21 due to dehydration, malnutrition, and weakness. Patient opted for hospice care and died 8/10/21." "1574553-1" "1574553-1" "MALNUTRITION" "10061273" "65-79 years" "65-79" "Patient has extensive history of autoimmune disorders. Received Moderna vaccine #1 on 3/13/21. Developed sore throat 3/15, progressing to oral lesions - went to urgent care on 3/22/21 and ED on 3/25/21 (diagnosed with stomatitis). Evaluated by ENT specialist 4/2/21 and diagnosed with oropharyngeal lichen planus. Was prescribed steroids. Hospitalized 4/2/21, 4/17/21, and 7/23/21 due to dehydration, malnutrition, and weakness. Patient opted for hospice care and died 8/10/21." "1574553-1" "1574553-1" "ORAL DISORDER" "10067621" "65-79 years" "65-79" "Patient has extensive history of autoimmune disorders. Received Moderna vaccine #1 on 3/13/21. Developed sore throat 3/15, progressing to oral lesions - went to urgent care on 3/22/21 and ED on 3/25/21 (diagnosed with stomatitis). Evaluated by ENT specialist 4/2/21 and diagnosed with oropharyngeal lichen planus. Was prescribed steroids. Hospitalized 4/2/21, 4/17/21, and 7/23/21 due to dehydration, malnutrition, and weakness. Patient opted for hospice care and died 8/10/21." "1574553-1" "1574553-1" "ORAL LICHEN PLANUS" "10030983" "65-79 years" "65-79" "Patient has extensive history of autoimmune disorders. Received Moderna vaccine #1 on 3/13/21. Developed sore throat 3/15, progressing to oral lesions - went to urgent care on 3/22/21 and ED on 3/25/21 (diagnosed with stomatitis). Evaluated by ENT specialist 4/2/21 and diagnosed with oropharyngeal lichen planus. Was prescribed steroids. Hospitalized 4/2/21, 4/17/21, and 7/23/21 due to dehydration, malnutrition, and weakness. Patient opted for hospice care and died 8/10/21." "1574553-1" "1574553-1" "OROPHARYNGEAL PAIN" "10068319" "65-79 years" "65-79" "Patient has extensive history of autoimmune disorders. Received Moderna vaccine #1 on 3/13/21. Developed sore throat 3/15, progressing to oral lesions - went to urgent care on 3/22/21 and ED on 3/25/21 (diagnosed with stomatitis). Evaluated by ENT specialist 4/2/21 and diagnosed with oropharyngeal lichen planus. Was prescribed steroids. Hospitalized 4/2/21, 4/17/21, and 7/23/21 due to dehydration, malnutrition, and weakness. Patient opted for hospice care and died 8/10/21." "1574553-1" "1574553-1" "STOMATITIS" "10042128" "65-79 years" "65-79" "Patient has extensive history of autoimmune disorders. Received Moderna vaccine #1 on 3/13/21. Developed sore throat 3/15, progressing to oral lesions - went to urgent care on 3/22/21 and ED on 3/25/21 (diagnosed with stomatitis). Evaluated by ENT specialist 4/2/21 and diagnosed with oropharyngeal lichen planus. Was prescribed steroids. Hospitalized 4/2/21, 4/17/21, and 7/23/21 due to dehydration, malnutrition, and weakness. Patient opted for hospice care and died 8/10/21." "1582680-1" "1582680-1" "CARDIAC FAILURE CONGESTIVE" "10007559" "65-79 years" "65-79" "Pt.'s Wife states that after receiving the 1st dose of Moderna 02/14/2021, started experiencing symptoms 02/17/2021 of head swelling, swelling in the Lymphoids lasting 3 weeks, shortness of breath, coughing up mucus, passed away from from Blood Clots in the lungs 06/15/2021. Primary visit (no tests) treated with Antibiotics for 2 months, noted as Congestive Heart Failure. Primary recommendation to not receive the 2nd dose of Moderna." "1582680-1" "1582680-1" "DEATH" "10011906" "65-79 years" "65-79" "Pt.'s Wife states that after receiving the 1st dose of Moderna 02/14/2021, started experiencing symptoms 02/17/2021 of head swelling, swelling in the Lymphoids lasting 3 weeks, shortness of breath, coughing up mucus, passed away from from Blood Clots in the lungs 06/15/2021. Primary visit (no tests) treated with Antibiotics for 2 months, noted as Congestive Heart Failure. Primary recommendation to not receive the 2nd dose of Moderna." "1582680-1" "1582680-1" "DYSPNOEA" "10013968" "65-79 years" "65-79" "Pt.'s Wife states that after receiving the 1st dose of Moderna 02/14/2021, started experiencing symptoms 02/17/2021 of head swelling, swelling in the Lymphoids lasting 3 weeks, shortness of breath, coughing up mucus, passed away from from Blood Clots in the lungs 06/15/2021. Primary visit (no tests) treated with Antibiotics for 2 months, noted as Congestive Heart Failure. Primary recommendation to not receive the 2nd dose of Moderna." "1582680-1" "1582680-1" "INCOMPLETE COURSE OF VACCINATION" "10072103" "65-79 years" "65-79" "Pt.'s Wife states that after receiving the 1st dose of Moderna 02/14/2021, started experiencing symptoms 02/17/2021 of head swelling, swelling in the Lymphoids lasting 3 weeks, shortness of breath, coughing up mucus, passed away from from Blood Clots in the lungs 06/15/2021. Primary visit (no tests) treated with Antibiotics for 2 months, noted as Congestive Heart Failure. Primary recommendation to not receive the 2nd dose of Moderna." "1582680-1" "1582680-1" "LYMPHADENOPATHY" "10025197" "65-79 years" "65-79" "Pt.'s Wife states that after receiving the 1st dose of Moderna 02/14/2021, started experiencing symptoms 02/17/2021 of head swelling, swelling in the Lymphoids lasting 3 weeks, shortness of breath, coughing up mucus, passed away from from Blood Clots in the lungs 06/15/2021. Primary visit (no tests) treated with Antibiotics for 2 months, noted as Congestive Heart Failure. Primary recommendation to not receive the 2nd dose of Moderna." "1582680-1" "1582680-1" "PRODUCTIVE COUGH" "10036790" "65-79 years" "65-79" "Pt.'s Wife states that after receiving the 1st dose of Moderna 02/14/2021, started experiencing symptoms 02/17/2021 of head swelling, swelling in the Lymphoids lasting 3 weeks, shortness of breath, coughing up mucus, passed away from from Blood Clots in the lungs 06/15/2021. Primary visit (no tests) treated with Antibiotics for 2 months, noted as Congestive Heart Failure. Primary recommendation to not receive the 2nd dose of Moderna." "1582680-1" "1582680-1" "PULMONARY THROMBOSIS" "10037437" "65-79 years" "65-79" "Pt.'s Wife states that after receiving the 1st dose of Moderna 02/14/2021, started experiencing symptoms 02/17/2021 of head swelling, swelling in the Lymphoids lasting 3 weeks, shortness of breath, coughing up mucus, passed away from from Blood Clots in the lungs 06/15/2021. Primary visit (no tests) treated with Antibiotics for 2 months, noted as Congestive Heart Failure. Primary recommendation to not receive the 2nd dose of Moderna." "1582680-1" "1582680-1" "SWELLING" "10042674" "65-79 years" "65-79" "Pt.'s Wife states that after receiving the 1st dose of Moderna 02/14/2021, started experiencing symptoms 02/17/2021 of head swelling, swelling in the Lymphoids lasting 3 weeks, shortness of breath, coughing up mucus, passed away from from Blood Clots in the lungs 06/15/2021. Primary visit (no tests) treated with Antibiotics for 2 months, noted as Congestive Heart Failure. Primary recommendation to not receive the 2nd dose of Moderna." "1636469-1" "1636469-1" "DEATH" "10011906" "65-79 years" "65-79" "Patient had heart attack and died at 10:15 PM following dose at 3:00 PM" "1636469-1" "1636469-1" "MYOCARDIAL INFARCTION" "10028596" "65-79 years" "65-79" "Patient had heart attack and died at 10:15 PM following dose at 3:00 PM" "1651218-1" "1651218-1" "ACUTE MYOCARDIAL INFARCTION" "10000891" "65-79 years" "65-79" "Patient with history of diabetes and CHF came in for non-ST elevated myocardial infarction on 8/3/21 for Left Heart Cath. Another admission on 8/8/21 for stroke-like symptoms, CT scan of head revealed acute-subacute infarction. Patient had extended stay in hospital, suffering a second stroke. Then underwent vascular surgery on either 8/25/21 or 8/26/21 to remove thrombus (blood clot) in one leg. After surgery went to ICU for recovery, and was transferred to floor bed after one day. He expired (passed away) on 8/27/21." "1651218-1" "1651218-1" "CATHETERISATION CARDIAC" "10007815" "65-79 years" "65-79" "Patient with history of diabetes and CHF came in for non-ST elevated myocardial infarction on 8/3/21 for Left Heart Cath. Another admission on 8/8/21 for stroke-like symptoms, CT scan of head revealed acute-subacute infarction. Patient had extended stay in hospital, suffering a second stroke. Then underwent vascular surgery on either 8/25/21 or 8/26/21 to remove thrombus (blood clot) in one leg. After surgery went to ICU for recovery, and was transferred to floor bed after one day. He expired (passed away) on 8/27/21." "1651218-1" "1651218-1" "CEREBROVASCULAR ACCIDENT" "10008190" "65-79 years" "65-79" "Patient with history of diabetes and CHF came in for non-ST elevated myocardial infarction on 8/3/21 for Left Heart Cath. Another admission on 8/8/21 for stroke-like symptoms, CT scan of head revealed acute-subacute infarction. Patient had extended stay in hospital, suffering a second stroke. Then underwent vascular surgery on either 8/25/21 or 8/26/21 to remove thrombus (blood clot) in one leg. After surgery went to ICU for recovery, and was transferred to floor bed after one day. He expired (passed away) on 8/27/21." "1651218-1" "1651218-1" "COMPUTERISED TOMOGRAM HEAD ABNORMAL" "10072168" "65-79 years" "65-79" "Patient with history of diabetes and CHF came in for non-ST elevated myocardial infarction on 8/3/21 for Left Heart Cath. Another admission on 8/8/21 for stroke-like symptoms, CT scan of head revealed acute-subacute infarction. Patient had extended stay in hospital, suffering a second stroke. Then underwent vascular surgery on either 8/25/21 or 8/26/21 to remove thrombus (blood clot) in one leg. After surgery went to ICU for recovery, and was transferred to floor bed after one day. He expired (passed away) on 8/27/21." "1651218-1" "1651218-1" "DEATH" "10011906" "65-79 years" "65-79" "Patient with history of diabetes and CHF came in for non-ST elevated myocardial infarction on 8/3/21 for Left Heart Cath. Another admission on 8/8/21 for stroke-like symptoms, CT scan of head revealed acute-subacute infarction. Patient had extended stay in hospital, suffering a second stroke. Then underwent vascular surgery on either 8/25/21 or 8/26/21 to remove thrombus (blood clot) in one leg. After surgery went to ICU for recovery, and was transferred to floor bed after one day. He expired (passed away) on 8/27/21." "1651218-1" "1651218-1" "INFARCTION" "10061216" "65-79 years" "65-79" "Patient with history of diabetes and CHF came in for non-ST elevated myocardial infarction on 8/3/21 for Left Heart Cath. Another admission on 8/8/21 for stroke-like symptoms, CT scan of head revealed acute-subacute infarction. Patient had extended stay in hospital, suffering a second stroke. Then underwent vascular surgery on either 8/25/21 or 8/26/21 to remove thrombus (blood clot) in one leg. After surgery went to ICU for recovery, and was transferred to floor bed after one day. He expired (passed away) on 8/27/21." "1651218-1" "1651218-1" "INTENSIVE CARE" "10022519" "65-79 years" "65-79" "Patient with history of diabetes and CHF came in for non-ST elevated myocardial infarction on 8/3/21 for Left Heart Cath. Another admission on 8/8/21 for stroke-like symptoms, CT scan of head revealed acute-subacute infarction. Patient had extended stay in hospital, suffering a second stroke. Then underwent vascular surgery on either 8/25/21 or 8/26/21 to remove thrombus (blood clot) in one leg. After surgery went to ICU for recovery, and was transferred to floor bed after one day. He expired (passed away) on 8/27/21." "1651218-1" "1651218-1" "NEUROLOGICAL SYMPTOM" "10060860" "65-79 years" "65-79" "Patient with history of diabetes and CHF came in for non-ST elevated myocardial infarction on 8/3/21 for Left Heart Cath. Another admission on 8/8/21 