이상반응 보고

VAERS ID 924456
성별 여성
나이 85세
주 코드 CA
제약회사 PFIZER\BIONTECH
로트 번호 EK9231
예방접종 횟수 1
접종일 2021-01-05
발병일 2021-01-05
상태 사망
증상
  • 자극에 무반응(Unresponsive to stimuli)
  • 호흡 정지(Respiratory arrest)
  • SARS-CoV-2 테스트 양성(SARS-CoV-2 test positive)
  • 동공 고정(Pupil fixed)
  • 역류(Regurgitation)

이환 중 질병

COVID-19 detected after vaccination; asymptomatic

지병

Hyperlipidemia; Alzheimer's disease; Atherosclerotic heart disease of native coronary artery w/o angina pectoris; Osteoarthritis; Major depressive disorder, single episode, unspecified; unspecified severe protein-calorie malnutrition

기타 의료

Lexapro, famotidine, Namenda, Seroquel, simvastatin, Trazodone; Tamsulosin; Docusate sodium; Polyethylene glycol; Celebrex; Acetaminophen

이전 예방접종

알레르기

No known allergies

임상 검사

OVID-19 specimen collection from Sunday, 1/3/21, detected COVID-19

증상 상세

Patient did not display any obvious signs or symptoms; the vaccination was administered at approximately 10:00 AM and the patient continued throughout her day without any complaints or signs of adverse reaction.
Patient was helped to bed by the nursing assistant estimated at around 9:00 PM.
The facility received notification from the lab around 11:00 PM that the patient's COVID-19 specimen collection from Sunday, 1/3/21, detected COVID-19.
When the nursing staff went to the room to check on the resident and prepare her to move to a COVID-19 care area the patient was found unresponsive, no movement, no chest rises, noted regurgitated small amount of food to mouth left side, lying on left side.
Pupils non reactive.