Adverse Event Reporting

VAERS ID 2082549
Gender Male
Age 51
StateCode
Pharmaceutical Company JANSSEN
Lot Number NOLOTAVAILA
Number of vaccinations 1
Vaccinated 2021-06-25
Onset 2021-08-13
Condition Hospitalized Died
Symptoms
  • Dyspnoea
  • Intensive care
  • Endotracheal intubation
  • Gastrointestinal haemorrhage
  • Mechanical ventilation
  • COVID-19 pneumonia
  • Death
  • Cardio-respiratory arrest
  • Resuscitation
  • Positive airway pressure therapy

Current Illness

Preexisting Conditions

HTN

Other Medications

Previous Vaccinations

Allergies

Laboratory Data

Write-up

seen in ED with SOB; diagnosed with COVID pneumonia; treated with antibiotic and steroids; worsening SOB; O2 supplementation in ICU with BiPAP 100% alternated with Vapotherm and NRB adjuncts; was able to be moved to medical floor; later experienced code blue, (likely GI bleed), CPR performed; intubated with mechanical ventilation; transferred to SICU; family chose to not perform additional CPR or other aggressive support if needed; pt's condition worsened; in house hospice was chosen and pt died in the hosp