for stroke-like symptoms, CT scan of head revealed acute-subacute infarction. Patient had extended stay in hospital, suffering a second stroke. Then underwent vascular surgery on either 8/25/21 or 8/26/21 to remove thrombus (blood clot) in one leg. After surgery went to ICU for recovery, and was transferred to floor bed after one day. He expired (passed away) on 8/27/21." "1651218-1" "1651218-1" "THROMBOSIS" "10043607" "65-79 years" "65-79" "Patient with history of diabetes and CHF came in for non-ST elevated myocardial infarction on 8/3/21 for Left Heart Cath. Another admission on 8/8/21 for stroke-like symptoms, CT scan of head revealed acute-subacute infarction. Patient had extended stay in hospital, suffering a second stroke. Then underwent vascular surgery on either 8/25/21 or 8/26/21 to remove thrombus (blood clot) in one leg. After surgery went to ICU for recovery, and was transferred to floor bed after one day. He expired (passed away) on 8/27/21." "1651218-1" "1651218-1" "VASCULAR OPERATION" "10049071" "65-79 years" "65-79" "Patient with history of diabetes and CHF came in for non-ST elevated myocardial infarction on 8/3/21 for Left Heart Cath. Another admission on 8/8/21 for stroke-like symptoms, CT scan of head revealed acute-subacute infarction. Patient had extended stay in hospital, suffering a second stroke. Then underwent vascular surgery on either 8/25/21 or 8/26/21 to remove thrombus (blood clot) in one leg. After surgery went to ICU for recovery, and was transferred to floor bed after one day. He expired (passed away) on 8/27/21." "1679141-1" "1679141-1" "COVID-19" "10084268" "65-79 years" "65-79" "Patient was taken with the ER, tested positive for COVID-19 upon admission. He passed away on 9/01/21" "1679141-1" "1679141-1" "DEATH" "10011906" "65-79 years" "65-79" "Patient was taken with the ER, tested positive for COVID-19 upon admission. He passed away on 9/01/21" "1679141-1" "1679141-1" "SARS-COV-2 TEST POSITIVE" "10084271" "65-79 years" "65-79" "Patient was taken with the ER, tested positive for COVID-19 upon admission. He passed away on 9/01/21" "1685563-1" "1685563-1" "ACUTE RESPIRATORY FAILURE" "10001053" "65-79 years" "65-79" "Decedent on hospice for acute respiratory failure due to chronic obstructive pulmonary disease." "1685563-1" "1685563-1" "CHRONIC OBSTRUCTIVE PULMONARY DISEASE" "10009033" "65-79 years" "65-79" "Decedent on hospice for acute respiratory failure due to chronic obstructive pulmonary disease." "1685563-1" "1685563-1" "CONDITION AGGRAVATED" "10010264" "65-79 years" "65-79" "Decedent on hospice for acute respiratory failure due to chronic obstructive pulmonary disease." "1685563-1" "1685563-1" "DEATH" "10011906" "65-79 years" "65-79" "Decedent on hospice for acute respiratory failure due to chronic obstructive pulmonary disease." "1707311-1" "1707311-1" "CEREBROVASCULAR ACCIDENT" "10008190" "65-79 years" "65-79" "Had a massive stoke; Convulsions; Gasping for breath; Lost function of left side of bod; Couldn't take tongue out of mouth; This spontaneous case was reported by a consumer and describes the occurrence of CEREBROVASCULAR ACCIDENT (Had a massive stoke), SEIZURE (Convulsions), DYSPNOEA (Gasping for breath), HEMIPARESIS (Lost function of left side of bod) and TONGUE MOVEMENT DISTURBANCE (Couldn't take tongue out of mouth) in a 65-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 00C21A) for COVID-19 vaccination. The patient's past medical history included Stroke (Consumer previously had a stoke in his 30's.) and Cardiopulmonary resuscitation. Concurrent medical conditions included Emphysema (little) and Smoker. On 12-May-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 13-May-2021, the patient experienced CEREBROVASCULAR ACCIDENT (Had a massive stoke) (seriousness criteria death and medically significant), SEIZURE (Convulsions) (seriousness criteria death and medically significant), DYSPNOEA (Gasping for breath) (seriousness criterion death), HEMIPARESIS (Lost function of left side of bod) (seriousness criteria death and medically significant) and TONGUE MOVEMENT DISTURBANCE (Couldn't take tongue out of mouth) (seriousness criterion death). The patient died on 13-May-2021. The cause of death was not reported. An autopsy was not performed. No Concomitant medication was reported. No treatment medications were reported. Patient had a massive stoke, convulsions, gasping for breath, lost function of left side of body, and couldn't take tongue out of mouth on 13May2021. Wife noticed the symptoms of stoke and called 911 immediately. While on the phone with dispatcher, wife performed CPR and used mouth to mouth technique on her husband for up to 20 minutes. Wife stated they shocked the patient to bring back but it was unsuccessful and patient passed away on 13May2021 in wife's arms. Patient was on heavy blood thinners. Company Comment: Very limited information regarding these events has been provided at this time. The fatal outcome may be related to the patient's pre-existing comorbidities. Further information required.; Sender's Comments: Very limited information regarding these events has been provided at this time. The fatal outcome may be related to the patient's pre-existing comorbidities. Further information required.; Reported Cause(s) of Death: Unknown cause of death" "1707311-1" "1707311-1" "DYSPNOEA" "10013968" "65-79 years" "65-79" "Had a massive stoke; Convulsions; Gasping for breath; Lost function of left side of bod; Couldn't take tongue out of mouth; This spontaneous case was reported by a consumer and describes the occurrence of CEREBROVASCULAR ACCIDENT (Had a massive stoke), SEIZURE (Convulsions), DYSPNOEA (Gasping for breath), HEMIPARESIS (Lost function of left side of bod) and TONGUE MOVEMENT DISTURBANCE (Couldn't take tongue out of mouth) in a 65-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 00C21A) for COVID-19 vaccination. The patient's past medical history included Stroke (Consumer previously had a stoke in his 30's.) and Cardiopulmonary resuscitation. Concurrent medical conditions included Emphysema (little) and Smoker. On 12-May-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 13-May-2021, the patient experienced CEREBROVASCULAR ACCIDENT (Had a massive stoke) (seriousness criteria death and medically significant), SEIZURE (Convulsions) (seriousness criteria death and medically significant), DYSPNOEA (Gasping for breath) (seriousness criterion death), HEMIPARESIS (Lost function of left side of bod) (seriousness criteria death and medically significant) and TONGUE MOVEMENT DISTURBANCE (Couldn't take tongue out of mouth) (seriousness criterion death). The patient died on 13-May-2021. The cause of death was not reported. An autopsy was not performed. No Concomitant medication was reported. No treatment medications were reported. Patient had a massive stoke, convulsions, gasping for breath, lost function of left side of body, and couldn't take tongue out of mouth on 13May2021. Wife noticed the symptoms of stoke and called 911 immediately. While on the phone with dispatcher, wife performed CPR and used mouth to mouth technique on her husband for up to 20 minutes. Wife stated they shocked the patient to bring back but it was unsuccessful and patient passed away on 13May2021 in wife's arms. Patient was on heavy blood thinners. Company Comment: Very limited information regarding these events has been provided at this time. The fatal outcome may be related to the patient's pre-existing comorbidities. Further information required.; Sender's Comments: Very limited information regarding these events has been provided at this time. The fatal outcome may be related to the patient's pre-existing comorbidities. Further information required.; Reported Cause(s) of Death: Unknown cause of death" "1707311-1" "1707311-1" "HEMIPARESIS" "10019465" "65-79 years" "65-79" "Had a massive stoke; Convulsions; Gasping for breath; Lost function of left side of bod; Couldn't take tongue out of mouth; This spontaneous case was reported by a consumer and describes the occurrence of CEREBROVASCULAR ACCIDENT (Had a massive stoke), SEIZURE (Convulsions), DYSPNOEA (Gasping for breath), HEMIPARESIS (Lost function of left side of bod) and TONGUE MOVEMENT DISTURBANCE (Couldn't take tongue out of mouth) in a 65-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 00C21A) for COVID-19 vaccination. The patient's past medical history included Stroke (Consumer previously had a stoke in his 30's.) and Cardiopulmonary resuscitation. Concurrent medical conditions included Emphysema (little) and Smoker. On 12-May-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 13-May-2021, the patient experienced CEREBROVASCULAR ACCIDENT (Had a massive stoke) (seriousness criteria death and medically significant), SEIZURE (Convulsions) (seriousness criteria death and medically significant), DYSPNOEA (Gasping for breath) (seriousness criterion death), HEMIPARESIS (Lost function of left side of bod) (seriousness criteria death and medically significant) and TONGUE MOVEMENT DISTURBANCE (Couldn't take tongue out of mouth) (seriousness criterion death). The patient died on 13-May-2021. The cause of death was not reported. An autopsy was not performed. No Concomitant medication was reported. No treatment medications were reported. Patient had a massive stoke, convulsions, gasping for breath, lost function of left side of body, and couldn't take tongue out of mouth on 13May2021. Wife noticed the symptoms of stoke and called 911 immediately. While on the phone with dispatcher, wife performed CPR and used mouth to mouth technique on her husband for up to 20 minutes. Wife stated they shocked the patient to bring back but it was unsuccessful and patient passed away on 13May2021 in wife's arms. Patient was on heavy blood thinners. Company Comment: Very limited information regarding these events has been provided at this time. The fatal outcome may be related to the patient's pre-existing comorbidities. Further information required.; Sender's Comments: Very limited information regarding these events has been provided at this time. The fatal outcome may be related to the patient's pre-existing comorbidities. Further information required.; Reported Cause(s) of Death: Unknown cause of death" "1707311-1" "1707311-1" "SEIZURE" "10039906" "65-79 years" "65-79" "Had a massive stoke; Convulsions; Gasping for breath; Lost function of left side of bod; Couldn't take tongue out of mouth; This spontaneous case was reported by a consumer and describes the occurrence of CEREBROVASCULAR ACCIDENT (Had a massive stoke), SEIZURE (Convulsions), DYSPNOEA (Gasping for breath), HEMIPARESIS (Lost function of left side of bod) and TONGUE MOVEMENT DISTURBANCE (Couldn't take tongue out of mouth) in a 65-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 00C21A) for COVID-19 vaccination. The patient's past medical history included Stroke (Consumer previously had a stoke in his 30's.) and Cardiopulmonary resuscitation. Concurrent medical conditions included Emphysema (little) and Smoker. On 12-May-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 13-May-2021, the patient experienced CEREBROVASCULAR ACCIDENT (Had a massive stoke) (seriousness criteria death and medically significant), SEIZURE (Convulsions) (seriousness criteria death and medically significant), DYSPNOEA (Gasping for breath) (seriousness criterion death), HEMIPARESIS (Lost function of left side of bod) (seriousness criteria death and medically significant) and TONGUE MOVEMENT DISTURBANCE (Couldn't take tongue out of mouth) (seriousness criterion death). The patient died on 13-May-2021. The cause of death was not reported. An autopsy was not performed. No Concomitant medication was