Adverse Event Reporting
| VAERS ID | 921481 |
|---|---|
| Gender | Male |
| Age | 88 |
| StateCode | OH |
| Pharmaceutical Company | PFIZER\BIONTECH |
| Lot Number | EL0140 |
| Number of vaccinations | 1 |
| Vaccinated | 2020-12-29 |
| Onset | 2021-01-01 |
| Condition | Died |
Symptoms
- Rash
- Lethargy
- Sluggishness
- Death
Current Illness
Dementia Chronic PVD
Preexisting Conditions
Dementia PVD
Other Medications
Vitamin D3 5000 units qd Furosemide 20mg qd Olanzapine 2.5mg bid
Previous Vaccinations
Allergies
No known allergies
Laboratory Data
n/a
Write-up
Vaccine given on 12/29/20 by Pharmacy.
On 1/1/21, resident became lethargic and sluggish and developed a rash on forearms.
He was a Hospice recipient and doctor and Hospice ordered no treatment, just to continue to monitor.
When no improvement of codition reported, doctor and Hospice ordered comfort meds (Morphine, Ativan, Levsin).
Resident expired on 1/4/2021