이상반응 보고

VAERS ID	915920
성별	여성
나이	96세
주 코드	OH
제약회사	PFIZER\BIONTECH
로트 번호	ELO140
예방접종 횟수
접종일	2020-12-28
발병일	2020-12-28
상태	사망

증상

• 죽음(Death)

이환 중 질병

Resident was living in an assisted living facility. She fell on 11/24/2020 and was seen in the ER. There, she tested positive for COVID 19. She was admitted to this facility for rehab. She showed a decline after admission and was referred to hospice.

지병

Vitamin deficiency, hyperlipidemia, hypertension, anemia, dementia, chronic kidney disease III, osteoporosis, history of breast cancer/MI/pulmonary embolism, depression.

기타 의료

ASA 81, Vitamin D, Vitamin B12, Atorvastatin, Omeprazole, Tylenol, Donepezil, Amlodipine, Coreg, Remeron

이전 예방접종

Tetanus toxoid

알레르기

Tetanus toxoid

임상 검사

증상 상세

Resident received vaccine in am and expired that afternoon.