reported. No treatment medications were reported. Patient had a massive stoke, convulsions, gasping for breath, lost function of left side of body, and couldn't take tongue out of mouth on 13May2021. Wife noticed the symptoms of stoke and called 911 immediately. While on the phone with dispatcher, wife performed CPR and used mouth to mouth technique on her husband for up to 20 minutes. Wife stated they shocked the patient to bring back but it was unsuccessful and patient passed away on 13May2021 in wife's arms. Patient was on heavy blood thinners. Company Comment: Very limited information regarding these events has been provided at this time. The fatal outcome may be related to the patient's pre-existing comorbidities. Further information required.; Sender's Comments: Very limited information regarding these events has been provided at this time. The fatal outcome may be related to the patient's pre-existing comorbidities. Further information required.; Reported Cause(s) of Death: Unknown cause of death" "1707311-1" "1707311-1" "TONGUE MOVEMENT DISTURBANCE" "10043963" "65-79 years" "65-79" "Had a massive stoke; Convulsions; Gasping for breath; Lost function of left side of bod; Couldn't take tongue out of mouth; This spontaneous case was reported by a consumer and describes the occurrence of CEREBROVASCULAR ACCIDENT (Had a massive stoke), SEIZURE (Convulsions), DYSPNOEA (Gasping for breath), HEMIPARESIS (Lost function of left side of bod) and TONGUE MOVEMENT DISTURBANCE (Couldn't take tongue out of mouth) in a 65-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 00C21A) for COVID-19 vaccination. The patient's past medical history included Stroke (Consumer previously had a stoke in his 30's.) and Cardiopulmonary resuscitation. Concurrent medical conditions included Emphysema (little) and Smoker. On 12-May-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 13-May-2021, the patient experienced CEREBROVASCULAR ACCIDENT (Had a massive stoke) (seriousness criteria death and medically significant), SEIZURE (Convulsions) (seriousness criteria death and medically significant), DYSPNOEA (Gasping for breath) (seriousness criterion death), HEMIPARESIS (Lost function of left side of bod) (seriousness criteria death and medically significant) and TONGUE MOVEMENT DISTURBANCE (Couldn't take tongue out of mouth) (seriousness criterion death). The patient died on 13-May-2021. The cause of death was not reported. An autopsy was not performed. No Concomitant medication was reported. No treatment medications were reported. Patient had a massive stoke, convulsions, gasping for breath, lost function of left side of body, and couldn't take tongue out of mouth on 13May2021. Wife noticed the symptoms of stoke and called 911 immediately. While on the phone with dispatcher, wife performed CPR and used mouth to mouth technique on her husband for up to 20 minutes. Wife stated they shocked the patient to bring back but it was unsuccessful and patient passed away on 13May2021 in wife's arms. Patient was on heavy blood thinners. Company Comment: Very limited information regarding these events has been provided at this time. The fatal outcome may be related to the patient's pre-existing comorbidities. Further information required.; Sender's Comments: Very limited information regarding these events has been provided at this time. The fatal outcome may be related to the patient's pre-existing comorbidities. Further information required.; Reported Cause(s) of Death: Unknown cause of death" "1713423-1" "1713423-1" "CIRCULATORY COLLAPSE" "10009192" "65-79 years" "65-79" "Back of heart collapsed." "1730309-1" "1730309-1" "CORONARY ARTERY DISEASE" "10011078" "65-79 years" "65-79" "cause of death of unknown aetiology (her spelling) coronary artery disease; This spontaneous case was reported by a patient family member or friend and describes the occurrence of CORONARY ARTERY DISEASE (cause of death of unknown aetiology (her spelling) coronary artery disease) in a 77-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 19-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 30-Jan-2021, the patient experienced CORONARY ARTERY DISEASE (cause of death of unknown aetiology (her spelling) coronary artery disease) (seriousness criterion death). The patient died on 30-Jan-2021. The reported cause of death was unknown aetiology (her spelling) coronary artery disease. It is unknown if an autopsy was performed. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No relevant concomitant and treatment medications were reported. Company comment- This case concerns a 77-year-old, male patient with no known medical history, who experienced the unexpected event of CORONARY ARTERY DISEASE. The event occurred approximately 11 days after the first dose of Spikevax and had a fatal outcome, with death occurring in this day. The rechallenge was not applicable, as the event happened after the first dose. The event was considered related to the product per the reporter's assessment. The benefit-risk relationship of Spikevax is not affected by this report.; Sender's Comments: This case concerns a 77-year-old, male patient with no known medical history, who experienced the unexpected event of CORONARY ARTERY DISEASE. The event occurred approximately 11 days after the first dose of Spikevax and had a fatal outcome, with death occurring in this day. The rechallenge was not applicable, as the event happened after the first dose. The event was considered related to the product per the reporter's assessment. The benefit-risk relationship of Spikevax is not affected by this report.; Reported Cause(s) of Death: unknown aetiology (her spelling) coronary artery disease" "1758808-1" "1758808-1" "ASTHENIA" "10003549" "65-79 years" "65-79" "Patient didn?t feel well the day after his COVID vaccine. He was extremely tired and he had body aches. This continued until his 1st visit to the hospital on July 1st. He was jaundice and weak. They diagnosed cirrhosis, high blood pressure and low blood platelets. He stayed in the hospital for 3-4 days and was released. 4-5 days later we went to the hospital again with the same symptoms. This time they told him he had hepatitis B along with the other things already diagnosed, again he was released from the hospital after a few days. 5-6 days later he had a doctors appointment, she told him he needed to go back to the hospital. This stay was for 16 days. He needed platelets and was then diagnosed with an aggressive form of lymphoma, received treatment and was released on July 30. That evening he started with a cough and felt progressively worse. August 3rd he was scheduled for more blood platelets, arrived to the hospital and was again admitted. They then diagnosed him with an ecoli infection which was to much for his weakened state and he passed away on August 10" "1758808-1" "1758808-1" "CONDITION AGGRAVATED" "10010264" "65-79 years" "65-79" "Patient didn?t feel well the day after his COVID vaccine. He was extremely tired and he had body aches. This continued until his 1st visit to the hospital on July 1st. He was jaundice and weak. They diagnosed cirrhosis, high blood pressure and low blood platelets. He stayed in the hospital for 3-4 days and was released. 4-5 days later we went to the hospital again with the same symptoms. This time they told him he had hepatitis B along with the other things already diagnosed, again he was released from the hospital after a few days. 5-6 days later he had a doctors appointment, she told him he needed to go back to the hospital. This stay was for 16 days. He needed platelets and was then diagnosed with an aggressive form of lymphoma, received treatment and was released on July 30. That evening he started with a cough and felt progressively worse. August 3rd he was scheduled for more blood platelets, arrived to the hospital and was again admitted. They then diagnosed him with an ecoli infection which was to much for his weakened state and he passed away on August 10" "1758808-1" "1758808-1" "COUGH" "10011224" "65-79 years" "65-79" "Patient didn?t feel well the day after his COVID vaccine. He was extremely tired and he had body aches. This continued until his 1st visit to the hospital on July 1st. He was jaundice and weak. They diagnosed cirrhosis, high blood pressure and low blood platelets. He stayed in the hospital for 3-4 days and was released. 4-5 days later we went to the hospital again with the same symptoms. This time they told him he had hepatitis B along with the other things already diagnosed, again he was released from the hospital after a few days. 5-6 days later he had a doctors appointment, she told him he needed to go back to the hospital. This stay was for 16 days. He needed platelets and was then diagnosed with an aggressive form of lymphoma, received treatment and was released on July 30. That evening he started with a cough and felt progressively worse. August 3rd he was scheduled for more blood platelets, arrived to the hospital and was again admitted. They then diagnosed him with an ecoli infection which was to much for his weakened state and he passed away on August 10" "1758808-1" "1758808-1" "DEATH" "10011906" "65-79 years" "65-79" "Patient didn?t feel well the day after his COVID vaccine. He was extremely tired and he had body aches. This continued until his 1st visit to the hospital on July 1st. He was jaundice and weak. They diagnosed cirrhosis, high blood pressure and low blood platelets. He stayed in the hospital for 3-4 days and was released. 4-5 days later we went to the hospital again with the same symptoms. This time they told him he had hepatitis B along with the other things already diagnosed, again he was released from the hospital after a few days. 5-6 days later he had a doctors appointment, she told him he needed to go back to the hospital. This stay was for 16 days. He needed platelets and was then diagnosed with an aggressive form of lymphoma, received treatment and was released on July 30. That evening he started with a cough and felt progressively worse. August 3rd he was scheduled for more blood platelets, arrived to the hospital and was again admitted. They then diagnosed him with an ecoli infection which was to much for his weakened state and he passed away on August 10" "1758808-1" "1758808-1" "ESCHERICHIA INFECTION" "10061126" "65-79 years" "65-79" "Patient didn?t feel well the day after his COVID vaccine. He was extremely tired and he had body aches. This continued until his 1st visit to the hospital on July 1st. He was jaundice and weak. They diagnosed cirrhosis, high blood pressure and low blood platelets. He stayed in the hospital for 3-4 days and was released. 4-5 days later we went to the hospital again with the same symptoms. This time they told him he had hepatitis B along with the other things already diagnosed, again he was released from the hospital after a few days. 5-6 days later he had a doctors appointment, she told him he needed to go back to the hospital. This stay was for 16 days. He needed platelets and was then diagnosed with an aggressive form of lymphoma, received treatment and was released on July 30. That evening he started with a cough and felt progressively worse. August 3rd he was scheduled for more blood platelets, arrived to the hospital and was again admitted. They then diagnosed him with an ecoli infection which was to much for his weakened state and he passed away on August 10" "1758808-1" "1758808-1" "FATIGUE" "10016256" "65-79 years" "65-79" "Patient didn?t feel well the day after his COVID vaccine. He was extremely tired and he had body aches. This continued until his 1st visit to the hospital on July 1st. He was jaundice and weak. They diagnosed cirrhosis, high blood pressure and low blood platelets. He stayed in the hospital for 3-4 days and was released. 