Détails du rapport Vaer
Âge: 66 ans
Genre: Female
Région : Texas
- Patient décédé?
- Oui
- Renseignements sur les vaccins
-
Nom: COVID19 (COVID19 (MODERNA))
Type : Coronavirus 2019 vaccine
Fabricant: MODERNA
Lot: 939676
Nom: COVID19 (COVID19 (MODERNA))
Type : Coronavirus 2019 vaccine
Fabricant: MODERNA
Lot: 033b21a
- Date de réception du rapport
- 2022-02-24
- Date à laquelle le formulaire est complèté
- Date de vaccination
- 2021-07-01
- Date d’apparition
- 223
- Nombre de jours (date d’apparition – date de vaccination)
- 223
- Description de l’événement indésirable
-
moderna covid vaccine eua: covid-19 case resulting in hospitalization / death. patient received moderna vaccine on 6/03/2021 and 7/01/2021. covid19 + 2/08/22. presented to ed 2/8/22 after 3-4 days of covid sxs w/increasing sob, wheezing and body aches. covid+. admitted for acute on chronic resp failure 2/2 hypoxia-multifactorial 2/2 covid pna and copd exacerbation. increased o2 demand from home o2 via nc. remained on nc overnight but was found to be off telemetry early the next morning. pt was slumped /pulseless, and code blue was called. intubated and regained pulse twice but then there was no further response. treated with decadron. expired 02/09/22
- Données de laboratoire
-
2/08/22 this sample was analyzed using the roche liat sars assay platform using pcr or equivalent nucleic acid amplification (naa) technology
- Liste des symptômes
-
malaise wheezing hypoxia pain condition aggravated dyspnoea cardio-respiratory arrest covid-19 sars-cov-2 test positive death pulse absent chronic obstructive pulmonary disease covid-19 pneumonia posture abnormal cardiac telemetry endotracheal intubation acute respiratory failure
- Patient décédé?
- Oui
- Date de décès
- 2022-02-09
- Anomalie congénitale
- false
- Vaccin administré par :
- Pharmacy or store
- Vaccin acheté par :
- Inconnu
- Visite d’un patient à l’urgence?
- Non
- Patient hospitalisé?
- Oui
- Séjour à l’hôpital
- Non
- Nombre de jours à l’hôpital
- Non spécifié
- Invalidité permanente?
- Non
- Allergies:
-
penicillins, benadryl, chocolate, red dye
- Maladie actuelle
-
na