Adverse Event Reporting

VAERS ID 1577966
Gender Female
Age 69
StateCode KY
Pharmaceutical Company JANSSEN
Lot Number 207A21A
Number of vaccinations 1
Vaccinated 2021-06-15
Onset 2021-08-14
Condition Hospitalized Died
Symptoms
  • Dyspnoea
  • Intensive care
  • Tachypnoea
  • Mechanical ventilation
  • Death
  • Cardiac arrest
  • Resuscitation

Current Illness

Preexisting Conditions

Other Medications

Previous Vaccinations

Allergies

Laboratory Data

Write-up

Patient admitted to ICU on 8/13/21 on noninvasive ventilation.
Patient repeatedly verbalized she did not want to be intubated.
Overnight, increasing oxygen needs and AVAPS increased to fio2 100% and epap 14.
She had increased work of breathing and tachypnea with respirations up to 50s and oxygen saturations 79-85%.
This morning, monitor alarmed asystole and RN called code blue and initiated CPR with bag valve mask.
Monitor tech advised patient was normal sinus rhythm and then ventricular standstill just prior to arrest.
Multiple rounds of CPR with epinephrine administered, unfortunately we were not able to regain pulse.
Patient was not intubated in honor of her wishes.
Resuscitation attempts stopped, and time of death called at 09:18; may she rest in peace.