4-5 days later we went to the hospital again with the same symptoms. This time they told him he had hepatitis B along with the other things already diagnosed, again he was released from the hospital after a few days. 5-6 days later he had a doctors appointment, she told him he needed to go back to the hospital. This stay was for 16 days. He needed platelets and was then diagnosed with an aggressive form of lymphoma, received treatment and was released on July 30. That evening he started with a cough and felt progressively worse. August 3rd he was scheduled for more blood platelets, arrived to the hospital and was again admitted. They then diagnosed him with an ecoli infection which was to much for his weakened state and he passed away on August 10" "1758808-1" "1758808-1" "HEPATIC CIRRHOSIS" "10019641" "65-79 years" "65-79" "Patient didn?t feel well the day after his COVID vaccine. He was extremely tired and he had body aches. This continued until his 1st visit to the hospital on July 1st. He was jaundice and weak. They diagnosed cirrhosis, high blood pressure and low blood platelets. He stayed in the hospital for 3-4 days and was released. 4-5 days later we went to the hospital again with the same symptoms. This time they told him he had hepatitis B along with the other things already diagnosed, again he was released from the hospital after a few days. 5-6 days later he had a doctors appointment, she told him he needed to go back to the hospital. This stay was for 16 days. He needed platelets and was then diagnosed with an aggressive form of lymphoma, received treatment and was released on July 30. That evening he started with a cough and felt progressively worse. August 3rd he was scheduled for more blood platelets, arrived to the hospital and was again admitted. They then diagnosed him with an ecoli infection which was to much for his weakened state and he passed away on August 10" "1758808-1" "1758808-1" "HEPATITIS B" "10019731" "65-79 years" "65-79" "Patient didn?t feel well the day after his COVID vaccine. He was extremely tired and he had body aches. This continued until his 1st visit to the hospital on July 1st. He was jaundice and weak. They diagnosed cirrhosis, high blood pressure and low blood platelets. He stayed in the hospital for 3-4 days and was released. 4-5 days later we went to the hospital again with the same symptoms. This time they told him he had hepatitis B along with the other things already diagnosed, again he was released from the hospital after a few days. 5-6 days later he had a doctors appointment, she told him he needed to go back to the hospital. This stay was for 16 days. He needed platelets and was then diagnosed with an aggressive form of lymphoma, received treatment and was released on July 30. That evening he started with a cough and felt progressively worse. August 3rd he was scheduled for more blood platelets, arrived to the hospital and was again admitted. They then diagnosed him with an ecoli infection which was to much for his weakened state and he passed away on August 10" "1758808-1" "1758808-1" "HYPERTENSION" "10020772" "65-79 years" "65-79" "Patient didn?t feel well the day after his COVID vaccine. He was extremely tired and he had body aches. This continued until his 1st visit to the hospital on July 1st. He was jaundice and weak. They diagnosed cirrhosis, high blood pressure and low blood platelets. He stayed in the hospital for 3-4 days and was released. 4-5 days later we went to the hospital again with the same symptoms. This time they told him he had hepatitis B along with the other things already diagnosed, again he was released from the hospital after a few days. 5-6 days later he had a doctors appointment, she told him he needed to go back to the hospital. This stay was for 16 days. He needed platelets and was then diagnosed with an aggressive form of lymphoma, received treatment and was released on July 30. That evening he started with a cough and felt progressively worse. August 3rd he was scheduled for more blood platelets, arrived to the hospital and was again admitted. They then diagnosed him with an ecoli infection which was to much for his weakened state and he passed away on August 10" "1758808-1" "1758808-1" "JAUNDICE" "10023126" "65-79 years" "65-79" "Patient didn?t feel well the day after his COVID vaccine. He was extremely tired and he had body aches. This continued until his 1st visit to the hospital on July 1st. He was jaundice and weak. They diagnosed cirrhosis, high blood pressure and low blood platelets. He stayed in the hospital for 3-4 days and was released. 4-5 days later we went to the hospital again with the same symptoms. This time they told him he had hepatitis B along with the other things already diagnosed, again he was released from the hospital after a few days. 5-6 days later he had a doctors appointment, she told him he needed to go back to the hospital. This stay was for 16 days. He needed platelets and was then diagnosed with an aggressive form of lymphoma, received treatment and was released on July 30. That evening he started with a cough and felt progressively worse. August 3rd he was scheduled for more blood platelets, arrived to the hospital and was again admitted. They then diagnosed him with an ecoli infection which was to much for his weakened state and he passed away on August 10" "1758808-1" "1758808-1" "LABORATORY TEST" "10059938" "65-79 years" "65-79" "Patient didn?t feel well the day after his COVID vaccine. He was extremely tired and he had body aches. This continued until his 1st visit to the hospital on July 1st. He was jaundice and weak. They diagnosed cirrhosis, high blood pressure and low blood platelets. He stayed in the hospital for 3-4 days and was released. 4-5 days later we went to the hospital again with the same symptoms. This time they told him he had hepatitis B along with the other things already diagnosed, again he was released from the hospital after a few days. 5-6 days later he had a doctors appointment, she told him he needed to go back to the hospital. This stay was for 16 days. He needed platelets and was then diagnosed with an aggressive form of lymphoma, received treatment and was released on July 30. That evening he started with a cough and felt progressively worse. August 3rd he was scheduled for more blood platelets, arrived to the hospital and was again admitted. They then diagnosed him with an ecoli infection which was to much for his weakened state and he passed away on August 10" "1758808-1" "1758808-1" "LYMPHOMA" "10025310" "65-79 years" "65-79" "Patient didn?t feel well the day after his COVID vaccine. He was extremely tired and he had body aches. This continued until his 1st visit to the hospital on July 1st. He was jaundice and weak. They diagnosed cirrhosis, high blood pressure and low blood platelets. He stayed in the hospital for 3-4 days and was released. 4-5 days later we went to the hospital again with the same symptoms. This time they told him he had hepatitis B along with the other things already diagnosed, again he was released from the hospital after a few days. 5-6 days later he had a doctors appointment, she told him he needed to go back to the hospital. This stay was for 16 days. He needed platelets and was then diagnosed with an aggressive form of lymphoma, received treatment and was released on July 30. That evening he started with a cough and felt progressively worse. August 3rd he was scheduled for more blood platelets, arrived to the hospital and was again admitted. They then diagnosed him with an ecoli infection which was to much for his weakened state and he passed away on August 10" "1758808-1" "1758808-1" "MALAISE" "10025482" "65-79 years" "65-79" "Patient didn?t feel well the day after his COVID vaccine. He was extremely tired and he had body aches. This continued until his 1st visit to the hospital on July 1st. He was jaundice and weak. They diagnosed cirrhosis, high blood pressure and low blood platelets. He stayed in the hospital for 3-4 days and was released. 4-5 days later we went to the hospital again with the same symptoms. This time they told him he had hepatitis B along with the other things already diagnosed, again he was released from the hospital after a few days. 5-6 days later he had a doctors appointment, she told him he needed to go back to the hospital. This stay was for 16 days. He needed platelets and was then diagnosed with an aggressive form of lymphoma, received treatment and was released on July 30. That evening he started with a cough and felt progressively worse. August 3rd he was scheduled for more blood platelets, arrived to the hospital and was again admitted. They then diagnosed him with an ecoli infection which was to much for his weakened state and he passed away on August 10" "1758808-1" "1758808-1" "PAIN" "10033371" "65-79 years" "65-79" "Patient didn?t feel well the day after his COVID vaccine. He was extremely tired and he had body aches. This continued until his 1st visit to the hospital on July 1st. He was jaundice and weak. They diagnosed cirrhosis, high blood pressure and low blood platelets. He stayed in the hospital for 3-4 days and was released. 4-5 days later we went to the hospital again with the same symptoms. This time they told him he had hepatitis B along with the other things already diagnosed, again he was released from the hospital after a few days. 5-6 days later he had a doctors appointment, she told him he needed to go back to the hospital. This stay was for 16 days. He needed platelets and was then diagnosed with an aggressive form of lymphoma, received treatment and was released on July 30. That evening he started with a cough and felt progressively worse. August 3rd he was scheduled for more blood platelets, arrived to the hospital and was again admitted. They then diagnosed him with an ecoli infection which was to much for his weakened state and he passed away on August 10" "1758808-1" "1758808-1" "PLATELET COUNT DECREASED" "10035528" "65-79 years" "65-79" "Patient didn?t feel well the day after his COVID vaccine. He was extremely tired and he had body aches. This continued until his 1st visit to the hospital on July 1st. He was jaundice and weak. They diagnosed cirrhosis, high blood pressure and low blood platelets. He stayed in the hospital for 3-4 days and was released. 4-5 days later we went to the hospital again with the same symptoms. This time they told him he had hepatitis B along with the other things already diagnosed, again he was released from the hospital after a few days. 5-6 days later he had a doctors appointment, she told him he needed to go back to the hospital. This stay was for 16 days. He needed platelets and was then diagnosed with an aggressive form of lymphoma, received treatment and was released on July 30. That evening he started with a cough and felt progressively worse. August 3rd he was scheduled for more blood platelets, arrived to the hospital and was again admitted. They then diagnosed him with an ecoli infection which was to much for his weakened state and he passed away on August 10" "1758808-1" "1758808-1" "PLATELET TRANSFUSION" "10035543" "65-79 years" "65-79" "Patient didn?t feel well the day after his COVID vaccine. He was extremely tired and he had body aches. This continued until his 1st visit to the hospital on July 1st. He was jaundice and weak. They diagnosed cirrhosis, high blood pressure and low blood platelets. He stayed in the hospital for 3-4 days and was released. 4-5 days later we went to the hospital again with the same symptoms. This time they told him he had hepatitis B along with the other things already diagnosed, again he was released from the hospital after a few days. 5-6 days later he had a doctors appointment, she told him he needed to go back to the hospital. This stay was for 16 days. He needed platelets and was then diagnosed with an aggressive form of lymphoma, received treatment and was released on July 30. That evening he started with a cough and felt progressively worse. August 3rd he was scheduled for more blood platelets, arrived to the hospital and was again admitted. They then diagnosed him with an ecoli infection which was to much for his weakened state and he passed away on August 10" "1759593-1" "1759593-1" "COVID-19" "10084268" "65-79 years" "65-79" "Hospitalized for COVID-19 on 9/6/21. Passed away on 9/18/21." "1759593-1" "1759593-1" "DEATH" "10011906" "65-79 years" "65-79" "Hospitalized for COVID-19 on 9/6/21. Passed away on 9/18/21." "1765317-1" "1765317-1" "DEATH" "10011906" "65-79 years" "65-79" "My dad had a physical 9/30/2021 and received a clean bill of health complete with lab work. He then received his second covid vaccine. sunday 10/3/2021 my dad got up went to the store..called my mother around noon had lunch and went back to work. two hours later he had an event and DIED. he was In perfect tip top health. he was taken from us way to soon" "1776569-1" "1776569-1" "COVID-19" "10084268" "65-79 years" "65-79" "fully vaccinated-covid 19 death" "1776569-1" "1776569-1" "DEATH" "10011906" "65-79 years" "65-79" "fully vaccinated-covid 19 death" "1783053-1" "1783053-1" "ACUTE RESPIRATORY FAILURE" "10001053" "65-79 years" "65-79" "Entered the ED 9/12/2021 with SOB and AFib (no history of AFib). Placed on bipap, admitted to ICU, intubated. Suffered multiple cardiac arrests, treated for probable PE. Client died 9/12/2021: Acute Hypoxic Respiratory Failure and Covid 19 Pneumonia. Submitter does not have access to further medical records. For further information, please contact." "1783053-1" "1783053-1" "ATRIAL FIBRILLATION" "10003658" "65-79 years" "65-79" "Entered the ED 9/12/2021 with SOB and AFib (no history of AFib). Placed on bipap, admitted to ICU, intubated. Suffered multiple cardiac arrests, treated for probable PE. Client died 9/12/2021: Acute Hypoxic Respiratory Failure and Covid 19 Pneumonia. Submitter does not have access to further medical records. For further information, please contact." "1783053-1" "1783053-1" "CARDIAC ARREST" "10007515" "65-79 years" "65-79" "Entered the ED 9/12/2021 with SOB and AFib (no history of AFib). Placed on bipap, admitted to ICU, intubated. Suffered multiple cardiac arrests, treated for probable PE. Client died 9/12/2021: Acute Hypoxic Respiratory Failure and Covid 19 Pneumonia. Submitter does not have access to further medical records. For further information, please contact." "1783053-1" "1783053-1" "CHEST X-RAY ABNORMAL" "10008499" "65-79 years" "65-79" "Entered the ED 9/12/2021 with SOB and AFib (no history of AFib). Placed on bipap, admitted to ICU, intubated. Suffered multiple cardiac arrests, treated for probable PE. Client died 9/12/2021: Acute Hypoxic Respiratory Failure and Covid 19 Pneumonia. Submitter does not have access to further medical records. For further information, please contact." "1783053-1" "1783053-1" "COVID-19" "10084268" "65-79 years" "65-79" "Entered the ED 9/12/2021 with SOB and AFib (no history of AFib). Placed on bipap, admitted to ICU, intubated. Suffered multiple cardiac arrests, treated for probable PE. Client died 9/12/2021: Acute Hypoxic Respiratory Failure and Covid 19 Pneumonia. Submitter does not have access to further medical records. For further information, please contact." "1783053-1" "1783053-1" "COVID-19 PNEUMONIA" "10084380" "65-79 years" "65-79" "Entered the ED 9/12/2021 with SOB and AFib (no history of AFib). Placed on bipap, admitted to ICU, intubated. Suffered multiple cardiac arrests, treated for probable PE. Client died 9/12/2021: Acute Hypoxic Respiratory Failure and Covid 19 Pneumonia. Submitter does not have access to further medical records. For further information, please contact." "1783053-1" "1783053-1" "DEATH" "10011906" "65-79 years" "65-79" "Entered the ED 9/12/2021 with SOB and AFib (no history of AFib). Placed on bipap, admitted to ICU, intubated. Suffered multiple cardiac arrests, treated for probable PE. Client died 9/12/2021: Acute Hypoxic Respiratory Failure and Covid 19 Pneumonia. Submitter does not have access to further medical records. For further information, please contact." "1783053-1" "1783053-1" "DYSPNOEA" "10013968" "65-79 years" "65-79" "Entered the ED 9/12/2021 with SOB and AFib (no history of AFib). Placed on bipap, admitted to ICU, intubated. Suffered multiple cardiac arrests, treated for probable PE. Client died 9/12/2021: Acute Hypoxic Respiratory Failure and Covid 19 Pneumonia. Submitter does not have access to further medical records. For further information, please contact." "1783053-1" "1783053-1" "ENDOTRACHEAL INTUBATION" "10067450" "65-79 years" "65-79" "Entered the ED 9/12/2021 with SOB and AFib (no history of AFib). Placed on bipap, admitted to ICU, intubated. Suffered multiple cardiac arrests, treated for probable PE. Client died 9/12/2021: Acute Hypoxic Respiratory Failure and Covid 19 Pneumonia. Submitter does not have access to further medical records. For further information, please contact." "1783053-1" "1783053-1" "INTENSIVE CARE" "10022519" "65-79 years" "65-79" "Entered the ED 9/12/2021 with SOB and AFib (no history of AFib). Placed on bipap, admitted to ICU, intubated. Suffered multiple cardiac arrests, treated for probable PE. Client died 9/12/2021: Acute Hypoxic Respiratory Failure and Covid 19 Pneumonia. Submitter does not have access to further medical records. For further information, please contact." "1783053-1" "1783053-1" "LUNG INFILTRATION" "10025102" "65-79 years" "65-79" "Entered the ED 9/12/2021 with SOB and AFib (no history of AFib). Placed on bipap, admitted to ICU, intubated. Suffered multiple cardiac arrests, treated for probable PE. Client died 9/12/2021: Acute Hypoxic Respiratory Failure and Covid 19 Pneumonia. Submitter does not have access to further medical records. For further information, please contact." "1783053-1" "1783053-1" "POSITIVE AIRWAY PRESSURE THERAPY" "10086397" "65-79 years" "65-79" "Entered the ED 9/12/2021 with SOB and AFib (no history of AFib). Placed on bipap, admitted to ICU, intubated. Suffered multiple cardiac arrests, treated for probable PE. Client died 9/12/2021: Acute Hypoxic Respiratory Failure and Covid 19 Pneumonia. Submitter does not have access to further medical records. For further information, please contact." "1783053-1" "1783053-1" "SARS-COV-2 TEST POSITIVE" "10084271" "65-79 years" "65-79" "Entered the ED 9/12/2021 with SOB and AFib (no history of AFib). Placed on bipap, admitted to ICU, intubated. Suffered multiple cardiac arrests, treated for probable PE. Client died 9/12/2021: Acute Hypoxic Respiratory Failure and Covid 19 Pneumonia. Submitter does not have access to further medical records. For further information, please contact." "1794843-1" "1794843-1" "CHILLS" "10008531" "65-79 years" "65-79" "Pt started with chills and sore throat approximately 12 hours after receiving the vaccines. She presented to urgent care on 10/7/21 and was seen. The urgent care did a rapid strep which was negative and advised to due symptomatic treatment. They felt she was experiencing an immune response the vaccines." "1794843-1" "1794843-1" "CULTURE THROAT NEGATIVE" "10011633" "65-79 years" "65-79" "Pt started with chills and sore throat approximately 12 hours after receiving the vaccines. She presented to urgent care on 10/7/21 and was seen. The urgent care did a rapid strep which was negative and advised to due symptomatic treatment. They felt she was experiencing an immune response the vaccines." "1794843-1" "1794843-1" "OROPHARYNGEAL PAIN" "10068319" "65-79 years" "65-79" "Pt started with chills and sore throat approximately 12 hours after receiving the vaccines. She presented to urgent care on 10/7/21 and was seen. The urgent care did a rapid strep which was negative and advised to due symptomatic treatment. They felt she was experiencing an immune response the vaccines." "1794843-1" "1794843-1" "STREPTOCOCCUS TEST NEGATIVE" "10070415" "65-79 years" "65-79" "Pt started with chills and sore throat approximately 12 hours after receiving the vaccines. She presented to urgent care on 10/7/21 and was seen. The urgent care did a rapid strep which was negative and advised to due symptomatic treatment. They felt she was experiencing an immune response the vaccines." "1794843-1" "1794843-1" "VACCINATION COMPLICATION" "10046861" "65-79 years" "65-79" "Pt started with chills and sore throat approximately 12 hours after receiving the vaccines. She presented to urgent care on 10/7/21 and was seen. The urgent care did a rapid strep which was negative and advised to due symptomatic treatment. They felt she was experiencing an immune response the vaccines." "1798168-1" "1798168-1" "DEATH" "10011906" "65-79 years" "65-79" "Death" "1798396-1" "1798396-1" "COVID-19" "10084268" "65-79 years" "65-79" "fully vaccinated, covid related death" "1798396-1" "1798396-1" "DEATH" "10011906" "65-79 years" "65-79" "fully vaccinated, covid related death" "1800781-1" "1800781-1" "COVID-19" "10084268" "65-79 years" "65-79" "patient admitted with COVID on 28 Sept. Was in ICU shortly after admission, consult obtained due to high oxygen requirement. On NiPPV initially. Transferred on 1 Oct on NiPPV 15/10 FiO2 80%- transitioned to high flow" "1800781-1" "1800781-1" "INTENSIVE CARE" "10022519" "65-79 years" "65-79" "patient admitted with COVID on 28 Sept. Was in ICU shortly after admission, consult obtained due to high oxygen requirement. On NiPPV initially. Transferred on 1 Oct on NiPPV 15/10 FiO2 80%- transitioned to high flow" "1807900-1" "1807900-1" "COVID-19" "10084268" "65-79 years" "65-79" "fully vaccinated, covid death" "1807900-1" "1807900-1" "DEATH" "10011906" "65-79 years" "65-79" "fully vaccinated, covid death" "1837240-1" "1837240-1" "ASTHENIA" "10003549" "65-79 years" "65-79" "Death; prior to death: Extreme lethargy, Global weakness, Difficulty with speech, loss of appetite, difficulty with swallowing" "1837240-1" "1837240-1" "COMPUTERISED TOMOGRAM" "10010234" "65-79 years" "65-79" "Death; prior to death: Extreme lethargy, Global weakness, Difficulty with speech, loss of appetite, difficulty with swallowing" "1837240-1" "1837240-1" "DEATH" "10011906" "65-79 years" "65-79" "Death; prior to death: Extreme lethargy, Global weakness, Difficulty with speech, loss of appetite, difficulty with swallowing" "1837240-1" "1837240-1" "DECREASED APPETITE" "10061428" "65-79 years" "65-79" "Death; prior to death: Extreme lethargy, Global weakness, Difficulty with speech, loss of appetite, difficulty with swallowing" "1837240-1" "1837240-1" "DYSPHAGIA" "10013950" "65-79 years" "65-79" "Death; prior to death: Extreme lethargy, Global weakness, Difficulty with speech, loss of appetite, difficulty with swallowing" "1837240-1" "1837240-1" "LABORATORY TEST" "10059938" "65-79 years" "65-79" "Death; prior to death: Extreme lethargy, Global weakness, Difficulty with speech, loss of appetite, difficulty with swallowing" "1837240-1" "1837240-1" "LETHARGY" "10024264" "65-79 years" "65-79" "Death; prior to death: Extreme lethargy, Global weakness, Difficulty with speech, loss of appetite, difficulty with swallowing" "1837240-1" "1837240-1" "SPEECH DISORDER" "10041466" "65-79 years" "65-79" "Death; prior to death: Extreme lethargy, Global weakness, Difficulty with speech, loss of appetite, difficulty with swallowing" "1851149-1" "1851149-1" "BACK PAIN" "10003988" "65-79 years" "65-79" "Patient was admitted to reporting hospital on 11/2/21 and died on 11/6/21. Patient arrived with approx 5-6 days of chest tightness, dyspnea on exertion, and perhaps some radiation of this feeling to the left side of sternum and back. Patient had fever, cough, shortness of breath, chest pain and leg swelling. Patient was transferred to our hospital as a known COVID positive patient. COVID-19 pneumonia with hypoxic respiratory failure and possible CHF. On the morning of 11/6/21, patient was awake and alert and was talking to the nurse after he had taken his Bipap mask off to transition to Vapotherm, when he suddenly became unresponsive and his eyes rolled back. He subsequently lost his pulse as well. Patient was noted to be DNR and thus aggressive resuscitative measures were not carried out." "1851149-1" "1851149-1" "CARDIOMEGALY" "10007632" "65-79 years" "65-79" "Patient was admitted to reporting hospital on 11/2/21 and died on 11/6/21. Patient arrived with approx 5-6 days of chest tightness, dyspnea on exertion, and perhaps some radiation of this feeling to the left side of sternum and back. Patient had fever, cough, shortness of breath, chest pain and leg swelling. Patient was transferred to our hospital as a known COVID positive patient. COVID-19 pneumonia with hypoxic respiratory failure and possible CHF. On the morning of 11/6/21, patient was awake and alert and was talking to the nurse after he had taken his Bipap mask off to transition to Vapotherm, when he suddenly became unresponsive and his eyes rolled back. He subsequently lost his pulse as well. Patient was noted to be DNR and thus aggressive resuscitative measures were not carried out." "1851149-1" "1851149-1" "CHEST DISCOMFORT" "10008469" "65-79 years" "65-79" "Patient was admitted to reporting hospital on 11/2/21 and died on 11/6/21. Patient arrived with approx 5-6 days of chest tightness, dyspnea on exertion, and perhaps some radiation of this feeling to the left side of sternum and back. Patient had fever, cough, shortness of breath, chest pain and leg swelling. Patient was transferred to our hospital as a known COVID positive patient. COVID-19 pneumonia with hypoxic respiratory failure and possible CHF. On the morning of 11/6/21, patient was awake and alert and was talking to the nurse after he had taken his Bipap mask off to transition to Vapotherm, when he suddenly became unresponsive and his eyes rolled back. He subsequently lost his pulse as well. Patient was noted to be DNR and thus aggressive resuscitative measures were not carried out." "1851149-1" "1851149-1" "CHEST PAIN" "10008479" "65-79 years" "65-79" "Patient was admitted to reporting hospital on 11/2/21 and died on 11/6/21. Patient arrived with approx 5-6 days of chest tightness, dyspnea on exertion, and perhaps some radiation of this feeling to the left side of sternum and back. Patient had fever, cough, shortness of breath, chest pain and leg swelling. Patient was transferred to our hospital as a known COVID positive patient. COVID-19 pneumonia with hypoxic respiratory failure and possible CHF. On the morning of 11/6/21, patient was awake and alert and was talking to the nurse after he had taken his Bipap mask off to transition to Vapotherm, when he suddenly became unresponsive and his eyes rolled back. He subsequently lost his pulse as well. Patient was noted to be DNR and thus aggressive resuscitative measures were not carried out." "1851149-1" "1851149-1" "CHEST X-RAY ABNORMAL" "10008499" "65-79 years" "65-79" "Patient was admitted to reporting hospital on 11/2/21 and died on 11/6/21. Patient arrived with approx 5-6 days of chest tightness, dyspnea on exertion, and perhaps some radiation of this feeling to the left side of sternum and back. Patient had fever, cough, shortness of breath, chest pain and leg swelling. Patient was transferred to our hospital as a known COVID positive patient. COVID-19 pneumonia with hypoxic respiratory failure and possible CHF. On the morning of 11/6/21, patient was awake and alert and was talking to the nurse after he had taken his Bipap mask off to transition to Vapotherm, when he suddenly became unresponsive and his eyes rolled back. He subsequently lost his pulse as well. Patient was noted to be DNR and thus aggressive resuscitative measures were not carried out." "1851149-1" "1851149-1" "COUGH" "10011224" "65-79 years" "65-79" "Patient was admitted to reporting hospital on 11/2/21 and died on 11/6/21. Patient arrived with approx 5-6 days of chest tightness, dyspnea on exertion, and perhaps some radiation of this feeling to the left side of sternum and back. Patient had fever, cough, shortness of breath, chest pain and leg swelling. Patient was transferred to our hospital as a known COVID positive patient. COVID-19 pneumonia with hypoxic respiratory failure and possible CHF. On the morning of 11/6/21, patient was awake and alert and was talking to the nurse after he had taken his Bipap mask off to transition to Vapotherm, when he suddenly became unresponsive and his eyes rolled back. He subsequently lost his pulse as well. Patient was noted to be DNR and thus aggressive resuscitative measures were not carried out." "1851149-1" "1851149-1" "COVID-19" "10084268" "65-79 years" "65-79" "Patient was admitted to reporting hospital on 11/2/21 and died on 11/6/21. Patient arrived with approx 5-6 days of chest tightness, dyspnea on exertion, and perhaps some radiation of this feeling to the left side of sternum and back. Patient had fever, cough, shortness of breath, chest pain and leg swelling. Patient was transferred to our hospital as a known COVID positive patient. COVID-19 pneumonia with hypoxic respiratory failure and possible CHF. On the morning of 11/6/21, patient was awake and alert and was talking to the nurse after he had taken his Bipap mask off to transition to Vapotherm, when he suddenly became unresponsive and his eyes rolled back. He subsequently lost his pulse as well. Patient was noted to be DNR and thus aggressive resuscitative measures were not carried out." "1851149-1" "1851149-1" "COVID-19 PNEUMONIA" "10084380" "65-79 years" "65-79" "Patient was admitted to reporting hospital on 11/2/21 and died on 11/6/21. Patient arrived with approx 5-6 days of chest tightness, dyspnea on exertion, and perhaps some radiation of this feeling to the left side of sternum and back. Patient had fever, cough, shortness of breath, chest pain and leg swelling. Patient was transferred to our hospital as a known COVID positive patient. COVID-19 pneumonia with hypoxic respiratory failure and possible CHF. On the morning of 11/6/21, patient was awake and alert and was talking to the nurse after he had taken his Bipap mask off to transition to Vapotherm, when he suddenly became unresponsive and his eyes rolled back. He subsequently lost his pulse as well. Patient was noted to be DNR and thus aggressive resuscitative measures were not carried out." "1851149-1" "1851149-1" "DEATH" "10011906" "65-79 years" "65-79" "Patient was admitted to reporting hospital on 11/2/21 and died on 11/6/21. Patient arrived with approx 5-6 days of chest tightness, dyspnea on exertion, and perhaps some radiation of this feeling to the left side of sternum and back. Patient had fever, cough, shortness of breath, chest pain and leg swelling. Patient was transferred to our hospital as a known COVID positive patient. COVID-19 pneumonia with hypoxic respiratory failure and possible CHF. On the morning of 11/6/21, patient was awake and alert and was talking to the nurse after he had taken his Bipap mask off to transition to Vapotherm, when he suddenly became unresponsive and his eyes rolled back. He subsequently lost his pulse as well. Patient was noted to be DNR and thus aggressive resuscitative measures were not carried out." "1851149-1" "1851149-1" "DYSPNOEA" "10013968" "65-79 years" "65-79" "Patient was admitted to reporting hospital on 11/2/21 and died on 11/6/21. Patient arrived with approx 5-6 days of chest tightness, dyspnea on exertion, and perhaps some radiation of this feeling to the left side of sternum and back. Patient had fever, cough, shortness of breath, chest pain and leg swelling. Patient was transferred to our hospital as a known COVID positive patient. COVID-19 pneumonia with hypoxic respiratory failure and possible CHF. On the morning of 11/6/21, patient was awake and alert and was talking to the nurse after he had taken his Bipap mask off to transition to Vapotherm, when he suddenly became unresponsive and his eyes rolled back. He subsequently lost his pulse as well. Patient was noted to be DNR and thus aggressive resuscitative measures were not carried out." "1851149-1" "1851149-1" "DYSPNOEA EXERTIONAL" "10013971" "65-79 years" "65-79" "Patient was admitted to reporting hospital on 11/2/21 and died on 11/6/21. Patient arrived with approx 5-6 days of chest tightness, dyspnea on exertion, and perhaps some radiation of this feeling to the left side of sternum and back. Patient had fever, cough, shortness of breath, chest pain and leg swelling. Patient was transferred to our hospital as a known COVID positive patient. COVID-19 pneumonia with hypoxic respiratory failure and possible CHF. On the morning of 11/6/21, patient was awake and alert and was talking to the nurse after he had taken his Bipap mask off to transition to Vapotherm, when he suddenly became unresponsive and his eyes rolled back. He subsequently lost his pulse as well. Patient was noted to be DNR and thus aggressive resuscitative measures were not carried out." "1851149-1" "1851149-1" "EYE MOVEMENT DISORDER" "10061129" "65-79 years" "65-79" "Patient was admitted to reporting hospital on 11/2/21 and died on 11/6/21. Patient arrived with approx 5-6 days of chest tightness, dyspnea on exertion, and perhaps some radiation of this feeling to the left side of sternum and back. Patient had fever, cough, shortness of breath, chest pain and leg swelling. Patient was transferred to our hospital as a known COVID positive patient. COVID-19 pneumonia with hypoxic respiratory failure and possible CHF. On the morning of 11/6/21, patient was awake and alert and was talking to the nurse after he had taken his Bipap mask off to transition to Vapotherm, when he suddenly became unresponsive and his eyes rolled back. He subsequently lost his pulse as well. Patient was noted to be DNR and thus aggressive resuscitative measures were not carried out." "1851149-1" "1851149-1" "PAIN" "10033371" "65-79 years" "65-79" "Patient was admitted to reporting hospital on 11/2/21 and died on 11/6/21. Patient arrived with approx 5-6 days of chest tightness, dyspnea on exertion, and perhaps some radiation of this feeling to the left side of sternum and back. Patient had fever, cough, shortness of breath, chest pain and leg swelling. Patient was transferred to our hospital as a known COVID positive patient. COVID-19 pneumonia with hypoxic respiratory failure and possible CHF. On the morning of 11/6/21, patient was awake and alert and was talking to the nurse after he had taken his Bipap mask off to transition to Vapotherm, when he suddenly became unresponsive and his eyes rolled back. He subsequently lost his pulse as well. Patient was noted to be DNR and thus aggressive resuscitative measures were not carried out." "1851149-1" "1851149-1" "PERIPHERAL SWELLING" "10048959" "65-79 years" "65-79" "Patient was admitted to reporting hospital on 11/2/21 and died on 11/6/21. Patient arrived with approx 5-6 days of chest tightness, dyspnea on exertion, and perhaps some radiation of this feeling to the left side of sternum and back. Patient had fever, cough, shortness of breath, chest pain and leg swelling. Patient was transferred to our hospital as a known COVID positive patient. COVID-19 pneumonia with hypoxic respiratory failure and possible CHF. On the morning of 11/6/21, patient was awake and alert and was talking to the nurse after he had taken his Bipap mask off to transition to Vapotherm, when he suddenly became unresponsive and his eyes rolled back. He subsequently lost his pulse as well. Patient was noted to be DNR and thus aggressive resuscitative measures were not carried out." "1851149-1" "1851149-1" "POSITIVE AIRWAY PRESSURE THERAPY" "10086397" "65-79 years" "65-79" "Patient was admitted to reporting hospital on 11/2/21 and died on 11/6/21. Patient arrived with approx 5-6 days of chest tightness, dyspnea on exertion, and perhaps some radiation of this feeling to the left side of sternum and back. Patient had fever, cough, shortness of breath, chest pain and leg swelling. Patient was transferred to our hospital as a known COVID positive patient. COVID-19 pneumonia with hypoxic respiratory failure and possible CHF. On the morning of 11/6/21, patient was awake and alert and was talking to the nurse after he had taken his Bipap mask off to transition to Vapotherm, when he suddenly became unresponsive and his eyes rolled back. He subsequently lost his pulse as well. Patient was noted to be DNR and thus aggressive resuscitative measures were not carried out." "1851149-1" "1851149-1" "PULMONARY ARTERY WALL HYPERTROPHY" "10063561" "65-79 years" "65-79" "Patient was admitted to reporting hospital on 11/2/21 and died on 11/6/21. Patient arrived with approx 5-6 days of chest tightness, dyspnea on exertion, and perhaps some radiation of this feeling to the left side of sternum and back. Patient had fever, cough, shortness of breath, chest pain and leg swelling. Patient was transferred to our hospital as a known COVID positive patient. COVID-19 pneumonia with hypoxic respiratory failure and possible CHF. On the morning of 11/6/21, patient was awake and alert and was talking to the nurse after he had taken his Bipap mask off to transition to Vapotherm, when he suddenly became unresponsive and his eyes rolled back. He subsequently lost his pulse as well. Patient was noted to be DNR and thus aggressive resuscitative measures were not carried out." "1851149-1" "1851149-1" "PULSE ABSENT" "10037469" "65-79 years" "65-79" "Patient was admitted to reporting hospital on 11/2/21 and died on 11/6/21. Patient arrived with approx 5-6 days of chest tightness, dyspnea on exertion, and perhaps some radiation of this feeling to the left side of sternum and back. Patient had fever, cough, shortness of breath, chest pain and leg swelling. Patient was transferred to our hospital as a known COVID positive patient. COVID-19 pneumonia with hypoxic respiratory failure and possible CHF. On the morning of 11/6/21, patient was awake and alert and was talking to the nurse after he had taken his Bipap mask off to transition to Vapotherm, when he suddenly became unresponsive and his eyes rolled back. He subsequently lost his pulse as well. Patient was noted to be DNR and thus aggressive resuscitative measures were not carried out." "1851149-1" "1851149-1" "PYREXIA" "10037660" "65-79 years" "65-79" "Patient was admitted to reporting hospital on 11/2/21 and died on 11/6/21. Patient arrived with approx 5-6 days of chest tightness, dyspnea on exertion, and perhaps some radiation of this feeling to the left side of sternum and back. Patient had fever, cough, shortness of breath, chest pain and leg swelling. Patient was transferred to our hospital as a known COVID positive patient. COVID-19 pneumonia with hypoxic respiratory failure and possible CHF. On the morning of 11/6/21, patient was awake and alert and was talking to the nurse after he had taken his Bipap mask off to transition to Vapotherm, when he suddenly became unresponsive and his eyes rolled back. He subsequently lost his pulse as well. Patient was noted to be DNR and thus aggressive resuscitative measures were not carried out." "1851149-1" "1851149-1" "RESPIRATORY FAILURE" "10038695" "65-79 years" "65-79" "Patient was admitted to reporting hospital on 11/2/21 and died on 11/6/21. Patient arrived with approx 5-6 days of chest tightness, dyspnea on exertion, and perhaps some radiation of this feeling to the left side of sternum and back. Patient had fever, cough, shortness of breath, chest pain and leg swelling. Patient was transferred to our hospital as a known COVID positive patient. COVID-19 pneumonia with hypoxic respiratory failure and possible CHF. On the morning of 11/6/21, patient was awake and alert and was talking to the nurse after he had taken his Bipap mask off to transition to Vapotherm, when he suddenly became unresponsive and his eyes rolled back. He subsequently lost his pulse as well. Patient was noted to be DNR and thus aggressive resuscitative measures were not carried out." "1851149-1" "1851149-1" "SARS-COV-2 TEST POSITIVE" "10084271" "65-79 years" "65-79" "Patient was admitted to reporting hospital on 11/2/21 and died on 11/6/21. Patient arrived with approx 5-6 days of chest tightness, dyspnea on exertion, and perhaps some radiation of this feeling to the left side of sternum and back. Patient had fever, cough, shortness of breath, chest pain and leg swelling. Patient was transferred to our hospital as a known COVID positive patient. COVID-19 pneumonia with hypoxic respiratory failure and possible CHF. On the morning of 11/6/21, patient was awake and alert and was talking to the nurse after he had taken his Bipap mask off to transition to Vapotherm, when he suddenly became unresponsive and his eyes rolled back. He subsequently lost his pulse as well. Patient was noted to be DNR and thus aggressive resuscitative measures were not carried out." "1851149-1" "1851149-1" "UNRESPONSIVE TO STIMULI" "10045555" "65-79 years" "65-79" "Patient was admitted to reporting hospital on 11/2/21 and died on 11/6/21. Patient arrived with approx 5-6 days of chest tightness, dyspnea on exertion, and perhaps some radiation of this feeling to the left side of sternum and back. Patient had fever, cough, shortness of breath, chest pain and leg swelling. Patient was transferred to our hospital as a known COVID positive patient. COVID-19 pneumonia with hypoxic respiratory failure and possible CHF. On the morning of 11/6/21, patient was awake and alert and was talking to the nurse after he had taken his Bipap mask off to transition to Vapotherm, when he suddenly became unresponsive and his eyes rolled back. He subsequently lost his pulse as well. Patient was noted to be DNR and thus aggressive resuscitative measures were not carried out." "1854473-1" "1854473-1" "DEATH" "10011906" "65-79 years" "65-79" "fully vaccinated-covid releated death" "1855554-1" "1855554-1" "COVID-19" "10084268" "65-79 years" "65-79" "Patient was admitted to the Hospital on 08/09/2021 w/ nausea, fatigue and vomiting. She tested positive for COVID-19 on 08/09." "1855554-1" "1855554-1" "FATIGUE" "10016256" "65-79 years" "65-79" "Patient was admitted to the Hospital on 08/09/2021 w/ nausea, fatigue and vomiting. She tested positive for COVID-19 on 08/09." "1855554-1" "1855554-1" "NAUSEA" "10028813" "65-79 years" "65-79" "Patient was admitted to the Hospital on 08/09/2021 w/ nausea, fatigue and vomiting. She tested positive for COVID-19 on 08/09." "1855554-1" "1855554-1" "SARS-COV-2 TEST POSITIVE" "10084271" "65-79 years" "65-79" "Patient was admitted to the Hospital on 08/09/2021 w/ nausea, fatigue and vomiting. She tested positive for COVID-19 on 08/09." "1855554-1" "1855554-1" "VOMITING" "10047700" "65-79 years" "65-79" "Patient was admitted to the Hospital on 08/09/2021 w/ nausea, fatigue and vomiting. She tested positive for COVID-19 on 08/09." "1873836-1" "1873836-1" "ASTHENIA" "10003549" "65-79 years" "65-79" "A 71 y.o. male with a past medical history significant for oxygen dependent COPD, CHF, bronchiectasis, NSCLC, prostate cancer, hypothyroidism, TBI, and seizure disorder who presents to with worsening cough and known Covid infection. Mr. stated that he didn't feel well on 10/31 and was tested for Covid the following day, returning positive. On 11/2, he felt worse with myalgias, fatigue, poor appetite, and weakness. He was started on Dexamethasone for both the Covid infection +/- COPD exacerbation. Unfortunately, his cough has worsened over the last two days. He has appreciated episodes of hemoptysis. No fever, chills, or sweats. He doesn't" "1873836-1" "1873836-1" "CHRONIC OBSTRUCTIVE PULMONARY DISEASE" "10009033" "65-79 years" "65-79" "A 71 y.o. male with a past medical history significant for oxygen dependent COPD, CHF, bronchiectasis, NSCLC, prostate cancer, hypothyroidism, TBI, and seizure disorder who presents to with worsening cough and known Covid infection. Mr. stated that he didn't feel well on 10/31 and was tested for Covid the following day, returning positive. On 11/2, he felt worse with myalgias, fatigue, poor appetite, and weakness. He was started on Dexamethasone for both the Covid infection +/- COPD exacerbation. Unfortunately, his cough has worsened over the last two days. He has appreciated episodes of hemoptysis. No fever, chills, or sweats. He doesn't" "1873836-1" "1873836-1" "CONDITION AGGRAVATED" "10010264" "65-79 years" "65-79" "A 71 y.o. male with a past medical history significant for oxygen dependent COPD, CHF, bronchiectasis, NSCLC, prostate cancer, hypothyroidism, TBI, and seizure disorder who presents to with worsening cough and known Covid infection. Mr. stated that he didn't feel well on 10/31 and was tested for Covid the following day, returning positive. On 11/2, he felt worse with myalgias, fatigue, poor appetite, and weakness. He was started on Dexamethasone for both the Covid infection +/- COPD exacerbation. Unfortunately, his cough has worsened over the last two days. He has appreciated episodes of hemoptysis. No fever, chills, or sweats. He doesn't" "1873836-1" "1873836-1" "COUGH" "10011224" "65-79 years" "65-79" "A 71 y.o. male with a past medical history significant for oxygen dependent COPD, CHF, bronchiectasis, NSCLC, prostate cancer, hypothyroidism, TBI, and seizure disorder who presents to with worsening cough and known Covid infection. Mr. stated that he didn't feel well on 10/31 and was tested for Covid the following day, returning positive. On 11/2, he felt worse with myalgias, fatigue, poor appetite, and weakness. He was started on Dexamethasone for both the Covid infection +/- COPD exacerbation. Unfortunately, his cough has worsened over the last two days. He has appreciated episodes of hemoptysis. No fever, chills, or sweats. He doesn't" "1873836-1" "1873836-1" "COVID-19" "10084268" "65-79 years" "65-79" "A 71 y.o. male with a past medical history significant for oxygen dependent COPD, CHF, bronchiectasis, NSCLC, prostate cancer, hypothyroidism, TBI, and seizure disorder who presents to with worsening cough and known Covid infection. Mr. stated that he didn't feel well on 10/31 and was tested for Covid the following day, returning positive. On 11/2, he felt worse with myalgias, fatigue, poor appetite, and weakness. He was started on Dexamethasone for both the Covid infection +/- COPD exacerbation. Unfortunately, his cough has worsened over the last two days. He has appreciated episodes of hemoptysis. No fever, chills, or sweats. He doesn't" "1873836-1" "1873836-1" "DECREASED APPETITE" "10061428" "65-79 years" "65-79" "A 71 y.o. male with a past medical history significant for oxygen dependent COPD, CHF, bronchiectasis, NSCLC, prostate cancer, hypothyroidism, TBI, and seizure disorder who presents to with worsening cough and known Covid infection. Mr. stated that he didn't feel well on 10/31 and was tested for Covid the following day, returning positive. On 11/2, he felt worse with myalgias, fatigue, poor appetite, and weakness. He was started on Dexamethasone for both the Covid infection +/- COPD exacerbation. Unfortunately, his cough has worsened over the last two days. He has appreciated episodes of hemoptysis. No fever, chills, or sweats. He doesn't" "1873836-1" "1873836-1" "FATIGUE" "10016256" "65-79 years" "65-79" "A 71 y.o. male with a past medical history significant for oxygen dependent COPD, CHF, bronchiectasis, NSCLC, prostate cancer, hypothyroidism, TBI, and seizure disorder who presents to with worsening cough and known Covid infection. Mr. stated that he didn't feel well on 10/31 and was tested for Covid the following day, returning positive. On 11/2, he felt worse with myalgias, fatigue, poor appetite, and weakness. He was started on Dexamethasone for both the Covid infection +/- COPD exacerbation. Unfortunately, his cough has worsened over the last two days. He has appreciated episodes of hemoptysis. No fever, chills, or sweats. He doesn't" "1873836-1" "1873836-1" "HAEMOPTYSIS" "10018964" "65-79 years" "65-79" "A 71 y.o. male with a past medical history significant for oxygen dependent COPD, CHF, bronchiectasis, NSCLC, prostate cancer, hypothyroidism, TBI, and seizure disorder who presents to with worsening cough and known Covid infection. Mr. stated that he didn't feel well on 10/31 and was tested for Covid the following day, returning positive. On 11/2, he felt worse with myalgias, fatigue, poor appetite, and weakness. He was started on Dexamethasone for both the Covid infection +/- COPD exacerbation. Unfortunately, his cough has worsened over the last two days. He has appreciated episodes of hemoptysis. No fever, chills, or sweats. He doesn't" "1873836-1" "1873836-1" "HYPOXIA" "10021143" "65-79 years" "65-79" "A 71 y.o. male with a past medical history significant for oxygen dependent COPD, CHF, bronchiectasis, NSCLC, prostate cancer, hypothyroidism, TBI, and seizure disorder who presents to with worsening cough and known Covid infection. Mr. stated that he didn't feel well on 10/31 and was tested for Covid the following day, returning positive. On 11/2, he felt worse with myalgias, fatigue, poor appetite, and weakness. He was started on Dexamethasone for both the Covid infection +/- COPD exacerbation. Unfortunately, his cough has worsened over the last two days. He has appreciated episodes of hemoptysis. No fever, chills, or sweats. He doesn't" "1873836-1" "1873836-1" "MALAISE" "10025482" "65-79 years" "65-79" "A 71 y.o. male with a past medical history significant for oxygen dependent COPD, CHF, bronchiectasis, NSCLC, prostate cancer, hypothyroidism, TBI, and seizure disorder who presents to with worsening cough and known Covid infection. Mr. stated that he didn't feel well on 10/31 and was tested for Covid the following day, returning positive. On 11/2, he felt worse with myalgias, fatigue, poor appetite, and weakness. He was started on Dexamethasone for both the Covid infection +/- COPD exacerbation. Unfortunately, his cough has worsened over the last two days. He has appreciated episodes of hemoptysis. No fever, chills, or sweats. He doesn't" "1873836-1" "1873836-1" "MYALGIA" "10028411" "65-79 years" "65-79" "A 71 y.o. male with a past medical history significant for oxygen dependent COPD, CHF, bronchiectasis, NSCLC, prostate cancer, hypothyroidism, TBI, and seizure disorder who presents to with worsening cough and known Covid infection. Mr. stated that he didn't feel well on 10/31 and was tested for Covid the following day, returning positive. On 11/2, he felt worse with myalgias, fatigue, poor appetite, and weakness. He was started on Dexamethasone for both the Covid infection +/- COPD exacerbation. Unfortunately, his cough has worsened over the last two days. He has appreciated episodes of hemoptysis. No fever, chills, or sweats. He doesn't" "1873836-1" "1873836-1" "OXYGEN SATURATION DECREASED" "10033318" "65-79 years" "65-79" "A 71 y.o. male with a past medical history significant for oxygen dependent COPD, CHF, bronchiectasis, NSCLC, prostate cancer, hypothyroidism, TBI, and seizure disorder who presents to with worsening cough and known Covid infection. Mr. stated that he didn't feel well on 10/31 and was tested for Covid the following day, returning positive. On 11/2, he felt worse with myalgias, fatigue, poor appetite, and weakness. He was started on Dexamethasone for both the Covid infection +/- COPD exacerbation. Unfortunately, his cough has worsened over the last two days. He has appreciated episodes of hemoptysis. No fever, chills, or sweats. He doesn't" "1873836-1" "1873836-1" "SARS-COV-2 TEST POSITIVE" "10084271" "65-79 years" "65-79" "A 71 y.o. male with a past medical history significant for oxygen dependent COPD, CHF, bronchiectasis, NSCLC, prostate cancer, hypothyroidism, TBI, and seizure disorder who presents to with worsening cough and known Covid infection. Mr. stated that he didn't feel well on 10/31 and was tested for Covid the following day, returning positive. On 11/2, he felt worse with myalgias, fatigue, poor appetite, and weakness. He was started on Dexamethasone for both the Covid infection +/- COPD exacerbation. Unfortunately, his cough has worsened over the last two days. He has appreciated episodes of hemoptysis. No fever, chills, or sweats. He doesn't" "1882915-1" "1882915-1" "DEATH" "10011906" "65-79 years" "65-79" "fully vaccincated, complications of covid death" "1894700-1" "1894700-1" "COVID-19" "10084268" "65-79 years" "65-79" "The client was diagnosed with COVID-19 and was full-vaccinated. He was hospitalized from what appears to be September 24-25, 2021. He had co-morbid conditions (Myeloma, Kidney Failure, Diabetes, Dialysis) and passed away on September 28, 2021." "1894700-1" "1894700-1" "DEATH" "10011906" "65-79 years" "65-79" "The client was diagnosed with COVID-19 and was full-vaccinated. He was hospitalized from what appears to be September 24-25, 2021. He had co-morbid conditions (Myeloma, Kidney Failure, Diabetes, Dialysis) and passed away on September 28, 2021." "1897832-1" "1897832-1" "COVID-19" "10084268" "65-79 years" "65-79" "Admitted to the hospital on 10/16/2021 with respiratory symptoms. Passed away 11/7/2021. Cause: RESPIRATORY FAILURE COVID-19 PNEUMONIA PULMONARY EMBOLISM Contributing: IMMUNOCOMP BY PAST LUNG CANCER Submitter does not have access to full medical record. For further details, please contact the admitting hospital" "1897832-1" "1897832-1" "COVID-19 PNEUMONIA" "10084380" "65-79 years" "65-79" "Admitted to the hospital on 10/16/2021 with respiratory symptoms. Passed away 11/7/2021. Cause: RESPIRATORY FAILURE COVID-19 PNEUMONIA PULMONARY EMBOLISM Contributing: IMMUNOCOMP BY PAST LUNG CANCER Submitter does not have access to full medical record. For further details, please contact the admitting hospital" "1897832-1" "1897832-1" "DEATH" "10011906" "65-79 years" "65-79" "Admitted to the hospital on 10/16/2021 with respiratory symptoms. Passed away 11/7/2021. Cause: RESPIRATORY FAILURE COVID-19 PNEUMONIA PULMONARY EMBOLISM Contributing: IMMUNOCOMP BY PAST LUNG CANCER Submitter does not have access to full medical record. For further details, please contact the admitting hospital" "1897832-1" "1897832-1" "IMMUNODEFICIENCY" "10061598" "65-79 years" "65-79" "Admitted to the hospital on 10/16/2021 with respiratory symptoms. Passed away 11/7/2021. Cause: RESPIRATORY FAILURE COVID-19 PNEUMONIA PULMONARY EMBOLISM Contributing: IMMUNOCOMP BY PAST LUNG CANCER Submitter does not have access to full medical record. For further details, please contact the admitting hospital" "1897832-1" "1897832-1" "NUCLEIC ACID TEST" "10083356" "65-79 years" "65-79" "Admitted to the hospital on 10/16/2021 with respiratory symptoms. Passed away 11/7/2021. Cause: RESPIRATORY FAILURE COVID-19 PNEUMONIA PULMONARY EMBOLISM Contributing: IMMUNOCOMP BY PAST LUNG CANCER Submitter does not have access to full medical record. For further details, please contact the admitting hospital" "1897832-1" "1897832-1" "PULMONARY EMBOLISM" "10037377" "65-79 years" "65-79" "Admitted to the hospital on 10/16/2021 with respiratory symptoms. Passed away 11/7/2021. Cause: RESPIRATORY FAILURE COVID-19 PNEUMONIA PULMONARY EMBOLISM Contributing: IMMUNOCOMP BY PAST LUNG CANCER Submitter does not have access to full medical record. For further details, please contact the admitting hospital" "1897832-1" "1897832-1" "RESPIRATORY FAILURE" "10038695" "65-79 years" "65-79" "Admitted to the hospital on 10/16/2021 with respiratory symptoms. Passed away 11/7/2021. Cause: RESPIRATORY FAILURE COVID-19 PNEUMONIA PULMONARY EMBOLISM Contributing: IMMUNOCOMP BY PAST LUNG CANCER Submitter does not have access to full medical record. For further details, please contact the admitting hospital" "1897832-1" "1897832-1" "RESPIRATORY SYMPTOM" "10075535" "65-79 years" "65-79" "Admitted to the hospital on 10/16/2021 with respiratory symptoms. Passed away 11/7/2021. Cause: RESPIRATORY FAILURE COVID-19 PNEUMONIA PULMONARY EMBOLISM Contributing: IMMUNOCOMP BY PAST LUNG CANCER Submitter does not have access to full medical record. For further details, please contact the admitting hospital" "1897832-1" "1897832-1" "SARS-COV-2 TEST POSITIVE" "10084271" "65-79 years" "65-79" "Admitted to the hospital on 10/16/2021 with respiratory symptoms. Passed away 11/7/2021. Cause: RESPIRATORY FAILURE COVID-19 PNEUMONIA PULMONARY EMBOLISM Contributing: IMMUNOCOMP BY PAST LUNG CANCER Submitter does not have access to full medical record. For further details, please contact the admitting hospital" "1897897-1" "1897897-1" "COVID-19" "10084268" "65-79 years" "65-79" "cause of death-complications of covid 19. fully vaccinated" "1897897-1" "1897897-1" "DEATH" "10011906" "65-79 years" "65-79" "cause of death-complications of covid 19. fully vaccinated" "1909519-1" "1909519-1" "COVID-19" "10084268" "65-79 years" "65-79" "fully vaccinated, covid related death" "1909519-1" "1909519-1" "DEATH" "10011906" "65-79 years" "65-79" "fully vaccinated, covid related death" "1909565-1" "1909565-1" "COVID-19" "10084268" "65-79 years" "65-79" "fully vaccinated covid related death" "1909565-1" "1909565-1" "DEATH" "10011906" "65-79 years" "65-79" "fully vaccinated covid related death" "1913670-1" "1913670-1" "COVID-19" "10084268" "65-79 years" "65-79" "fully vaccinated, complications of covid-19 death" "1913670-1" "1913670-1" "DEATH" "10011906" "65-79 years" "65-79" "fully vaccinated, complications of covid-19 death" "1917303-1" "1917303-1" "DEATH" "10011906" "65-79 years" "65-79" "Died on 11/14/2021-car accident" "1917303-1" "1917303-1" "ROAD TRAFFIC ACCIDENT" "10039203" "65-79 years" "65-79" "Died on 11/14/2021-car accident" "---" "Dataset: The Vaccine Adverse Event Reporting System (VAERS)" "Query Parameters:" "Title: 211214 CDC covid VAERS report - all reports" "Age: 65-79 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: West Virginia; Wisconsin; Wyoming; American Samoa; Baker Island; Federated States of Micronesia; Guam;" "Howland Island; Jarvis Island; Johnston Atoll; Kingman Reef; Marshall Islands; Midway Islands; Navassa Island; Northern Mariana" "Islands; Palmyra Atoll; Puerto Rico; Virgin Islands; Wake Island" "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 4:38:09 PM" "---" "Suggested Citation: Accessed at http://wonder.cdc.gov/vaers.html on Dec 14, 2021 4:38:09 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 131 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.

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.

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." "

Key considerations and limitations of VAERS data:

" "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: "